Goal derailment and goal persistence in response to honor threats

In honor cultures, maintaining a positive moral reputation (e.g., being known as an honest person) is highly important, whereas in dignity cultures self-respect (e.g., competence and success) is strongly emphasized. Depending on their cultural background, people respond differently to threats to these two dimensions of honor. In two studies, we examined the effects of morality-focused and competence-focused threats on people’s goal pursuit in two honor cultures (Turkey, Southern U.S., & Latinx) and in a dignity culture (Northern U.S.). In Study 1, Turkish participants were more likely to reject a highly qualified person as a partner in a future task if that person threatened their morality (vs. no-threat), even though this meant letting go of the goal of winning an award. Participants from the U.S. honor and dignity groups, however, were equally likely to choose the people who gave them threatening and neutral feedback. In Study 2, Turkish and U.S. honor participants were more likely to persist in a subsequent goal after receiving a morality threat (vs. no-threat), whereas U.S. dignity participants were more likely to persist in a subsequent goal after receiving a competence threat (vs. no-threat). These results show that people’s responses to honor threats are influenced by the dominant values of their culture and by the tools that are available to them to potentially restore their reputation (e.g., punishing the offender vs. working hard on a different task). This research can have implications for multicultural contexts in which people can have conflicting goals, such as diverse work environments

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Recalling positive and negative events: a cross-cultural investigation of the functions of work-related memories

Autobiographical memory serves three basic functions of self-continuity, social bonding, and directing behavior. Although previous research has analyzed functional remembering across cultures and emotional valence, little is known about their interactive dynamics. We coded functions of positive and negative work-related autobiographical memories of working adults from Singapore, Turkey, and the U.S. The results revealed an interaction between culture and memory type, whereby memories by Turkish participants were more likely to serve the self function, particularly in positive memories. Across cultures, positive memories scored higher on the social function than did negative memories. Memories by Turkish employees were the most, and Singaporean employees were the least likely to serve a social function. In contrast, narratives by both Singaporean and Turkish employees scored higher on the directive function than did narratives by American employees. The results are discussed in light of cultural differences in autobiographical memory usage as well as workplace relational norms

Goal Derailment and Goal Persistence in Response to Honor Threats

In honor cultures, maintaining a positive moral reputation (e.g., being known as an honest person) is highly important, whereas in dignity cultures, self-respect (e.g., competence and success) is strongly emphasized. Depending on their cultural background, people respond differently to threats to these two dimensions of honor. In two studies, we examined the effects of morality-focused and competence-focused threats on people’s goal pursuit in two honor cultures (Turkey, Southern United States, and Latinx) and in a dignity culture (Northern United States). In Study 1, Turkish participants were more likely to reject a highly qualified person as a partner in a future task if that person threatened their morality (vs. no-threat), even though this meant letting go of the goal of winning an award. Participants from the U.S. honor and dignity groups, however, were equally likely to choose the people who gave them threatening and neutral feedback. In Study 2, Turkish and U.S. honor participants were more likely to persist in a subsequent goal after receiving a morality threat (vs. no-threat), whereas U.S. dignity participants were more likely to persist in a subsequent goal after receiving a competence threat (vs. no-threat). These results show that people’s responses to honor threats are influenced by the dominant values of their culture and by the tools that are available to them to potentially restore their reputation (e.g., punishing the offender vs. working hard on a different task). This research can have implications for multicultural contexts in which people can have conflicting goals such as diverse work environments

The WHO global alliance against chronic respiratory diseases in Turkey (GARD Turkey)

In order to prevent and control non-communicable diseases (NCDs), the 61st World Health Assembly has endorsed an NCD action plan (WHA resolution 61.14). A package for essential NCDs including chronic respiratory diseases (CRDs) has also been developed. The Global Alliance against Chronic Respiratory Diseases (GARD) is a new but rapidly developing voluntary alliance that is assisting World Health Organization (WHO) in the task of addressing NCDs at country level. The GARD approach was initiated in 2006. GARD Turkey is the first comprehensive programme developed by a government with all stakeholders of the country. This paper provides a summary of indicators of the prevalence and severity of chronic respiratory diseases in Turkey and the formation of GARD Turkey

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice

Safety and efficacy of intraperitoneal drain placement after emergency colorectal surgery. An international, prospective cohort study

Intraperitoneal drains are often placed during emergency colorectal surgery. However, there is a lack of evidence supporting their use. This study aimed to describe the efficacy and safety of intraperitoneal drain placement after emergency colorectal surgery. Method: COMPlicAted intra-abdominal collectionS after colorectal Surgery (COMPASS) is a prospective, international, cohort study into which consecutive adult patients undergoing emergency colorectal surgery were enrolled (from 3 February 2020 to 8 March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included rate and time-to-diagnosis of postoperative intraperitoneal collections, rate of surgical site infections (SSIs), time to discharge and 30-day major postoperative complications (Clavien-Dindo III-V). Multivariable logistic and Cox proportional hazards regressions were used to estimate the independent association of the outcomes with drain placement. Results: Some 725 patients (median age 68.0 years; 349 [48.1%] women) from 22 countries were included. The drain insertion rate was 53.7% (389 patients). Following multivariable adjustment, drains were not significantly associated with reduced rates (odds ratio [OR] = 1.56, 95% CI: 0.48-5.02, p = 0.457) or earlier detection (hazard ratio [HR] = 1.07, 95% CI: 0.61-1.90, p = 0.805) of collections. Drains were not significantly associated with worse major postoperative complications (OR = 1.26, 95% CI: 0.67-2.36, p = 0.478), delayed hospital discharge (HR = 1.11, 95% CI: 0.91-1.36, p = 0.303) or increased risk of SSIs (OR = 1.61, 95% CI: 0.87-2.99, p = 0.128). Conclusion: This is the first study investigating placement of intraperitoneal drains following emergency colorectal surgery. The safety and clinical benefit of drains remain uncertain. Equipoise exists for randomized trials to define the safety and efficacy of drains in emergency colorectal surgery