Nursing Care Satisfaction among Patients Infected with Covid-19: A Turkish Perspective

The aim of this study was to determine the satisfaction with nursing care among patients diagnosed with Covid-19 and related factors. Materials and Methods. The study was conducted between June and July 2020. The population of the study consisted of 102 patients treated in the Covid-19 clinics of the University Teaching and Research Hospital. The data were collected using the Newcastle Satisfaction with Nursing Care Scale with a total of 19 items, and the Patient Description Form designed to record the sociodemographic characteristics and medical histories. The data were evaluated using the program package IBM SPSS 20.0. To test the significance of the difference between two independent groups, the Student’s t-test was used, and the one-way ANOVA was used to test the significance of the difference between more than two groups. Results. The results showed that most patients were satisfied with nursing care. A higher level of satisfaction was seen in patients treated in the Covid-19 intensive care units, those with chronic conditions, and those who received information about their health state from nurses. Patients’ family type, sharing fears and worries with nurses, getting information from nurses and the quality of nursing care were the variables significantly associated with patient satisfaction with nursing care. Conclusions. Satisfaction with nursing care among Covid-19 patients was moderate. When nurses use effective communication skills to meet patients’ care needs, provide patients with adequate information, allow them to express their feelings, and keep them safe, this will further enhance patient satisfaction

Determining Usage Diversity of Measurement and Evaluation Concepts in the Primary Education Program

DergiPark: 326239trakyasobedThe aim of this research is to determine different concept usages in the field of measurement and evaluation statistically. In accordance with this purpose, of the purposeful sampling methods, criteria sampling is used and 79 articles in 11 journals, which are indexed by ULAKBİLİM in the field of education and whose full texts can be accessible online between the years 2004-2010, composed the sample of the study. As a result of research, it was figured out that Traditional and Alternative Measurement and Evaluation concepts were proportionately stated at most. When the concepts that are used to determine the methods and instruments of measurement and evaluation are analyzed in terms of diversity, usages of Portfolio, Performance Evaluation, Self-Evaluation and Group Evaluation, Peer Evaluation, Rubric, Interview, Checklist and Diagnostic Tree concepts are mostly encounteredAraştırmanın amacı, ölçme ve değerlendirme alanında kullanılan kavramların farklı kullanımlarını istatistiksel olarak belirlemektir. Amaç doğrultusunda ULAKBİM’ de eğitim alanında taranan dergilerden amaçlı örnekleme yöntemlerinden ölçüt örneklem kullanılarak 2004-2010 yılları arasında, çevirim içi olarak tam metinlerine erişilebilen 11 dergide yer alan 79 makale örneklem olarak seçilmiştir. Araştırma sonucunda oransal olarak en fazla Geleneksel ve Alternatif Ölçme ve Değerlendirme olarak ifade edildiği görülmüştür. Ölçme ve değerlendirme yöntem ve araçlarını belirtmek için kullanılan isimlendirmeler çeşitlilik açısından incelendiğinde, en fazla Portfolyo, Performans değerlendirme, Öz Değerlendirme, Grup Değerlendirme, Akran Değerlendirme, Rubrik, Görüşme, Kontrol Listesi ve Tanılayıcı Dallanmış Ağaç kavramlarının kullanımına rastlanmıştı

Bioaccumulation of trace metals and genotoxicity responses in Liza aurata as an indicator of industrial pollution

Heavy metal contamination in the coastal and marine ecosystems is becoming a serious risk to aquatic organisms and humans. This study reports the effects, including genetic damage, of accumulations of trace metals on Liza aurata, which is used as a bio-indicator species, in the Payas coast of Iskenderun Bay, north-eastern Mediterranean by COMET Assay. L. aurata were seasonally collected from a sampling site and a reference site for one year. Physicochemical parameters in water and trace metals in the tissues of fish collected from these sites were determined by electrochemical techniques. High DNA damage frequency in L. aurata was observed along the Payas coast of Iskenderun Bay compared to the reference site because of pollutants. The detected high levels of Cd, Pb, Fe and Cu accumulation in L. aurata exceed the maximum levels allowed by the national and international limit values. Significant positive correlations between Cd, Pb, Hg, Cr, Fe, Zn, and Cu accumulations and DNA damage parameters were observed in the present study. Additionally, we first reported the successful use of the electrochemical technique in the determination of trace metal concentrations in mullet. Moreover, L. aurata constitutes a key tool as a sentinel organism for biomonitoring of coastal ecosystems. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.https://doi.org/10.1007/s10646-022-02591-

Türk Müziği Güftelerinde Kadının Temsiliyeti: Münir Nurettin Selçuk’un Besteleri Üzerine Bir İnceleme

Türkiye’de müzikoloji disiplini kapsamında toplumsal cinsiyet konulu çalışmaların artışı ile kadın müzisyenler üzerine yapılan çalışmaların varlığı daha çok dikkat çekmektedir. Bu kapsamda yapılan çalışmaların çoğunlukla popüler müzik türünde yapılması, Türk müziği güftelerinde kadının varlığının nasıl olduğu sorusunu akla getirmiş ve bu çalışmanın doğmasına vesile olmuştur. Çalışma, Münir Nurettin Selçuk’un bestelediği eserlerin sözlerinde kadının nasıl temsil edildiği sorusu üzerine yapılandırılmıştır. Çalışma, Türk müziğinde kadın temaları içeren araştırmaların sayıca az olması ve Türk müziğinin 1900’lü yıllarda yaşamış olduğu değişimlerine tanıklık etmesi nedeniyle Münir Nurettin Selçuk’un bestelediği eserlerle sınırlandırılmıştır. Münir Nurettin Selçuk’a ait olan eserler tarama yöntemiyle tespit edilmiş, sözleri incelemeye tabi tutulmuştur. İncelenen 84 eserde içinde kadını temsil eden ifadelerin yer aldığı eserler çalışmanın verilerini oluşturmuştur. Kadını temsil eden ifadeleri içeren 28 eser müzikal ve sözel olarak analiz edilmiştir. Eserlerin öncelikle makam, usul, form, güftekâr açısından tasnifi yapılmış, elde edilen sayısal veriler grafiksel olarak gösterilmiştir. Kadına ilişkin ifadeler anlamlarına bağlı olarak kategorileştirilmiş, eserler içerisinde kadını temsil eden bu ifadeler anlamsal olarak incelenmiştir. Sonuç olarak incelenen bu 28 eserin içerisinde Münir Nurettin Selçuk’un en çok istifâde ettiği güftekâr Yahya Kemal Beyatlı, en çok kullandığı makam rast makamı, en çok kullandığı usûl aksak usulü, en çok tercih ettiği form şarkı formu olarak görülmüştür

Expressıons of vıolence ın turkısh folk songs: central anatolıan example

Şiddet, doğuştan gelen bir davranış olmasının yanı sıra sonradan öğrenilen davranışları da kapsar. Kişinin yetiştiği, sürekli iletişimde olduğu aile, arkadaş çevresinden ve kitle iletişim araçlarından görerek öğrendiği, kimi zaman uyguladığı, zaman içinde yayılması muhtemel toplumsal bir sorundur. Sadece fiziksel olmayıp, psikolojik, bireysel, kültürel, toplumsal ve cinsel boyutları ile ele alınması gereken bir olgudur. Kültürün devamlılığını sağlayan halk türküleri incelendiğinde şiddetin farklı boyutlarını içeren sözlerin varlığı dikkati çeker. Bu çalışma, toplumun duygularının dışavurumuna ilişkin önemli ipuçları veren ve nesiller aracılığı ile aktarılan türkülerin, geleneksel unsurların yanı sıra şiddetin de farkına varmaksızın gelecek nesillere aktarılması ve şiddete ilişkin unsurların zaman içinde kanıksanmasına aracı olduğu düşüncesinden yola çıkılarak yapılandırıldı. Bu çalışmanın tüm verileri, TRT nota arşivinden elde edilen TRT halk müziği repertuvarında yer alan 6517 türküden oluşmaktadır. Araştırma kapsamında TRT halk müziği repertuvarında yer alan toplam 6517 türkü doküman analizi yöntemi ve belgesel tarama modeli kullanılarak incelendi, şiddet içeren kelime yoğunluğuna göre bölgeler saptandı. Bu çalışma, TRT halk müziği repertuvarına kayıtlı toplam 1440 türkü –İç Anadolu Bölgesi kapsamındaki yörelere ait içinde 203 halk türküsü ile en çok şiddet içeren kelimenin tespit edildiği İç Anadolu Bölgesi ile sınırlandırıldı. Bölge içinde türkü sözlerinde en fazla şiddet unsuru içeren türkülerin yüzde 21 ile Sivas, yüzde 12 ile Kayseri en az ise yüzde 1 türkü ile Aksaray, yüzde 1 türkü ile Karaman ili olduğu tespit edildi. Türkü sayısı oranına bakıldığında ise yüzde 25,8 ile Niğde, yüzde 25,4 ile Çankırı yöresine en az oranın ise yüzde 12,8 ile Yozgat ve yüzde 8’ lik oran ile Sivas yöresine şiddet unsuru içeren türkülerin kayıtlı olduğu tespit edildi. Türkü sözlerinin şiddet türü, şiddet boyutu yönüyle analizi sonucunda yüzde 32 ile en fazla psikolojik boyutun, yüzde 7’ lik oran ile de en az cinsel boyutun varlığı tespit edildi. Şiddet içeren türkülere ilişkin ayrıntılı veriler çalışmada grafiksel olarak sunulmaktadır.In addition to being an innate behavior, violence also includes learned behaviors. It is a social problem that a person grows up to and learns from his family, friends and mass media that he is constantly communicating with, sometimes he applies, and that is likely to spread over time. Not just physical, psychological, individual, cultural, is a phenomenon that needs to be addressed with social and gender dimensions. When the folk songs that ensure the continuity of the culture are examined, the presence of words containing different dimensions of violence draws attention. This study is structured on the basis of the idea that folk songs, which give important clues about the expression of the feelings of the society and are transmitted through generations, are passed on to future generations without being aware of violence as well as traditional elements, and that it is a means for the elements related to violence to become familiar over time. All the data of this study consists of 6517 folk songs in the TRT folk music repertoire obtained from the TRT music archive. Located in TRT repertoire of folk music, folk songs scope of the research were analyzed using total 6517 document analysis documentary screening model method was determined by the intensity of the word violence. This study was limited to the Central Anatolian Region, where the most violent words were identified, with 203 folk songs among a total of 1440 folk songs belonging to the regions within the Central Anatolia Region - recorded in the TRT folk music repertoire. In the region, it was determined that the folk songs that contain the most violent element in their lyrics are Sivas with 21 percent Kayseri with 12 percent, Aksaray with at least 1 percent folk songs, and Karaman with 1 percent folk songs. When the ratio of the number of folk songs was examined, it was determined that the folk songs with an element of violence were recorded in Niğde with 25.8 percent, Çankırı with 25.4 percent, Yozgat at the lowest rate with 12.8 percent and Sivas with 8 percent. As a result of the analysis of folk songs in terms of the type of violence and the dimension of violence, it was determined that there was the highest psychological dimension with 32 percent and the least sexual dimension with the rate of 7 percent. Detailed data on folk songs containing violence are presented graphically in the study

Corneal biomechanical properties in thyroid eye disease

AbstractThe purpose of this study is to investigate the effect of thyroid eye disease (TED) on the measurement of corneal biomechanical properties and the relationship between these parameters and disease manifestations. A total of 54 eyes of 27 individuals with TED and 52 eyes of 30 healthy control participants were enrolled. Thyroid ophthalmopathy activity was defined using the VISA (vision, inflammation, strabismus, and appearance/exposure) classification for TED. The intraocular pressure (IOP) measurement with Goldmann applanation tonometer (GAT), axial length (AL), keratometry, and central corneal thickness (CCT) measurements were taken from each patient. Corneal biomechanical properties, including corneal hysteresis (CH) and corneal resistance factor (CRF) and noncontact IOP measurements, Goldmann-correlated IOP (IOPg) and corneal-compensated IOP (IOPcc) were measured with the Ocular Response Analyzer (ORA) using the standard technique. Parameters such as best corrected visual acuity, axial length, central corneal thickness, and corneal curvature were not statistically significant between the two groups (p > 0.05). IOP measured with GAT was higher in participants with TED (p < 0.001). The CH of TED patients was significantly lower than that of the control group. There was no significant difference in the corneal resistance factor between groups. However, IOPg and IOPcc were significantly higher in TED patients. CH and VISA grading of TED patients showed a negative correlation (p = 0.007). In conclusion, TED affects the corneal biomechanical properties by decreasing CH. IOP with GAT and IOPg is found to be increased in these patients. As the severity of TED increases, CH decreases in these patients

Efficacy of subsequent treatments in patients with hormone-positive advanced breast cancer who had disease progression under CDK 4/6 inhibitor therapy

Background: There is no standard treatment recommended at category 1 level in international guidelines for subsequent therapy after cyclin-dependent kinase 4/6 inhibitor (CDK4/6) based therapy. We aimed to evaluate which subsequent treatment oncologists prefer in patients with disease progression under CDKi. In addition, we aimed to show the effectiveness of systemic treatments after CDKi and whether there is a survival difference between hormonal treatments (monotherapy vs. mTOR-based). Methods: A total of 609 patients from 53 centers were included in the study. Progression-free-survivals (PFS) of subsequent treatments (chemotherapy (CT, n:434) or endocrine therapy (ET, n:175)) after CDKi were calculated. Patients were evaluated in three groups as those who received CDKi in first-line (group A, n:202), second-line (group B, n: 153) and ≥ 3rd-line (group C, n: 254). PFS was compared according to the use of ET and CT. In addition, ET was compared as monotherapy versus everolimus-based combination therapy. Results: The median duration of CDKi in the ET arms of Group A, B, and C was 17.0, 11.0, and 8.5 months in respectively; it was 9.0, 7.0, and 5.0 months in the CT arm. Median PFS after CDKi was 9.5 (5.0–14.0) months in the ET arm of group A, and 5.3 (3.9–6.8) months in the CT arm (p = 0.073). It was 6.7 (5.8–7.7) months in the ET arm of group B, and 5.7 (4.6–6.7) months in the CT arm (p = 0.311). It was 5.3 (2.5–8.0) months in the ET arm of group C and 4.0 (3.5–4.6) months in the CT arm (p = 0.434). Patients who received ET after CDKi were compared as those who received everolimus-based combination therapy versus those who received monotherapy ET: the median PFS in group A, B, and C was 11.0 vs. 5.9 (p = 0.047), 6.7 vs. 5.0 (p = 0.164), 6.7 vs. 3.9 (p = 0.763) months. Conclusion: Physicians preferred CT rather than ET in patients with early progression under CDKi. It has been shown that subsequent ET after CDKi can be as effective as CT. It was also observed that better PFS could be achieved with the subsequent everolimus-based treatments after first-line CDKi compared to monotherapy ET.Breast Cancer Consortiu

Intensive Care Management of Critical and Severe SARS-CoV-2 Infection in Pregnancy: A Retrospective Observational Study

Objective: This study examined the clinical consequences of pregnancy coexisting with severe acute respiratory syndrome coronavirus 2 in the intensive care unit (ICU). Materials and Methods: The study was designed as a retrospective observational study. After the ethical approval of the local ethics committee, the study was conducted for a period when the number of young coronavirus disease-2019 (COVID-19) cases increased in our country. The patients enrolled in the study were pregnant/puerperal patients followed up in our third-level ICU. Results: The mean age of 35 pregnant women included in the study was 29.57±4.36 years. Twenty-one of the births (80.8%) were preterm births. Twelve (34.3%) patients received invasive mechanical ventilation (IMV), and 5 (41.7%) of these patients were deceased. Twenty-six (74.3%) underwent a cesarean section (C/S). There were 5 (14.3%) patients who needed extracorporeal membrane oxygenation and 3 (8.5%) patients who needed continuous renal replacement therapy. The 28-day neonatal mortality rate for 26 births was 3.8%. The maternal mortality rate in the ICU was 14.3%. Conclusion: The preterm birth rate was high in our pregnant patients followed up in the ICU with a diagnosis of COVID-19. Because of clinical and radiological progression in pregnant women, it is difficult to indicate any gestational week in which maternal outcomes are better to undergo C/S. IMV mortality is not higher than in non-pregnant patients, so endotracheal intubation should not be avoided in appropriate patients, whether pregnancy continues or not. The absence of fully vaccinated patients in the study group revealed the protective effect of vaccination during pregnancy