QUALITY OF NURSING CARE: DIFFERENCES IN HOSPITALS FROM PORTUGAL AND FROM TURKEY

Objective: to analyze nurses’ perception about the activities that contribute to the quality of Nursing care in Portuguese and Turkish hospital services.Method: a multicenter, quantitative and cross-sectional study, carried out in a hospital in each country, involving 211 nurses from each setting. The Scale of Perception of Nursing Activities That Contribute to Nursing Care Quality was used. The study was conducted from August 2017 to March 2018.Results: it was verified that the Portuguese nurses obtained higher means in all the domains, except in the activities related to continuity of care, to the records system and to the knowledge of the institutional policies. The findings indicate aspects that require investment.Conclusion: the nurses’ perceptions, even in different countries, demonstrate a specificprofessional profile that reinforces the usefulness of conceptualization in this knowledge area as a contribution to the well-being and promotion of the health of individuals.Objetivo: analizar la percepción de los enfermeros acerca de las actividades que contribuyen a la calidad de la atención de Enfermería en servicios hospitalarios portugueses y turcos.Método: estudio multicéntrico, cuantitativo y transversal, realizado en un hospital de cada país, con 211 enfermeros de cada lugar. Se utilizó la Escala de Percepción de las Actividades de Enfermería que Contribuyen a la Calidad de la Atención. El estudio se realizó de agosto de 2017 a marzo de 2018.Resultados: se verificó que los enfermeros portugueses obtuvieron valores medios más elevados en todos los dominios, excepto en las actividades relacionadas con la continuidad de la atención, con el sistema de registros y con el conocimiento de las políticas institucionales. Los hallazgos señalan aspectos que requieren inversiones.Conclusión: las percepciones de los enfermeros, incluso en países diferentes, demuestran un perfil profesional específico que refuerza la utilidad de la conceptualización en esta área del conocimiento como un aporte para el bienestar y la promoción de la salud de las personas.Objetivo: analisar a percepção dos enfermeiros acerca das atividades que contribuem para a qualidade dos cuidados de enfermagem em serviços hospitalares portugueses e turcos.Método: estudo multicêntrico, quantitativo, transversal, realizado em um hospital de cada país, envolvendo 211 enfermeiros de cada cenário. Utilizou-se a Escala de Percepção das Atividades de Enfermagem que Contribuem para a Qualidade dos Cuidados. Realizado de agosto de 2017 a março de 2018.Resultados: verificou-se que os enfermeiros portugueses tiveram médias mais elevadas em todos os domínios, exceto nas atividades relativas à continuidade de cuidados, ao sistema de registros e no conhecimento das políticas institucionais. Os achados sinalizam aspectos que carecem de investimentos.Conclusão: as percepções dos enfermeiros, mesmo em países diferentes, demonstram um perfil profissional específico que reforça a utilidade da conceptualização nesta área do conhecimento como um contributo para o bem-estar e promoção da saúde dos indivíduos

Quality of nursing care: Differences in hospitals from Portugal and from Turkey

Objetivo: analisar a percepção dos enfermeiros acerca das atividades que contribuem para a qualidade dos cuidados de enfermagem em serviços hospitalares portugueses e turcos. Método: estudo multicêntrico, quantitativo, transversal, realizado em um hospital de cada país, envolvendo 211 enfermeiros de cada cenário. Utilizou-se a Escala de Percepção das Atividades de Enfermagem que Contribuem para a Qualidade dos Cuidados. Realizado de agosto de 2017 a março de 2018. Resultados: verificou-se que os enfermeiros portugueses tiveram médias mais elevadas em todos os domínios, exceto nas atividades relativas à continuidade de cuidados, ao sistema de registros e no conhecimento das políticas institucionais. Os achados sinalizam aspectos que carecem de investimentos. Conclusão: as percepções dos enfermeiros, mesmo em países diferentes, demonstram um perfil profissional específico que reforça a utilidade da conceptualização nesta área do conhecimento como um contributo para o bem-estar e promoção da saúde dos indivíduos.Objective: to analyze nurses’ perception about the activities that contribute to the quality of Nursing care in Portuguese and Turkish hospital services. Method: a multicenter, quantitative and cross-sectional study, carried out in a hospital in each country, involving 211 nurses from each setting. The Scale of Perception of Nursing Activities That Contribute to Nursing Care Quality was used. The study was conducted from August 2017 to March 2018. Results: it was verified that the Portuguese nurses obtained higher means in all the domains, except in the activities related to continuity of care, to the records system and to the knowledge of the institutional policies. The findings indicate aspects that require investment. Conclusion: the nurses’ perceptions, even in different countries, demonstrate a specific professional profile that reinforces the usefulness of conceptualization in this knowledge area as a contribution to the well-being and promotion of the health of individuals.info:eu-repo/semantics/publishedVersio

Serum indoxyl sulfate concentrations associate with progression of chronic kidney disease in children

The uremic toxins indoxyl sulfate (IS) and p-cresyl sulfate (pCS) accumulate in patients with chronic kidney disease (CKD) as a consequence of altered gut microbiota metabolism and a decline in renal excretion. Despite of solid experimental evidence for nephrotoxic effects, the impact of uremic toxins on the progression of CKD has not been investigated in representative patient cohorts. In this analysis, IS and pCS serum concentrations were measured in 604 pediatric participants (mean eGFR of 27 ± 11 ml/min/1.73m2) at enrolment into the prospective Cardiovascular Comorbidity in Children with CKD study. Associations with progression of CKD were analyzed by Kaplan-Meier analyses and Cox proportional hazard models. During a median follow up time of 2.2 years (IQR 4.3-0.8 years), the composite renal survival endpoint, defined as 50% loss of eGFR, or eGFR <10ml/min/1.73m2 or start of renal replacement therapy, was reached by 360 patients (60%). Median survival time was shorter in patients with IS and pCS levels in the highest versus lowest quartile for both IS (1.5 years, 95%CI [1.1,2.0] versus 6.0 years, 95%CI [5.0,8.4]) and pCS (1.8 years, 95%CI [1.5,2.8] versus 4.4 years, 95%CI [3.4,6.0]). Multivariable Cox regression disclosed a significant association of IS, but not pCS, with renal survival, which was independent of other risk factors including baseline eGFR, proteinuria and blood pressure. In this exploratory analysis we provide the first data showing a significant association of IS, but not pCS serum concentrations with the progression of CKD in children, independent of other known risk factors. In the absence of comorbidities, which interfere with serum levels of uremic toxins, such as diabetes, obesity and metabolic syndrome, these results highlight the important role of uremic toxins and accentuate the unmet need of effective elimination strategies to lower the uremic toxin burden and abate progression of CKD

Epidemiology of surgery associated acute kidney injury (EPIS-AKI): a prospective international observational multi-center clinical study

Purpose: The incidence, patient features, risk factors and outcomes of surgery-associated postoperative acute kidney injury (PO-AKI) across different countries and health care systems is unclear. Methods: We conducted an international prospective, observational, multi-center study in 30 countries in patients undergoing major surgery (&gt; 2-h duration and postoperative intensive care unit (ICU) or high dependency unit admission). The primary endpoint was the occurrence of PO-AKI within 72&nbsp;h of surgery defined by the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Secondary endpoints included PO-AKI severity and duration, use of renal replacement therapy (RRT), mortality, and ICU and hospital length of stay. Results: We studied 10,568 patients and 1945 (18.4%) developed PO-AKI (1236 (63.5%) KDIGO stage 1500 (25.7%) KDIGO stage 2209 (10.7%) KDIGO stage 3). In 33.8% PO-AKI was persistent, and 170/1945 (8.7%) of patients with PO-AKI received RRT in the ICU. Patients with PO-AKI had greater ICU (6.3% vs. 0.7%) and hospital (8.6% vs. 1.4%) mortality, and longer ICU (median 2 (Q1-Q3, 1-3) days vs. 3 (Q1-Q3, 1-6) days) and hospital length of stay (median 14 (Q1-Q3, 9-24) days vs. 10 (Q1-Q3, 7-17) days). Risk factors for PO-AKI included older age, comorbidities (hypertension, diabetes, chronic kidney disease), type, duration and urgency of surgery as well as intraoperative vasopressors, and aminoglycosides administration. Conclusion: In a comprehensive multinational study, approximately one in five patients develop PO-AKI after major surgery. Increasing severity of PO-AKI is associated with a progressive increase in adverse outcomes. Our findings indicate that PO-AKI represents a significant burden for health care worldwide

CHALLENGES OF HISTORY TEACHERS IN ANCIENT HISTORY AND ANCIENT TURKISH HISTORY TEACHING, AND SUGGESTED SOLUTIONS (IN ANKARA PROVINCE SECONDARY EDUCATION INSTITUTIONS)

Bu çalışmanın amacı, Ortaöğretim 9. sınıf Tarih ders kitabının (Tarih I) Eskiçağ Tarihi ve Eski Türk Tarihi konularından oluşan II. ve III. üniteleri ile ilgili olarak, dersi yürüten tarih öğretmenlerinin tutumları, ders işlenişi, kitap içeriği ve okul dışı eğitim konusundaki görüşlerini ortaya koymak ve öğretmenlerin sorunlara yönelik önerilerini belirleyerek, çözüm yolu önermektir. Çalışmanın amacını gerçekleştirmek üzere, Ankara ili sınırları içerisinde bulunan 46 lisede görevli 202 tarih öğretmenine alan araştırması yapılmıştır. Bu araştırma sonucu, Tarih I ders kitabının II. ve III. üniteleri ile ilgili dört tabloda anlamlı bir farklılık ortaya çıkmıştır. Araştırmamıza katılan öğretmenleri Tarih 9 ders kitabının II. ve III. ünitelerini sistematik bulmalarına rağmen konularla ilgili görselleri yetersiz bulmakta ve okul dışı etkinliklerle bu konuların öğretiminin daha nitelikli olacağını düşünmektedirler. Ders kitaplarının ekinde çeşitli görsellerden oluşan cd, dvdlerin hazırlanması ve özellikle müze gezileri ile ilgili uygulamalardaki işlemlerin kolaylaştırılması gerektiğini belirtmektedirler. Bazı öğretmenler alanla ilgili donanımlarının yetersiz olduğunu; bu eksikliklerin alanla ilgili güncel bilgilerle birlikte hizmet içi eğitimlerle telafi etmelerinin sağlanmasını önermektedirler.The purpose of this study is to reveal history teachers' attidutes, teaching of the lesson, the content of the book as well as teachers' opinion about nonformal education with regard to II. and III. units of 9th grade history textbook (History I), which consists Ancient History and Ancient Turkish History, and to suggest solutions by determining teachers' suggestions about their challenges. With a view to accomplish the purpose of the study, a field reseach was conducted with 202 history teachers from 46 high school in Ankara province. The result of the reseach revealed a significant variation in four tables related to II. and III. units of the History I. Textbook. Although the teachers who participated in our study found II. and III. units of the History 9 textbook systematic, they considered that the visual materials were insufficient and teaching of such subjects would be more qualified with the assistance of nonformal events. They stated the need to prepare cds and dvds consisting assorted visual representations as an attachment to textbooks, as well as facilitating the procedure for events, museum visits in particular. Some of the teachers pointed out that they have weak backgrounds on the field; and suggested adressing it by in-service trainings with current information about the field

KİTAP DEĞERLENDİRME İSMAİL TOSUN SARAL, GÜL BABA, NAPKUT YAYINEVİ, MACARİSTAN, 2022.

This study is about the work named Gül Baba, prepared and published by İsmail Saral Tosun. İsmail Saral Tosun has done research on Gül Baba for a long time and turned his research into a publication. He is known for his work on Gül Baba both in Turkey and Hungary. Gül Baba, one of the symbolic names of the cultural ties between Türkiye and Hungary, has always remained on the agenda with the works of İsmail Saral Tosun. He transformed his works published as articles into an independent work

Detection of various diseases in apple and quince by using artificial neural networks and deep learning techniques

Bu çalışma kapsamında, üç farklı kişiden alınan 7 sınıf için 150 adet RGB görüntü kullanılarak bir veri seti elde edilmiştir. Veri kümelerine veri artırma yöntemleri uygulanmış, görüntü sayısı her bir sınıf için 900 adet olacak şekilde toplam 6300'den, 12600'e yükseltilmiştir. Hastalıkların sınıflandırılması için hem problemin çözümüne yönelik 10 katmanlı bir evrişimli derin ağ modeli oluşturulmuş hem de derin öğrenme yöntemlerinden biri olan aktarımlı öğrenme yöntemi kullanılarak hazır modellerden VGG16, Inception ve ResNet derin ağ mimarileri kullanılmıştır. Ayrıca derin öğrenmenin öznitelik çıkarımı tekniğinden faydalanılarak elde edilen öznitelik vektörü ile geleneksel makine öğrenme yöntemlerinden olan Destek Vektör Makineleri (Support Vector Machines, SVM) ve K- En Yakın Komşu(K- Nearest Neighbor, K-NN) yöntemleri ile sınıflandırılmıştır. Elde edilen sonuçlar zaman ve başarım oranlarına göre kıyaslanarak, en başarılı yöntem belirlenmiştir. Bu çalışmada, görsel hasar bırakan elma ve ayva yüzeyinde iz bırakan hastalıkların, yapılan analizler sonucunda başarılı bulunan derin öğrenme yöntemlerinden biri olan aktarımlı öğrenme kullanılarak gerçek zamanlı yazılı dile çevrilmesi sağlanmış böylece hastalığın tespiti sağlanmıştır. Ayrıca, tasarlanan bu gerçek zamanlı sistem ile elma ve ayva hastalıklarına ait görüntüleri tanıma ve tahminini bilgisayar ekranına yazdırmasındaki başarısı değerlendirilmiştir.Within the scope of this study, a data set was obtained using 150 RGB images for 7 classes taken from three different people. Data enhancement methods were applied to data sets, and the number of images was increased from 6300 to 12600, from 900 for each class. For the classification of the diseases, a 10-layer convolutional deep network model was created for the solution of the problem, and by using the transfer learning method, one of the deep learning methods, VGG16, Inception and ResNet deep network architectures were used. In addition, the feature vector obtained by using the feature extraction technique of deep learning and the traditional machine learning methods, Support Vector Machines (SVM) and K-Nearest Neighbor (K-NN) methods were classified. The most successful method was determined by comparing the obtained results according to time and performance rates. In this study, diseases that leave marks on the surface of apple and quince that cause visual damage were translated into real-time written language using transfer learning, which is one of the deep learning methods that was found successful as a result of the analyzes, thus the disease was detected. In addition, with this designed real-time system, its success in recognizing and predicting the signs of apple and quince diseases on the computer screen was evaluated

Frequency of Escherichia coli O157 : H7 in Turkish cattle

In this Study, five abattoirs in Istanbul were visited between January 2000 and April 2001. During these visits, 330 cattle were selected by a systematic sampling method. Cattle were examined clinically and breed, age, and sex were recorded. Rectal swabs were taken immediately after slaughter. Immunomagnetic separation was performed, and sorbitol-negative colonies were selected on sorbitol MacConkey agar with cefixime and tellurite (CT-SNIAC agar). These colonies were checked for 4-methylenebelliferyl-beta-D-glucuronide, indol, rhamnose, and urease activity and motility. Serotypes of bacteria were determined by using antisera specific for Escherichia coli O157 and H7. All cattle selected were clinically healthy. Of 88 sorbitol-negative colonies selected on CT-SMAC agar, isolates from only 14 (4.2%) cattle reacted with anti-O157, and 13 of these isolates also reacted with anti-H7. E. coli O157:117 was isolated from all breeds, but the numbers of isolates were largest for Holstein and Swiss Brown cows. E. coli O157:H7 was most frequently isolated from 2-year-old cattle. Similarly, it was most frequently isolated from male cattle. E. coli O157:147 was isolated from cattle slaughtered in four of the five abattoirs studied