Douching Practice

Background: Vaginal douching (VD) is a very common practice in Turkish culture. This practice is affected by individual and cultural characteristics. Purpose: The aim of the research was to determine how the education based on Pender's Health Promotion Model (HPM) affects women's decision to quit vaginal douche and the factors that cause women to continue VD practices. Methods: The HPM guided the 2-hr education process. The sample has 58 women. Results: As a result, the model education-based HPM helped 69% of women to quit VD practice. It was also determined that education affected women who performed VD to feel clean and to comply with the religion but was less effective in women who had lower education or performed VD to comply with the husband's demand. Conclusions: Finally, the study showed that the education based on HPM affected the women to change their attitude toward VD and quit it

Birth With Different Types of Anesthesia

PurposeTo compare the breast-feeding outcomes and breast-feeding self-efficacy, in the first 24 postpartum hours, of mothers who underwent vaginal birth, cesarean birth with epidural anesthesia, and cesarean birth with general anesthesia.MethodsA comparative study was conducted in Turkey. A total of 334 mothers participated. Data were evaluated through descriptive data form, breast-feeding outcomes form, and the Breastfeeding Self-Efficacy Scale.FindingsIt was observed that the mothers who had cesarean birth with general anesthesia experienced more breast-feeding problems. With regard to breast-feeding self-efficacy, all the groups were similar.ConclusionFor reducing breast-feeding problems, nurses should provide more care and support to mothers undergoing cesarean birth. Therefore, the fact that the breast-feeding self-efficacy was similar among the groups might be related to culture.AmacVajinal, epduralli sezaryen ve genel anestizili sezaryen gecirmi annelerin postpartum ilk 24 satte emzirme sonuclarnn ve emzirme oz-yeterlilik alglarnn karlatrlmas.YontemTurkiye'de gercekletirilen karlatrmal bir calmadr. Toplam 334 anne katlmtr. Veriler tanmlayc veri formu, emzirme sonuclarn deerlendirme formu ve Emzirme oz-Yeterlilii olce ile toplanmtr.BulgularGenel anestezili sezaryen geciren annelerin daha cok emzirme problemi yaadklar belirlenmitir. Emzirme oz-yeterlilik algs acsndan ise gruplar arasnda fark saptanmamtr.SonucEmzirme sorunlarn en aza indirmek icin sezaryen geciren annelere hemireler daha iyi bir bakm ve destek salamaldr. Emzirme oz-yeterlilik algsnn benzer olmas kulturun etkisinden kaynaklanabilecei duunulmektedir kaynaklanabilmektedir

Structural comparison of scissor-hinge linkages

Deployable structures can deploy from a compact to an expanded configuration by changing their sizes. The behaviors of these structures depend on some parameters such as geometric shape, member sizes and kinematic properties. To provide the deployment, not only the arrangements of structural members but also some restrictions must be considered. Moreover, contiguous members of the structures must let the large rotations to provide the transformation between different geometric forms from fully folded to fully deployed configurations. These requirements have an important impact on the fundamental properties of the structures related with structural performance, such as stiffness and strength. In this paper, stiffness of different scissor-hinge linkages are analyzed and compared. These linkages cover the same span with almost the same geometry and have the unit elements with same size and same weight. However, the geometry of unit elements is different from each other. The paper investigates the effect of this difference on the stiffness of whole system