Experiences of the Mothers to Cope with the Problem Behaviors of the Children with Special Needs during Coronavirus (COVID-19) Process

Babies are born into different families, cultures, environments; their first interaction environment is the family. This study investigates the opinions of the mothers who have children with special needs based on the experiences to cope with the children's problem behaviors in the Coronavirus pandemic process. This study was designed in the qualitative research method. Eleven mothers whose children continue to special education rehabilitation centers in a provincial center in the Southeastern Anatolia Region constitute the participant group of the study.The data obtained using the semi-structured interviews were analyzed with the content analysis method; the findings were described under eight main themes. While observing that the mothers were responsible for in-house communication during the staying home process, their feelings were loneliness, not usually receiving support from partners and relatives. Mothers stated that their children showed self-harm, aggressiveness, and nonrestraint; suggested that the special education institutions' managers and teachers' professional competiencies should be strengthened regarding distance education process; family-based effective intervention programs should be developed

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Effect of An Evidence-Based Nursing Intervention on the Diagnosis of Oral Mucositis in the Pediatric Stem Cell Transplant Unit

Objective: This quasi-experimental, single-group study with a pre- and post-repeated measures design was carried out at the Pediatric Stem Cell Transplant Unit of a University Hospital. The study was aimed at investigating the effect of an evidence-based nursing intervention program, held for nurses providing care for pediatric stem cell transplant patients, on their skills in diagnosing oral mucositis (OM). Methods: Before training, data were collected from all the nurses using a sociodemographic characteristics questionnaire. Six patients who were admitted to the clinic and started chemotherapy (CT) were followed up for a maximum of 1 month during their hospitalization to find whether the diagnosis of OM was performed. During the intervention stage, the researcher provided nurses with training on the importance of the use of evidence-based research results in the clinic, including evidence regarding OM. After the training, the records of six patients who were admitted to the clinic and started CT were tracked for up to 1 month during their hospitalization to find whether the diagnosis of OM was performed. Results: At the end of the study, the rate of OM diagnosis was performed by nurses, which was 2.8% before the program and increased to 8.7% after the program. The difference between the percentages of performing OM diagnosis by the nurses before and after the program was 5.9%, which was considered statistically significant (χ2 = 11.004, P < 0.01). The postprogram rate of diagnosis of OM was 3.12 times higher (212% increase) than the preprogram rate (P < 0.01). Conclusions: One of the most important recommendations of the present study is to provide regular and continuous training sessions for nurses to improve and update their knowledge on oral care. It is also concluded that the establishment of oral diagnosis as a follow-up parameter, similar to vital signs in the clinic, will enable nurses to improve their skills in performing daily diagnosis and keeping proper records of the patients' outcomes

Determining type 2 diabetes risk factors for the adults: A community based study from Turkey

Aims: This study aimed to determine risk factors for type 2 diabetes among adults who were not diagnosed with diabetes. Methods: Adults were included in this study within the public activities performed on World Diabetes Day (n = 1872). Data were collected using the FINDRISC questionnaire and a short questionnaire. Results: Participants' mean age was 39.35 +/- 10.40. The mean FINDRISC score was 7.46 +/- 4.62, women's mean score was higher than that for men. The FINDRISC score indicates that 7.4% of the participants were in the highrisk group. Among participants, BMI value of 65.1% was 25 kg/m(2) and higher, waist circumference of 58% was over the threshold value; and 50.7% did not engage in sufficient physical activity. Of the participants, 9.5% had a history of high blood glucose, families of 38.9% had a history of diabetes. The mean FINDRISC score was in the slightly high category, 121 participants were found likely to be diagnosed with diabetes within ten years if no action was taken. Conclusions: It is recommended the risk screening studies to be conducted and the FINDRISC tool to be used in Turkey, where diabetes prevalence is increasing rapidly, to determine diabetes risks in the early period and to raise social awareness for diabetes. (C) 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved

Laparoscopic Diagnosis and Treatment of Splenogonadal Fusion Associated with Intra-Abdominal Cryptorchidism

Splenogonadal fusion is a rare congenital anomaly in which there is a fusion between spleen and gonad. According to the literature, 37% of them had unnecessary orchiectomy. We present a patient with splenogonadal fusion in undescended testis, who was preserved from unnecessary orchiectomy. [Cukurova Med J 2013; 38(1.000): 135-137

The level of awareness regarding conflict and violence in university students and the affective factors in Turkey

WOS: 000312158300026Objective: The study was to investigate the awareness level regarding conflict and violence in nursing and medical faculty students, whom in the future will be providing health care, and thus be in direct contact with human beings. Designs: This study was conducted during 2010-2011 educational year, upon 584 students from Ege University, Nursing and Medical Faculties. Any other sampling method was not used. Students who were at the faculties during the school period and voluntarily accepted to participate in the study constituted the sample group (584). Results: A total of 584 students, 362 (62%) from Nursing Faculty, and 222 (38%) from Medical Faculty, participated in the study. 390 (66.8%), were female, and 194 (33.2%) were male. The age of the participants ranged between 19-30 years old, and the mean age was 22.2. The lowest score in the ACVS was 27, and the highest 135, with a mean of 102.81, which shows that the level of awareness of conflict and violence in nursing and medical faculty students was quite high. The difference in the level of awareness of conflict and violence between female and male students was not statistically significant (t=-0.36; p=.71). The level of awareness of conflict and violence was found to be quite high in both groups. Conclusions: According to the results, it was established that the level of awareness of conflict and violence was higher in nursing faculty students compared to medical faculty students, and in the 22-30 age group compared to 19-21 age group. There was no significant difference in the level of awareness of conflict and violence when compared according to gender. In order to solve conflicts by constructive methods and also prevent violence, it is of utmost importance to establish the level of awareness of conflict and violence in individuals

The experiences of mothers of children with autism spectrum disorder in searching for balance between work and family life

It is undeniable that mothers primarily undertake the daily life needs, care, and education processes of their children with autism spectrum disorder (ASD). Working mothers fulfill their children's responsibilities as well as other responsibilities in family life. Working mothers' ability to establish a balance between their family lives, with all the responsibilities this includes, and work life significantly affects their ability to continue their lives. This study aims to investigate the working mothers' experiences in maintaining balance between their work and family lives. This research is based on phenomenological design, which is a qualitative research method. Mothers' experiences of balancing work and family life are a phenomenon that needs to be clarified. Reflecting on this phenomenon through mothers' discourses will reveal 'what' and 'how' they experience this process. The participants of the study are five working mothers of children with ASD who are trained in special education and rehabilitation centers in the central districts of Gaziantep. Research data was obtained using a semi-structured interview technique. The data was analyzed using the categories developed based on pre determined codes in the content analysis. The results of the study show that working mothers of children with ASD had a pessimistic perception of their work and family life experiences, where they experienced emotional confusion, and felt they had insufficient support. Because parents of children with ASD are not informed about their legal rights, they cannot benefit from these rights both in the private and the public sector. Evaluation of the research findings suggests training can be offered to working mothers, in learning about and defending their legal rights, and to managers in the institutions that deal with these parents' legal rights applications

Laparoscopic diagnosis and treatment of splenogonadal fusion associated with intra-abdominal cryptorchidism: A case report

Splenogonadal fusion is a rare congenital anomaly in which there is fusion between spleen and gonad. According to the literature 37% of them had unnecessary orchiectomy. We present a patient with splenogonadal fusion in undescended testis, who was preserved from unnecessary orchiectomy. [Cukurova Med J 2013; 38(4.000): 787-790

Long-term Results in Pediatric Developmental Cataract Surgery with Primary Intraocular Lens Implantation

WOS: 000429421300002PubMed ID: 29576890Objectives: The aim of this study was to evaluate the outcomes of pediatric developmental cataract surgery with primary intraocular lens (IOL) implantation. Materials and Methods: Patients between 2 and 16 years old who underwent cataract surgery with primary IOL implantation were retrospectively evaluated. Age at time of surgery, pre-and postoperative best corrected visual acuities, postoperative ocular complications, and any accompanying ocular pathologies were obtained from the patients' charts. Mean refractive changes and degree of myopic shift were analyzed according to the age groups. Operated eyes were also compared with the fellow eyes in unilateral cases. Results: A total of 101 eyes of 65 patients were included. The average age at time of surgery was 76 +/- 40 months and the average follow-up period was 44 +/- 30 months. Among the 78 eyes that could be assessed for visual acuity improvement, 66 (84.6%) of them showed >= 2 lines of improvement. The difference in the mean refractive change between the 2-5 years old and 8-16 years old age groups was found to be statistically significant. However, the mean refractive change per year was not found to be significant between the same age groups. In unilateral cases, the operated eyes showed a greater myopic change than the fellow eyes, with no statistically significant difference. The most common postoperative complication was visual axis opacity. Conclusion: Good visual outcomes can be achieved following pediatric cataract surgery with primary IOL implantation. Optic axis opacities were the most common postoperative complications. Overall, refractive changes following surgery are inevitable, and more prominent in younger age groups