The relationship between Sleep Quality and Job Satisfaction of Nurses working in the pediatric surgery clinic during the COVID-19 pandemic

Background: It is important to determine the relationship between the quality of sleep, which is the basic requirement, and job satisfaction, which has an important place in the working life of nurses. The aim of this study is to examine the relationship between sleep quality and job satisfaction of nurses working in the pediatric surgery clinic during the COVID-19 pandemic. Material and Methods:This study is of descriptive type. The sample of the study consists of 94 pediatric surgery nurses who are members of the Association of Pediatric Surgery Nurses. Nurse Descriptive Information Form, Pittsburgh Sleep Quality Index (PSQI), Nurse Job Satisfaction Scale (NJSS) were used to collect the data. Descriptive statistics, Shapiro-Wilk, Kruskall Wallis, Mann-Whitney-U test and Pearson Correlation analysis were used in the evaluation of the data. Results: The mean age of the pediatric surgical nurses was 32.82±7.85 years. It was determined that the sleep index and job satisfaction of pediatric surgery nurses were low. There was a negative and moderate correlation between the scores the pediatric surgery nursing obtained from the Nurse Job Satisfaction Scale and the Pittsburgh Sleep Quality Index. It was determined that as the sleep quality of the pediatric surgery nurses decreased, the job satisfaction decreased. Conclusions:As a result of the study, the sleep quality of pediatric surgery nurses in the COVID-19 pandemic decreased their job satisfaction. It is thought that these results may play a key role in increasing the job satisfaction and regulating working conditions of pediatric surgery nurses working at the forefront of the COVID-19 pandemic

Reversal of Severe Vasospasm Causing Transradial Angiogram Catheter Entrapment by Low Dose Sedation

One of the major disadvantages of the transradial approach during cardiac interventions is radial artery spasm. Severe vasospasm of the radial artery causing catheter entrapment is less frequently encountered and its management has rarely been reported. Herein, a 72-year-old female patient who was scheduled for an elective left heart catheterization due to exertional angina pectoris is reported. During transradial diagnostic coronary angiography, catheter entrapment occurred due to severe vasospasm of the radial artery. Reversal of severe vasospasm and release of entrapped catheter was not possible until low dose sedation with intravenous midazolam was given. This case report demonstrates that low dose sedation with intravenous midazolam could be used effectively to reverse resistant vasopasm of the radial artery during transradial interventions

The Results of Simulation Training in Pediatric Nursing Students’ Education

Aim:Simulation training that started with low realistic models in health education has developed in recent years and is now widely used in medicine and nursing education. The purpose of the present research is to compare nursing students’ knowledge, skills, stress and anxiety during pediatric practices and to determine the students’ satisfaction and confidence levels related to the use of simulation.Materials and Methods:This randomized controlled study was conducted with 57 “third-year” students. The students were assigned to experimental (n=23) and control (n=34) groups. To collect the study data, a Student Information Form, Student’s Satisfaction and Self-Confidence in Learning scale, Simulation Design scale, Educational Practices Questionnaire, Clinical Stress Questionnaire, State-Trait Anxiety Inventory, Nursing Care Knowledge Assessment Form for Children Suffering a Respiratory disease and Nursing Care Skill Assessment Form for Children Suffering a Respiratory disease were used. While the students in the experimental group had simulation training about Nursing Care of Child Suffering a Respiratory disease, the students in the control group were trained with traditional education methods. The students in both groups were observed while they gave care in the hospital environment.Results:Clinical stress, state-trait anxiety and clinical skill scores of the students in the experimental group were higher than the control group. Simulation training contributed to the development of their self-confidence positively.Conclusion:In this study, the simulation training was beneficial, and students’ clinical application skill achievements improved

A modified failure criterion for transversely isotropic rocks

A modified failure criterion is proposed to determine the strength of transversely isotropic rocks. Mechanical properties of some metamorphic and sedimentary rocks including gneiss, slate, marble, schist, shale, sandstone and limestone, which show transversely isotropic behavior, were taken into consideration. Afterward, introduced triaxial rock strength criterion was modified for transversely isotropic rocks. Through modification process an index was obtained that can be considered as a strength reduction parameter due to rock strength anisotropy. Comparison of the parameter with previous anisotropy indexes in literature showed reasonable results for the studied rock samples. The modified criterion was compared to modified Hoek-Brown and Ramamurthy criteria for different transversely isotropic rocks. It can be concluded that the modified failure criterion proposed in this study can be used for predicting the strength of transversely isotropic rocks

A modified empirical criterion for strength of transversely anisotropic rocks with metamorphic origin

A modified empirical criterion is proposed to determine the strength of transversely anisotropic rocks. In this regard, mechanical properties of intact anisotropic slate obtained from three different districts of Iran were taken into consideration. Afterward, triaxial rock strength criterion introduced by Rafiai was modified for transversely anisotropic rocks. The criterion was modified by adding a new parameter α for taking the influence of strength anisotropy into consideration. The results obtained have shown that the parameter α can be considered as the strength reduction parameter due to rock anisotropy. The modified criterion was compared to the modified Hoek–Brown (Saroglou and Tsiambaos) and Ramamurthy criteria for different anisotropic rocks. It was concluded that the criterion proposed in this paper is a more accurate and precise criterion in predicting the strength of anisotropic rocks

A cognitive prosthesis for complex decision-making

While simple heuristics can be ecologically rational and effective in naturalistic decision making contexts, complex situations require analytical decision making strategies, hypothesis-testing and learning. Sub-optimal decision strategies – using simplified as opposed to analytic decision rules – have been reported in domains such as healthcare, military operational planning, and government policy making. We investigate the potential of a computational toolkit called “IMAGE” to improve decision-making by developing structural knowledge and increasing understanding of complex situations. IMAGE is tested within the context of a complex military convoy management task through (a) interactive simulations, and (b) visualization and knowledge representation capabilities. We assess the usefulness of two versions of IMAGE (desktop and immersive) compared to a baseline. Results suggest that the prosthesis helped analysts in making better decisions, but failed to increase their structural knowledge about the situation once the cognitive prosthesis is removed

The role of the European Court of Human Rights in the implementation of its own judgments

Avrupa İnsan Hakları Mahkemesi (AİHM veya Mahkeme) ilk dönemlerinde yalnızca Avrupa İnsan Hakları Sözleşmesi (AİHS veya Sözleşme) ve Ek Protokol hükümlerinin somut başvuruda ihlal edilip edilmediğinin belirlenmesiyle sınırlı olarak tespit kararları vermiştir. Ancak AİHM son zamanlarda, davalı devletin ihlali sonlandırması veya telâfi etmesi, ayrıca iç hukukta genel veya özel nitelikte birtakım tedbirler almasını gerektiren emredici nitelikte kararlar vermeye başlamıştır. Pilot, yarı pilot veya pilot benzeri olarak nitelendirilen kararlar ile AİHS’nin 46. maddesine dayanarak verilen diğer kararlar, AİHM’nin tespit ettiği Sözleşme’ye aykırılıkların davalı devlet tarafından iç hukukta giderilmesini gerektirmektedir. AİHM’nin, kendi kararlarının yerine getirilmesindeki rolünü ele alan bu çalışma üç bölümden oluşmaktadır. Birinci bölümde, AİHS’nin 46. maddesi kapsamında AİHM’nin yetkileri, ikinci bölümde, pilot karar usulü ve uygulaması incelenmekte, son bölümde ise AİHM’nin, AİHS’nin 46. maddesine dayanarak verdiği kararlar değerlendirilmektedir.At the beginning, the European Court of Human Rights (“ECtHR” or “the Court”) delivered declaratory judgments restricted only to find out whether any provision of the European Convention on Human Rights (“ECHR” or “the Convention”) and its Additional Protocols were violated in a given application or not. Lately however, ECtHR started to deliver imperative judgments requiring respondent state to stop or remedy the violation, and additionally to take some general or individual measures in domestic law. The judgments qualified as pilot, semi-pilot and quasipilot or judgments delivered under Article 46 of the ECHR require respondent state to take appropriate measures in domestic legal system with a view to remedying violations of the Convention. This paper examines the role of the ECtHR in the implementation of its own judgments and includes three parts. The first part examines the jurisdiction of the ECtHR under Article 46 of the Convention; the second part explores the pilot-judgment procedure and its application; and the last part analyses the judgments of the ECtHR relying on Article 46 of the ECHR

The issue of the European integration after the Lisbon treaty and the position of Turkey within the European Union

Karakul, Selman (Dogus Author)Avrupa'da bütünleşme süreci hakkında ileri sürülen teorik görüşler ve bütünleşmenin tarihsel gelişimi, Avrupa Birliği'nin (AB veya Birlik) bugünkü konumunun çözümlenmesinde önemli veriler sağlamaktadır. Bu çalışmada, Lizbon Antlaşması sonrasında Avrupa'nın bütünleşme sorunu ve Türkiye'nin AB içindeki konumu incelenmektedir. Avrupa' da bütünleşme süreci incelenirken, demokratik meşruiyet ve demokrasi açığı sorunları ile Avrupa kültürel kimliğinin gelişimi konuları da ele alınmaktadır. Sonuçta, Avrupa' da bütünleşme teorileri içinde fazla taraftar bulamasa da, yeni federalist görüşün hakim olması halinde Türkiye'nin AB'ye tam üyeliğinin güçleşeceği, hükümetler arası farklılıklara dayalı çoğulcu bir Avrupa bütünleşmesinin benimsenmesi durumunda ise Türkiye'nin AB üyeliği ihtimalinin güçleneceği iddia edilmektedir.The theoretical observations made in relation to the European integralion process and the historical progress of the integration both provide important information for analysing the current situation of the European Union (EU or the Union). This paper examines the issue of the European integration after the Lisbon Treaty and the position of Turkey within the EU In analysing the European integration process, the issues of democratic legitimacy and democratic deficit and the development of European cultural identity are also discussed. Finally, it is argued that if the new federalist approach -despite the lack of enough support- prevails, Turkey's full membership to the EU will be difficult, on the contrary, if a more pluralistic European integration based on intergovernmental diversity is adopted, the possibility of Turkey's EU membership will be enhanced

The new separation of powers theory and its applicability in Turkey

Klasik kuvvetler ayrılığı kuramı, devlet örgütlenmesinde yasama, yürütme ve yargı güçlerini ayrı ellerde toplayarak, yetki temerküzünü ve keyfi yönetimi engellemeyi amaçlamaktadır. Ancak 19. ve 20. yüzyıllarda ortaya çıkan siyasal gelişmeler, üçlü kuvvetler ayrılığının, güvence altına almayı hedeflediği normatif değerlerin korunmasında yetersiz kaldığını göstermiştir. Bu nedenle kuvvetlerin klasik modelden farklı bölünmesini öngören, yeni kuvvetler ayrılığı teorileri önerilmeye başlanmıştır. Bu çalışmada, klasik kuvvetler ayrılığı teorisinin tarihsel ve düşünsel çerçevesi; klasik kuvvetler ayrılığı teorisine yöneltilen eleştiriler ve yeni kuvvetler ayrılığı teorisi arayışları; yeni kuvvetler ayrılığı teorisinin gelişimi ve bu konudaki çeşitli görüşler; son olarak da yeni kuvvetler ayrılığı teorisinin Türkiye’de uygulanabilirliği konuları incelenmektedir.The classical theory of separation of powers aims at preventing the concentration of power and arbitrary rule through the allocation of legislative, executive and judicial branches in different hands. Nevertheless upon the political developments in 19th and 20th centuries the scarcity of tripartite division of powers was observed in the protection of normative values that it intended to secure. Therefore new theories of the separation of powers claiming a different division of powers from the classical model were proposed. This paper analyses the historical and intellectual development of the classical separation of powers theory; the criticism of the classical separation of powers theory and the search for a new theory of separation of powers; the development of the new separation of powers theory and various views on this issue; lastly the applicability of the new separation of powers theory in Turke