Nıemy krzyk pıelęgnıarek: badanıe jakoścıowe

Introduction. Nowadays, the importance of nursing science is increasing in the organization, execution, and development of health services. Nurses working in the health institutions encounter countless tragedies while performing healthcare services to patients and families where uninterrupted service is provided 7 days 24 hours. Biopsychosocial changes seen in individuals because of violence in the working environment are silent screams. It is necessary to share feelings and experiences to make the silent scream audible. Aim. In this article, it is aimed to contribute to narrative studies, to draw attention to the violence experienced by nurses in the working environment and the insufficiency of the measures taken by examining the patient stories of two nurses with clinical experience. Method. In the study, two nurses with a professional experience of five years or more were asked to write one of the most memorable anecdotes they have experienced in their professional life. The anecdotes were analyzed through the "Novel, Story, Epic, Tale, Diary, Memory, Mythology and Analogous Rating Scale". Results. Three sub-problems are discussed in this research. Data related to each sub-problem were collected and analyzed. In these two narratives, it was determined that the patients behaved implausible in some situations and their problematic behavior was the dominant common feature. In the first narrative, the categories can be classified under "Behavior of the patients - solutions of the nurses" and in the second narrative under "Emotions of the patient - Emotions of the nurses". The primary point to be reached in both stories can be considered as follows: "The professional approach of healthcare professionals towards challenging patient behaviors they confront." The incidence of violence could be reduced if the nurses have adequate professional knowledge, experience, and skills and inform patients about the procedures. Conclusion. In this study, it is emphasized that sufficient measures are not taken in violence against healthcare professionals in Turkey, that seriously affects employee health and negatively affects the functionality of health services in terms of quality.Wstęp. Współcześnie wzrasta znaczenie nauk pielęgniarskich w organizacji, realizacji i rozwoju ochrony zdrowia. Pielęgniarki pracujące w placówkach ochrony zdrowia spotykają się z niezliczonymi tragediami podczas udzielania świadczeń zdrowotnych pacjentom i rodzinom, gdzie udzielana jest pomoc nieprzerwanie przez 7 dni 24 godziny. Zmiany biopsychospołeczne obserwowane u jednostek w wyniku przemocy w środowisku pracy to niemy krzyk. Konieczne jest dzielenie się uczuciami i doświadczeniami, aby cichy krzyk był słyszalny. Cel. Artykuł ma na celu przyczynienie się do badań narracyjnych, zwrócenie uwagi na przemoc doświadczaną przez pielęgniarki w środowisku pracy oraz nieadekwatność podjętych działań poprzez zbadanie historii pacjentów dwóch pielęgniarek z doświadczeniem klinicznym. Metody. W badaniu poproszono dwie pielęgniarki z co najmniej pięcioletnim doświadczeniem zawodowym o napisanie jednej z najbardziej pamiętnych historii, jakie przeżyły w swoim życiu zawodowym. Historie zostały przeanalizowane za pomocą „powieści, opowieści, eposu, opowieści, pamiętnika, pamięci, mitologii i analogicznej skali ocen”. Wyniki. W niniejszym badaniu omówiono trzy podproblemy. Dane dotyczące każdego podproblemu zostały zebrane i przeanalizowane. W tych dwóch narracjach ustalono, że pacjenci zachowywali się nieprawdopodobnie w niektórych sytuacjach, a ich problematyczne zachowanie było dominującą cechą wspólną. W pierwszej narracji kategorie można sklasyfikować w ramach „Zachowania pacjentów – rozwiązania pielęgniarek”, a w drugiej narracji w kategorii „Emocje pacjenta – emocje pielęgniarek”. Podstawowy punkt, do którego należy dotrzeć w obu historiach, można uznać za następujący: „Profesjonalne podejście pracowników służby zdrowia do trudnych zachowań pacjentów, z którymi się stykają”. Częstość występowania przemocy mogłaby zostać zmniejszona, gdyby pielęgniarki posiadały odpowiednią wiedzę zawodową, doświadczenie i umiejętności oraz informowały pacjentów o procedurach. Wnioski. W niniejszym opracowaniu podkreślono, że w przypadku przemocy wobec pracowników ochrony zdrowia w Turcji nie podejmuje się wystarczających środków, co poważnie wpływa na zdrowie pracowników i negatywnie wpływa na funkcjonalność usług zdrowotnych pod względem jakości

Strategie und Organisationsstruktur von multinationalen Unternehmen

Die Diplomarbeit beschäftigt sich mit der Thematik von Strategie- und Strukturformen von MNU mit einem besonderen Augenmerk auf die regionale Strukturierung von MNU.Formen von Organisationsstrukturen werden vorgestellt, mit einem besonderen Augenmerk auf die regionalen „Multinationals“. Die Entwicklungstendenz zur „Regionalization“ wird mit neueren empirischen Studien belegt und kritisch betrachtet. Somit wird die Bedeutung der regionalen MNU im Rahmen der Strategie- und Strukturanalyse von MNU hervorgehoben

Clinical Relevance of Choroidal Thickness in Obese and Healthy Children: A Machine Learning Study

Objectives:To analyze the effect of macular choroidal thickness (MCT) and peripapillary choroidal thickness (PPCT) on the classification of obese and healthy children by comparing the performance of the random forest (RF), support vector machine (SVM), and multilayer perceptrons (MLP) algorithms.Materials and Methods:Fifty-nine obese children and 35 healthy children aged 6 to 15 years were studied in this prospective comparative study using optical coherence tomography. MCT and PPCT were measured at distances of 500 μm, 1,000 μm, and 1,500 μm from the fovea and optic disc. Three different feature selection algorithms were used to determine the most prominent features of all extracted features. The classification efficiency of the extracted features was analyzed using the RF, SVM, and MLP algorithms, demonstrating their efficacy for distinguishing obese from healthy children. The precision and reliability of measurements were assessed using kappa analysis.Results:The correlation feature selection algorithm produced the most successful classification results among the different feature selection methods. The most prominent features for distinguishing the obese and healthy groups from each other were PPCT temporal 500 μm, PPCT temporal 1,500 μm, PPCT nasal 1,500 μm, PPCT inferior 1,500 μm, and subfoveal MCT. The classification rates for the RF, SVM, and MLP algorithms were 98.6%, 96.8%, and 89%, respectively.Conclusion:Obesity has an effect on the choroidal thicknesses of children, particularly in the subfoveal region and the outer semi-circle at 1,500 μm from the optic disc head. Both the RF and SVM algorithms are effective and accurate at classifying obese and healthy children

FoMO ile nomofobi arasındaki ilişkide sosyal medya kullanım alışkanlıklarının aracı rolü

This study examines the mediating role of social media usage habits in the relationship between FoMO and nomophobia. 457 people were recruited to participate in the study. While 177 of them were male, the remaining 280 participants were female, and the participants’ age ranged between 18 and 70. The average age of the participants was calculated as 30.81. The research hypotheses were tested by hierarchical regression analysis. In addition, the significance of the mediator variable was examined via Bootstrapping analysis. First, Pearson productmoment correlation analysis was performed to determine the relationship between variables, and it was found that there was a positive significant relationship between variables. The subsequent hierarchical regression analysis determined that social media usage habits played a partial mediating role in the relationship between FoMO and nomophobia. All findings were discussed in the light of similar research studies in the existing literature, and several suggestions were provided in the end.Bu çalışmada, FoMO ile nomofobi arasındaki ilişkide sosyal medya kullanım alışkanlıklarının aracı rolünün incelenmesi amaçlanmıştır. Araştırmanın çalışma grubu, yaşları 18 ile 70 arasında değişen 177’si erkek ve 280’i kadın olmak üzere toplam 457 kişiden oluşmaktadır. Katılımcıların yaş ortalaması ise 30.81 olarak hesaplanmıştır. Araştırmanın hipotezleri hiyerarşik regresyon analizi ile test edilmiştir. Ayrıca aracı değişkenin anlamlılığı günümüzde daha çağdaş bir yaklaşım olarak kabul gören Bootstrapping yöntemi ile hesaplanmıştır. Veri analizinde ilk olarak değişkenler arasındaki ilişkiyi belirlemek amacıyla Pearson momentler çarpımı korelasyon analizi yapılmış ve değişkenler arasında pozitif yönde anlamlı ilişkiler olduğu ortaya konmuştur. Sonrasında yapılan hiyerarşik regresyon analizinde sosyal medya kullanım alışkanlıkları değişkeninin FoMO ile nomofobi arasındaki ilişkide kısmi aracı rol oynadığı belirlenmiştir. Alanyazında FoMO ile nomofobi arasındaki ilişkide sosyal medya kullanım alışkanlıkları değişkeninin aracı rolünün incelendiği herhangi bir çalışma olmaması, bu araştırmanın önemini ortaya koymaktadır. Elde edilen tüm bu bulgular benzer çalışmalar ve alanyazın ışığında tartışılmış, tüm okuyuculara bazı önerilerde bulunulmuştur

Reliability and Validity of Attentional Style Questionnaire: Turkish Form

Attention is an important part of cognitive and perceptual processes. Attention includes both external processes related to the environment and internal processes such as heredity. In addition, measuring attention processes, which have two dimensions, top-down and bottom-up, is important in terms of both learning processes and determining some psychopathologies. Based on this, it was aimed to adapt the Attention Style Questionnaire (ASQ) into Turkish in this study. The study group includes of 372 university students. Data collection materials included personal information form, Attention Styles Questionnaire and Control Dimension of Self-regulation Scale. Language validity and criterion-related validity analysis were performed for validity studies. Confirmatory factor analysis and test-retest analysis were utilized for reliability studies. The two-factor structure in the original structure of the scale was confirmed through confirmatory factor analysis results. Furthermore, the ASQ was found to be highly correlated with the Control Dimension of Self-regulation Scale. According to the findings obtained for reliability, Cronbach's alpha coefficients were found as .81 for the cognitive avoidance sub-dimension and .70 for the focusing sub-dimension. Test-retest correlation coefficients were determined as .76 for the cognitive avoidance sub-dimension and .75 for the focusing sub-dimension. Research results indicate that Attention Style Questionnaire is a reliable and valid measurement tool in determining the style of the attention to university students in Türkiye

1-5 Yaş Çocuğu Olan Sağlık Çalışanı Annelerin Emzirme Davranışları ve İlişkili Faktörler

Amaç: 1-5 yaş arası çocuğu olan sağlık çalışanı annelerin emzirme davranışlarının değerlendirilmesi ve ilişkili faktörlerin incelenmesidir. Gereç ve Yöntemler: Bu çalışma, Mayıs 2019- Temmuz 2019 tarihleri arasında Ankara’da bir devlet hastanesinde görev yapan 1-5 yaş arası çocuğu olan sağlık çalışanı anneler üzerinde gerçekleştirilen kesitsel tipte bir araştırmadır. Çalışmaya katılmayı kabul eden 118 sağlık çalışanı anne çalışma grubunu oluşturmuştur. Verilerin toplanmasında, sağlık çalışanı annelerin sosyo-demografik özellikleri ve emzirme davranış düzeyi ile ilişkili olduğu düşünülen bazı değişkenler ve emzirme ile ilgili davranış sorularından oluşan bir anket form kullanılmıştır. Anket formu, gözlem altında anneler tarafından doldurulmuştur. Verilerin analizleri için Mann-Whitney U testi, Kruskal Wallis testi ve Ki-kare testi kullanılmıştır. İstatistiksel anlamlılık değeri olarak p<0.05 kabul edilmiştir. Bulgular: Çalışma grubunu oluşturanların yaşları 24-40 arasında değişmekte olup, ortalama 33.32±4.22 yıl idi. Sağlık çalışanı annelerin emzirme ile ilgili davranış sorularından aldıkları puanlar 7-13 arasında değişmekte olup, ortalama 10.24±1.32 puan idi. Annelerin sosyodemografik özellikler ile emzirme davranışları arasında bir fark bulunamamıştır. Sezaryen ile doğum yapanların emzirme davranışlarının daha olumlu olduğu saptanmıştır. Çalışmamızda annelerin emzirme ile ilgili bilgilerinin yeterli olduğu görülmüştür. Öğrenim düzeyi ön lisans ve altı olan annelerin emzirme ile ilgili bilgi düzeylerinin diğerlerine göre daha yetersiz olduğu saptanmıştır. Sonuç: Çalışmada sağlık çalışanı olan annelerin emzirme ile ilgili davranışlarının olumlu olduğu sonucuna ulaşılmıştır. Emzirme ile ilgili bilgileri yeterli olanlarla olmayanlar arasında emzirme davranışı açısından bir fark olmadığı saptanmıştır. Sağlık çalışanı annelerin emzirme ile ilgili bilgi düzeyi ve olumlu davranış düzeylerinin artırılabilmesi için daha fazla bilgilendirme çalışmalarının yapılması ve çalışma koşullarının daha iyileştirilmesi yararlı olacaktır

Yüksek pozitif ekspiryum sonu basıncı nedeniyle oluşan pnömomediyastinum olgusu

A 26-year-old female patient, who presented to the emergency department with chronic renal failure, general condition disturbance and dyspnea, was intubated due to low oxygen saturation. The results of the blood biochemical test were normal except for low saturation. Our case did not have any coronary artery disease or obstructive pulmonary disease. While she was undergoing the positive end-expiratory pressure (PEEP) treatment in the intensive care unit, the patient was detected to have right heart failure on her echocardiogram examination and pneumomediastinum was found on her direct radiography examination and on chest x-ray and computed tomography (CT) on the 2nd day of her hospitalization. The development of pneumomediastinum associated with PEEP for low saturation appears to be a rare phenomenon. In accompany with the findings of the case, the examination data and the literature information were prepared as a case report.Kronik böbrek yetmezliği, genel durum bozukluğu ve solunum sıkıntısı ile acil servise başvuran 26 yaşındaki kadın hasta satürasyon problemi nedeniyle entübe edildi. Satürasyon düşüklüğü dışında genel kan biyokimyasında belirgin patoloji ayırt edilmedi. Olguda koroner arter hastalığı ya da kronik obstruktif akciğer hastalığı yoktu. Yoğun bakımda, pozitif ekspiryum sonu basınç (PEEP) tedavisi altındayken, ekokardiyografi (EKO) tetkikinde olgunun sağ kalp yetmezliği olduğu ve direkt grafi tetkikinde, yatışının 2. gününde akciğer grafisinde ve bilgisayarlı tomografi (BT) tetkikinde pnömomediyastinum tespit edildi. Düşük saturasyon için yapılan pozitif expirium sonu basınç (PEEP) tedavisi altında iken pnömomediastinum gelişmesi nadir bir durumdur. Olgunun bulguları eşliğinde tetkik verileri ve literatür bilgisi olgu sunumu olarak hazırlandı

Shifts in appraisal dimensions as mediators of efficiency of reappraisal in emotion regulation

Üks viis oma emotsiooni reguleerida on kasutada ümberhindamist ehk muuta oma tõlgendust emotsiooni tekitanud olukorrast. Kuigi tõlgendusdimensioonide rolli ümberhindamises on ammu teadvustatud, pole seda ideed ümberhindamise uurimisel seni kasutatud. Käesoleva uurimistöö eesmärk on uurida, kas ja kuivõrd võivad muutused tõlgendusdimensioonidel vahendada ümberhindamise mõju emotsiooni regulatsioonile. Igapäevaelus ettetulevate emotsioonide reguleerimise mõõtmiseks kasutati 7 päeva jooksul kogemuse väljavõtte meetodit. Tekstisõnumiga teavitades paluti uuritavatel kella 11, 13 ja 15 ajal täita küsimustiku päevane osa ning kell 19 küsimustiku õhtune kokkuvõtlik osa. Regressioonanalüüsidega uuriti tõlgendusdimensioonide muutuse ja emotsiooni muutuse vahelisi seoseid ning medieerimisanalüüsiga uuriti, kas ja kuivõrd tõlgendusdimensioonide muutused vahendavad ümberhindamise kasutamise mõju emotsioonide muutusele. Uuringus osales 181 inimest vanuses 18-52 aastat ( M =28.25; SD =7.75), kellest 85% olid naised. Saadud tulemused kinnitasid, et kolme analüüsitud emotsiooni - viha, ärevuse, lõõgastuse - muutused on arvestatavas osas seletatavad muutustega kindluse, olulisuse, eesmärgipärasuse, vastutuse ja kontrolli tõlgendusdimensioonidel. Tulemused näitavad ka, et eesmärgipärasus on universaalne tõlgendusdimensioon, mille hinnang tõuseb nii negatiivse emotsiooni vähendamisel kui ka positiivse emotsiooni suurendamisel. Medieerimisanalüüsid näitasid ainult lõõgastuse puhul, et tõlgendusdimensioonid vahendavad ümberhindamise kasutamise ja emotsiooni muutuse vahelist seost ning seda läbi muutuste eesmärgipärasuse, vastutuse ja kontrolli tõlgendusdimensioonidel. Käesolev uuring demonstreerib tõlgendusdimensioonide väärtust ümberhindamise käigus toimuvate kognitiivsete protsesside mõistmisel. Kuna tulemused on eripalgelised, vajab küsimus täiendavat uurimist

Yüksek pozitif ekspiryum sonu basıncı nedeniyle oluşan pnömomediyastinum olgusu

A 26-year-old female patient, who presented to the emergency department with chronic renal failure, general condition disturbance and dyspnea, was intubated due to low oxygen saturation. The results of the blood biochemical test were normal except for low saturation. Our case did not have any coronary artery disease or obstructive pulmonary disease. While she was undergoing the positive end-expiratory pressure (PEEP) treatment in the intensive care unit, the patient was detected to have right heart failure on her echocardiogram examination and pneumomediastinum was found on her direct radiography examination and on chest x-ray and computed tomography (CT) on the 2nd day of her hospitalization. The development of pneumomediastinum associated with PEEP for low saturation appears to be a rare phenomenon. In accompany with the findings of the case, the examination data and the literature information were prepared as a case report.Kronik böbrek yetmezliği, genel durum bozukluğu ve solunum sıkıntısı ile acil servise başvuran 26 yaşındaki kadın hasta satürasyon problemi nedeniyle entübe edildi. Satürasyon düşüklüğü dışında genel kan biyokimyasında belirgin patoloji ayırt edilmedi. Olguda koroner arter hastalığı ya da kronik obstruktif akciğer hastalığı yoktu. Yoğun bakımda, pozitif ekspiryum sonu basınç (PEEP) tedavisi altındayken, ekokardiyografi (EKO) tetkikinde olgunun sağ kalp yetmezliği olduğu ve direkt grafi tetkikinde, yatışının 2. gününde akciğer grafisinde ve bilgisayarlı tomografi (BT) tetkikinde pnömomediyastinum tespit edildi. Düşük saturasyon için yapılan pozitif expirium sonu basınç (PEEP) tedavisi altında iken pnömomediastinum gelişmesi nadir bir durumdur. Olgunun bulguları eşliğinde tetkik verileri ve literatür bilgisi olgu sunumu olarak hazırlandı

Is blue light exposure a cause of precocious puberty in male rats?

PurposeOur study aimed to examine the effects of blue light exposure on prepubertal male rats’ puberty and testis tissue.MethodsEighteen 21-day-old male Sprague Dawley rats were divided into three groups consisting of six rats in each group: Control Group (CG), Blue Light-6 hours (BL-6), and Blue Light-12 hours (BL-12). CG rats were maintained with 12/12-hour light-dark cycles. The rats of BL-6 and BL-12 were exposed to blue light (450-470nm/irradiance level 0.03uW/cm2) for 6 hours and 12 hours, respectively. Rats were exposed to blue light until the first signs of puberty. The ELISA method was used to analyze the serum levels of FSH, LH, testosterone, DHEA-S, leptin, ghrelin, melatonin, glutathione, glutathione peroxidase, and malondialdehyde. Testes were dissected for histomorphological examination.ResultsThe medians of the pubertal entry days of the CG, BL-6, and BL-12 were 38th, 30th, and 28th days, respectively. (p:0.001) The FSH, LH, and testosterone concentrations of all groups were similar. The FSH concentration increased as the LH concentration increased (r: 0.82 p: 0.001). The serum LH concentration increased as serum testosterone, and DHEAS decreased, respectively (r: -0.561, p: 0.01) (r:-0.55 p:0.01). Testicular lengths and weights of the BL groups were smaller compared to CG (p: 0.03),(p: 0.04). GPx was higher for BL-6 and BL-12 than the CG (p:0.021, p:0.024). Testis tissue was compatible with the pubertal period in all groups. As the blue light exposure time increased, spermatogenesis was suppressed, and capillary dilatation and edema in the testis tissue increased.ConclusionOur study is the first to show the effects of blue light exposure on male rats’ puberty process. And we showed that exposure to blue light and the duration of exposure lead to precocious puberty in male rats. The blue light exposure suppressed spermatogenesis, marked vasodilatation in the interstitial area of the testis, and disrupted the integrity of the basement membrane. These findings intensified with increasing exposure time