Hemşirelik Bölümü Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/222

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The Adjustment Levels of First and Second Year Undergraduate Students and Influencing Factors
(Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2020) Değer Bayram, Vasfiye; Çifçi, Sema
This survey study was conducted to examine the adjustment levels of undergraduate students the influencing factors. The population of this descriptive study consisted of 789 first and second year students studying in Artuklu University Health College and Health Services Vocational College. The average age of the students was 19.90±1.53 years and 71.5% of them were female and 28.5% were male. It was also revealed that 32.9% of the students had difficulty in adjusting themselves to the university, 26.0% of them suffered loneliness at university, but 56.7% of them enjoyed their university life. The findings showed that 56.4% of the students considered the to be incompetent in their professional field of study while 62.9% of the students reported that the academic staffs had poor communication with them. A statistically significant difference was found between the opinions of the students who had difficulty in adjusting to the life at university and the students’ department, age, the level of satisfaction with their department, the adequacy of the equipment in the classrooms, the quality of the equipment in the classroom, enjoying the life at the university, experiencing loneliness, whether they have a sufficient communication with the academic staffs and whether the academic staffs are competent in their field of study.
Analysis of bioactive compounds using LC-ESI-MS/MS, cytotoxic, antimicrobial effects, and enzyme activities from Cyclotrichium origanifolium
(Wiley Online Library, 2022) Aktepe, Necmettin; Baran, Ayşe; Atalar, Mehmet Nuri; Baran, Mehmet Fırat; Keskin, Cumali; Taşkin, Abdullah; Yavuz, Ömer; Demirtaş, İbrahim; Oğuz, Ercan; Jahan, Israt
Cyclotrichium origanifolium is a medicinal plant belonging to the Lamiaceae family. In this study, phenolic content analysis, antimicrobial effects, and cytotoxic effects of extracts of C. origanifolium were investigated. In the extracts, phenolic compound analysis by the liquid chromatography–electrospray ionization– tandem mass spectrometry method, antimicrobial effect by the minimum inhibition concentration method, and cytotoxic effect on human dermal fibroblasts (HDF), glioblastoma cell (U87), ovarian adenocarcinoma cell (Skov-3), and human colorectal adenocarcinoma cell (CaCo-2) cancer cell lines were investigated. Cytotoxicity analyses were performed by the MTT method. In addition, the GST and AChE enzyme activities of the extracts were also measured. Around 18 compounds were detected in both the methanol and ethanol extract. It was found that the best antimicrobial effect on Gram-negative Pseudomonas aeruginosa was on methanol extract, while the ethanol extract was on Candida albicans fungus (respectively, 2.50mg/ml, 5.0 μg/ml). A 500μg/ml of methanol extract has been shown to have cytotoxic activity high effect on HDF cells. GST and AChE activity were found to decrease in a concentration-dependent manner.
Attitudes of Married Women with Advanced Maternal Age and their Spouses Towards Family Planning and Evaluation of the Effects of Trainings related to This Issue
(Interventions in Gynaecology & Women’s Healthcare. Published, 2019) ÇİFTÇİOĞLU Gülcan
AbstractPurpose: In this study, we aimed to evaluate the attitudes of married women with advanced maternal age and their spouses towards family planning and to assess the effects of training related to this issue. Design: The sample group of the study was composed of 170 women and their spouses who were registered to the three health clinics located in Kiziltepe district of Mardin province. Participants were selected according to the family planning attitude scale results. Results: When we evaluate the mean attitude scale scores of both women and their spouses before and after the trainings, it can be concluded that trainings positively affected the attitudes of them towards the family planning. Implications: Trainings are effective in changing attitudes and behaviors of individuals who are strongly are engaged in traditional cultural characteristics.
Awareness of risk factors and warning signs of stroke among caregivers of patient with and not with stroke: Results from questionnaire
(Journal of Pakistan Medical Association, 2019) Usta Yeşilbalkan, Öznur; Karadakovan, Ayfer; Vural Doğru, Birgül; Akman, Perihan; Özel, Ebru; Bozkurt, Yücel
Objective: To assess the awareness/knowledge of stroke risk factors and warning signs among caregivers of patients with or without stroke. Methods: The cross-sectional, descriptive and comparative study was conducted in the neurology clinic and polyclinic of a university hospital in Izmir, Turkey, from March to July 2014, and comprised primary caregivers of patients with stroke in group 1 and those of patients with no stroke in group 2. The subjects were screened and data was collected using the Participant Information Form and the Questionnaire Form About Stroke. Warning signs and symptoms of stroke were compared between the two sets of caregivers. SPSS 17was used for data analysis. Results: Of the 203 respondents, 105(52%) were in group 1 and 98(48%) in group 2. Group 1 had better awareness than group 2 (p<0.05). In group 1, weakness was the most commonly recognised warning sign 101(96.2%), whereas dyspnoea 41(39%), was the least commonly identified. There was no relationship of stroke knowledge with educational level and age (p>0.05 each). Conclusions: Caregivers had a moderate knowledge of some of the warning signs and risk factors about stroke.
Biochemical components, enzyme inhibitory, antioxidant and antimicrobial activities in endemic plant Scilla mesopotamica speta
(Wiley, 2021) Aktepe, Necmettin; Keskin, Cumali; Baran, Ayşe; Atalar, Mehmet Nuri; Baran, Mehmet Fırat; Akmeşe, Şükrü
In this study, in vitro antioxidant, antimicrobial, anticholinesterase and phenolic profile of different solvent extracts of Scilla mesopotamica speta were determined in detail. In vitro antioxidant activities and total phenolic and flavonoid contents of plant extracts obtained with different solvents were tested in terms of 2.2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging activities. The highest total phenolic and total flavonoid contents were determined in the ethyl acetate extract (62.24 mu g GAE/mg) and chloroform extract (87.72 mu g QE/mg) respectively. The highest DPPH radical scavenging activity was detected in ethyl acetate extracts. Antimicrobial and antifungal activities were investigated by MIC method. The inhibitory activities of the extracts on the acetyl cholinesterase enzyme were investigated. Liquid chromatography (LC) tandem mass spectrometry LC-MS/MS was used to determine the phenolic component content of extracts. Thirty-one different components were identified in the analyses and their amounts were measured. Practical applications Scilla mesopotamica speta is an endemic and medicinal plant. It was determined that the extracts of this plant had a very rich content in terms of phenolic compounds, especially caffeic and ferulic acids. However, this plant was remarkable for its antioxidant, anticholinesterase, and antimicrobial activities. Considering the strong antioxidant, antimicrobial, and enzyme inhibition activities of the Scilla mesopotamica speta it can be suggested as a source of anticancer, antimicrobial, and antiviral drugs.
Biosynthesis of AgNPs by extract from waste leaves of Citrullus lanatus sp. (watermelon); characterization, antibacterial and antifungal effects
(Progress in Nutrition, 2021) Aktepe, Necmettin; Baran, Ayşe
Silver nanoparticles (AgNPs) are valuable materials with a large number of sectors used. Green synthesis is very important for biomedical applications as they show biocompatible properties. In this study, AgNPs were easily synthesized using the environmentally friendly green synthesis approach using agricultural waste parts of Citrullus lanatus sp. plant grown in Diyarbakır region. Characterization of synthesized AgNPs was made. Fourier Transform Infrared Spectroscopy (FTIR) analysis was used to evaluate the phytochemicals responsible for effective reduction in the formation of AgNPs. UV-visible spectrophotometer (UV-Vis.) Spectra were also used to determine the presence of AgNPs. X-Ray Diffraction Diffractometer (XRD), Scanning Electron Microscope (SEM), Transmission Electron Microscope, Zeta potential analyzes were performed to define the crystal structures, dimensions and surface charges of AgNPs, respectively. In these data, it was determined that AgNPs showed maximum absorbance at 460 nm, spherical appearance, 21.27 crystal nano size and -30.05 mV zeta potential. Antimicrobial effects of AgNPs on gram positive Staphylococcus aureus (S. aureus) and Bacillus subtilis (B. subtilis) bacteria, gram negative Escherichia coli (E. coli) and Pseudomonas aeruginosa (P. aeruginosa) bacteria, as well as on fungus C. albicans pathogenic microorganisms It was analyzed by specifying the Minimum Inhibition Concentration (MIC) by microdilution.
Causes and Solutions For Emergency Department Overcrowding. A Qualitative Study of Healthcare Staff
(3. Uluslararası ACHARAKA Tıp, Hemşirelik ve Sağlık Bilimleri Kongresi, 2023) Bütün, Ahmet
Background: Emergency departments (EDs) are the units where the diagnosis and treatment of acute cases requiring immediate intervention and the ED environment could be chaotic and risky for staff and patients. However, ED overcrowding is a major problem globally and lead to many negative consequences such as long waiting time, reduced satisfaction of patients and healthcare staff, delays in the treatment of patients who most require urgent care, decreased quality of the health care provided, and increased health care costs. The aim of this study is to determine why patients prefer to use the ED, to identify current problems of ED services and to develop solutions to alleviate ED overcrowding and associated problems from the perspectives of ED healthcare staff. Methods: This study utilised a qualitative approach. The participants were ED consultants, ED doctors and ED nurses. Semi-structured interviews were conducted with 22 participants between 20th December 2021 and 18th February 2022. Those who have at least 1 year of experience in ED settings were included in this study. The settings for this study were Diyarbakir Training and Research Hospital (4 ED nurses, 1 ED consultant, and 2 ED doctors), Mardin Training and Research Hospital (3 ED nurses and 2 ED doctors), Midyat Public Hospital (1 ED consultant, 1 ED doctor and 3 ED nurse), Kiziltepe Public Hospital (3 ED nurse), and Ceylanpinar Public Hospital (1 ED nurse and 1 ED doctor). Ethical approval was obtained from Mardin Artuklu University Ethics Committee (Date: 14/12/2021, Ref: E-76272411-900-36850). Findings: Twenty-two ED healthcare staff were interviewed; 16 were male and 6 were female. The participants were aged between 21-30 (n=12), 31-40 (n=6) and 41-50 (n=4). ED staff interviews were conducted with 14 ED nurses, 6 ED doctors, and 2 ED consultants, who had at least 1-year of work experience in the ED, without any consideration of their gender or age. Five main themes emerged: Insufficient healthcare system, patient-related problems, ED advantages, consequences of ED overcrowding, and solutions for ED overcrowding. Conclusion: Insufficient healthcare system, ED advantages, and patients’ perceptions about using healthcare services led patients to use ED and subsequently to the ED overcrowding. There is a need for effective solutions to alleviate ED overcrowding. The precautions to limit non-urgent ED visits are not enough. Many factors need to be considered and all of them should be applied together accordingly.
Comparison of the Breastfeeding Practices of Refugee Syrian Mothers and Native Turkish Mothers
(Breastfeeding Medicine, 2020) Değer Bayram, Vasfiye; Ertem, Melikşah; Çifçi, Sema
Background: The World Health Organization recommends that babies be breastfed within the first hour of delivery and that they should exclusively be given breast milk in the first 6 months. The aim of this study was to ascertain the breastfeeding behaviors of refugee Syrian women and to compare their practices with those of the native mothers of the local community. Materials and Methods: This study is a cross-sectional study. The study was conducted in a Southern city in Turkey. The questionnaire was filled by face-to-face interviews. A total of 381 refugee Syrian mothers were compared with 381 native women living in the same community. Results: A significant difference was found between the two groups regarding breastfeeding. The rate of those who initiated breastfeeding within 1 hour after delivery was 61.4% for the Syrians and 71.1% for the Turkish mothers. In addition, the rates of exclusive breastfeeding (28.1 versus 34.1) and continuing breastfeeding for 12 months (55.0 versus 63.8) were lower in the Syrian refugee mothers. Maternal age and educational level were not correlated to the breastfeeding rates. Conclusions: This study is a rare study in which refugee mothers and local mothers were compared. Forced migration and refugee status are negatively associated with breastfeeding behavior.
Correlation between vitamin D status and Wechsler Adult Intelligence Scale's comprehension subtest in patient with end-stage renal diseases
(WILEY-BLACKWELL, 2016) Karaoğlan, Mehmet; Emre, Memet Hanifi; Demirtaş, Yasemin; Şahin, İdris; Taşkapan, Hülya
Aim: Cognitive decline is an important problem for individuals, as well as for the community. Increasing evidence suggests that vitamin D may play a role in maintaining cognitive function and vitamin D deficiency may accelerate cognitive decline. The aim of this study was to evaluate the status of vitamin D in chronic renal failure (CRF) patients on peritoneal dialysis (PD) and to correlate the findings with cognitive functions. Materials and methods: The study was performed in Inonu University Turgut Ozal Medical Center. Serum 25hydroxyvitamin D (25(OH)D) was measured and cognitive functions (Wechsler Adult Intelligence Scale’s (WAIS) Comprehension Subtest) tested with 51 peritoneal dialysis patients and a control group consisting of 51 healthy individuals have similar conditions with patients. Individuals with other chronic diseases and smoking and alcohol habits which may impair cognitive functions were excluded from the study. Results: Compared to each groups we found negative correlation between 25(OH)D3 levels and WAIS’s Comprehension Subtest in patient and control group. The correlation between data was evaluated with the Spearman’s test (P = 0.597, r = 0.76 and P = 0.010 r = 0.356 respectively). Conclusions: In the literature, there is no consensus on the presence of an association between vitamin D levels and cognition. In this study vitamin D levels were measured as deficiency in both groups. Further studies are needed to investigate for increasing actual knowledge about this association.
Determination of chemical composition and antioxidant, cytotoxic, antimicrobial, and enzyme inhibition activities of Rumex acetosella L. plant extract
(Springer int Publ Ag, 2024) Kandemir, Sevgi Irtegun; Aktepe, Necmettin; Baran, Ayse; Baran, Mehmet Firat; Atalar, Mehmet Nuri; Keskin, Cumali; Khalilov, Rovshan
Purpose The phenolic composition, antioxidant, antimicrobial activity, enzyme inhibition activity, and cytotoxic activity potentials of the plant Rumex acetosella L. (R. acetosella) were examined in this study. Materials and Methods: The chemical composition of R. acetosella methanol extract was identified by the LC-MS/MS method. The antioxidant activity was tested using beta-carotene/linoleic acid, DPPH free radical scavenging, ABTS cation radical scavenging, CUPRAC reducing power, and metal chelating activity methods. The cytotoxic activity was determined by the MTT assay using human ovarian adenocarcinoma (Skov-3), glioblastoma (U87), human dermal fibroblasts (HDF), and human colorectal adenocarcinoma (CaCo-2) cell lines. The antimicrobial activity of methanolic extracts was tested on gram-negative (Escherichia coli and Pseudomonas aeuriginosa) and gram-positive bacteria (Staphylococcus aureus and Bacillus subtilis) using the in vitro minimum inhibition concentration method (MIC). Enzyme inhibition activity of R. acetosella methanol extract was measured spectrophotometrically against acetylcholinesterase (AChE) and glutathione S-transferase (GST) enzymes. Results: The findings showed that the major components of the methanol extract content were luteolin-7-O-glucoside (1.599 m/L), polydatin (91,024 m/L), and shikimic acid (0.773 m/L). It was determined that the extract and standard antioxidant (a-tocopherol) results in DPPH center dot, and ABTS center dot + tests performed to determine the antioxidant activity were close to each other, and this value was more effective than the standard antioxidant (alpha-tocopherol) in the CUPRAC test. These results suggested that the plant's antioxidant potential was higher when compared with reference antioxidant compounds. It was determined that the methanol extract of R. acetosella had a weaker effect on the growth of the tested microorganisms than the antibiotics used as standard. The activity of the GST and AChE enzymes was found to be severely inhibited by the methanol extract of R. acetosella. Conclusion: Based on these findings, R. acetosella L. is a medicinal and commercially beneficial plant that warrants further investigation.
Determınatıon Of The Attıtudes Of Student Nurses For Safe Use Of Cuttıng And Drıllıng Medıcal Applıances
(Dergipark, 2019) Soylu, Dilek; Soylu, Ayşe; Tanrıverdi, Ömer; Tanrıverdi, Seher; Aksu, Ekrem
Purpose:The study was carried out descriptively in order to determine the attitudes of the nurses to the safe use of medical instruments. Patients and Methods
Discrimination Based on Sexual Orientation “Homophobia in Healthcare Employees”: a Cross-Sectional Study
(Springer, 2024) Bayram Değer, Vasfiye; Kaçan, Havva
Introduction: The study was conducted to examine the attitudes of healthcare employees toward homosexuals and the factors affecting them, while homophobic thoughts and behaviors are based on heteronormative cultural beliefs and gender stereotypes. Methods: This study was planned as a cross-sectional and completed with 720 healthcare employees. The Demographic Information Form and Hudson and Ricketts Homophobia Scale were used in the study. Data were collected between January 06 and January 10, 2022. Results: The mean homophobia total score of the employees was determined as 97,503 ± 25,807. Homophobia levels of male healthcare employees, those who thought homosexuality is a disease, and those who stated that homosexuality can be caused by taking an example had increasing homophobia levels. The level of homophobia decreases in the presence of homosexual friends, those who can talk freely about homosexuality, and healthcare employees who support same-sex marriage. Conclusions: Recognition of individuals with different sexual orientations by healthcare employees will reduce homophobic attitudes toward these individuals. Examining the level of homophobia in healthcare institutions and ensuring that discriminatory attitudes or behaviors toward individuals from different sexual orientations are determined to be effective on the quality of healthcare and access to healthcare services. Policy Implications: There is a healthcare system in which patients are generally assumed to be heterosexual; healthcare employees are not prepared to work with Lesbian, Gay, Bisexual, and Transsexual patients in general. Studies conducted on this subject indicate that more studies are needed on the subject to implement a healthcare policy focusing on sexual diversity in healthcare services and to discuss healthcare practices for the Lesbian, Gay, Bisexual, and Transsexual population.
Domestic violence and affectıng factors among married women aged between 15-49 Years
(Medicine Science, 2020) Çifçi, Sema; Açık, Yasemin
Domestic violence against women is an important public health problem commonly encountered in all societies, manifesting itself as a negative outcome of gender inequality. This study has been carried out in Mardin province to determine the prevalence of exposure to domestic violence among women aged between 15-49 years and the affecting factors. The population of the study consisted of the women aged between 15-49 years living in Mardin and 1111 people were selected for sampling. Through repeated visits, 1064 people were included in the study (the responsiveness rate was 95.8%). x² (chi-square) test was used in the statistical analysis. The average age of women was 32.5 ± 8.2. 29.4% of them were illiterate. 47.5% of them were married by prearrangement. 25.9% of them were subjected to physical violence by their father and 37.6% by their mother in the past. The women were exposed to physical (44.5%), verbal/emotional (56.4%), economic (37.7%), and sexual violence (14.8%) at least once in their lifetime. 13.2% of them are still exposed to domestic physical violence, 15.8% to verbal/emotional violence, and 7.3% to sexual violence. As the educational levels, socioeconomic status, and monthly income of women and their husbands decrease, the rate of exposure to violence increases (p <0.05). The factors such as being married by bride exchange and bride price, having a familial history of honor killing, living with a co-wife, experiencing childhood violence, having an alcoholic and gambling husband increase the rate of exposure of women to violence (p <0.05). Domestic violence against women was found to be significantly high in Mardin province. Considering the socio-economic and cultural conditions of the region, legal and social regulations should be enforced in cooperation with non-governmental organizations, public institutions as well as local and national press.
Eating Behavior Changes of People With Obesity During the Covid-19 Pandemic
(Dove Medical Press Ltd, 2021) Deger, Vasfiye Bayram
Objective: The precautions taken during the pandemic period may cause stress-related eating behavior disorders. It was aimed to test this hypothesis, and the study was carried out to examine pandemic measures the effect of on the nutritional, depression and stress conditions of people with obesity. Methods: The individuals who participated in the study were people with obesity who received follow-up dietary therapy in a private hospital. Three separate scales were applied to the individuals, which measured the desire to overeating request, depression status and stress-fighting status. Results: This study was conducted on 368 individuals. Women had lower values of BMI (28.57 +/- 3.89 kg/cm(2)) than men ( 30.64 +/- 2.87 kg/cm(2)). When the scores of the excessive eating request scale mean scores before and during the pandemic were examined, it was seen that the scores of the individuals increased during the pandemic. In the multivariate regression model, it was seen that the increase of stress and BMI increased the FCQ score (p<0.001). Multiple regression models were created by taking into account the criteria that caused the score increase. Each variable can predict the FCQ score separately. The predictor significance order of variants on FCQ score beta values is as follows: the Patient Health Questionnaire-9 (PHQ-9) (beta=0.774), before pandemic FCQ (beta = 0.601), the Perceived Stress Scale ( PSS) (beta=-0.268), before pandemic BMIa (beta=-0.223), during pandemic BMIb (beta=0.073), and age (beta=-0.013). Conclusion: COVID-19 pandemic, making applications such as quarantine in pandemic processes has successful results in being able to combat its. However, undesirable conditions such as stress can have serious negative consequences on other health measurements. It was observed in the results of this study that excessive eating food desire developed in people with obesity.
Editorial: Anxiety, burnout, and stress among healthcare professionals
(Frontiers, 2023) Bayram Değer, Vasfiye
The technology, informatics and social fields are experiencing continuous changes and developments day by day. Such changes and developments influence human life and expand the fields of research. One of these fields is the world of work life. Work life is an area where people spend a significant part of their lives by spending time and effort. The willingness of employees to make quality use of their time and labor significantly affects the efficiency obtained as a result of their work (Burton, 2010). The nature of the work requirements and the quantity of communication with other people in the workplace create challenging situations for employees. In this context, when it comes to health in work life, health workers are seen as an important sample group in terms of researching variables in work life, since their field requires qualified labor force, is vital and is a profession that constantly involves face-to-face interaction with people. The health sector is one of the sectors where employees have the most difficulties due to various factors. The health sector differs from other working environments due to the difficulty of serving patients with severe stress and the fact that employees in this sector often face stressful situations in their daily working environment.
Effect of individual psychoeducation for primary caregivers of children with autism on internalized stigma and care burden: a randomized controlled trial
(Taylor & Francis Online, 2023) Kaçan, Havva; Gümüş, Funda; Bayram Değer, Vasfiye
This study aims to determine the effects of a six-week individual psychoeducation program provided to primary caregivers of children with autism on stigma and care burden. The study was conducted with 88 primary caregivers (experimental group n ¼ 45, control group n ¼ 43) of children diagnosed with autism. The study, prepared in an experimental design with a pretest, posttest, and control group, was performed between 17 June 2021 and 17 January 2022. In the study, a six-week individual psychoeducation was given to the experimental group. Study data were collected using a personal information form, the Internalized Stigma of Parents in Mental Illness Scale (ISPMIS), and the Caregiver Burden Scale (CBS).The mean pretest ISPMIS total score of the experimental group was X ¼105.756 and the posttest total score after the psychoeducation was X¼66.489,which was a significant decrease (t ¼ 25.571; p < 0.05). The mean CBS pretest total score of the experimental group was X¼61.067 and the posttest total score was X¼31.667, which was a significant decrease (t ¼ 17.499;p < 0.05). The study revealed that the six-week individual psycho education provided to primary caregivers of children with autism decreased the participants’ internalized stigma and perceived care burden.
The Effect of Satisfaction in Implementing Professional Behaviors in Nursing Students
(International Journal of Caring Sciences, 2019) ÇİFTÇİOĞLU Gülcan
Abstract Background: Professionalism is a significant objective for all professions that is a must factor in health disciplines. Objective: In this study was performed to determine the effect of nursing students' satisfaction in clinical environment on the application of professional behaviors. Methods: This is a descriptive and cross-sectional study. The sample consists of the totally 340 students, 3rd and 4th grade in nursing department of two university. Data were collected between October and November 2017 by using Student Satisfaction Scale (SSS) and Nursing Students Professional Behavior Scale (NSPBS). Data were analyzed through the descriptive, comparative and correlative analyses via IBM SPSS Statistics 21. Results: The study found that students' application scores of professional behaviors was 43.58±13.36 (α=.93) and student satisfaction mean score was 2.57±0.76 (α=.92). These two variables showed that there is a positive weak relationship between them. The was a weak but positive and highly significant difference between SSS and NSPBS scores (r=.239,p<.001).Discussions: It is thought that supporting students academically to let them have education opportunity that constantly provide vocational development and ensuring satisfaction can help them develop professionalbehaviors during nursing education.
Effect of therapeutic touch on daytime sleepiness, stress and fatigue among students of nursing and midwifery: A randomized sham-controlled trial
(Complementary Therapies in Clinical Practice, 2021) Utli, Hediye; Vural Doğru, Birgül; Şenuzun Aykar, Fisun
Objectives: This study was conducted to assess the effect of therapeutic touch on stress, daytime sleepiness, sleep quality and fatigue among students of nursing and midwifery. Methods: 96 students were randomized into three groups: the therapeutic touch (TT) group, the sham therapeutic touch (STT) group, and the control group. In this randomized sham-controlled study, the TT group was subjected to therapeutic touch twice a week for four weeks with each session lasting 20 min. Results: When the TT group was compared to the STT and control groups following the intervention, the decrease in the levels of stress (p < 0.001), fatigue (p < 0.001) and daytime sleepiness (p < 0.001), and the increase in the sleep quality (p < 0.001) were found to be significant. Conclusion: It was found that TT, which is one form of complementary therapy, was relatively effective in decreasing the levels of stress, fatigue and daytime sleepiness, and in increasing the sleep quality of university students of nursing and midwifery.
Emergency department overcrowding: causes and solutions
(Wolters Kluwer, 2023) Bütün, Ahmet; Kafdag, Elif Ece; Gunduz, Hilal; Zincir, Vedat; Batibay, Mehmet; Ciftci, Kubra; Demir, Dilan; Bayram, Ramazan; Yigit, Elanur
Background:Emergency department (ED) overcrowding is among the biggest and most important problems experienced by ED staff. The number of ED visits is on the increase and remains an unresolved problem. Emergency department overcrowding has become an important problem for emergency care services worldwide. There is a relationship between overcrowding and patients’ negative experiences of using ED and therefore reporting reduced patients’ satisfaction. This study aimed to identify the causes of ED overcrowding, determine the reasons for people’s use of EDs, and develop solutions for reducing ED overcrowding. Methods: This study used quantitative methods using a descriptive approach. The participants were patients who visited the ED. A questionnaire was administered to 296 participants between December 2021 and February 2022. The study included 5 different hospitals in Turkey. The data were analyzed using descriptive statistics. Results: This study identified themost common presentingmedical problems in the ED andwhy patients used the ED. Reasons for using the ED included patients perceiving their condition as really urgent (62.8%), the ED being open for 24 hours (36.1%), and receiving faster care in the ED (31.4%). This study also developed recommendations for alleviating ED overcrowding. Conclusion: This study identified causes of ED overcrowding and some solutions for alleviating the issue. Emergency department overcrowding should be perceived as an international problem, and initiatives for solutions should be implemented quickly.
ERUCA SATIVA MILL SEEDS OIL ALLEVIATES HYPERLIPIDEMIA AND NON-ALCOHOLIC FATTY LIVER DISEASE IN SYRIAN HAMSTER
(2022) Alhilal, M; Sulaiman, Y A M; Subuh, A M; Habra, N; Alhilal, S
The impact of oils rich in long chain monounsaturated fatty acids (LCMUFA) against hyperlipidemia and non-alcoholic fatty liver disease (NAFLD) has been inadequately described. In addition, the chemical solvents and the high temperature used in vegetable oils extraction process from seeds cause severe loss of many vital compounds. So the goal of this paper was to examine the effect of cold pressed Eruca sativa Mill seeds oil (ESSO), as a source of LCMUFA, on hyperlipidemia and NAFLD in Syrian hamster. The ESSO content of fatty acids was analyzed using chromatographic methods. Fifty two (52) healthy male golden Syrian hamsters used in this experiment were randomly divided into 4 groups (Completely Randomized Design). Negative control group, CHD group, positive control group and ESSO group. This experiment was achieved in two periods. The first period continued 4 weeks, in which hyperlipidemia and NAFLD were induced in CHD, positive control and ESSO groups through feeding on a hyperlipidemic diet. The second period also lasted 4 weeks, in which ESSO was orally gavaged at 2 g/kg of the body weight daily to animals of ESSO group. The levels of total cholesterol (TC), triglycerides, HDL-C and glucose and the activities of ALT, AST, ALP, LDH and CK were analysed in the serum. One way analysis of variance (ANOVA) followed by Duncan's multiple range test was used for statistical analysis. The consumption of hyperlipidemic diet for 4 weeks caused a significant raise (P<0.05) of triglycerides, glucose, ALT, AST, LDH, CK and a significant reduction (P<0.05) of the HDL-C/TC ratio, at the same time created lipid accumulation in liver cells in CHD, positive control and ESSO groups in comparison with negative control group at the end of the first period. These negative influences were alleviated in ESSO group by administration of ESSO at the end of second period. In conclusion, The examined cold pressed ESSO has effective hypolipidemic and hepatoprotective effects in Syrian hamsters with hyperlipidemia and NAFLD.

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