Pandemiler, sağlık sistemi üzerinde büyük etkisi olan ve ciddi ölümlere neden olan önemli bir halk sağlığı sorunudur. Sağlık çalışanları içerisinde en büyük grubu oluşturan ve COVID-19 pandemisi sürecinde zor görevler üstlenen hemşireler, doğrudan hasta bakımı ve iyileşmesinde ve salgının kontrolünde etkin rol oynayan hayati insan kaynaklarıdır. Katlanarak büyüyen salgın süreci ancak hemşirelerin refahını artırılarak yönetilebilir ve virüsün sağlık sektörü içinde yayılma riski bu şekilde minimumda tutulabilir. Hemşireler sağlık, bakım ve destek hizmetlerinin koordinasyonunda kritik bir rol oynamaktadır ve salgınlara karşı mücadelede ön plandadırlar. Bu nedenle hemşireler hastane tarafından sağlık güvenliği sağlanarak iyi desteklenmelidir. Bu olgu sunumunda salgın sürecinde COVID-19 pozitif hastalara bakım veren bir hemşirenin karşılaştığı sorunlar ile ilgili duygu ve düşünceleri açıklanmaktadır.

Aim The aim of this study was to determine the effect of health education on prevention of low back pain for health caregivers and cleaning workers. Background Low back pain is a common health problem in the workplace. Health education is important in the prevention and recurrence of low back pain. Methods A quasi‐experimental design with a pre‐test and post‐test control group was used. The population of the study consisted of health caregivers and cleaning workers working in a university hospital in Turkey. A total of 120 participants, 60 in the intervention group and 60 in the control group, were included in the study. Data were collected between October 2016 and April 2017. A questionnaire, the Oswestry Low Back Pain Scale and the Knowledge Evaluation Form were used to collect data. Health education was given to the intervention group. Results Following the health education, the mean scores of the Oswestry Low Back Pain Scale in the intervention group were significantly lower than the control group and had a larger effect size. Conclusion This study provides evidence for the effectiveness of health education in the prevention of low back pain in health caregivers and cleaning workers.

In this study, changes in heart-type fatty acid binding protein (H-FABP) and certain biochemical parameters during chronic artery diseases were investigated. Coronary artery disease (CAD) is one of the leading causes of death and morbidity in our country,which is also true for the world in general as well. CAD generally develops on the foundations of atherosclerosis. In this study, blood samples collected from patients who applied to Van Yüzüncü Yıl University Dursun Odabaş Medical Center Emergency Department and Cardiology Polyclinics with acute ischemic chest pain between January 2019 and June 2019 were evaluated. Patients were not given any drugs or other kinds of substances before sample collection. Of the patients who applied to the cardiology clinic, 24 patients with acute ischemic chest pain were diagnosed with chronic arteritis, 12 patients with cardiological problems were diagnosed with diabetes mellitus (DM), 12 patients with hypertension (HT) problems and heart complaints, and 12 healthy individuals (who were not diagnosed with diabetes, hypertension or CAD) were included as research materials. Certain markers like Troponin, CK, CK-MB, AST, ALT, LDL-Cholesterol, HDL-Cholesterol, LDH, Glucose, and Creatinine in the blood samples were biochemically determined using an autoanalyzer (Abbott ci16200),while H-FABP values were determined using ELISA method. LDL-cholesterol levels were highest in the CAD group, HDL-Cholesterol and LDH levels were high in the CAD+HT group, while CK, CK-MB, cTnI, AST, Glucose, creatinine, and H-FABP levels were found to be high in the DM+CADgroup. Meanwhile, cTnI values were increased in people with HT or DM in addition to CAD, but there was no statistical significance. LDL-cholesterol changes also did not vary significantly between the groups. Intergroup changes in other parameters examined showed the importance of CK and Glucose levels at p≤ 0.001, AST p≤ 0.002, LDH p≤ 0.003, CK-MB p≤ 0.004, HDL-Cholesterol p≤ 0.049, Creatinine p≤ 0.011, and H-FABP p≤ 0.050. In recent years, H-FABP has taken its place in the field of cardiology with increasing importance in the diagnosis of CAD and MI. The findings obtained in this study show that the H-FABP level was increased in all patients examined (except the test group), and we recommend its use as a critical and useful parameter in the field of cardiology.

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