Hergünsel (2021) The effect of body mass index on the development of acute kidney injury and mortality in intensive care unit: is obesity paradox valid?,

Aims The study aimed to determine the effect of using a crochet octopus to reduce acute pain and maintain optimal physiological measurements that develops during procedural pain in neonates. Materials and methods This was a parallel design randomized controlled study. During the procedure of heel lance, experimental groups were delivered a crochet octopus 10 min before the process and let them touch the octopus during and for up to 10 min after the procedure. Control group experienced the process without any intervention. SpO2, duration of crying of neonates and pain they experienced were evaluated. Results The study was completed with 100 (50 for the experimental group and 50 for the control group) term neonates. SpO2 of neonates, touching the crochet octopus during and after in second minute of the process was found higher and also the duration of crying was shorter during whole the process, and the pain they experienced due to the process was lower than the control group. Conclusions Crochet octopus affected physiological measurements of the neonates positively and reduced the procedural pain as well.

Background: Increasing in emergency department need to critical care, the number of intensive care unit bed worldwide is inadequate to meet these applies. Objectives: The aim of this study was to investigate the effect of waiting for admission to the Intensive Care Unit (ICU) in the Emergency Department (ED) on the length of stay in the ICU and the mortality of critically ill patients. Methods: This retrospective cohort study carried out between January 2012 - 2019 patients admitted to the ICU of a training and research hospital. The data of 1297 adult patients were obtained by searching the Clinical Decision Support System. Results: The data of the patients were evaluated in two groups as those considered to be delayed and non-delayed. It was determined that the delay of two hours increased the risk of mortality 1.5 times. Hazard Ratios (HR) was 1.548 (1.077 - 2.224). Patients whose ICU admission was delayed by 5 - 6 hours were found to have the highest risk in terms of mortality (HR = 2.291 [1.503 - 3.493]). A statistically significant difference was found in the ICU mortality, 28-day and, 90-day mortality between the two groups. ICU mortality for all patients’ general was 25.2% (327/1297). This rate was 11.4% (55/481) in the non-delayed group and 33.3% (272/816) in the delayed group (P < 0.001). The 28-day mortality rate for all patients’ general was 26.9% (349/1297). This rate was found to be 13.5% (65/481) in the non-delayed group and 34.8% (284/816) in the delayed group (P < 0.001). The 90-day mortality for all patients’ general was 28.4% (368/1297). This rate was 14.1% (68/481) in the non-delayed group and 36.8% (300/816) in the delayed group (P < 0.001). Conclusions: Prolonged stay in the ED before admission to the ICU is associated with worse consequences, and increased mortality.

Amaç: Bu araştırma, okul öncesi eğitime devam eden 3-6 yaş dönemindeki çocukların sağlık eğitimini etkileyen faktörlerin incelenmesi amacıyla gerçekleştirildi. Gereç ve Yöntem: Kesitsel ve tanımlayıcı desendeki araştırma, Nisan-Haziran 2017 tarihleri arasında Mersin ilinde bulunan dört farklı devlet anaokulunda gerçekleştirildi. Araştırmaya bu okullarda okul öncesi eğitim alan, 3-6 yaş grubundaki 366 çocuğun annesi katıldı. Veriler Bilgi Formu ve okul öncesi çocuklar için Sağlık Eğitimi Ölçeği ile toplandı. Bulgular: Okul öncesi çocukların %45.9’unun altı yaşında, %53.3’ünün erkek ve 44.8’inin bir yıldır okul öncesi eğitime devam ettiği, annelerin ise %27.3’ünün lise ve dengi okul mezunu olduğu saptandı. Ailelerin %84.7’sinin 1-3 arasında değişen sayıda çocuğu olduğu belirlendi. Çocuğun cinsiyeti, okul öncesi eğitime devam etme süresi ve yaşı Sağlık Eğitimi Ölçeği’nin kişisel güvenlik ve ilkyardım alt grubu puan ortalamaları üzerinde etkili olduğu belirlendi (p< .05). Cinsiyet ve ailedeki çocuk sayısının temizlik ve özbakım (p< .05); annenin öğrenim düzeyinin ise ruh sağlığı ve sosyal ilişkiler alt grup puan ortalamaları üzerinde anlamlı olarak farklılaştığı belirlendi (p< .05). Sonuç: Okul öncesi dönemden itibaren çocukların sağlık eğitimi ihtiyaçlarının düzenli olarak izlenmesi ve ebeveynlerin sağlığı geliştirmek için yapılacak uygulamaların bir parçası olması sağlıkta güçlendirmeyi teşvik edebilir.

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