This research aims to explore teachers' perception of organizational silence in terms of various demographic variables. The research has been conducted with teachers, who work at state schools located within the central districts of Kahramanmaraş (Dulkadiroğlu and Onikişubat). The research sample holds 392 teachers in total. Having a quantitative research model, this research holds a survey model. The research data has deployed "Organizational Silence Scale" including 18 items. Frequency, percentage, t-test and one-way analysis of variance (ANOVA) and regression analysis have been used during data analysis. Research results have revealed that teachers experience a medium level of organizational silence. Besides, teachers' perception of organizational silence does not significantly differ across demographic variables. The research has also suggested that demographic variables are not a significant predictor of organizational silence perception of teachers.
Aim:The aim of our study was to evaluate the demographic data, type of toxic substance, Glasgow Coma scale (GCS), Poisoning Severity score (PSS) and the prognosis of the patients who were admitted to the emergency department (ED) with a preliminary diagnosis of acute intoxication and then underwent hemodialysis (HD) or hemoperfusion (HP), and to compare this data with other studies. Materials and Methods:The study retrospectively analyzed the files of 36 poisoned patients who were admitted to the ED and who underwent HD or HP by using the hospital electronic data system. Results: HD was administered to 27 patients (75.0%) and HP was administered to nine patients (25.0%). Among the patients treated with HD, five (18.5%) were poisoned by valproic acid, one (3.7%) by amlodipine, one (3.7%) by organic phosphorus, one (3.7%) by paracetamol, four (14.8%) by mushroom, two (7.4%) by ethyl alcohol/ethanol, three (11.2%) by lithium and ten (37.0%) by methyl alcohol/methanol. Among the patients treated with HP, one (11.1%) was poisoned by organic phosphorus, seven (77.8%) by amitriptyline, and one (11.1%) by phenytoin. The median GCS score was 10, and the median PSS was 3. The deceased patients had significantly lower GCS scores while their PSS was significantly higher. Eleven patients died, and 25 patients were discharged with full recovery.Conclusion: This is a multifaceted study that investigated poisoned patients treated with HD or HP and presented treatment modalities that are currently used, and we think they will be used more widely in the future.
Bu çalışmada öğretmenlerin psikolojik sağlamlıkları ile kendini işe vermeleri arasındaki ilişkinin incelenmesi amaçlanmıştır. İlişkisel tarama modelinde gerçekleştirilen bu araştırmanın evreni, Kahramanmaraş ili merkez ve ilçelerinde bulunan resmi ve özel anaokulu, ilkokul, ortaokul ve liselerde çalışan öğretmenlerden oluşmaktadır. Araştırmanın örneklemini ise amaçlı örnekleme yöntemlerinden kolay ulaşılabilir örneklem yoluyla seçilen 346 öğretmen oluşturmuştur. Araştırmada, öğretmenlerin psikolojik sağlamlıklarını ölçmek için “Kısa Psikolojik Sağlamlık Ölçeği”, kendini işe verme düzeylerini ölçmek için “Kendini İşe Verme Ölçeği” kullanılmıştır. Öğretmen adaylarının sosyo demografik özelliklerini belirlemek üzere araştırmacı tarafından geliştirilmiş “Kişisel Bilgi Formu” kullanılmıştır. Araştırma sonucunda, öğretmenlerin psikolojik sağlamlıklarının ve kendini işe verme düzeylerinin ortalamanın üzerinde olduğu sonucuna ulaşılmıştır. Öğretmenlerin psikolojik sağlamlıklarının cinsiyet değişkeni bakımından farklılaştığı; medeni durum, kıdem, branş, yaş, eğitim durumu ve çalışılan okul kademesi değişkenlerine göre anlamlı bir farklılık göstermediği görülmüştür. Araştırmanın bir diğer sonucu olarak öğretmenlerin kendini işe verme düzeyleri; cinsiyet, medeni durum, yaş, eğitim durumu ve çalışılan okul kademesi değişkenlerine göre anlamlı bir farklılık göstermezken, kıdem ve branş değişkenleri bakımından farklılaştığı sonucuna ulaşılmıştır. Ayrıca öğretmenlerin psikolojik sağlamlık ve kendini işe verme puanları arasında pozitif ve düşük seviyede ilişki olduğu görülmüştür. Araştırmanın son kısmında araştırma sonuçlarından hareketle geliştirilen önerilere yer verilmiştir.
Introduction This case report aimed to report two patients admitted to the emergency department with a preliminary diagnosis of carbon monoxide intoxication and was diagnosed with COVID-19 during their follow-up. Case 1 A 73-year-old female patient presented with weakness and shortness of breath complaints to the emergency department. Carboxyhemoglobin (COhgb) reached 36.2 %. Atypical pneumonic infiltration with peripheral and central patchy consolidations in the zones in hemothorax images from computerized tomography. The patient was tested positive for COVID-19 after a PCR test. The COhgb values of the patient reached 16 % after 3 h. Then, it dropped to 3.0 % after 8 h. Case 2 A 77-year-old male patient presented with shortness of breath and nausea complaints to the emergency department. COhgb (carboxyhemoglobin) reached 30%. Emphysematous changes in the lung parenchyma and increased peribronchial densities in the lobes were shown in computed tomography. The patient was tested positive for COVID-19 after a PCR test. The COhgb values of the patient reached 13 after 3 h. It dropped to 2.4 after 8 h. Conclusion Carbon monoxide intoxication is a significant public health problem with a high probability of death. Detailed studies and meta-analyses are needed to affect the prognosis of COVID-19 disease.
The aim of this study is to investigate whether the follow-up of patients on a mechanical ventilator using a tissue oxygenation device is superior to that using an O2 saturation probe. Our study was conducted at the Necmettin Erbakan University Meram Medical School Emergency Medicine Critical Care Unit between 01/04/2016 and 01/06/2016. Patients over the age of 18, non-pregnant, and followed up on mechanical ventilators were prospectively recruited, and the saturations of the patients with tissue oxygenation devices and pulse oximetry were evaluated and compared. SPSS (ver. 19.0) was used for the statistical analysis of the collected data, and the descriptive measures of all the obtained variables were calculated. The collected data revealed a statistically significant positive correlation between oxygen saturation measured by pulse oximetry and tissue oxygen saturation (StO2) in the patient group (n = 53), in which deceased and discharged patients were evaluated together. Both the hemoglobin levels and StO2 were low in the sepsis patients. It is important to follow tissue perfusion in intensive care patients, and this can be done with a noninvasive method. The results of our study reveal that perfusion should be followed with tissue oxygenation in patients on mechanical ventilators because low tissue oxygenation indicates increased patient mortality.
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