Background Although COVID-19 has greatly affected many low-income and middle-income countries, detailed information about patients admitted to the intensive care unit (ICU) is still scarce. Our aim was to examine ventilation characteristics and outcomes in invasively ventilated patients with COVID-19 in Argentina, an upper middle-income country. Methods In this prospective, multicentre cohort study (SATICOVID), we enrolled patients aged 18 years or older with RT-PCR-confirmed COVID-19 who were on invasive mechanical ventilation and admitted to one of 63 ICUs in Argentina. Patient demographics and clinical, laboratory, and general management variables were collected on day 1 (ICU admission); physiological respiratory and ventilation variables were collected on days 1, 3, and 7. The primary outcome was all-cause in-hospital mortality. All patients were followed until death in hospital or hospital discharge, whichever occurred first. Secondary outcomes were ICU mortality, identification of independent predictors of mortality, duration of invasive mechanical ventilation, and patterns of change in physiological respiratory and mechanical ventilation variables. The study is registered with ClinicalTrials.gov , NCT04611269 , and is complete. Findings Between March 20, 2020, and Oct 31, 2020, we enrolled 1909 invasively ventilated patients with COVID-19, with a median age of 62 years [IQR 52–70]. 1294 (67·8%) were men, hypertension and obesity were the main comorbidities, and 939 (49·2%) patients required vasopressors. Lung-protective ventilation was widely used and median duration of ventilation was 13 days (IQR 7–22). Median tidal volume was 6·1 mL/kg predicted bodyweight (IQR 6·0–7·0) on day 1, and the value increased significantly up to day 7; positive end-expiratory pressure was 10 cm H 2 O (8–12) on day 1, with a slight but significant decrease to day 7. Ratio of partial pressure of arterial oxygen (PaO 2 ) to fractional inspired oxygen (FiO 2 ) was 160 (IQR 111–218), respiratory system compliance 36 mL/cm H 2 O (29–44), driving pressure 12 cm H 2 O (10–14), and FiO 2 0·60 (0·45–0·80) on day 1. Acute respiratory distress syndrome developed in 1672 (87·6%) of patients; 1176 (61·6%) received prone positioning. In-hospital mortality was 57·7% (1101/1909 patients) and ICU mortality was 57·0% (1088/1909 patients); 462 (43·8%) patients died of refractory hypoxaemia, frequently overlapping with septic shock (n=174). Cox regression identified age (hazard ratio 1·02 [95% CI 1·01–1·03]), Charlson score (1·16 [1·11–1·23]), endotracheal intubation outside of the ICU (ie, before ICU admission; 1·37 [1·10–1·71]), vasopressor use on day 1 (1·29 [1·07–1·55]), D-dimer concentration (1·02 [1·01–1·03]), PaO 2 /FiO ...
The changes in business life during the Covid 19 Pandemic had a significant effect on work-life balance of individuals, especially women as their roles at home and work have increased and the conflict between these roles has become more pronounced. Considering this fact, this research aimed to determine the conflicts and changes on the work-life balance of female managers during the Covid-19 pandemic. In this context, the research was carried out within the framework of workplace responsibilities, private life responsibilities, work-private life conflict, and the effects of the Covid-19 pandemic. This research was carried out in educational institutions of Turkey, through interviews with 16 married women employees who have children. The obtained data were classified following the main purpose of the research and content analysis, then coded and analyzed using the MAXQDA. The findings showed that the dominant factor in the pandemic period was Work-Life conflict and job responsibilities restricted private life responsibilities more. The fact that working at home decreases productivity, low productivity extends working hours, and the negative effects of technology increasing the workload have caused female managers, who are aware of their job responsibilities, to work more.
Günümüzde üretim ve hizmet ortamlarındaki değişim sürekli hale gelmiştir. Yaşanan hızlı değişimler karşısında işletme yöneticileri, zorlu pazar şartlarında hayatta kalabilmek için sürdürülebilir bir gelişim yolu aramak zorundadır ve bu yol, inovasyon faaliyetlerinin sürekli hale getirilmesinden geçmektedir. Pazarlama karmasının en önemli unsurlarından olan ürün, ancak değişen müşteri taleplerine ve ihtiyaçlarına uygun hale getirildiği takdirde daha fazla tercih edilir hale gelmektedir. Bununla birlikte yalnızca pazarlama açısından değil, yönetimsel açıdan da müşteri beklentileri ile uyumlu inovasyonlar gerçekleştirebilmek, işletmelere rekabet avantajı bağlamında oldukça önemli avantajlar sunmaktadır. Yönetim inovasyonu, işlerin gerçekleştirilme biçimini, geleneksel yöntemlerden önemli ölçüde farklılaştırma yeteneğine sahip ve bu farklılaşma ile örgütün performansını artırmaya yardımcı olan bir kavrama karşılık gelmektedir.Yapılan bu araştırmanın amacı; Covid-19 pandemi sürecinde işletmelerin inovasyon kümesinin, pazarlama ve yönetim perspektifinden ele alınmasıdır. Bu bağlamda araştırma; işletme, ürün, stratejik ve yönetim inovasyonlarından oluşan inovasyon kümesi bağlamında değerlendirilmiştir. Araştırmada nitel analiz yöntemlerinden "içerik analizi" kullanılmıştır. Bu kapsamda Konya ilinde faaliyet gösteren özel eğitim kurumlarının yöneticileri ile birebir görüşme yapılmıştır. Elde edilen veriler nitel araştırma yöntemlerinde sıklıkla kullanılan MAXQDA 18 programı aracılığıyla kodlanmış ve sonrasında verilerin analizi gerçekleştirilmiştir. Yapılan bu araştırma sonucunda; Covid-19 pandemi dönemi sürecinde işletmelerin inovasyon kümesi kapsamında yönetim ve pazarlamaya yönelik mevcut ve gelecek projeksiyonları açısından çeşitli inovasyonlar gerçekleştirdikleri tespit edilmiştir.
Özet ya da Abstract kısmını bu alana yapıştırabilirsiniz en fazla 1500 karakter kulIncreasing competition conditions as a requirement of the digital age necessitate customer focus in every sector. Especially in the service sector, where consumption takes place where it produces, emotional labor is gaining more and more importance in terms of creating a positive impression on customers and being a good team worker. Because the emotional labor of employees can lead to positive or negative results in terms of work performance by affecting various factors such as burnout. In this context, the main purpose of the research is to determine the relationship between the emotional labor of bank employees and their burnout levels and performances. For this purpose, the survey technique, which is one of the quantitative research techniques, and the interview technique, which is one of the qualitative research techniques, were used in the research. The survey information obtained from 188 bank employees was analyzed and predicted. Since it helps to examine the subject in more detail, it was supported by the information obtained from 8 bank employees with the qualitative research technique. As a result of the quantitative analysis of the research, it was determined that emotional labor is related to job performance and burnout. Through qualitative analysis, it also has been tried to determine whiclanılabilir. Eğer makale diliniz İngilizce ise ilk olarak Abstract sonrasında Özet gelmelidir.
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