Objective:Generally, deterioration of sleep quality has a negative impact on pain, while pain due to illness may also adversely impair sleep quality. This study was conducted to evaluate the effect of musicassisted progressive relaxation exercises (MaPRE) on postoperative sleep quality and pain intensity of patients hospitalized in the surgical clinics of a university hospital.Materials and Methods:This was a nonrandomized, single-blind, quasi-experimental controlled study with pre- and post-test. A total of 62 patients took part in the study, including 31 surgical patients in the intervention group, and 31 surgical patients in the control group. The intervention group regularly performed MaPRE for 30 min per day during the week after surgery. Data were collected by “visual analogue scale” for evaluation pain intensity, and “visual analog sleep scale” for determination sleep quality.Results:Performing MaPRE provided a significant increase in the sleep quality of patients and a significant decrease in the level of pain intensity of patients in the intervention group. There was no significant difference found between sleep quality of patients who performed MaPRE and those who did not. There was a significant difference between the level of pain intensity of patients who performed MaPRE and those who did not. However, patients who underwent MaPRE had higher levels of pain intensity than those who did not.Conclusion:MaPRE increased postoperative sleep quality of patients and reduced the severity of postoperative pain in patients. In conclusion, MaPRE increases the sleep quality of patients in surgical clinics and helps reduce the patients’ level of pain intensity.
Objective: Examine how rotator cuff (RC) tendinopathy differed from other shoulder problems (OSP) by measuring a variety of self-reported bio-psycho-social factors, and establish which explain severity. Methods: A validated online survey battery was used to collect self-reported biopsychosocial variables in an international population. Diagnostic group and severity were the dependent variables. Multiple logistic and linear regression analyses were utilised to generate explanatory models for group differences and severity after group comparison and univariate regression analysis. Results: 82 people with RC tendinopathy (50 female, 42.8 ± 13.9 years) and 54 with OSP (33 female, 40.2 ± 14.1 years) were recruited. Both groups had comparable severity results (Shoulder Pain and Disability Index = 37.3 ± 24.5 vs. 33.7 ± 22.5). Seven factors individually differentiated RC tendinopathy from OSP. The multivariable model included 4 factors: activity effect on pain (OR(95%CI) = 2.24(1.02-4.90)), previous injury in the shoulder (OR(95% CI) = 0.30(0.13-0.69)), activity level (moderate OR(95% CI) = 3.97(1.29-12.18), high OR(95% CI) = 3.66(1.41-9.48)) and self-efficacy (OR(95%CI) = 1.12(1.02-1.22)) demonstrating acceptable accuracy. The second multivariable model for RC tendinopathy severity included one demographic, three psychological and two biomedical variables (β(range) = 0.19-0.38) and explained 68% of the variance. Conclusion: Self-reported bio-psycho-social variables may be beneficial for further detailed clinical assessment as they partially distinguish RC tendinopathy from OSP, even when the groups have comparable overall pain and functional problems. Moreover, these variables were shown to be substantially associated with RC tendinopathy severity variance, implying that the clinical evaluation might be improved, perhaps by pre-consultation online data collection. The models should be validated in the future and considered alongside data from physical and imaging examinations.
The goal of this research is to figure out the moderating act of ethical leadership on the effects of job satisfaction and psychological capital of employees. The Hotel industry in Northern Cyprus has been preferred with this respect. The study was conducted within the appropriate literature. Research-oriented data collection tools designed and used in accordance with the purposes of the research, research questions and hypotheses are surveyed. The findings of the study revealed the moderating role of ethical leadership (EL) on psychological capital (PsyCap) and job satisfaction (JS). It was also found that the participants were on the idea of working under equal conditions adopted via ethical leadership factors. The current study is a new era for the developmental issues of hospitality in terms of management and it is hoped that it will yield basic basements for further studies.
Understanding the entrepreneurial intentions of university students is an important factor for increasing the spirit of entrepreneurship in university education. This study’s goal is to evaluate the relationship between the positive psychological capital of university students and entrepreneurial intentions in the context of gender differences. This study hypothesized that (1) positive psychological capital positively affects the entrepreneurial intentions of students and (2) gender differentiates the effect of positive psychological capital on entrepreneurial intentions. The hypotheses were tested using a survey of 574 students studying at universities in Northern Cyprus. The results show that positive psychological capital positively affects entrepreneurial intentions, and gender plays a differentiating role in this effect. The article discusses the findings of the study and makes some suggestions for university education.
Aim This study aimed to improve nurses’ attitudes towards parental engagement and to examine the impact of implementing nursing interventions related to family-centred care on neonatal and parental outcomes in a university hospital in Turkey. Methods A quasi-experimental, nonequivalent, and post-test research design was used. Using convenience sampling, the study was completed with 128 preterm infants and their parents, including 64 in the experimental group and 64 in the control group at a neonatal intensive care unit of a university hospital. The control group data were collected from medical records and parents before practising family-centred nursing interventions developed for the experimental group. In addition, nurses were given a four hour training session aimed to improve their attitudes towards parental participation in care, with the nurses’ attitudes measured before, immediately after, and one month after the training. The experimental group data were collected from medical records and parents after 10 nursing interventions based on family-centred care supported by managers began to be implemented by trained nurses in the neonatal intensive care unit. The Parent-Preterm Infant Characteristics Form, Maternal Attachment Inventory, Empowerment of Parents in the Intensive Care-Neonatology (EMPATHIC-N), and Parental Engagement Attitude Scale were used for the data collection. Findings While nurses’ scores of attitudes toward parental participation obtained immediately after and one month after the training were higher than those before the training, the scores one month after were lower compared to those immediately after. The results indicated that discharge weight gain of infants in the experimental group were significantly higher than those in the control group and that there was no significant difference between the groups in length of stay at neonatal intensive care unit. The maternal attachment and satisfaction scores of the parents in the experimental group were significantly higher than those in the control group. Conclusion Implementing family-centred nursing care interventions, developed based on unit needs and supported by managers, with trained neonatal intensive care nurses positively impacted parent-infant attachment, parent satisfaction, and infant weight gain.
Purpose: Patellar tendinopathy (PT) is poorly understood, and recent research has focused on physical examination and imaging, with the absence of statistical models considering combinations of various risk factors potentially obscuring understanding of how jumping athletes with PT (JPTs) present, progress and differ from athletes with other knee problems. We also lack a clear understanding of why some athletes present with worse severity than others. Therefore, we aimed to inform clinical profiling of JPTs by determining what combinations of self-reported factors distinguish PT from those with other knee problems, and explain the variance of PT severity and sporting availability. Methods: A previously validated, reliable online questionnaire battery yielded data from an international sample of elite and non-elite jumping athletes recruited via social media, private practice, sporting teams and the UK National Health Service. We considered clinical diagnosis (having PT vs having other knee problems) as the dependent variable for the regression model that distinguishes JPTs from those with other knee problems. Severity and sporting impact were defined by the VISA-P and competition availability. A range of self-reported bio-psycho-social, demographic and sports specific factors were collected to inform multivariable regression models constructed using a forward manual approach. Results: 132 athletes with PT (30.7±8.9 years; 80 males; VISA-P = 61.6±16.0) and 89 athletes with other knee problems (31.8±9.9 years; 47 males; VISA-P = 62.9±21.2) were included. Univariate regression analyses showed 22 variables individually distinguished PT from other knee problems, while 26 and 28 variables were individually associated with sporting impact and severity, respectively. A model comprising seven factors distinguished PT from other knee problems; hours trained in the last week (OR = 1.10, 95%CI = 1.03–1.17), sport type (OR for court base jumping sports = 2.31, 95%CI = 1.24–4.32), injured side (OR for bilateral = 2.28, 95%CI = 1.09–4.77), pain onset (OR for gradual = 1.97, 95%CI = 1.07–3.60), morning pain (OR for yes = 1.89, 95%CI = 1.01–3.53), condition acceptability (OR for yes = 0.39, 95%CI = 0.21–0.73) and swelling (OR for yes = 0.37, 95%CI = 0.18–0.74). Sports specific function (OR = 1.02, 95%CI = 1.01–1.04) and player level (OR for professional = 4.11, 95%CI = 1.90–8.87) explained sporting availability. 44% of PT severity variance was explained by quality of life (β = 0.32, p < 0.001), sports specific function (β = 0.38, p < 0.001) and age (β =−0.17, p = 0.02). Conclusion(s): Self-reported sports specific, biomedical and psychological factors partially distinguish PT from other knee problems. JPTs play more despite having equal severity to those with other knee problems yet are less satisfied with their condition. Availability is mainly explained by sports specific factors, while psychosocial factors impact on severity. These should not be taken to be causal relationships but adding sports specific and bio-psycho-social assessments into clinical assessment of PT is indicated for athlete monitoring, treatment planning and condition profiling. Impact: These findings could complement the more commonly collected physical examination and imaging findings in clinical care and research. The findings are generalizable because of the uniquely large sample size, diverse range of analyzed variables enabling multivariable analysis and relevant international sample of elite and non-elite athletes.
It is very important that the installed renewable energy system should produce the maximum power outputs with minimum costs, and that can only be achieved with the selection of the best optimization technique applied for the best control strategies along with the introduction of the hybrid energy storage systems (HESS). This chapter presents some optimization techniques applied in control strategies for hybrid energy storage systems in distributed renewable energy systems. The integration of energy production and consumption component through the smart grid concept enables increased demand response and energy efficiency. Hybrid energy storage systems and their applications in the renewable energy systems are extensively discussed besides control strategies involved. The storages systems will play an important role in future related to smart grid.
This article explores the future imaginaries of young climate activists in Cyprus in the light of the unfolding climate crisis and the uncertainty and urgency it engenders. We analyse young people's imagined futures and their struggles to manage fear and despair through the cultivation of a collective sense of hope which allows them to act as future-makers and to work towards creating more just and sustainable futures. Through our empirical illustration, we also make the more general case for attending to the future as a productive temporal condition in Childhood Studies’ explorations of contemporary childhoods.
Purpose This study aims to test the validity and reliability of the Turkish version of the HIV/AIDS-related Stigma Scale. Design and Methods The study has a methodological design. The sample included a total of 428 participants. of the participants, 198 were HIV/AIDS patients, 230 were HIV-negative individuals. The data were analyzed using the Exploratory and Confirmatory Factor Analysis. Findings The Turkish version of the HIV/AIDS-related Stigma Scale was found to be valid and reliable for the Turkish society. Cronbach's α was 0.93 for the community perspectives subscale and 0.89 for the patient perspectives subscale, and all the model fit indices were acceptable. Practice Implications The level of stigmatization revealed by the scale helps gain an insight into the community and patient perspectives on HIV/AIDS.
Breast cancer (BC) early screening and detection is a main component for the outcome of the treatment and overall survival. Informal caregivers (ICGs) are less likely to initiate early BC screening methods and utilize health services. The purpose of this study was to explore ICGs’ knowledge and perceptions, including educational and training opportunities or barriers, in promoting early detection practices for BC, as well as healthcare professionals’ (HCP) respective perceptions concerning ICGs in order to identify the need of selected health literacy interventions. A qualitative focus group study was implemented in 3 European countries, using a purposive sampling technique. In total, 26 ICGs and 18 HCPs were involved. The themes that emerged from the focus groups interviews included knowledge, perceptions, attitudes, and beliefs concerning BC; motivational factors and barriers that influence early screening practices and personal involvement. Motivators and barriers concerning BC screening adherence were linked to knowledge, beliefs and perceptions. Health promotion strategies and user-friendly tools should be developed, targeting on the implementation of BC early detection practices among informal caregivers.
Analyzing the combination of involving parameters impacting the efficiency of solar air heaters is an attractive research areas. In this study, cost-effective double-pass perforated glazed solar air heaters (SAHs) packed with wire mesh layers (DPGSAHM), and iron wools (DPGSAHI) were fabricated, tested and experimentally enhanced under different operating conditions. Forty-eight iron pieces of wool and fifteen steel wire mesh layers were located between the external plex-iglass and internal glass, which is utilized as an absorber plate. The experimental outcomes show that the thermal efficiency enhances as the air mass flow rate increases for the range of 0.014-0.033 kg/s. The highest thermal efficiency gained by utilizing the hybrid optimized DPGSAHM and DPG-SAHI was 94 and 97%, respectively. The exergy efficiency and temperature difference (∆T) indicated an inverse relationship with mass flow rate. When the DPGSAHM and DPGSAHI were optimized by the hybrid procedure and employing the Taguchi-artificial neural network, enhancements in the thermal efficiency by 1.25% and in exergy efficiency by 2.4% were delivered. The results show the average cost per kW (USD 0.028) of useful heat gained by the DPGSAHM and DPGSAHI to be relatively higher than some double-pass SAHs reported in the literature.
An important aspect of human mating is to appeal to prospective mates. Accordingly, the current research attempted to identify the strategies that people use in order to become more attractive as prospective intimate partners. More specifically, using open-ended questionnaires in a sample of 326 Greek-speaking participants, we identified 87 acts that people performed in order to become more attractive as mates. By using quantitative research methods in a sample of 2,197 Greek-speaking participants, we classified these acts into 16 different strategies. We found that, enhancing one's looks and becoming more pleasant, were among the most preferred strategies. Women were more likely than men to adopt strategies that involved looks, while men were more likely than women to adopt strategies that involved resource acquisition capacity. Moreover, age effects were found for most strategies. The identified strategies were classified into two broader domains, one aiming to develop and demonstrate fitness-increasing qualities, and the other to deceive about fitness-impairing traits.
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