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- ItemHope and psychological resilience in primary caregivers of patients with a chronic mental illness followed in a community mental health center(Elsevier, 2024-03) Erkuş, Şeyma; Babacan Gümüş, Aysun; 372023Purpose: The aim of this study is to examine hope and psychological resilience in primary caregivers of patients with a chronic mental illness. Design and methods: The descriptive study was conducted on 297 caregivers in community mental health centers in Turkey. Data were collected using the Introductory Information Form, Dispositional Hope Scale and the Resilience Scale for Adults. Findings: Hope and psychological resilience of primary caregivers of patients with a chronic mental illness were moderate. To sociodemographic and caregiver characteristics; caregivers who are over 40 years old, lost his/her spouse, low education level, housewife or retired, unemployed, who evaluated their incomes low, mother, living in the same house with the patient, caring for ten years or more, caring for another patient and not getting help in care had lower hope and resilience levels. Compared to patients with a diagnosis of bipolar disorder, caregivers of patients with schizophrenia had lower hope and psychological resilience levels. Conclusions: Primary caregivers of patients with a chronic mental illness should be supported in terms of hope and psychological resilience.
- ItemSelecting facility location of gendarmerie search and rescue (GSR) units; an analysis of efficiency in disaster response(Elsevier, 2024-10) Abdulvahitoğlu, Adnan; Vural, Danişment; Macit, İrfan; 382420Disasters, referred to as events that result in physical, economic, and social losses for individuals and disrupt the daily activities of human communities, necessitate ongoing preparedness due to their unpredictable nature. Swift response during and after a disaster is crucial for preserving human life. Hence, it is imperative to initiate planning immediately following a disaster to ensure readiness for various tasks. Given these factors, search and rescue units must carefully select a base location that enables them to promptly reach affected areas. Disasters exhibit unique characteristics across different regions of Türkiye. While some regions are prone to earthquakes, others face the risks of landslides, avalanches, or floods. Consequently, the required measures for disaster management vary from region to region. Nevertheless, when the term “disaster” is mentioned in Türkiye, earthquakes often come to mind due to their frequent occurrence and significant impact. The Gendarmerie Search and Rescue (GSR) units have been actively responding to these earthquakes, renowned for their exemplary institutional discipline and working methods. This study aims to examine the operations and deployment locations of GSR units, which play a crucial role in mitigating the impact of frequent earthquakes in Türkiye, utilizing a SWOT analysis. Additionally, a Multi-Criteria Decision Making-based mathematical model will be employed to optimize task activities and to select the most suitable facility locations for GSR units. The use of mathematical modeling in this context ensures that GSR units are strategically positioned to maximize their operational effectiveness and minimize response times. The results will be evaluated through sensitivity analysis.
- ItemThe effects of two different cold application times on edema, ecchymosis, and pain after rhinoplasty: a randomized clinical trial(Elsevier, 2024-01) Tekin, Yasemin Eda; İyigün, Emine; Karakoç, Ömer; 292320Purpose: This study was performed to determine the effects of different cold application times to the periorbital area after rhinoplasty on edema, ecchymosis, and pain. Design: A randomized clinical study. Methods: Patients were divided into two groups, and cold application was applied to one group for 4 hours and to the other for 48 hours. The cold application was applied with ice packs for 20 minutes every hour to the periorbital region in both groups. Data were collected with the Patient Information Form, Scoring Diagram for Edema, the Scoring Diagram for Ecchymosis, and the Visual Analogue Scale for Pain. Findings: Periorbital edema, eyelid ecchymosis, and pain were not significantly different between the two groups. The mean edema score of the 48-hour group was 0.87 ± 0.93, while the mean edema score of the 4-hour group was 0.70 ± 0.87 (P = .48) on the 2nd day. The mean ecchymosis score was found as 2.03 ± 1.12 in the 48-hour group and 2.10 ± 1.09 in the 4-hour group (P = .817). The mean pain score was 12.50 ± 17.40 in the 48-hour group and 13.00 ± 16.00 in the 4-hour group (P = .98). Conclusions: The effects of 48-hour and 4-hour cold applications are similar. Cold application for 4 hours may be recommended to patients who undergo rhinoplasty, as it is more practical and easier to apply than the 48-hour practice.