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- MakaleYayıncıda açık erişim2023Scopus SJRQ4Family Physician’s Opinions and Recommendations on the Family Medicine Practices
Baş, Kazım
Objectives: This study aims to evaluate the opinions and recommendations of family physicians working in family health centers regarding the practices of family medicine. Methods: This descriptive research was conducted with 307 family physicians working in family health centers of Elazığ and Muş provinces located in the east of Turkey between September and November 2021. The sample of this study was comprised of 193 (62.9%) family physicians who were available during the study period. The questionnaire created by the researcher was used to collect with the face-to-face interview technique and/or Google Forms data. Results: A total of 193 family physicians were included in the study. The mean age of the family physicians was 41.4±8.5 years, and their mean population was 3138.1±534.1 people. Of the family physicians, 184 (95.3%) stated professional devaluation, 179 (92.7%) excessive workload, the problems arising from the legislation, 173 (89.6%) performance, 158 (81.9%) the excess of the population to be served, 155 (80.3%) financial problems, coordination problems with senior management, 132 (68.4%) inadequate with the physical structure of the building and equipment, and 125 (64.8%) stated the insufficient number of non-physician personnel were among the factors negatively affecting work in family health centers. In addition, 180 (93.2%) family physicians stated that changes are needed in existing family medicine practices. Conclusion: According to the study results, there are negative situations that affect the effective and efficient implementation of family medicine practices. The current policy needs to be revised to carry out family medicine practices effectively and efficiently.
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İncele - MakaleAçık Erişim2023Scopus SJRQ3Evaluation of the spiritual care needs of risky pregnants from the perspective of the patient and the clinician: A qualitative research
Yüksekol, Özlem Doğan; Ulucan, Mihriban; Baltacı, Nazlı; Nazik, Feyza
Objectives: Being diagnosed with a risky pregnancy and complications developing during pregnancy cause both stress and uncertainty for women and their families, so women with risky pregnancies need spiritual care more. For this reason, this research was conducted to determine the spiritual care needs of risky pregnant women which require a multidisciplinary approach. Methods: The research is a phenomenological descriptive type of qualitative research. The study was completed with 20 participants, including 10 pregnant women who were hospitalized in the obstetrics and gynecology clinic and diagnosed with risky pregnancy, and 10 clinicians who were responsible for the care and treatment of pregnant women in the clinic. Data were collected using a semi-structured interview form. Data analysis was supported by the MaxQda 2020 Pro package program. Results: The two themes that emerged in this study are the perspectives of pregnant women and the perspectives of clinicians. Each theme is categorized as spirituality and spiritual care perceptions, spiritual care needs and experiences, and barriers to spiritual care. Conclusion: According to the findings obtained from the study, it is seen that the views of pregnant women and clinicians on spiritual care are similar. Supportive relationships and providing respectful maternal care are among the spiritual care needs of women with risky pregnancies, and these help to maintain the spiritual well-being of pregnant women.
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İncele - MakaleAçık Erişim2023Scopus SJRQ4The influence of microwave curing on the strength of silica fume-added fly ash-based geopolymer mortars
Yilmazer Polat, Berivan
Geopolymer concretes a substitute for traditional Portland cement as a more environmentally sustainable alternative. In addition, one of the most significant advantages of geopolymer concrete is the high setting speed that can be achieved with thermal curing, that is, the short curing period. Research on geopolymer concrete has focused on curing, where curing is usually done with conventional ovens. Microwave curing initiates heat generation at the molecular level, which results in a minimal heat increase on the surface of the specimens compared to traditional thermal curing methods. In addition, it provides internal, rapid, and homogeneous heating and rapid strength development. This study is based on research that examined the effect of microwave cure on the compressive strength of silica füme-modified geopolymer mortar. In the study, sodium silicate and sodium hydroxide were used for activation, and first of all, fly ash substituted geopolymer mortar specimens were subjected to conventional thermal curing in an oven. On the other hand, the mortar specimens with the same composition were subjected to short-duration (10 minutes) microwave curing at power levels of between 200-600 W. When the results were compared regarding compressive strength, void and per-cent water absorption, UPV, and SEM-internal structure examination, it was revealed that microwave curing could be used faster than the conventional oven curing method in silica füme-added fly ash-based geopolymer mortars. This research can be considered an essential step for further optimizing and popularising geopolymer concrete and microwave curing and proposes a method that should be considered in the future development of more sustainable construction materials.
AtıfScopus7OpenAlex7TR Dizin4İncele - MakaleAçık Erişim2022Characterization of carbon fiber reinforced conductive mortars filled with recycled ferrochrome slag aggregates
Doğan, Fatih; Dehghanpour, Heydar; Subaşi, Serkan; Maraşli, Muhammed
Recently, it has been known that carbon fiber, a conductive fiber, is used in different mixture designs and the development of electrically conductive cementitious materials. Howev-er, the evaluation of ferrochrome slag as a recycled aggregate in the mixture of these special concretes has still not been investigated. In this study, electrically conductive mortars were produced using 100% recycled ferrochrome slag aggregate with a particle size of less than 1 mm as filling material and using carbon fiber in 4 different ratios, 0%, 0.5%, 0.75%, and 1%. To investigate the electrical conductivity properties, the resistivity values of the samples were measured at five different times within 2–180 days. In addition, 28-day compressive strength, flexural strength, dynamic resonance, ultrasonic pulse velocity, Leeb hardness, scanning elec-tron microscope, and X-Ray Diffraction tests were performed on all samples. The results were compared with the literature, proving that ferrochrome slag could be used as a reasonable aggregate in conductive mortars. The age effect was minimal in CF-added mixtures. With the addition of 1% CF, the resistivity values decreased approximately 40 times compared to the ref-erence. Moreover, SEM analyses of the CF-0.75 sample showed that the CFs adhered to form a conductive network between the components in the ferrochrome-filled compact structure.
AtıfScopus10TR Dizin5İncele - MakaleAçık Erişim2022Scopus SJRQ3Relationship between stress perceived by married individuals and attitudes to violence against women in the pandemic
Dal, Nursel Alp; Beydağ, Kerime Derya
Objectives: The aim of this study was to determine the relationship between married individuals’ perceived stress level and violence against women attitudes in the pandemic. Methods: This descriptive correlational study was conducted on a total of 773 married individuals between January and July 2021. The data were collected using a demographic information form, the perceived stress scale (PSS), and the ISKEBE violence against women attitude scale (ISKEBE Attitude Scale). Results: Of the married individuals, 34.8% were subjected to verbal violence, and 4.7% were subjected to physical violence. In addition, 18.9% of them had a worse marital relationship in the pandemic than that before the pandemic. There was a weak positive correlation between the married individuals’ PSS and ISKEBE Attitude Scale total mean scores (p<0.05). Conclusion: Midwives and nurses should evaluate their patients’ perceived stress levels and violence against women attitudes.
- MakaleAçık Erişim2022Evaluation of health managers’ opinions about decentralization in health services; [Sağlık Yöneticilerinin Sağlık Hizmetlerinde Desantralizasyona İlişkin Görüşlerinin Değerlendirilmesi]
Bas, Kazim; Sur, Haydar
OBJECTIVE: It was aimed to determine the opinions of health-care managers on theimplementation of decentralization in health-care services. METHODS: The research is a cross-sectional and descriptive study.Sample of the study included 261 health managers. Research data were collected from health-care managers between June 8 and July 17, 2020, using face-to-face interviews technic by a questionnaire, in an average of 20–25 minutes. The obtained data were transferred to the computer environment and analyzed with the number, percentage, and Chi-square tests. RESULTS: About 52.5% of the health managers stated that health-care services should be provided by the public, 63.2% of them stated that health-care services should be a form of empowered decentralization, 41.8% of them stated that decentralization could be successful in Turkiye, 62.6% stated that decentralization would provide flexibility in health-care management, 70.3% of them said that it could find solutions to the problems, and 73.3% of them stated that it will improve employee performance whereas 44.9% of them stated that it would negatively affect providing services in integrity, 67.2% of them stated that it would cause regional inequalities, 73.2% of them said that local factors will intervene in health-care services, and 57.9% reported that it would weaken the central power. CONCLUSION: The majority of health-care managers prefer that health-care services are provided by the public health-care service and prefer the empowered decentralization of health-care services. More than half of the health-care managers expressed their positive views such as the fact that decentralization provides flexibility in health-care services, improve the performance, and participation in service along with the negative views such as the fact that decentralization negatively affects the service delivery, causes regional inequalities and intervention of local factors, and weakens the central power.
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İncele - MakaleAçık Erişim2022Effects of single-walled carbon nanotubes and steel fiber on recycled ferrochrome filled electrical conductive mortars
Dehghanpour, Heydar; Doğan, Fatih; Subaşi, Serkan; Maraşli, Muhammed
The production of electrically conductive concrete was introduced years ago among construction materials, generally for anti-icing. The present study investigates the electrical, mechani-cal, dynamic, and microstructural properties of recycled ferrochrome filled cementitious mortars containing single-walled carbon nanotubes (SWCNTs) and steel fiber. Within the scope of the study, a total of 5 different mixtures were obtained. 7, 14, and 28-day non-destructive and 28-day compressive and bending tests of cementitious conductive mortars obtained from five different mixtures were performed. The two-point uniaxial method was used to determine the electrical conductivity properties of the samples. The damping ratio of the samples was obtained by performing dynamic resonance tests. Ultrasound pulse velocity (UPV) and Leeb hardness tests were performed as other non-destructive testing methods. Microstructure analysis at the interfaces of conductive concrete samples was characterized by scanning elec-tron microscopy (SEM), EDS (Energy-Dispersive X-ray Spectroscopy), and X-ray diffraction (XRD). The results showed a logical agreement when comparing their mechanical, physical, and dynamic properties. When SWCNT is used with steel fiber, the conductive mortar samples exhibited good conductivity, while their compressive and bending strengths turned below.
AtıfScopus11OpenAlex13İncele - DergiAnatolian Journal of Family Medicine
- DergiNorthern Clinics of Istanbul
- DergiJournal of Psychiatric Nursing
- DergiJournal of Sustainable Construction Materials and Technologies