Examining the relationship between digital parenting self-efficacy and digital parenting awareness of early adolescents' parents.

PURPOSE: This study aimed to investigate the variables that affect early adolescents' parents' digital self-efficacy and digital parenting awareness. DESIGN AND METHODS: A cross-sectional study was conducted between May and June 2022, with a sample of 2402 parents. Data were collected using a Parent Information Form, Digital Parenting Awareness Scale, and Digital Parenting Self-Efficacy Scale. The data were analysed using independent t-tests, Pearson correlations, and one-way ANOVA analysis. RESULTS: All parents have internet access at home and on their phones, and they all use the internet. The average daily internet usage time is 4.48 ± 2.09 h. A positive correlation was found between the average scores of parents' digital literacy (r = -0.111; p < 0.001) and digital communication (r = 0.089; p < 0.001). It was determined that the average digital communication subscale score of parents with a primary school degree was higher than that of parents with a university degree or higher (F = 2.783, p = 0.040). It was found that there was no statistical correlation between the amount of time parents spend on the internet daily and their total score and subscale scores of digital self-efficacy (p > 0.05). CONCLUSION: This study's results demonstrate that parents are proficient in digital security, digital literacy, and digital communication. Additionally, there is a significant correlation between digital literacy, digital communication, and digital parenting awareness. PRACTICE IMPLICATIONS: The study results could guide the development of future interventions to enhance parents' awareness and competence in digital safety and the use of digital tools.

The long-lived reactive nitrogen species in the troposphere: DFTB model for atmospheric applications.

The longest lived reactive NO2 molecule formation in a dry and clean air environment under a high-temperature shock wave was investigated under three basic reactions (R2 for the O + NO system, R6 for the NO + NO3 system, and R7 for the NO + O3 system) in the atmospheric environment. With certain approaches, a DFTB3 model was used, which gave results close to the density functional theory. In the calculations, the related reactions up to 250 ps were examined at individual specific temperatures, and the temperature ranges that contributed to the formation of the NO2 molecule were determined. Moreover, a shock wave with both heating and cooling channels was applied only on R2 to see whether molecular concentrations were in good agreement with atmospheric information. The reaction products were examined under a shock wave of about 20 ps. At the end of the study, the applicability of the DFTB model to atmospheric systems was demonstrated by comparing it with experimental data and information. QCT approach was also used for the calculation of reaction rate constants of only O2-formation on the O + NO system. Here, all systems are focused on nitrogen species containing oxygen. In particular, the highest-population NO molecule that emerged in the lightning flash event was used as the reactant, while systems existing with the longest lived NO2 in the atmosphere after the lightning flash were focused in the product channel. As a result of the study, the hypothesis of geophysicists that almost all NO2 formed in the lightning flash event originates from the NO + O system was disproved. It has been proven that the presence of NO3 molecules that can withstand high temperatures in such systems should be evaluated.

Coronavirus anxiety and cyberchondria among teachers during the COVID-19 pandemic: an online survey: Coronavirus anxiety and cyberchondria.

This study aimed to determine anxiety and cyberchondria and to investigate the links between anxiety and cyberchondria among teachers. This cross-sectional and descriptive study was conducted with 250 teachers. Data were collected using demographic information form, Cyberchondria Severity Scale and Coronavirus Anxiety Scale Short Form. The mean age of the teachers was 40.40 ± 8.83 years. The anxiety mean score was 7.70 ± 3.67, cyberchondria severity mean score was 73.47 ± 20.59. There were significant positive correlations between anxiety about COVID-19 and cyberchondria(r = 0.423, p < 0.001). Researchers must determine whether there is a benefit in further solving these relationships and reducing and preventing intervention in cyberchondria and anxiety; they must focus on results which increase anxiety, and investigate the correlation between cyberchondria, anxiety and behavior.

Psychometric Properties of the Turkish Version of the Dietary Sodium Restriction Questionnaire.

BACKGROUND: Sodium restriction is the primary nonpharmacological treatment in heart failure (HF) to prevent rehospitalization and reduce HF symptom burden. Despite the importance of restricting sodium in the diet, the prevalence of nonadherence to a low-sodium diet has been known to be high. To reduce the high prevalence of nonadherence, we have to know the facilitating and challenging factors. The planned behavior theory shows those factors, including attitudes, social norms, and perceived behavioral control. The Dietary Sodium Restriction Questionnaire (DSRQ) was developed based on the planned behavior theory. However, in Turkey, the psychometric properties of this instrument have not been studied yet. Therefore, the aim of this study was to conduct a psychometric testing of the Turkish version of the DSRQ among patients with HF. METHODS: Data were collected from 300 patients who were recommended a sodium-restricted diet because of a diagnosis of HF. Validity was tested using content validity index, Kendall W, and exploratory and confirmatory factor analyses. Reliability was tested using item-total and interitem correlations, Cronbach's α coefficient of reliability, independent-sample t test, and test-retest analysis. RESULTS: The exploratory factor analysis revealed that 3 factors accounted for 78.2% of the explained variance. The factor loads ranged between 0.67 and 0.96. The results of the confirmatory factor analysis showed goodness-of-fit indices greater than 0.90, with a root-mean-square error of approximation less than 0.10 and a root-mean-square residual of 0.05. The Cronbach's α coefficient for DSRQ was 0.92 and for each subscale was as follows: attitude and subjective norm, 0.97; perceived external behavior control, 0.89; and perceived internal behavior control, 0.83. CONCLUSIONS: The DSRQ is a valid and reliable instrument in assessing the attitudes, beliefs, and perceived behavioral control related to following a low-sodium diet of patients with HF in the Turkish population.

LATE-NIGHT SALIVARY CORTISOL IS UNALTERED IN PATIENTS WITH POLYCYSTIC OVARIAN SYNDROME (PCOS), IRRESPECTIVE OF DISEASE PHENOTYPE, AND IN OBESE WOMEN, IRRESPECTIVE OF THE PRESENCE OF PCOS.

OBJECTIVE: To determine cutoff values of late-night salivary cortisol (LNSC) using an electrochemiluminescent immunoassay and investigate whether the diagnostic performance of the assay is influenced by the presence of obesity or polycystic ovary syndrome (PCOS). METHODS: A total of 124 subjects comprising 25 patients with Cushing syndrome (CS), 44 with PCOS (22 nonobese and 22 obese), 21 with constitutional obesity (CO), and 34 healthy subjects (HS) were included in the study. Two consecutive LNSC samples were collected from all participants. RESULTS: The median LNSC levels of patients with CS were significantly higher than LNSC levels of HS, patients with CO, and obese and nonobese patients with PCOS, respectively (P<.01 for all). Healthy subjects, patients with CO, and obese and nonobese patients with PCOS did not differ in terms of median LNSC levels (P>.05 for all). The cutoff values and corresponding sensitivity and specificity were similar between the groups. The comparisons of the area under curve of the first LNSC (0.963; 95% confidence interval [CI], 0.910 to 0.989), second LNSC (0.954; 95% CI, 0.898 to 0.984), and the mean of two consecutive LNSC (mLNSC) values (0.962; 95% CI, 0.909 to 0.989) did not differ significantly (P>.05 for all). A cutoff value for mLNSC of 7.45 nmol/L yielded a sensitivity of 100% and specificity of 87.5% in HS. CONCLUSION: In conclusion, LNSC is a reliable test with high diagnostic accuracy in both HS and patients with PCOS and obesity. ABBREVIATIONS: ACTH = adrenocorticotropic hormone AUC = area under the curve BMI = body mass index CO = constitutional obesity CS = Cushing syndrome E2 = estradiol ECLIA = electrochemiluminescent immunoassay FPG = fasting plasma glucose FSH = follicle-stimulating hormone HOMA-IR = homeostasis model assessment of insulin resistance HPA = hypothalamo-pituitary-adrenal HS = healthy subjects IQR = interquartile range LH = luteinizing hormone LNSC = late-night salivary cortisol LR = likelihood ratio mLNSC = mean of two consecutive LNSC samples PCOS = polycystic ovarian syndrome ROC = receiver operating characteristic UFC = urinary free cortisol WHR = waist-to-hip ratio.

Validity and Reliability Study of the Turkish Adaptation of the Disaster Response Self- Efficacy Scale (DRSES).

OBJECTIVE: This study aimed to assess the validity and reliability of the Turkish version of the 'Disaster Response Self-Efficacy Scale (DRSES).' METHOD: This is a methodological study to validate the DRSES. Third and fourth grade nursing students participated in the study (n = 340). Construct validity was evaluated by exploratory and confirmatory factor analysis. Reliability was assessed by internal consistency and test-retest reliability. Data were analyzed in SPSS 20.0 (IBM Corp., Armonk, NY, USA) and IBM SPSS AMOS 21.0. (IBM Corp., Armonk, NY, USA). RESULTS: The content validity was 0.96, Cronbach's alpha coefficient was 0.94, and the intraclass correlation coefficient for test-retest reliability was 0.95. The exploratory factor analysis revealed that 3 factors accounted for 59.4% of the explained variance. The factor loads ranged between 0.50 - 0.81. The construct validity was good (χ2/df = 2.54; RMSEA = 0.067; CFI = 0.93; NFI = 0.95; GFI = 0.93; TLI = 0.94; IFI = 0.92; P < 0.001). CONCLUSIONS: The results of this study show that the Disaster Response Self-Efficacy Scale is a valid and reliable tool that could be used to determine the nursing students' disaster response self-efficacy.

Turkish Version of the Sleep Self-Report Scale: Factorial Structure and Psychometric Properties for 8-12-Year Old Children.

BACKGROUND: Appropriate diagnosis of sleep problems is crucial, given the importance of sleep in childhood development. The Sleep Self-Report Scale (SSRS) is used to assess children's sleep problems in the United States and Spain, and this study aimed to expand the usability of this instrument by evaluating its validity and reliability in Turkish children. METHODS: Between March 2019 and December 2019, this methodological, descriptive, correlational study was conducted on 1138 children. The sociodemographic information form and the SSRS were used to collect data. Factor analysis, Cronbach's alpha, and item-total score analysis were used for data analysis. RESULTS: The scale consists of 23 items and 3 sub-dimensions. Three sub-dimensions were observed to explain 58.79% of the total variance. All goodness of fit indices were >0.90 and the root mean square error was <0.08 in the confirmatory factor analysis. For the entire scale, the Cronbach's alpha coefficient is .94. CONCLUSIONS: The SSRS was found to be a valid and reliable instrument to identify sleep problems. The factorial structure supported by exploratory and confirmatory analysis examines the most relevant areas of sleep in children.

Psychometric Evaluation of Turkish Version of the Cultural Competence Assessment Tool: CCA-EUnurse Project.

It is important to understand nurses' cultural competency all across the world, as globalization and international migration are increasing day by day. The evaluation of the cultural competence of nurses is necessary to provide better quality and adequate health services to individuals, and to improve patient satisfaction and health outcomes. The aim of this study is to evaluate the validity and reliability of the Turkish version of the "Cultural Competence Assessment Tool". The methodological study was performed to assess instrument adaptation and validity and reliability testing. This study was conducted in a university hospital in western region of Turkey. The study sample consisted of 410 nurses who worked in this hospital. Validity was tested using content validity index, Kendall's W test and exploratory and confirmatory factor analyses. Reliability was tested using item-total and interitem correlations, Cronbach's α coefficient of reliability and test-retest analysis. The results of this research demonstrated that the Cultural Competence Assessment Tool showed a good construct validity, internal reliability and test-retest reliability. Confirmatory factor analysis indicated that a construct with four factors showed an acceptable model fit. In conclusion, this study concluded that the Turkish version of the Cultural Competence Assessment Tool is a valid and reliable measurement tool.

Sharp Object Injuries of Family Health Workers Working in Primary Health Care Services and Related Factors.

AIM: The aim of this study was to evaluate family health workers' exposure to injuries with needlestick and sharp instruments and its related factors. METHOD: The universe of the relational descriptive study consisted of 150 family health workers working in 26 family health centers in the Bornova district, and the study was completed with 115 family health workers who voluntarily accepted to participate in the research. The data consisted of 4 sections and 26 questions in total: the questionnaire form created by the researchers in line with the literature, the sociodemographic information form, the questions regarding the needlestick and sharp injuries. In the evaluation of the data, using SPSS 20.0 package program, number, percentage distributions, mean and standard deviation were calculated, and Kruskal-Wallis analysis and logistic regression analysis were performed. RESULTS: All of the family health workers included in the research were women and the average age was 38.6 ± 6.38. It was determined that 81.7% of family health workers received occupational health and safety training, and the average score they gave to the level of knowledge about what to do in case of a cutting-edge injury was 7.62 ± .96. In the study group, the ratio of history of needlestick and sharp instrument injury was 79.1%, and the average number of injuries was 6.72 ± 4.01. CONCLUSION: As a result of the research, it has been determined that family health workers' occupational health and safety training increases the use of protective equipment, where the rate of injuries is high and the rate of reporting in case of injury is very low.

Investigation of a nosocomial outbreak by alginate-producing pan-antibiotic-resistant Pseudomonas aeruginosa.

BACKGROUND: The nosocomial spread of pan-antibiotic-resistant nonfermentative bacteria is an increasing concern. This study investigated the microbiologic and epidemiologic characteristics of a hospital outbreak due to alginate-producing, pan-antibiotic-resistant Pseudomonas aeruginosa (PAR-Pa). METHODS: All patients with infection with a P. aeruginosa strain that was resistant to all Clinic Laboratory Standards Institute-suggested antimicrobial agents between November 2004 and May 2005 were included in the study. Alginate production detection and pulsed-field gel electrophoresis (PFGE) typing were done for the patient and environmental surveillance isolates. A matched case-control study was performed to identify risk factors and evaluate outcomes. RESULTS: PFGE analysis of a total of 35 PAR-Pa isolates (28 patient and 7 environmental surveillance isolates) identified a single epidemic clone as responsible for the outbreak. All epidemic isolates were alginate-producing and susceptible only to colistin. The Student t-test demonstrated that a longer stay in the intensive care unit (ICU) (6.64 days vs 1.83 days; P < .05) significantly increased the risk of PAR-Pa infection. Systemic PAR-Pa infection resulted in higher mortality (85.7% vs 27.8%; P < .05). Multivariate analysis determined that therapeutic failure (odds ratio = 24.7; 95% confidence interval = 4.144 to 147.221; P < .05) was the independent risk factor related to this high mortality. Localized PAR-Pa infections were associated with longer hospital stays (46.2% vs 14.4%; P < .05) and higher rates of surgery (85.7% vs 15.4%; P < .05) and amputation (42.8% vs 0%; P < .05). The recovery of the pathogen from staff hands and frequently handled surfaces suggests possible handborne transmission. Improved hygienic standards and application of strict contact precautions, including isolation, reduced the spread of the pathogen. CONCLUSION: This study illustrates the ability of pan-antibiotic-resistant P. aeruginosa to cause an outbreak with significant mortality and stresses the need for precautions to prevent the spread of such highly resistant strains.

[Investigation of intestinal parasites and ectoparasites in three primary school students in Elazig]. / Elazig'daki üç ilkögretim okulu ögrencilerinde ektoparazit ve bagirsak paraziti yayginliginin arastirilmasi.

The aim of this study was to investigate the prevalence of intestinal parasites and ectoparasites among the students of three primary schools of different socioeconomic levels in Elazig. At first, a total of 448 students who attend different schools were examined for ectoparasites and then stool and cellophane tapes were collected. Intestinal parasites were found in 119 (26%) of the specimens. The most common parasite was Enterobius vermicularis (8%), followed by Entamoeba coli (8%), Ascaris species and Trichuris species (3%). No scabies were detected in the students, and 23 (5%) of the students had lice.