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    Analysis of Effect and Development of Instructional Framework About First Aid for Kindergarten Students
    (Springer Int Publ Ag, 2025) Ileriturk, Duygu; Bayramoglu, Atif; Turkec, Emine; Kimirti, Nurdan; Ozden, Yunus Emre
    First aid has a crucial role in preserving human lives. The prompt administration of first aid increases the likelihood of its efficacy. Hence, the implementation of first aid procedures by children in settings exclusively occupied by children and adults can yield significant advantages. The objective of this study was to develop an instructional design that would facilitate the provision of first aid training to kindergarten students. The researchers implemented the instructional design they had designed in the kindergarten setting for the intended goal. The study employed the design-based research method, utilizing Gagne's Nine Events of Instruction model that was adapted from Gagne, Briggs, and Wager's model (1992). According to the results of the study, it can be concluded that a 10-week practice-oriented instructional design used for 18 kindergarten children have demonstrated efficacy in acquiring knowledge related to first aid and how it is done. The results of the study show that the kindergarten children could know what the emergency situation is and what they could do when they see it.
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    Perceptions of patients and their relatives about schadenfreude towards doctors
    (Cell Press, 2024) Yildirim, Fatih; Cakir, Zeynep; Ozdemir, Sefa; Trout, Inci Yilmazli; Bayramoglu, Atif; Ekinci, Oguzhan; Belli, Serap Atasever
    Background: Violence in healthcare is a global issue that healthcare professionals experience. The concerning increase in violent incidents in Turkiye particularly makes it a significant problem to explore by examining the underlying psychological factors. In this sense, this study focuses on the concept of Schadenfreude, the malicious joy of someone else's misfortune, towards doctors, which is an under-researched topic in healthcare violence. Particularly, there is a lack of research on patients' and relatives' perceptions of doctors. Objective: This study aims to determine the level of schadenfreude in Turkish society towards the violence experienced by doctors and to develop a model revealing the underlying causes. Methods: Using a convenience sampling method, we recruited 402 participants, who are not firstdegree relatives of healthcare professionals, for this quantitative study. For data collection, we developed a survey instrument to measure the level of schadenfreude and six different psychological factors including empathy, sympathy, anger, aggression, and deservingness. For data analysis, we used structural equation modeling. Results: The results showed that the lower the levels of empathy and sympathy towards doctors were, the higher the levels of both schadenfreude and aggression were. Envy had no significant effect on either schadenfreude or aggression, while deservingness directly affected aggression. The perceptions of participants regarding doctors that they deserve violence increased their aggression levels. Schadenfreude had a positive and significant effect on anger and aggression. Implications: The examination of underlying factors of violence towards doctors points to a lack of mutual understanding between patients and doctors. The results of this study indicate a need for increasing empathy towards health professionals by creating societal awareness of their experiences. Local authorities and healthcare organizations can create environments that bring together the public and health professionals to share their experiences with each other or conduct campaigns to draw public attention to the issue. Moreover, training sessions on effective communication can be offered for health professionals to help improve patient-doctor relationships and healthcare outcomes.
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    The role of blood nitric oxide level in predicting return of spontaneous circulation: a prospective case-control study
    (Assoc Medica Brasileira, 2024) Bayramoglu, Atif; Tekin, Erdal; Kurt, Engin; Kasali, Kamber; Kurt, Nezahat
    OBJECTIVE: The aim of this study was to investigate whether there is a difference in serum nitric oxide levels between patients who return spontaneously after cardiopulmonary resuscitation and those who do not. We also examined the potential of using serum nitric oxide levels as a marker to make an accurate decision about patient survival. METHODS: We included 100 consecutive patients who were brought to the emergency clinic due to cardiac arrest. Blood samples were taken from these patients at admission, 30 min after admission, and when resuscitation was terminated. RESULTS: We found that there was a significant difference in NO1 and NO3 values between the group of patients who did not return after cardiopulmonary resuscitation and the group in which spontaneous circulation returned. The NO1 value was significant in the receiver operating characteristic (ROC) analysis, while the NO3 value was not. A higher NO1 value provided a higher rate of survival. CONCLUSION: Our findings suggest that nitric oxide may be a useful parameter to support the decision about patient survival. A higher NO1 value is associated with a better prognosis and survival rate. Therefore, serum nitric oxide levels may be a suitable indicator to support the decision-making process regarding patient survival.