A community-based iron supplementation program, "Iron-Like Turkey", and the following prevalence of anemia among infants aged 12-23 months

During the second year of the "Iron-like Turkey" Project, in which all children aged 4-6 months in Turkey receive iron supplementation for 5 months, we aimed to assess the utilization of iron supplementation in the field, as well as the prevalence of anemia in healthy infants aged 12-23 months, while determining a variety of sociodemographic and nutritional factors for anemia in three of the 12 NUTS (Nomenclature of Territorial Units for Statistics) regions (regions with the highest, lowest and middle under-5 malnutrition levels). In a community-based, cross-sectional survey using a multi-staged, weighted, cluster-selected sample, children aged 12-23 months with birthweight ≥2500 g, no chronic illness, no history of blood disease, and from term and singleton pregnancy were enrolled; 1589 children met the criteria. The mean±SD age of children surveyed was 17.8±3.6 months. Of the parents, 72.4% claimed that their physician had recommended iron supplementation, and 68.8% had given supplementation to their children. Overall prevalence of anemia was 7.3%. Multivariate analysis revealed that the frequency of anemia decreased significantly in older infants, when supplementation was recommended by health providers, when an infant was breastfed longer than 6 months, and when the mother received iron supplementation during pregnancy. However, anemia prevalence increased when the infant received iron supplementation at a later age (39 months), lived in a crowded family (36 persons), and when the mother had a history of iron deficiency anemia. Anemic infants had significantly lower z scores of weight for age than non-anemic ones. This survey suggests that iron supplementation during pregnancy, initiation of iron supplementation in infants at 4-6 months of age, effective counseling on supplementation, subsequent compliance, support of breastfeeding, and effective training of health care personnel are effective strategies for prevention of anemia in the community

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Recalling positive and negative events: a cross-cultural investigation of the functions of work-related memories

Autobiographical memory serves three basic functions of self-continuity, social bonding, and directing behavior. Although previous research has analyzed functional remembering across cultures and emotional valence, little is known about their interactive dynamics. We coded functions of positive and negative work-related autobiographical memories of working adults from Singapore, Turkey, and the U.S. The results revealed an interaction between culture and memory type, whereby memories by Turkish participants were more likely to serve the self function, particularly in positive memories. Across cultures, positive memories scored higher on the social function than did negative memories. Memories by Turkish employees were the most, and Singaporean employees were the least likely to serve a social function. In contrast, narratives by both Singaporean and Turkish employees scored higher on the directive function than did narratives by American employees. The results are discussed in light of cultural differences in autobiographical memory usage as well as workplace relational norms

Goal Derailment and Goal Persistence in Response to Honor Threats

In honor cultures, maintaining a positive moral reputation (e.g., being known as an honest person) is highly important, whereas in dignity cultures, self-respect (e.g., competence and success) is strongly emphasized. Depending on their cultural background, people respond differently to threats to these two dimensions of honor. In two studies, we examined the effects of morality-focused and competence-focused threats on people’s goal pursuit in two honor cultures (Turkey, Southern United States, and Latinx) and in a dignity culture (Northern United States). In Study 1, Turkish participants were more likely to reject a highly qualified person as a partner in a future task if that person threatened their morality (vs. no-threat), even though this meant letting go of the goal of winning an award. Participants from the U.S. honor and dignity groups, however, were equally likely to choose the people who gave them threatening and neutral feedback. In Study 2, Turkish and U.S. honor participants were more likely to persist in a subsequent goal after receiving a morality threat (vs. no-threat), whereas U.S. dignity participants were more likely to persist in a subsequent goal after receiving a competence threat (vs. no-threat). These results show that people’s responses to honor threats are influenced by the dominant values of their culture and by the tools that are available to them to potentially restore their reputation (e.g., punishing the offender vs. working hard on a different task). This research can have implications for multicultural contexts in which people can have conflicting goals such as diverse work environments

Goal derailment and goal persistence in response to honor threats

In honor cultures, maintaining a positive moral reputation (e.g., being known as an honest person) is highly important, whereas in dignity cultures self-respect (e.g., competence and success) is strongly emphasized. Depending on their cultural background, people respond differently to threats to these two dimensions of honor. In two studies, we examined the effects of morality-focused and competence-focused threats on people’s goal pursuit in two honor cultures (Turkey, Southern U.S., & Latinx) and in a dignity culture (Northern U.S.). In Study 1, Turkish participants were more likely to reject a highly qualified person as a partner in a future task if that person threatened their morality (vs. no-threat), even though this meant letting go of the goal of winning an award. Participants from the U.S. honor and dignity groups, however, were equally likely to choose the people who gave them threatening and neutral feedback. In Study 2, Turkish and U.S. honor participants were more likely to persist in a subsequent goal after receiving a morality threat (vs. no-threat), whereas U.S. dignity participants were more likely to persist in a subsequent goal after receiving a competence threat (vs. no-threat). These results show that people’s responses to honor threats are influenced by the dominant values of their culture and by the tools that are available to them to potentially restore their reputation (e.g., punishing the offender vs. working hard on a different task). This research can have implications for multicultural contexts in which people can have conflicting goals, such as diverse work environments

sj-doc-1-jcc-10.1177_00220221221137749 – Supplemental material for Goal Derailment and Goal Persistence in Response to Honor Threats

Supplemental material, sj-doc-1-jcc-10.1177_00220221221137749 for Goal Derailment and Goal Persistence in Response to Honor Threats by Ceren Günsoy, Susan E. Cross, Vanessa A. Castillo, Ayse K. Uskul, S. Arzu Wasti, Phia S. Salter, Pelin Gul, Adrienne Carter-Sowell, Afşar Yegin, Betul Altunsu, Jaren D. Crist and Michael J. Perez in Journal of Cross-Cultural Psychology</p