Objective: The aim of this study is to determine the frequency of metabolic syndrome in office workers.
Methods: The universe of the descriptive cross-sectional study was created by a private bank and company office staff in Istanbul between January 2017 and April 2017 (n=1200). The level of significance was 0.05, 95% confidence interval, the minimum sample number was calculated as 344, but 40.6% of the sample was reached (n=140). Data were collected with the Personal Information Form and the NCEP-ATP III diagnostic criteria. For NCEP-ATP III diagnostic criteria, blood pressure, height, weight, waist circumference measurements of the employees were performed, blood sample was taken in order to evaluate fasting blood glucose, serum triglyceride level and HDL cholesterol level for diagnosis criteria of ATP III. Descriptive statistics (number, percentage, mean) were used for data analysis.
Results: It was found that 50% of the office workers were female, 62.1% were married; 52.9% of participants had education of university and over. 22.9% of the participants had a chronic disease and 36.4% of the participants had used cigarettes, 42.9% of the participant had normal weight and 36.4% of them had overweight. Rate of the abdominal obesity had been found as 45.7% in women and 28.6% in men. Prevalence of MetS had been found as 18.6% among office workers. This rates were %17.1 in women and %20 in men. MetS frequency was higher in married, chronic illnesses, 41-60 years who worked over 8 hours a day was statistically significantly higher than others (p<.05).
Conclusion: As a result, workplace health improvement programs should be established for the prevention and early detection of metabolic syndrome in office workers.

Objective: Factors associated with warfarin use can cause risks, such as thrombosis and bleeding, by affecting the INR (international normalization ratio) value used in regulating the drug dose. In this study, we aimed to determine factors affecting effective INR value in patients using warfarin.
Methods: The study was conducted with 120 patients, admitted to the blood-letting unit of a training hospital in Istanbul between April and June 2016 to determine INR. Data collected with data collection form, developed by the researchers, were evaluated in 95% confidence interval and significance level p<0.05 using descriptive statistical methods (number, percentage, average, standart deviation) and chi-square test in SPSS 22.0 program. The ethical committee approval was obtained.
Results: Average age was 60.3±10.6 years; 55.8% were women; 63.3% primary school graduates; main indications were prosthetic heart valve (52.6%) and deep vein thrombosis (35.8%); bleeding was more common in females (p<0.05). Almost all were under follow-up of a physician, informed by a physician, and although they claimed that they were checking INR and know the therapeutic INR range, patients with uncontrolled INR were more common. These results were similar in terms of individual, health-disease state and warfarin use caharacteristics.
Conclusion: In this investigation, in which more than half were uncontrolled according to the effective INR value, we recommend developing warfarin education programs aiming at obtaining effective INR value and increasing nurse efficiency in education; taking the parameters like age, gender, education level, presence of chronic disease and used medicines into account.

One of the most basic symptoms due to heart failure is edema. Edema in heart failure; can be classified as peripheral edema and pulmonary edema in order to understand the physiopathology and plan effective nursing care. Edema associated with severe and extensive fluid retention; peripheral edema. The mainstay of treatment in patients with peripheral edema is to try to remove the fluid. Careful monitoring of patients and planning of effective nursing care is important. In contrast to peripheral edema, acute pulmonary edema, the total amount of fluid in the body does not increase, but the effect of impaired heart function, which leads to hemodynamic changes, is that the fluid moves to the "wrong" body part. The main goal in the treatment of pulmonary edema is to correct or remove the underlying hemodynamic cause and to allow the fluid to return from the pulmonary tissues. In this context, the planning of patient care and the provision of appropriate nursing care management are important.

Implantable cardioverter defibrillator (ICD) is a device that detects and terminates life-threatening ventricular tachycardia and fibrillation conditions, it is also used as a primary prevention method in individuals who are at risk of sudden cardiac death (SCD). ICD patients are faced with many problems during the adaptation period. The decrease in sexual activity and sexual function is one of the most common and least noted problems among patients. It is reported in the literature that patients are concerned about the maintenance of sexual activity and that they are experiencing a decrease in the frequency of sexual activity before and after ICD implantation, fearing of shock during sexual activity, seeking more information and advice about their sexual life. Psychological problems caused by ICD implantation can lead to worries about sexual activity and avoidance behaviors in patients. Health professionals who treat the patient need to contribute to the physiological healing of the patient as well as to the psychological healing of the patient. Patients' sexual problems should be handled with their spouses and patients should be encouraged to talk about these issues. Therefore it is important that health professionals especially nurses who spend more time with the patient ensure that are able to engage in ICD patients' sexual life during the training planning phase and to express their concerns about this issue. In line with the guidelines and literature review it is aimed to show practical strategies and evidence-based approaches to health workers related to sexual counseling for ICD patients and their partners.

Nursing theory and models form a framework for systematizing nursing practices. The use of models in nursing provides nurses to focus on the essence of nursing and its applications rather than medical practice. Also, it helps patient care to be systematic, purposeful, controlled and effective. Watson’s theory of human caring which is the one of the popular theories in nursing because it reflects the discipline of nursing very welli focuses on natural, trustful, tender and sensetive relationship between the individual and the nurse. The nursing care that is based on caritas process of the model provides a holistic approach to the individual.
In this article; Watson’s Theory of Human Caring and use of this model is explained with a 85-year-old female patient with a history of hypertensive attack 5 times before and treatment nonadherence problems, an example related using model in nursing management is displayed.