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08 - İnsana Yakışır İş ve Ekonomik Büyüme

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İnsana Yakışır İş ve Ekonomik Büyüme İstikrarlı, kapsayıcı ve sürdürülebilir ekonomik büyümeyi, tam ve üretken istihdamı ve herkes için insana yakışır işleri desteklemek

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Start date: 2020 × End date: 2023 × Rights: info:eu-repo/semantics/openAccess ×

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    PublicationOpen Access
    State and trait anxiety among medical staff during the first month of COVID-19 pandemic: A sample from Turkey
    (2021-08-01T00:00:00Z) ŞAHAN, EBRU; TANGİLNTİZ, AİSE; ŞAHAN, EBRU; TANGİLNTİZ, AİSE
    Objectives During the COVID-19 pandemic, excessive workload, a rapidly changing workplace environment, the danger of carrying the virus and transmitting the disease to their families, relatives and those they live with creates stress for the medical workers. In our study, we aimed to evaluate the state and trait anxiety levels of healthcare professionals who encounter patients with suspected COVID-19 infection and related factors. Method Data were collected from healthcare professionals working with patients diagnosed or suspected with COVID-19 via online self-report questionnaire between 9-19 April 2020. The state (STAI-S) and trait anxiety (STAI-T) scale was used to measure anxiety. Results A total of 291 healthcare professionals, 216 women and 75 men, participated in the study. Women-s state and trait anxiety were significantly higher than men-s. 11 participants without any lifetime psychiatric illness experienced psychiatric symptoms and consulted to a psychiatrist. The state anxiety of those who have children, nurses and those working in branches directly related to the pandemic (Infectious Diseases, Respiratory Diseases, Emergency Medicine, Internal Medicine, Radiology, Anesthesiology and Reanimation) was higher than others. The state anxiety of those who thought they were not protected with personal protective equipment and those who did not stay in their own home was higher than others. Conclusions At the forefront of the fight against COVID-19, there are medical personnel who pay a serious psychological cost. Especially in terms of anxiety, we should pay attention to women, workers with children, nurses and people working in branches that are directly related to pandemics.
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    Synthesis and Comprehensive in Vivo Activity Profiling of Olean-12-en-28-ol, 3β-Pentacosanoate in Experimental Autoimmune Encephalomyelitis: A Natural Remyelinating and Anti-Inflammatory Agent
    (2023-01-01) Şenol H.; Özgün Acar Ö.; Dağ A.; Eken A.; Güner H.; Aykut Z. G.; Topçu G.; Şen A.; ŞENOL, HALIL; DAĞ, AYDAN; TOPÇU, GÜLAÇTI
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    PublicationOpen Access
    Multisystem inflammatory syndrome in children associated with COVID-19 in 101 cases from Turkey (Turk-MISC study)
    (2022-02-01T00:00:00Z) Yilmaz Ciftdogan, Dilek; Ekemen Keles, Yildiz; Karbuz, Adem; ÇETİN, BENHUR ŞİRVAN; Elmas Bozdemir, Sefika; KEPENEKLİ KADAYİFCİ, EDA; Metin Akcan, Ozge; Ozer, Arife; Erat, Tugba; Sutcu, Murat; Buyukcam, Ayse; BELET, NURŞEN; Erdeniz, Emine Hafize; Dalgic Karabulut, Nazan; Hancerli Torun, Selda; ÖNCEL, SELİM; ORBAK, Zerrin; TÜREL, Özden; GAYRETLİ AYDIN, ZEYNEP GÖKÇE; KILIÇ, ÖMER; Yahsi, Aysun; Kara Aksay, Ahu; Ergenc, Zeynep; Petmezci, Mey Talip; OFLAZ, MEHMET BURHAN; Sarikaya, Remzi; Otar Yener, Gulcin; Ozen, Seval; Gul, Doruk; ARSLAN, GAZİ; Kara, Soner Sertan; Demirkol, Demet; YAZICI ÖZKAYA, PINAR; YOZGAT, YILMAZ; Varan, Celal; Kara, Manolya; ARGA, GÜL; YAKUT, NURHAYAT; Kilic, Ahmet Osman; ÇAKICI, ÖZLEM; Kucuk, Mehmet; Kaba, Ozge; KARAOĞLU ASRAK, HATİCE; BURSAL DURAMAZ, BURCU; Dalkiran, Tahir; Berna Anil, Ayse; TURĞUT, MEHMET; KARAPINAR, BÜLENT; Somer, Ayper; ELMALI, FERHAN; DİNLEYİCİ, ENER ÇAĞRI; ÇİFTCİ, ERGİN; KARA, ATEŞ; TÜREL, ÖZDEN; YOZGAT, YILMAZ; BURSAL DURAMAZ, BURCU
    Aim Multisystem inflammatory syndrome in children (MIS-C) may cause shock and even death in children. The aim of this study is to describe the clinical features, laboratory characteristics and outcome of children diagnosed with MIS-C in 25 different hospitals in Turkey. Methods The retrospective study was conducted between 8 April and 28 October 2020 in 25 different hospitals from 17 cities. Data were collected from patients- medical records using a standardised form. Clinical and laboratory characteristics and outcomes according to different age groups, gender and body mass index percentiles were compared using multivariate logistic regression analysis. Results The study comprised 101 patients, median age 7 years (interquartile range (IQR) 4.6-9.3); 51 (50.5%) were boys. Reverse-transcriptase polymerase chain reaction (PCR) assay was positive in 21/100 (21%) patients; 62/83 (74.6%) patients had positive serology for SARS-CoV-2. The predominant complaints were fever (100%), fatigue (n = 90, 89.1%), and gastrointestinal symptoms (n = 81, 80.2%). Serum C-reactive protein (in 101 patients, median 165 mg/L; range 112-228), erythrocyte sedimentation rate (73/84, median 53 mm/s; IQR 30-84) and procalcitonin levels (86/89, median 5 mu g/L; IQR 0.58-20.2) were elevated. Thirty-eight patients (37.6%) required admission to intensive care. Kawasaki disease (KD) was diagnosed in 70 (69.3%) patients, 40 of whom had classical KD. Most patients were treated with intravenous immunoglobulin (n = 92, 91%) and glucocorticoids (n = 59, 58.4%). Seven patients (6.9%) died. Conclusion The clinical spectrum of MIS-C is broad, but clinicians should consider MIS-C in the differential diagnosis when persistent fever, fatigue and gastrointestinal symptoms are prominent. Most patients diagnosed with MIS-C were previously healthy. Immunomodulatory treatment and supportive intensive care are important in the management of cases with MIS-C. Glucocorticoids and intravenous immunoglobulins are the most common immunomodulatory treatment options for MIS-C. Prompt diagnosis and prompt treatment are essential for optimal management.
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    PublicationOpen Access
    COVID-19 associated multisystemic inflammatory syndrome in 614 children with and without overlap with Kawasaki disease-Turk MIS-C study group
    (2022-02-01T00:00:00Z) ÇİFTDOĞAN, DİLEK YILMAZ; Keles, Yildiz Ekemen; ÇETİN, BENHUR ŞİRVAN; Karabulut, Nazan Dalgic; EMİROĞLU, MELİKE; Bagci, Zafer; Buyukcam, Ayse; Erdeniz, Emine Hafize; ARGA, GÜL; Yesil, Edanur; ÇAKICI, ÖZLEM; Karbuz, Adem; ŞAHBUDAK BAL, ZÜMRÜT; Kara, Soner Sertan; Ozer, Arife; AKCAN, ÖZGE METİN; Bozdemir, Sefika Elmas; ANIL, AYŞE BERNA; Uygun, Hatice; KILIÇ, ÖMER; Torun, Selda Hancerli; Umit, Zuhal; Sutcu, Murat; Ozmen, Berfin Ozgokce; KARAOĞLU ASRAK, HATİCE; Alkan, Gulsum; Aksay, Ahu Kara; Ugur, Cuneyt; Birbilen, Ahmet Ziya; BURSAL DURAMAZ, BURCU; Ozkan, Esra Akyuz; Burakay, Ozgur; Arslan, Sema Yildirim; Oncel, Eda Karadag; Celik, Serkan Fazli; Kilic, Ahmet Osman; Ozen, Seval; Sarikaya, Remzi; Demirkol, Demet; ARSLAN, GAZİ; TÜREL, Özden; SERT, AHMET; Sari, Ergul; ORBAK, Zerrin; Sahin, Irfan Oguz; Varan, Celal; Akturk, Hacer; Oz, Sadiye Kubra Tuter; Durak, Fatih; OFLAZ, MEHMET BURHAN; Kara, Manolya; Karpuz, Derya; Petmezci, Mey Talip; Hatipoglu, Nevin; ÖNCEL, SELİM; TURĞUT, MEHMET; ELMALI, FERHAN; Somer, Ayper; KUYUCU, NECDET; DİNLEYİCİ, ENER ÇAĞRI; KURUGÖL, NURİ ZAFER; ÇİFTCİ, ERGİN; KARA, ATEŞ; BURSAL DURAMAZ, BURCU; TÜREL, ÖZDEN
    Multisystemic inflammatory syndrome (MIS-C) diagnosis remains difficult because the clinical features overlap with Kawasaki disease (KD). The study aims to highlight the clinical and laboratory features and outcomes of patients with MISC whose clinical manifestations overlap with or without KD. This study is a retrospective analysis of a case series designed for patients aged 1 month to 18 years in 28 hospitals between November 1, 2020, and June 9, 2021. Patient demographics, complaints, laboratory results, echocardiographic results, system involvement, and outcomes were recorded. A total of 614 patients were enrolled; the median age was 7.4 years (interquartile range (IQR) 3.9-12 years). A total of 277 (45.1%) patients with MIS-C had manifestations that overlapped with KD, including 92 (33.3%) patients with complete KD and 185 (66.7%) with incomplete KD. Lymphocyte and platelet counts were significantly lower in patients with MISC, overlapped with KD (lymphocyte count 1080 vs. 1280 cells × μL, p = 0.028; platelet count 166 vs. 216 cells × 103/μL, p < 0.001). The median serum procalcitonin levels were statistically higher in patients overlapped with KD (3.18 vs. 1.68 µg/L, p = 0.001). Coronary artery dilatation was statistically significant in patients with overlap with KD (13.4% vs. 6.8%, p = 0.007), while myocarditis was significantly more common in patients without overlap with KD features (2.6% vs 7.4%, p = 0.009). The association between clinical and laboratory findings and overlap with KD was investigated. Age > 12 years reduced the risk of overlap with KD by 66% (p < 0.001, 95% CI 0.217-0.550), lethargy increased the risk of overlap with KD by 2.6-fold (p = 0.011, 95% CI 1.244-5.439), and each unit more albumin (g/dl) reduced the risk of overlap with KD by 60% (p < 0.001, 95% CI 0.298-0.559). Conclusion: Almost half of the patients with MISC had clinical features that overlapped with KD; in particular, incomplete KD was present. The median age was lower in patients with KD-like features. Lymphocyte and platelet counts were lower, and ferritin and procalcitonin levels were significantly higher in patients with overlap with KD.
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    OTİZM SPEKTRUM BOZUKLUĞU OLAN BİREYLERDE HEMŞİRELİK BAKIMI
    (2022-08-05) Çopur Ş.; Koçkesen B.; Geçgin T.; Taş K.; Kıyak Y.; Aştı T.; KIYAK, YASEMIN; AŞTI, TÜRKINAZ
    Özet: Otizm spektrum bozukluğu (OSB) tanım olarak çocukluk çağında belirti veren, ortaya çıkış nedeni tam olarak belli olmayan, nöro-gelişimsel bir hastalıktır1. OSB’nin etiyolojisi tam olarak açıklanamasa da son on yıla bakıldığında bu durumun genetik, çevresel, nöroanatomik, nörokimyasal ve nörofizyolojik birçok etkenden kaynaklı olabileceğine yönelik çalışmalar mevcuttur 1,2. OSB’nin bireyde tanı koyulabilmesi için Amerikan Psikiyatri Birliği (APA) tarafından hazırlanan DSM-5 kriterleri kullanılmaktadır. DSM-5’e göre, otizm tanılamasında iki temel klinik özellik vardır. Bunlar toplumsal iletişim ve etkileşimde bozulma ile kısıtlı yineleyici davranışlardır. OSB’li bireyler; bilişsel, duyuşsal, davranışsal, iletişim ve sosyal etkileşim kurmada birçok sorun yaşamaktadır 1,2,3. OSB’li bireylerin tedavisinde ise bireye uygun bir eğitim planlanmasının yanı sıra çeşitli bilişsel ve davranışsal terapilerin uygulanması, hastalık sürecinin yönetilmesi bakımından önem taşımaktadır2,3. OSB erken çocuklukta görülen, kesin tedavisi olmayan bir bozukluk olmasına rağmen hastalığın erken dönemde saptanması birey için tedavideki başarı şansını arttırmaktadır. Son yıllarda OSB’nin tanısındaki artış, toplumda OSB’nin erken tanılama sürecinin başlatılmasında sağlık profesyonellerinin önemli rolü olduğunu göstermektedir2,3. Yaygın gelişimsel bozukluk olan OSB’nin erken çocukluk döneminde tanılanmasında ise hemşireler özellikle uygulayıcı, eğitici, rehberlik ve danışmanlık görevleri kapsamında anahtar bir role sahiptir3,4,5. Hemşireler bu rolleri doğrultusunda çocuk bakımında ve büyüme-gelişme izleminde yapacakları fiziki muayene ile OSB’nin erken tanılanmasında yardımcı olabilir, doğru iletişim tekniklerini kullanarak OSB’li bireyin bakımında etkin rol oynayabilir ve ebeveynlerin gelişimselbozukluklar konusunda bilgilendirilmesini sağlayarak, tedavi sürecinin daha etkin ve etkili yönetilmesine rehberlik edebilir4,5,6,7. Literatürde yapılan çalışmalar incelendiğinde; hemşirelerin OSB’li bireylerin tanılanmasında önemli bilgi birikimine sahip oldukları6 ve OSB hakkında eğitim alan hemşirelerin OSB’li bireylerin tanılanmasında bilgi düzeylerinin yüksek olduğu7 saptanmıştır. Sonuç olarak hemşireler, OSB’nin erken tanılanma ve müdahale süreçlerinde aracı ve önemli bir role sahiptir. Bu kapsamda hemşirelerin OSB’nin tespit edilmesinde gerekli bilgi, beceriye sahip olmaları, OSB’li bireyin büyüme-gelişiminde erken müdahalelerde bulunmaları, ebeveynleri desteklemeleri ve OSB’nin tedavi sürecinin yönetiminde diğer sağlık ekibi üyeleriyle iş birliği içerisinde olup çeşitli stratejiler geliştirmeleri gerekmektedir. Anahtar Kelimeler: Otizm spektrum bozukluğu, hemşirelik bakımı, erken tanı, tedavi.
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    PublicationOpen Access
    Synthesis of oleanolic acid hydrazide-hydrazone hybrid derivatives and investigation of their cytotoxic effects on A549 human lung cancer cells
    (2022-01-01T00:00:00Z) Şenol, Halil; Mercümek, Berre; Şahin, Rabia Büşra; Kapucu, Halil Burak; Hacıosmanoğlu, Ebru; ŞENOL, HALIL; MERCÜMEK, BERRE; HACIOSMANOĞLU, EBRU
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    A Catalyst for Social Economy: Society 5.0
    (Istanbul University Publication, 2023-02-01) Toker K.; TOKER, KEREM
    As our planet moves towards the middle of the 21st century, it faces a dizzying digital transformation process. This transformation brings along with it unique and innovative solutions to numerous social, organizational, and managerial issues. The most tangible of these solutions so far is the vision of Society 5.0 announced by the Japanese government in 2016. Within this scope, the purpose of this chapter is to develop conceptual insight into the reasons for the emergence, components, and goals of Society 5.0. Up-to-date research and current reports on the topic have been examined in this context, and a conceptual framework is formed. The findings show that many digital tools of Society 5.0 are already used in economies, but policymakers discuss these tools’ human-centered reuse. As a result, a positive futuristic perspective has been drawn that humanity will continue its life on a more habitable planet for decades to come and unite digital and physical space. Keywords: Society 5.0, Social Economy, Digital Transformation
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    From Social Sustainability to Social Entrepreneurship: A Path for Social Value Creation
    (IGI Global, 2022-12-01) Toker K.; TOKER, KEREM
    Despite the discussion of social sustainability, which has been a crucial component of sustainable development for decades, unfortunately, the desired successful outcomes have not been realized in practice. This failure caused the need to examine the concept of social sustainability differently than ever before. Social entrepreneurship is a valuable tool to meet this need. Concordantly, this chapter purposes to evaluate the relations between social sustainability and social entrepreneurship by comprehensively analyzing them. Discussing this relationship and proposing a new perspective will support overcome theoretical dilemmas and practical struggles. Therefore, the concept of sustainability was explained in detail through a wide literature review, and then the concept of social entrepreneurship was examined, and links, similarities, and gaps were revealed between the two concepts. As a result, the effective implementation of social sustainability policies depends on the social impact and value created by social entrepreneurship.
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    Özel Gereksinimli Çocuğa Eğitim Veren Öğretmenlerde Stresin ve Stigmanın İncelenmesi
    (2020-07-26T00:00:00Z) Baysal, Ayşenur; BAYSAL, AYŞENUR
    Engelli öğrencinin davranış problemlerinin öğretmenler üzerinde stres yaratabileceği düşünülmektedir fakat bu konuda yeterli çalışmalar mevcut değildir. Çocukların davranış problemleri ile akranları arasındaki ilişkiyi inceleyen birçok araştırma varken, çocuğun davranış problemi ile öğretmenin stresini inceleyen çalışmalar daha azdır. Amaç: Bu çalışma, özel gereksinimli öğrenciye eğitim veren öğretmenlerin stres düzeylerini ve öğretmenlerin özel gereksinimli öğrencilere tutumlarını incelemek için yapılmıştır. Gereç ve Yöntem: Çalışmaya 30 öğretmen dahil edildi. Öğretmenler sınıf öğretmeni ve orta okul öğretmeniydi. Öğretmenler ile yarı yapılandırılmış görüşme yapıldı. Öğretmenlere Algılanan Stres Ölçeği, Sınıf İçi İstenmeyen Davranışlara Yönelik Tutum Ölçeği ve Engelli Bireylerin Eğitilmesine İlişkin Tutum Ölçeği uygulandı. Görüşme sonuçları ve anket sonuçları analiz edildi. Sonuç: Çalışmaya katılan öğretmenler sınıf içerisinde problemler yaşadıklarını söyledi. Bu problemler kurallara uymama , davranış problemleri,iletişim problemleriydi.Öğretmenler yaşadıkları problemlerin kendilerinde stres yarattığını söyledi.Öğretmenler kendilerini -engellilik- alanında yetersiz hissettiklerini ifade etti .Öğretmenlerin özel gereksinimli öğrenciye tutumları olumlu yöndeydi. Tartışma: Öğretmenlerin yaşadıkları stres öğretmenlerin öğretmenlik rollerini olumsuz etkileyebilir. Özel gereksinimli öğrencinin eğitime katılımını olumsuz etkileyebilir. Yaşanan problemler göz önüne alınırsa ergoterapistler eğitimciler ile işbirliği içerisinde çalışabilir.