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17 - Amaçlar için Ortaklıklar

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Amaçlar için Ortaklıklar Uygulama araçlarını güçlendirmek ve sürdürülebilir kalkınma için küresel ortaklığı canlandırmak. Hedefler, tüm hedefleri başarmak üzere ulusal planları desteklemek suretiyle Kuzey-Güney ve Güney-Güney işbirliğini artırma amacını güdüyor. Uluslararası ticaretin geliştirilmesi ve gelişmekte olan ülkelerin ihracatını artırmalarına destek verilmesi, adil ve açık, herkesin yararına olan, evrensel kurallara dayalı ve hakkaniyetli bir ticaret sistemini oluşturmanın unsurlarıdır.

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    Relationship between emotional intelligence and disaster response self-efficacy: A comparative study in nurses
    (2023-08-01) Kuday A. D.; Erdoğan Ö.; ERDOĞAN, ÖZCAN
    Background: Nurses who constitute an important part of the health system play a critical role in all stages of disaster management, especially in providing care for disaster victims. It is essential for nurses to have adequate education and qualifications to reduce disaster-related mortality and morbidity rates in the community. The qualifications of nurses depend not only on their knowledge and skills but also on their emotional abilities such as empathy and stress management. Emotions can impact individuals' levels of self-efficacy in disaster response, and it may help explain the differences in self-efficacy among nurses. Objective: This study aimed to investigate the relationship between emotional intelligence and disaster response self-efficacy, and compare the scores between hospital nurses and National Medical Rescue Team nurses. Design: A cross-sectional design. Settings: This research was conducted at Bezmialem Foundation University Hospital and National Medical Rescue Team in Istanbul, Turkey. Participants: This study included 565 nurses from two different institutions. Methods: A survey consisting of the Demographic Information Form, the Modified Schutte Emotional Intelligence Scale, and the Disaster Response Self-Efficacy Scale was administered to the nurses. The data collected from March to April of 2022 was analyzed using SPSS 25.0 program. The differences and relationships among variables were determined by using Chi-square tests, student's t-tests, Pearson correlation, and linear regression analyses. Results: Of the 565 participants, 219 (38.8%) were hospital nurses and 346 (61.2%) were NMRT nurses. NMRT nurses scored significantly higher in emotional intelligence (131.45 ± 6.15 versus 129.75 ± 6.01) and disaster response self-efficacy (80.71 ± 11.38 versus 77.77 ± 11.33) than hospital nurses (p < 0.05). In addition, emotional intelligence was found to be significantly and positively correlated to disaster response self-efficacy (r = 0.885, p < 0.05). Conclusions: The emotional intelligence and disaster response self-efficacy were positively correlated, and both levels of NMRT nurses higher than hospital nurses. These findings suggest that healthcare organizations should take the emotional intelligence of nurses as an important means to improve their disaster response selfefficacy. It can improve the quality of disaster response to obtain well self-efficacy by developing the emotional intelligence of nurses.
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    Impact of maternal anxiety level on the childhood vaccination coverage.
    (2010-11-01) ÖZKAYA, EMİN; ÖZKAYA, EMİN
    The mother-s mental state as a risk factor for the children-s vaccination status in developing countries has received little attention. The aim of this study was to determine the association between childhood vaccination coverage and maternal anxiety. A total of 195 consecutive infants and their mothers attending a tertiary teaching hospital, department of pediatric outpatient center between January 2008 and September 2009 were included in the study. One hundred five infants who have incomplete vaccination schedule (according to the National Immunization Schedule) were matched with 90 controls (fully vaccinated) and their mothers self-report measure of anxiety level using the State-Trait Anxiety Inventory (STAI), a psychiatric screening instrument. The chi-square test and the logistic regression were used in the statistical analysis. High maternal anxiety levels determined by STAI was associated with increased risk of incomplete vaccination status in infants (odds ratio 4.35, 95% confidence interval 1.87-8.79).This association remained significant after controlling for sociodemographic factors. High maternal anxiety scores may result in incomplete vaccination status in children younger than 3 years.
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    Sağlık Bilimlerinde Araştırma ve Değerlendirmeler
    (2021-02-01T00:00:00Z) Kurnaz, Büşra; Akbaş, Merve; AKBAŞ, MERVE
    2019 yılının sonlarında Çin’de saptanan ve kısa süre de ülke içerisinde yayılım gösteren korona virüsünün, sars virüsü ile benzerlik gösterdiği açıklanmıştır. Çin’den sonra dünyadaki diğer ülkelere de yayılan virüs, pandemi ilan edilmesine sebep olmuştur. Sağlık hizmetleri başta olmak üzere, ekonomi ve eğitim sistemlerini de etkilemiştir. Ülkelerin ekonomik büyümeleri durmuş negatif yönlü ilerlemeler meydana gelmeye başlamıştır. Sağlık kurumlarında doluluklar yaşanmış, personel ve tıbbi ekipman yetersizlikleriyle karşı karşıya kalınmıştır. Okulları kapatma kararı alınan ülkelerde, uzaktan eğitim yöntemine başvurulmuştur. Bu çalışmada, Türkiye, Almanya ve İran’ın mevcut sağlık sistemleri, gelişmişlik düzeyleri ve eğitim konusundaki durumları incelenecek ve pandemi döneminde bu alanlarda aldığı önlemler değerlendirilecektir. Güncel veriler incelendiğinde, üç ülkenin de 82 milyon civarında nüfusunun olduğu bilinmektedir. Ancak sağlık sistemleri, yaşlı nüfus oranındaki farklılıklar, sağlık harcamalarına ayrılan pay, dünya ekonomisindeki yeri ve eğitim konusundaki farklılıkları alınan pek çok önlemi etkilemektedir. Ülkeler değerlendirildiğinde, pandemi döneminde temel sağlık davranışlarının kazandırılması ve bu yönde politika geliştirilmesi konusunda yetersiz kalındığı sonucuna ulaşılmıştır. Dolayısıyla bu çalışma, yetersiz kalınan konular göz önünde bulundurularak yönetsel açıdan değerlendirilmiştir.
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    YEŞİL KÜTÜPHANE
    (2023-06-01) Yalçınkaya Ö.; YALÇINKAYA, ÖZLEM
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    Adölesan Çağı Obezitesinde Uyguladığımız Bariatrik Cerrahi Ameliyatlarının Sonuçları
    (2021-11-01T00:00:00Z) Yapalak, Yunus; Ayan, Furkan; İskurt, Yiğit; Coşkun, Halil; Yardımcı, Erkan; AYAN, FURKAN; İSKURT, YİĞİT; COŞKUN, HALIL; YARDIMCI, ERKAN
    AMAÇ: Çocukluk çağı morbid obezitesi özellikle gelişmiş ve gelişmekte olan ülkelerde son iki dekatta iki kat artış göstermiş olup tedavide bariatrik cerrahi etkili bir yöntem olarak uygulanmaktadır (1). Laparoskopik sleeve gastrektomi (LSG) günümüzde en sık uygulanan bariatrik cerrahi yöntemidir (1,2). Adölesan çağı obezitesinin tedavi yönetimi multidisipliner yaklaşım gerektirmektedir (3). Çalışmamızda, adölesan çağı obezitesinde uyguladığımız bariatrik cerrahi sonuçlarımızı göstermeyi amaçladık. YÖNTEM: Retrospektif olarak 2018-2021 yılları arasında Bezmialem Vakıf Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı’na bariatrik ve metabolik cerrahi uygulanan 634 hastadan; adölesan çağında (≤18 yaş) morbid obezite nedeniyle (VKİ≥40kg/m2), çocuk endokrinoloji ve çocuk psikiyatristi tarafından yönlendirilen ve LSG uygulanan 32 hasta çalışmaya dahil edildi. Hastaların demografik verileri (yaş, cins, ek hastalık, vücut kitle indeksi (VKİ), komorbid hastalıkları, ilaç kullanım öyküsü) incelendi. Postoperatif dönemde komplikasyon, fazla kilo kaybı oranları, komorbid hastalıkların remisyon durumu değerlendirildi. BULGULAR: Çalışmadaki toplam 32 hastanın ortalama yaşı 16,1±1,07 yıl idi. Hastaların 24’ü (%75) kız ve 8’i (%25) erkek idi. Preoperatif ortalama VKİ 47,4±7,56 kg/m2 idi. Hastaların 22’sinde (%66,6) tip 2 diyabet, 7’sinde (%21,8) hipertansiyon ve 4’ünde (%12,5) obstrüktif uyku apne sendromu vardı. Tüm hastalara LSG uygulandı. Ortalama ameliyat süresi 71,2±17,3 dakika ve yatış süresi 4,3±0,7 gün idi. Peroperatif ve postoperatif herhangi bir komplikasyon izlenmedi. Mortalite izlenmedi. Postoperatif takiplerinde ortalama % EWL değerleri 3.ayda %27,7, 6.ayda %48,05 ve 12.ayda %72,1 idi. Komorbid hastalıklardaki remisyon oranların tip 2 diyabet için %86,3, hipertansiyon için %71,4 ve obstrüktif uyku apne sendromu için %100 olarak saptandı. SONUÇ: Adölesan çağı obezitesinde endikasyona uygun olarak seçilmiş hastalarda LSG tekniği güvenli ve etkili bir tedavi yöntemidir. Anahtar Kelimeler: Adölesan, Obezite, Sleve Gastrektomi
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    Palliative Care in High and Low Resource Countries
    (2021-01-01T00:00:00Z) KEBUDİ, Rejin; ÇAKIR, FATMA BETÜL; Silbermann, Michael; ÇAKIR, FATMA BETÜL
    Palliative Care (PC) is defined by the World Health Organization (WHO) as a support provided by multiple disciplines in order to improve the quality of life of both patients and their caregivers, throughout the disease course, from diagnosis to end- of-life. PC aims to prevent and treat symptoms and side effects of the disease and its treatment. PC is well developed in most high-income countries; however in most low-income settings, where approximately 80% of patients with cancer requiring PC care for advanced disease live, PC services are still uncommon. Health indicators monitoring global PC development are policy, education, use of medicines, service provision and professional activity. Globally, PC development may be categorized as Group 1 (no known hospice-PC activity), Group 2 (capacity-building activity), Groups 3a Isolated PC provided, 3b Generalized PC provided, 4a hospice-PC services at a stage of integration into regular service provision, and 4b hospice-PC services at a stage of advanced integration into regular service provision. Spirituality is an essential element of patient-centered PC. The use of Complementary and Traditional Medicine (CTM) in Middle Eastern countries is widespread. There are wide discrepancies in cancer care and PC in many regions of the world. The Individualized Care Planning and Coordination (ICPC) Model is designed to facilitate the advance care planning with continuity of all the measures like symptom control or emotional, social and spiritual care of both the patient and the family during the disease steps like relapse or end of life.
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    Gene Hunting Approaches through the Combination of Linkage Analysis with Whole-Exome Sequencing in Mendelian Diseases: From Darwin to the Present Day
    (2021-07-08T00:00:00Z) Susgun, Seda; Kasan, Koray; Yucesan, Emrah; SÜSGÜN, SEDA; YÜCESAN, EMRAH
    Background: In the context of medical genetics, gene hunting is the process of identifying and functionally characterizing genes or genetic variations that contribute to disease phenotypes. In this review, we would like to summarize gene hunting process in terms of historical aspects from Darwin to now. For this purpose, different approaches and recent developments will be detailed. Summary: Linkage analysis and association studies are the most common methods in use for explaining the genetic background of hereditary diseases and disorders. Although linkage analysis is a relatively old approach, it is still a powerful method to detect disease-causing rare variants using family-based data, particularly for consanguineous marriages. As is known that, consanguineous marriages or endogamy poses a social problem in developing countries, however, this same condition also provides a unique opportunity for scientists to identify and characterize pathogenic variants. The rapid advancements in sequencing technologies and their parallel implementation together with linkage analyses now allow us to identify the candidate variants related to diseases in a relatively short time. Furthermore, we can now go one step further and functionally characterize the causative variant through in vitro and in vivo studies and unveil the variant-phenotype relationships on a molecular level more robustly. Key Messages: Herein, we suggest that the combined analysis of linkage and exome analysis is a powerful and precise tool to diagnose clinically rare and recessively inherited conditions.
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    IFLA President-s Meeting 2015 Istanbul
    (2015-01-01T00:00:00Z) Zayim, KÜBRA; ZAYİM GEDİK, KÜBRA
    International Federation of Library Associations and Institutions (IFLA) organizing presidency meetings in connection with the developments for library and information services by the themes defined. Eighth Meeting of Presidency has been organized in cooperation with ANKOS, Turkish Librarians- Association (TLA), Istanbul BilgiUniversity in Istanbul with the invited speakers and attendants from various disciplines. The meeting titled in -The Art of Transformation of Libraries- was carried out in the framework organized under the five major themes. These titles are: