Goal: 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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Publication Metadata only Palliative Care in High and Low Resource Countries(2021-01-01T00:00:00Z) KEBUDİ, Rejin; ÇAKIR, FATMA BETÜL; Silbermann, Michael; ÇAKIR, FATMA BETÜLPalliative 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.Publication Metadata only A novel id-iri score: development and internal validation of the multivariable community acquired sepsis clinical risk prediction model(2020-04-01T00:00:00Z) Diktas, Husrev; Uysal, Serhat; Erdem, Hakan; Cag, Yasemin; Miftode, Egidia; Durmus, Gul; ULU KILIÇ, AYŞEGÜL; Alabay, Selma; Szabo, Balint Gergely; Lakatos, Botond; Fernandez, Ricardo; Korkmaz, Pinar; Caliz, Michael Cruz; Argemi, Xavier; Kulzhanova, Sholpan; Kormaz, Fatime; Yilmaz-Karadag, Fatma; Ergen, Pinar; Atilla, Aynur; Puca, Edmond; Dogan, Mustafa; Mangani, Francesca; Sahin, Suzan; Grgic, Svjetlana; Grozdanovski, Krsto; Yilmaz, Gul Ruhsar; Del-Vecchio, Rosa Fontana; Demirel, Aslihan; SIRMATEL, FATMA; ŞENER, ALPER; Sacar, Suzan; Aydin, Emsal; Batirel, Ayse; Dragovac, Gorana; El-Sokkary, Rehab; Alexandru, Crisan; Arslan-Ozel, Selcan; BOLUKÇU, SİBEL; Ozkaya, H. Deniz; Nayman-Alpat, Saygin; Inan, Asuman; Al-majid, Fahad; Kaya-Ugur, Berna; Rello, Jordi; BOLUKÇU, SİBELWe aimed to develop a scoring system for predicting in-hospital mortality of community-acquired (CA) sepsis patients. This was a prospective, observational multicenter study performed to analyze CA sepsis among adult patients through ID-IRI (Infectious Diseases International Research Initiative) at 32 centers in 10 countries between December 1, 2015, and May 15, 2016. After baseline evaluation, we used univariate analysis at the second and logistic regression analysis at the third phase. In this prospective observational study, data of 373 cases with CA sepsis or septic shock were submitted from 32 referral centers in 10 countries. The median age was 68 (51-77) years, and 174 (46,6%) of the patients were females. The median hospitalization time of the patients was 15 (10-21) days. Overall mortality rate due to CA sepsis was 17.7% (n = 66). The possible predictors which have strong correlation and the variables that cause collinearity are acute oliguria, altered consciousness, persistent hypotension, fever, serum creatinine, age, and serum total protein. CAS (%) is a new scoring system and works in accordance with the parameters in third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). The system has yielded successful results in terms of predicting mortality in CA sepsis patients.Publication Metadata only Seçilmiş Bazı Avrupa Ülkelerindeki HIV Enfeksiyonu ve Tüberkülozun İnsidanslarının İstatistiksel Proses Kontrol Yöntemi ile İzlenmesi(2021-03-01T00:00:00Z) Toluk, Özlem; Ercan, İlker; Akalın, Halis; TOLUK, ÖZLEMAmaç: İstatistiksel proses kontrol (İPK), bir sürecin verilerini incelemek için geliştirilen ve sürecin anlaşılmasını uygun hâle getirenanaliz yöntemidir. Bu çalışmanın amacı, 1990-2016 yılları arasındaseçilmiş bazı Avrupa ülkelerinde insan immün yetmezlik virüsü (HIV)enfeksiyonu ve tüberkülozun (TB) kontrol altında olup olmadığınınaraştırılması, ayrıca kontrol dışına çıktığı yıllardaki HIV ve TB birlikteliğinin incelenmesidir. Ayrıca bu hastalıklarla seçilmiş Ekonomik Kalkınma ve İşbirliği Örgütü gelişmişlik kriterlerinin ilişkisinin araştırılmasıdır. Gereç ve Yöntemler: Çalışma kapsamımızdaki seçilmiş bazı Avrupa ülkelerinin, yıllar bazında HIV ve TB seyrinin İPK ile incelendiği çalışmamızda, Dünya Sağlık Örgütü (DSÖ) ve Birleşmiş Milletler HIV/AIDS (kazanılmış immün yetmezlik sendromu) Ortak Programı veri tabanlarından, 1990-2016 yılları arasındaki HIV ve TB insidans verileri alınmıştır. Avrupa ülkelerinin yarıyıl popülasyonları, DSÖ veri tabanından alınmıştır. Çalışmaya alınan Avrupa ülkeleri (Almanya, Fransa, İngiltere, İspanya, İtalya, Macaristan, Türkiye, Polonya ve Ukrayna), DSÖ Avrupa Bölgesi sınıflandırmasına dayanılarak seçilmiştir. Bulgular: Batı Avrupa ülkelerinde, HIV ve TB kontrol altına alınmıştır. Orta Avrupa ülkelerinde, TB kontrol altında, HIV kontrol dışında seyretmektedir. Doğu Avrupa ülkelerini temsil eden Ukrayna’da ise her 2 enfeksiyon da kontrol dışında görülmektedir. Sonuç: HIV’in kontrol altına alınmasını etkileyen faktörler açısından bir değerlendirme yapıldığında, ülkeler arasında önemli epidemiyolojik ve HIV kaskadı farklılıkları olduğu dikkat çekicidir. Özellikle HIV enfeksiyonunu kontrol altına almaya yönelik politikalar oluşturulurken, bu enfeksiyonu kontrol altına alan ülkelerin politikalarının da incelenmesi gerekmektedir.Publication Metadata only Evaluation of circular economy business models for SMEs using spherical fuzzy TOPSIS: an application from a developing countries’ perspective(2022-01-01T00:00:00Z) Toker, Kerem; Görener, Ali; TOKER, KEREMWhile the circular economy has recently been the subject of considerable theoretical debate, the discussion has yielded limited insight into how its implementation should look. Developing countries’ inadequate regulation and policy hinder the circular economy’s implementation in small- and medium-sized enterprises (SMEs) with resource, strategy, and skill constraints. Therefore, circular economy business models (CEBMs) support SMEs in overcoming the risks of implementation. However, SMEs often struggle to decide which CEBM to use. This study aims to enable developing countries’ SMEs to choose the most appropriate CEBM using the spherical fuzzy TOPSIS method, which is an extremely new method for solving decision-making problems. The four main CEBMs most frequently encountered in the literature and practice have been extensively analysed. The results suggest that the resource recovery model is the most appropriate model for transitioning to a circular economy for SMEs in developing countries. Circular supply is the second suitable business model. Following these stages, after the organisation reaches a specifc level of CE maturity, the product life extension and the product–service system model should be applied at the last stage. A comparative assessment and a sensitivity analysis are conducted to test the proposed methodology’s robustness and reliability. The results opened up a space for discussion and for new thoughts that could improve the scope of the CEBMs theory. Using all CEBMs together, we concluded that the transition to CE will not be successful for SMEs. The order in which CEBMs should be applied in the transition to CE has been determined. Their scope, risks, and resources needed were correlated with these data from the feld. This practical implementation guide, which we recommend based on theoretical foundations, ofers administrators and future researchers original insights.Publication Metadata only Vaccine hesitancy and refusal among parents: An international ID-IRI survey(2022-06-01T00:00:00Z) Cag, Yakup; Al Madadha, Mohammad Emad; ANKARALI, HANDAN; ÇAĞ, YASEMİN; Onder, Kubra Demir; Seremet-Keskin, Aysegul; Kizilates, Filiz; Civljak, Rok; Shehata, Ghaydaa; ALAY, Handan; ALKAN ÇEVİKER, SEVİL; Yilmaz-Karadag, Fatma; Cagla-Sonmezer, Meliha; Ramadan, Manar Ezzelarab; Magdelena, Dumitru Irina; Radic, Ljiljana Betica; Arapovic, Jurica; KESMEZ CAN, Fatma; El-Sayed, Nagwa Mostafa; Campbell, Oladapo Babatunde; Eser-Karlidag, Gulden; Khedr, Reham; Isik, Mehmet Emirhan; Petrov, Michael Mihailov; Cernat, Roxana; Erturk, Umran; Uygun-Kizmaz, Yesim; Huljev, Eva; Amer, Fatma; Ceylan, Mehmet Resat; Marino, Andrea; Kul, Gulnur; Damar-Cakirca, Tuba; Khalaf, Yara Mohsen; Isik, Arzu Cennet; Ariyo, Olumuyiwa Elijah; Hakyemez, Ismail Necati; Ripon, Rezaul Karim; Afkhamzadeh, Abdorrahim; Dindar-Demiray, Emine Kubra; Gideon, Osasona Oluwadamilola; Belitova, Maya; ALTINDİŞ, MUSTAFA; El-Sokkary, Rehab; TEKİN, RECEP; Garout, Mohammed Ahmed; Zajkowska, Joanna; Fazal, Farhan; Bekcibasi, Muhammed; Hukic, Mirsada; Nizamuddin, Summiya; Surme, Serkan; Fernandez, Ricardo; El-Kholy, Amani; Akhtar, Nasim; Ijaz, Saadia; Cortegiani, Andrea; MERİÇ KOÇ, MELİHA; Hasman, Hakan; Maduka, Agah Victor; ElKholy, Jehan Ali; Sari, Sema; Khan, Mumtaz Ali; Akin, Yasemin; Kose, Sukran; Erdem, Hakan; MERİÇ KOÇ, MELİHAIntroduction: Although vaccines are the safest and most effective means to prevent and control infectious diseases, the increasing rate of vaccine hesitancy and refusal (VHR) has become a worldwide concern. We aimed to find opinions of parents on vaccinating their children and contribute to available literature in order to support the fight against vaccine refusal by investigating the reasons for VHR on a global scale. Methodology: In this international cross-sectional multicenter study conducted by the Infectious Diseases International Research Initiative (ID-IRI), a questionnaire consisting of 20 questions was used to determine parents- attitudes towards vaccination of their children. Results: Four thousand and twenty-nine (4,029) parents were included in the study and 2,863 (78.1%) were females. The overall VHR rate of the parents was found to be 13.7%. Nineteen-point three percent (19.3%) of the parents did not fully comply with the vaccination programs. The VHR rate was higher in high-income (HI) countries. Our study has shown that parents with disabled children and immunocompromised children, with low education levels, and those who use social media networks as sources of information for childhood immunizations had higher VHR rates (p < 0.05 for all). Conclusions: Seemingly all factors leading to VHR are related to training of the community and the sources of training. Thus, it is necessary to develop strategies at a global level and provide reliable knowledge to combat VHR.