Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

What Does Google Opinion Rewards Require and Get from Users?

This article focuses on the mobile app called “Google Opinion Rewards” (GOR), which is used as a data collection tool in market research and academic research. Developed by Google Surveys, GOR deals with voluntary participation of app users in data sharing in return for rewards. In this context, a test account was created in the GOR app to analyze the surveys, the app sent to the account for a period of three years. In-depth interviews were conducted with 12 participants from the USA, the UK and Turkey to gain comprehensive knowledge about the app ecosystem. The aim of the interviews was to understand the motivations of GOR users for using the app, and explore the counter-surveillance strategies users have developed to avoid surveillance. The findings indicate that most GOR users share their information recklessly even if they have security concerns and that users who are actively involved in surveillance, knowingly or unknowingly, and who want to maximise their income develop masking strategies against surveillance

Higher Education In Turkey During Covid-19 Pandemic: A Study On Communication Problems Experienced During Online Distance Education

The aim of this study is the communicative barriers experienced by the lecturers working at a university in the south of Turkey during the distance education process, by evaluating Claude Elwood Shannon and Warren Weaver's Information Theory and Melvin DeFleur's communication model who revised this theory, due diligence on distance education of higher education in Turkey. In this study, which was designed using the phenomenology pattern, which is one of the qualitative research methods, an in-depth interview was conducted with a study group consisting of sixteen lecturers who had experience in distance education in the past and were currently teaching distance education, determined by the snowball sampling method. The data obtained from the interviews were transferred to the NVivo 10 program and twelve main themes that hindered the effective communication of lecturers were determined. The determined themes were analyzed with thematic. As a result of the analyzes, it was found that the lecturers were mainly exposed to the legislation-based communicative noise and feedback problem during the distance education process, and this situation negatively affected their job satisfaction and productivity

Yumurtacı tavuk rasyonlarına ilave edilen karabiber (Piper nigrum) ve zerdeçal (Curcuma longa L.) tozunun performans ve yumurta kalitesine etkileri

The present study was initiated to determine whether dietary supplemental black pepper and turmeric powder affect performance and egg quality of Brown laying hens. The birds were fed basal diets (control group), black pepper (1.5 g/kg), turmeric powder (1.5 g/kg) and black pepper (0.75 g/kg) + turmeric powder (0.75 g/kg) supplemented diets. The results obtained at the end of the seven weeks period showed that black pepper and turmeric powder affected egg strength and yolk colour score of “a” of the birds and also the yolk colour score of “b” and albumen pH tended to slightly improv

Relationship between Cardiovascular Disease Risk and Neck Circumference Shown in the Systematic Coronary Risk Estimation (SCORE) Risk Model

Introduction: The most important way to reduce CVD-related mortality is to apply appropriate treatment according to the risk status of the patients. For this purpose, the SCORE risk model is used in Europe. In addition to these risk models, some anthropometric measurements are known to be associated with CVD risk and risk factors. Objectives: This study aimed to investigate the association of these anthropometric measurements, especially neck circumference (NC), with the SCORE risk chart. Methods: This was planned as a cross-sectional study. The study population were classified according to their SCORE risk values. The relationship of NC and other anthropometric measurements with the total cardiovascular risk indicated by the SCORE risk was investigated. Results: A total of 232 patients were included in the study. The patients participating in the study were analysed in four groups according to the SCORE ten-year total cardiovascular mortality risk. As a result, the NC was statistically significantly lower among the SCORE low and moderate risk group than all other SCORE risk groups (low-high and very high 36(3)–38(4) (IQR) p: 0.026, 36(3)–39(4) (IQR) p < 0.001, 36(3)–40(4) (IQR) p < 0.001), (moderate-high and very high 38(4) vs. 39(4) (IQR) p: 0.02, 38(4) vs. 40(4) (IQR) p < 0.001, 39(4) vs. 40(4) (IQR) p > 0.05). NC was found to have the strongest correlation with SCORE than the other anthropometric measurements. Conclusions: Neck circumference correlates strongly with the SCORE risk model which shows the ten-year cardiovascular mortality risk and can be used in clinical practice to predict CVD risk

Prevalence of cervical cytological abnormalities in Turkey

Objective: To evaluate retrospectively the prevalence of cervical cytological abnormalities in patient records obtained from healthcare centers in Turkey. Method: Demographic characteristics and data on cervical cytological abnormalities were evaluated from patients who underwent flap tests in healthcare centers in 2007. Results: Data were collected from 33 healthcare centers totaling 140 334 patients. Overall, the prevalence of cervical cytological abnormalities was 1.8%; the prevalence of ASCUS, ASC-H, LSIL, HSIL, and AGC was 1.07%, 0.07%, 0.3%, 0.17%, and 0.08%, respectively. The prevalence of preinvasive cervical neoplasia was 1.7% and the prevalence of cytologically diagnosed invasive neoplasia was 0.06%. Conclusion: The abnormal cervical cytological prevalence rate in Turkey is lower than in Europe and North America. This might be due to sociocultural differences, lack of population-based screening programs, or a lower HPV prevalence rate in Turkey