Effect of Covid 19 pandemic on Recep Tayyip Erdoğan University Dentistry Faculty students

Amaç: Bu çalışma, ülke genelinde Covit-19 virüsü pandemisi nedeniyle alınan önlemler doğrultusunda yüz yüze eğitimin durdurularak uzaktan eğitime geçilmesi nedeniyle Recep Tayyip Erdoğan Üniversitesi Diş Hekimliği Fakültesi öğrencilerinin bu süreçte yaşadıkları sorun ve sıkıntıların anlaşılması, uzaktan eğitimin verimliliğinin ve sürdürülebilirliğinin belirlenmesi amacıyla yapıldı. Yöntemler: Çalışmada, öğrencilere hazırlanan sorular Google Drive üzerinden uygulandı. Bulgular: Çalışmaya toplam 417 öğrenci (241 kız, 176 erkek) katıldı. Öğrencilerin büyük çoğunluğu (%78.4) yaşadıkları yerin teknolojik altyapısının uzaktan eğitim için yeterli olduğunu, diş hekimliği fakültelerinin online eğitim açısından uygun olmadığını (%93.0) belirtti. Sonuç: Uzaktan eğitim yöntemleri eğitimin kesintiye uğramaması açısından önemli olmakla birlikte, diş hekimliği eğitiminin daha çok uygulamaya dayalı olması nedeniyle uygun koşullarda yüz yüze eğitimin sürdürülmesi oldukça önemlidir.Objective: This study was conducted with Recep Tayyip Erdoğan University Faculty of Dentistry students in order to understand the problems and difficulties faced by students in this process, and to determine the efficiency and sustainability of distance education due to the interruption of face-to-face education and transition to distance education in line with the measures taken due to the covid-19 pandemic in the country. Methods: In the study, the questions prepared for the students were applied via Google Drive. Results: 417 (241 female, 176 male) students participated in the study. The vast majority of the students (78.4%) stated that the technological infrastructure of the place where they live is sufficient for distance education, and the faculties of dentistry are not suitable for online education (93.0%). Conclusion: Although distance education methods are important in terms of not interrupting education, it is quite important to maintain face-to-face education under appropriate conditions, since dentistry education is more practical

Epidemiology of surgery associated acute kidney injury (EPIS-AKI): a prospective international observational multi-center clinical study

Purpose: The incidence, patient features, risk factors and outcomes of surgery-associated postoperative acute kidney injury (PO-AKI) across different countries and health care systems is unclear. Methods: We conducted an international prospective, observational, multi-center study in 30 countries in patients undergoing major surgery (> 2-h duration and postoperative intensive care unit (ICU) or high dependency unit admission). The primary endpoint was the occurrence of PO-AKI within 72 h of surgery defined by the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Secondary endpoints included PO-AKI severity and duration, use of renal replacement therapy (RRT), mortality, and ICU and hospital length of stay. Results: We studied 10,568 patients and 1945 (18.4%) developed PO-AKI (1236 (63.5%) KDIGO stage 1500 (25.7%) KDIGO stage 2209 (10.7%) KDIGO stage 3). In 33.8% PO-AKI was persistent, and 170/1945 (8.7%) of patients with PO-AKI received RRT in the ICU. Patients with PO-AKI had greater ICU (6.3% vs. 0.7%) and hospital (8.6% vs. 1.4%) mortality, and longer ICU (median 2 (Q1-Q3, 1-3) days vs. 3 (Q1-Q3, 1-6) days) and hospital length of stay (median 14 (Q1-Q3, 9-24) days vs. 10 (Q1-Q3, 7-17) days). Risk factors for PO-AKI included older age, comorbidities (hypertension, diabetes, chronic kidney disease), type, duration and urgency of surgery as well as intraoperative vasopressors, and aminoglycosides administration. Conclusion: In a comprehensive multinational study, approximately one in five patients develop PO-AKI after major surgery. Increasing severity of PO-AKI is associated with a progressive increase in adverse outcomes. Our findings indicate that PO-AKI represents a significant burden for health care worldwide