Muğla ili 112 acil sağlık istasyonlarının optimizasyonu

The need for emergency health services may arise anytime and anywhere. The emergency need arises in cases of accidents, natural disasters, diseases, or attacks encountered in routine life. Early and quality intervention in a case is of great importance as soon as an emergency arises. Timely and right intervention increases the life chances of patients. At this point, the location of the stations becomes important. Station locations should facilitate access in the event of a possible incident and increase the chances of survival by shortening the time of transportation and intervention to people. The aim of the study is to minimize the time for the 112 health service teams to access any case in the province of Muğla, Turkey. For this purpose, the optimal settlements of all 112 Emergency Health Service (EHS) Stations that were active in 2019 were evaluated. Determining the optimal locations keeps emergency response time to a minimum, and prevents unnecessary resource use. The study sample consists of 45 EHS stations that provide active service in Muğla province in 2019. To determine the optimal locations of these stations, the maximum covering location model was used in the study. The problem solution was obtained with the Excel solver. According to the results obtained, it was revealed that 30 of the 45 stations in Muğla province can continue to serve and that the remaining 15 stations adversely affect resource efficiency.Acil sağlık ihtiyacının ne zaman ve nerede ortaya çıkacağı bilinmemektedir. Normal hayat akışı içerisinde karşılaşılan yer yer doğal afetlerin yer yer kazalar, hastalıklar veya saldırıların neden olduğu durumlarda, acil hizmete erişim ihtiyacı ortaya çıkmaktadır. Acil bir durum ortaya çıktığı anda, olay yerine erken ve kaliteli müdahale önem arz etmektedir. Erken ve doğru müdahale hastaların yaşam şansını arttırmaktadır. Bu noktada istasyonların kurulum yerleri önemli olmaktadır. İstasyon yerleri olası bir vaka durumunda erişimi kolaylaştırmalı, kişilere ulaşımı ve müdahale süresini kısaltarak olaya maruz kalan kişilerin yaşama tutunma şansını arttırmalıdır. Çalışmanın amacı Muğla il sınırları içerisinde hizmet veren 112 sağlık ekiplerinin herhangi bir vakaya ulaşım süresinin en aza indirgenmesidir. Bu amaçla 2019 yılında aktif hizmet veren tüm 112 Acil Sağlık Hizmet (ASH) İstasyonlarının optimal yerleşim yerleri değerlendirilmiştir. Optimal yerleşim yerinin belirlenmesi acil duruma müdahale süresini minimum düzeyde tutarken, gereksiz kaynak kullanımını da önlemektedir. Çalışma örneklemi Muğla ilinde 2019 yılında aktif hizmet sunmakta olan 45 tane 112 ASH kara yolu istasyonundan oluşmaktadır. Bu istasyonların optimal yerleşim yerlerini belirlemek için çalışmada Maksimum küme kapsama modeli kullanılmış. Problem çözümü Excel Solver ile elde edilmiştir. Elde edilen sonuca göre, Muğla ilindeki 45 istasyonun 30’u ile hizmete devam edilebileceği, mevcut 15 istasyonun kaynak verimliliğini olumsuz yönde etkilediği ortaya çıkmıştır

Informed consent in surgical practice with patients’ experiences: A cross-sectional study

This study aims to evaluate patients\u27 experiences and perspectives regarding informed consent in surgical practice. Data for this cross-sectional study were collected from 276 patients using a questionnaire developed by Falagas et al. Descriptive statistics were employed for all questions. Statistical tests such as the Mann-Whitney U test, Kruskal-Wallis test, and Spearman\u27s rank correlation analysis were performed, and Cohen\u27s effect sizes were reported. IBM SPSS 23.0 was used for all analyses, and p\u3c0.05 was considered statistically significant. A high score on both The Delivered Information Index and The Patient-Physician Index represents a positive informed consent process. Among the participants, 65.2% indicated that they understood all parts of the consent form. Of all patients, 92.8% reported that information about the specific surgical procedure was provided by physicians. However, 47.5% of the patients reported that they did not feel comfortable with their surgeons. The mean score of the Delivered Information Index was 5.63 (2.38). The mean patient-physician relationship score was 14.38 (3.31). There was a moderate positive correlation between the delivered information index and the patient-physician relationship (r=0.50; p\u3c0.001). In addition, there was a moderate positive correlation between the delivered information index and the time spent on the informed consent process, as well as between the patient-physician relationship and the time spent on the informed consent process (r=0.52; r=0.40, respectively). The study emphasized the lack of communication between patients and physicians, the limitation of information on treatment risks, adverse effects, and alternative treatment options. Experience Framework This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework (https://theberylinstitute.org/experience-framework/). Access other PXJ articles related to this lens. Access other resources related to this lens

Knowledge level of medical students about ionising radiation used for diagnostic purpose in radiology: A survey study

People exposed to ionising radiation may develop harmful somatic and genetic effects in their anatomical structures. Technological advancements, particularly in radiological devices, research and examinations result in a significant increase in the number of radiological investigations. This large number of radiological examinations increased the number of patients affected by ionising radiation. This study aims to evaluate the medical students' knowledge of ionising radiation and, examine the level of knowledge of medical students on the awareness and safety of ionising radiation exposure, emphasises the importance of radiation curricula internship programmes. This study is a survey application. The chi-square test is used. As a result, the intern's knowledge of ionising radiation increased significantly after the internship in a radiology unit. Although it has been significantly increased, it is still insufficient. This gap can be filled by incorporating radiology unit internship programmes into the curriculum of medical faculty education programmes

The protective effect of quercetin on IMA levels and apoptosis in experimental ovarian ischemia-reperfusion injury

Objective: To investigate the protective effect of quercetin (QE), an anti-inflammatory and anti-oxidant agent, on torsion-detorsion induced histopathological changes and blood IMA levels in experimental ovarian ischemia-reperfusion (IR) injury