Özel ve kamu hastanelerinde web sayfalarının sağlık iletişimi aracı olarak kullanımı

Amaç: Bu kesitsel çalışmanın amacı, özel ve kamu hastanelerinin web site içeriklerinin sağlık iletişimi çerçevesinde değerlendirmektir. Yöntem: Çalışmada İstanbul ilinde bulunan 98 özel ve 67 kamu hastanesi yer almıştır. Web sayfaları için sağlık iletişimi ve sağlık hizmetleriyle ilgili maddeler, literatür bilgisi, kitaplar ve hastanelere ait kitapçıklardan seçilmiştir. 13’ü sağlık iletişimi ile ilgili 6’sı ise sağlık hizmetleri ile ilgili olan bu maddeler, hastane bünyesinde var ya da yok olarak kodlanmıştır. Bulgular: Sağlık iletişimi bölümünde e-mail adresi (%89.8 özel hastaneler, %71.7 kamu hastaneleri), çağrı merkezi numarası (%55.1, %30), bilgi isteme formu (%46.9, %30), sohbet bölümü (%9.4, %5), İngilizce versiyon (%28.6, %3.3) ve mesaj kutusu varlığı (%62.2, %33.3) özel hastanelerde kamu hastanelerine oranla istatistiksel olarak anlamlı derecede yüksek bulunmuştur (p<0.05). Sağlık hizmetleri bölümünde ise klinik birimlerle ilgili bilgi (%81.6, %68.3) ve tedavi seçenekleri varlığı (%52, %21.7) yine özel hastanelerde kamu hastanelerine oranla istatistiksel olarak anlamlı derecede yüksek bulunmuştur (p<0.044, p=0.000). Sonuç: Web sayfaları sağlık iletişimi üstünde güçlü bir etkiye sahip olabilmektedir çünkü mesaj ya da bilgi dünyanın her bir köşesine dakikalar içinde yayılabilmektedir. Bu çalışmanın sonuçlarına göre web sayfaları sağlık iletişim aracı olarak özel hastaneler tarafından daha etkili olarak kullanılmaktadır

Evaluation of Prognosis İmmunization and Management of Tetanus Cases

Although a preventable disease by immunization, tetanus remains to be an infectious disease with a high rate of mortality. The estimated worldwide incidence of this disease is approximately one million cases per year, the majority being encountered in developing countries. In this study a total of 21 cases of tetanus (20 generalized, one localized) managed between 1991-1995 were assesed. Ninety-five percent of patients were over 35 years of age with a history of injury considered as minor trauma, the mean incubation period was ten days (1-21) and the mortality rate vas 45%. Although the patients locked a history of immunization within the last ten years, none was given appropriate prophylactic treatment by visiting doctors. As a result, it is emphasized that patients with wounds considered tetanus-prone should be carefully questioned as to the state of immunization and all patients not immunized within the last ten years must receive tetanus toxoid and tetanus immunoglobulin. Furthermore, the necessity of immunizing the general population by health workers every ten years is underlined

The Effect of Care Bundles Based on Guidelines Over the Central Venous Catheter Infections in an Intensive Care Unit

Objective: To detect the effects of care bundle that is prepared depending on guidelines for central line associated infections. Material and Method: Patients in a tertiary medical intensive care unit were followed up during one year period in terms of catheter infections. The care bundle that was prepared depending on guidelines was performed for all central catheter placements. Catheters were evaluated in terms of local or systemic bloodstream infections everyday. Data obtained were compared with the previous year’s data. Results: We concluded that age, gender or weight characteristics have no effect on central venous catheter related infections but we detected higher infection rates at patients who had higher APACHE 2 scores. Bloodstream infection rates related with central catheter were similar between catheters inserted at operation rooms or intensive care units but catheters inserted at out services had higher infections rates. It was shown that prolonged catheter duration is related with high infection levels but anatomic place of catheter has no relationship with infection rates. No relationship was found between clothing type and infection rate. Total parenteral nutrition, blood or blood product administration via central catheter has increased infection rates. Conclusion: Performing care bundles decreases central venous catheter utilization rates central line associated bloodstream infection rates

Disappearance of Biodiversity and Future of Our Foods

“I. Uluslararası Organik Tarım ve Biyoçeşitlilik Sempozyumu 27-29 Eylül Bayburt