THE CONTENT ANALYSIS OF THE ARTICLES PUBLISHED IN "SAFETY SCIENCE" JOURNAL BETWEEN 2006-2010

Bu çalışma, Emniyet Bilimi "Safety Science" dergisinde 2006-2010 yılları arasında yayınlanan 577 adet makaleden belirli kategoriler altında toplanan verilerin içerik analizi yöntemiyle incelenmesini kapsamaktadır. Bu araştırmada makaleler, makalenin konusu, verilerin toplanma yöntemleri, araştırma türü, yazar özellikleri, yayınlanan makalelerin ülkelere göre dağılımı gibi kategoriler altında incelenmiştir. İçerik analizi; okuyuculara, yazarlara ve ilgili disiplin alanında çalışanlara gerekli göstergelere ulaşmayı ve birçok makaleye bir anda göz atma imkanını sağlayan bir yöntemdir. Emniyet bilimi ile ilgilenen akademisyen ve araştırmacılara katkı sağlamak amacıyla, emniyet kavramı hakkında en tartışmalı ve güncel konular, bu çalışma ile birlikte ortaya çıkarılmıştır. Bu çalışmada hedef; emniyet biliminde üzerinde en çok tartışılan ve incelenen konuların neler olduğu, makalelere destek veren ülke ve kurumların kimler olduğu, Safety Science dergisinde yayınlanan makalelere en çok katkı sağlayan yazarların kimler olduğu ile ilgili sorulara yanıt aranmaktadır. Değerlendirmeler neticesinde, en çok kullanılan anahtar kelimelerin emniyet (50), emniyet iklimi (34) ve emniyet kültürü (33) olduğu ortaya çıkarılmıştır. En çok makalenin yayınlandığı ülke 58 makale ile Hollanda ve en çok yayın yapan kuruluş 24 makale ile Delft University of Technology'dir This study presents the results of the content analysis of articles published in the Safety Science Journal for five-year period from 2006 to 2010. The research contains 577 articles. The content analysis aims to provide necessary indicators for readers, followers and contributors of relevant discipline and a glimpse of lots of articles. This study involves in vary data types such as topic type, obtaining type of data, research type of article, author features, number of sources, number of articles according to country which are published in the Safety Science Journal. The most controversial and current subjects about safety are discovered by this study in order to contribute lecturers and researchers interested in safety discipline. At the end of the study, it will be answered the questions which are "what are the main topics of the most frequently studied in the field of safety?", "which countries have most of articles published, "which institutions have most of articles published" and "which authors have most of articles published in "safety science" journal with using the method of frequency analysis. As a result of assessments, these results have emerged, the most used keywords are safety (50), safety climate (34) and safety culture (33). The Netherlands is the first country in which published articles with 58 articles and Delft University of Technology is first institution in which published articles with 24 article

PRODUÇÃO ARTESANAL ENTRE OS WAI-WAI EM ESPAÇOS DE UMA CASA DE APOIO A SAÚDE INDÍGENA

Os povos indígenas possuem pelo Sistema Único de Saúde (SUS) o direito a serviços específicos da rede de atenção à saúde, entre eles polos administrativos e casas de apoio à saúde. No caso da etnia Wai-wai, estes recebem atendimento multiprofissional de saúde pela Casa de Apoio de Saúde Indígena de Oriximiná, município do oeste do Pará. São territórios, em geral, em um contexto biomédico, mas que se direcionam por práticas interculturais conforme preconizado pela Política Nacional de Atenção a Saúde dos Povos Indígenas..

Parental psychological distress associated with COVID-19 outbreak: A large-scale multicenter survey from Turkey

Aims: Pandemics can cause substantial psychological distress; however, we do not know the impact of the COVID-19 related lockdown and mental health burden on the parents of school age children. We aimed to comparatively examine the COVID-19 related the stress and psychological burden of the parents with different occupational, locational, and mental health status related backgrounds. Methods: A large-scale multicenter online survey was completed by the parents (n = 3,278) of children aged 6 to 18 years, parents with different occupational (health care workers—HCW [18.2%] vs. others), geographical (İstanbul [38.2%] vs. others), and psychiatric (child with a mental disorder [37.8%]) backgrounds. Results: Multivariable logistic regression analysis showed that being a HCW parent (odds ratio 1.79, p <.001), a mother (odds ratio 1.67, p <.001), and a younger parent (odds ratio 0.98, p =.012); living with an adult with a chronic physical illness (odds ratio 1.38, p <.001), having an acquaintance diagnosed with COVID-19 (odds ratio 1.22, p =.043), positive psychiatric history (odds ratio 1.29, p <.001), and living with a child with moderate or high emotional distress (odds ratio 1.29, p <.001; vs. odds ratio 2.61, p <.001) were independently associated with significant parental distress. Conclusions: Parents report significant psychological distress associated with COVID-19 pandemic and further research is needed to investigate its wider impact including on the whole family unit. © The Author(s) 2020

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P &lt; 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P &lt; 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

The frequency of Duchenne muscular dystrophy/Becker muscular dystrophy and Pompe disease in children with isolated transaminase elevation: results from the observational VICTORIA study

IntroductionElevated transaminases and/or creatine phosphokinase can indicate underlying muscle disease. Therefore, this study aims to determine the frequency of Duchenne muscular dystrophy/Becker muscular dystrophy (DMD/BMD) in male children and Pompe disease (PD) in male and female children with isolated hypertransaminasemia.MethodsThis multi-center, prospective study enrolled patients aged 3–216 months with serum alanine transaminase (ALT) and/or aspartate transaminase (AST) levels &gt;2× the upper limit of normal (ULN) for ≥3 months. Patients with a known history of liver or muscle disease or physical examination findings suggestive of liver disease were excluded. Patients were screened for creatinine phosphokinase (CPK) levels, and molecular genetic tests for DMD/BMD in male patients and enzyme analysis for PD in male and female patients with elevated CPK levels were performed. Genetic analyses confirmed PD. Demographic, clinical, and laboratory characteristics of the patients were analyzed.ResultsOverall, 589 patients [66.8% male, mean age of 63.4 months (standard deviation: 60.5)] were included. In total, 251 patients (188 male and 63 female) had CPK levels above the ULN. Of the patients assessed, 47% (85/182) of male patients were diagnosed with DMD/BMD and 1% (3/228) of male and female patients were diagnosed with PD. The median ALT, AST, and CPK levels were statistically significantly higher, and the questioned neurological symptoms and previously unnoticed examination findings were more common in DMD/BMD patients than those without DMD/BMD or PD (p &lt; 0.001).DiscussionQuestioning neurological symptoms, conducting a complete physical examination, and testing for CPK levels in patients with isolated hypertransaminasemia will prevent costly and time-consuming investigations for liver diseases and will lead to the diagnosis of occult neuromuscular diseases. Trial RegistrationClinicaltrials.gov NCT04120168

Decision-making process analysis in selection of classification society of Turkish ship owners

Deniz ulaştırması diğer ulaştırma sistemlerine göre daha fazla belirsizliği içerisinde barındırmakta ve bu belirsizlikler gerek sefer, gerekse liman operasyonları esnasında birçok muhatara ve tehlikelere yol açmaktadır. Söz konusu risklerin azaltılması, can ve mal kayıplarının minimuma indirilmesi; ancak deniz ulaştırmasının temel birimi olan gemilerin fiziki durumlarının iyi olması ve eğitimli personel ile bakım-tutumlarının yapılmış olması ile mümkün olabilir. Gemilerin fiziki durumlarının belirlenmesi de, ancak gemilerde denetim ve incelemelerin yapılması; neticesinde bir derecelendirme ve sertifikasyon ile mümkün olmaktadır. Klas kuruluşları bu denetim ve incelemeleri yapan, derecelendirme ve sertifikasyonu gerçekleştiren kuruluşlardır. Günümüzde birçok klas kuruluşunun varlığı, donatan işletmeleri için en uygun klas kuruluşunun seçimi konusunda, daha geniş bir karar alanı sağlamaktadır. Türk donatan işletmelerinin, klas kuruluşu seçimlerinde göz önünde bulundurdukları kriterler ve bu kriterlere atfettikleri değerler, bu noktada önem kazanmaktadır. Türk denizcilik sektöründe faaliyet gösteren, sektör temsilcileri ile yapılan görüşmeler neticesinde bir Türk donatan işletmesinin klas kuruluşu seçerken göz önünde bulundurduğu veya bulundurabileceği kriterler belirlenmiştir. Belirlenen kriterlere göre hiyerarşi oluşturulmuş, çok kriterli karar verme yöntemlerinden Analitik Hiyerarşi Süreci yöntemi kullanılarak alternatifleri de içerisinde barındıran bir anket formu hazırlanmıştır. Anket uygulaması, Türk denizcilik sektöründe faaliyet gösteren, 18 Türk donatan işletmesinin çalışanı ile gerçekleştirilmiştir. Sonuç olarak, Türk donatan işletmelerinin, klas kuruluşu seçimlerinde hangi kriterlere daha fazla önem verdikleri ve hangi klas kuruluşlarını daha fazla tercih ettikleri çalışmada ortaya çıkarılmaya çalışılmıştır. Katılımcılar tarafından ?IACS üyesi olma? kriteri en önemli kriter olarak görülmüştür. Compared with the other modes of transportation, shipping has relatively more uncertainties which are likely to bring about a great variety of hazards and threats both during sailing and port operations. Minimizing the risks of loss of life and cargo could be possible when the ships, the basic unit and backbone of shipping, have physically sound structures and are periodically and decently exposed to well done repair and maintenance services. On the other hand, checking the physical structures/positions of ships can be effectively carried out by means of thorough inspection and analyses, which could be realized through certain classification and certification processes. The organizations who carry out such inspections and analyses resulting in classification and certifications are the classification societies. The existence of great number of classification societies provides a relatively wide scope of options for ship owing companies in choosing the best possible classification societies. In these connections, the criteria Turkish ship owners take into consideration and values they attribute to such criteria are of great importance. Through this study, the criteria Turkish ship owners take into account while choosing classification societies for their companies are revealed based on data collected from certain semi-structured interviews conducted through the representatives? particular industry. The criteria determined are hierarchically ordered, and by means of Analytic Hierarchy Process, a multi-criteria Decision making method, a questionnaire comprising the alternatives has been prepared. The questionnaire has been conducted through the workers of the eighteen Turkish ship owing companies. Consequently, the aim of such survey is to reveal the criteria Turkish Ship owners consider the most and the ship classification societies the most and the ship classification societies they most prefer. ?Being a member of IACS? criteria are considered most important criteria by participant