40 research outputs found
Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members
Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic.
Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine.
Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis.
Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years
BÜYÜK SELÇUKLU SULTANI MELİKŞAH'IN ADI ANILAN İKİ ANİ PARASI
BÜYÜK SELÇUKLU SULTANI MELİKŞAH'IN ADI ANILAN İKİ ANİ PARAS
Kas Tarihinin Ana Hatları
M.Ö ikinci bin yılın başlarından itibaren muhtelif yollardan Ön-Asya medeniyet sahalarına girmeğe başlayan büyük göçleri mensup Hitit, Hurri ve Lui gibi kavimlerden biri de Kas'lardır °. Asyalı kavimlerin ve batıdan göçmüş olan Samilerin cehd, gayret ve ihtimamları ile büsbütün taze bir ruh ve canlılık kazanmış olan kadim Sümer medeniyetinin olgun bir devrinde, büyük kısımlarıyla iç-Asya istikametinden akmakta olan, bu yeni göç mensuplarının temsil ettiği bambaşka dünya anlayışlarıyla temasını ve bundan doğan neticeleri tetkik etmek cihan tarihinin en meraklı ve cazip konularından biridir
Hauptlinien der Geschichte der Kassiten
Vorstehender Aufsatz verfolgt den Zweck, die Expansionsgebiete der Kassitischen Stamme vor ihren Einbruch in Babylonien, sowie die Wege ihres Eintritts in Babylonien festzusetzen, die Geschichte der Kassiten bis zur Zeit des Burnaburiyaş Il. und die Geschichte dieses Reiches in den folgenden Zeiten, unter Berücksichtigung der neuen Quellen und Anschauungen, in ihren Hauptlinien darzustelle
Investigation of Career Adaptability According to Conflict Activity Styles
Purpose: This study aimed to investigate the relationship between teacher candidates' conflict activity styles and career adaptability. It also investigates whether conflict activity styles and career adaptability levels differ according to demographic variables. Research Methods: The research population consisted of 451 teacher candidates in a university in the west region of Turkey. The research was structured as a quantitative research model. The correlation method and the descriptive method were used together. Data was collected by the Career Futures Inventory Scale's Career Adaptability subscale (CFI-CA), Conflict Activity Styles Inventory (CASI), and a personal information form. The data was analysed using Independent Samples T-Test, a One-Way ANOVA, and Pearson's Correlation Coefficient (p<.05). Findings Results show that teacher candidates' career adaptabilities correlate with their conflict activity styles at a statistically significant level. Career adaptability decreases when avoidant and compulsive actions are preferred during conflicts. Whereas career adaptability increases when mediator, facilitator, and resisting styles are preferred in conflicts. Implications for Research and Practice: Implications of the findings and limitations of the study are discussed. (C) 2021 Ani Publishing Ltd. All rights reserve