Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Relationship between burnout and patient safety attitudes in pediatric nurses in a hospital in Turkey [Relación entre agotamiento emocional y la actitud hacia la seguridad del paciente en enfermeras pediátricas en un hospital de Turquía]

Aim: Burnout can affect nurses’ patient safety-related attitudes due to adverse conditions it creates in nurses and can lead to medical errors. The purpose of this research is to determine the relationship between the patient safety attitudes and pediatric nurses’ burnout. Method: Observational, descriptive and cross-sectional study, carried out between January and July 2016 at Ege University Children's Hospital in İzmir (Turkey). Data was collected using the Sociodemographic Characteristics Questionnaire, the Maslach Burnout Inventory and the Patient Safety Attitude Questionnaire. The data was analysed with the program SPSS. Permission was obtained from the corresponding Ethical Committee. Results: The response rate was 60%, with a total of 104 participants. Emotional exhaustion was identified in more than half of the participating nurses, with a negative correlation between the attitude towards patient safety and emotional exhaustion. A positive correlation was found between the scores of the Patient Safety Attitude Questionnaire and the scores of the Personal achievement subscale. It was found that the emotional exhaustion score increased as the patient's safety attitude decreased. It was also found that Personal Achievement subscale scores and safety attitude scores of the patient increased. Conclusion: There is a relationship between the levels of emotional exhaustion of nurses and a decrease in attitudes towards safety, at the same time as personal achievement helps to improve the attitude towards patient safety. © 2019 Elsevier España, S.L.U

Determination of Injury Risks and Safety Measures Taken by Mothers of Children With an Intellectual Disability and Autism Spectrum Disorder

PubMed ID: 25759189Purpose: The purpose of the study is to determine the injury risk behaviors and home safety measures in children with an intellectual disability or autism spectrum disorder. Method: The study sample included mothers of 100 children between the ages of 2 and 12 years. Findings: There was a significant difference between the home safety measures and the children's ages, the birth order of the children, and the mother's and father's ages. There was not a significant relationship between the children's ages, diagnosis, and Injury Behavior Checklist (IBC). There is a positive correlation between the total score of the Home Safety Measures Control List and IBC. Özet Amaç: Bu araştirmanin amaci zihinsel yetersizliği olan veya otizmi olan çocuklarin yaralanma riskli davranişlarini ve ebeveynlerinin ev güvenlik önlemlerini belirlemektir. Yöntem: Araştirmanin örneklemi 2-12 yaşlar arasinda 100 çocuğun annesinden oluşmaktadir. Bulgular: Ev güvenlik önlemleri ile çocuklarin yaşlari, çocuğun ailenin kaçinci çocuğu olduğu ve anne ve baba yaşi arasinda anlamli ilişki saptanmiştir. Çocuğun yaşi, tanisi ve Yaralanma Riskli Davranişlar Listesi skorlari arasinda anlamli ilişki saptanmamiştir. Yaralanma Riskli Davranişlar ve Ev Güvenlik Önlemleri puanlari arasinda pozitif yönde korelasyon bulunmaktadir. © 2015 NANDA International, Inc

Paediatric Oncology Patients' and their Mothers' Enteral Nutrition Experiences: A Qualitative Study

WOS: 00038481880133

Rearrangement hotspots in the sex chromosome of the Palearctic black fly Simulium bergi (Diptera, Simuliidae)

An extreme example of nonrandom rearrangements, especially inversion breaks, is described in the polytene chromosomes of the black fly Simulium bergi Rubtsov, 1956 from Armenia and Turkey. A total of 48 rearrangements was discovered, relative to the standard banding sequence for the subgenus Simulium Latreille, 1802. One rearrangement, an inversion (IIS-C) in the short arm of the second chromosome, was fixed. Six (12.5%) of the rearrangements were autosomal polymorphisms, and the remaining 41 (85.4%) were sex linked. More than 40 X- and Y-linked rearrangements, predominantly inversions, were clustered in the long arm of the second chromosome (IIL), representing about 15% of the total complement. The pattern conforms to a nonrandom model of chromosome breakage, perhaps associated with an underlying molecular mechanism

Validation Of The Esmo-Esgo-Estro Consensus Conference Risk Grouping In Turkish Endometrial Cancer Patients Treated With Comprehensive Surgical Staging

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