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

Forecasting Turkish real GDP growth in a data-rich environment

This study generates nowcasts and forecasts for the growth rate of the gross domestic product in Turkey using 204 daily financial series with mixed data sampling (MIDAS) framework. The daily financial series include commodity prices, equity indices, exchange rates, and global and domestic corporate risk series. Forecasting exercises are also carried out with the daily factors extracted from separate financial data classes and from the whole dataset. The findings of the study suggest that MIDAS regression models and forecast combinations provide advantage in exploiting information from daily financial data compared to the models using simple aggregation schemes. In addition, incorporating daily financial data into the analysis improves the forecasts substantially. These results indicate that both the information content of the financial data and the flexible data-driven weighting scheme of MIDAS regressions play an essential role in forecasting the future state of the Turkish economy

Turkiye Ekonomisi Is Cevrimlerinin Kuresel Ekonomi ile Iliskisi

[TR] Bu calismada Turkiye ekonomisinin kuresel ekonomi ile iliskisi incelenmektedir. Bu dogrultuda, milli gelirimiz ile bilesenlerinin cevrimleriyle ABD ve euro bolgesi is cevrimleri arasindaki korelasyonlar farkli frekans bantlari icin hesaplanmistir. Sonuclar, Turkiye ekonomisinin euro bolgesi ile daha cok kisa ve orta vadede, ABD ile ise daha ziyade orta ve uzun vadede iliskili olduguna isaret etmektedir. ABD ile olan iliskinin gucu, dis ticaretten baska kanallarin da ekonomimiz icin onemini gostermektedir. Ayrica sonuclar, Turkiye ekonomisinin bu iki ekonomi ile iliskisinin derecesinin 2001 sonrasi donemde kayda deger olcude arttigini gostermektedir. [EN] In this study, we aim at investigating the sensitivity of Turkish economy to the global economy. In this framework, we calculate the correlation between “cycles of gross domestic product (GDP) and its components” and “cycles of the US GDP and Euro Area GDP” for different frequency bands. The results indicate that Euro Area developments are correlated with Turkish economy mostly in the short and medium term while the developments in the US economy are correlated with Turkish economy mostly in the medium and long run. The high correlation with the US also suggests that non-trade channels for Turkish economy are also important. In addition, results show that the correlation of the Turkish economy with foreign economies significantly increased after 2001.

Ic ve Dis Talebe Iliskin Alternatif Gostergeler : Yurt Ici ve Yurt Disi Satis Endeksleri

[TR] Kuresel kriz sonrasi donemde, dis pazarlardaki yavas toparlanmaya paralel olarak ihracat zayif seyretmis, ithalat ise yurt ici talebin guclu toparlanmasi ile birlikte yuksek oranli artislar kaydetmistir. Boylelikle, ayrisan ic ve dis talebin toparlanma hizlari cari acigin kaygi verici duzeylere ulasmasina katki saglamistir. Bu durum, ic ve dis talep gelismelerinin daha yakindan takip edilmesini gerekli kilmistir. Dis talebe iliskin aylik ve gunluk frekansta nicel gostergeler mevcutken, yurt ici talebe iliskin yuksek frekansli nicel veri bulunmamaktadir. Gerek yurt ici talebe iliskin yuksek frekansli bir veri olusturmak gerekse yurt disi talebe iliskin alternatif bir gosterge turetmek amaciyla ciro endeksleri kullanilarak yurt ici ve yurt disi satis endeksleri olusturulmustur. [EN] In the period following the global crisis, exports have shown a poor performance due to slow recovery in foreign markets, whereas imports have recorded high increases with the strong recovery of domestic demand. Accordingly, differentiated growth rate of domestic and foreign demand has contributed current account to reach an alarming level. This situation necessitates a closer monitoring of indicators related with domestic and foreign demand. While regarding to foreign demand monthly and daily quantitative data exist, regarding to domestic demand high frequency hard data does not exist. In order to derive both a high-frequency indicator for domestic demand and an alternative indicator for foreign demand, domestic and foreign sales indices are formed by using the turnover indices.

Frequency of Direct Oral Anticoagulants Usage in Acute Pulmonary Thromboembolism Treatment in Turkey (TUPEDO)

Background: Direct oral anticoagulants (DOACs) have been used in acute pulmonary thromboembolism as an alternative to warfarin due to drug interactions, narrow therapeutic range, and necessary close International Normalized Ratio (INR) monitoring. Phase 3 study results have reported that these drugs are at least as effective as warfarin and beneficial in terms of bleeding; however, studies that present up-to-date life data are necessary. Aims: To evaluate the frequency of using DOACs, which are prescribed with a limited number of indications in our country, and real-life data results. Study Design: Cross-sectional study Methods: This cross-sectional survey collected the clinical data (history, current treatment, treatment duration, etc.) of patients with pulmonary thromboembolism and who applied to the physician for follow-up between October 15, 2019, and March 15, 2020. The researchers kept the patient records sequentially. Results: Data from 836 patients with acute pulmonary thromboembolism from 25 centers were collected, and DOAC was used in 320 (38.5%) of them. The most preferred DOAC was rivaroxaban (n = 294, 91.9%). DOAC was mostly preferred because it could not provide an effective INR level with warfarin (n=133, 41.6%). Bleeding was observed in 13 (4%) patients. Conclusion: The use of direct oral anticoagulants is becoming almost as widespread as conventional therapy. Real-life data results are important for their contribution to clinical practice

Leading Infectious Diseases Problems in Turkey

Clin Microbiol Infect 2012; 18: 10561067 Abstract Turkey has significant geographical and socio-economic differences throughout a vast area of the country. These characteristics affect the epidemiology of infectious diseases, some of which are rarely seen in western Europe. However, effectively implemented control measures have resulted in decreased rates of many community-acquired infections, including tuberculosis and malaria, that were major health problems only a few decades ago. There are high rates of antimicrobial resistance in various nosocomial isolates of Gram-positive and Gram-negative bacteria. A recently implemented, nationwide, electronic resistance surveillance system in hospitals is expected to produce reliable data, and possibly will help to develop an effective strategy to decrease antimicrobial resistance in bacteria that currently plague many tertiary-care hospitals in the country. This article summarizes the most frequently encountered community-acquired infections, and gives an overview of current antimicrobial resistance in both outpatient and hospital settings in Turkey.WoSScopu