COVID-19 pandemi döneminde yönetim süreçleri ile ilgili makalelerin bibliyometrik analiz yöntemiyle incelenmesi

With the COVID-19 pandemic process, quarantine and isolation procedures, preventive health services, therapeutic health services and basic health services have become one of the priority objectives of health systems. The necessity of organizing health systems quickly and effectively by adapting to the new situation has emerged. The rapidly changing nature of COVID-19 has led to a reassessment of how healthcare organizations create their strategies, organize and manage the process. The aim of the study is to examine the articles dealing with COVID-19 management processes by the bibliometric analysis method according to the determined criteria. The 81 articles were analyzed with graphs and tables according to the criteria of country, year and month of publication, number of authors, research methods, fields of study, topics covered and descriptive characteristics. When the analysis results are examined, it is seen that the country in which the articles are published the most is Turkey (49.38%), 85.19% of the articles are multi-authored, 62.96% of them are compilations, the study areas are region, country, development level, various institutions, On the other hand, it is seen that the subjects that are discussed more in the study subjects such as patients, sectors, and literature are management processes, human resources management, crisis management, risk management, and waste management.It is thought that the results of the study will guide the subsequent studies.COVID-19 pandemi süreciyle birlikte karantina ve tecrit prosedürleri, koruyucu sağlık hizmetleri, tedavi edici sağlık hizmetleri ve temel sağlık hizmetlerinin sekteye uğramaması, sağlık sistemlerinin öncelikli amaçlarından biri haline gelmiştir. Sağlık sistemlerinin yeni duruma adapte olarak hızlı ve etkili bir şekilde organize edilmesi gerekliliği ortaya çıkmıştır. COVID-19’un hızla değişen doğası, sağlık kuruluşlarının stratejilerini nasıl oluşturduğu, süreci nasıl organize ettiği ve yönettiği konusunda yeniden değerlendirme yapmayı beraberinde getirmiştir. Çalışmanın amacı, COVID-19 yönetim süreçlerini ele alan makalelerin belirlenen kriterlere göre bibliyometrik analiz yöntemi ile incelenmesidir. 81 makale, ülke, yayın yılı ve ayı, yazar sayıları, araştırma yöntemleri, çalışma alanları, ele alınan konular ve tanımlayıcı özellikler kriterlerine göre grafik ve tablolarla analiz edilmiştir. Analiz sonuçları incelendiğinde, makalelerin en fazla yayınlandığı ülkenin Türkiye (%49,38) olduğu, makalelerin %85,19’unun çok yazarlı oluğu, %62,96’sının derleme olduğu, çalışma alanlarının bölge, ülke, gelişmişlik düzeyi, çeşitli kurumlar, hastalar, sektörler, yazınlar olduğu, çalışma konularında ise daha fazla ele alınanların ise yönetim süreçleri, insan kaynakları yönetimi, kriz yönetimi, risk yönetimi, atık yönetimi olduğu görülmektedir. Çalışmanın sonuçlarının bundan sonraki çalışmalara yol gösterici olacağı düşünülmektedir

Las epidemias de cólera en Estambul Otomano tardío, la atención médica y las Hermanas de la Caridad Católicas francesas

This article is about the healthcare services provided by the Sisters of Charity (Filles de la Charité) during cholera epidemics in institutions opened and managed in nineteenth century Istanbul as part of their Eastern missions. The annuals in which reports and letters were collected and addressed to the center of the congregation in Paris, Annales de la Congrégation de la Mission et des Filles de la Charité (ACM), are used as primary sources. This study aims to evaluate the pandemies of cholera within the framework of world history and Ottoman context by contributing to the existing historical geographies of cholera, in addition to the literature, which accentuates the importance of agency of women in the Ottoman context, based on original findings. The article assesses how cholera affected Istanbul and how the disease was dealth with, through the connections between the sisters and local actors. The study also shows that the Ottoman example was not only a result of Western experiences, but although it was part of a wide history of pandemics, its actors had their own unique developments shaped by imperial and local settings and events.Este artículo trata sobre los servicios de salud brindados por las Hermanas de la Caridad (Filles de la Charité) durante las epidemias de cólera en instituciones abiertas y administradas en el siglo XIX en Estambul como parte de sus misiones orientales. Los anuarios en los que se recopilaron informes y cartas y se dirigieron al centro de la congregación en París, Annales de la Congrégation de la Mission et des Filles de la Charité (ACM), se utilizan como fuentes primarias. Este estudio tiene como objetivo evaluar las pandemias de cólera en el marco de la historia mundial y el contexto otomano haciendo una contribución a las geografías históricas existentes del cólera, además de la literatura que acentúa la importancia de la agencia de las mujeres en el contexto otomano, con base en hallazgos originales. El artículo evalúa cómo afectó el cólera a Estambul y cómo se enfrentó la enfermedad, a través de las conexiones entre las hermanas y los actores locales. El estudio también muestra que el ejemplo otomano no fue solo el resultado de las experiencias occidentales, sino que, aunque fue parte de una amplia historia de pandemias, sus actores tuvieron sus propios desarrollos únicos moldeados por escenarios y eventos imperiales y locales

Öğretmenlerin bir Yenilik Olarak Teknoloji ile İlgili Yarar Algıları

The purpose of this phenomenological study is to qualitatively describe teachers’ perceptions regarding usefulness of technology. The study group consisted of ten teachers working in a primary school in Ankara. Data were collected through semi structured interviews and analyzed through content analysis approach. The findings indicate that, there is a difference in teachers’ perceptions between personal and professional contexts. In the personal context, teachers found technology as an innovation useful in terms of “Easiness”, “Times”, “Economy”, “Upgrading Standards of Living”. In the professional context, perceptions regarding usefulness of technology as an innovation gathered around three themes. These themes are defined as, “Preparation for Learning and Teaching Process”, “Process of Learning and Teaching”, “Output of Learning and Teaching Process” and discussed in detail.Olgubilim deseninde planlanan bu çalışmanın amacı, öğretmenlerin, bir yenilik olarak teknolojiyle ilgili, yarar algılarının betimlenmesidir. Araştırmanın katılımcılarını, Ankara’da bir ilköğretim okulunda görev yapmakta olan on öğretmen oluşturmaktadır. Veriler, yarı yapılandırılmış görüşme formu aracılığıyla toplanmış, içerik analizi ile çözümlenmiştir. Analiz sonucunda öğretmenlerin mesleki ve kişisel bağlamda yarar algılarının birbirinden farklı olduğu görülmüştür. Öğretmenlerin kişisel bağlamda bir yenilik olarak teknolojiyi “Kolaylık”, “Zaman”, “Ekonomiklik” ve “Hayat Standartlarını Yükseltme”, açısından yararlı buldukları belirlenmiştir. Mesleki bağlamda bir yenilik olarak teknoloji konusundaki yarar algılarının ise, üç temada toplandığı belirlenmiştir. Bu temalar, “Öğrenme Öğretme Sürecine Hazırlık”, “Öğrenme Öğretme Süreci” ve “Öğrenme Öğretme Sürecinin Çıktısı” olarak isimlendirilmiş, makale içerisinde ayrıntılı olarak tartışılmıştı

A validation study and short form of achievement emotion questionnaire for preservice teachers

Bu çalışmanın iki amacı bulunmaktadır. Birincisi, Pekrun, Goetz ve Perry (2005) tarafından geliştirilen ve Can, Emmioğlu Sarıkaya ve Bardakçı (2020) tarafından lise öğrencileri için Türkçeye uyarlaması yapılan Başarı Duyguları Anketi’nin, dersle ilgili duygular bölümünün öğretmen adayları için geçerleme çalışmasını yapmaktır. İkincisi, yapılan geçerleme çalışmasının bulgularından hareketle anketin kısa formunun oluşturularak geçerlik ve güvenirliğinin irdelenmesidir. Çalışma grubu, Türkiye’de altı devlet üniversitesinde öğrenim gören 308 öğretmen adayından oluşmaktadır. Verilerin analizinde, birinci ve ikinci düzey faktör analizi yapılmış, Cronbach’s alpha ve yapısal güvenirlik katsayıları hesaplanmıştır. Verilerin analizi sonucunda uyum iyiliği indisleri ve yakınsama geçerliği ölçütlerine uymayan maddeler çıkarılmış; umutsuzluk duygusunun tek faktörlü yapıda, diğer duyguların üç faktörlü ve ikinci düzey faktör yapısında doğrulandığı bulgusuna ulaşılmıştır. Doğrulanan üç faktörlü duygu modelleri için Cronbach’s alpha iç tutarlılık katsayıları 0.60 ve 0.83 arasında değişirken tek faktörlü umutsuzluk duygusu için 0.79 olarak bulunmuştur. Yapısal güvenirlik katsayısı üç faktörlü duygu modelleri için 0.63 ve 0.87 arasında, tek faktörlü umutsuzluk duygusunda 0.79 olarak hesaplanmıştır. Bu bulgulardan hareketle ölçme aracının sekiz faktör 46 maddeden oluştuğu sonucuna ulaşılmıştır. Geçerleme çalışması sonucunda 46 maddeden oluşan anketin kısa versiyonu, kapsam geçerliği gözetilerek yüksek faktör yükü veren maddelerin seçilmesi yoluyla oluşturulmuştur. Doğrulayıcı faktör analizi sonucunda, uyum indisleri iyi ve mükemmel aralığında olan 24 maddelik kısa formun Cronbach Alpha değeri 0.75 olarak; yapısal güvenirlik katsayıları 0.73 ve 0.86 olarak bulunmuştur. Ölçme aracında yer alan maddelerin başarım (performans) temelinde olması nedeniyle, aracın içeriğini de daha uygun yansıttığı gerekçesiyle ölçme aracına “başarımla ilgili duygular” adı verilmiştir.This study has two aims. The first is to validate Achievement Emotion Questionnaire- Class Related Emotions part for preservice teachers, which was developed by Pekrun, Goetz and Perry (2005) and adapted to Turkish by Can, Emmioğlu Sarıkaya and Bardakçı (2020) for high school students. Second, based on the findings of first study, the short form of the AEQ was created and examined for validity and reliability. Participants are 308 preservice teachers from six state universities in Turkey. First and second level confirmatory factor analysis was performed, Cronbach's alpha and Composite Reliability were calculated. The items which did not meet the criterias of fit indices and validity were removed and it was found that hopelessness was confirmed as single factor model and the other emotions as three-factor model and second order model. While Cronbach's alpha for the confirmed three-factor models ranged between 0.60 and 0.83, it was found to be 0.79 for hopelessness. Composite reliability was calculated as between 0.63 and 0.87 for three-factor model and 0.79 for single-factor hopelessness. Based on these findings, it was concluded that the AEQ consisted of eight factors and 46 items. Based on the findings of the first study,the short form of AEQ was created by selecting the items with high factor loadings, considering the content validity. According to the confirmatory factor analysis Cronbach Alpha of the 24-items short form was 0.75 and have good and perfect fit indices also composite reliability were found as between 0.73 and 0.86

Evaluation of Cultural Sensitivity in Healthcare Service among Nursing Students

The aim of the study evaluates cultural sensitivity in healthcare services among senior nursing students to patients with different cultural backgrounds. The study had a one-group pre-posttest model descriptive study design. Thirty-four nursing students taking the courses Emergency Care and Diabetes were included into the study. Standardized patients were used as a simulation technique. The difference between intercultural sensitivity scores before the simulation and those after the simulation was not statistically significant (p>0.05). Even though there were no differences between intercultural sensitivity scores before the simulation and the scores after the simulation, simulation based education is an effective teaching method in enhancement of cultural sensitivity

The therapeutic potential of amifostine on cyclophosphamide-induced testicular dysfunction in rats: An experimental study

Background: Cyclophosphamide (CP) is a well-known alkylating anticancer agent used in the treatment of various malignant and non-malignant tumors. CP may also cause a variety of adverse effects, including reproductive toxicity. Amifostine is known as a cytoprotective drug having antioxidant properties. Objective: To evaluate the possible beneficial effects of amifostine on testicular toxicity induced by CP in rats. Materials and Methods: A total of 35 Sprague-Dawley rats were used in this experimental study. The CP group animals received a single dose of 200 mg/kg CP on Day 8 by intraperitoneal injection and were left untreated for the following seven days. The two remaining groups of animals were treated with 200 mg/kg/day amifostine (AMF 200) and 400 mg/kg/day amifostine (AMF 400) for seven days prior to and following a single intraperitoneal injection of CP. Morphometrical analysis and histological examination of testicular tissue were performed. Serum testosterone, luteinizing hormone, and follicle-stimulating hormone levels were measured in serum using commercial ELISA kits. The epidydimal sperm count was determined. Results: The tubular epithelial height in the testis was significantly higher in the AMF400 group compared to other groups (p < 0.001). Animals in the AMF400 group showed minimal debris in the tubules, no Sertoli cell damage, and the Johnsen scores were slightly higher in the AMF400 group. The epididymal sperm count was significantly lower in the CP-administered animals compared to the control animals and was significantly higher in the AMF200 and AMF400 groups compared to the CP group (p = 0.006, and p = 0.019 respectively). Conclusion: Amifostine, at a dose of 400 mg/kg, may have a protective effect on testicular damage induced by CP in rats

Does applied ultrasound prior to laparoscopy predict the existence of intra-abdominal adhesions?

diagnostic tool, in predicting the presence of intraabdominal adhesions, especially near the trocar entry area, to provide safe surgical access to the abdomen. Materials and methods: Fifty-nine women with a previous history of open abdominal surgery (group A) and a group of 91 women with no previous history of surgery (group B) underwent dynamic ultrasound evaluation of the abdominal fields before laparoscopic operations. The anterior abdominal wall was divided into six quadrants: right upper, right lower, left upper, left lower, suprapubic, and umbilical. Adhesions were evaluated by surgeons during the operation and by radiologists using USG prior to the operation. Visceral organ movements greater than 1 cm was defined as normal visceral slide (positive test), with less than 1 cm of movement defined as abnormal visceral slide (negative test). Sliding test measures movements of omental echogenicity or a stable echogenic focus that corresponds to intestine peritoneal echogenicity that underlies abdominal wall during exaggerated inspiration and expiration. Adhesions observed during surgery were evaluated on a four-point scale, with 0 indicating no adhesions present, 1 indicating the presence of a thin, filmy avascular adhesion, 2 indicating the presence of a dense and vascular adhesion, and 3 indicating adhesions that connect surrounding organs with the overlying peritoneal surfaces. The McNemar test was used to compare the results of USG and laparoscopy for each measure. Results: We found that preoperative USG was successful in identifying adhesions [sensitivity, 96.39% (95% CI 89.8–99.2); specificity, 97.43%] Conclusion: Preoperative ultrasound examination of the abdominal wall may enhance the safety of abdominal entry during laparoscopic operations

Evaluation of risk management in healthcare organization with the analytic hierarchy process (AHP) method from the perspective of health managers

Sağlık kuruluşları etkileyen risk unsurları ve bu unsurların beraberinde getirdiği olası kayıplar, arzu edilmeyen gerçeklerdir. Bu durum, sağlık kuruluşlarını risk ve kayba karşı önleyici bakış açısını oluşturan risk yönetimi konusunu daha önemli hale getirmektedir. Hızla değişen çevre koşullarında risk yönetimi programının bileşenlerinin belirlenmesi, risk yönetimi stratejilerinin oluşturulması, risk yönetiminin diğer fonksiyonlarla bütünleştirilmesi risk yöneticisinin işlevsel mesleki sorumluluklarıdır. Bu çalışmada, sağlık yöneticilerinin sağlık kuruluşlarındaki risk yönetimi ile ilgili algıları ortaya çıkarılarak en öncelikli risk temalarının belirlenmesi amaçlanmıştır. Çalışma grubu, farklı örgütsel pozisyonlardaki 7 sağlık yöneticisinden oluşmaktadır. Nitel verilerin analizinde betimsel analiz yöntemi kullanılmıştır. Nitel analiz sonucunda belirlenen risk faktörü temalarının önceliklendirilmesinde ise Bulanık Analitik Hiyerarşi Süreci (AHS) kullanılmıştır. Araştırma sonucunda, risk yönetimi olgusu konusunda risk faktörü olarak görülen on ana tema belirlenmiştir. En önemli temalar sırasıyla %32,8 normalize ağırlık puanı ile “Hasta Güvenliği” %16,1 ile “Çalışan Güvenliği” ve %11 ile “Finansal Riskler”dir. “Kamu Atamaları” ise %3,8 ağırlık ile en az önemli risk faktörü teması olarak tespit edilmiştir. Etkili bir risk yönetimi, hastanelerde kaynakların verimli kullanılarak israfın önlenmesi, sağlık hizmetlerinin en iyi şekilde hızlı ve kesintisiz olarak verilmesi, hasta, çalışan ve tesis güvenliğinin sağlanması, karşı karşıya kalınan risklerle ilgili en iyi çözüm alternatiflerinin belirlenmesini kolaylaştırabilir.The risk factors affecting health organizations and the possible losses brought about by these factors are undesirable facts. This makes the issue of risk management, which constitutes the preventive perspective of health institutions against risk and loss, more important. Determining the components of the risk management program in rapidly changing environmental conditions, creating risk management strategies, integrating risk management with other functions are the functional professional responsibilities of the risk manager. In this study, it is aimed to determine the most prioritized risk themes by revealing the perceptions of health managers about risk management in health institutions. The working group consists of 7 health managers in different organizational positions. Descriptive analysis method was used in the analysis of qualitative data. Fuzzy Analytical Hierarchy Process (AHP) was used to prioritize the risk factor themes determined as a result of the qualitative analysis. As a result of the research, ten main themes, which are seen as risk factors in the concept of risk management, were determined. The most important themes are “Patient Safety” with a normalized weight score of 32.8%, “Employee Safety” with 16.1%, and “Financial Risks” with 11%, respectively. “Public Appointments”, on the other hand, was determined as the least important risk factor contact with a weight of 3.8%. An effective risk management can facilitate the determination of the best solution alternatives for the risks faced, preventing waste by using resources efficiently in hospitals, providing health services in the fastest and uninterrupted way, ensuring patient, employee and facility safety

Pregnancy and Toxoplasmosis: should screening be a routine practice?

Because infectious agents can reach the fetus through the placenta, pregnancy is regarded as a particular period for contagious diseases. Identification of infections during pregnancy and appropriate treatment can prevent fetal disorders. For this purpose, to avoid their harmful effects on fetus and newborn, various infectious diseases are screened during pregnancy. Toxoplasma gondii infection in pregnancy is transmitted through the transplacental pathway leading to severe neurological sequelae such as fetal abortion, stillbirth, intrauterine growth retardation, cranial calcifications, blindness, deafness, and mental retardation. This can lead to serious social and economic problems for the family and the infant, as well as society. To prevent these sequelae, infections during pregnancy need to be identified and appropriately treated. There are different opinions and practices in the world regarding the screening of T. gondii during pregnancy follow-up. This review aimed to assess the seroprevalence of T. gondii infection during gestation in Turkey and the world, its effects on the fetus, ways of protection, and suggestions about screening in the world and in Turkey in light of the literature, so that this becomes a guide for clinical practice for physicians