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Öğe DIGITAL TECHNOLOGY USE IN TURKEY AND THE NEED FOR NEW eHEALTH LITERACY MEASUREMENT TOOLS(Sedat BOSTAN, 2022) Gümüş, Rojan; Çetin, MuratAim of the study: Digital health technologies, which cause the reshaping of today's patient-health relationship have been reflected in every field of health services. In a setting where the patient-health relationship is so dependent on the use of digital tools and the internet, it has become one of the most important elements for the development of their health for users to have the necessary digital skills and eliminate false and unnecessary information and data and acquire their health needs. Thus measuring the digital health literacy of consumers became a necessity. The aim of this study is to clarify the need for developing or adopting new digital health literacy measurement tools in Turkey. Materials and Methods: For the purpose to reveal the state of digital health literacy in Turkey the reports announced by different international and national institutes were searched in this descriptive research. The prevalence of the use of social media, the increase in the number of internet users and mobile devices in recent years, individuals’ reasons for using the internet, and the ratio of searching health issues in this data were compiled. Additionally, the digital/eHealth literacy scales developed or adopted in Turkish by researchers were searched from databases. Results: The results showed that the adaptation of Turkey and its people to e-health is very high and Turkish people take the lead the way in terms of accessing health-related information, integrating with the health system, and using health-related applications. So the need for digital health literacy scales and their potential use in Turkey was reported in this study. According to the results of the study only one measurement tool, developed by Norman and Skinner (2006) was adopted in Turkish and used by Turkish researchers. This study mostly used ten digital/eHealth literacy instruments were introduced and the gap in this area was argued. Although there are many digital/eHealth literacy scales adopted in various countries, in Turkey researchers stay behind in that situation. The need for developing or adopting new digital/eHealth literacy scales is obvious.Öğe Emergency medicine association of Turkey disaster committee summary of field observations of february 6th Kahramanmaraş earthquakes(Cambridge University Press, 2023) Yılmaz, Sarper; Karakayalı, Onur; Yılmaz, Serkan; Çetin, Murat; Eroǧlu, Serkan Emre; Dikme, Özgür; Özhasenekler, Ayhan; Orak, Murat; 0000-0001-6221-7932; 0000-0001-8166-659X; 0000-0003-1848-3461; 0000-0003-1496-6976; 0000-0002-0667-7966; 0000-0002-3183-3713; 0000-0002-2707-4099; 0000-0002-0931-3359An earthquake measuring 7.7 magnitude on the Richter scale occurred at 04:17am on February 6, 2023 in the Pazarclk district of Kahramanmaraş province Turkey. In the hours following the 7.7 magnitude event in Kahramanmaraş, a second 7.6 magnitude earthquake struck the region and a third 6.4 magnitude earthquake struck Gaziantep, causing extensive damage and death. A total of ten provinces directly experienced the earthquake, including Kahramanmaraş, Hatay, Gaziantep, Osmaniye, Malatya, Adana, Diyarbaklr, Şanllurfa, Adlyaman, and Kilis. The official figures indicate 31,643 people were killed, 80,278 were injured, and 6,444 buildings were destroyed within seven days of the earthquakes (as of 12:00pm/noon on Monday, February 13th). The area affected by the earthquake has been officially declared to be 500km in diameter. This report primarily relies on observations made by pioneer Emergency Physicians (EPs) who went to the disaster areas shortly after the first earthquake (in the early stages of the disaster). According to their observations: (1) Due to winter conditions, there were transportation problems and a shortage of personnel reaching disaster areas on the first day after the disaster; (2) On the second day of the disaster, health equipment was in short supply; (3) As of the third day, health workers were unprepared in terms of knowledge and experience for the disaster; and (4) The subsequent deployment of health personnel to the disaster area was uncoordinated and unplanned on the following days, which resulted in the health personnel working there not being able to meet even their basic needs (such as food, heating, and shelter). During the first week, coordination was most frequently reported as the most significant problem.Öğe Pain management practices in the emergency departments in Turkey(Wolters Kluwer Medknow Publications, 2021) Çetin, Murat; Kaya, Bora; Kılıç, Turgay Yılmaz; Hanoğlu, Nazife; Gökhan, Şervan; Eroğlu, Serkan Emre; Akar, Sakine; Çekic, Özgen; Polat, Dicle; Üstsoy, Emre; Çınar, Orhan; Yılmaz, SerkanOBJECTIVES: This study aimed to evaluate pain management practices in the emergency departments (EDs) in Turkey and to evaluate the prevalence and etiologies of oligoanalgesia to identify possible improvement strategies. METHODS: This multicenter cross-sectional observational study was conducted in 10 tertiary care hospitals in Turkey. Patients who were admitted to the ED with pain chief complaints were included in the study. Both patients and physicians were surveyed with two separate forms by the research associates, respectively. The patient survey collected data about the pain and the interventions from the patients' perspective. The pain was evaluated using the Numerical Rating Scale. The physician survey collected data to assess the differences between study centers on pain management strategies and physician attitudes in pain management. RESULTS: Ten emergency physicians and 740 patients (male/female: 365/375) enrolled in the study. The median pain score at admission at both triage and ED was 7 (interquartile range: 5-8). The most frequent type of pain at admission was headache (n = 184, 24.7%). The most common analgesics ordered by physicians were nonsteroidal anti-inflammatory drugs (n = 505, 67.9%), and the most frequent route of administration was intramuscular injection (n = 396, 53.2%). About half of the patients (n = 366, 49.2%) received analgesics 10-30 min from ED admission. The posttreatment median pain score decreased to 3 (P < 0.001). About 79.2% of patients did not need a second analgesic administration (n = 589), and opioid analgesics were the most frequently administered analgesic if the second application was required. Physicians prescribed an analgesic at discharge from the ED in 55.6% of the patients (n = 414) and acute pain was present in 7.5% (n = 56) of the patients. CONCLUSION: Our study on the pain management practices in the EDs in Turkey suggested that high rate of intramuscular analgesic use and long emergency room stay durations are issues that should constitute the focus of our quality improvement efforts in pain management.Öğe TÜRKİYE'DEKİ İŞ KAZALARI VE İŞÇİ ÖLÜMLERİNİN EKONOMİK BOYUTU VE POLİTİKA ÖNERİSİ(2015) Çetin, Murat; Gögül, Pelin Karatayİş kazalarında Avrupa birincisi ve dünya üçüncüsü olan Türkiye'de her gün resmi olarak 172 iş kazası meydana gelirken, sonucunda dört işçi hayatını kaybediyor, 6 işçi ise sürekli iş göremez hale geliyor. Ölümlerin kader ya da kaza olarak anıldığı; ihmal, denetimsizlik, taşeronlaşma ve daha fazla kâr elde etme hırsının, bir türlü imzalanmayan iş sağlığı ve güvenliği konusundaki sözleşmelerle birleştiğinde 'cinayet ekonomisine' dönüştüğü Türkiye, rekabete dayalı sürdürülebilir bir büyüme için piyasa ekonomisinin 'hukuksal' zeminini bir an önce yaratmak zorundadır
