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    Cost analysis of nosocomial infections in a tertiary care referral hospital's neurology intensive care unit: A case-control study [Bir nöroloji yoğun bakım ünitesinde hastane enfeksiyonu maliyet analizi: Olgu kontrol çalışması]
    (Ege University Press, 2015) Taner Ş.; Güler A.; Şİrİn H.; Pullukçu H.; Arda B.
    Aim: The purpose of this study is to overview nosocomial infections (NI), to determine risk factors and to evaluate the clinical and financial impact of NI on direct hospital cost among neurology intensive care unit (NICU) patients in a tertiary-care referral hospital. Material and Methods: A retrospective case control study was performed. The sample size was calculated to be at least 51 per group. A list of the last 55 patients who acquired an infection in NICU was obtained from infection control committee. These patients were matched with uninfected patients according to age, sex, diagnosis. The data were collected from patient files, accounting records. Results: A total of 79 NI occurred in 55 cases. The most common NI were pneumonia (48%), catheter related urinary tract infection (39%). Acinetobacter baumannii (25%) is most commonly responsible for NI. NI were detected less in patients who were conscious, nonintubated, without blood transfusion, tracheostomy, urinary catheter or mechanical ventilation. The mortality ratio was 53.1% in cases and 30.8% in controls. The excess costs of NI were $7121.15 and extra length of stay was 26.9 days. Although reimbursement took longer than six months, the Social Security Institution paid back the total billing amount. Conclusion: Given the impact on monetary and health costs of NI, measures to prevent NI in the hospital are strongly recommended for patient safety and for hospital reputation. NICUs in tertiary care referral facilities do not cause financial burden; on the contrary, they provide an opportunity to balance the budget. © 2015, Ege University Press. All rights reserved.
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    Prenatal care utilization level of pregnant women living in three different neighborhoods of izmir’s bornova district [İzmir’in Bornova ilçesinin üç semtinde yaşayan gebelerin doğum öncesi bakım hizmetlerinden yararlanma düzeyi]
    (Gulhane Military Medical Academy, 2015) Yücel U.; Çiçeklioğlu M.; Öcek Z.A.; Taner Ş.
    Aim: This study aimed to evaluate the utilization level of prenatal care services by pregnant women living in three different neighborhoods of Izmir’s Bornova district. It was also aimed to determine their prenatal care providers and a regular source of care. Method: This cross-sectional study consists of 223 women living in Mevlana, Naldoken and Altindag neighborhoods of Bornova district who were in their second or third trimesters during April – June 2013 period. 214 women were initially interviewed during their pregnancy and 182 (85.0%) of these women were also interviewed after giving birth. Study data was collected by administrating a face-to-face questionnaire. Dependent variables include; the total number of prenatal care visits, the primary, secondary and tertiary care, the total number of private prenatal care visits, and regular sources of care. Results: The mean number of prenatal care visits was 12.41±4.33. Pregnant women with an at least primary school education, a health insurance, speak Turkish as a mother tongue and live in a nuclear family receive more prenatal care and also secondary-tertiary care. If the woman has at least primary school education and her husband secondary school or more, speaks Turkish as a mother tongue and has an income level more than the minimum wage then these are the effective variables for receiving private prenatal care. Linear regression analysis showed that have a health insurance and live in a nuclear family were the independent predictors of the total number of prenatal care visits and have a health insurance, live in a nuclear family and speak Turkish as a mother tongue were the independent predictors of the number of secondary-tertiary care. Among the women women who receive prenatal care from a regular source of care this provider was an obstetrician (75.0%) or primary care (23.2%). Conclusion: It has been determined that the number of secondary care received was high and that there were inequalities in relation to the sociodemographic factors when utilizing the services. The primary care does not play a significant role as a regular source of care. New studies should be made regarding the service policies of the secondary health care providers that affect the prenatal care demand and also the coordination role of the primary care. © GATA.
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    Stigma of tuberculosis scale: Validity and reliability [Tüberküloz Damgalanma Ölçeği: Geçerliliği ve güvenilirlik]
    (Ankara University, 2015) Özpinar S.; Taner Ş.; Yildirim G.; Mahleç Anar C.; Altiparmak O.; Baydur H.
    Introduction: In many health conditions, stigma is receiving increasing attention. Public stigmatization toward social illness can affect particularly the patients and family memberships to help seeking behavior and treatment. This study, the aim of this study was to investigate the validity and reliability of the Turkish “Stigma of Tuberculosis Scale ” which was developed to evaluate of perception of stigma with tuberkulosis patient. Patients and Methods: This methodological study was conducted with 150 with tuberculosis disease people who above 18 age and without known psychological and mental disability. In the study, “Stigma of Tuberculosis Scale” was used as data collection tool. During the study, language equivalence, content validity, reliability and construct validity of the scale was performed. The data was assessed by using mean, median, standard deviation, Spearman Correlation, Cronbach Alpha coefficient and confirmatory factor analysis. Results: The mean age of study participants was 45.6 ± 16.1 (20-85). years. Spearman correlation coefficient of the scale for testretest reliability was 0.853 and the Cronbach Alpha coefficient was 0.95. According to fit indexes of confirmatory factor analysis [x2/ SD= 481.38/230= 2.09; RMSEA= 0.087; GFI= 0.776; CFI= 0.776; NNFI= 0.875] it was found that one factors were appropriate for the scale. Conclusion: The adoption of the translated “Stigma of Tuberculosis Scale”in Turkey is found reliable and valid to evaluate of perception of stigma with tuberkulosis patient. © 2015, Ankara University. All rights reserved.
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    Sweden and COVID-19 pandemic; [İSVEÇ VE COVID-19 PANDEMİSİ]
    (Turkish Medical Association, 2022) Taner Ş.
    States are being tested by the COVID-19 outbreak. The chosen anti-epidemic strategies became an indicator of what states are for and who they are for. Sweden entered this exam with 82.5 years life expectancy at birth and low mortality rates due to preventable and treatable causes.As in all other comparisons, Sweden should be compared with similar countries to evaluate its COVID-19 strategy. The comparison with other Scandinavian countries shows the failure of its strategy. Compared to 2019, the life expectancy of 50 years has decreased by 1 year for Sweden and 1.5 years for Stockholm. 40% of deaths are in nursing homes and 91% are over 70 years old. With the strategy implemented, “herd” immunity was not created, those at risk could not be protected and its economy is not better than similar. Nevertheless, high trust culture has been protected with other economic measures taken. But contradictory voices are rising, especially scientists.Sweden would have been an example of success. It had this chance. However, it seems that it did not prefer human beings in the choice between human and system. As this continues, new outbreaks will be inevitable. © 2022, Turkish Medical Association. All rights reserved.