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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Demir, Burcu;

    Introduction and aim: Attitudes towards the elderly are important as determinants of the quality of care for the elderly and the probability of students studying in the field of health to enter the field of geriatrics. Policy recommendations and practices that reveal or encourage age-based discriminatory attitudes during the COVID-19 pandemic; This has led to the homogeneous labeling of the elderly as 'vulnerable' and 'vulnerable', and the increasing division between young and old, fueling age-based discriminatory attitudes of the masses. This research was carried out to determine the attitudes of Ege University Faculty of Medicine (EUTF) students towards the elderly during the COVID-19 pandemic, to determine their anxiety levels related to COVID-19 and to evaluate the factors affecting these two conditions. Materials and methods: The population of the cross-sectional study consists of 2490 students enrolled in the EUTF 2020-2021 curriculum year. Participants were determined by quota sampling and random sampling within the framework of the extraordinary conditions created by the COVID-19 pandemic. The dependent variables of the study are 'Attitude towards the Elderly' and 'Anxiety Level associated with COVID-19'. In the study, attitudes towards the elderly were determined by the UCLA Geriatric Attitude Scale (UCLA-GAS); The level of anxiety associated with COVID-19 was evaluated with the 'Coronavirus Anxiety Scale Short Form' (CAS). Independent variables; It consists of the participant's sociodemographic characteristics, medical history, academic status and characteristics of the elderly relatives, as well as their views on the practices for the elderly during the pandemic process. Data were collected online between January and March 2021 with an online questionnaire. Student t, one-way ANOVA, Mann-Whitney U, Kruskal Wallis H, correlation tests in data analysis; Multiple linear regression analysis with one-way multivariate analysis of variance (MANOVA) was used as advanced analysis. SPSS 24.0 program was used and p0.05 was accepted as significance level. Necessary permissions were obtained from Ege University Medical Faculty Hospital Medical Research Ethics Committee and Ege University Faculty of Medicine Dean's Office. Results: The mean age of 663 people included in the evaluation was 21.11±2.195; 56.6% were women and 54.6% were studying in pre-clinical classrooms, and 86.6% reported that they continued their education remotely. The participants' UCLA-GAS mean score was 46.77±5.141 (median: 47) and moderately positive; The mean CAS score was 7.65±3.431 (median: 6) and the anxiety level associated with COVID-19 was low. With participants aged 20 and younger and pre-clinical period; Participants who think that young people should be prioritized in the allocation of scarce resources during the pandemic process, do not find it appropriate to limit individuals under the age of 20 within the scope of combating the epidemic, and report a negative change in their attitude towards the elderly, have lower average scores of attitude towards the elderly. Women, members of an extended family, those who share a household with someone over the age of 65, those who applied to a health institution for a non-COVID-19 reason and those who received distance education had higher COVID-19-related anxiety levels. No common variable was found to be associated with both dependent variables. As a result of multiple regression analysis, the variables included in the model account for 15.4% of the attitude towards the elderly; It predicts 9.8% of COVID-19 anxiety. No correlation was found between UCLA-GAS and CAS. Conclusions: In this study; It was determined that the attitudes of EUTF students towards the elderly were moderately positive, their anxiety levels related to COVID-19 were low, and there was no relationship between the direction of the attitude and the level of anxiety. Age-based decisions taken in health care and curfew applications during the fight against the virus; It has been found that medical students are associated with negative attitudes towards the elderly. There is a need for multidisciplinary studies at national and international level evaluating this trend among medical students. Educational interventions that strengthen intensified empathy and intergenerational solidarity in the pre-graduate and pre-clinical period can play a role in preventing the internalization of negative messages about aging and aging in the context of the pandemic. Giriş ve amaç: Yaşlıya yönelik tutum, yaşlıların bakım kalitesi ve sağlık alanında öğrenim gören öğrencilerin geriatri alanına girme olasılığının belirleyicileri olarak önemlidir. COVID-19 pandemisi sürecinde yaşa dayalı ayrımcı tutumları ortaya çıkaran veya teşvik eden politika önerileri ve uygulamalar; yaşlıların homojen bir şekilde 'kırılgan' ve 'savunmasız' olarak etiketlendirilmesine ve kitlelerin yaş temelindeki ayrımcı tutumlarını körükleyerek genç ve yaşlı arasındaki bölünmenin artmasına sebep olmuştur. Bu araştırma, Ege Üniversitesi Tıp Fakültesi (EÜTF) öğrencilerinin COVID-19 pandemisi döneminde yaşlılara yönelik tutumları, COVID-19 ile ilişkili anksiyete düzeylerinin belirlenmesi ve bu iki durumu etkileyen faktörlerin değerlendirilmesi amacıyla yürütülmüştür. Gereç ve yöntem: Kesitsel nitelikteki araştırmanın evreni EÜTF 2020-2021 müfredat yılında kayıtlı 2490 öğrenciden oluşmaktadır. COVID-19 pandemisinin yarattığı olağanüstü koşullar çerçevesinde kota örneklem ve gelişigüzel örnekleme yoluyla katılımcılar belirlenmiştir. Araştırmanın bağımlı değişkenleri 'Yaşlıya Yönelik Tutum' ve 'COVID-19 ile ilişkili Anksiyete Düzeyi'dir. Araştırmada, yaşlıya yönelik tutum UCLA Geriatrik Tutum Ölçeğiyle (UCLA-GA); COVID-19 ile ilişkili anksiyete düzeyi 'Koronavirüs Anksiyete Ölçeği Kısa Formu'yla (KAÖ) değerlendirilmiştir. Bağımsız değişkenler; katılımcının sosyodemografik özellikleri, tıbbi geçmişi, akademik durumu ve yaşlı yakınlarına ilişkin özellikleriyle pandemi sürecinde yaşlılara yönelik uygulamalara dair görüşlerinden oluşmaktadır. Veriler online anket formuyla Ocak – Mart 2021 arasında çevrim içi olarak toplanmıştır. Veri analizinde Student t, tek yönlü ANOVA, Mann-Whitney U, Kruskal Wallis H, korelasyon testleri; ileri düzey analiz olarak tek yönlü çok değişkenli varyans analiziyle (MANOVA) çoklu lineer regresyon analizi kullanılmıştır. SPSS 24.0 programı kullanılmış, p0,05 anlamlılık düzeyi olarak kabul edilmiştir. Ege Üniversitesi Tıp Fakültesi Hastanesi Tıbbi Araştırmalar Etik Kurulu ve Ege Üniversitesi Tıp Fakültesi Dekanlığından gerekli izinler alınmıştır. Bulgular: Değerlendirme kapsamına alınan 663 kişinin ortalama yaşı 21,11±2,195; %56,6'sı kadın ve %54,6'sı pre-klinik dönem sınıflarda öğrenim görmekte olup %86,6'sı eğitimine uzaktan devam ettiğini bildirmiştir. Katılımcıların UCLA-GA puan ortalaması 46,77±5,141(ortanca:47) olup orta düzeyde olumlu; KAÖ skor ortalamaları 7,65±3,431 (ortanca:6) olup COVID-19 ile ilişkili anksiyete düzeyleri düşük izlenmiştir. 20 yaş ve altı ve pre-klinik dönem katılımcılarla; pandemi sürecinde kıt kaynakların tahsisinde gençlerin önceliklendirilmesi gerektiğini düşünen, salgınla mücadele kapsamında 20 yaş altı bireylerin sınırlandırılmasını uygun bulmayan ve yaşlıya yönelik tutumunda olumsuz yönde değişim bildiren katılımcıların yaşlıya yönelik tutum puan ortalamaları daha düşüktür. Kadınların, geniş aileye mensup olanların, 65 yaş üstü biriyle aynı haneyi paylaşanların, COVID-19 dışı bir nedenle sağlık kurumuna başvuran ve uzaktan eğitim gören katılımcıların COVID-19 ile ilişkili anksiyete düzeyi daha yüksektir. Bağımlı değişkenlerin her ikisinin ilişkili olduğu ortak bir değişken saptanmamıştır. Çoklu regresyon analizi sonucunda modele alınan değişkenler yaşlıya yönelik tutumun %15,4'ünü; COVID-19 anksiyetesinin %9.8'ini yordamaktadır. UCLA-GA ve KAÖ arasında korelasyon saptanmamıştır. Sonuç: Bu çalışmada; EÜTF öğrencilerinin yaşlıya yönelik tutumlarının orta düzeyde olumlu ve COVID-19 ile ilişkili anksiyete düzeylerinin düşük olduğu ve tutumun yönüyle anksiyete düzeyi arasında ilişki olmadığı saptanmıştır. Virüsle mücadele sürecinde sağlık bakımı ve sokağa çıkış kısıtlaması uygulamalarında alınan yaş temelli kararların; tıp öğrencilerinde yaşlıya yönelik olumsuz tutumlarla ilişkili olduğu tespit edilmiştir. Tıp öğrencileri arasında bu eğilimi değerlendiren ulusal ve uluslararası düzeyde multidisipliner çalışmalara gereksinim vardır. Lisans öncesi ve pre-klinik dönemde yoğunlaştırılmış empati ve kuşaklar arası dayanışmayı güçlendiren eğitim müdahaleleri pandemi bağlamında yaşlılık ve yaşlanmaya ilişkin olumsuz mesajların içselleştirilmesinin önlenmesinde rol oynayabilir

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Ege University Insti...arrow_drop_down
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    Authors: Ertürk Beyter, Merve;

    Background: Celiac disease is an enteropathy that occurs as a result of the consumption of gluten-containing foods in individuals with a genetic predisposition, and its treatment is a lifelong gluten-free diet. Due to COVID-19, a global pandemic was declared by WHO on March 11, 2020, and as a result, curfews were applied in our country. Objective: The aim of this study is to evaluate the effects of restrictive measures applied during the COVID-19 pandemic on children's adherence to the gluten-free diet. Method: The research was carried out in Ege University Faculty of Medicine, Department of Pediatric Gastroenterology, Hepatology and Nutrition. Fifty patients between the ages of 2 and 18 who were diagnosed with celiac disease and followed a gluten-free diet for at least 2 years were included in the study. Demographic data of the cases, body weight, height, body mass index values and standard deviation scores, tTG-IgA levels before and during the pandemic were recorded from the outpatient follow-up files and the hospital data system. Patients with serologically tTG-IgA levels above 20 U/ml were considered to have dietary compliance problems. A questionnaire was prepared verbally questioning the patients' compliance with the gluten-free diet and the factors that may affect it during the pandemic period. This questionnaire was filled in face to face during the outpatient follow-ups and with telephone interviews. Results: In our study, 31 (62%) of 50 celiac patients were female and 19 (38%) were male. The mean age at diagnosis is 11,93 ± 4,06 years. The three most common complaints at the time of diagnosis were growth retardation (56%), abdominal pain (46%), and diarrhea (36%). When our patients were evaluated anthropometrically before and after the pandemic; A statistically significant increase was found in body weight SDSs (p=0.006). A significant increase was found in height SDSs (p=0.01). There was an increase in BMI SDSs, but it was not statistically significant (p>0.05). While 64% of patients had negative tTG-IgA antibodies before the pandemic, this rate decreased to 56% during the pandemic, but no statistically significant difference was found (p=0.07). When dietary compliance was questioned verbally, 49 patients in our sample reported that they adhered to the diet before and after the pandemic. When the degree of adherence to the diet was questioned, 37 patients stated that they always adhered to the diet before and after the pandemic. When the tTG-IgA levels of these patients were compared before and after the pandemic, it was observed that there was an increase in antibody levels, but no statistically significant difference was found. This showed that the patient's statement was unreliable. When the frequency of eating out was questioned, a statistically significant decrease was observed during the pandemic compared to the pre-pandemic period (p=0.001). There was a decrease in the monthly income of the families during the pandemic, which was statistically significant (p=0.04). Before and during the pandemic, 45 patients stated that they had difficulty in supplying gluten-free food. While the most common reasons for this difficulty before the pandemic were that gluten-free products were expensive and not available in every market, the concern of being infected with COVID-19 and curfew were added to these during the pandemic. Conclusion: During the pandemic, there was an increase in the body weight and height SDS of the patients. This increase does not support the serological response. This suggests that the occurrence of inflammation and intestinal damage requires longer follow-up, and the time between pre-pandemic and pre-pandemic control examinations may be insufficient. Giriş: Çölyak hastalığı, genetik yatkınlığı olan bireylerde glüten içeren yiyeceklerin tüketilmesi sonucu ortaya çıkan bir enteropatidir ve tedavisi ömür boyu sürecek glütensiz diyettir. COVID-19 nedeniyle 11 Mart 2020’de DSÖ tarafından küresel pandemi ilan edilmiştir ve bunun sonucunda ülkemizde sokağa çıkma kısıtlamaları uygulanmıştır. Amaç: Bu çalışmanın amacı COVID-19 pandemisi sırasında uygulanan kısıtlayıcı önlemlerin çocukların glütensiz diyete uyumları üzerine etkilerinin değerlendirilmesidir. Yöntem: Araştırma Ege Üniversitesi Tıp Fakültesi Pediatrik Gastroenteroloji, Hepatoloji ve Beslenme Bilim Dalında yapıldı. Çölyak hastalığı tanısı almış ve en az 2 yıl süreyle glütensiz diyet uygulayan 2-18 yaş aralığındaki 50 hasta çalışmaya dahil edildi. Olguların demografik verileri, pandemi öncesindeki ve pandemi sırasındaki vücut ağırlığı, boy, vücut kitle indeksi değerleri ve standart deviasyon skorları, tTG-IgA düzeyleri poliklinik izlem dosyalarından ve hastane veri sisteminden kaydedildi. Serolojik olarak tTG-IgA düzeyi 20 U/ml’nin üstünde olan hastaların diyete uyum sorunu olduğu kabul edildi. Hastaların glütensiz diyete uyumunu ve pandemi döneminde buna etki edebilecek faktörleri sözel olarak sorgulayan bir anket düzenlendi. Bu anket formu hastaların poliklinik izlemlerinde yüz yüze ve telefon görüşmesiyle dolduruldu. Bulgular: Çalışmamızda 50 çölyaklı olgunun 31’si (%62) kız, 19’i (%38) erkek idi. Ortalama yaşı 11,93 ± 4,06 yıldır. Tanı anındaki en sık üç yakınma büyüme geriliği (%56), karın ağrısı (%46), ishal (%36) idi. Hastalarımız antropometrik olarak pandemi öncesi ve sonrası değerlendirildiğinde; vücut ağırlığı SDS’lerinde istatistiksel olarak anlamlı artış saptandı (p=0,006). Boy SDS’lerinde anlamlı artış bulundu (p=0,01). VKİ SDS’lerinde artış olduğu görüldü fakat istatistiksel olarak anlamlı değildi (p>0,05). Pandemi öncesi %64 hastanın tTG-IgA antikoru negatifken bu oran pandemi sırasında %56’ya düşmüştü, ancak istatistiksel olarak anlamlı fark saptanmadı (p=0,07). Diyete uyum sözel olarak sorgulandığında örneklemimizdeki 49 hasta pandemiden önce ve sonra diyete uyduğunu bildirdi. Diyete uyum derecesi sorgulandığında 37 hasta pandemiden önce ve sonra diyete daima uyduğunu belirtti. Bu hastaların pandemi öncesi ve sonrası tTG-IgA düzeyleri kıyaslandığında antikor düzeylerinde artış olduğu görüldü fakat istatistiksel olarak anlamlı fark saptanmadı. Bu da hastaların beyanının güvenilir olmadığını gösterdi. Dışarıda yemek yeme sıklığı sorgulandığında pandemi sırasında, pandemi öncesine göre istatistiksel olarak anlamlı düzeyde azalma görüldü (p=0,001). Pandemi süresince ailelerin aylık gelirinde düşüş görüldü, istatistiksel olarak anlamlı bulundu (p=0,04). Pandemi öncesi ve pandemi sırasında 45 hasta glütensiz gıdayı tedarik etmekte zorlandığını belirtti. Pandemiden önce bu zorlanmanın en sık nedenleri glütensiz ürünlerin pahalı olması ve her markette bulunmaması iken, pandemi süresince bunlara COVID-19 ile enfekte olma endişesi ve sokağa çıkma yasağı da eklendi. Sonuç: Pandemi süresince hastaların vücut ağırlığı ve boy SDS’lerinde artış olmuştur. Bu artışı serolojik yanıt desteklememektedir. Bu durum inflamasyon ve bağırsaktaki hasarın ortaya çıkmasının daha uzun takip gerektirdiğini hastaların pandemi öncesi ve pandemi sırasındaki kontrol muayeneleri arasındaki sürenin yetersiz olabileceğini düşündürmektedir.

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    Authors: Özdemir, Halil İbrahim; Özbek, Süha Süreyya; Savaş, Recep;

    A new coronavirus outbreak called COVID-19 started in December 2019. In Turkey, the first casewas reported on 10 March 2020. In this Article, information will be given about the patient andstaff management and organization that we have implemented in the Radiology Departmentof our hospital during the COVID-19 pandemic. The rules we followed were: 1- Performing theexaminations of COVID-19 patients and suspects with a CT device isolated from other patients;2- Reducing the unnecessary workload in imaging modalities other than CT, emergency radiography, and emergency ultrasonography; 3- Directing and managing patients and their relativesin accordance with the mask and distancing rules; 4- Disinfecting the device with an appropriatedisinfectant after each patient in order to prevent cross-contamination; 5- Protecting the entiretechnician team from infection by employing one week work, two weeks off shifts of fixed teams;6- Ensuring adequate ventilation of the gantry room. Adhering to the above rules, no infectionspread was reported from the Radiology department and especially the COVID-19 CT unit.

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    Authors: Durgun, Kevser;

    Introduction and aim: Job satisfaction is defined as the feelings and attitudes that a person has about the job; it is frequently researched because it is associated with organizational outcomes and employee well-being. With this study at Bornova Türkan Özilhan State Hospital, where Covid-19 patients are treated in Izmir, it was aimed to measure the job satisfaction levels of healthcare workers and determine the related factors. Materials and methods: The universe of this study in cross-sectional design consisted of 412 healthcare professionals working at Bornova Türkan Özilhan State Hospital. It is aimed to reach the whole universe. The dependent variable of the research is the job satisfaction of healthcare workers. The Job Satisfaction Survey developed by Spector (1985) and adapted into Turkish by Yelboğa (2009) was used. Independent variables were grouped into five groups; demographic and socioeconomic characteristics, health status and habits, occupational characteristics and workin conditions, working characteristics in the pandemic hospital and the burnout levels of healthcare workers. The data were obtained from the questionnaire forms filled with the self-report of the employees under the observation of the researcher. While the descriptive statistics were calculated with mean and standard deviation; numbers and percentages are given in count type variables. To evaluate the relationship between dependent and independent variables; T test was used to compare two groups; Variance analysis or Kruskal Wallis test was used to compare three or more groups, depending on the state of meeting parameteric conditions. Linear regression analysis was performed for multiple analyses. SPSS 23.0 program was used in the entry and analysis of the data. P 0.05 was accepted as the level of significance. Results: The response rate was %82,5 (n = 340). %68,8 of the research group consisted of women and the mean age was 39,2±8,91. The mean Job Satisfaction Scale scores were calculated as 111,28 ± 22,29. In multivariate analyzes, high alcohol consumption (p=0.006), working in intensive care unit (p=0.028), not working in jobs suitable for their education, (p=0.044), not being consulted about the decisions related to job (p0.001), non-compliance with hygiene rules and infection precautions in the working environment (p0.001), weekly working time of 46 hours or more (p=0.001), being assigned involuntarily (p=0.006) and VI burnout (p0.001) were found to be associated with low job satisfaction scores. Conclusions: In this study, it was determined that the job satisfaction scores of healthcare workers were low during the pandemic period and the lowest score belonged the wage subdimension. Job satisfaction is low among those who have a high level of burnout, those who have long working hours, those who work in intensive care, those who are assigned against their will, those who do not work in jobs suitable for their education, those whose opinions are not taken about their job, those who work in areas where hygiene rules and infection control measures are not applied. It was observed that the amount of alcohol use increased as the job satisfaction score decreased. In the study, it was observed that job satisfaction was mostly related to working conditions. Job satisfaction, which is important for the well-being and mental health of health workers, should be increased by improving working conditions. Keywords: job satisfaction; healthcare workers; covid-19 pandemic; public health Giriş ve amaç: İş doyumu kişinin işi ile ilgili sahip olduğu duygu ve tutumlar olarak tanımlanmakta; örgütsel çıktılar ile ve çalışanların iyi olma hali ile ilişkili olduğu için sıklıkla araştırılmaktadır. İzmir ilinde Covid-19 hastalarının tedavisinin yürütüldüğü bir devlet hastanesi olan Bornova Türkan Özilhan Devlet Hastanesi'nde yapılan bu çalışma ile sağlık çalışanlarının iş doyumu düzeylerinin ölçülmesi ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. Gereç ve yöntem: Kesitsel tasarımdaki bu araştırmanın evrenini Bornova Türkan Özilhan Devlet Hastanesi'nde görev yapmakta olan toplam 412 sağlık çalışanı oluşturmuştur. Evrenin tümüne ulaşılması hedeflenmiştir. Araştırmanın bağımlı değişkeni sağlık çalışanlarının iş doyumudur. Spector (1985) tarafından geliştirilen ve Yelboğa (2009) tarafından Türkçe'ye uyarlanan İş Doyumu Ölçeği (Job Satisfaction Survey) kullanılmıştır. Bağımsız değişkenler beş grupta toplanmıştır; demografik ve sosyoekonomik özellikler, sağlık durumu ve alışkanlıklar, mesleki özellikler ve çalışma koşulları, pandemi hastanesinde çalışma özellikleri ve sağlık çalışanlarının tükenmişlik düzeyleri. Veriler araştırmacı gözleminde çalışanların öz bildirimi ile doldurulan anket formlarından elde edilmiştir. Tanımlayıcı istatistikler ortalama ve standart sapma ile hesaplanırken; sayım tipi değişkenlerde ise sayı ve yüzdeler verilmiştir. Bağımlı ve bağımsız değişkenler arasındaki ilişkiyi değerlendirmek için; ikili karşılaştırmalarda T testi, üç ya da daha fazla grubun karşılaştırılmasında ise parameterik koşulları sağlama durumuna göre Varyans analizi ya da Kruskal Wallis testi kullanılmıştır. Çoklu analizler için lineer regresyon analizi yapılmıştır. Verilerin girişinde ve analizinde SPSS 23.0 programı kullanılmıştır. P0.05 anlamlılık düzeyi olarak kabul edilmiştir. Bulgular: Araştırmanın kapsayıcılığı %82,5 (n=340) düzeyindedir. Araştırma grubunun %68.8'i kadınlardan oluşmaktadır ve ortalama yaşları 39,2±8,91'dir. İş Doyumu ölçek puanları ortalaması 111,28±2,29 hesaplanmıştır. Çok değişkenli analizlerde, alkol kullanımının fazla olması (p=0,006), yoğun bakımda çalışma (p=0,028), yaptığı işin eğitimine uygun olduğunu düşünmeme (p=0,044), işi ile ilgili kararlarda görüşlerinin alınmaması (p0,001), çalışılan ortamda hijyen kuralları ve enfeksiyon önlemlerine uyulmaması (p0,001), haftalık çalışma süresinin 46 saat ve üzerinde olması (p=0,001), isteği dışında görevlendirilme (p=0,006) ve IV tükenmişlik (p0,001) iş doyumu puanının düşük olması ile ilişkili saptanmıştır. Sonuç: Bu çalışmada sağlık çalışanlarının pandemi döneminde iş doyumu puanlarının düşük olduğu ve en düşük puanın da ücret alt boyutu olduğu saptanmıştır. Tükenmişlik düzeyi yüksek olanların, çalışma saatleri fazla olanların, yoğun bakımda çalışanların, isteği dışında görevlendirilenlerin, eğitimine uygun işlerde çalışmayanların, işi hakkında görüşleri alınmayanların, çalıştığı alanda hijyen kurallarına ve enfeksiyon kontrol önlemlerine uyulmayanların iş doyumları düşüktür. İş doyumu puanı düştükçe alkol kullanım miktarının arttığı görülmüştür. Araştırmada iş doyumunun ağırlıkla çalışma koşulları ile ilişkili olduğu görülmüştür. Sağlık çalışanlarının iyilik hali ve ruh sağlığı için önemli olan iş doyumları çalışma koşullarının düzeltilmesi yolu ile arttırılmalıdır.

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    Authors: Ayta, Semih; Eren, Fettah; Şahin, Şevki; Yaka, Erdem; +3 Authors

    [Abstract Not Available]

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    Authors: Çıtak, Agop; Kendirli, Tanıl; Tekşam, Özlem; Duman, Murat; +3 Authors

    [Abstract Not Available]

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    Authors: Hüseynova, Samire;

    Giriş: COVID-19 salgını tüm dünyayı ve ülkemizi etkisi altına almıştır. Bu salgında en çok etkilenenler arasında gelişimsel özellikleri nedeniyle çocuk ve gençler yer almaktadır. COVID-19 salgını sürecinde önceden psikiyatrik bozukluğu olan gençlerin ise daha fazla etkileneceği öngörülmektedir. Mevcut kriz sürecinin bu grubu iki farklı şekilde etkileyebileceği göz önünde bulundurulmalıdır. Birincisi bu süreçte psikiyatrik bozukluğu olan gençler için en ciddi risk hastalığın kötüleşmesidir. İkincisi de kısıtlamalar nedeniyle bu gençlerin, tedavilerini sürdürme ya da hastalık belirtilerindeki kötüleşme durumunda uygun bir sağlık merkezine ulaşma konusunda zorluk yaşama olasılıklarının yüksek olmasıdır. Bu çalışmada, COVID-19 Pandemisinin, Ege Üniversitesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı Travma ve Krize Müdahale Birimiminin başvuru profili üzerine etkilerini tespit etmeyi amaçladık. Yöntem: Ege Üniversitesi Tıp Fakültesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı Travma ve Krize Müdahale Birimi’ne 01 Ocak 2019- 29 Şubat 2020 tarihleri arasında (Rutin Kriz grubu) ve 01 Mart 2020-29 Ekim 2020 tarihleri arasında başvuran (Pandemi Grubu) tüm olguların dosyaları geriye dönük olarak taranmış ve çalışmaya dahil olma kriterlerini karşılayan rutin kriz grubunda 70 ve pandemi grubunda 35 olgu çalışmaya alınmıştır. Her iki gruptaki olguların dosyaları incelenmesi sonucunda elde edilen veriler (Beck Depresyon Ölçeği, Kısa Semptom Envanteri puanları, psikiyatrik tanıları, kullandıkları ilaçlar, risk ve koruyucu faktörler v.b.) sosyodemografik veri formuna kaydedilmiştir. Bulgular: Araştırmamızdaki olguların yaş ortalaması 14.51±1.98 olup %59'u kızdır. Olguların yaklaşık yarısından fazlasının %53.3 oranla Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) tanısı aldığı, DEHB’yi sırasıyla %50.5 oranla depresif bozukluk ve %32.4 oranla anksiyete bozukluğu tanılarının izlediği saptanmıştır. Rutin kriz grubu ve pandemi grubu arasında sosyodemografik özellikler, psikiyatrik tanılar, risk faktörleri, Beck depresyon ölçek puanları arasında istatistiksel olarak anlamlı bir fark saptanmamıştır (p=0.502). Rutin kriz grubunun Kısa Semptom Envanteri (KSE) alt ölçek puanlarından hostilite puanı, pandemi grubundan istatistiksel olarak anlamlı düzeyde yüksektir (p=0.039). Pandemi grubunun işbirliğine yatkınlık puanının rutin kriz grubundan istatistiksel olarak anlamlı düzeyde yüksek olduğu saptanmıştır (p=0,041). Tedavide tek ilaç kullananların oranı pandemi grubunda (%42,9), rutin kriz grubuna göre (%21,4) anlamlı düzeyde yüksektir (p=0.039). Pandemi grubunda yeme bozukluğu tanısı olanların oranının (%8,6), rutin kriz grubundan anlamlı düzeyde daha yüksek olduğu bulunmuştur (p=0.035). Pandemi grubunun okulda başarılı olma oranı (%62,9), rutin kriz grubunun okulda başarılı olma oranından (%28,6) istatistiksel olarak anlamlı düzeyde daha yüksek olduğu bulunmuştur (p=0.002). Sonuç: Pandemi sürecinin getirdiği belirsizlik, izolasyon, yalnızlık hissi, yaşıt ilişkisi ve sosyal desteğin kaybı, günlük rutinlerin bozulması, özerklik ve özgürlüğün kısıtlanması, ölüm tehdidi, kontrolü kaybetme korkusu çocuk ve gençleri etkilemiştir. Bu etkinin psikiyatrik takiptetki çocuk ve gençlerde daha fazla olacağı öngörülmektedir. Çalışmamızda psikiyatrik takipteki gençlerde pandemi öncesi grup ile pandemi dönemi grubu arasında psikiyatrik tanıları arasında anlamlı bir fark bulunamamıştır. Bu sonuç çalışmamızın pandeminin erken dönemlerini kapsıyor olması ile ilişkili olabileceği gibi hastanemizde karantina döneminde de riskli hastalarla Teletıp ile görüşmelere ve tedavilere devam edilmiş olması ile de ilişkili olabilir. COVID-19 pandemisinin gelecek nesillerin ruh sağlığı üzerindeki etkilerini önümüzdeki zamanlarda daha iyi anlaşılabilecektir ancak, ruhsal olarak daha incinebilir gruptaki, çocuk ve ergenlerle ilgili geliştirilecek ulusal ve uluslararası politikalara, önleme ve eylem planlarına ihtiyacın olduğu da açıktır. Introduction: The COVID-19 epidemic has affected the whole world and our country. Young people are among those most affected in this epidemic due to their developmental characteristics. It is predicted that young people with existing psychiatric disorders will be more likely to be affected during the COVID-19 epidemic. It should be noted that the current crisis process may affect this group in two different ways. First, the most serious risk for young people with psychiatric disorders in this process is worsening of their disorders. Secondly, because of the restrictions, these young people are more likely to have difficulties in accessing an appropriate health center in order to maintain their treatment or if their symptoms worsen. In this study, we aimed to determine the effects of the COVID-19 Pandemic on the admission profile of Ege University Department of Child and Adolescent Psychiatry, Trauma and Crisis Intervention Unit. Method: The files of all the cases admitted to Intervention Unit for Trauma and Crisis in the Department of Child and Adolescent Psychiatry, Ege University between 01 January 2019 - 29 February 2020 (the “Routine Crisis” group) and between 01 March 2020 - 29 October 2020 (the “Pandemic” Group) were retrospectively scanned. 70 cases from the "routine crisis" group and 35 cases from the "pandemic" group, who met the inclusion criteria, were included in the study. The files of the cases in both groups were examined, and the data (the scores of Beck Depression Inventory (BDI), Brief Symptom Inventory (BSI), psychiatric diagnoses, medications they used, risk and protective factors, etc.) were recorded in the sociodemographic data form. Results: The mean age of the cases in our study was 14.51±1.98 years and 59% of them were girls. It was found that more than half of the cases were diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) with 53.3%, followed by depressive disorder with 50.5% and anxiety disorder with 32.4%, respectively. There was no statistically significant difference between the “routine crisis” group and the “pandemic” group in terms of sociodemographic characteristics, risk factors, BDI scores and diagnostic status (p=0.502). The hostility score of the Brief Symptom Inventory (BSI) in the “routine crisis” group was significantly higher than in the “pandemic” group (p=0.039). It was found that the rate of those diagnosed with eating disorders in the “pandemic” group (8.6%) was significantly higher than the in “routine crisis” group (p=0.035). The rate of success at school (62.9%) in the “pandemic group” was found to be significantly higher than that of the “routine crisis” group (28.6%) (p=0.002). Conclusion: The pandemic-related facts, which are isolation, feeling of loneliness, loss of peer relationships and social support, disruption of daily routines, restriction of autonomy and freedom, threat of death, fear of losing control have affected children and youth. It is predicted that this effect would be more severe in children and adolescents under psychiatric follow-up. In our study, no significant difference was found between the pre-pandemic group and the pandemic period group in terms of psychiatric diagnoses in youth under psychiatric follow-up. This result may be related to the fact that our study covered the early stages of the pandemic, as well as the fact that psychiatric interviews and treatments were continued with risky patients via telemedicine technique during the quarantine period in our hospital. The effects of the COVID-19 pandemic on the mental health of new generations will be better understood in the future. However, it is clear that there is a need for national and international policies, prevention and intervention plans for more vulnerable children and adolescents.

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    Authors: Erdoğan, Esin; Bilgili, Mustafa Melih; Kandemir Demirci, Gözde; Kaşıkçı Bilgi, İlknur; +1 Authors

    Objective: This study aimed to evaluate the mental health status of Dental Health Care Workers (DHCWs) in a dental emergency university clinic treating urgent patients during the pandemic. Materials and Methods: A hundred fifteen participants were selected from DHCWs who actively worked during the pandemic in a Dental Emergency Clinic of a university. Depression, anxiety and stress levels of participants were measured with the Depression-Anxiety-Stress Scale and their insomnia levels were assessed with the Insomnia Severity Index. Correlations between independent continuous and dependent variables tested with Spearman test. Mann-Whitney U and KruskalWallis tests were used used to evaluate possible effects of independent variables. The psychological data of the aerosol-generating treatment group were compared to the rest of the participants using Mann-Whitney U tests. In all tests ?=0.05 significance level was set. Results: The rates of DHCWs scored above the cut-off points were 54% for depression, 40% for anxiety, 36% for stress and 40% for insomnia. Feeling negative emotions before the pandemic significantly interacted with all psychometric measurements. Younger age, feeling anxious about changing working conditions and/or obtaining personal protective equipment was correlated positively with stress points (p=0.035, p=0.008, p=0.007, respectively). A significant percentage of DHCWs presented high scores on depression, anxiety, stress and insomnia in this study. Conclusion: The authorities and healthcare executives must show programmed leadership and support for DHCWs during the COVID-19 outbreak. The integration of programs developed to mitigate stress among DHCWs recommended during the COVID-19 pandemic.

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    Authors: Karakaş Erten, Emine Bilge;

    Introduction and Aim: The COVID-19 pandemic is a global emergency with serious implications for public health. Healthcare workers are one of the main groups affected by the pandemic. Healthcare workers working under intense stress have also been one of the most infected groups. In particular, dental practices are assosiated with a high risk of infection. This situation causes dentists to feel their health risk and might increase their stress. The difficulties of the pandemic have been added to the existing problems of dentists working with performance anxiety under the heavy workload in private oral and dental clinics, which became widespread with the healthcare reforms. Dentists are at high risk for mental health problems during this stressful period. Therefore, it is important to monitor and evaluate mental health and to identify stress-related factors. The aim of this study is to determine the perceived stress levels of dentists working in private polyclinics in the central districts of Izmir during the pandemic period and to investigate related factors. Materials and methods: This is a cross-sectional study conduced with 207dentists (coverage 80.2%) workingin private outpatient clinics in the central districts of Izmir. The total target population consisted of 565 dentists working in 185 private polyclinics located in 11 central districts of Izmir and a sample size 258 was selected through stratified cluster sampling. The data were collected between 8 February and 30 April 2021.The Perceived Stress Scale (PSS-14) was used to determine the perceived stress level, which was the dependent variable of the study. The independent variables were grouped under six headings: sociodemographic characteristics, health status and habits, work life, working conditions during the pandemic period and the clinic’s features, variables related to the dentist’s COVID-19 history and the dentist’s intention to quit. The questionaires were filled out by the dentists who agreed to participate in the study by self-report method. Student T, ANOVA, Mann-Whitney U, Kruskal Wallis tests and Spearman Correlation Analysis were used in the analysis of the collected data. Results: 53.6% of the study group was female and the mean age was 35.29±12.40. Although 22.2% of dentists had a specialty or doctorate, the average time spent in the profession was 11.75±12.10 years. The rate of those who received psychological support during the pandemic period was 8.2%. 7.7% of the participants reported that they had COVID-19, 30.4% were in contact with someone with COVID-19(+), 88.9% reported that they had COVID-19 vaccine. It was determined that 70% of the research group didn’t receive any training about COVID-19 in the clinic where they were working. Perceived Stress Scale mean score was 31.57±4.42, and as a result of the analysis, the perceived stress level was higher in women, those who were under the age ofthirty-five, those with less than 15 years of work experience, those who received psychological support during the pandemic period, and those who had an increase in smoking during the pandemic period. Unlike those who last a loved one due to COVID-19, the perceived stress level was higher in those who didn’t. It was observed that as the perceived stress level increased, the number of samples given fort he COVID-19 PCR test increased. Conclusion and Suggestions: In this study, the perceived stress levels of dentists working in private clinics were determined at the end of the first year of the pandemic. During this pandemic period which is stressful for all segments of the society, dentists are at risk for mental health problems. Considering that contagious diseases can have long-term psychological consequences, there is a need to develop policies and strategies to protect mental health and to establish mental health surveillance systems for both health professionals and the general public. Monitoring and evaluation of stress levels are of great importance in terms of interventions. It was determined that the majority of private clinic dentists had not received any training on COVID-19 in their workplaces. Training should be organized on this subject and the participation of dentists should be ensured. More studies are need in this area in order to identify and solve the problems of private clinic dentists. Professional chambers should follow the results of research in this area and act together while developing intervention programs. Giriş ve Amaç: COVID-19 pandemisi, halk sağlığı üzerine ciddi etkileri olan küresel bir acil durumdur. Sağlık çalışanları, pandemiden etkilenen ana gruplardan biridir. Yoğun stres altında çalışan sağlık çalışanları aynı zamanda en fazla enfekte olan gruplardan biri olmuştur. Özellikle diş hekimliği uygulamaları yüksek enfeksiyon riskiyle ilişkilendirilmektedir. Bu durum diş hekimlerinin sağlıklarını risk altında hissetmelerine ve stres artışına neden olmaktadır. Sağlıkta dönüşüm sürecinde yaygınlaşan özel ağız ve diş polikliniklerinde yoğun iş yükü altında, performans kaygısı ile çalışan diş hekimlerinin mevcut sorunlarının üzerine pandeminin zorlukları eklenmiştir. Diş hekimleri bu stresli süreçte ruh sağlığı sorunları açısından yüksek risk altındadır. Bu nedenle ruh sağlığının izlenmesi ve değerlendirilmesi, stresle ilişkili faktörlerin belirlenmesi önemlidir. Bu çalışmanın amacı İzmir ili merkez ilçelerindeki özel polikliniklerde çalışan diş hekimlerinin pandemi döneminde algılanan stres düzeylerini belirlemek ve ilişkili etmenleri araştırmaktır. Gereç ve Yöntem: Bu çalışma İzmir ili merkez ilçelerindeki özel polikliniklerde çalışmakta olan 207 diş hekimiyle (kapsayıcılık %80,2) yürütülmüş kesitsel tipte bir araştırmadır. Araştırmanın evrenini, İzmir’in 11 merkez ilçesinde yer alan 185 özel poliklinikten 565 diş hekimi oluşturmaktadır. Tabakalı küme örneklem seçimi yapılan araştırmanın verileri 8 Şubat- 30 Nisan 2021 tarihleri arasında toplanmıştır. Çalışmanın bağımlı değişkeni olan algılanan stres düzeyinin belirlenmesinde Algılanan Stres Ölçeği (ASÖ-14) kullanılmıştır. Bağımsız değişkenler sosyodemografik özellikler, sağlık durumu ve alışkanlıklar, çalışma yaşamı, pandemi döneminde çalışma koşulları ve kliniklere ait özellikler, diş hekiminin COVID-19 öyküsüne ilişkin değişkenler ve diş hekiminin işten ayrılma niyeti olmak üzere altı başlık altında gruplandırılmıştır. Değişkenleri içeren anket formundaki sorular; çalışmaya katılmayı kabul eden diş hekimleri tarafından öz bildirim yöntemiyle doldurulmuştur. Toplanan verilerin analizinde Student T, ANOVA, Mann-Whitney U, Kruskal Wallis testi, Spearman Korelasyon Analizi kullanılmıştır. Bulgular: Araştırma grubunun %53,6’sı kadın ve yaş ortalaması 35,29±12,40’tır. Diş hekimlerinin %22,2’sinin uzmanlık veya doktorası olmakla birlikte meslekte geçirilen süre ortalamaları 11,75±12,10 yıldır. Pandemi döneminde psikolojik destek alanların oranı %8,2’dir. Katılımcıların %7,7’si COVID-19 geçirdiğini, %30,4’ü COVID-19(+) olan birisiyle temaslı olduğunu, %88,9’u COVID-19 aşısı yaptırdığını bildirmiştir. Araştırma grubunun %70’inin çalışmakta olduğu klinikte COVID-19 ile ilgili bir eğitim almadığı belirlenmiştir. Algılanan Stres Ölçeği puan ortalaması 31,57±4,42 olup yapılan analizler sonucunda otuz beş yaş altında, kadınlarda, meslekte geçirilen süresi 15 yıldan az olanlarda, pandemi döneminde psikolojik destek alanlarda, pandemi döneminde sigara kullanımında artış olanlarda, COVID-19 nedeniyle yakınını kaybedenlerin aksine kaybetmeyenlerde algılanan stres düzeyi daha yüksektir. Algılanan stres düzeyi arttıkça COVID-19 PCR testi için örnek verme sayısının arttığı görülmüştür. Sonuç ve Öneriler: Bu çalışmada özel kliniklerde çalışmakta olan diş hekimlerinin pandeminin birinci yılı sonundaki algılanan stres düzeyleri belirlenmiştir. Toplumun her kesimi için stresli olan pandemi döneminde diş hekimleri ruh sağlığı sorunları açısından risk altındadır. Bulaşıcı hastalıkların uzun vadeli psikolojik sonuçları olabileceği hesaba katılarak hem sağlık çalışanları hem de toplumun geneli için ruh sağlığını koruyucu politikalar, stratejiler geliştirilmesine ve ruh sağlığı sürveyans sistemlerinin kurulmasına ihtiyaç vardır. Stres düzeylerinin izlenmesi ve değerlendirilmesi yapılacak müdahaleler açısından büyük önem taşımaktadır. Özel klinik diş hekimlerinin büyük çoğunluğunun COVID-19 ile ilgili eğitim almadıkları saptanmıştır. Bu konuda eğitimler düzenlenerek diş hekimlerinin katılımları sağlanmalıdır. Özel klinik diş hekimlerinin sorunlarının saptanması ve çözüme ulaştırılabilmesi için bu alanda daha fazla çalışmaya ihtiyaç vardır. Meslek odaları bu alanda yapılan araştırmaların sonuçlarını takip etmeli ve müdahale programları geliştirilirken birlikte hareket edilmelidir.

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    Authors: Demir, Burcu;

    Introduction and aim: Attitudes towards the elderly are important as determinants of the quality of care for the elderly and the probability of students studying in the field of health to enter the field of geriatrics. Policy recommendations and practices that reveal or encourage age-based discriminatory attitudes during the COVID-19 pandemic; This has led to the homogeneous labeling of the elderly as 'vulnerable' and 'vulnerable', and the increasing division between young and old, fueling age-based discriminatory attitudes of the masses. This research was carried out to determine the attitudes of Ege University Faculty of Medicine (EUTF) students towards the elderly during the COVID-19 pandemic, to determine their anxiety levels related to COVID-19 and to evaluate the factors affecting these two conditions. Materials and methods: The population of the cross-sectional study consists of 2490 students enrolled in the EUTF 2020-2021 curriculum year. Participants were determined by quota sampling and random sampling within the framework of the extraordinary conditions created by the COVID-19 pandemic. The dependent variables of the study are 'Attitude towards the Elderly' and 'Anxiety Level associated with COVID-19'. In the study, attitudes towards the elderly were determined by the UCLA Geriatric Attitude Scale (UCLA-GAS); The level of anxiety associated with COVID-19 was evaluated with the 'Coronavirus Anxiety Scale Short Form' (CAS). Independent variables; It consists of the participant's sociodemographic characteristics, medical history, academic status and characteristics of the elderly relatives, as well as their views on the practices for the elderly during the pandemic process. Data were collected online between January and March 2021 with an online questionnaire. Student t, one-way ANOVA, Mann-Whitney U, Kruskal Wallis H, correlation tests in data analysis; Multiple linear regression analysis with one-way multivariate analysis of variance (MANOVA) was used as advanced analysis. SPSS 24.0 program was used and p<0.05 was accepted as significance level. Necessary permissions were obtained from Ege University Medical Faculty Hospital Medical Research Ethics Committee and Ege University Faculty of Medicine Dean's Office. Results: The mean age of 663 people included in the evaluation was 21.11±2.195; 56.6% were women and 54.6% were studying in pre-clinical classrooms, and 86.6% reported that they continued their education remotely. The participants' UCLA-GAS mean score was 46.77±5.141 (median: 47) and moderately positive; The mean CAS score was 7.65±3.431 (median: 6) and the anxiety level associated with COVID-19 was low. With participants aged 20 and younger and pre-clinical period; Participants who think that young people should be prioritized in the allocation of scarce resources during the pandemic process, do not find it appropriate to limit individuals under the age of 20 within the scope of combating the epidemic, and report a negative change in their attitude towards the elderly, have lower average scores of attitude towards the elderly. Women, members of an extended family, those who share a household with someone over the age of 65, those who applied to a health institution for a non-COVID-19 reason and those who received distance education had higher COVID-19-related anxiety levels. No common variable was found to be associated with both dependent variables. As a result of multiple regression analysis, the variables included in the model account for 15.4% of the attitude towards the elderly; It predicts 9.8% of COVID-19 anxiety. No correlation was found between UCLA-GAS and CAS. Conclusions: In this study; It was determined that the attitudes of EUTF students towards the elderly were moderately positive, their anxiety levels related to COVID-19 were low, and there was no relationship between the direction of the attitude and the level of anxiety. Age-based decisions taken in health care and curfew applications during the fight against the virus; It has been found that medical students are associated with negative attitudes towards the elderly. There is a need for multidisciplinary studies at national and international level evaluating this trend among medical students. Educational interventions that strengthen intensified empathy and intergenerational solidarity in the pre-graduate and pre-clinical period can play a role in preventing the internalization of negative messages about aging and aging in the context of the pandemic. Giriş ve amaç: Yaşlıya yönelik tutum, yaşlıların bakım kalitesi ve sağlık alanında öğrenim gören öğrencilerin geriatri alanına girme olasılığının belirleyicileri olarak önemlidir. COVID-19 pandemisi sürecinde yaşa dayalı ayrımcı tutumları ortaya çıkaran veya teşvik eden politika önerileri ve uygulamalar; yaşlıların homojen bir şekilde 'kırılgan' ve 'savunmasız' olarak etiketlendirilmesine ve kitlelerin yaş temelindeki ayrımcı tutumlarını körükleyerek genç ve yaşlı arasındaki bölünmenin artmasına sebep olmuştur. Bu araştırma, Ege Üniversitesi Tıp Fakültesi (EÜTF) öğrencilerinin COVID-19 pandemisi döneminde yaşlılara yönelik tutumları, COVID-19 ile ilişkili anksiyete düzeylerinin belirlenmesi ve bu iki durumu etkileyen faktörlerin değerlendirilmesi amacıyla yürütülmüştür. Gereç ve yöntem: Kesitsel nitelikteki araştırmanın evreni EÜTF 2020-2021 müfredat yılında kayıtlı 2490 öğrenciden oluşmaktadır. COVID-19 pandemisinin yarattığı olağanüstü koşullar çerçevesinde kota örneklem ve gelişigüzel örnekleme yoluyla katılımcılar belirlenmiştir. Araştırmanın bağımlı değişkenleri 'Yaşlıya Yönelik Tutum' ve 'COVID-19 ile ilişkili Anksiyete Düzeyi'dir. Araştırmada, yaşlıya yönelik tutum UCLA Geriatrik Tutum Ölçeğiyle (UCLA-GA); COVID-19 ile ilişkili anksiyete düzeyi 'Koronavirüs Anksiyete Ölçeği Kısa Formu'yla (KAÖ) değerlendirilmiştir. Bağımsız değişkenler; katılımcının sosyodemografik özellikleri, tıbbi geçmişi, akademik durumu ve yaşlı yakınlarına ilişkin özellikleriyle pandemi sürecinde yaşlılara yönelik uygulamalara dair görüşlerinden oluşmaktadır. Veriler online anket formuyla Ocak – Mart 2021 arasında çevrim içi olarak toplanmıştır. Veri analizinde Student t, tek yönlü ANOVA, Mann-Whitney U, Kruskal Wallis H, korelasyon testleri; ileri düzey analiz olarak tek yönlü çok değişkenli varyans analiziyle (MANOVA) çoklu lineer regresyon analizi kullanılmıştır. SPSS 24.0 programı kullanılmış, p<0,05 anlamlılık düzeyi olarak kabul edilmiştir. Ege Üniversitesi Tıp Fakültesi Hastanesi Tıbbi Araştırmalar Etik Kurulu ve Ege Üniversitesi Tıp Fakültesi Dekanlığından gerekli izinler alınmıştır. Bulgular: Değerlendirme kapsamına alınan 663 kişinin ortalama yaşı 21,11±2,195; %56,6'sı kadın ve %54,6'sı pre-klinik dönem sınıflarda öğrenim görmekte olup %86,6'sı eğitimine uzaktan devam ettiğini bildirmiştir. Katılımcıların UCLA-GA puan ortalaması 46,77±5,141(ortanca:47) olup orta düzeyde olumlu; KAÖ skor ortalamaları 7,65±3,431 (ortanca:6) olup COVID-19 ile ilişkili anksiyete düzeyleri düşük izlenmiştir. 20 yaş ve altı ve pre-klinik dönem katılımcılarla; pandemi sürecinde kıt kaynakların tahsisinde gençlerin önceliklendirilmesi gerektiğini düşünen, salgınla mücadele kapsamında 20 yaş altı bireylerin sınırlandırılmasını uygun bulmayan ve yaşlıya yönelik tutumunda olumsuz yönde değişim bildiren katılımcıların yaşlıya yönelik tutum puan ortalamaları daha düşüktür. Kadınların, geniş aileye mensup olanların, 65 yaş üstü biriyle aynı haneyi paylaşanların, COVID-19 dışı bir nedenle sağlık kurumuna başvuran ve uzaktan eğitim gören katılımcıların COVID-19 ile ilişkili anksiyete düzeyi daha yüksektir. Bağımlı değişkenlerin her ikisinin ilişkili olduğu ortak bir değişken saptanmamıştır. Çoklu regresyon analizi sonucunda modele alınan değişkenler yaşlıya yönelik tutumun %15,4'ünü; COVID-19 anksiyetesinin %9.8'ini yordamaktadır. UCLA-GA ve KAÖ arasında korelasyon saptanmamıştır. Sonuç: Bu çalışmada; EÜTF öğrencilerinin yaşlıya yönelik tutumlarının orta düzeyde olumlu ve COVID-19 ile ilişkili anksiyete düzeylerinin düşük olduğu ve tutumun yönüyle anksiyete düzeyi arasında ilişki olmadığı saptanmıştır. Virüsle mücadele sürecinde sağlık bakımı ve sokağa çıkış kısıtlaması uygulamalarında alınan yaş temelli kararların; tıp öğrencilerinde yaşlıya yönelik olumsuz tutumlarla ilişkili olduğu tespit edilmiştir. Tıp öğrencileri arasında bu eğilimi değerlendiren ulusal ve uluslararası düzeyde multidisipliner çalışmalara gereksinim vardır. Lisans öncesi ve pre-klinik dönemde yoğunlaştırılmış empati ve kuşaklar arası dayanışmayı güçlendiren eğitim müdahaleleri pandemi bağlamında yaşlılık ve yaşlanmaya ilişkin olumsuz mesajların içselleştirilmesinin önlenmesinde rol oynayabilir

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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Demir, Burcu;

    Introduction and aim: Attitudes towards the elderly are important as determinants of the quality of care for the elderly and the probability of students studying in the field of health to enter the field of geriatrics. Policy recommendations and practices that reveal or encourage age-based discriminatory attitudes during the COVID-19 pandemic; This has led to the homogeneous labeling of the elderly as 'vulnerable' and 'vulnerable', and the increasing division between young and old, fueling age-based discriminatory attitudes of the masses. This research was carried out to determine the attitudes of Ege University Faculty of Medicine (EUTF) students towards the elderly during the COVID-19 pandemic, to determine their anxiety levels related to COVID-19 and to evaluate the factors affecting these two conditions. Materials and methods: The population of the cross-sectional study consists of 2490 students enrolled in the EUTF 2020-2021 curriculum year. Participants were determined by quota sampling and random sampling within the framework of the extraordinary conditions created by the COVID-19 pandemic. The dependent variables of the study are 'Attitude towards the Elderly' and 'Anxiety Level associated with COVID-19'. In the study, attitudes towards the elderly were determined by the UCLA Geriatric Attitude Scale (UCLA-GAS); The level of anxiety associated with COVID-19 was evaluated with the 'Coronavirus Anxiety Scale Short Form' (CAS). Independent variables; It consists of the participant's sociodemographic characteristics, medical history, academic status and characteristics of the elderly relatives, as well as their views on the practices for the elderly during the pandemic process. Data were collected online between January and March 2021 with an online questionnaire. Student t, one-way ANOVA, Mann-Whitney U, Kruskal Wallis H, correlation tests in data analysis; Multiple linear regression analysis with one-way multivariate analysis of variance (MANOVA) was used as advanced analysis. SPSS 24.0 program was used and p0.05 was accepted as significance level. Necessary permissions were obtained from Ege University Medical Faculty Hospital Medical Research Ethics Committee and Ege University Faculty of Medicine Dean's Office. Results: The mean age of 663 people included in the evaluation was 21.11±2.195; 56.6% were women and 54.6% were studying in pre-clinical classrooms, and 86.6% reported that they continued their education remotely. The participants' UCLA-GAS mean score was 46.77±5.141 (median: 47) and moderately positive; The mean CAS score was 7.65±3.431 (median: 6) and the anxiety level associated with COVID-19 was low. With participants aged 20 and younger and pre-clinical period; Participants who think that young people should be prioritized in the allocation of scarce resources during the pandemic process, do not find it appropriate to limit individuals under the age of 20 within the scope of combating the epidemic, and report a negative change in their attitude towards the elderly, have lower average scores of attitude towards the elderly. Women, members of an extended family, those who share a household with someone over the age of 65, those who applied to a health institution for a non-COVID-19 reason and those who received distance education had higher COVID-19-related anxiety levels. No common variable was found to be associated with both dependent variables. As a result of multiple regression analysis, the variables included in the model account for 15.4% of the attitude towards the elderly; It predicts 9.8% of COVID-19 anxiety. No correlation was found between UCLA-GAS and CAS. Conclusions: In this study; It was determined that the attitudes of EUTF students towards the elderly were moderately positive, their anxiety levels related to COVID-19 were low, and there was no relationship between the direction of the attitude and the level of anxiety. Age-based decisions taken in health care and curfew applications during the fight against the virus; It has been found that medical students are associated with negative attitudes towards the elderly. There is a need for multidisciplinary studies at national and international level evaluating this trend among medical students. Educational interventions that strengthen intensified empathy and intergenerational solidarity in the pre-graduate and pre-clinical period can play a role in preventing the internalization of negative messages about aging and aging in the context of the pandemic. Giriş ve amaç: Yaşlıya yönelik tutum, yaşlıların bakım kalitesi ve sağlık alanında öğrenim gören öğrencilerin geriatri alanına girme olasılığının belirleyicileri olarak önemlidir. COVID-19 pandemisi sürecinde yaşa dayalı ayrımcı tutumları ortaya çıkaran veya teşvik eden politika önerileri ve uygulamalar; yaşlıların homojen bir şekilde 'kırılgan' ve 'savunmasız' olarak etiketlendirilmesine ve kitlelerin yaş temelindeki ayrımcı tutumlarını körükleyerek genç ve yaşlı arasındaki bölünmenin artmasına sebep olmuştur. Bu araştırma, Ege Üniversitesi Tıp Fakültesi (EÜTF) öğrencilerinin COVID-19 pandemisi döneminde yaşlılara yönelik tutumları, COVID-19 ile ilişkili anksiyete düzeylerinin belirlenmesi ve bu iki durumu etkileyen faktörlerin değerlendirilmesi amacıyla yürütülmüştür. Gereç ve yöntem: Kesitsel nitelikteki araştırmanın evreni EÜTF 2020-2021 müfredat yılında kayıtlı 2490 öğrenciden oluşmaktadır. COVID-19 pandemisinin yarattığı olağanüstü koşullar çerçevesinde kota örneklem ve gelişigüzel örnekleme yoluyla katılımcılar belirlenmiştir. Araştırmanın bağımlı değişkenleri 'Yaşlıya Yönelik Tutum' ve 'COVID-19 ile ilişkili Anksiyete Düzeyi'dir. Araştırmada, yaşlıya yönelik tutum UCLA Geriatrik Tutum Ölçeğiyle (UCLA-GA); COVID-19 ile ilişkili anksiyete düzeyi 'Koronavirüs Anksiyete Ölçeği Kısa Formu'yla (KAÖ) değerlendirilmiştir. Bağımsız değişkenler; katılımcının sosyodemografik özellikleri, tıbbi geçmişi, akademik durumu ve yaşlı yakınlarına ilişkin özellikleriyle pandemi sürecinde yaşlılara yönelik uygulamalara dair görüşlerinden oluşmaktadır. Veriler online anket formuyla Ocak – Mart 2021 arasında çevrim içi olarak toplanmıştır. Veri analizinde Student t, tek yönlü ANOVA, Mann-Whitney U, Kruskal Wallis H, korelasyon testleri; ileri düzey analiz olarak tek yönlü çok değişkenli varyans analiziyle (MANOVA) çoklu lineer regresyon analizi kullanılmıştır. SPSS 24.0 programı kullanılmış, p0,05 anlamlılık düzeyi olarak kabul edilmiştir. Ege Üniversitesi Tıp Fakültesi Hastanesi Tıbbi Araştırmalar Etik Kurulu ve Ege Üniversitesi Tıp Fakültesi Dekanlığından gerekli izinler alınmıştır. Bulgular: Değerlendirme kapsamına alınan 663 kişinin ortalama yaşı 21,11±2,195; %56,6'sı kadın ve %54,6'sı pre-klinik dönem sınıflarda öğrenim görmekte olup %86,6'sı eğitimine uzaktan devam ettiğini bildirmiştir. Katılımcıların UCLA-GA puan ortalaması 46,77±5,141(ortanca:47) olup orta düzeyde olumlu; KAÖ skor ortalamaları 7,65±3,431 (ortanca:6) olup COVID-19 ile ilişkili anksiyete düzeyleri düşük izlenmiştir. 20 yaş ve altı ve pre-klinik dönem katılımcılarla; pandemi sürecinde kıt kaynakların tahsisinde gençlerin önceliklendirilmesi gerektiğini düşünen, salgınla mücadele kapsamında 20 yaş altı bireylerin sınırlandırılmasını uygun bulmayan ve yaşlıya yönelik tutumunda olumsuz yönde değişim bildiren katılımcıların yaşlıya yönelik tutum puan ortalamaları daha düşüktür. Kadınların, geniş aileye mensup olanların, 65 yaş üstü biriyle aynı haneyi paylaşanların, COVID-19 dışı bir nedenle sağlık kurumuna başvuran ve uzaktan eğitim gören katılımcıların COVID-19 ile ilişkili anksiyete düzeyi daha yüksektir. Bağımlı değişkenlerin her ikisinin ilişkili olduğu ortak bir değişken saptanmamıştır. Çoklu regresyon analizi sonucunda modele alınan değişkenler yaşlıya yönelik tutumun %15,4'ünü; COVID-19 anksiyetesinin %9.8'ini yordamaktadır. UCLA-GA ve KAÖ arasında korelasyon saptanmamıştır. Sonuç: Bu çalışmada; EÜTF öğrencilerinin yaşlıya yönelik tutumlarının orta düzeyde olumlu ve COVID-19 ile ilişkili anksiyete düzeylerinin düşük olduğu ve tutumun yönüyle anksiyete düzeyi arasında ilişki olmadığı saptanmıştır. Virüsle mücadele sürecinde sağlık bakımı ve sokağa çıkış kısıtlaması uygulamalarında alınan yaş temelli kararların; tıp öğrencilerinde yaşlıya yönelik olumsuz tutumlarla ilişkili olduğu tespit edilmiştir. Tıp öğrencileri arasında bu eğilimi değerlendiren ulusal ve uluslararası düzeyde multidisipliner çalışmalara gereksinim vardır. Lisans öncesi ve pre-klinik dönemde yoğunlaştırılmış empati ve kuşaklar arası dayanışmayı güçlendiren eğitim müdahaleleri pandemi bağlamında yaşlılık ve yaşlanmaya ilişkin olumsuz mesajların içselleştirilmesinin önlenmesinde rol oynayabilir

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    Authors: Ertürk Beyter, Merve;

    Background: Celiac disease is an enteropathy that occurs as a result of the consumption of gluten-containing foods in individuals with a genetic predisposition, and its treatment is a lifelong gluten-free diet. Due to COVID-19, a global pandemic was declared by WHO on March 11, 2020, and as a result, curfews were applied in our country. Objective: The aim of this study is to evaluate the effects of restrictive measures applied during the COVID-19 pandemic on children's adherence to the gluten-free diet. Method: The research was carried out in Ege University Faculty of Medicine, Department of Pediatric Gastroenterology, Hepatology and Nutrition. Fifty patients between the ages of 2 and 18 who were diagnosed with celiac disease and followed a gluten-free diet for at least 2 years were included in the study. Demographic data of the cases, body weight, height, body mass index values and standard deviation scores, tTG-IgA levels before and during the pandemic were recorded from the outpatient follow-up files and the hospital data system. Patients with serologically tTG-IgA levels above 20 U/ml were considered to have dietary compliance problems. A questionnaire was prepared verbally questioning the patients' compliance with the gluten-free diet and the factors that may affect it during the pandemic period. This questionnaire was filled in face to face during the outpatient follow-ups and with telephone interviews. Results: In our study, 31 (62%) of 50 celiac patients were female and 19 (38%) were male. The mean age at diagnosis is 11,93 ± 4,06 years. The three most common complaints at the time of diagnosis were growth retardation (56%), abdominal pain (46%), and diarrhea (36%). When our patients were evaluated anthropometrically before and after the pandemic; A statistically significant increase was found in body weight SDSs (p=0.006). A significant increase was found in height SDSs (p=0.01). There was an increase in BMI SDSs, but it was not statistically significant (p>0.05). While 64% of patients had negative tTG-IgA antibodies before the pandemic, this rate decreased to 56% during the pandemic, but no statistically significant difference was found (p=0.07). When dietary compliance was questioned verbally, 49 patients in our sample reported that they adhered to the diet before and after the pandemic. When the degree of adherence to the diet was questioned, 37 patients stated that they always adhered to the diet before and after the pandemic. When the tTG-IgA levels of these patients were compared before and after the pandemic, it was observed that there was an increase in antibody levels, but no statistically significant difference was found. This showed that the patient's statement was unreliable. When the frequency of eating out was questioned, a statistically significant decrease was observed during the pandemic compared to the pre-pandemic period (p=0.001). There was a decrease in the monthly income of the families during the pandemic, which was statistically significant (p=0.04). Before and during the pandemic, 45 patients stated that they had difficulty in supplying gluten-free food. While the most common reasons for this difficulty before the pandemic were that gluten-free products were expensive and not available in every market, the concern of being infected with COVID-19 and curfew were added to these during the pandemic. Conclusion: During the pandemic, there was an increase in the body weight and height SDS of the patients. This increase does not support the serological response. This suggests that the occurrence of inflammation and intestinal damage requires longer follow-up, and the time between pre-pandemic and pre-pandemic control examinations may be insufficient. Giriş: Çölyak hastalığı, genetik yatkınlığı olan bireylerde glüten içeren yiyeceklerin tüketilmesi sonucu ortaya çıkan bir enteropatidir ve tedavisi ömür boyu sürecek glütensiz diyettir. COVID-19 nedeniyle 11 Mart 2020’de DSÖ tarafından küresel pandemi ilan edilmiştir ve bunun sonucunda ülkemizde sokağa çıkma kısıtlamaları uygulanmıştır. Amaç: Bu çalışmanın amacı COVID-19 pandemisi sırasında uygulanan kısıtlayıcı önlemlerin çocukların glütensiz diyete uyumları üzerine etkilerinin değerlendirilmesidir. Yöntem: Araştırma Ege Üniversitesi Tıp Fakültesi Pediatrik Gastroenteroloji, Hepatoloji ve Beslenme Bilim Dalında yapıldı. Çölyak hastalığı tanısı almış ve en az 2 yıl süreyle glütensiz diyet uygulayan 2-18 yaş aralığındaki 50 hasta çalışmaya dahil edildi. Olguların demografik verileri, pandemi öncesindeki ve pandemi sırasındaki vücut ağırlığı, boy, vücut kitle indeksi değerleri ve standart deviasyon skorları, tTG-IgA düzeyleri poliklinik izlem dosyalarından ve hastane veri sisteminden kaydedildi. Serolojik olarak tTG-IgA düzeyi 20 U/ml’nin üstünde olan hastaların diyete uyum sorunu olduğu kabul edildi. Hastaların glütensiz diyete uyumunu ve pandemi döneminde buna etki edebilecek faktörleri sözel olarak sorgulayan bir anket düzenlendi. Bu anket formu hastaların poliklinik izlemlerinde yüz yüze ve telefon görüşmesiyle dolduruldu. Bulgular: Çalışmamızda 50 çölyaklı olgunun 31’si (%62) kız, 19’i (%38) erkek idi. Ortalama yaşı 11,93 ± 4,06 yıldır. Tanı anındaki en sık üç yakınma büyüme geriliği (%56), karın ağrısı (%46), ishal (%36) idi. Hastalarımız antropometrik olarak pandemi öncesi ve sonrası değerlendirildiğinde; vücut ağırlığı SDS’lerinde istatistiksel olarak anlamlı artış saptandı (p=0,006). Boy SDS’lerinde anlamlı artış bulundu (p=0,01). VKİ SDS’lerinde artış olduğu görüldü fakat istatistiksel olarak anlamlı değildi (p>0,05). Pandemi öncesi %64 hastanın tTG-IgA antikoru negatifken bu oran pandemi sırasında %56’ya düşmüştü, ancak istatistiksel olarak anlamlı fark saptanmadı (p=0,07). Diyete uyum sözel olarak sorgulandığında örneklemimizdeki 49 hasta pandemiden önce ve sonra diyete uyduğunu bildirdi. Diyete uyum derecesi sorgulandığında 37 hasta pandemiden önce ve sonra diyete daima uyduğunu belirtti. Bu hastaların pandemi öncesi ve sonrası tTG-IgA düzeyleri kıyaslandığında antikor düzeylerinde artış olduğu görüldü fakat istatistiksel olarak anlamlı fark saptanmadı. Bu da hastaların beyanının güvenilir olmadığını gösterdi. Dışarıda yemek yeme sıklığı sorgulandığında pandemi sırasında, pandemi öncesine göre istatistiksel olarak anlamlı düzeyde azalma görüldü (p=0,001). Pandemi süresince ailelerin aylık gelirinde düşüş görüldü, istatistiksel olarak anlamlı bulundu (p=0,04). Pandemi öncesi ve pandemi sırasında 45 hasta glütensiz gıdayı tedarik etmekte zorlandığını belirtti. Pandemiden önce bu zorlanmanın en sık nedenleri glütensiz ürünlerin pahalı olması ve her markette bulunmaması iken, pandemi süresince bunlara COVID-19 ile enfekte olma endişesi ve sokağa çıkma yasağı da eklendi. Sonuç: Pandemi süresince hastaların vücut ağırlığı ve boy SDS’lerinde artış olmuştur. Bu artışı serolojik yanıt desteklememektedir. Bu durum inflamasyon ve bağırsaktaki hasarın ortaya çıkmasının daha uzun takip gerektirdiğini hastaların pandemi öncesi ve pandemi sırasındaki kontrol muayeneleri arasındaki sürenin yetersiz olabileceğini düşündürmektedir.

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    Authors: Özdemir, Halil İbrahim; Özbek, Süha Süreyya; Savaş, Recep;

    A new coronavirus outbreak called COVID-19 started in December 2019. In Turkey, the first casewas reported on 10 March 2020. In this Article, information will be given about the patient andstaff management and organization that we have implemented in the Radiology Departmentof our hospital during the COVID-19 pandemic. The rules we followed were: 1- Performing theexaminations of COVID-19 patients and suspects with a CT device isolated from other patients;2- Reducing the unnecessary workload in imaging modalities other than CT, emergency radiography, and emergency ultrasonography; 3- Directing and managing patients and their relativesin accordance with the mask and distancing rules; 4- Disinfecting the device with an appropriatedisinfectant after each patient in order to prevent cross-contamination; 5- Protecting the entiretechnician team from infection by employing one week work, two weeks off shifts of fixed teams;6- Ensuring adequate ventilation of the gantry room. Adhering to the above rules, no infectionspread was reported from the Radiology department and especially the COVID-19 CT unit.

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    Authors: Durgun, Kevser;

    Introduction and aim: Job satisfaction is defined as the feelings and attitudes that a person has about the job; it is frequently researched because it is associated with organizational outcomes and employee well-being. With this study at Bornova Türkan Özilhan State Hospital, where Covid-19 patients are treated in Izmir, it was aimed to measure the job satisfaction levels of healthcare workers and determine the related factors. Materials and methods: The universe of this study in cross-sectional design consisted of 412 healthcare professionals working at Bornova Türkan Özilhan State Hospital. It is aimed to reach the whole universe. The dependent variable of the research is the job satisfaction of healthcare workers. The Job Satisfaction Survey developed by Spector (1985) and adapted into Turkish by Yelboğa (2009) was used. Independent variables were grouped into five groups; demographic and socioeconomic characteristics, health status and habits, occupational characteristics and workin conditions, working characteristics in the pandemic hospital and the burnout levels of healthcare workers. The data were obtained from the questionnaire forms filled with the self-report of the employees under the observation of the researcher. While the descriptive statistics were calculated with mean and standard deviation; numbers and percentages are given in count type variables. To evaluate the relationship between dependent and independent variables; T test was used to compare two groups; Variance analysis or Kruskal Wallis test was used to compare three or more groups, depending on the state of meeting parameteric conditions. Linear regression analysis was performed for multiple analyses. SPSS 23.0 program was used in the entry and analysis of the data. P 0.05 was accepted as the level of significance. Results: The response rate was %82,5 (n = 340). %68,8 of the research group consisted of women and the mean age was 39,2±8,91. The mean Job Satisfaction Scale scores were calculated as 111,28 ± 22,29. In multivariate analyzes, high alcohol consumption (p=0.006), working in intensive care unit (p=0.028), not working in jobs suitable for their education, (p=0.044), not being consulted about the decisions related to job (p0.001), non-compliance with hygiene rules and infection precautions in the working environment (p0.001), weekly working time of 46 hours or more (p=0.001), being assigned involuntarily (p=0.006) and VI burnout (p0.001) were found to be associated with low job satisfaction scores. Conclusions: In this study, it was determined that the job satisfaction scores of healthcare workers were low during the pandemic period and the lowest score belonged the wage subdimension. Job satisfaction is low among those who have a high level of burnout, those who have long working hours, those who work in intensive care, those who are assigned against their will, those who do not work in jobs suitable for their education, those whose opinions are not taken about their job, those who work in areas where hygiene rules and infection control measures are not applied. It was observed that the amount of alcohol use increased as the job satisfaction score decreased. In the study, it was observed that job satisfaction was mostly related to working conditions. Job satisfaction, which is important for the well-being and mental health of health workers, should be increased by improving working conditions. Keywords: job satisfaction; healthcare workers; covid-19 pandemic; public health Giriş ve amaç: İş doyumu kişinin işi ile ilgili sahip olduğu duygu ve tutumlar olarak tanımlanmakta; örgütsel çıktılar ile ve çalışanların iyi olma hali ile ilişkili olduğu için sıklıkla araştırılmaktadır. İzmir ilinde Covid-19 hastalarının tedavisinin yürütüldüğü bir devlet hastanesi olan Bornova Türkan Özilhan Devlet Hastanesi'nde yapılan bu çalışma ile sağlık çalışanlarının iş doyumu düzeylerinin ölçülmesi ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. Gereç ve yöntem: Kesitsel tasarımdaki bu araştırmanın evrenini Bornova Türkan Özilhan Devlet Hastanesi'nde görev yapmakta olan toplam 412 sağlık çalışanı oluşturmuştur. Evrenin tümüne ulaşılması hedeflenmiştir. Araştırmanın bağımlı değişkeni sağlık çalışanlarının iş doyumudur. Spector (1985) tarafından geliştirilen ve Yelboğa (2009) tarafından Türkçe'ye uyarlanan İş Doyumu Ölçeği (Job Satisfaction Survey) kullanılmıştır. Bağımsız değişkenler beş grupta toplanmıştır; demografik ve sosyoekonomik özellikler, sağlık durumu ve alışkanlıklar, mesleki özellikler ve çalışma koşulları, pandemi hastanesinde çalışma özellikleri ve sağlık çalışanlarının tükenmişlik düzeyleri. Veriler araştırmacı gözleminde çalışanların öz bildirimi ile doldurulan anket formlarından elde edilmiştir. Tanımlayıcı istatistikler ortalama ve standart sapma ile hesaplanırken; sayım tipi değişkenlerde ise sayı ve yüzdeler verilmiştir. Bağımlı ve bağımsız değişkenler arasındaki ilişkiyi değerlendirmek için; ikili karşılaştırmalarda T testi, üç ya da daha fazla grubun karşılaştırılmasında ise parameterik koşulları sağlama durumuna göre Varyans analizi ya da Kruskal Wallis testi kullanılmıştır. Çoklu analizler için lineer regresyon analizi yapılmıştır. Verilerin girişinde ve analizinde SPSS 23.0 programı kullanılmıştır. P0.05 anlamlılık düzeyi olarak kabul edilmiştir. Bulgular: Araştırmanın kapsayıcılığı %82,5 (n=340) düzeyindedir. Araştırma grubunun %68.8'i kadınlardan oluşmaktadır ve ortalama yaşları 39,2±8,91'dir. İş Doyumu ölçek puanları ortalaması 111,28±2,29 hesaplanmıştır. Çok değişkenli analizlerde, alkol kullanımının fazla olması (p=0,006), yoğun bakımda çalışma (p=0,028), yaptığı işin eğitimine uygun olduğunu düşünmeme (p=0,044), işi ile ilgili kararlarda görüşlerinin alınmaması (p0,001), çalışılan ortamda hijyen kuralları ve enfeksiyon önlemlerine uyulmaması (p0,001), haftalık çalışma süresinin 46 saat ve üzerinde olması (p=0,001), isteği dışında görevlendirilme (p=0,006) ve IV tükenmişlik (p0,001) iş doyumu puanının düşük olması ile ilişkili saptanmıştır. Sonuç: Bu çalışmada sağlık çalışanlarının pandemi döneminde iş doyumu puanlarının düşük olduğu ve en düşük puanın da ücret alt boyutu olduğu saptanmıştır. Tükenmişlik düzeyi yüksek olanların, çalışma saatleri fazla olanların, yoğun bakımda çalışanların, isteği dışında görevlendirilenlerin, eğitimine uygun işlerde çalışmayanların, işi hakkında görüşleri alınmayanların, çalıştığı alanda hijyen kurallarına ve enfeksiyon kontrol önlemlerine uyulmayanların iş doyumları düşüktür. İş doyumu puanı düştükçe alkol kullanım miktarının arttığı görülmüştür. Araştırmada iş doyumunun ağırlıkla çalışma koşulları ile ilişkili olduğu görülmüştür. Sağlık çalışanlarının iyilik hali ve ruh sağlığı için önemli olan iş doyumları çalışma koşullarının düzeltilmesi yolu ile arttırılmalıdır.

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    Authors: Ayta, Semih; Eren, Fettah; Şahin, Şevki; Yaka, Erdem; +3 Authors

    [Abstract Not Available]

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    Authors: Çıtak, Agop; Kendirli, Tanıl; Tekşam, Özlem; Duman, Murat; +3 Authors

    [Abstract Not Available]

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