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Öğe Mediating Effect of Creativity on How Burnout Affects Social Media Use: An Examination on Physicians(Sage Publications Inc, 2023) Sahin, DilekBurnout is a state of emotional, physical, and mental exhaustion due to exposure to excessive and prolonged stress. It isn't a medical condition. However, it negatively affects the creativity of employees. The individual with increasing burnout withdraws into his/her world by reducing his/her social ties with his/her environment. Those who are self-isolating might try to connect with the outside world by using social media more. This study primarily aims to examine the mediating effect of creativity on how burnout affects social media use among physicians through a correlational survey study design. Personal information form, Maslach Burnout Inventory, Kaufman Domains of Creativity Scale, and Social Media Disorder Scale were utilized as measures. A total of 529 physicians participated in the study. According to the results, there is a correlation between burnout and self/everyday creativity, as well as self/creativity and social media use. Moreover, there is a correlation between burnout and social media use. It was concluded in the study that creativity among physicians had a mediating effect on social media user. This study is meaningful in terms of seeing the effect of burnout on self/everyday creativity and social media usage. Directing physicians to programs that reduce/prevent burnout might positively affect their self/everyday creativity and social media usage. Burnout is a state of emotional, physical, and mental exhaustion due to exposure to excessive and prolonged stress. It isn't medical diagnosis. However, it negatively affects the employees. Burnout and creativity are polar opposites. The individual with increasing burnout withdraws into his own world by reducing his social ties with his environment. Those who are self-isolating try to connect with the outside world by using social media more. This study primarily aimed to examine the mediating effect of creativity on how burnout affects social media use among physicians. This study was conducted by the relational survey design. Personal information form, Maslach Burnout Inventory, Kaufman Domains of Creativity Scale, and Social Media Disorder Scale were utilized as measures. A total of 529 physicians participated in the study. The analyses concluded negative correlations between burnout and self/everyday creativity and self/creativity and social media use and a positive correlation between burnout and social media use. It was concluded in the study that burnout among physicians had a mediating effect on social media user. This study is meaningful in terms of seeing the effect of burnout on self/everyday creativity and social media user. Directing physicians to programs that reduce/prevent burnout might be positively affect their self/everyday creativity and social media user.Öğe Predictors of e-Nabız acceptance among physicians: an integration of UTAUT, trust, and privacy factors(Emerald Group Publishing Ltd, 2024) Sahin, Dilek; Kurutkan, Mehmet Nurullah; Arslan, TubaPurposeToday, e-government (electronic government) applications have extended to the frontiers of health-care delivery. E-Nabiz contains personal health records of health services received, whether public or private. The use of the application by patients and physicians has provided efficiency and cost advantages. The success of e-Nabiz depends on the level of technology acceptance of health-care service providers and recipients. While there is a large research literature on the technology acceptance of service recipients in health-care services, there is a limited number of studies on physicians providing services. This study aims to determine the level of influence of trust and privacy variables in addition to performance expectancy, effort expectancy, social influence and facilitating factors in the unified theory of acceptance and use of technology (UTAUT) model on the intention and behavior of using e-Nabiz application. Design/methodology/approachThe population of the study consisted of general practitioners and specialist physicians actively working in any health facility in Turkey. Data were collected cross-sectionally from 236 physicians on a voluntary basis through a questionnaire. The response rate of data collection was calculated as 47.20%. Data were collected cross-sectionally from 236 physicians through a questionnaire. Descriptive statistics, correlation analysis and structural equation modeling were used to analyze the data. FindingsThe study found that performance expectancy, effort expectancy, trust and perceived privacy had a significant effect on physicians' behavioral intentions to adopt the e-Nabiz system. In addition, facilitating conditions and behavioral intention were determinants of usage behavior (p < 0.05). However, no significant relationship was found between social influence and behavioral intention (p > 0.05). Originality/valueThis study confirms that the UTAUT model provides an appropriate framework for predicting factors influencing physicians' behaviors and intention to use e-Nabiz. In addition, the empirical findings show that trust and perceived privacy, which are additionally considered in the model, are also influential.Öğe The Results of Liver Transplantation Performed In a Single Center Due To Hepatocellular Carcinoma(Duzce Univ, Fac Medicine, 2023) Aslan, Serdar; Yazar, Serafettin; Kargi, Ahmet; Kurnaz, Eray; Sahin, Dilek; Peker, Kemal; Astarcioglu, IbrahimObjective: Hepatocellular cancer (HCC) is the most common malignancy of the hepatobiliary system. There are significant differences in the global spread of HCC. It is the major cause of death in patients with cirrhosis. Its molecular pathogenesis is highly complex and heterogeneous. Major risk factors for the development of HCC are chronic hepatitis B virus (HBV) infection, chronic hepatitis C virus (HCV) infection and alcohol related liver cirrhosis. Hepatocellular cancer is rarely seen in the first 4 decades of life, except in communities where HBV infection is hyperendemic.Methods: The study was conducted by retrospectively scanning the files of 204 patients diagnosed with HCC who applied to Organ Transplantation Center between 21.09.2014 and 13.04.2019. Patients were transplanted liver by being classified according to Milan criteria, San Francisco [University of California San Francisco (UCSF)] criteria, and Barcelona Clinic Liver Cancer (BCLC) criteria.Results: The median age of the patients was 58.03 (range 31 to 72). 170 of the patients were men and 34 of them were female. Liver transplantation (LT) was performed from cadaveric donors to 31 patients and from living donors to 173 patients. There is a significant relationship between the life span of the patients and their gender. Female patients have a longer life expectancy [t (202) = 2.963, p =0.003]. A significant relationship was found between life expectancy and surgical classification [F (3) = 3.008, (p =0.031)].Conclusions: In patients diagnosed with HCC and undergoing LT; the gender being female and the classification method before transplantation affect life expectancy.Öğe Treatment cost of chest diseases during the COVID-19 pandemic: Case analysis at the Duzce University Hospital(Turkish Assoc Tuberculosis & Thorax, 2022) Bozdemir, Enver; Balbay, Ege Güleç; Sahin, Dilek; Balbay, Öner Abidin; Annakkaya, Ali Nihat; Kaplan, ZekeriyaIntroduction: The aim of the study was to determine the cost of Coronavirus disease-19 (COVID-19) patients who were treated as outpatients and inpatients at Duzce University Health Application and Research Center (DUHARH) Chest Diseases Clinic before and after the pandemic from the perspective of the Social Security Institution (SSI). Materials and Methods: The study included 26.438 patients who applied to the Chest Diseases clinic in DUHARH before the COVID-19 pandemic (March 10 2019-March 10 2020) and after (March 11 2020-March 11 2021) and 2.971 patients who were hospitalized in the service. A sample was not selected in the research, and the entire universe was included in the study. The data obtained retrospectively were analyzed from bottom to top and through document analysis management. Frequency and percentage calculations, Spearman Correlation analysis, and Mann-Whitney U tests were used to evaluate the data. Results: Before the COVID-19 pandemic, the average unit cost in the policlinic was 46.14 TL/patient ($8.14/patient), and the average unit cost was 64.69 TL/ patient ($9.23/patient) after the COVID-19 pandemic. The average cost of the pre-COVID-19 pandemic service was calculated as 1.139,64 TL/patient ($200/patient). After the COVID-19 pandemic, the average unit cost in the service was 2.136,27 TL/patient ($.304.75/patient). A statistically significant difference in terms of costs was found between the two periods. It was determined that the costs of COVID-19 patients changed in terms of length of stay, age, and sex (p< 0.05). Conclusion: Even though the number of patients in the Chest Diseases clinic has decreased during the pandemic process, the costs have increased due to the high cost of COVID-19 patients and the patients needing advanced examination and treatment in this period. For this reason, patients need to apply to the relevant unit early.
