\u00a0<\/span><\/i><\/p>\nK9-Kad\u0131n – \u201c\u00c7ok b\u00fcy\u00fck beklentim yok ama en az\u0131ndan komplikasyonlar\u0131n\u0131 d\u00fc\u015f\u00fcrebilecek bir a\u015f\u0131 olmas\u0131n\u0131 umut ediyorum. Hastal\u0131\u011f\u0131 en az\u0131ndan influenza yani grip gibi basit \u015fekilde ge\u00e7irebilece\u011fimiz, \u00f6l\u00fcmlere varamayacak \u015fekilde atlatmam\u0131z\u0131 sa\u011flayaca\u011f\u0131 y\u00f6n\u00fcnde umudumu hala koruyorum.\u201d<\/i><\/p>\nCOVID-19 Hastal\u0131\u011f\u0131n\u0131 Ge\u00e7irme Olas\u0131l\u0131\u011f\u0131 ve \u00d6nlemlerin Etkilili\u011fi Alg\u0131s\u0131<\/h3>\n
Kat\u0131l\u0131mc\u0131lar\u0131n hi\u00e7biri daha \u00f6nceden COVID-19 ge\u00e7irmemi\u015fti; ancak \u00e7o\u011funlu\u011fu temasta bulunmu\u015f, izole olmalar\u0131 gerekmi\u015f ya da birinci derece yak\u0131nlar\u0131ndan biri hastal\u0131\u011f\u0131 ge\u00e7irmi\u015fti. Kat\u0131l\u0131mc\u0131lar\u0131n yar\u0131s\u0131 hastal\u0131\u011f\u0131 ge\u00e7irmenin ka\u00e7\u0131n\u0131lmaz oldu\u011funu d\u00fc\u015f\u00fcn\u00fcrken, kalan yar\u0131s\u0131 al\u0131nan \u00f6nlemler ve a\u015f\u0131 ile ge\u00e7irmeyeceklerine inanmaktayd\u0131.<\/p>\n
K8-Erkek – \u201cHen\u00fcz ge\u00e7irmedim ben ama bu s\u00fcrecin ka\u00e7\u0131n\u0131lmaz bir durum oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. En az 2 -3 y\u0131l kadar bizimle devam edecek bana kal\u0131rsa. T\u00fcm \u00fclke ge\u00e7irmese bile her aileden mutlaka en az bir bireyin ge\u00e7irece\u011fini d\u00fc\u015f\u00fcn\u00fcyorum. Kendi ailemde de ablam ge\u00e7irdi.\u201d<\/i><\/p>\n
K4-Kad\u0131n – \u201cGe\u00e7irmedim. \u0130leride ge\u00e7irmeyece\u011fimi de d\u00fc\u015f\u00fcn\u00fcyorum. \u00c7\u00fcnk\u00fc ger\u00e7ekten maske bula\u015f\u0131 \u00f6nl\u00fcyor bunu fark ettik. Hastaneye gidiyorum her g\u00fcn. Karde\u015fim toplu ta\u015f\u0131mayla her g\u00fcn i\u015fe gidip geliyor. Bunun ger\u00e7ekten maskenin, mesafenin ya da el y\u0131kaman\u0131n koruyucu oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum.\u201d<\/i><\/p>\nCOVID-19 A\u015f\u0131s\u0131 Olma Karar\u0131, Kendini ve Toplumu Koruma \u0130ste\u011fi<\/h3>\n
Kat\u0131l\u0131mc\u0131lar\u0131n tamam\u0131, a\u015f\u0131 olman\u0131n toplumsal bir sorumluluk oldu\u011funu d\u00fc\u015f\u00fcnmekteydi ve yaln\u0131zca bireysel olarak kendilerini korumak i\u00e7in de\u011fil ailelerini ve toplum sa\u011fl\u0131\u011f\u0131n\u0131 da d\u00fc\u015f\u00fcnerek a\u015f\u0131 olduklar\u0131n\u0131 ifade ettiler.<\/p>\n
K5-Kad\u0131n – \u201c\u0130lk g\u00fcn yapt\u0131rd\u0131m hemen geldi\u011fi gibi. Bir kere acilde \u00e7al\u0131\u015faca\u011f\u0131m i\u00e7in \u00e7ok b\u00fcy\u00fck risk alt\u0131nda oldu\u011fumu d\u00fc\u015f\u00fcn\u00fcyordum. Acil staj\u0131na ba\u015flamadan yapt\u0131rmak istedim. Yani di\u011fer a\u015f\u0131 gelseydi de olacakt\u0131m, bu gelse de olacakt\u0131m. COVID-19 ge\u00e7irmekten biraz korktu\u011fum i\u00e7in san\u0131r\u0131m.\u201d)<\/i><\/p>\n
K7-Erkek – \u201cEvet, yapt\u0131rd\u0131m \u00e7\u00fcnk\u00fc etraf\u0131mdaki insanlara hastal\u0131\u011f\u0131 yaymak istemiyorum. \u00d6zellikle annem 65 ya\u015f \u00fcst\u00fc oldu\u011fu i\u00e7in ona bula\u015ft\u0131rmaktan \u00e7ekindi\u011fim i\u00e7in yapt\u0131rd\u0131m\u201d.<\/i><\/p>\n
K4-Kad\u0131n – \u201cYapt\u0131rd\u0131m \u00e7\u00fcnk\u00fc bir sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 olarak insanlara \u00f6rnek olmak istedim.\u201d<\/i><\/p>\nTopluma COVID-19 A\u015f\u0131s\u0131 \u00d6nerme Durumu<\/h3>\n
Kat\u0131l\u0131mc\u0131lar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu yeni geli\u015ftirilen COVID-19 a\u015f\u0131lar\u0131n\u0131 topluma \u00f6nerirken, az say\u0131da \u00f6\u011frencinin topluma bu a\u015f\u0131lar\u0131 \u00f6nerme konusunda \u00e7ekinceleri mevcuttu.<\/p>\n
K3-Erkek – \u201c\u00c7evreme ve hastalar\u0131ma a\u015f\u0131 olmalar\u0131n\u0131 kesinlikle \u00f6neririm. Her \u015feyin normalle\u015fmesi ad\u0131na toplumun bir an \u00f6nce a\u015f\u0131lanmas\u0131 gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcyorum. Sevdiklerimizi kaybetmemek ad\u0131na zaman\u0131m\u0131z\u0131 kaybetmemek ad\u0131na herkesin a\u015f\u0131 olmas\u0131 gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcyorum.\u201d\u00a0<\/span><\/i><\/p>\nK1-Erkek – <\/i><\/span>\u201cBen<\/i> yapt\u0131rd\u0131m sen de istersen yapt\u0131r derim. Ancak herhangi bir komplikasyon olu\u015fma ihtimaline kar\u015f\u0131l\u0131k sorumlu olmamak i\u00e7in y\u00fczde y\u00fcz destekleyemem.\u201d<\/i><\/p>\n\u0130RDELEME<\/h2>\n
Niteliksel ara\u015ft\u0131rma y\u00f6ntemi ile ger\u00e7ekle\u015ftirilen bu \u00e7al\u0131\u015fmada, kat\u0131l\u0131mc\u0131lar\u0131n \u00e7o\u011fu a\u015f\u0131lar\u0131 yayg\u0131n olan bir bak\u0131\u015f a\u00e7\u0131s\u0131yla; canl\u0131, inaktif ve toksoid olarak \u00fc\u00e7 gruba ay\u0131rd\u0131 ve canl\u0131 a\u015f\u0131lar\u0131n yan etkilerinin daha fazla oldu\u011fundan ve herkese yap\u0131lamayaca\u011f\u0131ndan s\u00f6z etti. Baz\u0131 kat\u0131l\u0131mc\u0131lar mRNA a\u015f\u0131lar\u0131ndan ve protein alt \u00fcnitesi olan a\u015f\u0131lardan da bahsetti. Viral vekt\u00f6r a\u015f\u0131lar\u0131ndan bahseden kat\u0131l\u0131mc\u0131 ise olmad\u0131. Klasik a\u015f\u0131lara ek olarak, g\u00fcncel inaktive \/\u00f6l\u00fc a\u015f\u0131lar antijen alt \u00fcnitesi, protein ve peptid yap\u0131l\u0131 a\u015f\u0131lar\u0131 i\u00e7erirken, canl\u0131\/aten\u00fce a\u015f\u0131lar aras\u0131nda ise viral vekt\u00f6r a\u015f\u0131lar\u0131 ve n\u00fckleik asit yap\u0131l\u0131 a\u015f\u0131lar (DNA, RNA) yer almaktad\u0131r (13). Kat\u0131l\u0131mc\u0131lar\u0131n kendilerinin de belirtti\u011fi gibi \u00f6zellikle bu yeni teknolojilerle \u00fcretilen a\u015f\u0131larla ilgili olarak yeterince bilgi sahibi olmad\u0131klar\u0131n\u0131 s\u00f6yleyebiliriz. Bu bilgi eksikli\u011finin, ara\u015ft\u0131rman\u0131n yap\u0131ld\u0131\u011f\u0131 tarihte hen\u00fcz COVID-19 a\u015f\u0131lar\u0131n\u0131n faz \u00e7al\u0131\u015fmalar\u0131n\u0131n tamamlanmam\u0131\u015f olmas\u0131ndan kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclebilir. Ayr\u0131ca o d\u00f6nemde derslerin y\u00fcz y\u00fcze de\u011fil de \u00e7evrimi\u00e7i olmas\u0131 nedeniyle ders veriminin d\u00fc\u015fm\u00fc\u015f olmas\u0131 da kat\u0131l\u0131mc\u0131lar\u0131n yeterli bilgi d\u00fczeyinde hissetmemesine yol a\u00e7m\u0131\u015f olabilir. Kat\u0131l\u0131mc\u0131lar\u0131n \u00e7o\u011funun pandemi s\u00fcrecinde bilgi edinme kayna\u011f\u0131 olarak sosyal medyadan bahsetmi\u015f olmas\u0131n\u0131n da t\u0131p fak\u00fcltesinde konuyla ilgili al\u0131nan e\u011fitimin yetersizli\u011fini g\u00f6sterdi\u011fini d\u00fc\u015f\u00fcnmekteyiz.<\/p>\n
\u00c7al\u0131\u015fmam\u0131zda en \u00e7ok dile getirilen konu a\u015f\u0131 g\u00fcvenirli\u011fi ve etkinli\u011fi ile ilgili kayg\u0131lar oldu. Kat\u0131l\u0131mc\u0131lar\u0131n t\u00fcm\u00fc inaktif COVID-19 a\u015f\u0131lar\u0131n\u0131n mRNA a\u015f\u0131lar\u0131 ile k\u0131yasland\u0131\u011f\u0131nda etkinli\u011finin daha az, fakat g\u00fcvenirli\u011finin daha y\u00fcksek oldu\u011funu belirtti. Kat\u0131l\u0131mc\u0131lar\u0131n tamam\u0131nda, mRNA a\u015f\u0131lar\u0131n\u0131n uzun vadeli yan etkilerine dair \u00e7ekinceler mevcuttu; a\u015f\u0131lar\u0131n 18 ya\u015f alt\u0131na yap\u0131lmad\u0131\u011f\u0131ndan s\u00f6z eden kat\u0131l\u0131mc\u0131lar oldu. Ara\u015ft\u0131rman\u0131n yap\u0131ld\u0131\u011f\u0131 d\u00f6nemde mRNA a\u015f\u0131lar\u0131n\u0131n \u00e7ocuklardaki g\u00fcvenirli\u011fi hakk\u0131nda yay\u0131mlanm\u0131\u015f bir \u00e7al\u0131\u015fma yoktu; a\u015f\u0131lar\u0131n etkinlik ve yan etkileri, doz aral\u0131klar\u0131 ve hat\u0131rlatma dozlar\u0131 hen\u00fcz tan\u0131mlanmam\u0131\u015ft\u0131 (14). Bir sistematik derlemede, ara\u015ft\u0131r\u0131lan farkl\u0131 a\u015f\u0131 t\u00fcrlerinin etkinli\u011fi %70.4-%95 aras\u0131nda rapor edilmi\u015ftir. S\u00f6z konusu \u00e7al\u0131\u015fmada, a\u015f\u0131 uygulamas\u0131n\u0131 takip eden 28 g\u00fcn i\u00e7inde ortaya \u00e7\u0131kan yan etki s\u0131kl\u0131\u011f\u0131 %30\u2019un alt\u0131nda olarak bildirilmi\u015ftir; yan etkilerin \u00e7o\u011fu hafiften ortaya do\u011fru de\u011fi\u015fmekte ve 24 saat i\u00e7inde kaybolmaktad\u0131r; en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilen yan etkiler ise lokal a\u011fr\u0131, hassasiyet, yorgunluk, ate\u015f ve bedensel a\u011fr\u0131lard\u0131r (15). Baz\u0131 \u00e7al\u0131\u015fmalarda, COVID-19 a\u015f\u0131lar\u0131n\u0131n gebelerde ve \u00e7ocuklarda g\u00fcvenli bulundu\u011fu bildirilmi\u015ftir (16-19). Bir di\u011fer \u00e7al\u0131\u015fmada, inaktif COVID-19 a\u015f\u0131lar\u0131, viral vekt\u00f6r a\u015f\u0131s\u0131, protein alt \u00fcnitesinden olu\u015fan a\u015f\u0131 ve RNA tabanl\u0131 a\u015f\u0131 i\u00e7in etkinlikler s\u0131ras\u0131yla %73, %79.5, %89 ve %94 olarak rapor edilmi\u015ftir (20). G\u00fcn\u00fcm\u00fczde hala COVID-19 a\u015f\u0131lar\u0131n\u0131n uzun d\u00f6nem yan etkileriyle ilgili \u00e7al\u0131\u015fmalara ihtiya\u00e7 vard\u0131r (15).<\/p>\n
Baz\u0131 kat\u0131l\u0131mc\u0131lar\u0131n kullan\u0131mda olan inaktif a\u015f\u0131dan, \u201cBize \u00c7in\u2019den getirilen a\u015f\u0131lar\u2026<\/i>\u201d, \u201c\u00c7in a\u015f\u0131s\u0131<\/i>\u2019\u2019 ve\u201c\u00c7in men\u015feili a\u015f\u0131<\/i>\u201d \u015feklinde s\u00f6z etmeleri dikkat \u00e7ekiciydi. Bu durum kat\u0131l\u0131mc\u0131lar\u0131n, COVID-19 a\u015f\u0131lar\u0131 ile ilgili soruyu profesyonel bir sa\u011fl\u0131k\u00e7\u0131 olarak de\u011fil, daha \u00e7ok halktan biri gibi yan\u0131tlam\u0131\u015f olduklar\u0131n\u0131 ve a\u015f\u0131 kayna\u011f\u0131na y\u00f6nelik damgalay\u0131c\u0131 (\u201cstigma\u201d i\u00e7eren) bir ifade kulland\u0131klar\u0131n\u0131 g\u00f6steriyor olabilir.<\/p>\n
Az say\u0131da kat\u0131l\u0131mc\u0131 mutasyonlarla olu\u015fan yeni varyantlardan ve mevcut a\u015f\u0131lar\u0131n etkisinin zamanla azalabilece\u011finden bahsetti. Ya\u015fanan s\u00fcre\u00e7te\u00a0 <\/span>bu durum pek \u00e7ok ara\u015ft\u0131rmayla da do\u011frulanm\u0131\u015f olup yeni varyantlara kar\u015f\u0131 a\u015f\u0131 geli\u015ftirme \u00e7al\u0131\u015fmalar\u0131 halen devam etmektedir (21). A\u015f\u0131lar\u0131n koruyuculuk s\u00fcrelerine ba\u011fl\u0131 olarak hat\u0131rlatma dozlar\u0131 aral\u0131\u011f\u0131 da yeni bilgiler \u0131\u015f\u0131\u011f\u0131nda s\u00fcrekli g\u00fcncellenmektedir.<\/p>\nAra\u015ft\u0131rman\u0131n yap\u0131ld\u0131\u011f\u0131 d\u00f6nemde kullan\u0131mda olan a\u015f\u0131 hakk\u0131nda yetersiz bilgiye sahip olmalar\u0131na ve a\u015f\u0131 ile ilgili \u00e7ekincelerini dile getirmelerine ra\u011fmen kat\u0131l\u0131mc\u0131lar\u0131n tamam\u0131, sadece kendilerini a\u011f\u0131r hastal\u0131ktan korumak i\u00e7in de\u011fil, toplumdaki di\u011fer bireylere hastal\u0131\u011f\u0131 bula\u015ft\u0131rmamak veya onlar\u0131 a\u011f\u0131r hastal\u0131ktan korumak i\u00e7in de a\u015f\u0131 olduklar\u0131ndan s\u00f6z ettiler ve a\u015f\u0131 olma sorumlulu\u011funun \u00f6nemini vurgulad\u0131lar. Ayr\u0131ca, kat\u0131l\u0131mc\u0131lar\u0131n \u00e7o\u011fu, a\u015f\u0131 olmay\u0131 topluma da \u00f6nerdiklerini ifade etti. Literat\u00fcrde \u00e7e\u015fitli \u00e7al\u0131\u015fmalarda a\u015f\u0131 bilgisi ile a\u015f\u0131 yapt\u0131rma davran\u0131\u015f\u0131 aras\u0131nda olumlu bir ili\u015fki saptanm\u0131\u015ft\u0131r. S\u00f6z konusu \u00e7al\u0131\u015fmalarda, yetersiz a\u015f\u0131 bilgisine sahip olan bireylerin a\u015f\u0131 yapt\u0131rmaya daha az istekli oldu\u011fu bildirilmi\u015ftir (3,4). Pandemi s\u00fcrecinin ilk d\u00f6nemindeki a\u011f\u0131r hastal\u0131k alg\u0131s\u0131n\u0131n ve hastal\u0131kla ilgili kayg\u0131lar\u0131n, a\u015f\u0131 ile ilgili bilinmezli\u011fin ve a\u015f\u0131lara ba\u011fl\u0131 yan etki ihtimali d\u00fc\u015f\u00fcncesinin \u00f6n\u00fcne ge\u00e7mi\u015f olabilece\u011fini d\u00fc\u015f\u00fcn\u00fcyoruz.<\/p>\n
Nisan 2021\u2019de mRNA a\u015f\u0131s\u0131 da T\u00fcrkiye\u2019de uygulanmaya ba\u015flam\u0131\u015ft\u0131r ve Temmuz 2021\u2019in sonunda eri\u015fkin n\u00fcfusun %45\u2019i olan 26 milyon ki\u015fi, herhangi bir a\u015f\u0131 t\u00fcr\u00fcnden iki doz a\u015f\u0131 olmu\u015ftur (22). \u00dclkemizde Temmuz 2021\u2019de yap\u0131lan bir \u00e7al\u0131\u015fmada, toplum genelinde a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131 %9.7 ve COVID-19 a\u015f\u0131 reddi %7.1 olarak bulunmu\u015ftur. S\u00f6z konusu \u00e7al\u0131\u015fma; a\u015f\u0131n\u0131n yan etkisinin fazla oldu\u011fu g\u00f6r\u00fc\u015f\u00fcn\u00fcn, a\u015f\u0131n\u0131n etkinli\u011fine inanmaman\u0131n, pandemiden kurtulman\u0131n en etkili yolunun a\u015f\u0131lama olmad\u0131\u011f\u0131 inanc\u0131n\u0131n yayg\u0131nl\u0131\u011f\u0131n\u0131n ve a\u015f\u0131 ile ilgili bilgileri edinmek i\u00e7in yararlan\u0131lan kaynaklar\u0131n a\u015f\u0131 reddi \u00fczerinde etkili fakt\u00f6rler oldu\u011funu ortaya \u00e7\u0131karm\u0131\u015ft\u0131r (23).\u00a0<\/span><\/p>\nToplumda a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131n\u0131 \u00f6nlemede sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n ve \u00f6zellikle de doktorlar\u0131n, kilit bir role sahip oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz. Mart 2022\u2019de d\u00fcnya genelinde \u00e7e\u015fitli \u00e7al\u0131\u015fmalar\u0131n sunuldu\u011fu bir derlemede, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda a\u015f\u0131 bilgisi eksikli\u011finin ve bununla ili\u015fkili a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131n\u0131n \u00f6nemli oranda yayg\u0131n oldu\u011fu ve bu durumun da toplumda a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131na yol a\u00e7t\u0131\u011f\u0131 bildirilmi\u015ftir (24). Bilgi eksikli\u011finin en yo\u011fun \u015fekilde ya\u015fand\u0131\u011f\u0131 bir d\u00f6nemde, COVID-19 a\u015f\u0131 bilgisinin sorgulanmas\u0131 ara\u015ft\u0131rmam\u0131z\u0131n en \u00f6nemli k\u0131s\u0131tl\u0131l\u0131\u011f\u0131d\u0131r. \u00c7al\u0131\u015fmaya kat\u0131lanlar\u0131n tamam\u0131n\u0131n a\u015f\u0131 yapt\u0131rm\u0131\u015f olmas\u0131 a\u015f\u0131ya ili\u015fkin tutumun olumlu oldu\u011funu g\u00f6stermez; hastal\u0131k kayg\u0131s\u0131, a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131n\u0131n \u00f6n\u00fcne ge\u00e7mi\u015f olabilir.<\/p>\n
\u00c7al\u0131\u015fmam\u0131zda, alt\u0131nc\u0131 s\u0131n\u0131f t\u0131p fak\u00fcltesi \u00f6\u011frencilerinin a\u015f\u0131 konusunda kendilerini ne kadar bilgili hissettiklerini ve topluma ba\u011f\u0131\u015f\u0131klama dan\u0131\u015fmanl\u0131\u011f\u0131 yapma konusunda kendi yetkinliklerini nas\u0131l de\u011ferlendirdiklerini ara\u015ft\u0131rd\u0131k. Bilgi eksikli\u011fine ra\u011fmen a\u015f\u0131 yapt\u0131rm\u0131\u015f olmalar\u0131n\u0131n ve \u00e7o\u011funun bu a\u015f\u0131y\u0131 topluma da \u00f6nermelerinin \u00e7ok de\u011ferli bir bulgu oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyoruz.<\/p>\n
\u00dclkemizde y\u00fcr\u00fct\u00fclen Mezuniyet \u00d6ncesi T\u0131p E\u011fitimi Ulusal \u00c7ekirdek E\u011fitim Program\u0131\u2019n\u0131n temel hekimlik uygulamalar\u0131 kapsam\u0131nda, ba\u011f\u0131\u015f\u0131klama dan\u0131\u015fmanl\u0131\u011f\u0131 verebilme ve ba\u011f\u0131\u015f\u0131klama hizmetlerini y\u00fcr\u00fctebilme yetkinli\u011fi geli\u015ftirilmesi de ama\u00e7lanmaktad\u0131r. Bu konuyla ilgili olarak Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi alt\u0131nc\u0131 s\u0131n\u0131f \u00f6\u011frencileri aras\u0131nda yap\u0131lan bir \u00e7al\u0131\u015fmada, kat\u0131l\u0131mc\u0131lar\u0131n %29.9\u2019u ba\u011f\u0131\u015f\u0131klama hizmetlerini y\u00fcr\u00fctebilme ile ilgili uygulamalar\u0131 izlemedi\u011fini, %50.6\u2019s\u0131 bu hizmetler ile ilgili deneyimi olmad\u0131\u011f\u0131n\u0131, %29.2\u2019si bu hizmetleri yapamayaca\u011f\u0131na inand\u0131\u011f\u0131n\u0131 belirtmi\u015ftir (25). \u00a0<\/span><\/p>\nSonu\u00e7 olarak; literat\u00fcrle uyumlu olarak bizim ara\u015ft\u0131rmam\u0131zda da kat\u0131l\u0131mc\u0131lar\u0131n konu ile ilgili saptanan eksiklikleri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, t\u0131p e\u011fitiminde bu kazan\u0131mlar\u0131n iyile\u015ftirilmesi i\u00e7in g\u00fcncel a\u015f\u0131 bilgisini i\u00e7eren y\u00fcz y\u00fcze derslerin \u00e7ekirdek e\u011fitim m\u00fcfredat\u0131 i\u00e7erisinde daha fazla yer almas\u0131n\u0131n ve belirli aral\u0131klarla ba\u011f\u0131\u015f\u0131klama konusunda seminerlerin verilmesinin yararl\u0131 olaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz. Ayr\u0131ca, pandemi sonras\u0131nda genel a\u015f\u0131 t\u00fcrlerine ve COVID-19 a\u015f\u0131lar\u0131na ili\u015fkin benzer ve yine niteliksel tipte olan ara\u015ft\u0131rmalar\u0131n tekrarlanmas\u0131 ve sonu\u00e7lar\u0131n\u0131n pandemi s\u00fcrecindeki verilerle kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 yararl\u0131 olacakt\u0131r.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"G\u0130R\u0130\u015e A\u015f\u0131lama, bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n yay\u0131lmas\u0131n\u0131 \u00f6nlemede en \u00f6nemli \u00f6nleyici tedbirlerden biridir. Yirminci y\u00fczy\u0131l, halk sa\u011fl\u0131\u011f\u0131nda, \u00f6zellikle bula\u015f\u0131c\u0131 hastal\u0131klar\u0131n \u00f6nlenmesi ve tedavisi a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck ilerlemelerin kaydedildi\u011fi bir d\u00f6nemdir; a\u015f\u0131lar\u0131n kullan\u0131m\u0131 bu etki i\u00e7in son derece \u00f6nemli olmu\u015ftur (1). Bununla birlikte, toplumlarda var olan a\u015f\u0131 karars\u0131zl\u0131\u011f\u0131 nedeniyle, salg\u0131n durumlar\u0131nda a\u015f\u0131lar\u0131n mevcudiyeti toplumsal ba\u011f\u0131\u015f\u0131klaman\u0131n sa\u011flanmas\u0131 i\u00e7in yeterli olmayabilir. […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[5695,5696,5174,5697,5010],"class_list":["post-26886","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-asi-bilgisi","tag-asi-guvenirligi","tag-covid-19","tag-niteliksel-calisma","tag-tip-ogrencileri"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/26886","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=26886"}],"version-history":[{"count":4,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/26886\/revisions"}],"predecessor-version":[{"id":26992,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/26886\/revisions\/26992"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=26886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=26886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=26886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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