ABSTRACT
Leadership is an important parameter in the healthcare field. The need for a leader with digital skills in the context of social transformation and digitalization has become more important, especially during the Covid-19 pandemic. This study discusses the leadership of the Minister of Health of the Republic of Turkey, Fahrettin Koca, in the context of digital environments during the pandemic. The reason for choosing Minister Koca as the leader is that he undertook the responsibilities of informing, persuading, and guiding citizens about the Covid-19 Pandemic. Koca has impressed the citizens of the Republic of Turkey with the shares he made from digital media at regular intervals with his rhetoric, knowledge, and vision. The aim of the study is to reveal how transformational leadership in the field of health is applied in digital environments after the Covid-19 in Turkey. Press meetings held by Minister Koca were evaluated based on transformational leadership categories to raise public awareness in the digital environment. In this qualitative research, the data were obtained from the official Youtube account of Minister of Health Koca. The data were evaluated by content analysis method using the MAXQDA program. The phenomenon of digital leadership after Covid-19 was discussed through digital transformation and leadership theories. As a result of the study, it was seen that Health Minister Koca have transformational leadership capability at both individual and organizational level.
ABSTRACT
Background and Aim: We aimed to evaluate cardiac manifestations of the multisystem inflammatory syndrome in children(MIS-C) and the changes in cardiac function during one year of follow-up. Method(s): All children diagnosed as MIS-C with cardiac involve-ment were enrolled in this prospective study. The diagnosis and severity of the disease of MIS-C was made according to the Centers for Disease Control and World Health Organization guidelines. Clinical findings, laboratory parameters including car-diac markers, electrocardiographic and echocardiographic findings at the time of diagnosis and during follow-up were evaluated. Cardiac magnetic resonance imaging (MRI) was performed on all children with echocardiographic abnormality. Result(s): Between April 1st 2020 and December 1st 2021,71 chil-dren were diagnosed with MIS-C and 44 of these patients had car-diac involvement (25 male and 19 female). 24 patients were followed up in the intensive care unit and all of these patients had myocardial involvement. All the patients had elevated NT-proBNP levels (median:5893pg/ml) whereas troponin-T levels were above upper limit in 13 patients. A significant positive cor-relation was found between troponin-T and NT-proBNP (plt;0.01). The NT-proBNP levels were also positively correlated with the severity of MIS-C (plt;0.05). On admission 22 patients had tachycardia and atrioventricular conduction disturbances and supraventricular tachycardia developed in 5 of these patients during follow-up. Bradycardia was observed in 18(40%) patients during hospitalization (4 of these occurred after tachycardia). Although 26 patients had an echocardiographic abnormality, only twelve patients had systolic dysfunction (9 with mild and 3 with moderate) and two patients had diastolic dysfunction. NT-proBNP and troponin-T were negatively correlated with ejection fraction ve fractional shortening (respectively, p = 0.003, p = 0.013). Cardiac MRI was normal in all patients except 3 patients who had myocardial late gadolinium enhancement of left ven-tricle. Pericardial effusion was observed in 14 patients. The echo-cardiographic abnormalities disappeared in 42 patients during follow-up, one patient died on the second day of hospitalization and and 1 patient has ongoing LV systolic dysfunction. Conclusion(s): Bradycardia and myocardial involvement is common during MIS-C. Although myocardial dysfunction can be observed during acute disease, commonly the disease does not cause perma-nent damage during one year of follow-up.