Goal: 01 - Yoksulluğa Son
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Yoksulluğun her biçiminin ortadan kaldırılması günümüzde insanlığın karşı karşıya olduğu en büyük sorun olmaya devam ediyor. Aşırı yoksulluk içinde yaşayan insanların sayısı 1990 ile 2015 arasında 1,9 milyardan 836 milyona düşmek suretiyle, yarıdan fazla azalmış olsa da, hala çok sayıda insan en temel insani gereksinimlerini karşılama savaşı vermektedir.
Sürdürülebilir Kalkınma Amaçları, başlamış olduğumuz şeyi bitirme ve yoksulluğun her biçimi ve boyutunu ortadan kaldırma yönünde oldukça cesur bir taahhüttür. En korunmasız durumda olanların hedeflenmesi, temel kaynaklar ve hizmetlere erişimin artırılması ve çatışmalar ile iklim temelli afetlerden etkilenen toplumların desteklenmesini içerir.
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Publication Metadata only Assessment of electronic media use in children and adolescents with attention deficit hyperactivity disorder(2017-10-01) Gormez, Vahdet; Orengul, ABDURRAHMAN CAHİD; ÖRENGÜL, ABDURRAHMAN CAHİDObjective: Electronic media use is an emerging area of research interest, however its relationship with Attention Deficit hyperactivity disorder (ADHD) is neglected in Turkish literature. We therefore aimed to examine its relationship with certain variables and ADHD subtypes. Methods: A total of 360 participants aged between 6-18 years, who attended Bezmialem University, Child and Adolescent Psychiatry Outpatient Clinic between January 2016 and October 2016, were screened with the Schedule for Affective Disorders and Schizophrenia for School Age Children K-SADS) interview to ascertain diagnoses and a sociodemographic information tool was used to collect the relevant data. Results: The mean age of the sample was 9.47 +/- 2.67 years, and 81.9% of them consisted of males. 20.6% of the sample was reported to spend between 2 and 4 hours a day using electronic media gadgets (TV viewing, cell phone and/or tablet/computer use), while 4-6 hours of use was reported in 15.8%, 6-8 hours in 11.4%, 8-10 hours in 9.4% and more than 10 hours/day in 18.2% of the total sample. Heavy users of electronic media (> 6 hours/day) reportedly had significantly higher academic achievement and lower socioeconomic status as compared to those who used it at medium (2-6 hours/day) and low levels (< 2 hours/day). Gender, the content of TV viewing and total electronic media use within the household also significantly differed between the heavy, medium and low intensity users. Regression analyses revealed that total daily electronic media use for 10 hours and above was significantly and independently associated with the current family psychiatric illness and low academic achievement of the child. Conclusion: To the best of our knowledge, this is the first study reporting use of a variety of electronic media gadgets in a Turkish clinical sample of children and adolescents with ADHD. Results are in line with the existing international literature and highlights the excessive electronic media use in this clinical population. We recommend a routine screening for electronic media exposure in ADHD minors and increase awareness in their families and schools. Longitudinal and methodologically more robust studies are needed to examine cause-effect relationships.Publication Metadata only SIRT1 gene variants are related to risk of childhood obesity(2015-04-01) Kilic, Ulkan; GOK, Ozlem; ELIBOL-CAN, BİRSEN; Ozgen, Ilker Tolga; Erenberk, UFUK; Uysal, Omer; DUNDAROZ, Mehmet Rusen; ELİBOL, BİRSEN; ÖZGEN, İLKER TOLGA; ERENBERK, UFUK; UYSAL, ÖMERObesity is a multifactorial disorder resulting from the interaction between genetic, psychological, physical, environmental, and socioeconomic factors. SIRT1 gene has important effects on the regulation of adiponectin, caloric restriction, insulin sensitivity, coronary atherosclerosis, and cardiovascular diseases. The aim of this study was to investigate the association between childhood obesity and SIRT1 gene polymorphisms regarding rs7895833 A > G in the promoter region, rs7069102 C > G in intron 4, and rs2273773 C > T in exon 5 using PCR-CTPP method in 120 obese and 120 normal weight children. In this study, BMI, systolic and diastolic blood pressure, LDL cholesterol, triglyceride, and insulin levels were significantly higher and HDL-cholesterol levels were significantly lower in obese children compared to normal weight children. For rs7895833 A > G, the rate of having AG genotype and G allele was significantly higher in obese children compared to non-obese group (p T. There was no significant difference for rs7069102 C > G gene polymorphism between groups.Publication Metadata only ‘Yetim İlaçların Mevcut Durumu ve Eczacının Rolü(2017-02-12) BEKTAY, MUHAMMED YUNUS; BEKTAY, MUHAMMED YUNUSYETİM İLAÇLARIN MEVCUT DURUMU ve ECZACININ ROLÜ Zehra Şeker1, Fatmanur Babalı1, Hümeyra Şahin1, M. Yunus Bektay2 1Bezmialem Vakıf Üniversitesi, Eczacılık Fakültesi 34093, Fatih, İstanbul, Türkiye. 2Bezmialem Vakıf Üniversitesi, Eczacılık Fakültesi, Klinik Eczacılık Anabilim Dalı 34093, Fatih, İstanbul, Türkiye. (yunusbektay@gmail.com) Yetim ilaçlar yaşamı tehdit eden veya engellilik yaratan nadir hastalıkların teşhisi, önlenmesi veya tedavisinde kullanılan beşeri tıbbi ürünler olarak belirtilmiştir. (Eurocare) Yetim ilaçların kullanıldığı nadir hastalıklar ise, Avrupa Birliği Yetim İlaç Yönetmeliği’nde 5/10000 veya az karşılaşılan hastalıklar olarak tanımlanmıştır (1). Nedeni %80 genetik kökenli, kronik, dejeneratif, progresif ve morbiditesi yüksek hastalıklardan oluşan nadir hastalıkların klinik göstergeleri ve sonuçları değerlendirildiğinde, ülke sağlık sisteminde ciddi olumsuz etki oluşturduğu, hasta ve hasta yakınları üzerinde psikolojik ve sosyo-ekonomik problemler meydana getirdiği ve bu hastaların diğer hastalarla eşit sağlık hizmeti alamadığı düşünülmektedir. Hastaların yaşadığı esas problem olan ‘tanıda gecikme’ ve akabinde ‘tedavide gecikme’ sorununu incelemeyi ve çözüm oluşturmayı amaçlayan EURORDISCARE-2 araştırması durumun vehametini ortaya çıkarmıştır (2). Hekim ve sağlık çalışanlarının, nadir hastalık anamnezinde yetkin olmaması, semptomların tanınamaması ve bulguların bağımsız zannedilmesi, tanı ve teşhiste sorunlara yol açmaktadır. Teşhis edilen vakalarda ise hastalar, tanı testlerinin ve ilaç fiyatlarının yüksekliği gibi engellerle karşılaşmaktadır. Ne yazık ki yapılan yatırımdan karşılık alınamaması sebebiyle ilaç firmalarının yetim ilaç ar-ge’sine, preklinik-klinik çalışmalarına ve üretimine yanaşmaması; ilaç erişilebilirliğini zorlaştırmaktadır. Sağlık otoritelerince yapılan teşviklerle yetim ilaç temininde ilerleme kaydedilse de süreklilik oluşmadığı için nadir hastalık ve yetim ilaç farkındalığı, kurumların ve sağlık çalışanlarının karşısında çözülmesi gereken bir problemdir (3). Problemin çözümünde eczacının rolü ise hastanın tedaviye uyuncuna yardımcı olmak, hastalığın ilerleyişini gözlemlemek ve gerektiğinde hekime yönlendirmektir. Ayrıca eczacı sorgulayıcı ve araştırmacı kimliğiyle, yetkin olmadığı durumlarda literatür taraması yaparak hasta eğitimini sağlamalıdır. Bu çalışmada dünya üzerinde daha küçük bir popülasyonun kullandığı yetim ilaçların ülkemizdeki ve dünyadaki mevcut durumunu, karşılaştırmalı olarak incelendi. İstatistiklerle ülkemizdeki yetim ilaç müstahzar sayısı ve yurt dışından temininde yaşanan sıkıntılar, yetim ilaca sektörün bakışı ve otoriteler tarafından yapılan teşvikler araştırıldı. Hastanın yaşam kalitesinin yükselmesinde eczacının rolünü ve mevcut durumun iyileştirilmesi için yapabilecekleri, nadir hastalıkların tedavi zorluklarını ve tüm bunların sonucunda hasta ve yakınlarının durumu ile ilgili farkındalık oluşturulması temel amaç olarak belirlendi. Anahtar Kelimeler: Nadir Hastalık, Yetim İlaç, Yetim İlaç Hareketi. Referanslar 1. Haffner ME. Focus on research - Adopting orphan drugs - Two dozen years of treating rare diseases. New Engl J Med. 2006 Feb 2;354(5):445-7. PubMed PMID: WOS:000235019400004. English. 2. Le Cam Y. EURORDIS-The European Organisation for Rare Diseases. Haemophilia. 2012 Jul;18:6-. PubMed PMID: WOS:000305457800030. English. 3. Kole A, Faurisson F. Rare Diseases Social Epidemiology: Analysis of Inequalities. Rare Diseases Epidemiology. 2010;686:223-50. PubMed PMID: WOS:000282382800014. English.Publication Metadata only The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center(2018-12-01T00:00:00Z) Sukru, Filiz; Ozturk, Mihrimah; Kilic, ÖZGE; Ister Guneytepe, Sena; Ucok, Alp; KILIÇ, ÖZGEObjective: Psychotherapy is recommended concomitantly with pharmacotherapy to treat functional deterioration in patients with early-phase schizophrenia. This study aims to investigate and compare the impact of interpersonal group psychotherapy on functionality in patients with early-phase schizophrenia compared to painting therapy and waiting list groups. Methods: Prospective, single-blind, controlled study was carried out in Bolu Community Mental Health Center. The sample consists of 60 patients who had received neither rehabilitation nor psychotherapy before and who were eligible for the study. Participants were distributed consecutively to group psychotherapy, painting and waiting list groups each consisting 20 patients based on their order of admission. Therapeutic intervention was composed of 24 sessions of interpersonal group psychotherapy for 6 months. Sociodemographic Data Forms; positive and negative syndrome scales and brief functionality assessment scale were used at beginning and at the end of therapy. Results: Three groups did not differ in age, education, disease duration, number of hospitalizations, gender, working, socioeconomic and marital status, social support, pharmacological treatment-s type and dose. At the end of the study, patients in group psychotherapy had much more improvement in functionality compared to the painting therapy and waiting lists groups. Discussion: Interpersonal group psychotherapy may aid as an adjunctive to treatment as usual in community mental health centers to improve functioning of patients with early-phase schizophrenia.Publication Metadata only Comparing the Smoking Status of Working Adolescents with Adolescents Enrolled in High School in Turkey(2013-03-01T00:00:00Z) ÇAKIR, Erkan; Karakoc, Fazilet; Ersu, Refika; Karadag, Bulent; Varol, Nezih; Dagli, Elif; ÇAKIR, ERKANSmoking is one of the most important public health problems. There is limited data about the smoking status of working adolescents. In this study we aimed to compare the smoking status of working adolescents with adolescents enrolled in high school in Turkey. Workers were recruited from a vocational training center, and control subjects were from a local high school. Questionnaires about socioeconomic status and smoking were applied. Eight hundred and two participants (436 workers) were included in the study. The mean age of the participants was 16.8 years. Smoking frequencies were 40% and 21% for the workers- group and the control group, respectively (P < 0.001). Adolescent workers were more frequently exposed to second-hand smoke at home. Working [odds ratio (OR): 2.49, 95% confidence interval (CI): 1.81-3.43], age over 17 (OR: 1.77, 95% CI: 1.28-2.44), and male sex (OR: 1.57, 95% CI: 1.00-2.44) were found to be significantly effective on smoking in the logistic regression analysis. Working adolescents had significantly higher smoking rates and exposed to second-hand smoke at home than high school students. Further studies are needed to explore the reasons of higher smoking rates in working adolescents than in high school students.Publication Metadata only The impact of displacement on the social, economic and health situation on a sample of internally displaced families in Anbar Province, Iraq(2019-05-01T00:00:00Z) Al -Ezzi, Saad Ahmed Ali; AL-EZZI, SAAD AHMED ALİBackground: Internally displaced people (IDPs) in Iraq are still suffering because the solutions were not radical. This study aims to assess the impact of displacement on the socio-economic, wellbeing and mental health status of internally displaced (ID) families in Anbar province, Iraq. Methods: A descriptive cross-sectional study conducted from 3rd to 17th April 2017. Data was collected using a universal sampling technique. A total of 355 heads of households interviewed with a modified questionnaire consisting of 26 close-ended questions related to the socio-economic, demographic, wellbeing and the mental health characteristics. Results: At the time of the study, about 55.5% of the surveyed displaced families have not returned home yet. Prominent families of more than seven members (59.4%) and residency in renting houses (82.8%) are two variables that may contribute to an economic burden. Mental health disorders such as anxiety and depression spread among 62.3% of surveyed families. Significant rise in chronic diseases from 64 (18.0%) cases before displacement to 102 cases (28.7%) after displacement. Few of them (21.6%) were able to access public health services. People who experienced violence had verbally abused at 52.1%. Lack of the services (50.3%), the inability to repair the destroyed houses (26.4%) and the loss of house due to destruction (23.3%) were the significant factors inhibited families from returning home back Conclusion: Our findings indicate the need for urgent and strategic plans to improve the quality of logistics, health and infrastructure services to motivate the displaced families to return to their homes.Publication Metadata only SOCIO-ECONOMIC FACTORS THAT AFFECT PERCEIVED HEALTH STATUS OF TURKISH ADOLESCENTS(2011-02-01T00:00:00Z) Erginoz, Ethem; Alikasifoglu, Mujgan; Ercan, Oya; Albayearak-Kaymak, Deniz; Uysal, Omer; UYSAL, ÖMERPublication Metadata only Electrical burns: Highlights from a 5-year retrospective analysis(2016-05-01) KURT, Alper; YILDIRIM, Kamil; Yagmur, Caglayan; Kelahmetoglu, OSMAN; ASLAN, Ozan; GUMUS, Murat; Guneren, ETHEM; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEMBACKGROUND: Electrical burns are the third most common cause of burn injuries, after scald and flame burns. In spite of decreasing mortality rates as advancements are made in treatment modalities and medical equipment, significant complications and socioeconomic consequences still accompany electrical burns. Analyzed in the present study were data from patients hospitalized for electrical burns between 2008 and 2012 in the Samsun Training and Research Hospital, the only burn care center in the Black Sea region of Turkey.Publication Open Access Recurrent Ischemic Stroke Characteristics and Assessment of Sufficiency of Secondary Stroke Prevention(2015-06-01) KOCAMAN, Gulsen; DURUYEN, Humeyra; Kocer, Abdulkadir; Asil, TALİP; ASİL, TALIPIntroduction: Disabilities due to stroke lead to a serious individual and socioeconomic burden. In this presented hospital-based study, we aimed to evaluate recurrent ischemic stroke (RIS) characteristics and the sufficiency of secondary prevention regarding the most common modifiable risk factors. Methods: The records of patients with a diagnosis of ischemic stroke between November 2009 and November 2011 in our unit were retrospectively investigated. Results: Ninety-one (18%) out of 500 patients with ischemic stroke had RIS. Hypertension, diabetes mellitus, ischemic heart disease, hyperlipidemia, atrial fibrillation, and smoking were found in 88%, 43%, 36%, 30%, 11%, and 14% of the patients, respectively. Thirty-eight percent of the patients had more than two risk factors. While 14% of the hypertensive patients did not use antihypertensive medications, antihypertensive treatment was insufficient in 39% of those who already used antihypertensive medications. Twenty-three percent of the patients received no prophylactic agents. Sixty percent of the patients with a history of atrial fibrillation were on oral anticoagulant therapy (warfarin), and the international normalized ratio was <2.0 in 73% of them. Of the diabetic patients, 87% had an HgbA1C level above 6%. The LDL level was higher than 100 mg/dL in 72% of the patients. Conclusion: The incidence of RIS and risk factors in our retrospective study was compatible with the results of those in literature. Secondary prophylactic treatment and modification of risk factors in the stroke patients were not satisfactory. The improvement of the patients' adherence to treatment is also very important in addition to the optimal treatment and follow-up strategy for decreasing the incidence of RIS. A multidisciplinary outpatient model of stroke care may be beneficial for decreasing the incidence of RIS.Publication Metadata only Prevalence, demographic characteristics and associated risk factors of malnutrition among 0-5 aged children: a cross-sectional study from Van, eastern Turkey(2016-01-01T00:00:00Z) KIZILYILDIZ, Baran Serdar; SÖNMEZ, Bulent; Karaman, Kamuran; Beger, Burhan; MERCEN, Adnan; ALIOGLU, Suleyman; Cesur, YAŞAR; CESUR, YAŞARMalnutrition in childhood is a dramatic indicator of poor socio-economical status worldwide. To recognize and reveal the socio-demographic features is crucial, especially for developing countries. Our aim was to investigate the prevalence and association with sociodemographic variables of malnutrition in 0-5 years old children in Van, Turkey. A total of 702 children are included in this cross-sectional study. Demographic features of subject including age, gender. family characteristics and other data were obtained. Nutritional assessment was done using anthropometric indices including weight for age, height forage, weight-for-height, head circumference and body mass index-for-age. Multivariate logistic regressions were carried out to assess malnutrition -associated factors. Prevalence of underweight, stunting and wasting were 19.7, 17.7 and 16.2%, respectively. Socio-demographic variables that statistical significantly in association with malnutrition were low monthly family income educational level and employment status of father, parental consanguinity, number of pregnancies, regular intake of vitamin D and history, of prematurity The prevalence of children with head circumference-z score S-2SD and body mass index forage 2SD were 9.8 and 16.3%. respectively. Multivariate analysis detected following risk factors for these indices: low monthly family income, history of prematurity, unemployed father and the period between pregnancies (12 years). We found that prevalence of malnutrition in the city of Van, was still higher than more developed regions of Turkey. The associated risk factors of malnutrition should be specifically interpreted by health professionals and also by government authorities that are responsible for making practical politics of public health.