Goal: 16 - Barış, Adalet ve Güçlü Kurumlar
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Barış, Adalet ve Güçlü Kurumlar
Sürdürülebilir kalkınma için barışçıl ve kapsayıcı toplumlar tesis etmek, herkes için adalete erişimi sağlamak ve her düzeyde etkili, hesap verebilir ve kapsayıcı kurumlar oluşturmak.
Barış, istikrar, insan hakları ve hukukun üstünlüğüne dayalı etkin yönetim olmadan, sürdürülebilir kalkınma olmasını bekleyemeyiz. Gittikçe artan ölçüde bölünmüş bir dünyada yaşıyoruz. Bazı bölgelerde barış, güvenlik ve refah sürekli iken, diğer bazı bölgelerde ise bitmek bilmeyen çatışma ve şiddet sarmalı var. Ancak bu, hiçbir şekilde kaçınılmaz sonuç değildir ve mutlaka çözümlenmelidir.
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Publication Metadata only Autologous Fascia Lata Graft for Contour Restoration and Camouflage in Tertiary Rhinoplasty(2012-05-01T00:00:00Z) Karaaltin, Mehmet Veli; BATIOĞLU KARAALTIN, Ayşegül; Orhan, Kadir Serkan; Demirel, Tayfun; Guldiken, YahyaTertiary rhinoplasty is a surgical procedure to correct nasal deformities that have been developed after prior unsuccessful surgeries. Such surgery requires complicated manipulations and tissue grafting for proper restoration. In the current study, we report the use of fascia lata graft combined with cartilage grafts for contour restoring and camouflage. Twenty-three patients who had severe nasal deformities were included, of whom 14 were men and 9 were women. Their ages ranged between 24 and 34 years (mean, 29 y). All patients were twice previously operated on by surgeons other than the authors. An informed consent was obtained from all patients. After harvesting the costal cartilage, the fascia lata graft (mean size, 2-3 cm) was uniformly harvested from the right lateral thigh. Application of the fascia lata and the cartilage graft was achieved through the open rhinoplasty incision. The fascia lata was applied over the cartilage in the dorsal region in 20 patients (86.9%), applied over the reconstructed alar and dome area in the nasal tip in 8 patients (34.7%), and applied over both areas simultaneously in 4 patients (17.3%). Postoperative follow-up was between 14 and 35 months (mean, 24.5 mo); clinical evaluation, photographic documentation, and a questionnaire form related to donor-site morbidity and patient satisfaction were applied after 12 months of the follow-up period. Results showed that all patients had an improved aesthetic result, and no apparent irregularities were observed in the integument of the aesthetic lines. No complications or no requirement for revision surgery was observed later on. In conclusion, refinements of the nasal dorsum and the nasal tip in tertiary rhinoplasty are indeed important and difficult to be managed. Placing the fascia lata over the applied cartilage grafts provide a good cover that conceals the possible irregularities or distortions that may appear in the late postoperative period.Publication Metadata only Which Unicondylar Prosthesis Has Better Mid-Term Results: Fixed or Mobile?(2016-04-01T00:00:00Z) Bulbul, Ahmet Murat; KUYUCU, ERSİN; Kara, Adnan; KÜÇÜKDURMAZ, FATİH; Erdil, Mehmet; KÜÇÜKDURMAZ, FATİHObjective: Osteoarthritis, which is one of the most common causes of pain and motion loss, is an important medical disease that particularly affects elderly people. Unicondylar knee arthroplasty treatment is still a challenge for obese and/or ACL deficient patients. In addition, surgeons face a challenge of deciding whether to perform either fixed or mobile insert design prosthesis. The objective of this study was to evaluate the effect of fixed or mobile insert design prosthesis on the mid-term results of patients that we followed up for 8 years or more.Publication Metadata only Is postpartum depression a specific diagnosis? A prospective study(2012-03-01T00:00:00Z) Kirpinar, Ismet; TEPELI, Isik Ozturk; GÖZÜM, SEBAHAT; Pasinlioglu, Turkan; KIRPINAR, İSMETObjective: The studies investigating the prevalence and incidence of postpartum depression (PPD), as well as its nosologic status have controversial results. This article is part of a prospective, epidemiological study concerning postpartum depression in Erzurum City, Eastern Turkey. The present study focuses on the prevalence and incidence of PPD at sixth weeks after delivery and its diagnostic distribution according to DSM-IV. Methods: Four hundred and seventy-nine pregnant women in their third trimester were arranged to be visited by trained community midwives at 7-10 days and sixth weeks after delivery. Data were collected by use of the questionnaires on detailed sociodemographic and health information at each visit and the participitants filled out the Edinburgh Postpartum Depression Scale (EPDS) at six weeks after delivery. Finally, mothers who had PPD diagnosis according to EPDS were visited by a psychiatrist in their homes where the SCID was administered to make a DSM-IV diagnosis and determine whether the depression occurred before or after delivery. Results: The prevalence rate of PPD measured by EPDS was 14% in this population. The incidence of PPD was estimated as 6% with clinical interviews. Most of the depressed mothers (74.0%) were diagnosed as major depressive disorder according to DSM-IV, but there were some other depressive states too. Conclusion: The prevalence and incidence rates of PPD do not appear to be significantly different from those of non-childbearing women. PPD should not be seen as a specific clinical entity as far as its diagnostic distribution is concerned. (Anatolian Journal of Psychiatry 2012;13:16-23)Publication Metadata only Primary Retroperitoneal Mucinous Cystadenocarcinoma: 5th Male Case in the Literature(2015-02-01T00:00:00Z) Kos, F. Tugba; Ozkan, Fuat; Bakaris, Sevgi; Bulbuloglu, ERTAN; Gurbuz, Esma; Ozer, Nazmi; BÜLBÜLOĞLU, ERTANRetroperitoneal primary mucinous tumor is an extremely rare malignancy. To date, only 52 cases of primary retroperitoneal mucinous cystadenocarcinoma (PRMC) have been reported in the literature, with the majority being women. Our patient is the 5th known male case. A 57-year-old male patient presented with a two year history of an undefined abdominal pain. Computed tomography demonstrated a 12 x 9.5 cm cystic mass lesion extending superiorly from right iliac fossa, while localizing below the abdominal wall and close to the psoas muscle. According to the laparotomy, iliopsoas muscle was infiltrated by the mass in the retroperitoneal region. Pathological diagnosis was mucinous cystadenocarcinoma. The asymptomatic patient was followed up without applying an adjuvant chemotherapy, since the clinical course of the tumor is known to be slow and postoperative therapy is not recognized as a standardized treatment. The clinical course of PRMC is generally indolent, however, it may manifest an aggressive course, as well. It has no definitive and clear pathogenesis. The treatment is contentious, as well. Diagnosis and treatment require surgical excision but data on adjuvant chemotherapy is limited.Publication Metadata only Early Left Atrial Mechanics and Volume Abnormalities in Subjects with Prehypertension: A Real Time Three-Dimensional Echocardiography Study(2012-11-01T00:00:00Z) Acikgoz, Nusret; Akturk, Erdal; ERMİŞ, NECİP; Yagmur, Julide; Kurtoglu, Ertugrul; CANSEL, MEHMET; Eyupkoca, Ferhat; PEKDEMİR, HASAN; ÖZDEMİR, Ramazan; AÇIKGÖZ, NUSRET; ÖZDEMİR, RAMAZANThe aim of this study was to evaluate left atrial (LA) volume and mechanical functions by real time three-dimensional echocardiography (RT3DE) in prehypertensive subjects. The study included 54 (34 male and 20 female) prehypertensive subjects and 36 (14 male and 22 female) healthy control subjects. Transthoracic echocardiography and RT3DE were performed in all patients. Interventricular septum thickness and isovolumetric relaxation time were significantly higher in prehypertensives than in controls (10.7 +/- 0.7 vs. 10.1 +/- 0.8 P = 0.001 and 89.9 +/- 10 vs. 82.4 +/- 11 P = 0.002, respectively). LA maximum volume, volume before atrial contraction, total and active stroke volume, total and active emptying fractions, expansion index, and LA max volume index were significantly higher in prehypertensives when compared with controls (P < 0.0001 for all). However, the passive emptying fraction was significantly lower in prehypertensives than controls (45.7 +/- 5.6 vs. 48.6 +/- 4.1, P = 0.006), and the minimum LA volume between the two groups was similar. The main finding of this study was that although LA volume and LA active systolic functions were significantly increased in prehypertensive people, there was a reduction in passive LA systolic functions. These parameters may be important in showing hemodynamic and structural changes in cardiac tissue caused by prehypertension. (Echocardiography 2012;29:1211-1217)Publication Metadata only Violence related behaviours among adolescent students and factors affecting thereto(2015-01-01T00:00:00Z) Eker, Hasan Hüseyin; Tasdemir, Mustafa; Ulger, Zekiye; ÖZDER, ACLAN; ÖZDER, ACLAN© 2015 Eker HH, et al.Background: Violence among young people is an important public health problem in society. Act of violence seen in schools is disturbing students- learning processes and inhibiting their developments generally results in emotional abuse, physical injury and death. Objectives: This study is conducted in order to find out the prevalence of and exposure to violence, which is an important public health problem, in schools and to determine the factors affecting thereto. Specific factors investigated were exposure to violence, gender, age, type of school, economic status of families and level of education of mothers. Method: This cross-sectional study was performed between March 2012 and May 2012. The population is 1575 students from 9th grade and the study is completed with 1405 students accepting to participate therein. A study questionnaire form established based on the -Youth Risk Behaviour Survey (YRBS)- prepared by CDC (Center for Disease Control and Prevention) is used as data collecting tool. Results: The ratios of each violence-related behaviour are 35.8% and 14.1%, respectively for boys whereas 20.4% and 6.4% for girls. These behaviours are statistically more common among boys than girls (p < 0.05). It was found out that there is a significant relationship between the students- family income level and getting involved in a physical fight in school (p < 0.05).Though no significant relationship is detected between mother-s educational level and getting involved in a physical fight and carrying weapons, ratios of gang membership is 6.2% for students whose a mother is illiterate and is 14.3% for student whose mother-s educational level is high school and above (p < 0.05) Conclusions: It is observed that each violence-related behaviour is more common among boys and with the increase in the mother-s education, tendency of being a member of a gang and getting involved in a physical fight accordingly increases.Publication Metadata only Workplace violence against medical student- A Turkish perspective(2019-05-01T00:00:00Z) Al Ezzi, Saad Ahmed Ali; AL-EZZI, SAAD AHMED ALİBackground: Workplace violence against healthcare providers including the medical students being an important issue all over the World. The aim of this study is to survey the medical students about exposure to workplace violence (WPV) while they are doing their medical training in private tertiary hospitals. Methods: This was a cross-sectional study carried out among all medical students (4th, 5th, and 6th class) attending a teaching hospital at Bezmialem Vakif University (BVU), Istanbul, Turkey. A total of 150 students in the 2017-2018 academic year were recruited in this study. Data were collected using a modified questionnaire through a face to face interview. Data were analyzed using SPSS 16. Results: About one-third of the surveyed students (54, 36.0%) exposed to violence and 71.3% of them witnessed incidents of violence against healthcare providers at the workplace. The prevalence of physical violence and verbal abuse among medical students was reported at 5.5% and 92.6% respectively. About 81.5% were females compared to 18.5% of their counterparts. Patients (38.9%) and their relatives (61.1%) were the main sources of the violence respectively. More than half (57.0%) of students exposed to violence at outpatient services and 25.9% at the emergency room and 16.7% at inpatient wards. Few of them (22, 14.7%) thought that they will get support if they make a complaint. Conclusion: Being a medical student and has direct contact with patients and their relative is not always safe practice. Our results suggested a high prevalence of verbal and physical abuse against medical students. Health sector authorities should adopt a restrictive and clear strategy to protect medical students and other healthcare providers.Publication Metadata only Relationship between fetal peak systolic velocity in Middle cerebral artery and umbilical blood gas values and hemoglobin levels in diabetic pregnant women(2018-07-01T00:00:00Z) KÜTÜK, MEHMET SERDAR; DOLANBAY, MEHMET; Karasu, AYŞE FİLİZ; ÖZGÜN, MAHMUT TUNCAY; KÜTÜK, MEHMET SERDAR; GÖKMEN KARASU, AYŞE FİLİZPurposeTo assess the relationship between peak systolic velocity in the middle cerebral artery (MCA-PSV) and fetal hypoxia in diabetic pregnant women requiring insulin therapy.Publication Metadata only Alcohol Consumption and Views on Alcohol Research and Control Policies in Turkey: A Qualitative Study(2018-10-01T00:00:00Z) MERCAN, SÜMEYYE; Onaran, Oyku Izel; Ilbak, Ayca; Atasoy, Hakan; TELOĞLU, EMİNE ŞEYDA; TORUN, PERİHAN; Hayran, Osman; MERCAN, SÜMEYYE; TELOĞLU, EMİNE ŞEYDA; TORUN, PERİHANThis study aims to determine the culture of alcohol consumption and elicit the views of drinkers, former drinkers, and nondrinkers on alcohol consumption, alcohol research, and alcohol control policies. The data were collected through semi-structured interviews and analysed using Thematic Framework analysis. Alcohol consumption was described as a means for socialising and relaxing by the drinkers, whereas unhappiness, anxiety and depression by the non-drinkers. The participants have argued that the responses in alcohol studies are unreliable due to social characteristics and that alcohol research should be conducted by institutions, not the state. Interviewers were suggested to have come across as objective, non-judgmental, and likeable with a reassuring attitude and to have used body language appropriately. The participants support a positive approach in control policies by increasing awareness, and prohibition is not believed achievable in practice or to be an effective alcohol control policy as it instead makes drinking attractive. Therefore, the recommendation is to target the whole population by increasing facilities with social activities and encouraging social life. In conclusion, the study has provided valuable hints for planning alcohol research and control policies, and it is especially useful for understanding the background of alcohol consumption culture in Turkey.Publication Metadata only Turkish pharmacists- counseling practices and attitudes regarding emergency contraceptive pills(2012-08-01T00:00:00Z) Apikoglu-Rabus, Sule; Clark, Philip Martin; Izzettin, FİKRET VEHBİ; İZZETTİN, FIKRET VEHBIObjective The aim of this study is to assess Turkish pharmacists- counseling practices and attitudes regarding emergency contraception pills (ECPs). Setting This cross-sectional observational study was conducted via a web-based survey in Turkey. Methods Pharmacists registered at a professional web site (n = 822) were invited to fill in the study questionnaire; 624 questionnaires were completed and further analyzed. Pharmacists who agreed to participate in the study completed the questionnaire which was structured to elicit their demography, professional experience, counseling practices and attitudes regarding ECP. Attitudes were measured by 18 items under four domains: -reproductive health; information and availability; risk behavior and regulatory restrictions-. The answer choices consisted of five items as: -totally agree, agree, neither agree nor disagree, disagree and totally disagree-. Main outcome Measures The rate of counseling on various aspects of the ECPs and the rate of negative/positive attitudes. Results The aspects most frequently counseled on by the pharmacists were dosage, timeframes, efficacy and pregnancy testing. Less frequently counseled aspects were mechanism of action, methods of contraception and side-effects. In general, the pharmacists displayed positive attitudes towards all domains of the survey; while they were negative to the items suggesting that ECP should be sold only to women and only on prescription. Another interesting finding is that 58 % of the pharmacists agreed with the item suggesting limiting the ECP sales to those over 18 years of age. Conclusions Our results showed that the pharmacists served the clients in need of emergency contraception more frequently than the other health-care providers and in general had favorable attitudes towards ECP. Some aspects of their counseling practices need to be improved. This can be accomplished through continuous education programs that would equip them with the competence to provide counseling on emergency contraception which will in turn help prevent unintended pregnancies and reduce abortion rates.