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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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Now showing 1 - 10 of 20
  • PublicationMetadata only
    RELATIONSHIP BETWEEN SUICIDAL PATIENTS AND VITAMIN D
    (2019-04-25T00:00:00Z) Atik, Dilek; Taşlıdere, Bahadır; TAŞLIDERE, BAHADIR
    NTRODUCTION: When a person end their life consciously and intentionally, it is called suicide. Suicide is not a random and nonpurposeful movement, but it is a way of getting rid of the crisis or problem that cause a big trouble and can not be overcome (1,2).The person who committed suicide carries out this action with the thoughts of despair and the lack of people around to help. Suicide is related to ongoing stress factors and narrowing of options before the individual (1,2). The most commonly used method for suicide is multiple drug intake and suicide probability is high among people who have previously attempted suicide, people from families with suicidal individuals (3,4). One of the most investigated issues related to suicide is mental disorders. Numerous studies have reported high rates of mental disorders in individuals who attempt suicide or who die from suicide (5,6). In a study conducted on 100 people who had attempted suicide, 70% of them had depression, 15% had alcoholism, 3% had schizophrenia and 5% had other disorders (7). The most important of the sterols belonging to the vitamin D family is cholecalciferol (vitamin D3). Cholecalciferol is composed of 7- dehydrocholesterol in the skin with the effect of ultraviolet rays (8). The aim of this study was to investigate the vitamin D levels in patients admitted to our emergency department due to suicid intervention and to contribute to the treatment of clinical applications according to the results. METHOD: This study is conducted prospectively in patients presented with suicide in Istanbul Sağlık Bilimleri University Kanuni Sultan Suleyman Training and Research Hospital Emergency Medicine Clinic between 01.12.2018-01.02.2019 with the approval of Kanuni Sultan Süleyman Training and Research Hospital Ethics Committee by the protocol numbered 2018/11/47. The study included 59 individuals with suicidal attempt and 42 subjects with control group. Blood taken from the patients was taken as disposable 10 ml, vacuumed, nonanticoagulanted, in biochemistry tubes for 5-7 ml and centrifuged at 2500 rpm for 10 minutes and their serum was separated within half an hour. Separated serums were stored at -80°C until examined. Each serum was only dissolved once on the day of the study. All variables were tested for conformity to normal distribution, Kolmogorov Smirnov test and compliance with parametric test criteria. The data obtained by the study carried out within the scope of clinical research are statistically nonparametric. For this reason, Mann Whitney U tests were used for statistical evaluations based on categorical (nominal or ordinal) and binary variables. Spearman rank correlation in non-parametric data and Pearson correlation in parametric data were used as correlation methods. FINDINGS: A total of 59 patients and 42 control groups were included in our study. 70.3% (n = 71) of the participants were female and 29.7% (n = 30) were male. The mean age of the participants was 30.7 and the minimum and maximum ages were 18 and 53 years. When the final results of the patients were evaluated; 50.8% (n = 31) were discharged with health, 29.5% (n = 18) were hospitalized and 7.1% (n = 12) were admitted to intensive care unit. When the presence of psychiatric disease was evaluated inthe patients with suicidal attempt, 42.3% (n = 25) had psychiatric disease and 57.6% (n = 34) did not have a diagnosis of psychiatric disease. In patients with suicidal interventions, a positive, high level relationship was detected with the presence of psychiatric disease (r: 0.860, p=0.000). Hastaların The relationship between vitamin D levels and the presence of psychiatric disease was statistically significant (r: 0.276, p = 0.005). Laboratory parameters of vitamin D minimum 4.4 maximum 33 values were found, the effect of vitamin D on suicidal interference is negative, a significant relationship is found (z:-3.630, p=0.000). ). When the relationship between vitamin D levels and previous suicide attempts was found to be significant (z: -2.260, p = 0.024) DISCUSSION: It has been reported that vitamin D has an important role in the treatment of many chronic diseases in recent years (9,10). The risk of suicide is different in every psychiatric disorder. Psychiatric disorder most commonly associated with increased risk of suicide is major depression (11,12,13). The identification of vitamin D receptors in brain regions affecting depression has strengthened the relationship between vitamin D and depression. In human and animal studies, vitamin D receptors and 1-α-hydroxylase enzyme are found in the brain and the role of vitamin D in central nervous system functions have been shown (14,15). According to the results of our study, vitamin D levels was detected low in cases with sucidal attempts. There is increasing evidence that there is a relationship between depressive symptoms and low serum/plasma 25 (OH) D levels. Cross-sectional studies and prospective data also support that low vitamin D levels are associated with an increased risk of depression (16,17). In a study showing that vitamin D deficiency and mood disorders were very common among the elderly, the quality of life of the elderly women with low vitamin D (<400 IU / day) was found to be lower than those with higher vitamin D. In order to improve the quality of life in the elderly, it was emphasized that the recommended daily intake of vitamin D (≥400 IU / day) is important (18). In our study, the relationship between the presence of psychiatric disease in patients with suicidal attempt is indirectly similar to other studies. Low vitamin D levels were found to be a factor in suicidal intervention. CONCLUSION: Suicidal intervention is a condition with high mortality and morbidity. According to the results of our study, considering the low level of vitamin D in patients with suicidal interventions and underlying psychiatric disorders, it was thought that D vitamin replacement can be taken into treatment protocols and suicidal interventions could be reduced.
  • PublicationMetadata only
    Health and health care needs of Afghan and Uyghur refugees living in the Zeytinburnu district of Istanbul
    (2016-06-25) MÜCAZ, MELTEM; TORUN, PERİHAN; SANDIKLI, BÜŞRA; ACAR, CEYDA; MÜCAZ, MELTEM; TORUN, PERİHAN; SANDIKLI, BÜŞRA
  • PublicationMetadata only
    Role of NGOs in addressing the needs of Syrian refugees living in Istanbul
    (2016-06-25) Acar, Ceyda; SANDIKLI, BÜŞRA; TORUN, PERİHAN; MÜCAZ, MELTEM; SANDIKLI, BÜŞRA; TORUN, PERİHAN; MÜCAZ, MELTEM
  • PublicationMetadata only
    Association between maternal vitamin D status in pregnant women and risk of gestational diabetes mellitus
    (2016-05-15T00:00:00Z) ATEŞ, SEDA; AYDIN, SERDAR; GÖKMEN KARASU, AYŞE FİLİZ; KILIÇ, GÖKHAN; KILIÇOĞLU DANE, PAKİZER BANU; ATEŞ, SEDA; AYDIN, SERDAR; GÖKMEN KARASU, AYŞE FİLİZ; KILIC, GÖKHAN; KILIÇOĞLU DANE, PAKİZER BANU
  • PublicationMetadata only
    Effectiveness of home exercise in pregnant women with carpal tunnel syndrome
    (2016-05-15) KILIC, GÖKHAN; Keskin, YAŞAR; Taşpınar, Özgür; Özer Poşul, Sevde; Aydın, TEOMAN; KILIC, GÖKHAN; AYDIN, TEOMAN
  • PublicationMetadata only
    DIETARY PROTEIN INTAKE AND FALLS IN OLDER PEOPLE: A LONGITUDINAL COHORT STUDY
    (2019-07-01T00:00:00Z) Veronese, N.; Soysal, P.; Maggi, S.; Smith, L.
  • PublicationMetadata only
    Mültecilere ellerini uzatanlar ve Gönüllerini Açanlar
    (2016-05-15T00:00:00Z) Dönmez, Akif Mehmet; ERDOĞAN, ÖZCAN; ERDOĞAN, ÖZCAN
  • PublicationMetadata only
    Impact of Syrian refugees on Turkey’s migration policies and regulations
    (2016-06-25) ACAR, CEYDA; MÜCAZ, MELTEM; SANDIKLI, BÜŞRA; TORUN, PERİHAN; MÜCAZ, MELTEM; SANDIKLI, BÜŞRA; TORUN, PERİHAN
  • PublicationMetadata only
    Cut-off Frequency Estimation Methods for Biomechanical Data Filtering
    (2018-01-01) Cizmeciogullari, Serkan; Mihcin, Senay; Akan, Aydin; KESKİN, YAŞAR; Urkmez, Berna; AYDIN, TEOMAN; KESKİN, YAŞAR; ÜRKMEZ, BERNA; AYDIN, TEOMAN
    Motion capture systems are widely used in biomechanical engineeering to obtain 3D kinematic data of the human body. However, during post processing, one of the main problems in the extracted data is the presence of high frequency noise signal. To eliminate the noise in the signal filtering methodology is applied. In order to eleminate the noise in the signal low-pass digital filters are commanly used. Here we focus on design of the filters in order to find the optimum method in determination cutoff fequency of the filter. Fourier Frequency Transformation and Residue methods are the two methodes that have been investigated in this study. For this purpose, -Shoulder Abduction- motion data from 21 (8 male, 13 female) healthy people were collected with a depth camera to obtain 3D positon signal. The collected position data were transferred to the computer for post processing. Using the position data, shoulder movement angles were calculated. The shoulder angle signal with respect to time was analyzed using Cumulative Power Spectral Density (CPSD) and Residue Analysis techniques to estimate better cutoff frequency. The mean values of cutoff frequencies obtained with Residue Analysis and CPSD were 3.121 +/- 0.6 Hz and 0.469 +/- 0.1 respectively. The Pearson correlation coefficient between the two methods was r = 0.501. As a result, the Residue Analysis method proved to produce optimal results in estimation of cut-off frequency.