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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- PublicationMetadata onlyAge-Related Distribution of Basal Anti-Mullerian Hormone Levels in a Population of Infertile Women(2016-05-01) AYDIN, SERDAR; ÖZCAN, PINAR; AYDIN, SERDARAim: We aimed to constitute age-specific reference serum values for anti-Mullerian Hormone (AMH) in women, and to analyze the distribution of basal serum AMH levels in Turkish women of reproductive age attending an infertility clinic to provide a framework for expected values according to age. Material and Method: Retrospective analysis of prospectively collected data on cycle day 2-3 serum AMH measurements of 409 women attending a single infertility unit in Turkey through a 12-month-period was performed. Results: Concentrations of serum AMH were shown to decrease with advancing age of the female partner. The mean age of the women was 34.04 +/- 5.39 years and the mean AMH level of the women was 1.77 +/- 1.82. The AMH levels were grouped according to age as follows: 20-24, 25-29, 30-34,35-39, and >40 years. The median AMH values were 2.16 ng/ml, 2.15 ng/ml, 1.71 ng/ml, 0.80 ng/ml, and 0.47 ng/ml, respectively according to the age groups. Discussion: The present data provide a framework for age-specific serum AMH levels in a Turkish population of infertile women.
- PublicationMetadata onlySyrian refugees- experiences with mental health services in Turkey: -I felt lonely because I wasn-t able to speak to anyone-(2019-10-01T00:00:00Z) DOĞAN, NAREG; Dikec, Gul; Uygun, Ersin; DOĞAN, NAREGPurpose This study examined Syrian refugee adults- experiences with mental health services due to a mental complaint. Design and Methods This qualitative study used a phenomenological design. The data were collected in semi-structured focus group interviews between June and August 2018. A total of 24 individuals participated in the study. The data were analyzed using Colaizzi-s method of phenomenological interpretation. Findings Seven themes were identified by thematic analysis of the interviews: (a) difficulties making appointments, (b) difficulties obtaining medicine, (c) personal rights, (d) lack of information, (e) language barrier, (f) discrimination, and (g) confidence versus anxiety. Practice Implications Nurses should be aware of the barriers experienced by refugees that affect the quality and accessibility of psychiatric services.
- PublicationMetadata onlyPeritoneal Dialysis During Active War(2020-01-01T00:00:00Z) Gorbatkin, Chad; Finkelstein, Fredric O.; Kazancioglu, Rümeyza; KAZANCIOĞLU, RÜMEYZA
- PublicationMetadata onlyHydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery(2014-06-01) Sevket, OSMAN; Ates, SEDA; MOLLA, Taner; OZKAL, Fulya; Uysal, Omer; Dansuk, RAMAZAN; ŞEVKET, OSMAN; ATEŞ, SEDA; UYSAL, ÖMER; DANSUK, RAMAZANObjective: To compare the effects of 2 suturing techniques (single versus double layer) on healing of the uterine scar after a cesarean delivery. Methods: In the present randomized, prospective study, 36 women with a term pregnancy who had an elective cesarean delivery were randomly assigned to closure of the uterine incision with a single-layer locked suture or with a double-layer locked/unlocked suture. Six months after the operation, the integrity of the cesarean scar at the uterine incision site was assessed by hydrosonography. The healing ratio and the thickness of the residual myometrium covering the defect were calculated as markers of uterine scar healing. Results: There were no significant differences between the groups in terms of estimated blood loss, operation time, or additional hemostatic suture. However, the mean thickness of the residual myometrium covering the defect was 9.95 +/- 1.94 mm after a double-layer closure and 7.53 +/- 2.54 mm after a single-layer closure (P = 0.005). The mean healing ratio was significantly higher after a double-layer closure (0.83 +/- 0.10) than after a single-layer closure (0.67 +/- 0.15; P = 0.004). Conclusion: A double-layer locked/unlocked closure of the uterine incision at cesarean delivery decreases the risk of poor uterine scar healing. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
- PublicationMetadata onlyKikuchi Fujimato Disease(2013-12-01T00:00:00Z) Ertas, Burak; Veyseller, Bayram; Aksoy, Fadlullah; ÖZTURAN, ORHAN; Barutcu, Saime Gul; AKSOY, FADLULLAH; ÖZTURAN, ORHANKikuchi Fujimato disease (KFD) also know as histiocytic necrotizing lymphadenitis (HNL) is a benign, self limiting disease, which commonly affects young women under 30 years of age. Most of the cases resolve in a six month period. Laboratory and clinical findings of KFD show similarities with tuberculosis lymphadenitis, mailgn lymphoma, other malign and benign diseases. The diagnosis is established on the basis of histology of lymph node excisional biopsy. The differentiation of KFD from Sistemik Lupus Eritematosus (SLE) can sometimes be problematic because both can show similar clinical and histological features. KFD and SLE can be seen together. Forty two years-old female patient diagnosed with KFD was discussed in light of current literature.
- PublicationMetadata onlyHealth 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 onlyPredictive role of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios for diagnosis of acute appendicitis during pregnancy(2015-11-01T00:00:00Z) Yazar, Fatih Mehmet; Bakacak, Murat; Emre, Arif; Urfalioglu, Aykut; Serin, Salih; Cengiz, Emrah; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANAcute appendicitis (AA) is not uncommon during pregnancy but can be difficult to diagnose. This study evaluated the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in addition to conventional diagnostic indicators of the disease to diagnose AA during pregnancy. Age, gestational age, white blood cell (WBC) count, Alvarado scores, C-reactive protein (CRP), lymphocyte count, NLR and PLR were compared among 28 pregnant women who underwent surgery for AA, 35 pregnant women wrongly suspected as having AA, 29 healthy pregnant women, and 30 nonpregnant healthy women. Mean WBC counts and CRP levels were higher in women with proven AA than in those of control groups (all p < 0.05). Among all the groups, the median NLR and PLR were significantly different in women with proven AA (all p < 0.05). Receiver operating characteristic analysis was used to determine cut-off values for WBC count, CRP, lymphocyte count, NLR and PLR, and multiple logistic regression analysis showed that NLR and PLR used with routine methods could diagnose AA with 90.5% accuracy. Used in addition to routine diagnostic methods, NLR and PLR increased the accuracy of the diagnosis of AA in pregnant women. Copyright (C) 2015, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.
- PublicationMetadata onlyFactors Associated with Insufficient Endometrial Sampling in Postmenopausal Women(2020-01-01T00:00:00Z) ATEŞ, SEDA; Karasu, Ayse Filiz Gokmen; ÇALI, HALİME; Soyman, Zeynep; UYSAL, ÖMER; ATEŞ, SEDA; ÇALI, HALİME; UYSAL, ÖMERAim: To assess the risk factors associated with high rate of insufficient endometrial sampling on endometrial biopsy in postmenopausal women.
- PublicationMetadata onlyPilates-Based Mat Exercises and Parameters of Quality of Life in Women With Type 2 Diabetes(2018-12-01) Yucel, Hulya; UYSAL, ÖMER; YÜCEL, HÜLYA; UYSAL, ÖMERBackground: Physical exercises increase quality of life (QoL) in diabetics. However, the optimal exercise type for patients with diabetes has not yet been established. It is unknown whether pilates is a suitable form of exercise for the QoL of patients with diabetes.
- PublicationMetadata onlyPatient satisfaction in outpatient medical care: the case of Iraq(2020-08-01T00:00:00Z) Al-Ezzi, Saad Ahmed Ali; AL-EZZI, SAAD AHMED ALİBackground:Healthcare providers are increasingly interested in patient satisfaction as an indicator to assess the quality of health services. This study investigates the level of satisfaction among Iraqi patients attending the outpatient (OP) clinic.Methods:This was a cross-sectional study conducted from October to December 2019 among outpatient attendees in two busiestcenters in Iraq. A convenience sample of 235 (response rate of 88.0%) completed the self-administered short-form patient satisfaction questionnaire (PSQ-18). The independent variables included socio-demographic, economic, and self-perceived health status. Data were analyzed in SPSS, where descriptive analysis (mean ± standard deviation) and univariate (independent sample t-test, ANOVA test) and multivariate linear regression -Enter technique- was done at 0.05 level of significance and 95% confidence interval.Results: The mean age of respondents was 39.3 (±14.8). The sample was mostly women (55.3%), and 37.4% in the age group of 30-49 years. More than half of participants residing in the urban regions (54.5%) from families of monthly household income less than 500,000 Iraq Dinars (USD 400). However, the majority (70.6%) have the first visit to the OP clinic, and 53.6% self-perceived health as good or very good. Results of multiple linear regression showed that patients residents in rural regions (B= 5.4 ,P<0.001), married (B= 4.8,P<0.001), unemployed (B= 4.7,P<0.001) and low educated (B= 1.5,P<0.051) exhibited higher service satisfaction score compared to urban residents, single, employed and high educated participants respectively. However, patients aged fifty years and more (B= -2.1,P<0.001) and those with poor health (B=-2.5,P<0.001) exhibited lower service satisfaction scores compared to young age patients and the healthy participants, respectively.Conclusion:The high demand for the use of health resources in metropolitan cities by the rural population indicates inequality in the distribution of health services and an increase in the rural-to-urban displacement.