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 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 Open Access Global overview of health systems oversight and financing for kidney care(2018-02-01) Bello, Aminu K.; Alrukhaimi, Mona; Ashuntantang, Gloria E.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Johnson, David W.; Kalantar-Zadeh, Kamyar; Kazancioglu, RÜMEYZA; Kerr, Peter G.; Lunney, Meaghan; Olanrewaju, Timothy Olusegun; Osman, Mohamed A.; Perl, Jeffrey; Rashid, Harun Ur; Rateb, Ahmed; Rondeau, Eric; Sakajiki, Aminu Muhammad; Samimi, Arian; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Levin, Adeera; KAZANCIOĞLU, RÜMEYZAReliable governance and health financing are critical to the abilities of health systems in different countries to sustainably meet the health needs of their peoples, including those with kidney disease. A comprehensive understanding of existing systems and infrastructure is therefore necessary to globally identify gaps in kidney care and prioritize areas for improvement. This multinational, cross-sectional survey, conducted by the ISN as part of the Global Kidney Health Atlas, examined the oversight, financing, and perceived quality of infrastructure for kidney care across the world. Overall, 125 countries, comprising 93% of the world's population, responded to the entire survey, with 122 countries responding to questions pertaining to this domain. National oversight of kidney care was most common in high-income countries while individual hospital oversight was most common in low-income countries. Parts of Africa and the Middle East appeared to have no organized oversight system. The proportion of countries in which health care system coverage for people with kidney disease was publicly funded and free varied for AKI (56%), nondialysis chronic kidney disease (40%), dialysis (63%), and kidney transplantation (57%), but was much less common in lower income countries, particularly Africa and Southeast Asia, which relied more heavily on private funding with out-of-pocket expenses for patients. Early detection and management of kidney disease were least likely to be covered by funding models. The perceived quality of health infrastructure supporting AKI and chronic kidney disease care was rated poor to extremely poor in none of the high-income countries but was rated poor to extremely poor in over 40% of low-income countries, particularly Africa. This study demonstrated significant gaps in oversight, funding, and infrastructure supporting health services caring for patients with kidney disease, especially in low- and middle-income countries.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 Open Access Development and Validation of the Turkish Version of the Colorectal Anal Distress Scale-8(2017-01-01T00:00:00Z) Aydin, Serdar; Pasa, Tugce Irem; Bidak, Merve; Batmaz, Gonca; Dansuk, RamazanObjective: Pelvic floor disorders are common and include a wide spectrum of conditions such as pelvic organ prolapse, urinary incontinence, fecal incontinence, voiding and/or defecation dysfunction, sexual dysfunction, and several chronic pain syndromes. There is a need for a validated and reliable inventory to evaluate colorectal anal distress in women with pelvic floor disorders. The aim of this study was to investigate the reliability and validity of the Turkish version of the CRADI-8 for the evaluation of colorectal distress.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 Thel Incidence of Concomitant Precancerous Lesions in Cases Who Underwent Hysterectomy for Prolapse(2016-09-01T00:00:00Z) AYDIN, SERDAR; BAKAR, Rabia Zehra; Mammadzade, Aygun; DANSUK, RAMAZAN; AYDIN, SERDAR; BAKAR, RABIA ZEHRA; DANSUK, RAMAZANThe aim of the study was is to assess the incidence of unexpected gynecological cancers and pre-cancerous lesions following hysterectomy for pelvic organ prolapse to better understand the risks of uterine sparing surgery. Material and Method: This was a retrospective analysis of histopathology findings after hysterectomy for uterine prolapse surgery who underwent preoperative diagnostic work including cervical cytology, transvaginal ultrasonography and endometrial histopathological examination for a high risk group (Postmenopausal women with an endometrial thickness of >= 5 mm and premenopausal women with abnormal bleeding). Patients with a history of endometrial, cervical and/or adnexal precancerous or cancerous pathological conditions and with incomplete medical records were excluded. Results: Results were taken from 106 women who underwent hysterectomy. The abdominal route was used in 22 cases (21.7 %), the vaginal route in 82 patients (77.4 %) and laparoscopic-assisted vaginal route in two (1.9 %) women. Oophorectomy was performed in 35 (33 %) cases. None of the patients had malignant histopathology specimens from hysterectomy. Total premalignant pathology incidence was 7.5 % (8/106). Six (5.7%) patients had simple endometrial hyperplasia and 2 patients (1.9 %) had cervical intraepithelial neoplasia. Discussion: The incidence of unexpected endometrial, cervical or ovarian malignancy among women who underwent hysterectomy after preoperative diagnostic workup including transvaginal ultrasonograhy, endometrial pathological examination to high risk cases was negligible. The inclusion of low risk endometrial and cervical precancerous lesions increased the incidences. Our results could provide precious data to extrapolate to similar populations with uterine prolapse who desire surgical correction sparing uterus.Publication Metadata only Analysis of Medical Responses in Mass Gatherings: The Commemoration Ceremonies for the 100(th) Anniversary of the Battle of Gallipoli(2018-06-01T00:00:00Z) KOÇAK, HÜSEYİN; ÇALIŞKAN, CÜNEYT; Sonmezler, Mehmet Serafettin; Eliuz, Kenan; KÜÇÜKDURMAZ, FATİH; KÜÇÜKDURMAZ, FATİHIntroductionMass crowds outside the routine population create a burden of disease on Emergency Medical Services (EMS). The need for EMS in various mass-crowd events may vary. It is especially important to determine the EMS requirement that emerges during the historic commemoration ceremonies in Canakkale (Turkey).Hypothesis/ProblemThis study aims to determine the unique challenges in the planning of EMS responses provided for people from various countries at the commemoration ceremony for a 100-year-old war and to identify the medical provision of those services.MethodsThis descriptive study examined the patient applications in the Canakkale EMS at the commemoration ceremonies for the 100(th) anniversary of Gallipoli Wars (Canakkale Amphibious Wars - Turkey) on April 24-25, 2015.ResultsA total of 221 cases were handled by 112 EMS in the ceremony area. Of those, 87.3% of the cases applied to a mobile operating room (MOR) stationed in the ceremony area while 12.7% of them applied directly to the health care team in a large area in the ceremony area. Overall, 13.1% of the cases were transferred to the hospital for further evaluation and treatment. Patient presentation rate (PPR) of the patients who were treated during the two days was 4.42, and transfer to hospital rate (TTHR) of the cases transferred to the hospital was calculated to be 0.58.ConclusionFurther studies may create models in regard to the estimations on mass and needs based on the data of previous organizations.Publication Open Access Orthostatic hypotension and health outcomes: an umbrella review of observational studies(2019-11-07) Veronese, Nicola; Smith, Lee; Torbahn, Gabriel; Jackson, Sarah E.; Yang, Lin; SOYSAL, PINAR; Rivasi, Giulia; Rafanelli, Martina; Petrovic, Mirko; Maggi, Stefania; Isik, Ahmet Turan; Demurtas, Jacopo; SOYSAL, PINARPurpose Orthostatic hypotension (OH) is associated with older age and many negative clinical outcomes in geriatric practice. We aimed to capture the breadth of outcomes that have been associated with the presence of OH and systematically assess the quality, strength and credibility of these associations using an umbrella review with integrated meta-analyses. Methods We systematically searched several major databases from their commencements through to 16th May 2019 for meta-analyses of observational studies of OH and any health-related outcome. We used these metrics to categorize the strength of evidence of significant outcomes (p < 0.05) from class I (convincing) to class IV (weak), according to the pre-established criteria. Results From 975 abstracts, seven meta-analyses of 12 outcomes were included. For each outcome, the median number of studies was four, and the median number of participants was 46,493, with a median of 3630 incident cases. There was suggestive (class III) evidence that OH was associated with significantly higher risk of coronary heart disease (HR = 1.32, 95% CI 1.12-1.56), stroke (HR = 1.22, 95% CI 1.08-1.38), congestive heart failure (HR = 1.30, 95% CI 1.09-1.55), all-cause mortality (RR = 1.50, 95% CI 1.24-1.81), falls (OR = 1.84, 95% CI 1.39-2.44), and dementia (HR = 1.22, 95% CI 1.11-1.35). Conclusion The current evidence base indicates that OH is significantly associated with a range of adverse cardiovascular, cognitive, and mortality outcomes in older people, although the strength of this evidence remains only suggestive. Further research in larger samples and with lower risk of bias is required to build a fuller picture of the impact of OH on health.Publication Metadata only The evaluation of brain natriuretic peptide changes and difficult airway predictors during perioperative period of pregnancy(2016-02-01) Basaranoglu, GÖKÇEN; UMUTOGLU, T.; BAKAN, M.; ESEN, ASIM; ATES, SEDA; BACAKSIZ, AHMET; SALIHOGLU, Z.; BAŞARANOĞLU, GÖKÇEN; ESEN, ASIM; ATEŞ, SEDA; BACAKSIZ, AHMETAim Airway changes, difficult ventilation, and intubation are the leading causes of morbidity and mortality in pregnancy, but no prospective study has evaluated the relationship between airway changes and brain natriuretic peptide (BNP) before and after cesarean section operations. The purpose of this study was to evaluate the relationship between BNP and airway changes in women undergoing delivery and during the postoperative period.