Goal: 17 - Amaçlar için Ortaklıklar
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Amaçlar için Ortaklıklar
Uygulama araçlarını güçlendirmek ve sürdürülebilir kalkınma için küresel ortaklığı canlandırmak.
Hedefler, tüm hedefleri başarmak üzere ulusal planları desteklemek suretiyle Kuzey-Güney ve Güney-Güney işbirliğini artırma amacını güdüyor. Uluslararası ticaretin geliştirilmesi ve gelişmekte olan ülkelerin ihracatını artırmalarına destek verilmesi, adil ve açık, herkesin yararına olan, evrensel kurallara dayalı ve hakkaniyetli bir ticaret sistemini oluşturmanın unsurlarıdır.
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Publication Open Access Global capacity for clinical research in nephrology: a survey by the International Society of Nephrology(2018-02-01) Okpechi, Ikechi G.; 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; Levin, Adeera; Lunney, Meaghan; Olanrewaju, Timothy Olusegun; Perkovic, Vlado; Perl, Jeffrey; Rashid, Harun Ur; Rondeau, Eric; Salako, Babatunde lawal; Samimi, Arian; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Bello, Aminu K.; KAZANCIOĞLU, RÜMEYZADue to the worldwide rising prevalence of chronic kidney disease (CKD), there is a need to develop strategies through well-designed clinical studies to guide decision making and improve delivery of care to CKD patients. A cross-sectional survey was conducted based on the International Society of Nephrology Global Kidney Health Atlas data. For this study, the survey assessed the capacity of various countries and world regions in participating in and conducting kidney research. Availability of national funding for clinical trials was low (27%, n = 31), with the lowest figures obtained from Africa (7%, n = 2) and South Asia (0%), whereas high-income countries in North America and Europe had the highest participation in clinical trials. Overall, formal training to conduct clinical trials was inadequate for physicians (46%, n = 53) and even lower for nonphysicians, research assistants, and associates in clinical trials (34%, n = 39). There was also diminished availability of workforce and funding to conduct observational cohort studies in nephrology, and participation in highly specialized transplant trials was low in many regions. Overall, the availability of infrastructure (bio-banking and facilities for storage of clinical trial medications) was low, and it was lowest in low-income and lower-middle-income countries. Ethics approval for study conduct was mandatory in 91% (n = 106) of countries and regions, and 62% (n = 66) were reported to have institutional committees. Challenges with obtaining timely approval for a study were reported in 53% (n = 61) of regions but the challenges were similar across these regions. A potential limitation is the possibility of over-reporting or under-reporting due to social desirability bias. This study highlights some of the major challenges for participating in and conducting kidney research and offers suggestions for improving global kidney research.Publication Metadata only IFLA President-s Meeting 2015 Istanbul(2015-01-01T00:00:00Z) Zayim, KÜBRA; ZAYİM GEDİK, KÜBRAInternational Federation of Library Associations and Institutions (IFLA) organizing presidency meetings in connection with the developments for library and information services by the themes defined. Eighth Meeting of Presidency has been organized in cooperation with ANKOS, Turkish Librarians- Association (TLA), Istanbul BilgiUniversity in Istanbul with the invited speakers and attendants from various disciplines. The meeting titled in -The Art of Transformation of Libraries- was carried out in the framework organized under the five major themes. These titles are:Publication Metadata only The Disease that is Unforgettable: a Case of Rapidly Progressive Tetanus(2013-09-01T00:00:00Z) Koruk, Suda Tekin; Sogut, Ozgur; Karaagac, Leman; Calisir, Celal; Yalcin, SabanTetanus is an acutely progressive central nervous system (CNS) infection characterized by severe respiratory distress and persistent tonic spasms. The bacteria toxin which is largely responsible for the clinical course of tetanus is tetanospasmin, which is effective in the central and autonomous nerve system and the neuromuscular junction. The symptoms arise with the toxin reaching the CNS generally within 10-14 days. Shortness of incubation period is a negative prognostic factor. Its prevalence in developed countries has been reduced with primary and secondary immunization programs made in each decade. However, it is still a serious public health issue in developing countries. In this paper, the aim was to present a case of fatal tetanus, who had received his last immunoprophylaxis about 25 years ago and had a rapidly progressive clinical course.Publication Metadata only Impact of maternal anxiety level on the childhood vaccination coverage.(2010-11-01) ÖZKAYA, EMİN; ÖZKAYA, EMİNThe mother-s mental state as a risk factor for the children-s vaccination status in developing countries has received little attention. The aim of this study was to determine the association between childhood vaccination coverage and maternal anxiety. A total of 195 consecutive infants and their mothers attending a tertiary teaching hospital, department of pediatric outpatient center between January 2008 and September 2009 were included in the study. One hundred five infants who have incomplete vaccination schedule (according to the National Immunization Schedule) were matched with 90 controls (fully vaccinated) and their mothers self-report measure of anxiety level using the State-Trait Anxiety Inventory (STAI), a psychiatric screening instrument. The chi-square test and the logistic regression were used in the statistical analysis. High maternal anxiety levels determined by STAI was associated with increased risk of incomplete vaccination status in infants (odds ratio 4.35, 95% confidence interval 1.87-8.79).This association remained significant after controlling for sociodemographic factors. High maternal anxiety scores may result in incomplete vaccination status in children younger than 3 years.Publication Metadata only SEÇİLMİŞ BAZI AVRUPA ÜLKELERİNDEKİ HIV ENFEKSİYONU VE TÜBERKÜLOZUN İNSİDANSLARININ İSTATİSTİKSEL PROSES KONTROL YÖNTEMİ İLE DEĞERLENDİRİLMESİ(2019-10-08T00:00:00Z) Toluk, Özlem; Ercan, İlker; Akalın, Emin Halis; TOLUK, ÖZLEMİstatistiksel proses kontrol (İPK) bir sürecin verilerini incelemek için geliştirilen ve sürecin anlaşılmasını uygun hale getiren analiz yöntemidir (Stapenhurst, 2005). İPK grafikleri ile hastalıkların zaman içindeki seyri izlenerek, yükselme ve düşüş trendleri belirlenmekte ve bunun sonucunda kontrol çalışmalarına yön verilmektedir.HIV enfeksiyonu tüberküloz hastalığı için bilinen en önemli risk faktörlerinden biridir. HIV negatif kişilere göre tüberküloz hastalığı gelişme riskini 20-30 kat arttırmaktadır.Bu çalışmanın amacı, 1990-2016 yılları arasında seçilmiş bazı Avrupa ülkelerinde -İnsan Bağışıklık Yetmezlik Virüsü (Human Immunodeficiency Virus – HIV) enfeksiyonu- ve Tüberküloz (TB)’un kontrol altında olup olmadığının araştırılması, ayrıca kontrol dışına çıktığı yıllardaki HIV ve TB birlikteliğinin incelenmesidir. Ayrıca bu hastalıklarla seçilmiş OECD gelişmişlik kriterlerinin ilişkisinin araştırılmasıdır (OECD, 2019).Çalışma kapsamımızdaki seçilmiş bazı Avrupa ülkelerinin yıllar bazında HIV ve TB seyrinin İPK ile incelendiği çalışmamızda, Dünya Sağlık Örgütü (World Health Organization - WHO) ve Birleşmiş Milletler HIV / AIDS programı (The Joint United Nations Programme on HIV/AIDS - UNAIDS) veri tabanlarından 1990 ve 2016 yılları arasındaki HIV ve TB insidans verileri alınmıştır (WHO Regional Office for Europe, 2018; AIDSinfo | UNAIDS, 2018). Avrupa ülkelerinin yarıyıl popülasyonları WHO veri tabanından alınmıştır (WHO Regional Office for Europe, 2018). Çalışmaya alınan Avrupa ülkeleri, Dünya Sağlık Örgütü Avrupa Bölgesi sınıflandırmasına dayanılarak seçilmiştir.Çalışmamızda Fransa, İngiltere, Almanya, İspanya ve İtalya gibi Batı Avrupa ülkelerinde HIV ve TB’nin kontrol altına alındığını saptadık. Macaristan, Polonya ve Türkiye gibi Merkez Avrupa ülkelerinde ise TB kontrol altında iken, HIV kontrol dışındadır. Doğu Avrupa ülkelerini temsil eden Ukrayna’da ise her iki enfeksiyon da kontrol dışındadır.HIV’in kontrol altına alınmasına etki eden faktörler açısından bir değerlendirme yapıldığında, ülkeler arasında epidemiyolojik ve HIV bakım kaskadı açısından farklılıklar olduğu dikkati çekmektedir. Özellikle HIV enfeksiyonunu kontrol altına alma çalışmaları için politikalar oluşturulurken, bu enfeksiyonu kontrol altına almış olan ülkelerin politikaları da gözden geçirilmelidir.Anahtar Kelimeler: İstatistiksel Proses Kontrol Grafikleri (İPK), HIV, Tüberküloz (TB), Laney P Kontrol GrafiğiPublication Open Access Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system(2018-02-01) Osman, Mohamed A.; Alrukhaimi, Mona; Ashuntantang, Gloria E.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Courtney, Mark; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Johnson, David W.; Kalantar-Zadeh, Kamyar; Kazancioglu, RÜMEYZA; Klarenbach, Scott; Levin, Adeera; Lunney, Meaghan; Okpechi, Ikechi G.; Olanrewaju, Timothy Olusegun; Perl, Jeffrey; Rashid, Harun Ur; Rondeau, Eric; Salako, Babatunde lawal; Samimi, Arian; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Bello, Aminu K.; KAZANCIOĞLU, RÜMEYZAThe health workforce is the cornerstone of any health care system. An adequately trained and sufficiently staffed workforce is essential to reach universal health coverage. In particular, a nephrology workforce is critical to meet the growing worldwide burden of kidney disease. Despite some attempts, the global nephrology workforce and training capacity remains widely unknown. This multinational cross-sectional survey was part of the Global Kidney Health Atlas project, a new initiative administered by the International Society of Nephrology (ISN). The objective of this study was to address the existing global nephrology workforce and training capacity. The questionnaire was administered online, and all data were analyzed and presented by ISN regions and World Bank country classification. Overall, 125 United Nations member states responded to the entire survey, with 121 countries responding to survey questions pertaining to the nephrology workforce. The global nephrologist density was 8.83 per million population (PMP); high-income countries reported a nephrologist density of 28.52 PMP compared with 0.31 PMP in low-income countries. Similarly, the global nephrologist trainee density was 1.87 PMP; high-income countries reported a 30 times greater nephrology trainee density than low-income countries (6.03 PMP vs. 0.18 PMP). Countries reported a shortage in all care providers in nephrology. A nephrology training program existed in 79% of countries, ranging from 97% in high-income countries to 41% in low-income countries. In countries with a training program, the majority (86%) of programs were 2 to 4 years, and the most common training structure (56%) was following general internal medicine. We found significant variation in the global density of nephrologists and nephrology trainees and shortages in all care providers in nephrology; the gap was more prominent in low-income countries, particularly in African and South Asian ISN regions. These findings point to significant gaps in the current nephrology workforce and opportunities for countries and regions to develop and maintain a sustainable workforce.Publication Metadata only Incidence and outcomes of eclampsia: a single-center 30-year study(2019-04-01T00:00:00Z) Uludag, Semih Zeki; Karasu, AYŞE FİLİZ; KÜTÜK, MEHMET SERDAR; TAKMAZ, TAHA; GÖKMEN KARASU, AYŞE FİLİZ; KÜTÜK, MEHMET SERDAR; TAKMAZ, TAHAObjective: We aimed to determine the incidence of eclampsia at Erciyes University Hospital which is a tertiary referral center situated at central Anatolia. Additionally, we investigated eclampsia-associated maternal and perinatal outcomes for the 30-year study period. Methods: A retrospective review was performed for all women who were diagnosed with eclampsia and admitted to the Erciyes University Medical School, Department of Obstetrics and Gynecology from January 1985 to December 2015. Improvement in management gained over time was determined by comparing the results of the years 2005-2015 with data which were already published from years 1985-1999 and 2000-2004. Results: Eclampsia prevalence was 289/46,928 (% 0.61). Maternal age at the time of diagnosis did not differ statistically; however, gestational age at diagnosis and birth weight decreased significantly throughout the years (p < 0.005). The perinatal mortality rate showed a slight decrease throughout the years (p = 0.238). Maternal mortality rate also decreased throughout the years; it was 1.7% in 2005-2009 and 0 % in 2010-2015 (p = 0.246). Conclusion: The prevalence of eclampsia cases has decreased over the years. Maternal mortality attributed to eclampsia has also declined. The early diagnosis and treatment of eclampsia have resulted in the increase of premature deliveries. The perinatal mortality rate showed a slight decrease throughout the years (p = 0.238); however, it is not at a desirable rate compared to developed countries.Publication Open Access Global coverage of health information systems for kidney disease: availability, challenges, and opportunities for development(2018-02-01) See , Emily J.; Alrukhaimi , Mona; Ashuntantang, Gloria E.; Bello, Aminu K.; Bellorin-Font, Ezequiel; Gharbi, Mohammed Benghanem; Braam, Branko; Feehally, John; Harris, David C.; Jha, Vivekanand; Jindal, Kailash; Kalantar-Zadeh , Kamyar; Kazancioglu, RÜMEYZA; Levin, Adeera; Lunney, Meaghan; Okpechi, Ikechi G.; Olanrewaju , Timothy Olusegun; Osman, Mohamed A.; Perl, Jeffrey; Qarni, Bilal; Rashid, Harun Ur; Rateb, Ahmed; Rondeau, Eric; Samimi, Arian; Sikosana, Majid L. N.; Sola, Laura; Tchokhonelidze, Irma; Wiebe, Natasha; Yang, Chih-Wei; Ye, Feng; Zemchenkov, Alexander; Zhao, Ming-hui; Johnson, David W.; KAZANCIOĞLU, RÜMEYZADevelopment and planning of health care services requires robust health information systems to define the burden of disease, inform policy development, and identify opportunities to improve service provision. The global coverage of kidney disease health information systems has not been well reported, despite their potential to enhance care. As part of the Global Kidney Health Atlas, a cross-sectional survey conducted by the International Society of Nephrology, data were collected from 117 United Nations member states on the coverage and scope of kidney disease health information systems and surveillance practices. Dialysis and transplant registries were more common in high-income countries. Few countries reported having nondialysis chronic kidney disease and acute kidney injury registries. Although 62% of countries overall could estimate their prevalence of chronic kidney disease, less than 24% of low-income countries had access to the same data. Almost all countries offered chronic kidney disease testing to patients with diabetes and hypertension, but few to high-risk ethnic groups. Two-thirds of countries were unable to determine their burden of acute kidney injury. Given the substantial heterogeneity in the availability of health information systems, especially in low-income countries and across nondialysis chronic kidney disease and acute kidney injury, a global framework for prioritizing development of these systems in areas of greatest need is warranted.Publication Open Access The Relationship between Range of Motion and Function of Upper Extremity in Obstetric Brachial Plexus Palsy Patients Treated with Tendon Transfer(2017-12-01) Aydın, Atakan; HOŞBAY, ZEYNEP; TANRIVERDİ, MÜBERRA; Tarakçı, Ela; Razak ÖZDİNÇLER, Arzu; HOŞBAY, ZEYNEP; TANRIVERDİ, MÜBERRAObstetric brachial plexus palsy (OBPP) refers to upper limb paralysis secondary to a sustained traction or compression injury to the brachial plexus during birth. The reported incidence in developed countries is 2 per 1000 live births. The assessment and planning of appropriate treatment is important in the early stages of OBPP. The aim of our study was to examine the relationship between the range of motion and upper extremity function of the shoulder in patients with OBPP who were treated by tendon transfer. This study included 48 patients who had shoulder tendon transfer at least 6 months ago in Istanbul Medical Faculty, Department of Plastic and Reconstructive Surgery, Department of Surgery of the Hand. Range of motion measurements were performed using a universal goniometer and the modified mallet classification was used to categorize global shoulder function. Pediatric evaluation of disability inventory (PEDI) and Canadian occupational performance measure (COPM) were used to evaluate functional ability, activity and participation. When examining relationships between range of motion and functional scores, there was a statistically significant relationship between COPMP score and external rotation, and no relationship was found between other motion functional scores. The study demonstrated that, the use of the pattern of development and motivation of patients to participate is also important among range of motion and muscle strength for upper extremity function.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.