Publications (15) View all
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Article: Establishment of interdisciplinary child protection teams in Turkey 2002-2006: identifying the strongest link can make a difference!
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ABSTRACT: The University of Iowa Child Protection Program collaborated with Turkish professionals to develop a training program on child abuse and neglect during 2002-2006 with the goals of increasing professional awareness and number of multidisciplinary teams (MDT), regional collaborations, and assessed cases. This paper summarizes the 5-year outcome. A team of instructors evaluated needs and held training activities in Turkey annually, and provided consultation when needed. Descriptive analysis was done via Excel and SPSS software. Eighteen training activities were held with 3,570 attendees. Over the study period, the number of MDTs increased from 4 to 14. The MDTs got involved in organizing training activities in their institutions and communities. The number of medical curriculum lectures taught by MDTs to medical students/residents, conferences organized by the MDTs, and lectures to non-medical professional audiences increased significantly (R(2)=91.4%, 83.8%, and 69.2%, respectively). The number of abuse cases assessed by the MDTs increased by five times compared to pre-training period. A culturally competent training program had a positive impact on professional attitudes and behaviors toward recognition and management of child abuse and neglect in Turkey. The need to partner with policy makers to revise current law in favor of a greater human services orientation became clear. Pioneers in developing countries may benefit from collaborating with culturally competent instructors from countries with more developed child protection systems to develop training programs so that professional development can improve recognition and management of child abuse and neglect.Child abuse & neglect 05/2009; 33(4):247-55. · 2.34 Impact Factor -
Article: The Knowledge Level of Interns of Medical Faculty in Ondokuz Mayis University about Avian Influenza
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ABSTRACT: AIM: It is predictable that our country, especially Samsun city will be affect by a probable avian influenza epidemic because of is location that takes place in the region of wild birds migration way. The aim of this study is to ascertain the knowledge level of interns of medical faculty about avian influenza. METHODS: This descriptive study was conducted on 175 (81.7%) of 214 intern of medical faculty between 1 and 30 May 2008. A questionnaire included six questions related with the agent, group of the agent and therapy of avian influenza and source of information about avian influenza, was applied to the participants. The questionnaire also included 10 questions, which should be answered as true/false for each the following subjects transmission ways, risk groups, symptoms and protection methods of the disease. Each correct answer is scored as one point and a knowledge score was calculated for each subject. RESULTS: In all, 79 students (45.1%) were girls, 96(54.9%) were boys. The median age was 24.6±1.1 years. While the proportion of true response was 73.7% about the avian influenza agent, 55.3% of the whole group knew the group of the agent. The median points for knowing the transmission ways of virus, risk groups and prevention were 7.0, 6.0 and 7.0 respectively. The median point of the participants was 9,0 for the question related with the symptoms of the disease and this question was the most correctly answered one. Although 56.4% of the participants knew the treatment of the disease, 33.5% of them stated that vaccination is protective. The information sources about disease were television (74.2%), newspapers/magazine (46.8%) and the internet (36.0%). CONCLUSION: In conclusion, its found that interns have a medium level of knowledge about avian influenza. Lessons about, the diseases those can cause epidemics and important health problems in the future should be integrated in to the education programs to improve the knowledge level of interns. [TAF Prev Med Bull. 2009; 8(1): 49-52]TAF Preventive Medicine Bulletin. 01/2009; -
Article: A comparative evaluation of health related quality of life and depression in patients with fibromyalgia syndrome and rheumatoid arthritis.
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ABSTRACT: The aim of this study was to compare health related quality of life (HRQoL) and assess functional and psychological status in rheumatoid arthritis (RA), fibromyalgia syndrome (FS) patients and controls (each 30 subjects). Demographic characteristics, pain and sleep disturbance by Visual Analog Scale, depression by Beck Depression Inventory (BDI), disease impact by fibromyalgia impact questionnaire, DAS-28, and HRQoL by SF-36 were gathered. The FS group scored significantly worser than the RA group with respect to physical role, social functioning and bodily pain subscales of SF-36. The scores of all SF-36 subscales were significantly lower in FS and RA patients than controls except mental health score. All of the subscales of SF-36 were negatively correlated with BDI scores in FS patients. In RA group, the DAS-28 scores were inversely correlated with all of SF-36 subscales. In conclusion, presence of comorbid depression must be taken into account when determining HRQoL in FS and RA. Essentials improving the HRQoL are management of depression in FS and control of disease activity in RA.Rheumatology International 08/2008; 28(9):859-65. · 1.88 Impact Factor -
Article: Left ventricular aneurysm in the scope of gated perfusion SPECT: accuracy of detection and ejection fraction calculation.
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ABSTRACT: The objective of this trial was to investigate the capacity of gated perfusion SPECT (GPS) to detect left ventricular aneurysm (ANV) by comparing QGS and 4D-MSPECT (4DM) algorithms with radionuclide ventriculography (RVG). Secondarily, the comparison of GPS ejection fraction (EF) measurements with those of contrast left ventriculography (LVG) and RVG was aimed. Twenty-five patients with ANV confirmed by LVG were studied. The patients underwent RVG and rest Tc-99m-tetrofosmin GPS 1 week after LVG. A 9-segment model was used both in RVG and GPS evaluation. Aneurysm was defined by scoring the wall motion (WM) and phase analysis in RVG; perfusion, wall thickening and WM in GPS. The detection rate of ANV was 96%, 84% and 52% for RVG, QGS and 4DM, respectively. The LVG mean EF (43.52% +/- 16.93%) was significantly higher (P < 0.01) than those of RVG (29.40% +/- 10.90), QGS (30.04% +/- 13.25%) and 4DM (34.92% +/- 13.01%). Moderate to high EF correlation values were obtained between LVG and GPS (r = 0.71-0.79) and GPS-RVG (r = 0.69). There was no significant EF difference between the radionuclide methods except between 4DM-EF and RVG-EF (5.52%, P < 0.05). Wide Bland-Altman limits were observed between the radionuclide methods in EF comparisons (range: 30.5-38.5%). GPS seems to have a role in the non-invasive investigation of ANV. QGS-GPS proved to be more reliable (84%) than 4DM-GPS (52%) in the ANV detection. The localization and the extent of the aneurysm itself as well as perfusion and function of adjacent segments may affect aneurysm diagnosis by means of GPS. RVG, QGS-GPS and 4DM-GPS seem not to be interchangeable for routine EF calculation in ANV patients.The International Journal of Cardiovascular Imaging 08/2008; 24(6):585-96. · 2.29 Impact Factor -
Article: Violence towards workers in hospital emergency services and in emergency medical care units in Samsun: an epidemiological study.
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ABSTRACT: The aim of this study was to determine the frequency of exposure to some form of violence during the previous 12 months and the State-Trait Anxiety levels of emergency medical care (EMC) and emergency service (ES) workers in Samsun. A cross-sectional study was conducted in all EMC (5) units and ES (4) in Samsun, between April 1 and April 30, 2004. A self-administered questionnaire was sent to all of the workers (n=320). Of the workers, 280 (87.5%) completed the survey. A total of 202 (72.1%) participants reported that they had witnessed some form of violence. ES workers (75.9%) were more often exposed to violence than EMC workers (62.3%) (c2=5.08, p<0.05). The multivariate analysis demonstrated that age, gender and anxiety regarding repetition of exposure to violence were related with higher state anxiety point, while anxiety regarding repetition of exposure to violence was related with higher trait anxiety point. This evidence clearly indicates that violence in ES and EMC units is a common concern. The necessary framework for the reduction and elimination of violence in the workplace should be provided.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES 07/2008; 14(3):239-44. · 0.33 Impact Factor
