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Medical Journal of Ankara Training and Research Hospital
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ISSN (Online) 1304-6187
Published by Ankara Eğitim ve Araştırma Hastanesi Homepage  [1 journal]
  • Job Satisfaction and Related Factors of Patients with Breast, Colorectal,
           and Lung Cancer or Lymphoma Who Have Survived and Being Followed in

    • Authors: Olgun DENİZ; Fikri İÇLİ, Filiz ÇAY ŞENLER
      Abstract: Aim:Studies on cancer and work life have shown that an increasing number of cancer survivors were able to return to work after their treatment. Many factors associated with employment and impaired work ability were defined. Nevertheless, rare studies evaluated the job satisfaction of the employees. This pilot study aims to evaluate the job satisfaction levels and factors affecting job satisfaction of cancer survivors.Material and Method:The study was designed as a cross-sectional survey in a university hospital. The short-form Minnesota Satisfaction Questionnaire (MSQ) Turkish version was administered during face-to-face interviews to the cancer survivors in complete remission who had returned to work after their treatment. The SPSS 15 for Windows was used for the analyses.Results:Sixty patients were evaluated. The Median MSQ score of the study population was 74 (22-95). Low MSQ score in 1 (1.7%), intermediate MSQ scores in 30 (50%) and high MSQ scores in 29 (48.3%) patients were recorded. The analysis of factors associated with MSQ scores showed that high school/university education patients were less satisfied with their jobs. There was no statistically significant difference in the analysis of sex, marital status, residence, duration of disease, and treatment modalities. The analysis of patients' subjective satisfaction with jobs showed that 6 (10%) patients were not satisfied before the disease process, and 13 (21.7%) patients were not satisfied after returning to work. Patients who returned to the same workplace were more satisfied [75 (29-95) vs. 64 (22-78) vs., p=0.03] than those who changed workplaces. Patients who had subjectively better/similar working conditions after returning to work were more satisfied than those who had worse [75 (38-95) vs. 58 (22-83), p=0.03]. Multivariate analysis revealed that high school/university education [OR=0.115 (0.022-0.601), p= 0.010] was independently associated with worse job satisfaction.Conclusion:It was determined that the cancer survivors experienced moderate levels of job satisfaction. Cancer survivors with various types of cancer have different individual physical and emotional characteristics that influence their decision to return to work.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Özlem UZUNLAR; Şebnem ÖZYER, İsmail Altan TÜLÜ, Filiz AKİN SU, Cüneyt UZUNLAR, Ayla SARGIN, Leyla MOLLAMAHMUTOĞLU
      Abstract: Background Child sexual abuse, especially incest may reveal more serious consequences in terms of young victims, the relationship’s context between abuser and victim, and the presence of the risk associated with sexual activity. In this context, the aim of this study was to provide awareness and perspective for healthcare professionals on the subject by publishing our experiences on incest, which is a difficult and sensitive subject.Methods This study was carried out retrospectively and descriptively based upon medico-legal records of girl children under the age of 18 evaluated in an Adolescence Center between the years of 2004-12.Results Intrafamilial abuse was 23 of 139 victims of child sexual abuse during this period of time. The gender of the victims female only, and the age of victims was between 2-18 ages, and 10 of 23 presented with various gynecological complaints. The abuse of 56.52 % of the cases was detected by gynecologists. Also, 34.7 % of them were pregnant. The long term consequences of incest were determined ASD, PTSD, social isolation, ADHD and substance abuse.Conclusion The decision as to whether the child is a victim of incest or not is difficult and has serious implications. In cases with delayed notification, changes or loss in evidence may lead to confusion in medico-legal evaluation, which makes social and legal management harder, thus causing a delay in the protection of victims from abuse. At this stage, early diagnosis of abuse becomes very important in line with the best interests of the child.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • No title

    • Authors: Arzu BOZTAŞ; Abdulkadir ÜNSAL, Ömer ERSOY, Halim KALE, Hüseyin GÜVEN
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • No title

    • Authors: Eda TOKAT; Yildiray YILDIZ
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Primary Hydatid Cyst in the Rectovesical Pouch

    • Authors: Nezih KAVAK; Meltem ÖZDEMİR, Ahmet SEKİ, Tuğba TAŞKIN TÜRKMENOĞLU, Rasime Pelin KAVAK
      Abstract: Cyst hydatid disease is a parasitic zoonosis caused by the larvae of the tapeworm belonging to the Echinococcus species. While hydatid disease can affect almost any part of the human body, the liver and lung are the two organs where the disease is most frequently detected. Peritoneal involvement may develop following a hepatic hydatid cyst surgery or as a result of spontaneous micro-ruptures of the hepatic hydatid cyst into the peritoneal cavity. However, with only a few reported cases, primary hydatid cyst in the rectovesical pouch is extremely rare, even in endemic regions. In this study, a 37-year-old man admitted to the emergency department with frequency and nocturia diagnosed as having a primary hydatid cyst in the rectovesical pouch.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Tracheobroncopatia Osteochondroplastica with a case report

    • Authors: Meltem YILMAZ; Arif İŞCAN, Levent MUTLU
      Abstract: Tracheobroncopatia Osteochondroplastica is a rare benign disease characterized by a large number of submucosal nodules in the tracheobronchial system, extending into the lumen. Most of the patients are asymptomatic and the clinical is variable. It can occur with various breathing symptoms such as dyspnea, cough, wheezing, recurrent infections, and hemoptysis. It is often diagnosed incidentally. The disorder is typically diagnosed during the fifth and sixth decades and has a 3:1 male predilection. In this case report, the clinical, radiological and bronchoscopic features of Tracheobroncopatia Osteochondroplastica were discussed with a 65-year-old male patient diagnosed.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Clinical features of hospitalized herpes zoster patients and comparison of
           elderly patients with younger patients: tertiary care clinical experience.

    • Authors: Berkay TEMEL; Ozge Mine ORENAY, Nermin KARAOSMANOĞLU
      Abstract: AimSeveral studies were conducted to determine the characteristics of hospitalized patients with Herpes Zoster. This study aimed to evaluate the characteristics of hospitalized especially elderly patients with Herpes Zoster and compare them with young adult patients in tertiary clinic in Turkey.Material and MethodsHospitalized HZ patients were enrolled 2008 and 2020. Age, gender, length of hospitalization, affected dermatomes, treatment agents, comorbidities, complications were recorded from the electronic medical files. ResultsTotally 82 patients were evaluated. 62.2% (n=51) of the patients were over 65 years old. In the group over 65 years of age, the proportion of female patients were 54.9% (n=28), cervical dermatome involvement was 49% (n=25), the most common comorbidity is hypertension, the proportion of comorbid patients was 92.2% (n=47), the proportion of immunosuppressive patients were 39.2% (n=20), the most common complication was acute neuralgia, the proportion of complicated patients was 68.6% (n=35), the most commonly used treatment agents were valacyclovir and NSAID. The mean length of hospital stay was 11.9 days. ConclusionElderly hospitalized patients with HZ tend to be more complicated and have longer hospital stays. Therefore, early treatment is important in this group.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Arda KUCUKGUVEN
      Abstract: Aim: This study aims to analyze and compare the results of three different subcutaneous brow lift techniques: Fogli temporal lift, pretrichial brow lift, and gliding brow lift.Material and methods: Thirty-three female patients underwent brow lift surgery between July 2022 and September 2021. Initially, eighteen consecutive patients were operated with either the temporal lift technique or pretrichial brow lift technique based on their forehead length. Then, fifteen consecutive patients underwent the gliding brow lift surgery regardless of their forehead length. Age, type of anesthesia, other accompanying surgical procedures, and postoperative complications including presthesia in the scalp, incisional postoperative healing problems, unfavorable incisional scarring, non-incisional healing problems, hypopigmentation, hyperpigmentation, neuropraxia of the frontal branch, recurrence, and hematoma were analyzed based on the type of the brow lift technique retrospectively.Results: The average follow-up period was 13.6 months (range, 9-21 months). In the gliding brow lift, the most common complications were transient scalp paresthesia (47%), non-incisional healing problems (27%), and small areas of hypopigmentation in the forehead skin (20%). The most common complications of the temporal lift were the unfavorable incisional scarring (85%) and transient (77%) or permanent (31%) paresthesia in the scalp. The rate of postoperative small incisional problems (80%) and scarring (60%) were high in the pretrichial subcutaneous brow lift. None of the patients required a revision surgery or had a permanent frontal branch injury.Conclusion: There has been a trend toward the minimally invasive techniques in periorbital rejuvenation. The ideal technique should have minimal morbidity and provide long-lasting effects. This study demonstrates that the gliding brow lift technique is a promising and minimally invasive technique with pleasing outcomes in brow rejuvenation.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Derya DOĞANAY; Firdevs ÖRNEK, Umay GÜVENÇ
      Abstract: Aim: To present the long-term results of bicanalicular silicone tube intubation combined with external dacryocystorhinostomy (EDRS) in-patient with nasolacrimal duct obstruction (NLDO)Methods: Long-term results of 169 eyes of 169 patients who underwent external dacryocystorhinostomy between January 2010 and December 2020 in our clinic were evaluated, retrospectively. On the postoperative 1st day, 10th day, 1st month, 3rd month, 6th month, 9th month, 12th month, and last visits, the patients were evaluated. Especially on the postoperative 1st day for signs of infection, the position, tension, and placement of the silicone tube, and the presence of epiphora. Silicone tubes of the patients were removed 6 months after surgery. Surgical success; The disappearance of the patient's symptoms was evaluated as the lacrimal drainage open.Results: 102 of our cases were female and 67 were male. The mean age-standard error was 55,48±1,36. Our average follow-up-standard error was 47,83±2,27 months. Surgical failure occurred in two of our patients. These cases were who were severe bleeding occurred during surgery and flaps were formed with difficulty. In these cases, revision surgeries were performed with an internal approach and surgical success were achieved in both of them. In our patients, who underwent bicanalicular silicone tube intubation surgery combined with external dacryocystorhinostomy, the surgical success rate was 98,76% in the first operation and 100% in the second operation.Conclusions: Considering the long-term results of bicanalicular silicon tube intubation combined with dacryocystorhinostomy operations, it is the most effective surgical method with the highest success rate in nasolacrimal canal obstruction.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Determination of Seroprevalence of TORCH Group Infections in Pregnants
           Followed in Ankara Training and Research Hospital Gynecology and
           Obstetrics Polyclinic

    • Authors: Süheyla AYDOĞMUŞ
      Abstract: Objective: In this study, it was aimed to investigate the seropositivity of the TORCH Group, which is one of the congenital infectious agents in pregnant women.Materials and Methods: 1000 pregnant women between the ages of 20-46 who applied between 2020-11/2022 were included in the study. It was reviewed retrospectively. The tests were performed with the ELISA method.Results:The mean age of 1000 pregnant women who participated in the study was 28.07± 5.9 years, the youngest was 20 and the oldest was 46 years old. The mean gestational week of the pregnant women was 13.35±9.2 weeks. Anti HIV antibody was negative in 1000 (100%) of a total of 1000 pregnant women. HBsAg was negative in 991 (99.1%) of 1000 pregnant women and positive in 9 (0.9%). Anti CMV IgG values of 27 pregnant women (100%) were positive. Anti Rubella IgG was negative in 7 (16.3%) of 43 pregnant women and positive in 36 (83.7%). Anti Toxoplasma IgM was negative in 312 (99.36%) of 314 pregnant women and positive in 2 (0.6%).Conclusion: Rubella-IgG, CMV-IgG seropositivity rates and HBsAg positivity rates in pregnant women were found to be similar to Turkish data. It was determined that the AntiHBs antibody rate was high and the Anti Toxoplasma IgG positivity rate (17.1%) was lower than the Turkey average.Seronegative pregnant women should be vaccinated at the appropriate time for hepatitis B and Rubella infectious agents, which can be prevented by vaccination. In addition, we believe that explaining the transmission routes of T.gondii to pregnant women will reduce the rates of neonatal mortality and morbidity that may develop.Key words: Pregnancy, T.gondii, CMV, Rubella, Hepatitis B, HIV, seroprevalence
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Işılay TAŞKALDIRAN; Özlem TURHAN İYİDİR, Uğur TOPRAK, Bilal ÇAKIL, Gülin BULUT, Mehmet Tarık HACIBEKTAŞOĞLU, Sıla GEREN, Tolga KORKMAZ, Zeynep Ilgaz YAYLI, Neslihan BAŞÇIL TÜTÜNCÜ
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Histopathological Features of Intrathoracic Goitre are Important in
           Decision Making

    • Authors: Buket ALTUN ÖZDEMİR; Yücel AKKAŞ, Hakan ATAŞ, Bülent ÇOMÇALI, Tanju TÜTÜNCÜ, Ebru MENEKŞE
      Abstract: Aim: The aim of the study is examining the factors determining the need for thoracic approaches to remove an intrathoracic goitre. Material and Method: This retrospective study was conducted between 2011 and 2018. Patients were categorized into two groups; Group A consisted of patients who underwent surgery via the transcervical approach, and Group B consisted of patients who underwent surgery via the transcervical plus thoracic approaches. The extension, size, and localization of the intrathoracic goitre was measured on computed tomography scans. Histopathological examination results were recorded. Results: Group A was consisted of 268 patients, Group B was consisted of 17 patients. There was statistically significant difference in terms of recurrence between groups. There were no statistically significant difference for length of goitre in computed tomography, volume and superoinferior size of the specimen between groups. There was a statistically significant correlation between the choice of thoracotomy and the localization of the intrathoracic goitre. There was a statistically significant correlation between the choise of thoracotomy and pathological subtypes. Conclusion: While dimentions of the goitre were not important in determining the necessity of thoracic approaches; recurrence, localization, and histopathological features were found to be determinants in removing an intrathoracic goitre.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • External Validation and Evaluation of Efficacy of Scales Used in
           Eustachian Tube Dysfunction

    • Authors: Gözde ORHAN KUBAT; Hilal KAYA
      Abstract: AIM: The aim of the study is to provide external validation of the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7), which was created to eliminate the limitations in the diagnosis and treatment of ETD, and to evaluate the usability of the Sinonasal Outcome Test-22 (SNOT-22) test and its subgroups for this purpose.MATERIAL AND METHOD: ETDQ-7 and SNOT-22 questionnaires were filled in by the patient group diagnosed with ETD and the control group. Scale scores were compared between groups. Effect levels were calculated with the receiver operating characteristics (ROC) curve.RESULTS: ETDQ-7 score in the patient group was significantly (p
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • No title

    • Authors: Emel KÜLEKCİ; Sibel YILMAZ ŞAHİN, Emine İYİGÜN
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Association of Surgeon Age and Experience with Pilonidal Sinus Operation

    • Authors: Ramazan GÜNDOĞDU; Uğur TOPRAK
      Abstract: Objective: Most surgeons continue to use classical methods of surgical treatment despite the introduction of minimally invasive approaches. This study aimed to evaluate the association of surgeon age and experience on Pilonidal sinus (PS) treatment method.Methodology: Clinical data of patients who presented with PS and underwent surgical treatment between January 2011 and November 2021 in our hospital were retrospectively analyzed. Operation method was classified as classical or minimally invasive. Surgeons were divided into three age groups: 28–35 years, 36–45 years, and ≥46 years. Drain use, anesthesia type, and operation method were compared between age groups. Correlation of surgeon age and these variables was also evaluated.Results: In total, 253 patients were included for analysis (203 men and 50 women). Median age was 25 years (range, 16–64). The number of patients in the classical and minimally invasive groups was 155 and 98 patients, respectively. Use of minimally invasive surgery increased (r = 0.153) and drain use decreased (r = −0.232) as surgeon age and experience increased. Spinal anesthesia was the most frequently used anesthesia method; only 7.1% of patients underwent surgery using local anesthesia. There was no significant correlation between surgeon age and anesthesia type.Conclusion: Classical surgical treatment of PS remains more common than minimally invasive approaches in our hospital. Use of minimally invasive approaches increased in conjunction with surgeon age and experience.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Saygın ALTINER; Mert ÇÖL, Enes CEBECİ, Bedri Burak SUCU, Enes DOĞANAY, Murtaza Kaan ÖZDEMİR, Serdar KURU, Salih TUNCAL
      Abstract: Aims. Acute cholecystitis is one of the most common emergencies of general surgery. Although there is an increase in the incidence of acute cholecystitis in the summer season when the temperature increases, its cause is not fully understood. The aim of this study is to determine the relationship between acute cholecystitis and temperature.Material and Methods: 271 patients admitted to the general surgery service in 2021 were included in this study. Patient data were obtained retrospectively from patient files and data from national centers were used for meteorological data. Conformity of continuous variables to normal distribution was evaluated using visual and analytical methods.Results: According to the percentage distribution of cases, acute cholecystitis was most common in summer and least in winter. A very strong positive correlation was found between monthly mean temperature values and monthly incidence of acute cholecystitis (correlation coefficient: r= 0.759 and p=0.004).Conclusions: The incidence of acute cholecystitis also increases with increasing ambient temperature, and this is important in terms of planning health services.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Ahmet BAYRAK; Çağla TARHAN
      Abstract: Aim: The navigator-triggered Prospective Acquisition Correction Enhancement technique is a method used to eliminate respiratory motion artifacts caused in magnetic resonance cholangiopancreatography examinations. The purpose of this study was to compare the diagnostic accuracy of navigator-triggered Prospective Acquisition Correction Enhancement tecnique magnetic resonance cholangiopancreatography examination with endoscopic retrograde cholangiopancreatography as a gold standard reference in presence of choledocholithiasis. Materıal and Method: The diagnostic rates of magnetic resonance cholangiopancreatography examination performed with Prospective Acquisition Correction Enhancement technique in the diagnosis of choledocholithiasis were compared according to the results of the endoscopic retrograde cholangiopancreatography examination, which was accepted as a gold standard reference. Results: Among 107 patients included in the study, 40 patients with magnetic resonance cholangiopancreatography and 36 patients with endoscopic retrograde cholangiopancreatography were diagnosed with choledocholithiasis. endoscopic retrograde cholangiopancreatography showed the presence of choledocholithiasis in 36 patients among 40 patients diagnosed as choledocholithiasis with magnetic resonance cholangiopancreatography. The positive predictivity value of the magnetic resonance cholangiopancreatography examination performed with the Prospective Acquisition Correction Enhancement technique was 90%, the negative predictivity value was 98.5%, the sensitivity was 97.3%, the specificity was 94.3%, and the diagnostic accuracy was 95.3%. Conclusıon: We think that navigator-triggered magnetic resonance cholangiopancreatography examination obtained with Prospective Acquisition Correction Enhancement technique is a reliable method with high accuracy in the diagnosis of choledocholithiasis.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • Rheumatoid Arthritis After SARS-CoV-2 Infection: A New Risk Factor'

    • Authors: Reyhan KÖSE ÇOBANOĞLU
      Abstract: OBJECTİVE: In rheumatoid arthritis (RA) etiopathogenesis, viral infections role as environmental trigger factors. The new corona virus SARS-COV-2 has been reported to trigger the autoimmunity and inflammatory arthritis. The aim of the study is to compare the patients diagnosed as RA after COVİD-19 with regular RA patients and to assess the possible mechanisms in RA development.MATERİALS AND METHODS: Two groups were formed in newly diagnosed RA patients depending on COVİD-19 history before the initiation of joint symptoms. Gender, age, comorbidity, working status, smoking habits, family history, joint involvement pattern, symptom duration, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), disease activity scores (DAS28-ESR), rheumatoid factor (RF), anti-cyclic citrulline peptide (anti-CCP) was recorded. Wilcoxon test was used for data that does not show normal distribution, paired-t test used for data showing normal distribution, p
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

      Abstract: AIM: We aimed to evaluate changes in patient numbers, procedures performed, and the result of imaging procedures in the breast imaging unit of a non-pandemic hospital in Turkey during the COVID-19 pandemic.MATERIAL AND METHOD: The study retrospectively evaluated 2010 and 740 patients who presented to our unit in the pandemic and non-pandemic periods, respectively. Patient sex and age, neoadjuvant chemotherapy story, imaging modalities used, final BI-RADS classification, and biopsy and/or wire localization procedures were compared between the periods.RESULTS: There were significant decreases in the number of patients who presented to our unit and the numbers of mammography, ultrasound, MRI, biopsy, and wire localization procedures performed during the pandemic period (p
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Ahmet KARAYİĞİT; Dursun Burak ÖZDEMİR, Hayrettin DİZEN, Murat ULAŞ, Bülent ÜNAL
      Abstract: AIM: In this study, we aimed to examine whether the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) values of women operated for breast cancer were associated with their clinicopathological features.MATERIAL AND METHOD: The data of 463 females who were operated for breast cancer in our center between Januray 2015 and December 2020 were analyzed retrospectively. Age, menopausal status, hematological values, histopathological features of tumors, presence of hormone receptors, surgical and biopsy techniques were evaluated in detail. NLR and PLR values were calculated using the results of routinely performed hemogram test before the operation, and their relationships with all parameters were analyzed. RESULTS: The ages of the cases ranged from 23 to 88 years, with a mean of 53.57 ± 12.66. Postmenopausal women constituted 62.42% of the cases. A negative correlation was found between age and PLR, but neither PLR nor NLR were found to be associated with menopause status. It was found that high NLR value was associated with high N stage, high TNM stage, high number of metastatic lymph nodes and presence of extracapsular invasion (p
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
  • No title

    • Authors: Nilufer AKGÜN; Seval YILMAZ ERGANİ, Süheyla AYDOĞMUŞ, Yusuf USTUN
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
           SPECIAL NEEDS

      Abstract: INTRODUCTION: The Disability Eligibility Report (ESKR) Regulation, which is used to evaluate adults as well as children and causes many scientific, legal and ethical problems, has been repealed and replaced by the Report for Children with Special Needs (ÇÖZGER) Regulation. Experience differences of families of the children who have experienced reports with both regulations are unknown.MATERIAL AND METHOD: In the cross-sectional study, children with special needs who had had previous ESKR report and were provided ÇÖZGER at Ankara University School of Medicine, Department of Pediatrics, Developmental Behavioral Pediatrics Division (AUDBP) between 20.02.2019 and 20.07.2019 were included. Three months after receiving ÇÖZGER, the families were phone called by a researcher and their experiences in ÇÖZGER and previous ESKR processes were learned through a semi-structured interview.RESULTS: During the study period of 661 children who were provided ÇÖZGER at AUDBP, 110 had ESKR before and of these 104 (94.5%) families provided consent for the study and comprised the sample (53.8% girls, median age: 4.7 years, minimum:8 months, maximum: 17.7 years). Ninety nine percent of children have chronic diseases. Most mothers (73.1%) had less than 12 years of education and were housewives (77.9%). Most of the families (68.3%) reported that they had problems with ESKR and 9.6% with ÇÖZGER. The reasons for the problems related to ESKR process were reported by the families as the lengthy reporting process in 35.6%, lack of diagnosis of their children in the ESKR regulation in 33.7%, stigmatization due to “severely disabled” definition in ESKR in 20.2%, not being provided a developmental assessment due to young age in 9.6%, and the fact that decision of consultations was made by secretariat in 6.7%. Of all families, 19.2% legally objected to the ESKR. During the ÇÖZGER process the problems encountered by the families were as follows: 4.8% reported that their children’s’ needs in ÇÖZGER were misunderstood in educational assessment system and 3.8% were misunderstood in the local government, 2.0% reported that the ÇÖZGER process was lengthy and 1.0% reported that educational system could not reach their assessment results through e-report system. While 37.5% of the sample could not benefit from social rights such as tax reduction and disability salary with ESKR, they reported that they obtained these rights with ÇÖZGER.CONCLUSION: Our research shows that children with special needs and their families experienced significant problems during the period of the ESKR Regulation, and almost all of the problems encountered in the previous regulation have resolved with the ÇÖZGER Regulation. While the few problems experienced in the ÇÖZGER process reveal the insufficient knowledge of health professionals, education system, local governments and administrations in this area, necessary regulations and trainings are urgently needed to overcome these few problems.
      PubDate: Sat, 31 Dec 2022 00:00:00 +030

    • Authors: Serçin TAŞAR; Ayşe Esra TAPCİ, Neslihan GÜRCAN KAYA, Ezgi Günce NURAL KIRCI, Yavuz TOKGÖZ
      Abstract: AIM: Data on the likely interest in dietary support use in children during the COVID-19 pandemic are scarce and not well documented, compared to adults. In this survey study, we aimed to reveal predictors of pandemic-induced changes in nutritional behavior in children and adolescents.MATERIAL AND METHODS: Parents or caregivers of a total of 1327 children aged 6 to 18 years were requested to fill a survey questioning the use of common dietary supplements and/or conventional functional food by children before and during the COVID-19 pandemic. Children were divided into 4 groups according to whether they received dietary supplements before/during the pandemic: those never received dietary supplements (Group 1), those already receiving/continued to receive (Group 2), those started to receive during pandemic (Group 3), those stopped to receive during pandemic (Group 4). RESULTS: A total of 1327 respondents completed the questionnaire. There were 322 (24.3%) children in Group 1, 313 (23.6%) children in Group 2, 679 (51.2%) children in Group 3 and 13 (1.0%) children in Group 4. Number of siblings (p
      PubDate: Sat, 31 Dec 2022 00:00:00 +030
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