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Öğe Analysis of Medical Responses in Mass Gatherings: The Commemoration Ceremonies for the 100th Anniversary of the Battle of Gallipoli(Cambridge Univ Press, 2018) Kocak, Huseyin; Caliskan, Cuneyt; Sonmezler, Mehmet Serafettin; Eliuz, Kenan; Kucukdurmaz, FatihIntroductionMass 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.Öğe Comparison of Emergency Medical Services Cases in Different Types of Mass Gathering Events Held Between 2015-2018 in Turkey(Galenos Publ House, 2022) Kocak, Huseyin; Tuncay, IbrahimAim: The aim of the study is to evaluate the Emergency Medical Services (EMS) cases in some mass gatherings held in Turkey between the years of 2015-2018 and to compare the patient presentation rate (PPR) and transport to hospital rate (TTHR) rates of different types of mass gatherings (MGs). Materials and Methods: The research is a descriptive cross-sectional epidemiological study. The population of the study consists of 112 EMS records of the Commemoration Events of the Canakkale Land Warfare (CECLW), Zeytinli Rock Festival (ZRF), Summer Deaflympics (DEAFLYMPICS) and European Youth Olympic Winter Festival (EYOF) organizations held in Turkey between the years of 2015-2018. Results: The hours of 12:00 p.m. - 05:59 p.m. (34.0%, n=161). 57.4% (n=272) of the cases were due to medical 474 EMS cases were examined in the study. 49.5% (n=235) of the cases were in DEAFLYMPICS and 57.6% (n=273) of the cases were male. The mean age of the cases was 30.3 +/- 16.5 (minimum: 0, maximum: 92). Most cases occurred between reasons. According to the triage codes, 57.7% (n=153) of the cases were green, 32.3% (n=153) were red and 15.8% (n=75) were yellow. When the results of the cases were analyzed, 54.0% (n=256) of the cases were transferred to hospital, 20.7% (n=98) were on-site intervention and 14.1% were refusal of transfer. Conclusion: As a result, differences in PPR and TTHR rates are observed in different types of MG.Öğe Delayed graft function in living-donor renal transplantation: a single-center experience with 1537 patients(E-Century Publishing Corp, 2016) Ozkul, Faruk; Erbis, Halil; Yilmaz, Vural Taner; Ozturk, Bunyamin; Kocak, Huseyin; Osmanoglu, Ibrahim Ali; Dinckan, AyhanObjectives: To analyze the incidence, clinical characteristics and possible causes of delayed graft function (DGF) among a large number of living kidney transplant recipients at a single center. Patients and Methods: We analyzed the medical records of 1537 patients over 18 years of age who received a kidney transplant from a living donor between January 2003 and June 2014. The demographic characteristics of the patients, graft survivals, acute rejection rates and renal functions were compared between patients with and without DGF. Results: Longer dialysis time before transplantation (50.6 +/- 53.1 vs. 31.4 +/- 42.9 months; P<0.001) and lower donor GFR (48.2 +/- 10.2 vs. 45.4 +/- 13 months; P=0.014) were associated with a greater incidence of DGF in this series. The DGF cases showed a higher incidence of acute rejection episodes (19.9% vs. 4.8%), chronic graft dysfunction (10% vs. 1%), prolonged hospitalization (16.8 +/- 6.7 days vs. 8.3 +/- 5.6 days), and worse renal function after 1-year follow-up period compared with non-DGF patients. Conclusions: Longer dialysis time before transplantation and lower donor GFR were associated with a higher risk for DGF, with prolonged hospitalization time, worse graft prognosis and higher rates of acute rejection episodes and chronic graft dysfunction.Öğe Determination of individual preparation behaviors of emergency health services personnel towards disasters(Wolters Kluwer Medknow Publications, 2015) Kocak, Huseyin; Caliskan, Cuneyt; Kaya, Edip; Yavuz, Omer; Altintas, Kerim HakanObjective: To determine certain behaviors regarding preparation of Canakkale 112 ambulance service personnel towards emergency situations and disasters. Methods: This study is an epidemiological descriptive study. The population of the study consists of 281 people working for Command Control Center and Emergency Medical Services Station of Canakkale 112 Ambulance Service. About 176 people agreed to participate in the study were interviewed within the scope of the study. Necessary information was obtained by a survey. In the statistical analysis of the study, descriptive statistics, Mann Whitney, Kruskal Wallis and Chi square tests were used. Results: The participation rate of the study was 62.6% (176 people). The participants were in the range of 17-64 years of age. The average age of the participants was (31.6 +/- 9.1) years. About 54% of the participants (95 people) were under the age of 29 and 54% of them (95 people) were male, 23.3% of them (41 people) held a bachelor degree and 35.7% (63 people) of them were Emergency Medical Technicians, respectively. In the study, a statistical relationship was found between some questions of the survey and some variables such as age, gender, degree, membership status for non-governmental organizations, experience of emergency situations, being trained against disasters and desire to have such a training (P < 0.005). Conclusions: As a result of the study, a significant relationship was found between being trained related to disaster and emergency situations and development of positive attitudes about training for disasters and emergencies. This indicates that people, no matter what educational level they are in, have to be trained for disasters and emergencies.Öğe Effect of age on the outcome of renal transplantation: A single-center experience(Professional Medical Publications, 2016) Ozkul, Faruk; Erbis, Halil; Yilmaz, Vural Taner; Kocak, Huseyin; Osmanoglu, Ibrahim Ali; Dinckan, AyhanObjectives: To analyze the effects of old age on renal transplantation (Tx) results and graft survival, and compared elderly patient population with the young patients. Methods: A total of 1946 renal transplant were performed from 1537 living and 409 cadaveric donors between 2003 and 2014. The recipients were divided into two groups according to their age at the time of transplantation. The young age group consisted of 18 -59-year-old, and the elderly group consisted of the ones >= 60 years. Results: Acute rejection was seen in 19.5% of the young age group while this rate was 16.7% in the old age group (p=0.535). DGF was seen in 6.3% of the young age group, and in 13.5% of the old age group (p<0.001). Analysis of the overall survival rates demonstrated that 1.6% of the patients in the young age group and 6.8% of the patients in the old age groups died (p=0.003). Conclusions: Renal transplant had high graft survival rates in the elderly as in the young patients. However, the risks for complications were higher in the older age group compared to the younger age group. Thus, it is important to make a careful selection among elderly candidates for renal transplantation.Öğe Evaluation of the National Health System Utilization Status of the Syrian Refugees in Turkey Between 2011 and 2017(Cambridge Univ Press, 2022) Kinik, Kerem; Kocak, Huseyin; Mayadagli, AlpaslanBackground: The objective of this study is to evaluate the status of the Syrian refugees (SR) in Turkey in terms of using the National Health System (NHS) between 2011 and 2017. Methods: The study is a descriptive and cross-sectional epidemiological research ORACLE SQL Developer program was used for data analysis, and frequency analyzes regarding the person, place, and time characteristics of the health services that SR received between 2011 and 2017 were presented. Results: The SRs benefited from NHS hospital services approximately 35 million times (34,973,029). Approximately 40% of the SRs that benefited from the NHS are under the age of 18. The proportion of those under 5 y old is 15.8%; 55.8% of the SRs that benefited from the NHS are women. The utilization status of the SRs from the NHS by region is as follows: 33.4% Mediterranean Region, 29.2% Southeastern Anatolia Region, and 19.0% Marmara Region. The types of health institutions that the SRs used are as follows: 44.0% state hospitals, 15.0% family medicine centers, and 13.3% training and research hospitals. A total of 16,009,524 cases were intervened as part of EMS. Conclusion: Syrian refugees in Turkey comprehensively benefited from primary, secondary, and tertiary health services free of charge between 2011 and 2017 in Turkey. It is seen that they have access to private and high-cost health services, such as air ambulance, cancer treatment, and dental treatment.Öğe Preparations for Severe Winter Conditions by Emergency Health Personnel in Turkey(Cambridge Univ Press, 2014) Caliskan, Cuneyt; Algan, Aysun; Kocak, Huseyin; Bicer, Burcu Kucuk; Sengelen, Meltem; Cakir, BanuObjective: Emergency and core ambulance personnel work under all environmental conditions, including severe weather condtions. We evaluated emergency medical personnel in Canakkale, Turkey, for their degree of preparedness. Methods: A descriptive study was conducted in C, anakkale, Turkey, within 112 emergency service units and their 17 district stations. Surveys were developed to measure the level of preparedness for serious winter conditions that individual workers made for themselves, their homes, and their cars. Results: Of the 167 survey participants, the mean age was 29.8 +/- 7.9 years; 52.7% were women; more than half (54.75%) were emergency medical technicians; and 53.3% were married. Only 10.4% of those who heated their homes with natural gas had carbon monoxide detectors. Scores relating to household and individual preparation for severe winter conditions increased by participants' age (P<.003), being married (P<.000) and working in the city center (P<.021); and for men whose cars were equipped with tow ropes, extra clothing, and snow tires (P<.05). Absenteeism was higher for central-city personnel than district workers because they were less prepared for harsh winter conditions (P=.016). Conclusion: Many of the surveyed emergency health personel demonstrated insufficient preparations for serious winter conditions. To increase the safety and efficiency of emergency medical personnel, educational training programs should be rountinely conducted.Öğe Risk Communication in Public Health Practices and Coronavirus Disease 2019 (COVID-19): Social Media Analysis of Health Authorities(Bezmialem Vakif Univ, 2020) Karakoc, Mirac Nevzat; Kocak, Huseyin; Caliskan, Cuneyt; Kinik, KeremObjective: This study aims to evaluate information on the website of the Ministry of Health about the COVID-19 pandemic, the social media accounts of health authorities, and the COVID-19 cases. Methods: In this descriptive ecological research, the content analysis of the posts about COVID-19, which were shared for health professionals and the public on the official website of the Ministry of Health, was conducted. The content traffic of the social media accounts of the health authorities about the pandemic and the daily number of cases along with recovery and death rates related to the pandemic were analyzed. Results: The first COVID-19 post was sent on 22 January 2020 through the official Twitter account of the Minister of Health. After the first tweet about COVID-19, the first positive case was seen in the 50th day, while the first death was seen in the 57th day and the first recovery case was seen in the 67th day. There is a significant positive correlation between the number of days passed and the number of cases, deaths, recoveries, comments, retweets and likes that the tweets of the Minister received; between the number of cases and the number of deaths and recovery cases; between fatal cases and recovery cases. Conclusion: A correlation was found between the tweet traffic of the health authorities' twitter accounts and the number of COVID-19 cases, deaths, recoveries and days passed. Therefore, social platforms can be an important risk communication tool for public health in informing and managing the community in disasters like pandemics.Öğe Terrorist attacks in Türkiye: An analysis of counter-terrorism medicine(2024) Kinik, Kerem; Dag, Nihal; Kocak, Huseyin; Caliskan, CuneytAim: The objective of this research was to perform a counter-terrorism medicine analysis of terrorist attacks in Türkiye. Methods: This study is a retrospective cross-sectional research. The study population consisted of terrorist incidents that occurred in Türkiye, as provided by the START Global Terrorism Database for the period from 1970 to 2020. Various characteristics of terror attacks in Türkiye were analyzed and presented in tabular form. Results: Over the past 51 years, there have been a total of 4,485 terrorist incidents, with 91.2% reaching their intended targets as orchestrated by terrorist organizations in Türkiye. Of these incidents, 2,767 had detrimental economic impacts. Additionally, 17,570 individuals experienced adverse medical effects. Among the 81 provinces in Turkey, Istanbul witnessed the highest number of terrorist incidents and suffered the most significant medical consequences. Conclusion: Türkiye has been significantly impacted by terrorist incidents over the past fifty years especially within the last decade, particularly in metropolitan provinces like Istanbul. These events have negatively affected both the health and economic well-being of many individuals. In response, while the country has implemented various security measures and preparedness strategies to mitigate such incidents, there is also a critical need to improve the readiness of healthcare services to effectively handle the potential consequences of terrorist attacks. This includes advancing anti-terror medicine and tactical medicine capabilities, as well as strengthening mass casualty management systems. Such improvements will ensure a more effective and coordinated response to large-scale emergencies, ultimately saving lives and reducing the long-term impacts on society.Öğe Web search behaviors and infodemic attitudes regarding COVID-19 in Turkey: A framework study for improving response and informing policy on the COVID-19 infodemic(Frontiers Media Sa, 2022) Caliskan, Cuneyt; Ozsezer, Gozde; Pay, Melek; Demir, Gulcan; Celebi, Ismet; Kocak, HuseyinObjectiveThis study aimed to develop a framework regarding COVID-19 infodemic response and policy informing through focusing on infodemic concepts circulating on the online search engine in Turkey in relation to the COVID-19 outbreak and comparing the contents of these concepts with Maslow's hierarchy of needs and disaster stages. Materials and methodsThe universe of this descriptive epidemiological research consists of internet search activities on COVID-19 circulating online on Google Trends between March 10, 2020, when the first case was seen in Turkey, and June 01, 2020, when the lockdown restrictions were lifted. FindingsThere was no internet trend regarding a misinformed attitude within the given date range. While an infodemic attitude toward superficial attitude and racist attitude in the internet environment was detected for 1 week, an infodemic attitude toward definitive attitude was detected for 2 weeks. The non-infodemic concepts were more common than the other infodemic attitudes. The infodemic concepts were able to reach Maslow's physiological, safety, and social need levels. With the infodemic concepts obtained, a COVID-19 development process framework was developed. The framework consists of three domains (COVID-19, applications and outcomes), including disaster phases and health/social impacts, built on seven public health epochs. ResultsA systematized COVID-19 development process framework was modeled in order to conceptualize COVID-19 internet searches and to reveal the development processes and outcomes.
