Pilot scheme assessment: Health development program for students at dormitories

Aim: This study, conducted in Turkey, aims to increase the practicability of health counselling and protective services offered to young people in the long term. In the short term, it is aimed to determine health counselling needs of students at dormitories and it might enlighten researchers working in this field. Methods: A pilot questionnaire, developed in order to determine health needs of students staying at dormitories, was conducted in two dormitories in Ankara. Focus group interviews were done, also. After that, in nine dormitories from nine provinces from all over the Turkey, questionnaire and health screening tests were applied to 5,852 volunteers. Results: The common topics for both sexes which students would like to receive counselling are nutrition and anxiety about exams. Conclusion: As a result of the study, service has been planned for the identified needs of the students.   &nbsp

Neonatal Screening in Europe Revisited: An ISNS Perspective on the Current State and Developments Since 2010

Neonatal screening (NBS) was initiated in Europe during the 1960s with the screening for phenylketonuria. The panel of screened disorders (“conditions”) then gradually expanded, with a boost in the late 1990s with the introduction of tandem mass spectrometry (MS/MS), making it possible to screen for 40–50 conditions using a single blood spot. The most recent additions to screening programmes (screening for cystic fibrosis, severe combined immunodeficiency and spinal muscular atrophy) were assisted by or realised through the introduction of molecular technologies. For this survey, we collected data from 51 European countries. We report the developments between 2010 and 2020 and highlight the achievements reached with the progress made in this period. We also identify areas where further progress can be made, mainly by exchanging knowledge and learning from experiences in neighbouring countries. Between 2010 and 2020, most NBS programmes in geographical Europe matured considerably, both in terms of methodology (modernised) and with regard to the panel of conditions screened (expanded). These developments indicate that more collaboration in Europe through European organisations is gaining momentum. We can only accomplish the timely detection of newborn infants potentially suffering from one of the many rare diseases and take appropriate action by working together

Neonatal Screening in Europe Revisited: An ISNS Perspective on the Current State and Developments Since 2010

Neonatal screening (NBS) was initiated in Europe during the 1960s with the screening for phenylketonuria. The panel of screened disorders ("conditions") then gradually expanded, with a boost in the late 1990s with the introduction of tandem mass spectrometry (MS/MS), making it possible to screen for 40-50 conditions using a single blood spot. The most recent additions to screening programmes (screening for cystic fibrosis, severe combined immunodeficiency and spinal muscular atrophy) were assisted by or realised through the introduction of molecular technologies. For this survey, we collected data from 51 European countries. We report the developments between 2010 and 2020 and highlight the achievements reached with the progress made in this period. We also identify areas where further progress can be made, mainly by exchanging knowledge and learning from experiences in neighbouring countries. Between 2010 and 2020, most NBS programmes in geographical Europe matured considerably, both in terms of methodology (modernised) and with regard to the panel of conditions screened (expanded). These developments indicate that more collaboration in Europe through European organisations is gaining momentum. We can only accomplish the timely detection of newborn infants potentially suffering from one of the many rare diseases and take appropriate action by working together

TÜRKİYEDE 2007 YILI SON ALTI AYINDA GERÇEKLESTİRİLEN NEONATAL RESÜSİTASYON PROGRAMI UYGULAYICI EĞİTİMLERİNDE KATILIMCI BASARISI DEĞERLENDİRİLMESİ

Arastırmamız, ülkemizde gerçeklestirilen NRP eğitimlerinin katılımcılarda olusturduğu bilgi değisikliği ve katılımcı basarısına etki eden faktörleri ölçmek amacıyla yapılmıs tanımlayıcı tipte bir çalısmadır. Arastırma kapsamına 2007 yılı ikinci yarısında Türkiye genelinde yapılan NRP uygulayıcı kurslarına katılan 1411 sağlık personeli alınmıstır. Arastırmada kurslar sırasında elektronik ve basılı olarak hazırlanan Kurs Raporu dosyaları kullanılmıstır. Kurs raporlarından meslekleri, uzmanlıkları, çalıstıkları yerler ve cinsiyetleri ön test, son test, bölüm sonu sınavları, sertifika sınavı ve uygulama sınavı puanları ve ön test ve son test yanıtları alınmıstır. Arastırma sonuçlarına göre katılımcıların %98,5’inin basarıyla tamamladığı kurslarda; ön test ve son test basarı puanları arasındaki fark istatistiksel olarak anlamlıdır. Hem ön test basarısı hem de ön test son test basarıları arasındaki değisim, meslekleri, görev yerleri ve cinsiyetleri açısından farklılıklar göstermektedir. Katılımcıların ön testte en basarılı olduğu konu “Preterm Bebek” konusu (8. ders) olurken bunu; “Canlandırmaya Genel Bakıs ve İlkeler” (1. ders), “Baslangıç Basamakları” (2. ders), “Kompresyon” (4. ders), “Özel Durumlar” (7.ders), “Đlaçlar” (6. ders), “Ventilasyon” (3. ders) ve son olarak da “Entübasyon” (5. ders) izlemektedir. Son testte ise konular; 6. ders, 8. ders, 1. ders, 4. ders, 2. ders, 3. ders ve 7. ders olarak sıralanmıstır. Bölüm sonu sınavlarına göre katılımcıların en yüksek basarıyı gösterdiği ders 4. ders olmustur. Kalan dersler sırasıyla 7. ders, 8. ders, 6. ders, 2. ders, 1. ders ve 5. ders olarak dizilirken, en az basarı gösterilen ders 3. derstir. Kursun genel değerlendirmesi ve sertifikasyon için yapılan sertifika ve uygulama sınavlarında basarı ortalamaları sırası ile 94,8±4,7 ve 95,5±4,5 olarak bulunmustur. Bu skorlar HDSP grubu ve hekim grubu arasında istatistiksel olarak anlamlı farklılık göstermektedir ve her iki sınavda da hekim grubu daha basarılıdır. Arastırma kapsamında eğitime alınan sağlık personelinde istenilen yönde bilgi değisimi sağlandığı ve gerekli becerilerin kazandırıldığı saptanmaktadır. Bununla birlikte, NRP uygulamalarının daha iyi ölçülebilmesi için, edinilen bilgi ve becerilerin eğitimden bir süre sonra tekrar değerlendirilmesinin yararlı olacağı açıktır.This is a descriptive study which aims to measure factors affecting change in knowledge and success of trainees during the NRP courses organized in Turkey. The study covers 1411 health professionals that attended the NRP courses held across the country in the second half of 2007. The Course Reports prepared in electronic and print copies during the courses were used for the purpose of this study. Data utilized include profession, specialty, place of work and gender of each participant, scores of pretest, posttest, end-of-session tests, certificate test and practicum test and answers of pretests and posttests. The results of the study suggest that 98.5% of participants successfully finished the courses and that there are statistically significant differences between scores of the pretest and posttest. Success levels in both pre- and posttest very significantly for trainees depending on professions, place of work and gender. Participants were most successful in the topic “Preterm Neonate” (Session 8). This was followed by “Overview and Principles of Resuscitation” (Session 1), “Initial Steps” (Session 2), “Compression” (Session 4), “Special Circumstances” (Session 7), “Drugs” (Session 6), “Ventilation” (Session 3) and “Intubation” (Session 5). The ranking in the posttest is Session 6, Session 8, Session 1, Session 4, Session 2, Session 3 and Session 7. In the end-of-session tests, the participants were most successful in Session 4. This was followed by Session 7, Session 8, Session 6, Session 2, Session 1 and Session 5 respectively. The session participants scored lowest was Session 3. The averages of success in certificate and practicum examinations which were held for overall course evaluation and certification were 94.8±4.7 and 95.5±4.5 respectively. The scores are statistically significant between groups A and B. Group B scored higher in both examinations. It was observed that the participants have acquired the intended change in knowledge the needed skills. Yet, it is clear that it will be useful to reevaluate knowledge and skills after a certain period of time in order to better measure NRP practices

Pilot scheme assessment: Health development program for students at dormitories

Aim: This study, conducted in Turkey, aims to increase the practicability of health counselling and protective services offered to young people in the long term. In the short term, it is aimed to determine health counselling needs of students at dormitories and it might enlighten researchers working in this field.Methods: A pilot questionnaire, developed in order to determine health needs of students staying at dormitories, was conducted in two dormitories in Ankara. Focus group interviews were done, also. After that, in nine dormitories from nine provinces from all over the Turkey, questionnaire and health screening tests were applied to 5,852 volunteers.Results: The common topics for both sexes which students would like to receive counselling are nutrition and anxiety about exams.Conclusion: As a result of the study, service has been planned for the identified needs of the students. 

Pilot scheme assessment: Health development program for students at dormitories

Aim: This study, conducted in Turkey, aims to increase the practicability of health counselling and protective services offered to young people in the long term. In the short term, it is aimed to determine health counselling needs of students at dormitories and it might enlighten researchers working in this field. Methods: A pilot questionnaire, developed in order to determine health needs of students staying at dormitories, was conducted in two dormitories in Ankara. Focus group interviews were done, also. After that, in nine dormitories from nine provinces from all over the Turkey, questionnaire and health screening tests were applied to 5,852 volunteers. Results: The common topics for both sexes which students would like to receive counselling are nutrition and anxiety about exams. Conclusion: As a result of the study, service has been planned for the identified needs of the students

Changes And Determinants In Under-Five Mortality Rate In Turkey Since 1988

Child survival is the focus of the fourth Millenium Developmental Goal (MDG4). This paper describes levels, trends, and differentials in Under-Five Mortality Rate (U5MR) and also summarizes state programmes in Turkey between 1988 and 2010. Turkey is among only a few countries that have already surpassed MDG4 and have reduced their under-five mortality rate by more than two-thirds. In 2010, 13 out of every 1,000 children died before their fifth birthday. Low birth weight, high-birth order, short birth intervals, rural residence, low level of maternal education and lowest wealth quintile have affected negatively children's chances of survival. Expanding the scope of free vaccination programmes for children, improving screening and disease prevention schemes aimed at children, encouraging breasffeeding, implementing an emergency obstetric care programme, improving the services provided to newborns (a newborn intensive care programme) have brought about a significant decrease in the rate of infant and under-five mortality. The implementation of state and region specific action plans should be necessary to increase the chance of an access to the Continuum of Care for each mother and infant and to surpass MDG4.Wo

Cerebellar ataxia, neuropathy and vestibular areflexia syndrome (canvas): an important cause of late-onset ataxia with unique clinical features.

Cerebellar ataxia, neuropathy, vestibular areflexia syndrome (CANVAS) is a late-onset, slowly progressive disorder characterized by cerebellar ataxia, sensory neuropathy and bilateral vestibulopathy. Recently, a biallelic intronic AAGGG repeat expansion, (AAGGG)(exp), in the Replication Factor C1 (RFC1) gene was identified as the cause of this disorder. In this study, we describe the phenotypic features of five patients from five different families diagnosed as CANVAS. The mean age at onset was 49.00 +/- 9.05 years (between 34 and 56 years) and the most frequent presenting symptom in CANVAS was gait ataxia, followed by sensory disturbances. Persistent coughing was prominent in three patients, and it preceded the onset of ataxia and sensory symptoms in two patients. Parental consanguinity was present in three patients. Two patients showed symptoms or signs suggesting autonomic involvement. Sural nerve biopsy revealed axonal neuropathy in two patients. The mean age at onset was 49.00 +/- 9.05 years (between 34 and 56 years) and the most frequent presenting symptom in CANVAS was gait ataxia, followed by sensory disturbances. Persistent coughing was prominent in three patients, and it preceded the onset of ataxia and sensory symptoms in two patients. Parental consanguinity was present in three patients. Two patients showed symptoms or signs suggesting autonomic involvement. Sural nerve biopsy revealed axonal neuropathy in two patients. Our study describes clinical findings, histopathological features and diagnostic clues of CANVAS from Turkey, a country with a high consanguineous marriage rate. Repeat expansion in the RFC1 gene should be considered in all cases with late-onset ataxia, especially when sensory disturbances, vestibular involvement and persistent coughing coexist