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Öğe Cinsel İstismar Olgularına Yaklaşımın Travma Bilgili Hizmet Sunumu Açısından Değerlendirilmesi(2024) Simsek, Zeynep; Öncel, Leyla SamanciCinsel istismar çocuğun fiziksel, ruhsal ve sosyal iyiliğini bozan ciddi travmatik yaşantılardan biridir. Çocuğun tam iyilik halini ve güvenliğini temel alarak kontrol ve güçlenme duygusunu yeniden kazandırmak ve başa çıkma becerilerini geliştirmek için travmanın etkilerini tanıma ve değerlendirme adımıyla başlayan travma bilgili bakım geliştirilmiştir. Bu araştırmada bir sosyal hizmet merkezinde çocuk istismarı olgularının travma bilgili hizmet sunumu açısından değerlendirilmesi amaçlanmıştır. Niteliksel araştırma yöntemi ile 2019 yılında tamamlanarak arşive kaldırılmış 22 olgunun dosyası incelenmiş ve 10 sosyal çalışma görevlisiyle yarı-yapılandırılmış derinlemesine görüşme yapılmıştır. Bulgulara dayalı olarak travma bilgili sistem açısından; ihbar ve müdahale arasında geçen zaman, ruh sağlığı hizmetine erişim ve yaklaşım, travmatik yaşantılara bağlı tepkileri anlamlandırma ve yaklaşım, vaka çalışması ve yükü, kurumlar arası koordinasyon, olası travmatik deneyimleri önleme, bilgi sistemi ile çalışan sağlığı ve güvenliği alanlarında iyileştirmelerin yapılması gerektiği saptanmıştır.Öğe COVID-19 Pandemisinin 4. Dalgasında 18-24 Yaşları Arasındaki Gençlerde Ruhsal Belirtiler ve İlişkili Faktörler: Kesitsel Bir Araştırma(2024) Tarhan, Umut; Simsek, ZeynepAmaç: Gençlik dönemi kırılganlığın en yüksek olduğu gelişim dönemlerinden biridir. Bu araştırmada, koronavirüs hastalığı-2019 [co ronavirus disease-2019 (COVID-19)] pandemisinin 4. dalgasında 18-24 yaşları arasındaki gençlerde ruhsal belirtiler ve ilişkili faktörler ince lenmiştir. Gereç ve Yöntemler: Kesitsel tipteki bu araştırmaya 18-24 yaşları arasında 283 genç çevrim içi yöntemle katılmıştır. Veri topla mada Sosyodemografik Bilgi Formu, Genel Sağlık Anketi (GSA-12), Travma Sonrası Stres Bozukluğu Kontrol Listesi ve COVID-19 Algısı Ölçeği kullanılmıştır. Bulgular: İki ve üzerinde ruhsal semptom (GSA 12) görülme sıklığı %74,7; travma sonrası stres bozukluğu görülme sık lığı ise %52,7’dir. Gençlerin %59,7’si pandemi döneminde başta COVID-19 nedeniyle yakınlarını kaybetme (%27,8) olmak üzere en az bir travmatik olay deneyimlediğini bildirmiştir. Lojistik regresyon ana lizine dayalı olarak ruhsal semptomları sırasıyla; içe dönük kişiliğe sahip olduğunu bildirme 6,3 kat (%95 GA 3,5-11,5), sosyal destek yok luğu 3,4 kat (%95 GA 1,8-6), herhangi bir sağlık sorununa sahip olma 3,3 kat (%95 GA 1,5-7,2), eğitime erişim sorunu yaşama 2,1 kat (%95 GA 1,2-3,7) ve gelirin ihtiyaçları karşılamaması 1,7 kat (%95 GA 1,04 2,9) artırmıştır. Katılımcıların %44,2’si pandemi döneminde ruh sağlığı desteğine ihtiyaç duyduğunu, ancak dört gençten biri ruh sağlığı hiz metine erişebildiğini bildirmiştir. Sonuç: Bulgulara dayalı olarak, pan demilere hazırlık sürecinde gençlere yönelik sosyal destek sistemlerini güçlendirici, kronik hastaları kesintisiz izleyebilecek, erişilebilir, kap sayıcı ve karşılanabilir önleyici, erken tanı ve tedavi ile topluma ka zandırıcı ruh sağlığı hizmetlerinin yapılandırılmasının önemli olacağı düşünülmektedir.Öğe Cutaneous Leishmaniasis due to ThreeLeishmaniaSpecies Among Syrian Refugees in Sanliurfa, Southeastern Turkey(Springer Int Publ Ag, 2020) Doni, Nebiye Yentur; Gurses, Gulcan; Dikme, Resat; Aksoy, Mustafa; Zeyrek, Fadile Yildiz; Simsek, Zeynep; Satoskar, Abhay R.Sanliurfa, a city in southeastern Turkey, is host to 477,166 Syrian refugees. The incidence of cutaneous leishmaniasis (CL) may be on the rise in areas affected by a refugee crisis, like Sanliurfa; thus, consequently, local uncommon species ofLeishmaniamay be encountered in these regions. This might potentially make diagnosis and treatment more challenging over time. In this study, it was aimed to identify the causative agents of CL in clinical samples. A total of 154 patients (60 Syrian and 94 Turkish) who were diagnosed with CL via microscopical examination and PCR were enrolled this study. All of the samples were analyzed using internal transcribed spacer 1 genes, restriction fragment length polymorphism, DNA-sequencing, and phylogenetic analyses. In this study,Leishmania tropicawas determined to be the predominant species in 140 of the patients (90.9%), followed byLeishmania majorin 12 patients (7.8%), andLeishmania infantumin 2 patients (1.3%). Of the 94 Turkish patients, 94.7% were infected withL. tropicaand 5.3% were infected withL. major, while none were infected withL. infantum.However, of the 60 Syrian patients, 85% were infected withL. tropica, 11.7% were infected withL. major, and 3.3% were infected withL. infantum. There was a significant association between theLeishmaniaspecies and the nations (Turkish-Syrian) (P < 0.001). The sequences were numbered from MH347941 to MH347953 and submitted to GenBank. This study confirmed thatL. tropica,L. major, andL. infantumcoexisted in Sanliurfa. This was the first time that the speciesL. infantumwas reported among recent immigrants from Syria in Sanliurfa. Therefore, it is necessary to discriminate theLeishmaniaspecies for diagnosis, treatment, and controlled studies in hyper-endemic regions.Öğe Evaluation of T. gondii , rubella, and cytomegalovirus seroprevalences among female Syrian refugees in Sanliurfa, Turkiye(J Infection Developing Countries, 2024) Gurses, Gulcan; Doni, Nebiye Yentur; Simsek, Zeynep; Aksoy, Mustafa; Hilali, Nese Gul; Ozek, BehireIntroduction: Since the Syrian Civil War began in 2011, the official number of refugees under temporary protection in Turkiye is reported to be 3,522,036 in 2023. Most of the Syrians living outside the refugee camps have worse conditions in terms of access to healthcare centers and social opportunities, compared to those living in camps. The Sanliurfa province hosts the third highest number of Syrians (370,291) in Turkiye. There are no data about the seroprevalence of Toxoplasma gondii ( T. gondii ), rubella (rub), or cytomegalovirus (CMV) among Syrian refugees in Sanliurfa. We aimed to investigate the seroprevalence of T. gondii , rub, and CMV infections among female Syrian refugees of reproductive age (15-49 years) living in Sanliurfa province. Methodology: A cross-sectional study was conducted in different districts of Sanliurfa. A total of 460 households were selected using the probability sampling method. One married female Syrian refugee aged between 15 and 49 years, was chosen in each household, leading to a sample size of 410 female Syrian refugees. The seropositivity of T. gondii , CMV, and rub IgM and IgG in blood samples were analyzed using enzyme immunoassays (Abbott Architect, Illinois, USA). Results: The seropositivity rates of T. gondii , CMV, and rubella IgM and IgG were 4.4% and 59.8%; 3.9%; and 99%; and 1.9%, and 99.5%, respectively. Conclusions: A screening program should be implemented for T. gondii , CMV, and rub infections for Syrian refugees. Seronegative women should be vaccinated against rub and educated about the transmission and preventive routes of toxoplasmosis and CMV infection.Öğe Fostering Posttraumatic Growth in Individuals with Disabilities: Implications from the COVID-19 Experience(Springer Int Publ Ag, 2026) Simsek, Zeynep; Yavuz, BaharThis study investigates the determinants of posttraumatic growth (PTG) among individuals with disabilities during the pandemic Coronavirus Disease 2019 (COVID-19) to inform inclusive practice development. A cross-sectional survey of 146 adults with disabilities was conducted, and the research analyzed the role of sociodemographic, psychological, and resilience-related variables in shaping PTG outcomes. The study's findings suggest heightened growth in personal strength and new possibilities. Multiple regression analyses reveal that income sufficiency, traumatic exposure, educational attainment, family cohesion, and self-perception significantly predict PTG. Despite considerable mental health needs, access to services remained limited for nearly half of those seeking support. The findings underscore the necessity for disability-inclusive service systems governance that integrates mental health services, fosters social connectedness, and empowers individuals with disabilities to articulate their needs and exercise agency. A strengths-based and human rights-aligned policy framework is essential for advancing psychological resilience and equity in post-crisis recovery.Öğe Persistent Organic Chlorinated Compound Residues in the Breast Milk of Female Seasonal Agricultural Workers(Lippincott Williams & Wilkins, 2018) Eroglu, Kafiye; Das, Yavuz Kursad; Golbasi, Zehra; Simsek, Zeynep; Koruk, Fatma; Atmaca, EnesObjective: This retrospective descriptive study aimed to investigate organochlorine compounds in women who breastfeed and work as a seasonal agricultural worker (SAW). Methods: It was carried out on 100 woman working as SAW. Data were collected with a questionnaire by face-to-face interview and analyzed the residues of 27 items of organochlorine pesticides, dichlorodiphenyltrichloroethane (DDT) metabolites and polychlorinated biphenyls, from persistent organic pollutants in mothers' 50mL breast milk. Descriptive statistics, Chi-square test, and correlation analysis were used to evaluate data. Results: Polychlorinated biphenyl (PCB) 28 component was determined in almost all women's milk and more than half of collected milk contained beta-hexachlorocyclohexane (HCH), PCB52, pp'-dichlorodiphenyldichloroethylene (DDE), hexachlorobenzene (HCB), PCB70, pp'-dichlorodiphenyltrichloroethane (DDT) ve Gamma HCH, respectively. Conclusion: It was recommended that necessary legal regulations and public information policy about that subject should exist.Öğe Preparing for the Future Pandemic: Impact of Individual and Occupational Factors on Paramedics' Mental Health(Cambridge Univ Press, 2024) Celen, Ozge; Simsek, ZeynepObjectives The mental health of paramedics is critical for disaster response in order to provide rapid and effective interventions. This study aimed to determine the prevalence of post-traumatic stress disorder (PTSD) and related individual and occupational factors in Turkish paramedics during the eleventh month of the COVID-19 pandemic. Methods The Sociodemographic Information Form, Life Events Checklist, and Post-Traumatic Stress Disorder Checklist were used to collect data from 440 randomly selected paramedics in this cross-sectional study. Results The prevalence of PTSD was 59.8% in the 11th month of the COVID-19 pandemic. Multiple regression analysis revealed that approximately 25% of the total PTSD score could be independently explained by paramedics' general health situation and sociodemographic characteristics; 27% by crisis management skills, long working hours, a lack of equipment, and intensive work; and 40% by past traumatic experiences due to difficult life events during their professional practice, such as responding to gunshot wounds, becoming a victim of a gunshot attack, or sexual assault (P < 0.05). Conclusions Integrating a mental health monitoring system into the health and safety program, providing paramedics with supervision and psychological assistance, and engaging them in disaster preparedness planning would be beneficial.Öğe Response to Letter to the Editor(Cambridge Univ Press, 2026) Celen, Ozge; Simsek, Zeynep[Abstract Not Available]Öğe Trauma-informed healthcare systems: an evaluation of trauma-informed care training for hospital-based healthcare professionals in the aftermath of the 2023 earthquakes in Türkiye(Oxford Univ Press, 2025) Simsek, Zeynep; Ugur, BusraDisasters are complex global problems with an increasing impact with rising prevalence of associated illness, mortality, and intensifying health inequities. In recent years, there has been an emphasis on integrating trauma-informed care approaches into health policies and protocols. The purpose of the current study was to investigate the benefits of a trauma-informed healthcare training program for hospital-based healthcare providers with a focus on knowledge acquisition, empowerment of professional practice, and personal well-being. The program was implemented in the aftermath of the 2023 earthquakes in southeastern T & uuml;rkiye. The training consisted of four modules, developed based on psychological trauma theories and behavior change theories, and was evaluated using a mixed-methods approach. Assessments were conducted at the end of the training program, at baseline, and at a 6-month follow-up. A structured questionnaire including items covering the content of the training, trainer effectiveness, and program suitability was administered at the end of the training program. At 6 months, participants completed an 18-item follow-up questionnaire which assessed their understanding of the principles of the trauma-informed care approach. The Maslach Burnout Inventory (MTI) was also administered, and themes regarding the impact of the training program were extracted through in-depth individual qualitative interviews. Data were obtained from 501 program participants. The intervention program was found to improve healthcare workers' understanding of trauma, professional practices, and interpersonal relationships, and significantly reduced symptoms of burnout. These results demonstrate the critical role of trauma-informed training programs in hospitals in disaster-affected regions, especially when assistance to survivors will be enhanced by strengthening healthcare workers' resilience and improving their perceptions of service efficacy and value. The study highlights the need for more widespread adoption of these training initiatives and emphasizes that they may play significant future roles in transforming trauma-informed healthcare systems in disaster-prone countries and regions.
