Researcher: Yorulmaz, Abdullah Coşkun
Loading...
Name Variants
Yorulmaz, Abdullah Coşkun
Email Address
Birth Date
5 results
Search Results
Now showing 1 - 5 of 5
Publication Metadata only Sağlıkta şiddetin önlenmesine yönelik yapılan Nisan 2020 tarihli yasal düzenlemenin incelenmesi(Galenos Yayınevi, 2022) Taşdemir, S. Yazgülü; Akay, Arda; Balcı, Işılay; Yorulmaz, Abdullah Coşkun; Faculty Member; School of Medicine; 3961Şiddet, 2002 yılı itibariyle Dünya Sağlık Örgütü (DSÖ) tarafından da önemli bir halk sağlığı sorunu olarak kabul edilmiştir. Her disiplinde olduğu gibi sağlık çalışanlarına yönelik şiddetin ele alındığı çalışmalarda da şiddet kavramı farklı şekillerde tanımlanmıştır. DSÖ’ye göre şiddet; kişinin bir başka kişiye, bir gruba ya da topluluğa yönelik iktidarın sağladığı güç veya fiziksel güç kullanması neticesinde bu eylemlere maruz kalan kişide yaralanmaya, ölüme, psikolojik zarara, gelişim bozukluğuna veya yoksunluğa yol açması ya da yol açma olasılığının yüksek olması olarak tanımlanmaktadır. Tüm dünyada olduğu gibi ülkemizde de sağlık çalışanlarına yönelik şiddet olayları görülmekte, bu konuyla ilgili olarak hem akademik düzeyde hem de sosyal politikalar bakımından araştırmalar ve düzenlemeler yapılmaktadır. Bu çalışmada, ülkemizde sağlık çalışanlarına yönelik şiddetin önlenmesi için 17.04.2020 tarihinde yürürlüğe giren düzenleme incelenecektir. / Violence has been accepted as an important public health problem by the World Health Organization (WHO) as of 2002. As in every discipline, the concept of violence has been defined in different ways in studies dealing with violence against healthcare workers. According to the WHO, violence is defined as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.” As in the rest of the world, there are incidents of violence against healthcare workers in our country and researches and arrangements are made on this subject both in academic level and in terms of social policies. In this study, the regulation that came into force on 17.04.2020 for the prevention of violence against healthcare workers in our country will be examined.Publication Metadata only Mandatory reporting duty of healthcare professionals in pregnancies among 15–18 years old(Türkiye Adalet Akademisi, 2020) Erbaş, Rahime; Sarıdağ, Büşra Hazel Ateş; N/A; Yorulmaz, Abdullah Coşkun; Faculty Member; School of Medicine; 3961Healthcare professionals are legally obliged to report the cases to the judicial authorities, when they come across to some clues which shows any suspicion of sexual exploitation and abuse of children aged 15-18 years. This is a legal duty for all healthcare professionals that is stipulated in art. 279 of the Turkish Penal Code for those who working in state health institutions and in art. 280 for the healthcare professionals working in private health institutions. As a matter of fact, in 2008, the legal department of the Ministry of Health expressed an opinion upon request in a manner consistent with these provisions by saying that “pregnancies under 18 years’ old who have no formal marriage is to be reported by the healthcare professionals, when they apply to healthcare institutions”. However, one year after, in 2009, the same legal department gave an opposite opinion by mentioning that “healthcare providers are obliged to report to the judicial authorities, only when either the child has not yet completed the age of 15 regardless of sexual intercourse is consensual or not is or the 15 years old child is exposed to sexual intercourse with the force, threat, deception or any other means affecting her will”. For this reason, health care professionals particularly in the field of gynecology experience an uncertainty about whether they are legally obliged to report the cases in which the date of conception of the patient corresponds to the age between 15 and 18. For the purpose of elimination of uncertainties in terms of mandatory reporting, this study will firstly indicate whether the opinions of Ministry of Health Legal Consultancy in 2008 and 2009 are compatible with the provisions of the Penal Code. Subsequently, mandatory reporting statues in Penal Code will be analyzed in in connection with the crimes against sexual integrity of the children such as art. 103 and art. 104 of the Code. / 15-18 yaş grubu çocukların cinsel dokunulmazlığının ihlalinin mevcudiyetine dair şüphenin oluşması halinde sağlık mesleği mensuplarının durumu adli vaka olarak bildirme yükümlülükleri bulunmaktadır. Bu durum TCK 279 maddesi gereği, kamu kurumlarında çalışanların; TCK’nın 280. maddesi gereği de özel sağlık kuruluşlarında çalışan sağlık mesleği mensuplarının bir yükümlülüğüdür. Nitekim Sağlık Bakanlığı Hukuk Müşavirliği’nin de 2008 yılında bildirdiği görüşünde TCK’nın söz konusu hükümlerine uygun olarak “18 yaş altındaki gebeliklerde resmi nikahı olmayan gebelerin sağlık kurum ve kuruluşlarına başvurduklarında tespiti halinde adli mercilere bildirimi gerektiği” belirtilmiştir. Ancak 2009 yılına gelindiğinde “18 yaş altındaki resmi nikahı olmayan gebeler, kamusal kurum ve kuruluşlarına başvurduklarında, bu ayrıma dikkat edilerek 15 yaşını tamamlamamış olanların (rıza olsun veya olmasın) tamamının ve 15 yaşını tamamlamış olanlar da ise cebir, tehdit, hile veya iradeyi etkileyen herhangi bir emarenin varlığı mevcut ise adli mercilere bildiriminin gerektiği” şeklinde farklı yönde bir görüş bildirmiştir Bu nedenle özellikle kadın doğum ihtisasında çalışan sağlık mesleği mensuplarının gebelik kontrolüne gelmiş, gebe kalma tarihi 15-18 yaş arasına tekabül eden hastalarda bildirim yapma noktasında çekinceleri ortaya çıkmaktadır. Bu tereddütleri sağlık mesleği mensupları açısından ortadan kaldırmak amacıyla bu çalışmada ilk olarak, Sağlık Bakanlığı Hukuk Müşavirliği’nin 2008 ve 2009 yıllarına ait görüşlerinin TCK ile uyumlu olup olmadığı değerlendirilecektir. Sonrasında TCK’daki sağlık mesleği mensuplarının suçu bildirmelerini öngören düzenlemeleri, çocukların cinsel dokunulmazlığına ilişkin suçlar (özellikle TCK m.103 ve 104) ekseninde incelenecektir.Publication Metadata only The neurobiology of homicidal behaviour in schizophrenia: association between inflammation, impulsivity, and aggression(Elsevier, 2021) Balcioglu, Y. H.; Balcioglu, S. S. Kirlioglu; Oncu, F.; Turkcan, A.; Yorulmaz, Abdullah Coşkun; Faculty Member; School of Medicine; 3961Background: Despite some risk factors for homicidal behavior have been shown in schizophrenia patients, these findings are generally obtained from retrospective research [1], [2], [3]. In our study, detailed sociodemographic, historical, and clinical characteristics, trait impulsivity, and trait aggression levels, and peripheral inflammatory markers were evaluated in patients with schizophrenia, and compared between homicidal and non-criminal groups. Characteristics of homicidal behavior in the homicidal group were identified as well as the descriptive characteristics of recidivists. Methods: The study population consisted of patients who had been diagnosed with schizophrenia according to the DSM-5 criteria and treating in either inpatient or outpatient units at Bakirkoy Prof. Mazhar Osman Training and Research Hospital for Psychiatry, Neurology, and Neurosurgery. Thirty-three schizophrenia patients who have allegedly committed homicide in the first degree and 39 patients with neither criminal history nor severe violent behavior in the past were enrolled. The data form included sociodemographic, historical, clinical, and forensic information. The patients were evaluated with the Positive and Negative Syndrome Scale (PANSS), Barratt Impulsivity Scale-11 (BIS-11), and the Buss-Warren Aggression Questionnairre (BWAQ), and inflammatory markers were calculated from the laboratory values which were routinely checked within the last month. Results: Compared to the non-criminal group, the education level and regular employment rate of the homicidal group is lower (p<0,05); lifetime alcohol use disorder (AUD) (p=0,001), childhood trauma (p<0,05), and the frequency of criminal history in the family (p<0,05) is higher. BIS-11 (p <0,001) and BWAQ (p<0,05) total scores were significantly higher in the homicidal group. C-reactive protein (CRP) (p<0,05), monocyte/lymphocyte ratio (MLR) (p<0,05), CRP/albumin ratio (CAR) (p<0,05), and monocyte/hemoglobin ratio (MHR) (p<0,05) were found to be significantly higher in the homicidal group. In a total of 39 homicide incidents, the victims were often family members (p<0,05), and the most frequent homicide method was the use of sharp instruments (p<0,001). It was observed that 35 of 39 homicidal incidents involved psychotic motivation, 59% of them had predominant impulsive behavior while 28% of them had predominant proactive behavior. Lifelong substance use disorder was predictive for recidivism. According to the logistic regression model, less than seven years of education, being unmarried, presence of lifelong AUD, BWAQ Hostility score greater than 23, and CAR higher than 1 significantly predicted homicide in schizophrenia. Conclusion: To reduce the risk of homicidal behavior in schizophrenia, it would be useful to employ interventions that increase social support and treatment compliance and decrease alcohol abuse as well as to develop risk assessment algorithms including sociodemographic factors such as education level, and psychometric assessment of trait impulsivity and trait aggression [4]. In our opinion, the findings of our study will inspire further studies that examine the motivation and qualities of homicidal behavior and investigate the relationship between the behavioral and biological substrates of violence and homicide.Publication Metadata only Relief aid stocking decisions under bilateral agency cooperation(Elsevier Science Inc, 2019) Elmaghraby, Wedad; N/A; N/A; Department of Industrial Engineering; Yorulmaz, Abdullah Coşkun; Karaman, Meryem Müge; Salman, Fatma Sibel; Faculty Member; Master Student; Faculty Member; Department of Industrial Engineering; School of Medicine; N/A; College of Engineering; 3961; N/A; 178838We aim to quantify the benefits of cooperation between humanitarian relief agencies in terms of stocking decisions. We consider two agencies that stock the same type of relief item at different locations prone to individual disaster risks and agree to transship the shortage amount from available stocks in case of a disaster. We incorporate the disaster risk to the Newsvendor model by conditioning the stock quantity decisions on the event that a major disaster occurs within the lifetime of the stocked relief item. We optimize the stock quantity for each agency in response to the other's quantity and compute a Nash Equilibrium solution numerically. We apply this game theoretic approach to the case of earthquake preparedness in Istanbul to optimize the stocking decisions of an agency for shelter units in cooperation with another agency. We investigate the characteristics of the solutions under various parameter settings and identify cases in which cooperation may be beneficial to one or both of the agencies.Publication Metadata only Impulsive and aggressive traits and increased peripheral inflammatory status as psychobiological substrates of homicide behavior in schizophrenia(Elsevier Espana Slu, 2022) Balcioglu, Yasin Hasan; Balcioglu, Simge Seren Kirlioglu; Oncu, Fatih; Turkcan, Ahmet; N/A; Yorulmaz, Abdullah Coşkun; Faculty Member; School of Medicine; Koç University Hospital; Koc University Hospital; 3961Background and Objectives: An association between inflammation and psychopathological domains of psychotic disorders is widely acknowledged; however, the involvement of inflammatory processes in the underlying pathophysiology of violent behavior in schizophrenia is yet to be elucidated. In this study, we aimed to address the differences in impulsive and aggressive traits as well as C-reactive protein (CRP) to albumin ratio (CAR) as a marker of inflammation between schizophrenia patients with a history of homicide and those without any history of interpersonal violence or criminal background. Methods: The study population consisted of 80 male DSM-5 schizophrenia patients who were classified into two groups: homicidal (n=40) and non-violent (n=40). Impulsive and aggressive traits were evaluated with Barratt Impulsivity Scale-11 (BIS-11), and the Buss-Warren Aggression Questionnaire (BWAQ), respectively. For the calculation of CAR, the CRP and albumin levels were obtained from the file records of routine blood screenings performed in the month before the patients were included in the study. Results: When adjusted for age, all subscale scores of the BIS-11 as well as BWAQ Total, Physical and Hostility scores were significantly higher in the homicidal group than in the control group. CRP and CAR were significantly higher, and albumin was significantly lower in the homicidal patients than the controls when adjusted for age, body-mass index and smoking status. Univariate and stepwise multivariate regression models indicated that BIS-11 Non-planning, BWAQ Total, BWAQ Hostility and CAR were independent predictors of belonging to the homicidal patient group, after stepwise adjustment for all potential confounders. Conclusions: Our findings suggest that certain impulsive and aggressive traits as well as CAR, as a proxy marker of peripheral inflammation, may contribute towards homicidal tendencies and may predict a specific predisposition towards lethal violence in schizophrenia. The study highlights inflammation as a potential biological correlate of a specific behavioral phenotype (homicide) in schizophrenia.