Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
11-12 Yaş Çocuklarda Büzük Dudak Solunum Egzersizinin Yorgunluk, Aerobik Kapasite ve Solunum Fonksiyonlarına Etkisinin İncelenmesi: Kesitsel Araştırma
Pursed Lip Breathing Exercise in 11-12 Year Old Children Effects on Fatigue, Aerobic Capacity and Respiratory Functions: A Cross-Sectional Study
Sezgin HEPSERTa , Ahmet Seçkin KORKMAZa , Yakup KILIÇb
aSerbest Araştırmacı, Elazığ, Türkiye
bFırat Üniversitesi Spor Bilimleri Fakültesi, Beden Eğitimi ve Spor Öğretmenliği Bölümü, Beden Eğitimi ve Spor Öğretimi-Eğitimi AD, Elazığ, Türkiye
Turkiye Klinikleri J Sports Sci. 2025;17(1):61-9
doi: 10.5336/sportsci.2024-105839
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma büzük dudak solunum egzersizinin sedanter bireylerde yorgunluk, aerobik kapasite ve solunum fonksiyonları üzerindeki olası etkilerini değerlendirmek amaçlı yürütülmüştür. Gereç ve Yöntemler: Deneysel modellerden olan 2 grup ön test-son test deseniyle tasarlanan araştırmada Elazığ ilinde Devlete bağlı bir ortaokulda öğrenim gören [Deney Grubu (DG)= Xyaş11,88±0,33; Kontrol Grubu (KG)= Xyaş11,76±0,43] ve araştırmaya dâhil edilme kriterlerini karşılayan 26'sı kız, 24'ü erkek toplam 50 katılımcı rastgele ve eşit sayı oluşacak şekilde 2 gruba atanmıştır (DG=25; KG=25). Araştırmada veriler yorgunluk için ''Yorgunluk Şiddet Ölçeği'', aerobik kapasite için ''Altı Dakikalık Yürüme Testi'' ve solunum fonksiyonları için ''Spirometre'' ile toplanmıştır. Verilerin analizinde betimsel istatistikler, bağımsız gruplar t-testi ve tekrarlı ölçümlerde iki yönlü varyans analizi kullanılmıştır. Bulgular: Araştırmada yorgunluk, vital kapasite [vital capacity (VC)], zorlu vital kapasite [forced vital capacity (FVC)] ve bir saniyede zorlu ekspirasyon volüm [forced expiratory volume in one second (FEV1)] değerlerinde ön test-son test değerlerinde DG için anlamlı farklılık oluştuğu tespit edilmiştir. Ancak aerobik kapasite değerlerinde zamana göre anlamlı farklılık oluşmadığı belirlenmiştir. Zamana göre alınan ölçümlerde DG'de aerobik kapasite için %6,95, yorgunluk için %-27,24, VC için %26,00, FVC için %15,22, FEV1 için %19,11'lik değişimlerin oluştuğu belirlenmiştir. Ayrıca gruplar arası fark incelendiğinde aerobik kapasite, yorgunluk, VC, FVC değerlerinde DG ve KG arasında anlamlı fark oluşurken FEV1 değerlerinde anlamlı farklılık oluşmadığı tespit edilmiştir. Sonuç: Büzük dudak solunum egzersizinin 11-12 yaş sedanter bireylerde yorgunluk ve solunum fonksiyonları üzerinde olumlu etkiye sahip olurken, aerobik kapasite değerleri üzerinde etki gücü taşımadığı tespit edilmiştir. Bu doğrultuda 11-12 yaş bireylerde en az 6 haftalık büzük dudak egzersizi yorgunluk ve solunum parametrelerinde olumlu değişimler açısından önerilebilir.

Anahtar Kelimeler: Adölesan; aerobik kapasite; büzük dudak; solunum fonksiyonu; yorgunluk
ABSTRACT
 Objective: This study was conducted to evaluate the possible effects of pursed lip breathing exercise on fatigue, aerobic capacity and pulmonary function in sedentary individuals. Material and Methods: In the study, which was designed with a 2-group pretest-posttest design, 26 female and 24 male participants [Experimental Group (EG)= Xage11.88±0.33; Control Group (CG)= Xage11.76±0.43] who were studying in a state-affiliated secondary school in Elazığ province and who met the inclusion criteria were randomly assigned to 2 groups in equal numbers (EG=25; CG=25). Data were collected using the ''Fatigue Severity Scale'' for fatigue, ''Six Minute Walking Test'' for aerobic capacity and Spirometer for pulmonary function. Descriptive statistics, independent samples t-test and two-way analysis of variance for repeated measures were used to analyze the data. Results: In the study, it was determined that there was a significant difference in fatigue, vital capacity (VC), forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) values for the experimental group in pretest-posttest values. However, it was determined that there was no significant difference in aerobic capacity values according to time. In the measurements taken according to time, it was determined that there were changes of 6.95% for aerobic capacity, 27.24% for fatigue, 26.00% for VC, 15.22% for FVC, and 19.11% for FEV1 in the experimental group. In addition, when the difference between the groups was examined, it was determined that there was a significant difference between the experimental group and the control group in aerobic capacity, fatigue, VC, FVC values, while there was no significant difference in Fev1 values. Conclusion: Pursed lip breathing exercise had a positive effect on fatigue and respiratory functions in 11-12 years old sedentary individuals, while it had no effect on aerobic capacity values. Accordingly, pursed lip exercise for at least 6 weeks may be recommended for 11-12 year old individuals in terms of positive changes in fatigue and respiratory parameters.

Keywords: Adolescent; aerobic capacity; pursed lip; respiratory function; fatigue
REFERENCES:
  1. Gibbs BB, Hergenroeder AL, Katzmarzyk PT, Lee IM, Jakicic JM. Definition, measurement, and health risks associated with sedentary behavior. Med Sci Sports Exerc. 2015;47(6):1295-300. [Crossref]  [PubMed]  [PMC] 
  2. Dunstan DW, Howard B, Healy GN, Owen N. Too much sitting--a health hazard. Diabetes Res Clin Pract. 2012;97(3):368-76. [Crossref]  [PubMed] 
  3. van Sluijs EMF, Ekelund U, Crochemore-Silva I, Guthold R, Ha A, Lubans D, et al. Physical activity behaviours in adolescence: current evidence and opportunities for intervention. Lancet. 2021;398(10298):429-42. [Crossref]  [PubMed]  [PMC] 
  4. Wu XY, Han LH, Zhang JH, Luo S, Hu JW, Sun K. The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: a systematic review. PLoS One. 2017;12(11):e0187668. [Crossref]  [PubMed]  [PMC] 
  5. Yang L, Cao C, Kantor ED, Nguyen LH, Zheng X, Park Y, et al. Trends in sedentary behavior among the US population, 2001-2016. JAMA. 2019;321(16):1587-97. [Crossref]  [PubMed]  [PMC] 
  6. Bermejo-Cantarero A, Álvarez-Bueno C, Martinez-Vizcaino V, García-Hermoso A, Torres-Costoso AI, Sánchez-López M. Association between physical activity, sedentary behavior, and fitness with health related quality of life in healthy children and adolescents: a protocol for a systematic review and meta-analysis. Medicine (Baltimore). 2017;96(12):e6407. [Crossref]  [PubMed]  [PMC] 
  7. Puente-Maestu L, Stringer WW. Physical activity to improve health: do not forget that the lungs benefit too. Eur Respir J. 2018;51(2):1702468. [Crossref]  [PubMed] 
  8. Jones LW, Eves ND, Haykowsky M, Freedland SJ, Mackey JR. Exercise intolerance in cancer and the role of exercise therapy to reverse dysfunction. Lancet Oncol. 2009;10(6):598-605. [Crossref]  [PubMed] 
  9. Abd-Elfattah HM, Abdelazeim FH, Elshennawy S. Physical and cognitive consequences of fatigue: a review. J Adv Res. 2015;6(3):351-8. [Crossref]  [PubMed]  [PMC] 
  10. Kara D, Yıldız H, Ertürk A, Gürsel A, Köktürk F, Akansel N. Kronik obstrüktif akciğer hastalarına uygulanan pursed lip ve diyafragmatik solunum egzersizlerinin dispne şiddeti ve solunum fonksiyon testleri üzerine etkisi [The effect of pursed lip and diaphragmatic breathing exercises on dyspnea severity and pulmonary function tests in patients with chronic obstructive pulmonary disease]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(4):219-26. [Link] 
  11. Gonçalves-Ferri WA, Jauregui A, Martins-Celini FP, Sansano I, Fabro AT, Sacramento EMF, et al. Analysis of different levels of positive end-expiratory pressure during lung retrieval for transplantation: an experimental study. Braz J Med Biol Res. 2019;52(7):e8585. [Crossref]  [PubMed]  [PMC] 
  12. Park JW, Kweon M, Hong S. The influences of position and forced respiratory maneuvers on spinal stability muscles. J Phys Ther Sci. 2015;27(2):491-3. [Crossref]  [PubMed]  [PMC] 
  13. Yekefallah L, Zohal MA, Keshavarzsarkar O, Barikani A, Gheraati M. Comparing the effects of upper limb and breathing exercises on six-minute walking distance among patients with chronic obstructive pulmonary disease: a three-group randomized controlled clinical trial. Adv Respir Med. 2019;87(2):77-82. [Crossref]  [PubMed] 
  14. Cohen J. A power primer. Psychol Bull. 1992;112(1):155-9. [Crossref]  [PubMed] 
  15. Ruppel GL, Enright PL. Pulmonary function testing. Respir Care. 2012;57(1):165-75. [Crossref]  [PubMed] 
  16. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7. Erratum in: Am J Respir Crit Care Med. 2016;193(10):1185. [Crossref]  [PubMed] 
  17. Armutlu K, Korkmaz NC, Keser I, Sumbuloglu V, Akbiyik DI, Guney Z, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007;30(1):81-5. [Crossref]  [PubMed] 
  18. George D, Mallery P. IBM SPSS Statistics 26 Step by step: a simple guide and reference. 16th ed. New York: Routledge; 2019. [Crossref] 
  19. Isik O, Dogan I. Effects of bilateral or unilateral lower body resistance exercises on markers of skeletal muscle damage. Biomed J. 2018;41(6):364-8. [Crossref]  [PubMed]  [PMC] 
  20. Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W. Effects of breathing exercises in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis. Ann Rehabil Med. 2019;43(4):509-23. [Crossref]  [PubMed]  [PMC] 
  21. López-de-Uralde-Villanueva I, Candelas-Fernández P, de-Diego-Cano B, Mínguez-Calzada O, Del Corral T. The effectiveness of combining inspiratory muscle training with manual therapy and a therapeutic exercise program on maximum inspiratory pressure in adults with asthma: a randomized clinical trial. Clin Rehabil. 2018;32(6):752-65. [Crossref]  [PubMed] 
  22. Keir DA, Duffin J, Millar PJ, Floras JS. Simultaneous assessment of central and peripheral chemoreflex regulation of muscle sympathetic nerve activity and ventilation in healthy young men. J Physiol. 2019;597(13):3281-96. [Crossref]  [PubMed] 
  23. Nguyen JD, Duong H. Pursed-lip Breathing. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; PMID: 31424873.
  24. Reis N, Gaspar L, Paiva A, Sousa P, Machado N. Effectiveness of nonpharmacological interventions in the field of ventilation: an umbrella review. Int J Environ Res Public Health. 2023;20(7):5239. [Crossref]  [PubMed]  [PMC] 
  25. Koç M. Adölesan taekwondocularda solunum-kas eğitiminin aerobik ve anaerobik dayanıklılığa etkisi. [Yüksek lisans tezi]. Kayseri: Erciyes Üniversitesi; 2017. [Link] 
  26. Marciniuk DD, Goodridge D, Hernandez P, Rocker G, Balter M, Bailey P, et al; Canadian Thoracic Society COPD Committee Dyspnea Expert Working Group. Managing dyspnea in patients with advanced chronic obstructive pulmonary disease: a Canadian Thoracic Society clinical practice guideline. Can Respir J. 2011;18(2):69-78. [Crossref]  [PubMed]  [PMC] 
  27. Altuntaş M, Başer A, Kolcu G, Tuncer Ö, Balcı Gök U, Çadırcı D, et al. Hemşirelerde süreğen yorgunluk yakınmaları sıklığı [Prevalence of chronic fatigue complaints in nurses]. İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi. 2014;24(3):167-72. [Crossref] 
  28. Öztürk U. Kronik Yorgunluk Sendromu. Turan Torun B, Topçuoğlu E, Kaygın E, editörler. Yönetim ve Organizasyon Sendromları 2. 1. Baskı. İstanbul: Eğitim Yayınevi; 2023. p.2-109.
  29. Kraemer WJ, Adams K, Cafarelli E, Dudley GA, Dooly C, Feigenbaum MS, et al; American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-80. [Crossref]  [PubMed] 
  30. Verges S, Boutellier U, Spengler CM. Effect of respiratory muscle endurance training on respiratory sensations, respiratory control and exercise performance: a 15-year experience. Respir Physiol Neurobiol. 2008;161(1):16-22. [Crossref]  [PubMed] 
  31. Kilding AE, Brown S, McConnell AK. Inspiratory muscle training improves 100 and 200 m swimming performance. Eur J Appl Physiol. 2010;108(3):505-11. [Crossref]  [PubMed] 
  32. Jahan I, Begum M, Akhter S, Islam MZ, Jahan N, Samad N, et al. Effects of alternate nostril breathing exercise on cardiorespiratory functions in healthy young adults. Ann Afr Med. 2021;20(2):69-77. [Crossref]  [PubMed]  [PMC] 
  33. Pine M, Murph A, Watsford M, Coutts A. Specific repiratory muscle training: the efects of various training strategies upon repeat sprint performance. J Sc Med Sport. 2005;8(1):64. [Crossref] 
  34. Kılıç Y, Hepsert S. Sporun adölesanlarda seçilmiş bazı motorik ve fizyolojik test sonuçlarına etkisinin incelenmesi: kesitsel araştırma [The effect of sports on some selected motoric and physiological test results in adolescents: a cross-sectional study]. Turkiye Klinikleri Journal of Sports Sciences. 2022;14(3):292-8. [Crossref] 
  35. Doğan Y. 10-12 yaş çocuklarda düzenli egzersizin solunum fonksiyon parametreleri üzerine etkisi. [Yüksek lisans tezi]. Malatya: İnönü Üniversitesi; 2020. [Link] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com