Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Erişkin Koklear İmplant Kullanıcılarında COVID-19 Pandemi Dönemi Yaşam Kalitesinin Araştırılması: Prospektif Kesitsel Çalışma
Evaluation of Quality of Life in Adults with Cochlear Implant Users During COVID-19 Pandemic: A Prospective Cross-Sectional Study
Mustafa KARABULUTa , Mehmet CANb,c, Eser SENDESENd , Öykü ÖZBAŞ KESe , Merve ÖZBAL BATUKd
aMaastricht Üniversitesi Tıp Merkezi, Kulak Burun Boğaz Hastalıkları ABD, Maastricht, Hollanda
bKaramanoğlu Mehmetbey Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Odyometri Bölümü, Karaman, Türkiye
cAnkara Üniversitesi Sağlık Bilimleri Enstitüsü, Odyoloji ve Konuşma Bozuklukları Doktora Programı, Ankara, Türkiye
dHacettepe Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, Türkiye
eSağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(1):156-64
doi: 10.5336/healthsci.2023-98381
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmanın amacı, koklear implant (Kİ) kullanıcılarının koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemi sürecindeki yaşam kalitesini değerlendirmektir. Gereç ve Yöntemler: Çalışmaya 32 Kİ kullanıcısı (çalışma grubu) (19-77 yaş aralığı, ortalama: 31,53±10,14) ve 35 normal işitmeye sahip ve tanılanmış herhangi bir ek engeli olmayan sağlıklı birey (kontrol grubu) (18-65 yaş aralığı, ortalama: 28,97±11,88) olmak üzere 67 katılımcı dâhil edildi. Çalışmamızdaki tüm katılımcılara COVID-19'un Yaşam Kalitesine Etkisi Ölçeği Türkçe versiyonu [COVID-19 Impact on Quality of Life Scale (COV19-QoLTR)], Çok Boyutlu Yaşam Kalitesi İndeksi (ÇBYKİTR) ve görsel analog skala (VAS) uygulanmıştır. Çalışmaya katılan bireylere çalışmanın içeriği ve amacı açıklanıp, çevrim içi olarak ''Google Forms'' aracılığı ile onamları alındı. Bulgular: ''Fiziksel sağlık'' kategorisi dışında, COV19-QoLTR anketine göre iki grup arasında fark elde edildi (p<0,05). ÇBYKİTR anketinde sadece ''mental sağlığı'' alt bileşeninde gruplar arasında anlamlı fark bulundu (p<0,05). VAS bulgularına göre gruplar arasında istatistiksel olarak anlamlı fark elde edildi (p<0,05). İstatistiksel bulgulara dayanarak, kontrol grubunun hem anketlerdeki hem de VAS'daki ortalama değerleri, çalışma grubuna göre önemli ölçüde daha kötüydü. Sonuç: COVID-19 pandemi süreci, sağlıklı bireylerin yaşam kalitesini Kİ kullanıcılarına göre daha olumsuz etkilemiştir. İlk bakışta pandemi gibi küresel sağlık krizlerinde sağlık hizmetlerinin ana odak noktası hasta bireyler olsa da sağlık profesyonellerinin görevlerinden biri de sağlıklı bireylerin yaşam kalitesinin korunmasının sağlanmasıdır. Bu nedenle, Kİ kullanıcıları dışında sağlıklı bireylerin de göz ardı edilmemesi gerekmektedir.

Anahtar Kelimeler: COVID-19; koklear implantlar; yaşam kalitesi
ABSTRACT
 Objective: The aim of the study is to evaluate the quality of life in adults with cochlear implant (CI) users during coronavirus disease-2019 (COVID-19) pandemic. Material and Methods: A total of 67 participants, comprised of 32 CI users (19-77 age range, mean: 31.53±10.14) and 35 healthy adults with normal hearing (18-65 years old, mean: 31.53±10.14) were included. All participants were presented with the Turkish adaption of the ''COVID-19 Impact on Quality of Life Scale'' (COV19-QoLTR), the Multidimensional Index of Life Quality (MILQ), and the visual analog scale (VAS). The participants were informed and their consent was obtained online via ''Google Forms.'' Results: A substantial difference was found between the two groups based on the COV19-QoLTR (p<0.05), except for the ''physical health'' category. Only the ''mental health'' sub-component of the MILQ revealed a significant difference between the two groups (p<0.05). A statistically significant difference was obtained between the groups according to the VAS findings (p<0.05). Based on the statistical findings, the mean values of the control group in both questionnaires and VAS were substantially worse than those of the study group. Conclusion: The impact of COVID-19 pandemic on the quality of life was more pronounced among healthy adults compared to CI users. While the primary focus of healthcare services during pandemics initially revolves around patients, it's crucial to remember that safeguarding the stability of quality of life for healthy individuals is also among the foremost responsibilities of healthcare professionals. Therefore, it's important not to overlook healthy individuals alongside CI users.

Keywords: COVID-19; cochlear implants; quality of life
REFERENCES:
  1. Bryson WJ. Long-term health-related quality of life concerns related to the COVID-19 pandemic: a call to action. Qual Life Res. 2021;30(3):643-5. [Crossref]  [PubMed]  [PMC] 
  2. Ferreira LN, Pereira LN, da Fé Brás M, Ilchuk K. Quality of life under the COVID-19 quarantine. Qual Life Res. 2021;30(5):1389-405. [Crossref]  [PubMed]  [PMC] 
  3. Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract. 2020;10(2):78-9. [Crossref]  [PubMed]  [PMC] 
  4. Hennein R, Lowe S. A hybrid inductive-abductive analysis of health workers' experiences and wellbeing during the COVID-19 pandemic in the United States. PLoS One. 2020 26;15(10):e0240646. [Crossref]  [PubMed]  [PMC] 
  5. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-2. [Crossref]  [PubMed]  [PMC] 
  6. Hyland P, Shevlin M, McBride O, Murphy J, Karatzias T, Bentall RP, et al. Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic. Acta Psychiatr Scand. 2020;142(3):249-56. [Crossref]  [PubMed] 
  7. Lakhan R, Agrawal A, Sharma M. Prevalence of depression, anxiety, and stress during COVID-19 pandemic. J Neurosci Rural Pract. 2020;11(4):519-25. [Crossref]  [PubMed]  [PMC] 
  8. Carlson ML. Cochlear implantation in adults. N Engl J Med. 2020;382(16):1531-42. [Crossref]  [PubMed] 
  9. Greisiger R, Shallop JK, Hol PK, Elle OJ, Jablonski GE. Cochlear implantees: analysis of behavioral and objective measures for a clinical population of various age groups. Cochlear Implants Int. 2015;16 Suppl 4:1-19. [Crossref]  [PubMed] 
  10. Silva JM, Yamada MO, Guedes EG, Moret ALM. Factors influencing the quality of life of children with cochlear implants. Braz J Otorhinolaryngol. 2020;86(4):411-8. [Crossref]  [PubMed]  [PMC] 
  11. Cruz LN, Polanczyk CA, Camey SA, Hoffmann JF, Fleck MP. Quality of life in Brazil: normative values for the WHOQOL-bref in a southern general population sample. Qual Life Res. 2011;20(7):1123-9. [Crossref]  [PubMed] 
  12. Sousa AF, Couto MIV, Martinho-Carvalho AC. Quality of life and cochlear implant: results in adults with postlingual hearing loss. Braz J Otorhinolaryngol. 2018;84(4):494-9. [Crossref]  [PubMed]  [PMC] 
  13. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-60. [Crossref]  [PubMed]  [PMC] 
  14. Tapper EB, Asrani SK. The COVID-19 pandemic will have a long-lasting impact on the quality of cirrhosis care. J Hepatol. 2020;73(2):441-5. [Crossref]  [PubMed]  [PMC] 
  15. Repi?ti S, Jovanović N, Kuzman MR, Medved S, Jerotić S, Ribić E, et al. How to measure the impact of the COVID-19 pandemic on quality of life: COV19-QoL-the development, reliability and validity of a new scale. Global Psychiatry. 2020;3(2):1-10. [Crossref] 
  16. Sümen A, Adibelli D. Adaptation of the COV19-QoL Scale to Turkish culture: its psychometric properties in diagnosed and undiagnosed individuals. Death Stud. 2022;46(10):2298-305. [Crossref]  [PubMed] 
  17. Avis NE, Smith KW, Hambleton RK, Feldman HA, Selwyn A, Jacobs A. Development of the multidimensional index of life quality. A quality of life measure for cardiovascular disease. Med Care. 1996;34(11):1102-20. [Crossref]  [PubMed] 
  18. Demir Ş, Özer Z. Turkish Version of the Multidimensional Index of Life Quality in Patients with Acute Coronary Syndrome. Bezmialem Science. 2021;9(1):61-7. [Crossref] 
  19. Theofilou P. Quality of life: definition and measurement. Europe's Journal of Psychology. 2013;9(1):150-62. [Crossref] 
  20. Chen KY, Li T, Gong FH, Zhang JS, Li XK. Predictors of health-related quality of life and influencing factors for COVID-19 patients, a follow-up at one month. Front Psychiatry. 2020;11:668. [Crossref]  [PubMed]  [PMC] 
  21. Daher A, Balfanz P, Cornelissen C, Müller A, Bergs I, Marx N, et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): pulmonary and extrapulmonary disease sequelae. Respir Med. 2020;174:106197. [Crossref]  [PubMed]  [PMC] 
  22. Temperoni C, Grieco S, Pasquini Z, Canovari B, Polenta A, Gnudi U, et al. Clinical characteristics, management and health related quality of life in young to middle age adults with COVID-19. BMC Infect Dis. 2021;21(1):134. [Crossref]  [PubMed]  [PMC] 
  23. Chan KS, Zheng JP, Mok YW, Li YM, Liu YN, Chu CM, et al. SARS: prognosis, outcome and sequelae. Respirology. 2003;8 Suppl(Suppl 1):S36-40. [Crossref]  [PubMed]  [PMC] 
  24. Lau HM, Lee EW, Wong CN, Ng GY, Jones AY, Hui DS. The impact of severe acute respiratory syndrome on the physical profile and quality of life. Arch Phys Med Rehabil. 2005;86(6):1134-40. [Crossref]  [PubMed]  [PMC] 
  25. Qi D, Yan X, Xiang J, Peng J, Yu Q, Tang X, et al. Effects of early physical and pulmonary rehabilitation for severely and critically ill COVID-19 patients: a retrospective, cohort, and multicenter study. Research Square. 2020. [Crossref] 
  26. Maugeri G, Castrogiovanni P, Battaglia G, Pippi R, D'Agata V, Palma A, et al. The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon. 2020;6(6). [Crossref]  [PubMed]  [PMC] 
  27. Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, et al. How mental health care should change as a consequence of the COVID-19 pandemic. Lancet Psychiatry. 2020;7(9):813-24. Erratum in: Lancet Psychiatry. 2021;8(7):e16. [Crossref]  [PubMed]  [PMC] 
  28. Talevi D, Socci V, Carai M, Carnaghi G, Faleri S, Trebbi E, et al. Mental health outcomes of the CoViD-19 pandemic. Riv Psichiatr. 2020;55(3):137-44. [PubMed] 
  29. Usher K, Durkin J, Bhullar N. The COVID-19 pandemic and mental health impacts. Int J Ment Health Nurs. 2020;29(3):315-8. [Crossref]  [PubMed]  [PMC] 
  30. Pfefferbaum B, North CS. Mental Health and the Covid-19 pandemic. N Engl J Med. 2020;383(6):510-2. [Crossref]  [PubMed] 
  31. Kaya S, Deniz Senli F, Mecit H, Kagitcibasi B, Karabulut M. A study on stress and resilience among hearing-impaired people during the COVID-19 pandemic. Int J Clin Pract. 2021;75(11):e14861. [Crossref]  [PubMed]  [PMC] 
  32. Wilson HL, Crouch J, Schuh M, Shinn J, Bush ML. Impacts of the COVID-19 pandemic on communication and healthcare access for adults with hearing loss. Otol Neurotol. 2021;42(8):1156-64. [Crossref]  [PubMed]  [PMC] 
  33. Naylor G, Burke LA, Holman JA. Covid-19 lockdown affects hearing disability and handicap in diverse ways: a rapid online survey study. Ear Hear. 2020;41(6):1442-9. [Crossref]  [PubMed] 
  34. Cavallaro G, Murri A, Nelson E, Gorrasi R, Quaranta N. The impact of the COVID-19 lockdown on quality of life in adult cochlear implant users: a survey study. Audiol Res. 2022;12(5):518-26. [Crossref]  [PubMed]  [PMC] 
  35. Brown SM, Doom JR, Lechuga-Peña S, Watamura SE, Koppels T. Stress and parenting during the global COVID-19 pandemic. Child Abuse Negl. 2020;110(Pt 2):104699. [Crossref]  [PubMed]  [PMC] 

.: 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