Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of the Nurses' Knowledge Levels of Food-Drug Interaction and Some Other Influencing Factors: A Cross-Sectional Study
Hemşirelerin Besin-İlaç Etkileşimi Bilgi Düzeyleri ve Etkileyen İlişkili Diğer Faktörlerin Değerlendirilmesi: Kesitsel Bir Çalışma
Pınar DURUa, Özlem ÖRSALa, Hilal ÇELİKb
aDepartment of Public Health Nursing, Eskişehir Osmangazi University Faculty of Health Sciences, Eskişehir, Türkiye
bAcıbadem Fulya Hospital, Operating Room Nurse, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(2):387-97
doi: 10.5336/nurses.2021-84755
Article Language: EN
Full Text
ABSTRACT
Objective: To determine the knowledge levels of nurses on food-drug interaction (FDI) at a university hospital and to identify other relevant variables that affect their knowledge of FDI. Material and Methods: This cross-sectional study was conducted on 243 nurses working at a university hospital between November 2019 and January 2020. 'A scale to determine the level of FDI knowledge in health care professionals' was used to determine the nurses' knowledge level of FDI. For statistical analysis, descriptive statistics, t-test and one-way ANOVA test were used. Results: Among the nurses, 21.4% had low, 39.5% medium, 31.7% good, and 7.4% very good knowledge level of FDI. There was no significant relationship between the nurses' FDI knowledge levels and nurses' gender, age groups, education level, total working duration in the profession, whether they chose the profession willingly, participation in any training after graduation, and whether they know the person who is legally responsible for this situation when an FDI occurs (for each; p>0.05). Nurses who do not put the drug hours at the same time with the foods that may interact to avoid FDI and who use academic databases on FDI had higher knowledge of FDI (for each; p<0.05). Conclusion: In conclusion, 78.6% of the nurses had a moderate or higher level of knowledge on FDI. In practice, it was seen that not giving the drugs and foods that may interact at the same time and using academic databases increase the knowledge level of the nurses' FDI.

Keywords: Food and drug interactions; knowledge; nurses; nurse's role
ÖZET
Amaç: Bir üniversite hastanesinde çalışan hemşirelerin besinilaç etkileşimi (BİE) bilgi düzeylerinin saptanması ve BİE bilgi düzeylerini etkileyen ilgili diğer değişkenlerin belirlenmesidir. Gereç ve Yöntemler: Bu kesitsel çalışma, Kasım 2019-Ocak 2020 tarihleri arasında bir üniversite hastanesinde çalışan 243 hemşire üzerinde gerçekleştirilmiştir. Hemşirelerin BİE bilgi düzeylerini saptamak üzere 'Sağlık çalışanlarında BİE bilgi düzeyini saptama ölçeği' kullanılmıştır. İstatistiksel analizler için tanımlayıcı istatistikler, t-testi ve ANOVA testi kullanılmıştır. Bulgular: Hemşirelerin %21,4'ünün BİE bilgi düzeyi düşük, %39,5'i orta, %31,7'si iyi, %7,4'ü çok iyi düzeyde BİE bilgi düzeyine sahiptir. Hemşirelerin BİE bilgi düzeyleri ile hemşirelerin cinsiyetleri, yaş grupları, eğitim düzeyleri, meslekte toplam çalışma süreleri, mesleği isteyerek seçme, mezuniyet sonrası herhangi bir eğitime katılma durumları, BİE gerçekleştiğinde bu durumdan yasal olarak sorumlu olan kişiyi bilme durumları arasında anlamlı bir ilişki yoktur (her biri için; p>0,05). BİE ile karşılaşmamak için ilaç saatlerini etkileşebilecek besinlerle aynı zaman dilimine koymayan ve BİE ile ilgili akademik veri tabanlarını kullanan hemşirelerin BİE bilgi düzeyleri daha yüksektir (her biri için; p<0,05). Sonuç: Sonuç olarak hemşirelerin %78,6'sı, orta veya üst düzeyde BİE bilgisine sahiptir. Uygulamada etkileşebilecek besinlerle ilaçları aynı zaman diliminde vermeme ve akademik veri tabanlarını kullanmanın hemşirelerin BİE bilgi düzeylerini artırdığı görülmektedir.

Anahtar Kelimeler: Besin ilaç etkileşimleri; bilgi; hemşireler; hemşirelik rolleri
REFERENCES:
  1. U.S. Food & Drug Administration [Internet]. [Cited: 04.11.2020]. Human drugs. Available from: [Link] 
  2. Roe DA. Definition, diagnosis, and risk of diet and drug interactions. Diet and Drug Interactions. 1st ed. Newyork: Springer Science & Business Media; 1989. p.1-10. [Crossref] 
  3. Çorum D, Üney K. İlaçların beslenme ve besin öğeleri üzerine etkileri [Effects of drugs on nutrition and nutritional ingredients]. Dicle Üniv Vet Fak Derg. 2016;2(8):96-105. [Link] 
  4. Aksoy M. Beslenme ve ilaç etkileşimine genel bakış. Beslenme ve İlaç Etkileşimi. 1. Baskı. İstanbul Tıp Kitabevi; 2016. p. 1-76.
  5. Dong O, Wiltshire T. Pharmaconutrigenetics: the impact of geneticson nutrient-drug interactions. In: Caterina RDE, Martinez JA, Kohlmeier M, eds. Principles of Nutrigenetics and Nutrigenomics, Fundamentals of Individualized Nutrition. 1st ed. London: Academic Press; 2020. p.519-24. [Crossref] 
  6. Aydenk Köseoğlu SZ. Yaşlılıkta besin-ilaç etkileşimi [The interaction of food-drug in old age]. Turkiye Klinikleri J Nutr Diet-Special Topics. 2018;4(1):32-7. [Link] 
  7. Jarosz M, Wolnicka K. Relations between occurrence of the risk of food-drug interactions and patients' socio-demographic characteristics and selected nutrition habits. Polish Journal of Food and Nutrition Sciences. 2011;61(3):211-8. [Crossref] 
  8. Mouly S, Lloret-Linares C, Sellier PO, Sene D, Bergmann JF. Is the clinical relevance of drug-food and drug-herb interactions limited to grapefruit juice and Saint-John's Wort? Pharmacol Res. 2017;118:82-92. [Crossref]  [PubMed] 
  9. Thiab S, Barakat M, Al-Qudah R, Abutaima R, Jamal R, Riby P. The perception of Jordanian population towards concomitant administration of food, beverages and herbs with drugs and their possible interactions: a cross sectional study. The International Journal of Clinical Practice. 2021;75(3):e13780. [Crossref] 
  10. Levy I, Attias S, Ben-Arye E, Goldstein L, Schiff E. Potential drug interactions with dietary and herbal supplements during hospitalization. Intern Emerg Med. 2017;12(3):301-10. [Crossref]  [PubMed] 
  11. Resmî Gazete (19.04.2011, Sayı: 27910) sayılı Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik; 2011. [Link] 
  12. Eskişehir Osmangazi Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Ders bilgi paketi. Available from: [Link] 
  13. Hacettepe Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Ders katoloğu, AKTS bilgi paketi. Available from: [Link] 
  14. Ankara Üniversitesi [Internet]. © 2021. [Cited: 15.07.2021]. Bologno bilgi sistemi. Available from: [Link] 
  15. Drummond D, Kirby AN, Gamston CE, Westrick S, Saunders J, Lloyd KB. Impact of interdisciplinary education on pharmacy student knowledge and comfort with counseling on drug-nutrient interactions. Curr Pharm Teach Learn. 2021;13(4):382-90. [Crossref]  [PubMed] 
  16. Lima RE, De Bortoli Cassiani SH. Potential drug interactions in intensive care patients at a teaching hospital. Rev Lat Am Enfermagem. 2009;17(2):222-7. [Crossref]  [PubMed] 
  17. Moradi Y, Rahmani AR, Gholipour KH, Mirzaie R, Samadi N, Al-Sharaa SA. Nurses' pharmacology knowledge of food-drug interactions in Ayatollah Taleghani Hospital of Orumieh, Iran. Journal of Chemical and Pharmaceutical Sciences. 2016;9(3): 1083-7. [Link] 
  18. Joshi S, Raina RS, Singh AK. Impact of awareness and knowledge about different types of drug-related interactions among nurses in a tertiary health center. National Journal of Physiology, Pharmacy and Pharmacology. 2020;10(12):1060-4. [Crossref] 
  19. Saygılı M, Özer Ö, Uğurluoğlu Ö. Bir kamu hastanesinde hemşirelin akılcı ilaç kullanımına yönelik bilgi ve davranışlarının değerlendirilmesi [An evaluation on levels of knowledge and behavior of nurse about rational drug use in a public hospital]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2015;8(3):162-70. [Link] 
  20. Hırçın Cenger D, Aksu Kapucu Ş, Altın H, Şengün Yalnız N, Altın S. Akılcı ilaç kullanımı anket sonuçları ışığında eğitim ihtiyaç analizi [Education needs analysis in the light of rational drug use survey results]. Med J SDU. 2020;27(3):337-43. [Link] 
  21. Karakoç MD, Uyanık, Ö. Bir kamu hastanesinde görevli hemşirelerin akılcı ilaç kullanımı konusundaki bilgi, tutum ve davranışlarının değerlendirilmesi [Evaluation of nurses' knowledge, attitudes and behaviours about rational drug use in a public hospital]. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(2):112-8. [Crossref] 
  22. Hossaini Alhashemi S, Ghorbani R, Vazin A. Improving knowledge, attitudes, and practice of nurses in medication administration through enteral feeding tubes by clinical pharmacists: a case-control study. Adv Med Educ Pract. 2019;10:493-500. [Crossref]  [PubMed]  [PMC] 
  23. Lederman VG, Huffman FG, Enrione EB. Knowledge of Florida nurses and dietitians regarding dietary supplements. Complement Ther Clin Pract. 2009;15(1):38-43. [Crossref]  [PubMed] 
  24. Enwerem NM, Okunji P. Knowledge, attitudes and awareness of food and drug interactions among nurses with different levels of experience. International Journal of Nursing. 2015;2(1):1-9. [Crossref] 
  25. Karagöz MF, Gezmen-Karadağ M, Yıldıran H, Akçil-Ok M. Developing a food and drug interaction knowledge scale for health care professionals: a validity and reliability study. Suleyman Demirel University Journal of Health Sciences. 2022;13(1):48-59. [Crossref] 
  26. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 7th ed. London: Pearson Education Limited; 2009. [Link] 
  27. Özünal ZG, Akgün FS, Sağlam E, Türken O. Kemoterapi almakta olan onkoloji hastalarında ilaç-ilaç, ilaç-besin etkileşimlerinin değerlendirilmesi [Evaluation of drug-drug and drug-nutrient interactions in oncology patients receiving chemotherapy]. Ege Klin Tıp Derg. 2020;58(2):120-5. [Link] 
  28. Aydos TR, Emre Aydıngöz S, Lux KM, Efe OE, İşli F, Aksoy M, et al. Polypharmacy prevalence among geriatric patients in primary healthcare settings across Turkey: a cross-sectional analysis through the nationwide prescription information system. Turkish Journal of Geriatrics. 2020;23(2):169-79. [Crossref] 
  29. Elshenawi HA, Elazeem YFA. Nurses' awareness and perception of drug-drug and drug food interactions. Evidence-Based Nursing Research. 2020;2(2):62-77. [Crossref] 
  30. Enwerem NM, Okunji PO. Knowledge of food and drug interactions among nurses: Assessment strategy for continuing education. International Journal of Higher Education. 2017;6(1):122-30. [Crossref] 
  31. El-Lassy RBM, Ouda MM. The effect of food-drug interactions educational program on knowledge and practices of nurses working at the pediatric out-patients' clinics in El-Beheira General Hospitals. IOSR Journal of Nursing and Health Science. 2019;8(4):34-48. [Link] 
  32. Oguz E, Alasehirli B, Demiryurek AT. Evaluation of the attitudes of the nurses related to rational drug use in Gaziantep University Sahinbey Research and Practice Hospital in Turkey. Nurse Educ Today. 2015;35(2):395-401. [Crossref]  [PubMed] 
  33. Abbasi Nazari M, Salamzadeh J, Hajebi G, Gilbert B. The role of clinical pharmacists in educating nurses to reduce drug-food interactions (absorption phase) in hospitalized patients. Iran J Pharm Res. 2011;10(1):173-7. [PubMed]  [PMC] 
  34. Abdollahi M, Eslami S, Taherzadeh Z, Salehi S, Ebrahimi M. Factors associated with potential food-drug interaction in hospitalized patients: a cross-sectional study in Northeast Iran. Evidence Based Care Journal. 2018;8(1):27-34. [Crossref] 

.: Up To Date

.: Process List

Login



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