Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Hidrosefalisi Olan Çocuğun Bakımına Yönelik Teknoloji Tabanlı Ebeveyn Eğitim Programlarının KomplikasyonlarıÖnlemedeki Önemi: Geleneksel Derleme
The Importance of Technology-Based Parent Education Programs for Care of Child with Hydrocephalis in Preventing Complications: A Traditional Review
Mustafa Volkan DÜZGÜNa , Ayşegül İŞLER DALGIÇa , Mehmet Saim KAZANa
aAkdeniz Üniversitesi Hemşirelik Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, Antalya, Türkiye
bAkdeniz Üniversitesi Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahi ABD, Antalya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):529-35
doi: 10.5336/nurses.2022-93362
Article Language: TR
Full Text
ÖZET
 Hidrosefali; beyin omurilik sıvısı fizyolojisinin bozulması ve bununla ilişkili olan beyin ventriküllerinin anormal genişlemesi nedeniyle oluşur. En yaygın çocukluk çağı beyin hastalıklarından biri olan hidrosefalinin tedavisinde sıklıkla kullanılan ventriküloperitoneal şant cerrahisi sonrası önemli komplikasyonlar görülebilmektedir. Tedavinin özellikle ilk yılında şant komplikasyon riski yüksektir. Hidrosefalisi olan bir çocuğun bakımı, tedavisi ve izlemi yaşam boyu devam eden bir süreçtir. Ebeveynlerin, çocuklarını şant komplikasyonlarından koruyabilmesi ve çocuğu izleyip şant disfonksiyonu ve enfeksiyonunu erken fark edebilmesi mortalite ve morbiditeyi önleme açısından önemlidir. Bu zorlu süreçte ebeveynlerin en önemli gereksinimleri arasında eğitim ve danışmanlık yer alır. Eğitim ve danışmanlıkta hemşire, multidisipliner ekibin bir üyesi olarak hem klinik/cerrahi prosedürler sırasında bakımda, hem de aile merkezli bakım felsefesi doğrultusunda ebeveynlerin çocuğun bakımına aktif katılabilmesi ve aile-çocuk ilişkilerinin sağlıklı bir şekilde devam edebilmesinde önemli bir yere sahiptir. Dünya geneline bakıldığında, hidrosefalisi olan çocuğun bakımına ilişkin ebeveyn eğitim odaklı, girişimsel çalışmaların az sayıda olduğu görülmektedir. Bilgi iletişim teknolojilerinde meydana gelen değişimler ve maliyet dikkate alındığında, eğitim aracı olarak teknoloji tabanlı müdahaleler kullanılması önemlidir. Bu bağlamda bu derlemenin amacı, hidrosefali hakkında bilgi vererek hidrosefali nedeniyle şant takılan çocuklarda komplikasyonları önlemek, morbidite ve mortalitenin azaltılmasında ebeveynlere verilen eğitim ve danışmanlık hizmetlerinin önemini vurgulamak ve teknoloji tabanlı eğitim yöntemlerinin kullanımına dikkat çekmektir.

Anahtar Kelimeler: Hidrosefali; şant komplikasyonu; teknoloji; ebeveynler; çocuk hemşireliği
ABSTRACT
 Hydrocephalus is caused by impaired cerebrospinal fluid physiology and associated abnormal enlargement of the brain ventricles. Important complications can be seen after ventriculoperitoneal shunt surgery, which is frequently used in the treatment of hydrocephalus, one of the most common childhood brain diseases. The risk of shunt complications is high, especially in the first year of treatment. The care, treatment, and follow-up of a child with hydrocephalus is a lifelong process. It is important for parents to protect their children from shunt complications and to monitor the child and detect shunt dysfunction and infection early in terms of preventing mortality and morbidity. In this challenging process, education and counseling are among the most important needs of parents. In education and counseling, the nurse, as a member of the multidisciplinary team, has an important role both in care during clinical/surgical procedures and in the active participation of parents in the care of the child in line with the family-centered care philosophy and in the continuation of healthy family-child relationships. When we look at the world in general, it is seen that there are few educational and interventional studies on the care of the child with hydrocephalus. Considering the changes in information and communication technologies and the cost, it is important to use technologybased interventions as an educational tool. In this context, the aim of this review is to give information about hydrocephalus, to emphasize the importance of education and counseling services given to parents in preventing complications, reducing morbidity and mortality in children with shunt due to hydrocephalus, and to draw attention to the use of technology-based education methods.

Keywords: Hydrocephalus; shunt complication; technology; parents; pediatric nursing
REFERENCES:
  1. Kahle KT, Kulkarni AV, Limbrick DD Jr, Warf BC. Hydrocephalus in children. Lancet. 2016;387(10020):788-99. [Crossref]  [PubMed] 
  2. Dewan MC, Rattani A, Mekary R, Glancz LJ, Yunusa I, Baticulon RE, et al. Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. J Neurosurg. 2018;1-15. [PubMed] 
  3. Düzgün MV, Erdem Y. Factors affecting the anxiety level and quality of life of parents of children with hydrocephalus. International Journal of Caring Sciences. 2020;13(2):1382-91. [Link] 
  4. Melo JRT, Vieira KA, Miranda T. Stress in caregivers of children with hydrocephalus. Revista Brasileira de Neurologia e Psiquiatria. 2014;18(1):3-12. [Link] 
  5. Tully HM, Dobyns WB. Infantile hydrocephalus: a review of epidemiology, classification and causes. Eur J Med Genet. 2014;57(8):359-68. [Crossref]  [PubMed]  [PMC] 
  6. Warf BC, Alkire BC, Bhai S, Hughes C, Schiff SJ, Vincent JR, et al. Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa. J Neurosurg Pediatr. 2011;8(5):509-21. Erratum in: J Neurosurg Pediatr. 2012;9(1):109. [Crossref]  [PubMed] 
  7. Ünver S, Tütüncüler B, Özkan ZK, Fındık ÜY. Effect of giving brochures to ventriculoperitoneal shunted children's mothers about preventing shunt infections. Cocuk Enfeksiyon Dergisi. 2020;14(3):E97-E105. [Crossref] 
  8. Tavares PAJ, Hamamoto Filho PT, Ferreira ASSBS, Avila MAG. Construction and validation of educational material for children with hydrocephalus and their informal caregivers. World Neurosurg. 2018;114:381-90. [Crossref]  [PubMed] 
  9. Nielsen N, Breedt A. Hydrocephalus. In: Cartwright CC, Wallace DC, eds. Nursing Care of the Pediatric Neurosurgery Patient. 2nd ed. Cham: Springer; 2017. p.39-89. [Crossref] 
  10. Kulkarni AV, Drake JM, Mallucci CL, Sgouros S, Roth J, Constantini S; Canadian Pediatric Neurosurgery Study Group. Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr. 2009;155(2):254-9.e1. [Crossref]  [PubMed] 
  11. Kulkarni AV, Riva-Cambrin J, Holubkov R, Browd SR, Cochrane DD, Drake JM, et al; Hydrocephalus Clinical Research Network. Endoscopic third ventriculostomy in children: prospective, multicenter results from the Hydrocephalus Clinical Research Network. J Neurosurg Pediatr. 2016;18(4):423-9. [Crossref]  [PubMed] 
  12. Akgün B, Gerçek Aktaş E, Erol FS, Kaplan M, Arıcı L. Ventrikuloperitoneal şant komplikasyonları: 75 olgunun değerlendirilmesi [Ventrikuloperitoneal shunt complications: evaluation of 75 cases]. FÜ Sağ Bil Derg. 2008;22(2):69-72. [Link] 
  13. Eroğlu A, Esenoğlu M, Ekrem Y, Atabey C. Hidrosefali tanısı ile ventriküloperitoneal şant takılan 47 olguda şanta bağlı gelişen komplikasyonların değerlendirilmesi [Evaluation of shunt-related complications in ventriculoperitoneal shunt performed with a hydrocephalus diagnosis of 47 cases]. Türk Nöroşirurji Dergisi. 2016;26(1):36-9. [Link] 
  14. Gülşen İ, Ak H, Arslan M, Gökalp A, Sösuncu E, Kıymaz N. Çocukluk çağında ventriküloperitoneal şant disfonksiyonları [Ventriculoperitoneal shunt dysfunctions in childhood]. Türk Nöroşiruruji Dergisi. 2014;24(3):280-3. [Link] 
  15. Gündeşlioğlu ÖÖ, Haytoğlu Z, Özsoy KM, Alabaz D, Kocabaş E. Çocuklarda ventriküloperitoneal şant enfeksiyonu: demografik, klinik özellikler ve tanıda trombosit parametrelerinin değerlendirilmesi [Ventriculoperitoneal shunt infections in children: demographical, clinical findings and evaluation of thrombocyte parameters]. J Pediatr Inf. 2018;12(2):65-71. [Crossref] 
  16. Athanasakis E. Post-operative complications of ventriculoperitoneal shunt in hydrocephalic pediatric patients-nursing care. International Journal of Caring Sciences. 2011;4(2):66. [Link] 
  17. Cestari VRF, de Figueiredo Carvalho ZM, Barbosa IV, Melo EM, Studart RMB. Nursing care to the child with hydrocephalus: an integrative literature review. Journal of Nursing UFPE on Line. 2013;7(5):1490-6. [Crossref] 
  18. Erbaş A, Bulut H. Şantı olan hidrosefalili çocuklara sahip ailelerin yaşadıkları güçlükler [The experienced problems of families having children with cerebrospinal fluid shunt]. Gazi Sağlık Bilimleri Dergisi. 2017;2(2):9-19. [Link] 
  19. Shattnawi KK, Qananbeh FS, Khater W. The experiences of mothers of children with hydrocephalus in Jordan: a phenomenological study. Journal of Pediatric Nursing. 2022. [Crossref]  [PubMed] 
  20. Abd Elaziz MS, Abd Elaal EM, Abd El-Sadik BR, Said KM. Nursing management protocol for mothers of children having ventricular peritoneal shunt. Egyptian Nursing Journal. 2017;14(3):226-34. [Crossref] 
  21. Kirk EA, White C, Freeman S. Effects of a nursing education intervention on parents' knowledge of hydrocephalus and shunts. J Neurosci Nurs. 1992;24(2):99-103. [Crossref]  [PubMed] 
  22. Tongpeth J, Du H, Barry T, Clark RA. Effectiveness of an Avatar application for teaching heart attack recognition and response: a pragmatic randomized control trial. J Adv Nurs. 2020;76(1):297-311. [Crossref]  [PubMed] 
  23. Naftel RP, Safiano NA, Falola MI, Shannon CN, Wellons JC 3rd, Johnston JM Jr. Technology preferences among caregivers of children with hydrocephalus. J Neurosurg Pediatr. 2013;11(1):26-36. [Crossref]  [PubMed] 
  24. Im EO, Chang SJ. Web-based interventions in nursing. Comput Inform Nurs. 2013;31(2):94-102. [Crossref]  [PubMed] 
  25. Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M. Why are health care interventions delivered over the internet? A systematic review of the published literature. J Med Internet Res. 2006;8(2):e10. [Crossref]  [PubMed]  [PMC] 
  26. Graffigna G, Barello S, Riva G. How to make health information technology effective: the challenge of patient engagement. Arch Phys Med Rehabil. 2013;94(10):2034-5. [Crossref]  [PubMed] 
  27. An LC, Demers MR, Kirch MA, Considine-Dunn S, Nair V, Dasgupta K, et al. A randomized trial of an avatar-hosted multiple behavior change intervention for young adult smokers. J Natl Cancer Inst Monogr. 2013;2013(47):209-15. [Crossref]  [PubMed]  [PMC] 
  28. Wonggom P, Kourbelis C, Newman P, Du H, Clark RA. Effectiveness of avatar-based technology in patient education for improving chronic disease knowledge and self-care behavior: a systematic review. JBI Database System Rev Implement Rep. 2019;17(6):1101-29. [Crossref]  [PubMed] 
  29. Falloon G. Using avatars and virtual environments in learning: what do they have to offer? British Journal of Educational Technology. 2010;41(1):108-22. [Crossref] 
  30. Bell D, Gachuhi N, Assefi N. Dynamic clinical algorithms: digital technology can transform health care decision-making. Am J Trop Med Hyg. 2018;98(1):9-14. [Crossref]  [PubMed]  [PMC] 
  31. Wu IXY, Kee JCY, Threapleton DE, Ma RCW, Lam VCK, Lee EKP, et al. Effectiveness of smartphone technologies on glycaemic control in patients with type 2 diabetes: systematic review with meta-analysis of 17 trials. Obes Rev. 2018;19(6):825-38. [Crossref]  [PubMed] 
  32. Tongpeth J, Du HY, Clark RA. Development and feasibility testing of an avatar-based education application for patients with acute coronary syndrome. J Clin Nurs. 2018;27(19-20):3561-71. [Crossref]  [PubMed] 
  33. Wonggom P, Du H, Clark RA. Evaluation of the effectiveness of an interactive avatar-based education application for improving heart failure patients' knowledge and self-care behaviours: a pragmatic randomized controlled trial protocol. J Adv Nurs. 2018;74(11):2667-76. [Crossref]  [PubMed] 
  34. Fortier MA, Chung WW, Martinez A, Gago-Masague S, Sender L. Pain buddy: a novel use of m-health in the management of children's cancer pain. Comput Biol Med. 2016;76:202-14. [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