Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Psychiatric Evaluation of Children and Adolescents with Mitral Valve Prolapse and Examination of Their Caregivers' Coping Styles with Stress: A Cross-Sectional Study
Mitral Kapak Prolapsusu Olan Çocuk ve Ergenlerde Psikiyatrik Değerlendirme ve Bakımverenlerinin Stresle Başa Çıkma Tarzlarının İncelenmesi: Kesitsel Bir Çalışma
Tuğçe ATAŞa , Işık GÖRKERb , Murat DEVECİc
aArtvin State Hospital, Clinic of Child and Adolescent Psychiatry, Artvin, Türkiye
bTrakya University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Edirne, Türkiye
cTrakya University Faculty of Medicine, Department of Pediatric Cardiology, Edirne, Türkiye
Turkiye Klinikleri J Med Sci. 2025;45(3):130-40
doi: 10.5336/medsci.2024-105360
Article Language: EN
Full Text
ABSTRACT
 Objective: In this cross-sectional study, the psychiatric conditions of children and adolescents diagnosed with mitral valve prolapse (MVP) and the anxiety levels and stress coping strategies of their caregivers were examined and compared with healthy controls. Material and Methods: The study included 76 patients with MVP and 76 healthy controls. Participants were administered the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Versions-Diagnostic and Statistical Manual of Mental Disorders 5-Turkish Adaptation, the State-Trait Anxiety Scale (STAS) or the State-Trait Anxiety Scale for children, and the Strengths and Difficulties Questionnaire-Adolescent Form for children aged 11 and older. The sociodemographic data form, the Strengths and Difficulties Questionnaire, the State-Trait Anxiety Scale, and the Stress Coping Styles Scale were administered to the caregivers of all patients. Results: 88.2% of patients with MVP were found to have at least one lifetime psychiatric diagnosis and lifetime diagnosis rates of panic disorder, separation anxiety disorder, enuresis, test anxiety were higher compared to the control group. Caregivers of patients with MVP were found to have significantly higher mean scores on self-confidence and social support-seeking approaches than the control group. A relationship was observed between the coping styles of caregivers of patients with MVP and some psychological symptoms of the patients. Conclusion: The results of our study demonstrated that anxiety disorder subtypes such as separation anxiety disorder, panic disorder, test anxiety disorder were more common in patients with MVP and that there was an interaction between caregivers' coping styles and the patients' psychological symptoms.

Keywords: Mitral valve prolapse; child; psychiatry; coping
ÖZET
 Amaç: Bu kesitsel araştırmada, mitral kapak prolapsusu (MVP) tanısı olan çocuk ve ergenlerin psikiyatrik durumları ile bakım verenlerinin kaygı düzeyleri ve stresle başa çıkma tarzları incelenmiş, sağlıklı kontrollerle karşılaştırılmıştır. Gereç ve Yöntemler: Çalışmaya 76 MVP'li olgu ve 76 sağlıklı kontrol dahil edilmiştir. Katılımcılara Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Versiyonu- Mental Bozuklukların Tanısal ve Sayımsal El Kitabı 5-Türkçe Uyarlaması, durumluk-sürekli kaygı ölçeği ya da çocuklar için durumluluk-sürekli kaygı ölçeği, 11 yaş ve üzeri olgular için güçler ve güçlükler anketi-ergen formu uygulanmıştır. Tüm olguların bakım verenlerine sosyodemografik veri formu, güçler güçlükler anketi, durumluk-sürekli kaygı ölçeği, stresle başa çıkma tarzı ölçeği uygulanmıştır. Bulgular: MVP tanılı olguların %88,2'sinin yaşam boyu en az bir psikiyatrik tanı aldıkları ve yaşam boyu panik bozukluk, ayrılık anksiyetesi bozukluğu, enürezis, sınav kaygısı tanı oranlarının kontrol grubuna kıyasla daha yüksek olduğu tespit edilmiştir. Mitral kapak prolapsusu olan olguların bakım verenlerinin kendine güvenli ve sosyal destek arama yaklaşımı skor ortalamalarının kontrol grubundan anlamlı düzeyde daha yüksek olduğu bulunmuştur. Mitral kapak prolapsusu olan olguların bakım verenlerinin başa çıkma tarzları ile olguların bazı ruhsal belirtileri arasında ilişki olduğu görülmüştür. Sonuç: Çalışmamızın sonuçları, mitral kapak prolapsusu olan olgularda ayrılık kaygısı bozukluğu, panik bozukluğu ve sınav kaygısı bozukluğu gibi kaygı bozukluğu alt tiplerinin daha sık görüldüğünü, bakım verenlerinin başa çıkma tarzları ile olguların ruhsal belirtileri arasında karşılıklı etkileşim olduğunu göstermiştir.

Anahtar Kelimeler: Mitral kapak prolapsusu; çocuk; psikiyatri; başa çıkma
REFERENCES:
  1. Delwarde C, Capoulade R, Mérot J, Le Scouarnec S, Bouatia-Naji N, Yu M, et al. Genetics and pathophysiology of mitral valve prolapse. Front Cardiovasc Med. 2023;10:1077788. [Crossref]  [PubMed]  [PMC] 
  2. Kolibash AJ Jr, Kilman JW, Bush CA, Ryan JM, Fontana ME, Wooley CF. Evidence for progression from mild to severe mitral regurgitation in mitral valve prolapse. Am J Cardiol. 1986;58(9):762-7. [PubMed] 
  3. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation. 2021;143(5):e35-e71. Erratum in: Circulation. 2021;143(5):e228. Erratum in: Circulation. 2021;143(10):e784. [Crossref]  [PubMed] 
  4. Rizzon P, Biasco G, Brindicci G, Mauro F. Familial syndrome of midsystolic click and late systolic murmur. Br Heart J. 1973;35(3):245-59. [PubMed]  [PMC] 
  5. Tamam L, Ozpoyraz N, San M, Bozkurt A. Association between idiopathic mitral valve prolapse and panic disorder. Croat Med J. 2000;41(4):410-6. [PubMed] 
  6. Tural U, Iosifescu DV. The Prevalence of Mitral Valve Prolapse in Panic Disorder: A Meta-Analysis. Psychosomatics. 2019;60(4):393-401. [Crossref]  [PubMed] 
  7. Kerimoğlu E, Alpas B. Konsültasyon Liyazon Psikiyatrisi. Çuhadaroğlu F, Pehlivantürk B, Uslu R, Türkbay T, editörler. Çocuk ve Ergen Psikiyatrisi Temel Kitabı. Ankara: Çocuk ve Gençlik Ruh Sağlığı Derneği Yayınları:3; 2008. p.718-22. [Crossref] 
  8. Oğuzhan M, Erden G. Kronik ve ölümcül hastalığı olan çocuklarda ve ailelerinde ortaya çıkan sorunlar ve psikososyal müdahalenin önemi. Yeni Sempozyum Dergisi. 2012;3:167-79. [Link] 
  9. Barlow JH, Ellard DR. The psychosocial well-being of children with chronic disease, their parents and siblings: an overview of the research evidence base. Child Care Health Dev. 2006;32(1):19-31. [Crossref]  [PubMed] 
  10. Grootenhuis MA, Last BF. Predictors of parental emotional adjustment to childhood cancer. Psychooncology. 1997;6(2):115-28. [PubMed] 
  11. Thompson RJ Jr, Gil KM, Burbach DJ, Keith BR, Kinney TR. Role of child and maternal processes in the psychological adjustment of children with sickle cell disease. J Consult Clin Psychol. 1993;61(3):468-74. [PubMed] 
  12. Öner N, Le Compte A. Durumluk-Sürekli Kaygı Envanteri El Kitabı. 2. Baskı. İstanbul: Boğaziçi Üniversitesi Yayımları; 1985. [Crossref] 
  13. Özusta Ş. Çocuklar için durumluk-sürekli kaygı envanterinin uyarlama, geçerlik ve güvenirlik çalışması [Turkish standardization, reliability and validity of state trait inventory for children]. Türk Psikoloji Dergisi. 1995;10(34):32-44. [Link] 
  14. Ünal F, Öktem F, Çetin Çuhadaroğlu F, Çengel Kültür SE, Akdemir D, Foto Özdemir D, et al. Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli-DSM-5 Kasım 2016-Türkçe uyarlamasinin (ÇDŞG-ŞY-DSM-5-T) geçerlik ve güvenirliği [reliability and validity of the schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version, DSM-5 November 2016-Turkish Adaptation (K-SADS-PL-DSM-5-T)]. Turk Psikiyatri Derg. 2019;30(1):42-50. Turkish. [PubMed] 
  15. Güvenir T, Özbek A, Baykara B, Arkar H, Şentürk B, İncekaş S. Güçler ve Güçlükler Anketi?nin (GGA) Türkçe uyarlamasının psikometrik özellikleri [Psychometric properties of the Turkish version of the strengths and difficulties questionnaire (SDQ)]. Turkish Journal of Child Adolescent Mental Health 2008;15:65-74. [Link] 
  16. Şahin NH, Durak A. Stresle Başa Çıkma Tarzları Ölçeği: üniversite öğrencileri için uyarlanması [A Brief Copying Styles Inventory for university students]. Türk Psikoloji Dergisi. 1995;10(34):56-73. [Link] 
  17. Freed LA, Benjamin EJ, Levy D, Larson MG, Evans JC, Fuller DL, et al. Mitral valve prolapse in the general population: the benign nature of echocardiographic features in the Framingham Heart Study. J Am Coll Cardiol. 2002;40(7):1298-304. [Crossref]  [PubMed] 
  18. Margraf J, Ehlers A, Roth WT. Mitral valve prolapse and panic disorder: a review of their relationship. Psychosom Med. 1988;50(2):93-113. [PubMed] 
  19. Casat CD, Ross BA, Scardina R, Sarno C, Smith KE. Separation anxiety and mitral valve prolapse in a 12-year-old girl. J Am Acad Child Adolesc Psychiatry. 1987;26(3):444-6. [Crossref]  [PubMed] 
  20. Vitiello B, Behar D, Wolfson S, McLeer SV. Diagnosis of panic disorder in prepubertal children. J Am Acad Child Adolesc Psychiatry. 1990;29(5):782-4. [PubMed] 
  21. Sivaramakrishnan K, Alexander PJ, Saharsarnamam N. Prevalence of panic disorder in mitral valve prolapse: a comparative study with a cardiac control group. Acta Psychiatr Scand. 1994;89(1):59-61. [Crossref]  [PubMed] 
  22. Lovett BJ, Nelson JM. Test anxiety and the Americans with disabilities act. J Disability Policy Studies. 2017;28(2):99-108. DOI: [Crossref] 
  23. Ludwig-Walz H, Dannheim I, Pfadenhauer LM, Fegert JM, Bujard M. Anxiety increased among children and adolescents during pandemic-related school closures in Europe: a systematic review and meta-analysis. Child Adolesc Psychiatry Ment Health. 2023;17(1):74. [PubMed]  [PMC] 
  24. Boudoulas H, Kolibash AJ Jr, Baker P, King BD, Wooley CF. Mitral valve prolapse and the mitral valve prolapse syndrome: a diagnostic classification and pathogenesis of symptoms. Am Heart J. 1989;118(4):796-818. [Crossref]  [PubMed] 
  25. Angeli M, Bitsori M, Rouva G, Galanakis E. The role of the autonomic nervous system in nocturnal enuresis. J Pediatr Urol. 2023;19(1):6-18. [PubMed] 
  26. Ollendick TH, Ryan SM, Capriola-Hall NN, Austin KE, Fraire M. Have Phobias, Will travel: addressing one barrier to the delivery of an evidence-based treatment. Behav Ther. 2018;49(4):594-603. [Crossref]  [PubMed] 
  27. Dager SR, Comess KA, Dunner DL. Differentiation of anxious patients by two-dimensional echocardiographic evaluation of the mitral valve. Am J Psychiatry. 1986;143(4):533-5. [PubMed] 
  28. Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr. 2020;221:264-6.e1. [PubMed]  [PMC] 
  29. Willard VW, Tillery R, Harman JL, Long A, Phipps S. The influence of early childhood temperament on later social-emotional functioning in youth with cancer. J Pediatr Psychol. 2021;46(4):433-42. [Crossref]  [PubMed]  [PMC] 
  30. Luyckx K, Goossens E, Rassart J, Apers S, Vanhalst J, Moons P. Parental support, internalizing symptoms, perceived health status, and quality of life in adolescents with congenital heart disease: influences and reciprocal effects. J Behav Med. 2014;37(1):145-55. [PubMed] 
  31. Smith MS, Doroshow C, Womack WM, Tenckhoff L, Stamm S, Pertik M. Symptomatic mitral valve prolapse in children and adolescents: catecholamines, anxiety, and biofeedback. Pediatrics. 1989;84(2):290-5. [PubMed] 
  32. Er M. Çocuk, hastalık, anne-babalar ve kardeşler [.Child, illness, parent siblings]. Çocuk Sağlığı ve Hastalıkları Derg. 2006;49(2):155-68. [Link] 
  33. Fairfax A, Brehaut J, Colman I, Sikora L, Kazakova A, Chakraborty P, et al.; Canadian Inherited Metabolic Diseases Research Network. A systematic review of the association between coping strategies and quality of life among caregivers of children with chronic illness and/or disability. BMC Pediatr. 2019;19(1):215. [Crossref]  [PubMed]  [PMC] 
  34. Davis CC, Brown RT, Bakeman R, Campbell R. Psychological adaptation and adjustment of mothers of children with congenital heart disease: stress, coping, and family functioning. J Pediatr Psychol. 1998;23(4):219-28. [PubMed] 
  35. Rodenburg R, Meijer AM, Deković M, Aldenkamp AP. Parents of children with enduring epilepsy: predictors of parenting stress and parenting. Epilepsy Behav. 2007;11(2):197-207. [Crossref]  [PubMed] 

.: 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
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 154 - 153
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/ 197
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 197
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