Browsing by Subject "PROGRAMS"

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    Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives
    (Tubitak Scientific & Technological Research Council Turkey) Incesoy Özdemir, S; Taçyildiz, N; Varan, A; Kebudi, R; Zülfikar, B; Celkan, T; Sahin, G; Çorapçioglu, F; Keskin Yildirim, Z; Pinarli, FG; Olgun, N; Sari, N; Dagdemir, A; Özyörük, D; Eren, T; Çakir, FB; Adakli Aksoy, B; Bozkurt, C; Güler, E; Özgüven, AA; Erbey, F; Berber, M; Dinçaslan, H; Ünal, E; Kantar, M
    Aim: The main purpose of this study is to determine the current status of long-term follow-up (LTFU) for childhood cancer survivors and the challenges of LTFU for pediatric cancer survivors at pediatric oncology institutions in Turkey. Material and methods: A questionnaire was e-mailed to the directors of 33 pediatric oncology centers (POCs) registered in the Turkish Pediatric Oncology Group (TPOG). Of these 33 active TPOG institutions, 21 participated in the study and returned their completed questionnaires. Results: Only 1 of the 21 participating centers had a separate LTFU clinic. The remaining centers provided LTFU care for childhood cancer survivors at the pediatric oncology outpatient clinic. Of these centers, 17 (80.9%) reported difficulty in transition from the pediatric clinic to the adult clinic, 14 (66.6%) reported insufficient care providers, and 12 (57.1%) reported insufficient time and transportation problems. As neglected late effects, 16 (76.1%) centers reported psychosocial and getty job problems and 11 (52.3%) reported sexual and cognitive problems. None of the centers had their own LTFU guidelines for their daily LTFU practice. Conclusion: This study was the first to gain an overview of the needs of POCs and the gaps in survivorship services in Turkey. The results from this study will help to develop a national health care system and national guidelines for pediatric cancer survivors.
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    A Specific Issue on Sustainability of Transportation Planning in an Urban Region: Ambulance Location Problem
    (IGI GLOBAL) Akincilar, A; Akincilar, E
    In this study, ambulance location problem, which is a significant research field in transportation in healthcare, is focused on. It is assumed that travelling time of vehicles between two demand points is uncertain and this uncertainty is represented as a crisp and as well as convex set. In order to deal with this uncertainty, robust counterpart approach, which is capable of providing conservatism, is employed. According to results of the simulation process, which is designed for the sake of benchmarking robust and nominal solutions, it can be easily claimed that conservative robustness is able to be achieved with significantly sufferable costs, even with no costs in most of the scenarios, by the proposed model. Ultimately, since robustness is one of the most important keywords for sustainability, on which discussions can be found in several parts of the text, this chapter is concluded with the claim that, by the proposed model, sustainability of transportation in healthcare is enhanced based on the adopted problem.