SCORA – Xchange

2012 TURKEY

9th

June – 29th

June 2012

Izmir – Mersin – Samsun

Esra Nazli Doktur

SCORA - Xchange Coordinator of Epidemic Infectious Diseases Programme 11/12

Local Exchange Officer in TurkMSIC Ondokuz Mayis Local Commitee 10/12

EPIDEMIC

INFECTIOUS

DISEASES

IN TURKEY

Aim The aim of the programme is to make a portrait, share the recent informations, raise awareness of

epidemic infectious diseases in Turkey

Goals

To learn the epidemiology, clinical trials, microbiologic characters, treatments of common opportunistic infections

To learn the clinic of immune suppression and neutropenic fever

To learn the epidemiology, symptoms and clinical approach to chronical viral hepatitis.

To learn the symptoms and the clinical management of diabetic foot infections

To learn the epidemiology, symptoms, clinical approach and complications of Brucellosis, Urinary tract infections, Soft Tissue Infections,

To learn the epidemiology, symptoms and clinical approach to Crimean Congo Hemorragic Fever

Targets:

Chronic hepatitis often leads to nonspecific symptoms such as malaise, tiredness and weakness, however it may not develop any symptoms as well. It is generally diagnosed with blood tests performed either for screening or evaluating nonspecific symptoms. The occurrence of jaundice(presence of jaundice) indicates severe liver damage. On physical examination there may be hepatomegaly.

Crimean–Congo hemorrhagic fever (CCHF) is a widespread viral disease which is transmitted by ticks inhabiting some domestic and wild animals. The pathogenic virus, especially common in East and West Africa, is a member of the Bunyaviridae family of RNA viruses. Clinical disease is rare in infected mammals, but commonly severe in infected humans, with a 30% mortality rate. Outbreaks of this illness are usually attributable to handling infected animals or people.

Brucellosis in humans is usually associated with the consumption of unpasteurized milk and soft cheeses made from the milk of infected animals, primarily goats infected with Brucella melitensis and with occupational exposure of laboratory workers, veterinarians and slaughterhouse workers. Some vaccines used in livestock, most notably B. abortus strain 19, also cause disease in humans if accidentally injected. Brucellosis induces inconstant fevers, sweating, weakness, anaemia, headaches, depression and muscular and bodily pain.

Soft tissue infections are almost routinely the product of direct microbe inoculation through a bridged protective skin. Day of onset and clinical presentation reflect the causative pathogen(s) and course that should be taken in treatment.

Prevention and treatment of diabetic foot infection in patients with diabetes education is very

important. Avoid wearing tight shoes and the feet need to use a good moisturizing cream. Most importantly, these people need to take high-quality education in diabetes foot care centers..

SCORA - Xchange 12’ TURKEY EPIDEMIC INFECTIOUS DISEASES

IN TURKEY

9th June – 29th June 2012

Tuberculosis, caused by Mycobacterium species, usually caused by Mycobacterium tuberculosis is a contagious bacterial infection with a chronic character and granulomatosis. The disease is also called the disease among the people thin. There may be multiorgan disease, especially tuberculosis infection of the lungs and mediastinal lymph nodes are more frequently observed in the lungs. Systemic symptoms of fever, chills, night sweats, loss of appetite, weight loss and fatigue. Finger clubbing may also occur.Chest pain, lasting more than 2 weeks or cough,shortness of breath, hemoptysis, sputum, hoarseness can be seen in various symptoms and signs.

Urinary tract infection is an infection that affects any part of the urinary tract. Bacterias are not

normally present in urine. They enter the urine from the bladder or kidney and urinary tract infection occurs subsequently. The most common of these infections are also known ascystitis, bladder infection. Another type of this infection is an inflammation of kidneys, called pyelonephritis. Even though they are uncomfortable for urinary tract infections, they can be treated easily and quickly..

Duration

There will be a 21-day programme, from 9th to 29th June 2012.

Programme Program includes clinical practices, visiting intensive care, workshops and lectures. The practical education and some lectures will be taking place each morning, except Saturday and

Sunday. Workshops and some lectures will be held in the morning.

Izmir; 9th - 15th of June Topics in Izmir

Neutropenic fever

Tuberculosis

Gastrointestinal parasites

Fungal infections such as candida

Endogenous bacterias such as stafilococcus, streptococcus, pseudomonas… Departments:

Ege Universitiy, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology

Ege Universitiy, Faculty of Medicine, Department of Clinical Microbiology

Ege Universitiy, Faculty of Medicine, Department of Parasitology

Mersin; 16st - 22th of June Topics in Mersin:

Chronic hepatitis

Symptoms and the clinical management of diabetic foot infections

Tuberculosis

Urinary Tract Infection Departments:

Infectious Disease Department of Mersin University, Faculty of Medicine

Teacher: Prof. Dr. Ali Kaya

Samsun; 23th -29th of June Topics in Samsun Clinical approach to paitent with urinary tract infection Crimean-Congo Hemorrhagic Fever Brucellsis Chronic hepatitis Soft Tissue Infection

Departments Samsun Ondokuz Mayıs University Medicine Faculty Department of Infectious Diseases Teacher: Prof. Dr. Şaban Esen

Participations Conditions & Requirements

Medical students of clinical semesters of any nationality are welcomed to join us in the Exchange Program.

Pre-clinical students will be accepted if they ensure to fulfil the requirements of clinical works and have had lectures about microbiology.

The number of participant students will be 6 (six) minimum- eight (8) maximum. In order to attend, participants must send us; 1. Motivation Letter (not longer than 500 words.) 2. Curriculum Vitae (Please inform us about your experiences in Enfeksiyon hastalıkları) 3. Application Form Filled SCORA X-change Turkey- 2012 (Application Form with your personal

photo attached) 4. A copy of first four page of your passport 5. A photo

Fee

Participation fee is 190 €. The fee covers accommodation and lunch for 7 days

Note: transportation in the city and between cities; additional catering and social programme will be extra paid by participants.

In case of a good fundraising the fee can be less than 190 €

**Application deadline: 22nd may 2012

After receiving your application form, we will send a pre-registration e-mail including account for the fee. The registration will be complete after payment.

Visa and Travel If you need a visa to come to Turkey, please contact Turkish Embassy in your country. We will provide you an official invitation letter. If you have troubles with finding train/bus/flight to Turkey, we would like to help you. Official Language: English

Information about Cities Social Programme There is no specific social programme, but we promise unforgettable time. We hope you are ready

for our energy Social programme may include by your motion: Izmir:

At the weekends, we will arrange the social programmes to Çeşme, Kuşadasi or Ayvalik. (via SCOPE)

Also in the weekdays, we will arrange o the city tour (including Karsiyaka- Bostanli via bazaar, Konak- Kemeralti bazaar, the elevator-

Street of Dario Moreno, Alsancak…) and o visits to museums (Etnography museum, arceology museum, city museum, mask museum,

house of Latife Hanim, House of Ataturk…)

Kentkart: 5 TL plus 1.75 TL per subway/ bus/ ship

Izmir ( Nickname(s): Pearl of the Aegean) has almost 3,500 years of recorded urban history

(see Timeline of İzmir) and possibly even longer as an advanced human settlement. Lying on an advantageous

location at the head of a gulf running down in a deep indentation midway on the western Anatolian coast, the

city has been one of the principal mercantile cities of the Mediterranean Sea for much of its history. Its port is

Turkey's primary port for exports in terms of the freight handled and its free zone, a Turkish-U.S. joint-

venture established in 1990, is the leader among the twenty in Turkey. Its workforce, and particularly its rising

class of young professionals, concentrated either in the city or in its immediate vicinity (such as

in Manisa and Turgutlu), and under either larger companies or SMEs, affirm their name in an increasingly wider

global scale and intensity.[3] İzmir is widely regarded as one of the most progressive Turkish cities in terms of its

values, lifestyle, dynamism and gender roles. Politically, it is considered a stronghold of the Republican People's

Party.

The city hosts an international arts festival during June and July, and the İzmir International Fair, one

of the city's many fair and exhibition events centered around but not limited to Kültürpark, is held in the

beginning of September every year. İzmir is served by national and international flights through the Adnan

Menderes International Airport and there is a modern metro line running from the southwest to the northeast.

İzmir hosted the Mediterranean Games in 1971 and the World University Games (Universiade) in 2005. It had a

running bid submitted to the BIE to host the Universal Expo 2015, in March, 2008, that was lost to Milan.

Modern İzmir also incorporates the nearby ancient cities of Ephesus, Pergamon, Sardis and Klazomenai, and

centers of international tourism such as Kuşadası, Çeşme, Mordoğan and Foça.

Main sights: The Agora of Smyrna is well preserved, and is arranged into the Agora Open Air

Museum of İzmir, although important parts buried under modern buildings are waiting to be brought to

daylight. Serious consideration is also being given to uncovering the ancient theatre of Smyrna where St.

Polycarp was martyred, buried under an urban zone on the slopes of Kadifekale. It was distinguishable until the

19th century, as evident by the sketchings done at the time. On top of the same hill soars an ancient castle

which is one of the landmarks of İzmir.

One of the more pronounced elements of İzmir's harbor is the Clock Tower, a beautiful marble

tower that rests in the middle of the Konak district, standing 25 m (82 ft) in height. It was designed by Levantine

French architect Raymond Charles Père in 1901 for the commemoration of the 25th anniversary of the

ascension of Abdülhamid II to the Ottoman throne in 1876. The clock workings themselves were given as a gift

by the German Kaiser Wilhelm II, a political ally of Abdülhamid II. The tower features four fountains which are

placed around the base in a circular pattern, and the columns are inspired by North African themes.

The Kemeraltı bazaar zone set up by the Ottomans, combined with the Agora, rests near the

slopes ofKadifekale.

The Izmir Birds Paradise in Çiğli, a bird sanctuary near Karşıyaka, contains 205 species of birds.

There are 63 species of domestic birds, 54 species of summer migratory birds, 43 species of winter migratory

birds, and 30 species of transit birds. 56 species of birds have been breeding in the Park. İzmir Bird's Paradise

which covers 80 square kilometres was registered as "The protected area for water birds and for their breeding"

by the Turkish Ministry of Forestry in 1982. A large open air zoo was established in the same district of Çiğli in

2008 under the name Sasalı Park of Natural Life.

The annual International Izmir Festival, which begins in mid-June and continues until mid-July, has

been organized since 1987. During the festival, many world-class performers such

as soloists and virtuosi, orchestras, dance companies, rock and jazz groups including Ray Charles,Paco de

Lucia, Joan Baez, Martha Graham Dance Company, Tanita Tikaram, Jethro Tull, Leningrad Philarmonic

Orchestra, Chris De Burgh,Sting, Moscow State Philharmonic Orchestra, Jan Garbarek, Red Army

Chorus, Academy of St Martin in the Fields, Chick Corea and Origin,New York City Ballet, Nigel Kennedy, Bryan

Adams, God Is An Astronaut, James Brown, Elton John, Anathema, Kiri Te Kanawa, Mikhail Barishnikov and Josep

Carreras have given recitals and performances at various venues in the city and its surrounding areas; including

the ancient theatres at Ephesus and Metropolis (an ancient Ionian city situated near the town of Torbalı.) The

festival is a member of the European Festivals Association since 2003.

The İzmir European Jazz Festival is among the numerous events organized every year by

the İKSEV (İzmir Foundation for Culture, Arts and Education) since 1994. The festival aims to bring together

masters and lovers of jazz with the aim to generate feelings of love, friendship and peace.

The International İzmir Short Film Festival is organized since 1999 and is a member of

the European Coordination of Film Festivals.

Izmir Metropolitan Municipality has built the Ahmet Adnan Saygun Art Center on a 21,000

m2 land plot in the Güzelyalı district, in order to contribute to the city's culture and art life. The acoustics of the

center have been prepared by ARUP which is a world famous company in this field.

Sightseeing in Izmir: Sirince, Ephesus, The House of Virgin Mary, Cesme

Izmir panorama from Kadifekale

Agora of Smyrna

İzmir's famous Kordon

Asansör (1907) offers panoramic views of the city.

Forum Bornova Shopping Center

A seaside view from the İnciraltı quarter

İzmir Clock Tower (1901)

Mersin:

Paintball or bowling tournament

Café bar club

Karaoke party

Picnic

Raki fish and boat trip

Tarsus to visit on Saturday (St.Paulus Church, Cleopatra Gate (Sea Gate), Roman Road, St.

Paul's Well, Tarsus Waterfall, Minelayer Nusrat, etc.) . transportation is by train (train ticket price: 2.25 TL)

Silifke to visit on Sunday Kız Kalesi (swimming) and trips to nearby tourist attractions, Heaven and Hell

Mersin is a large city and a busy port on the Mediterranean coast of southern Turkey and is the

capital of the Mersin Province. It is 8th largest city of Turkey and the population is almost 1 million. Mersin is one of the youngest and most dynamic cities of Turkey with the fact that %50 of the population is under the age of 24. It is part of Adana-Mersin Metropolitan Area and lies on the west part of Çukurova, a geographical, economical and cultural region. Mersin is so important for Turkey's economy also Turkey's biggest port is in Mersin.

Mersin that an important harbour city at East Mediterranean shore, offers every possible activities

to travellers with streets overshadowed by palms, city park, modern hotels, ruins near the city, numberless beaches. Moreover city remembered in history with the name of Saint Paul (he is from Tarsus) and with areas between Alanya and Mersin that was given from Mark Antuanious as a marriage gift to Cleopatra. Nearly 108 kilometre lengths of Mersin shores composed from naturel beaches. These beaches preferred because of their thin sands and cleanness, and their suitability for underwater hunting. Kulakköy, Taşucu, Susanoğlu, Kuruçay, Lamas, Yemişkumu, Kız Kalesi, Çeşmeli, Ören, Balıkova, İskele, Yenikaş, Ovacık, Büyük Ecelive and Anamur Beaches are some of that beaches. For whom fond of history and archaeology there is Viranşehir (Pomeipolis) built on an area which has been a continuous settlement place since Neolithic Age, and the city is a roman city built at Rome Period. At the 320 kilometer length coast band of Mersin province , 108 kilometer of them is sanded shores and formed with naturel beaches and it is very rich by the means of historical, cultural values. Given its historical importance, there are lots of archaeological and historical creations remains from calceolithic, Hittite, Rome, Byzantine and Ottoman civilisations in Mersin.

Since Mersin is located in southern part of Turkey , it is likely known as a summer holiday city

.With its great azure blue sea and golden beaches, it offers extra social activities mainly in summer months. Mersin is also placed on the hillside of Toros Mountains. So the one can have chance to see the plateaus of Mersin and do trekking just one hours away from Mersin. Rafting in G Mersin is also famous with its lemonade and orange gardens. As a symbol of the city, you can see everywhere orange statues or pictures.

Beside its natural and historical values, Mersin has various clubs and cafes which are mainly

located beside the shores for whom want to enjoy .

Sightseeing in Mersin

KIZ KALESİ

Minelayer Nusrat

St. Paul's Well

Tarsus waterfall

traditional dishes and desserts

Cezerye is a semi-gelatinous Turkish confectionery – a kind of lokum- made from carrot, fig or date

purée, packed with nuts or pistachios and sprinkled with shredded coconut. Cut into roughly 1" x 1.5" rectangular chips and served on special occasions, it is somewhat akin to Turkish Delights and the Chinese walnut candy known as hetao tang. It is traditionally believed to be an aphrodisiac.

Tantuni is a hot lavaş wrap consisting of julienned lamb stir-fried on a sac on a hint of cottonseed oil

Kerebiç A shortbread filled with pistachio paste, also famous throughout the Levant,

Samsun:

Omtel otel (http://www.omtelotel.com/) fitness center and swimming pool fees: 4 TL for 1.45 hour(optional)

Bar – club - karaoke

Ice skating

Paint ball

Go-kart

Visit to Bandırma Steamboat

Karaoke party

Supper at Amisos Hill and visit to Amisos Village

A typical evening meal of ramadan

Aquapark and beach

Picnic

Touristic tour: Amasya – King Graves) Sinop – Hamsilos ve Erfelek waterfalls

Samsun is a city of about half a million people on the north coast of Turkey. It is the provincial capital of Samsun Province and a major Black Sea port. Samsun (then known as Amisos, alternative spelling Amisus) was settled between the years of 760 - 750 BC by people from Miletus, who established a flourishing trade relationship with the ancient peoples of Anatolia. Samsun's ideal combination of fertile ground and shallow waters attracted numerous traders. Ottoman period the land around the town mainly produced tobacco. The town was connected to the railway system in the second half of the 19th century, and tobacco trade boomed. Mustafa Kemal Atatürk established the Turkish liberation movement in Samsun on May 19, 1919, the date which traditionally marks the beginning of the Turkish War of Independence. Samsun is a long city which extends along the coast between two river deltas which jut into the Black Sea. It is located at the end of an ancient route from Cappadocia: the Amisos of antiquity lay on the headland northwest of the modern city. To Samsun's west, lies theKızılırmak ("Red River", the Halys of antiquity), one of the longest rivers in Anatolia and its fertile delta. To the east, lie the Yeşilırmak ("Green River", the Iris of antiquity) and its delta.

The River Mert reaches the sea at the city, Yeşilırmak east of the city and Kızılırmak west of the city. Samsun has a typical Black Sea climate with high and evenly distributed rainfall the year round. Summers are warm and humid, and the average maximum temperature is around 27 °C (81 °F) in August. Winters are cool and damp, and the lowest average minimum temperature is around 3 °C (37 °F) in January.

Sightseeing in Samsun

Atatürk arriving in Samsun. 19th May 1919

Mater Dolorosa Catholic Church

Ataturk Statue

A Reconstructed Bandırma

Samsun Promenade

Gazi (Ataturk) Museum

Amisos Mosaic, Archeology Museum

Samsun Pidesi

Baklava

Contact Person and Coordinator Esra Nazlı DÖKTÜR TurkMSIC- SCORA Xchange Coordinator 11/12 TurkMSIC- SCORA Xchange Coordinator in Samsun e-mail: nazlidoktur@gmail.com Mobile: +90 507 742 28 44 Adress: Yunus Emre Street 26/9 55060 SAMSUN/ TURKEY Bahar ENGİN TurkMSIC SCORA - Xchange Coordinator 10/12 TurkMSIC- SCORA Xchange Coordinator in Izmir e-mail: baharengin90@yahoo.com Mobile: +90 554 353 09 28 Address: 174 sk 8/1 35360 Hatay- IZMIR / TURKEY Ömer Tepe TurkMSIC- SCORA Xchange Coordinator in Mersin e-mail: omer.tepe@windowslive.com Mobile: +90 538 475 48 67