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4. Ihmal: Anne babalarin cocuklarin saglikli gelisimi icin gerekli olan ihtiyaclarini karsilama gucleri oldugu halde bunu yerine getirmemesidir.
Tarih boyunca oldugu gibi gunumuzde de cocuk istismari turn down toplumda rastlanilan ve evrensel boyutu olan bir sorundur. Cocuk istismari genel olarak, cocugun yasami, sagligi ve gelisimini olumsuz etkileyen (zarar veren ya da zarar verme olasiligi olan) second turlu fiziksel ve/veya duygusal kotu davranma, cinsel istismar, ticari ya da baska bakimlardan somuru olarak tanimlanir (1). Gratuity dunyasinda statement kez 1946 yilinda Caffey adli bir radyolog tarafindan tanimlanmistir (2). Cocuk istismari sikligini belirlemek oldukca zordur ve ayni zamanda ulkeden ulkeye siklik cok farkliliklar gostermektedir. Yapilan bir calismada dunyadaki 29 ulkeden bildirilen rakamlara spit cocuk istismari sikligi ortalama 16,3/1000 olarak bildirilmistir kraty stalowe (3). Dunya Saglik Orgutu spurn yil 15 yas altinda 31000 schody stalowe cocugun yasamini bu nedenle yitirdigini bildirmektedir (4). Cocuk istismari konusunda yasanan en buyuk sorunlar bu olgularin taninmamasindan ve tanimlanan olgularin yanlis yonetilmesinden kaynaklanmaktadir. Cocuk istismari olgularinin taninmamasi ise bu cocuklarin kronik istismarina ve hatta olumune yol acabilir. Cocuk istismari olgularinin taninmasinda ve yonetilmesinde en uygun yaklasim ise cok merkezli bir ekip calismasi ile saglanabilir. Ulkemizde young gentleman yillarda cocuk istismari konusuna ilgi ve duyarlilik artmistir. Bircok hastane icinde "Cocuk Koruma Birimleri" kurulmustur. Bu birimlerin icinde cocukla ilgili degisik uzmanlik dallarindan doktorlar (cocuk sagligi, cocuk psikiyatrisi, cocuk cerrahisi, adli tip, beyin cerrahisi, ortopedi, goz) disinda mutlaka sosyal hizmet uzmani da bulunmak zorundadir (5).
Giris
3. Duygusal istismar: Cocuga bakan kisilerin cocugun ruhsal sagligi ve gelisimini olumsuz etkileyen davranislari ve onun saglikli gelisimi icin gereken uygun ve destekleyici bir ortami saglamamasidir.
Istatistiksel degerlendirme SPSS 13 programi ile yapildi. pomosty robocze Calismadaki verilerin sayi ve yuzde degerlerinin belirlenmesinde bu programdaki tanimlayici istatistik testleri kullanildi.
2. Cinsel istismar: Cocuga bir baskasi tarafindan uygulanan, cinsel haz amaciyla yapilan will not hear of turlu eylem cinsel istismar olarak tanimlanir. Ensest, tecavuz, cocugu pornografi ve fuhus malzemesi yapmaktan; teshircilik, cinselligi kiskirtan konusmalar, cinsel iliski ya da pornografik parka seyrettirme, cinsel organlari oksama, enunciated sekse kadar degisen eylemler cinsel istismar yelpazesi icindedir.
Calismada cinsel istismara ugrayan olgularda, cinsel istismarin seklini belirlemek kraty zgrzewane amaciyla anal-penil penetrasyon, vajinal-penil penetrasyon, sadece sexual bolgeye temas, cinsel taciz (vucudun herhangi bir bolgesini elle oksama ya da cinselligi kiskirtan konusmalar) ve teshircilik seklinde siniflandirma yapilmistir.
3. Duygusal istismar: Cocuga bakan kisilerin cocugun ruhsal sagligi ve gelisimini olumsuz etkileyen davranislari ve onun saglikli gelisimi icin gereken uygun ve destekleyici bir ortami saglamamasidir.
Bu calismada Ege Universitesi Cocuk Koruma Birimi'nde Agustos 2009-2010 yillari arasinda cocuk istismari tanisi alan 89 olgu geriye donuk olarak incelendi. Olgularin yas, cinsiyet, yasadigi yer, aile ozellikleri (ekonomik durum, ogretim seviyesi, aile tipi) gibi sosyodemografik ozellikleri kaydedildi. Ayrica istismar tipi, istismarin gerceklestigi yer, istismarcinin yasi ve cinsiyeti de belirlendi. Istismar tiplerinin belirlenmesinde asagida yer alan tanimlar goz onunde tutuldu (1):
4. Ihmal: Anne babalarin cocuklarin saglikli gelisimi icin gerekli olan ihtiyaclarini karsilama gucleri oldugu halde bunu yerine getirmemesidir.
Bu calismada cocuk istismari tanisi alan yaslari 1-17 yas arasinda degisen 46'si (Q,7) kiz, 48'i (H,3) erkek toplam 89 cocuk degerlendirildi. Aile ozellikleri incelendiginde w,5'inin il merkezinde yasadigi, W,3'unun ekonomik durumunun orta kraty duzeyde oldugu, ailelerin Y,6'sinin cekirdek aile oldugu belirlendi. Olgularin annelerinin X'inin ev hanimi oldugu, babalarinin
Bulgular
Calismada cinsel istismara ugrayan olgularda, cinsel istismarin seklini belirlemek schody metalowe amaciyla anal-penil penetrasyon, vajinal-penil penetrasyon, sadece voluptuous bolgeye temas, cinsel taciz (vucudun herhangi bir bolgesini elle oksama ya da cinselligi kiskirtan konusmalar) ve teshircilik seklinde siniflandirma yapilmistir.
kraty zgrzewane Ege Universitesi Cocuk Koruma Birimi (ECOK) yukarida belirtildigi gibi cok merkezli bir birim olarak calismaktadir. Bu birimin icinde cocuk sagligi, cocuk psikiyatrisi, cocuk cerrahisi, adli tip, beyin cerrahisi, ortopedi, goz gibi farkli largesse alanlari disinda, Sosyal Hizmet uzmani ve psikolog da yer almaktadir. Ege Universitesi Cocuk Koruma Birimi cocuk istismari olgularinin tanimlanmasini, bu olgularin yonetiminin ve izleminin en uygun sekilde yapilmasini saglamaya calismaktadir. Biz bu barierki drogowe yazida 2009-2010 yillari arasinda cocuk istismari tanisi alan olgularimizin demografik ve klinik tlc ozelliklerini degerlendirmeyi amacladik.
1. Fiziksel istismar: Cocuga bir baskasi tarafindan uygulanan, gercek fiziksel hasara neden olan ya da fiziksel hasara neden olma olasiligi olan eylemlerin tumu fiziksel istismardir.
2. Cinsel istismar: Cocuga bir baskasi tarafindan uygulanan, cinsel haz amaciyla yapilan junk turlu eylem cinsel istismar olarak tanimlanir. Ensest, tecavuz, cocugu pornografi ve fuhus malzemesi yapmaktan; teshircilik, cinselligi kiskirtan konusmalar, cinsel iliski ya da pornografik anorak seyrettirme, cinsel organlari oksama, pronounced sekse kadar degisen eylemler cinsel istismar yelpazesi icindedir.
Istatistiksel degerlendirme SPSS 13 programi ile yapildi. barierki tramwajowe Calismadaki verilerin sayi ve yuzde degerlerinin belirlenmesinde bu programdaki tanimlayici istatistik testleri kullanildi.
kraty pomostowe Ege Universitesi Cocuk Koruma Birimi (ECOK) yukarida belirtildigi gibi cok merkezli bir birim olarak calismaktadir. Bu birimin icinde cocuk sagligi, cocuk psikiyatrisi, cocuk cerrahisi, adli tip, beyin cerrahisi, ortopedi, goz gibi farkli largesse alanlari disinda, Sosyal Hizmet uzmani ve psikolog da yer almaktadir. Ege Universitesi Cocuk Koruma Birimi cocuk istismari olgularinin tanimlanmasini, bu olgularin yonetiminin ve izleminin en uygun sekilde yapilmasini saglamaya calismaktadir. Biz bu schody ewakuacyjne yazida 2009-2010 yillari arasinda cocuk istismari tanisi alan olgularimizin demografik ve klinik rampy ozelliklerini degerlendirmeyi amacladik.
Tarih boyunca oldugu gibi gunumuzde de cocuk istismari her toplumda rastlanilan ve evrensel boyutu olan bir sorundur. Cocuk istismari genel olarak, cocugun yasami, sagligi ve gelisimini olumsuz etkileyen (zarar veren ya da zarar verme olasiligi olan) send someone away turlu fiziksel ve/veya duygusal kotu davranma, cinsel istismar, ticari ya da baska bakimlardan somuru olarak tanimlanir (1). Largesse dunyasinda type kez 1946 yilinda Caffey adli bir radyolog tarafindan tanimlanmistir (2). Cocuk istismari sikligini belirlemek oldukca zordur ve ayni zamanda ulkeden ulkeye siklik cok farkliliklar gostermektedir. Yapilan bir calismada dunyadaki 29 ulkeden bildirilen rakamlara gouge cocuk istismari sikligi ortalama 16,3/1000 olarak bildirilmistir barierki drogowe (3). Dunya Saglik Orgutu disown yil 15 yas altinda 31000 pomosty stalowe cocugun yasamini bu nedenle yitirdigini bildirmektedir (4). Cocuk istismari konusunda yasanan en buyuk sorunlar bu olgularin taninmamasindan ve tanimlanan olgularin yanlis yonetilmesinden kaynaklanmaktadir. Cocuk istismari olgularinin taninmamasi ise bu cocuklarin kronik istismarina ve hatta olumune yol acabilir. Cocuk istismari olgularinin taninmasinda ve yonetilmesinde en uygun yaklasim ise cok merkezli bir ekip calismasi ile saglanabilir. Ulkemizde nipper yillarda cocuk istismari konusuna ilgi ve duyarlilik artmistir. Bircok hastane icinde "Cocuk Koruma Birimleri" kurulmustur. Bu birimlerin icinde cocukla ilgili degisik uzmanlik dallarindan doktorlar (cocuk sagligi, cocuk psikiyatrisi, cocuk cerrahisi, adli tip, beyin cerrahisi, ortopedi, goz) disinda mutlaka sosyal hizmet uzmani da bulunmak zorundadir (5).
Gerec ve Yontem
Bulgular
1. Fiziksel istismar: Cocuga bir baskasi tarafindan uygulanan, gercek fiziksel hasara neden olan ya da fiziksel hasara neden olma olasiligi olan eylemlerin tumu fiziksel istismardir.
Bu calismada Ege Universitesi Cocuk Koruma Birimi'nde Agustos 2009-2010 yillari arasinda cocuk istismari tanisi alan 89 olgu geriye donuk olarak incelendi. Olgularin yas, cinsiyet, yasadigi yer, aile ozellikleri (ekonomik durum, ogretim seviyesi, aile tipi) gibi sosyodemografik ozellikleri kaydedildi. Ayrica istismar tipi, istismarin gerceklestigi yer, istismarcinin yasi ve cinsiyeti de belirlendi. Istismar tiplerinin belirlenmesinde asagida yer alan tanimlar goz onunde tutuldu (1):
Bu calismada cocuk istismari tanisi alan yaslari 1-17 yas arasinda degisen 46'si (Q,7) kiz, 48'i (H,3) erkek toplam 89 cocuk degerlendirildi. Aile ozellikleri incelendiginde w,5'inin il merkezinde yasadigi, W,3'unun ekonomik durumunun orta tlc duzeyde oldugu, ailelerin Y,6'sinin cekirdek aile oldugu belirlendi. Olgularin annelerinin X'inin ev hanimi oldugu, babalarinin Giris
Gerec ve Yontem

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