World Kidney Day 2008 “Amazing Kidneys!”

1. World Kidney Day 2008“Amazing Kidneys!” Ayla San, MD Professor of Internal Medicine and Nephrology Ufuk University School of Medicine

2. WORLD KIDNEY DAY International Society of Nephrology & International Federation of Kidney Foundations celebrate every second Thursday in March as the “WORLD KIDNEY DAY”

3. WORLD KIDNEY DAY WKD 2006 theme: “Kidney disease is common, harmful, and treatable.” WKD 2007 theme: “Are your kidneys OK?”

4. WORLD KIDNEY DAY WKD 2008 theme: “Amazing Kidneys!”

5. WKD 2008 Public Survey • Title of the survey: “What Do We Know About Our Kidneys?” • Purpose of the survey: To define the level of knowledge about kidneys and kidney functions among common people

6. WKD 2008 Public Survey • The target population for the survey: 500 individuals from different levels of education (in the case of university students or graduates, health and biological sciences are excluded) • Content of the questionnaire: 12 basic and intermediate level MCQs about kidneys, kidney functions, and kidney diseases

7. WKD 2008 Public Survey • Initiator & Coordinator: Ayla San, MD, Professor, Division of Nephrology • With cooperation of: Özkan Ünver, PhD, Professor, Department of Statistics Refia Palabıyıkoğlu, PhD, Professor, Department of Psychology Aslıhan Alhan, PhD, Department of Statistics 4th and 5th year Medical Students of the School of Medicine

8. “What Do We Know About Our Kidneys?” Results...

9. “What Do We Know About Our Kidneys?” • Number of individuals attending the survey: 521 • Sex distribution of the individuals attending the survey*: Male: 208 Female: 313

11. “What Do We Know About Our Kidneys?” • Age group distribution of the individuals attending the survey*

12. “What Do We Know About Our Kidneys?”

13. “What Do We Know About Our Kidneys?” • Educational level distribution of the individuals attending the survey*

14. “What Do We Know About Our Kidneys?”

15. “What Do We Know About Our Kidneys?” • 1. How many kidneys do we have? A. One B. Two C. Three D. Four

17. “What Do We Know About Our Kidneys?” • 2. Where are our kidneys located in our body? A. On both sides of the loin B. In the belly C. On both sides of the chest D. In the groin

19. When individuals with educational levels of high school or less are compared with individuals with educational levels of university or higher, there is a statistically significant difference in the correct answering of the Question 2 (p<0.05).

20. “What Do We Know About Our Kidneys?” • 3. What size are our kidneys? A. As big as our head B. As big as our fist C. As big as our eyeball

22. When individuals with educational levels of high school or less are compared with individuals with educational levels of university or higher, there is a statistically significant difference in the correct answering of the Question 3 (p<0.05).

23. “What Do We Know About Our Kidneys?” • 4. Which one of the followings is not a function of our kidneys? A. Production of urine B. Removal of toxic substances C. Produces hormones, regulates blood pressure, plays a role in blood production, regulates mineral and bone metabolism D. Regulates bowel functions E. Keeping the other organs functioning in a coordinated regular manner

25. “What Do We Know About Our Kidneys?” • 5. On the occasion of nonfunctioning of our kidneys, which treatment method / methods can be implemented? A. Hemodialysis B. Kidney transplantation C. Treatment is not required D. Hemodialysis and kidney transplantation

27. When individuals with educational levels of high school or less are compared with individuals with educational levels of university or higher, there is a statistically significant difference in the correct answering of the Question 5 (p<0.05).

28. “What Do We Know About Our Kidneys?” • 6. In order to function properly, how many liters of fluid should our kidneys filter from blood in one day? A. 10 L B. 50 L C. 200 L

30. “What Do We Know About Our Kidneys?” • 7. In healthy individuals, how many liters of urine is excreted daily? A. 1 L B. 3 L C. 10 L

32. “What Do We Know About Our Kidneys?” • 8. If our kidneys are not functioning properly, which of the following abnormalities will we suffer? A. Water is accumulated in our body B. As toxic substances are accumulated, weakness, fatigue, and anemia occur C. Nausea, vomitting, and itching will occur D. Uremia will result E. All of the above are correct

34. When individuals with educational levels of high school or less are compared with individuals with educational levels of university or higher, there is a statistically significant difference in the correct answering of the Question 8 (p<0.05).

35. “What Do We Know About Our Kidneys?” • 9. Which one of the following disease states may cause kidney disease? A. Diabetes B. Kidney stones C. Being extremely fat D. All of the above may cause kidney disease

37. When individuals with educational levels of high school or less are compared with individuals with educational levels of university or higher, there is a statistically significant difference in the correct answering of the Question 9 (p<0.05).

38. “What Do We Know About Our Kidneys?” • 10. Which of the following measures may help to prevent kidney disease? A. To keep the blood pressure in the normal range B. Maintaining a healthy diet and exercising C. Drinking a good amount of water (8 glasses per day) D. To avoid indiscriminate use of drugs E. All of the above may help to prevent kidney disease

40. “What Do We Know About Our Kidneys?” • 11. What is the frequency of kidney disease among adult population in the world? A. 1/10 B. 1/1,000 C. 1/10,000 D. 1/1,000,000

42. “What Do We Know About Our Kidneys?” • 12. On the occasion of nonfunctioning of our kidneys, which treatment method will thoroughly replace our kidney functions? A. Hemodialysis B. Peritoneal dialysis C. Kidney transplantation D. There is no treatment method that thoroughly replace kidney functions

44. “What Do We Know About Our Kidneys?” Conclusions...

45. “What Do We Know About Our Kidneys?” The level of knowledge of our community about, * The number of our kidneys, * The location of our kidneys, * The approximate size of our kidneys, and * The abnormalities that will be suffered when the kidneys fail is pretty good;

46. “What Do We Know About Our Kidneys?” The level of knowledge of our community about, * The functions of our kidneys, * The treatment alternatives in the case of kidney failure, * The daily volume of urine in a healthy individual, * The important causitive factors of kidney diseases, * The measures to be taken to avoid kidney diseases, and * The frequency of kidney diseases among adult population is average;

47. “What Do We Know About Our Kidneys?” The level of knowledge of our community about, * The amount of fluid filtered from the blood in order for the kidneys to function properly, and * The treatment method / methods which thoroughly replaces our kidney functions is poor.

48. “What Do We Know About Our Kidneys?” When compared with individuals with educational levels of high school or less, individuals with educational levels of university or higher have a significantly better knowledge of, * The location of our kidneys, * The approximate size of our kidneys, * The treatment alternatives for the kidney failure, * The abnormalities that will be suffered when the kidneys fail, and * The important causitive factors of kidney diseases.

49. “What Do We Know About Our Kidneys?” • Recommendations: With every opportunity and tool, the community should be informed about, * The functions of the kidneys, * The amazing features of the kidneys, * The common occurence of kidney diseases, * The important causitive factors of kidney diseases, * The measures to be taken to avoid kidney diseases, and * The treatment alternatives of kidney diseases / failure.

50. The most genuine guide for life is knowledge, and science… M. Kemal Atatürk Thank you very much for your patience…