Yazar "Aytemur, Zeynep Ayfer" seçeneğine göre listele
Listeleniyor 1 - 20 / 28
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Acute amiodarone toxicity causing respiratory failure(Assoc Medica Brasileira, 2017) Kaya, Saltuk Bugra; Deger, Seyda; Hacievliyagil, Suleyman Savas; Aytemur, Zeynep AyferA 66-year-old male patient was referred to our clinic with severe pneumonia. Bronchoscopy was performed due to clinical worsening despite antibiotics and diuretic therapy, respiratory failure and radiographic progression. Because bacterial cultures of the bronchoalveolar lavage fluid were negative and after using amiodarone for almost one month, we eliminated amiodarone from his medication regimen due to suspicion of amiodarone toxicity. Accordingly, we also initiated systemic steroid therapy. Chest X-ray done after 72 hours showed a significant resolution of lung consolidations and the patient exhibited significant clinical improvement, with decline of his oxygen requirements.Öğe Acute interstitial pneumonia associated with vinorelbine usage(Kare Publ, 2023) Atila, Aysenur; Yalcinsoy, Murat; Aytemur, Zeynep Ayfer; Yetkin, FundaVinorelbine, an analogue of vinca alkaloids, has an antineoplastic effect. Adverse effects related to vinca alkaloids are rare. A 57-year-old patient who presented to the emergency room with dyspnea and back pain was hospitalized with the diagnosis of overload related to cardiac decompensation and complicated urinary tract infection due to its acute clinical and radiological findings. While under treatment, his respiratory failure progressed. Considering his history of vinorelbine usage 2 weeks prior, it was thought to be interstitial pneumonia. High-flow oxygen treatment and 250 mg/day pulse methylprednisolone for 3 days was started; after the fourth day, methylprednisolone was reduced and continued at 1 mg/kg/day. His oxygen need decreased on the seventh day of the treatment, and the findings on the chest X-ray regressed almost completely. However, the patient died due to acute gastrointestinal bleeding.Öğe The affecting factors and prevalence rate of sick building syndrome in healthcare workers(2023) Karadag, Muge Otlu; Ercin, Seval Müzeyyen; Türkkan, Sinan; Aytemur, Zeynep Ayfer; Hacıevliyagil, Süleyman SavaşSick building syndrome (SBS) is defined as symptoms that occur while living or working in a certain building but disappear after moving away from the environment. In this study, we aimed to determine the effects of indoor air pollutants on the health of employees, the prevalence of SBS in healthcare workers at the university hospital, its relationship with environmental and personal factors and the respiratory system. A questionnaire was applied to 951 healthcare workers who agreed to participate in the study. Having at least one general, one mucosal and one skin symptom every week in the last 3 months was accepted as SBS. Temperature, CO and CO2 levels and relative humidity were measured in different areas of the hospital. The prevalence of SBS was 62.1%. There was a statistically significant relationship between SBS and having a chronic disease (p<0.0001), continuous drug use (p=0.005) and the evaluation of the environment as warm (p=0.042). Having a chronic disease (OR=0.426; 95% CI, 0.228–0.797), the environment often being too warm (OR 0.218; 95% CI, 0.084–0.567) or occasionally too bright (OR=0.300; 95% CI, 0.158–0571) and diagnosed by a doctor due to symptoms (OR=3.209; 95% CI, 1.529–6.731) was found to be significant in forward variable selection method and binary logistic regression analysis. In our study, a relationship was found between physical factors such as temperature, humidity and CO2 level of the environment and personal factors such as stress, chronic disease and SBS. SBS can be prevented by control at the source as well as by administrative and engineering interventions among the employees.Öğe Allergic Bronchopulmonary Aspergillosis in Patients with Moderate and Severe Asthma(Aves, 2008) Aydogan, Oznur; Erdinc, Munevver; Aytemur, Zeynep Ayfer; Sin, Aytul; Savas, RecepIntroduction: Allergic bronchopulmonary aspergillosis (ABPA), which is predominantly a disease of severe asthmatic patients, is caused by hypersensitivity to aspergillus antigens. The prevalence of ABPA is speculative, as the few studies that were performed adopted widely different diagnostic criteria. Material and Method: In this study, we aimed to evaluate the prevalence of ABPA in patients with moderate and severe asthma. ABPA-Central bronchiectasis (ABPA-SB) was diagnosed if a patient had asthma, central bronchiectasis, positive Aspergillus fumigatus skin test or positive serum aspergillus sIgE. ABPASeropositive (ABPA-S) was diagnosed if a patient had asthma, elevated total IgE level, positive Aspergillus fumigatus skin test and positive serum aspergillus sIgE. Results: Of the sixty four patients, 71.9% had moderate asthma and 28.2% severe asthma. Positive Aspergillus sIgE was present in 2 patients (3.1%). Sensitivity to A. fumigatus with skin test was shown in a total of 4 (7.8%) patients. Central bronchiectasis was seen on HRCT in seven of the patients (14.6%) and central mucus impaction was seen in one patient (2%). In this study, ABPA was diagnosed in 2 (3.1%) patients. Two (3.1%) patients were evaluated as aspergillus-sensitive asthma. Conclusion: Patients with ABPA had severe asthma. Therefore, ABPA should be considered in patients with poorly controlled severe asthma.Öğe Ankilozan spondilitli hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansiyonunun klinik pratikte kullanımı(Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2011) Durmuş, Bekir; Altay, Zuhal; Baysal, Özlem; Ersoy, Yüksel; Hacıevliyagil, Süleyman Savaş; Baysal, Tamer; Aytemur, Zeynep Ayfer; Doğan, ErdalÖz: Amaç: Bu çalışmanın amacı; ankilozan spondilit (AS)’li hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansiyonunun klinik pratikte kullanı mının uygun olup olmadığını ve göğüs ekspansiyonunun pulmoner fonk siyonlar ve hastalık şiddeti ile ilişkisini araştırmaktır. Gereç ve Yöntem: Çalışmaya 82 AS’li hasta ve 42 sağlıklı gönüllü alındı. Hastalar, yaş, cinsiyet ve düzeltilmiş göğüs ekspansiyonuna göre; göğüs ekspansiyonu kısıtlanmış ve kısıtlanmamış olmak üzere iki gruba ayrıldı. Hastalar, klinik parametrelere ek olarak, Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI) ve Bath AS Metrology Index (BASMI) ile değerlendirildi. Bulgular: Zorlu vital kapasite ve 1. saniyedeki zorlu ekspiratuar hacim; göğüs ekspansiyonu kısıtlanmış hastalarda, kısıtlanmamış hastalar ve kont rol grubuna göre anlamlı derecede azalmış bulundu. Ağrı, BASFI ve BASMI skorları, göğüs ekspansiyonu kısıtlanmış grupta istatistiksel olarak anlamlı düzeyde yüksekti. Göğüs ekspansiyonu, klinik parametreler ve solunum fonksiyon testleri ile anlamlı derecede korele idi. Sonuç: AS’li hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansi yonunun klinik pratikte kullanılmasının daha uygun olduğu ve göğüs eks pansiyonunun pulmoner fonksiyonlar ve hastalık şiddeti ile ilişkili olduğu kanısına varıldı. Türk Fiz Tıp Rehab Derg 2011;57: 128-33. Başlık (İngilizce): Clinical use of chest expansion corrected for age and sex in patients with ankylosing spondylitisÖğe Attitude of Employees in the Institution of Malatya Provincial Tobacco Control Committee Towards Content and Being in Force of the 4207 of Law(Bilimsel Tip Publishing House, 2012) Tulucu, Fadime; Aytemur, Zeynep Ayfer; Hacievliyagil, Suleyman Savas; Gunes, GulsenObjective: The current success of the implementation of the tobacco act is closely related to the perspective, knowledge and level of awareness of enforcing agencies. The aim our study was to identify the levels of awareness and responsibility regarding the tobacco law of employees of public institution members of Malatya Provincial Tobacco Control Committee (PTCC). Materials and Methods: A questionnaire was carried out with 305 employees of public institution members of PTCC. In the questionnaire, the demographic data, smoking characteristics, attitudes to smoking after changing the law and their opinions about the functioning of the law were obtained and they were asked how they had learnt about the law and their thoughts on individual and corporate responsibility. Results: The mean age was 35.9 +/- 8.9 years. 73.1% males, 92.1% high school and 58.4% were university. smokers. The rate of smoking in the Tuberculosis Dispensary was higher than in other institutions (75%). The greatest decrease in the smoking rate after the law was seen in Police Department (51%). 77% of the cases were informed through the media about the law, while 6% of them learned through the authority of the institution, 81.3% of the cases supported the law. 30% know that cigarettes can be smoked at their institution and 22.3% continue the cigarette selling despite banning. A quarter of employees do not feel responsibility regarding the law. Conclusion: In public institution members of PTCC, the law is not sufficiently functional. The levels of awareness and responsibility regarding the tobacco law of employees of public institution members of NTCC were insufficient.Öğe Can the Use of Smokeless Tobacco Products Be Accepted as a Harm Reduction Method in Tobacco Addiction?(Aves, 2014) Oztuna, Funda; Aytemur, Zeynep Ayfer; Elbek, Osman; Kilinc, Oguz; Kucuk, Cagla Uyanusta; Akcay, Sule; Dagli, ElifThe goal of smoking cessation treatment is to keep the patient completely away from tobacco and tobacco products. The aim of harm reduction strategies in tobacco control is to reduce the risks associated with tobacco use. In order to turn it into an opportunity, tobacco companies have developed smokeless tobacco products. Some epidemiological studies have reported that smokeless tobacco products are safer than tobacco smoke. However, this method is not completely harmless. In this review, we will discuss all aspects of tobacco harm reduction methods.Öğe A case report: Pulmonary involvement in rheumatoid arthritis(Inonu University Faculty of Medicine, Department of Chest Diseases, Malatya, Turkey, 2017) Kaya, Saltuk Bugra; Keles, Emir Omer; Otlu, Ceren; Hacievliyagil, Suleyman Savas; Aytemur, Zeynep Ayfer[Abstract Not Acailable]Öğe A Case Report: Pulmonary Involvement In Rheumatoid Arthritis(2017) Kaya, Saltuk Bugra; Keles, Emir Omer; Otlu, Ceren; Hacievliyagil, Suleyman Savas; Aytemur, Zeynep Ayfer57 years old male patient, due to the increase in 15 years follow-up of RA patients under cyclosporine therapy because of complaints by the rheumatology clinic patients considered as appropriate to launch abatement was directed to us by the patient isoniazid prophylaxis. A pleural effusion was diagnosed on chest X-ray. The patient was accompanied by thoracentesis on USG. The pleural effusions were exudative. Tracking of fever, cough, sputum complaint and low acute phase reactants excluded empyema. ADA levels were under 70, and TB pleurisy was excluded by the lack of growth in ARB and culture results. The lung involvement of RA was suspected without interstitial lung disease. Rheumatoid arthritis with interstitial lung disease is the commonest form of lung involvement; the incidence of pleural effusion and nodular lesions in the form is less common. Although pleural effusion has been reported before it was thought be caused by the new biological agents for treatment of rheumatoid arthritis.Öğe Clinical Use of Chest Expansion Corrected for Age and Sex in Patients with Ankylosing Spondylitis(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2011) Durmus, Bekir; Altay, Zuhal; Baysal, Ozlem; Ersoy, Yuksel; Hacievliyagil, Suleyman Savas; Baysal, Tamer; Aytemur, Zeynep AyferObjective: The aim of this study was to investigate if the chest expansion corrected by age and sex was appropriate for clinical practice or not and to evaluate the relation of chest expansion with pulmonary functions and disease severity in patients with ankylosing spondylitis (AS). Metarials and Methods: Eighty-two patients with AS and 42 healthy controls were included in the study. The patients were divided into two groups according to chest expansion corrected by age and sex: restricted and non-restricted groups. Additional to the clinical evaluation, the Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), and Bath AS Metrology Index (BASMI) were used to evaluate disease activity functional impairment, and mobility respectively. Results: Forced vital capacity and forced expiratory volume in the first second were significantly decreased in the restricted group when compared to the non-restricted and control groups. Pain, BASFI, and BASMI scores were significantly higher in the restricted group compared to the non-restricted one. Chest expansion was significantly correlated with clinical parameters and pulmonary function tests. Conclusion: Chest expansion measurement corrected for age and sex is appropriate for clinical practice and chest expansion is associated with pulmonary functions and disease severity. Turk J Phys Med Rehab 2011;57:128-33.Öğe Delays in Diagnosis and Treatment in Patients Underwent Endobronchial Ultrasound-Transbronchial Needle Aspiration (EBUS-TBNA)(Wiley-Hindawi, 2022) Gulcek, Emine; Yalcinsoy, Murat; Gulcek, Ilham; Guven, Arzu Nakis; Ermis, Hilal; Aytemur, Zeynep AyferObjectives. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been recognized as the first method of choice in the diagnosis of mediastinal and hilar lesions. Although the procedure is commonly used, there is no study assessing its contribution to the duration required for diagnosis and treatment. In this study, we aimed to determine the extent of diagnosis and treatment delays when using the EBUS-TBNA procedure and to address the possible factors contributing to these delays. Materials and Methods. The demographic data, pathological diagnosis, need for additional procedures, symptoms, presenting complaints, and the time until the beginning of treatment were recorded retrospectively in all patients who had undergone EBUS-TBNA. Results. A total of 134 patients (mean age 60.7 & PLUSMN; 12 years, M/F: 78/56) were included. Delay of the patients was found in 60.4% (n = 81), delayed referral in 35.8% (n = 48), diagnosis delays in 84.3% (n = 113), treatment delays in 38.8% (n = 52), and total delay in 73.1% (n = 98) of the patients. A statistically significant association was found between referral delay and total delay with age groups (p=0.006) and between patient delay and the presence of symptoms (p=0.027). EBUS-TBNA was found to have the lowest effect among all delay parameters (beta: 0.104, p < 0.001) in the regression analysis. When diagnosis times' subgroups were compared, EBUS-TBNA was found to have the least effect (correlation coefficient: 0.134, p=0.004). Conclusion. We found that approximately 3/4 of the patients had a delay and this is not acceptable in real terms. Considering that the patient burden is increasing day by day, it is necessary to make a radical change in health care or a change in strategy in order to prevent delays. EBUS-TBNA, which is in the diagnosis delay subgroup, is less invasive and accelerates the process.Öğe Düzenli izlenen astım olgularında aktif - pasif sigara içme durumunun astım atakları ve hastalık şiddeti ile ilişkisi(2009) Aytemur, Zeynep Ayfer; Başoğlu, Özen Kaçmaz; Önal, AytülAmaç: Hem aktif, hem de pasif sigara içimi erişkinde astım gelişme riskini artırmakta, solunum semptom ve fonksiyonlarını olumsuz etkilemektedir. Çalışmamızda özelleşmiş astım polikliniğinde aynı hekim tarafından düzenli izlenen ve tedavi edilen astım olgularında aktif ve pasif sigara içme durumları ile sigaranın hastalığın şiddeti ve ataklar üzerindeki etkisi araştırılmıştır.Gereç ve Yöntem: Astım polikliniğine başvuran 131 olguya hastalık öyküsü, şiddeti ve atak sıklığı, ilaç kullanımı, aktif ve pasif sigara içiciliği durumlarını değerlendirmeye yönelik anket uygulanmış, idrarda kotinin düzeyi bakılmıştır.Bulgular: Olguların yaş ortalaması 52.0±11.7 olup 93'ü (%71) kadındır. Pasif içicilik 39 (%30) olguda saptanırken 7 olgu (%5) aktif içicidir. İdrar kotinin düzeyi pasif içici olguların sadece 2'sinde yüksek (>500ng/ml) bulunmuştur. Pasif içicilik anamnezi veren olgularda son bir yılda atak sayısı ortalama 1.5, maruz kalmayanlarda ise 1'dir (p>0.05). Pasif içici olanlarda, olmayanlara göre hafif intermittan (%32'ye karşılık %24) ve hafif persistan olguların sayısı (%53'e karşılık %46) daha yüksek iken orta (%13'e karşılık %22) ve ağır persistan olguların oranı (%3'e karşılık %8) maruz kalmayanlarda daha yüksektir.Sonuç: Sonuçlarımıza göre astım olgularında genel populasyona göre sigara içme oranları düşüktür. Bu durum özelleşmiş astım polikliniğinde hasta eğitiminin önemini vurgulamak açısından önemli olabilir. Öte yandan 1/3'nün pasif içici olması toplumun astım konusunda bilinçlendirilmesi gerektiğini düşündürmektedir.Öğe Düzenli izlenen astım olgularında aktif - pasif sigara içme durumunun astım atakları ve hastalık şiddeti ile ilişkisi(Türk Toraks Dergisi, 2009) Aytemur, Zeynep Ayfer; Başoğlu, Özen Kaçmaz; Önal, AytülÖz:Amaç: Hem aktif, hem de pasif sigara içimi erişkinde astım gelişme riskini artırmakta, solunum semptom ve fonksiyonlarını olumsuz etkilemektedir. Çalışmamızda özelleşmiş astım polikliniğinde aynı hekim tarafından düzenli izlenen ve tedavi edilen astım olgularında aktif ve pasif sigara içme durumları ile sigaranın hastalığın şiddeti ve ataklar üzerindeki etkisi araştırılmıştır. Gereç ve Yöntem: Astım polikliniğine başvuran 131 olguya hastalık öyküsü, şiddeti ve atak sıklığı, ilaç kullanımı, aktif ve pasif sigara içiciliği durumlarını değerlendirmeye yönelik anket uygulanmış, idrarda kotinin düzeyi bakılmıştır. Bulgular: Olguların yaş ortalaması 52.0±11.7 olup 93'ü (%71) kadındır. Pasif içicilik 39 (%30) olguda saptanırken 7 olgu (%5) aktif içicidir. İdrar kotinin düzeyi pasif içici olguların sadece 2'sinde yüksek (>500ng/ml) bulunmuştur. Pasif içicilik anamnezi veren olgularda son bir yılda atak sayısı ortalama 1.5, maruz kalmayanlarda ise 1'dir (p>0.05). Pasif içici olanlarda, olmayanlara göre hafif intermittan (%32'ye karşılık %24) ve hafif persistan olguların sayısı (%53'e karşılık %46) daha yüksek iken orta (%13'e karşılık %22) ve ağır persistan olguların oranı (%3'e karşılık %8) maruz kalmayanlarda daha yüksektir. Sonuç: Sonuçlarımıza göre astım olgularında genel populasyona göre sigara içme oranları düşüktür. Bu durum özelleşmiş astım polikliniğinde hasta eğitiminin önemini vurgulamak açısından önemli olabilir. Öte yandan 1/3'nün pasif içici olması toplumun astım konusunda bilinçlendirilmesi gerektiğini düşündürmektedir. Başlık (İngilizce):Effect of active and passive smoking on asthma exacerbations and severity in asthma patients followed up regularly Öz (İngilizce):Objective: Both active and passive smoking increase the risk of developing asthma and respiratory symptoms and decrease pulmonary functions. The aim of this study was to investigate the effects of active and passive smoking exposure on asthma severity and exacerbations in patients treated and followed-up regularly by the same physician in a specialized asthma outpatient clinic. Material and Method: We used a questionnaire to assess the history, medications, severity and exacerbations of asthma, besides active and passive smoking exposure in 131 patients attending our asthma outpatient clinic and urinary cotinine levels were measured. Results: Mean age of the patients was 52.0±11.7 [93 females (71%)]. Thirty nine patients (30%) reported passive smoking exposure, whereas seven (5%) patients were current smokers. Urinary cotinine levels were high (>500 ng/ml) in only two patients with passive smoking exposure. The average number of asthma exacerbations was 1.5/year in patients exposed to passive smoking and 1/year in patients without exposure (p>0.05). The number of patients with intermittent (32% vs. 24%) and mild persistent (53% vs. 46%) asthma were higher in passive smoking patients whereas there were more patients without smoking exposure in the moderate persistent (13% vs. 22%) and severe persistent (3% vs. 8%) groups. Conclusion: We concluded that the percentage of current smokers was lower than the general population among asthma patients. This can emphasize the importance of educational therapy in the specific asthma outpatient clinic. On the other hand, we should improve the consciousness of the general public about asthma as one third of the patients were passive smokers.Öğe Effect of Active and Passive Smoking on Asthma Exacerbations and Severity in Asthma Patients Followed up Regularly(Bilimsel Tip Publishing House, 2009) Aytemur, Zeynep Ayfer; Basoglu, Ozen Kacmaz; Onal, AytulObjective: Both active and passive smoking increase the risk of developing asthma and respiratory symptoms and decrease pulmonary functions. The aim of this study was to investigate the effects of active and passive smoking exposure on asthma severity and exacerbations in patients treated and followed-up regularly by the same physician in a specialized asthma outpatient clinic. Material and Method: We used a questionnaire to assess the history, medications, severity and exacerbations of asthma, besides active and passive smoking exposure in 131 patients attending our asthma outpatient clinic and urinary cotinine levels were measured. Results: Mean age of the patients was 52.0 +/- 11.7 [93 females (71%)]. Thirty nine patients (30%) reported passive smoking exposure, whereas seven (5%) patients were current smokers. Urinary cotinine levels were high (> 500 ng/ml) in only two patients with passive smoking exposure. The average number of asthma exacerbations was 1.5/year in patients exposed to passive smoking and 1/year in patients without exposure (p> 0.05). The number of patients with intermittent (32% vs. 24%) and mild persistent (53% vs. 46%) asthma were higher in passive smoking patients whereas there were more patients without smoking exposure in the moderate persistent (13% vs. 22%) and severe persistent (3% vs. 8%) groups. Conclusion: We concluded that the percentage of current smokers was lower than the general population among asthma patients. This can emphasize the importance of educational therapy in the specific asthma outpatient clinic. On the other hand, we should improve the consciousness of the general public about asthma as one third of the patients were passive smokers.Öğe Effects of Recombinant Activated Protein C Derived From Drotrecogin-Alpha on Bleomycin-Induced Pulmonary Fibrosis in Rats Compared with Methyl-Prednisolone(Bilimsel Tip Publishing House, 2013) Yildiz, Kadir; Iraz, Mustafa; Samdanci, Emine; Ozerol, Elif; Kuku, Irfan; Aytemur, Zeynep Ayfer; Hacievliyagil, Suleyman SavasOBJECTIVE: In this study, we aimed to test the preventive effects of intraperitoneally administered drotrecogin alpha which is derived from activated protein C (APC), on bleomycin-induced pulmonary fibrosis in rats, and to compare the effects of APC with the effects of methyl-prednisolone, a traditional therapy. MATERIAL AND METHODS: Thirty male Wistar albino rats were randomly allocated into four groups: 1. Saline alone (n= 6); 2. Bleomycin+ placebo (n= 7); 3. Bleomycin+ methyl-prednisolone (n= 7); 4. Bleomycin+ APC (n= 10). The rats (except for the control group) were given intratracheal bleomycin (2.5 mg/kg). The bleomycin+ APC group was given APC (100 mu g/kg/day) and methyl-prednisolone treated rats were injected with 5mg/kg/day methyl-prednisolone intraperitoneally two days before the bleomycin injection; the drug was administered at the same dose for 16 days. All of the rats were killed 14 days after the intratracheal injection of bleomycin. Fibrotic changes in the lungs were demonstrated by analysing the cellular composition of bronchoalveolar lavage fluid, histological evaluation and lung hydroxyproline content. RESULTS: Fibrosis was experimentally induced in the lungs of rats using bleomycin. Fibrosis scores in the bleomycin+ methyl-prednisolone and the bleomycin+ APC groups were significantly lower than in the bleomycin+ placebo group (p< 0.05). The scores of the bleomycin+ APC group and the bleomycin+ methyl-prednisolone group were similar. The lung tissue hydroxyproline contents in the bleomycin+ placebo and bleomycin+ methyl-prednisolone groups were significantly higher than the control group (p< 0.05), but the hydroxyproline content in the bleomycin+ APC group was significantly lower than in the other groups (p< 0.05). CONCLUSION: Drotrecogin alpha that is derived from recombinant APC has a protective effect on the pulmonary fibrosis induced by bleomycin. The protective effect seen with methylprednisolone is similar.Öğe Excess Deaths in Malatya in the COVID-19 Pandemic(Aves, 2021) Aytemur, Zeynep Ayfer; Yalcinsoy, Murat; Arslan, Ahmet Kadir; Hacievliyagil, Suleyman SavasOBJECTIVE: In our study, the effects of the COVID-19 pandemic in Malatya province, other than confirmed case deaths, were investigated. MATERIAL AND METHODS: The records of those who died between 2016 and 2020 were reviewed on the official website of the Malatya Metropolitan Municipality, and the numbers of deaths in those 5 years were recorded on a weekly basis. The arithmetic mean of the deaths between 2016 and 2019 was calculated, and it was investigated whether the number of deaths in 2020 was more than expected. RESULTS: In 2020, 1743 (61%) excess deaths were detected. While the mean number of deaths reported 4 years before 2020 was 2860, it was determined that the number of deaths in 2020 was 4603, and there were 1743 (61%) excess deaths. CONCLUSION: The deaths occurred in Malatya during the COVID-19 pandemic were more than expected. It has been supposed that some deaths were of polymerase chain reaction negative and hence unrecorded COVID-19 patients' deaths, and some deaths were caused by other indirect effects of the pandemic.Öğe Intensive Clinic Intervention Plus Psychodrama in Smoking Cessation and Effects on Cessation Outcome(Ortadogu Ad Pres & Publ Co, 2012) Aytemur, Zeynep Ayfer; Pismisoglu, Bulent; Kilinc, Oguz; Pismisoglu, Emine; Hacievliyagil, S. Savas; Karaman, CananObjective: Psychodrama is a therapeutic discipline, which uses action methods, role training, and group dynamics to facilitate a constructive change in the lives of participants. This study was run to assess the effectiveness of psychodrama on intensive clinic intervention for smoking cessation. Material and Methods: The process and outcome of smoking cessation program using intensive cognitive-behavioral therapy (CBT) and pharmacotherapy (PT) or CBT and PT plus psychodrama was studied on 113 participants. Sixty-one participants were randomized in CBT and PT plus psychodrama group, and 52 participants were randomised in CBT and PT group. Success rate of smoking cessation was assessed at the end of the first, third and sixth months. Results: At the end of the first and third months, the rates of smoking cessation were 80.3% and 63.9% in study group, and 59.6% and 46.2% in control group (p=0.014 and p=0.044, respectively). In the sixth month, the rate of smoking cessation was 50.8% in the study group and 38.5% in the control group (p=0.130). Conclusion: In this study, we concluded that the intensive clinic intervention plus psychodrama increased the success rate of smoking cessation in the early period.Öğe Investigation into the use of complementary and alternative medicine and affecting factors in Turkish asthmatic patients(Wiley, 2012) Tokem, Yasemin; Aytemur, Zeynep Ayfer; Yildirim, Yasemin; Fadiloglu, CicekAims. The purpose of this study was to examine the frequency of complementary and alternative medicine usage in asthmatic patients living in the west of Turkey, the most frequently used complementary and alternative medicine methods and socio-demographic factors affecting this and factors related to the disease. Background. While the rate of complementary and alternative medicine usage in asthmatic patients and the reasons for using it vary, practices specific to different countries and regions are of interest. Differing cultural and social factors even in geographically similar regions can affect the type of complementary and alternative medicine used. Methods. Two hundred asthmatic patients registered in the asthma outpatient clinic of a large hospital in Turkey and who had undergone pulmonary function tests within the previous six months were included in this study, which was planned according to a descriptive design. The patients filled out a questionnaire on their demographic characteristics and complementary and alternative medicine usage. Results. The proportion of patients who reported using one or more of the complementary and alternative medicine methods was 63 0%. Of these patients, 61.9% were using plants and herbal treatments, 53.2% were doing exercises and 36.5% said that they prayed. The objectives of their use of complementary and alternative medicine were to reduce asthma-related complaints (58%) and to feel better (37.8%). The proportion of people experiencing adverse effects was 3 3% (n = 4). Factors motivating asthmatic patients to use complementary and alternative medicine were the existence of comorbid diseases and a long period since diagnosis (p < 0 05). No statistically significant difference was found between the use of complementary and alternative medicine and the severity of the disease, pulmonary function test parameters, the number of asthma attacks or hospitalisations because of asthma within the last year (p > 0 05). Relevance to clinical practice. Understanding by nurses of the causes and patterns of the use of complementary and alternative medicine in asthmatic patients helps them in directing patient care and patient safety. Nurses should conduct comprehensive diagnostics in the light of complementary and alternative medicine use, and they should be aware of the potential risks.Öğe Malatya il tütün kontrol kurulu üyesi kurum çalışanlarının 4207 no’lu kanunun içerik ve yürürlüğü hakkındaki tutumları(Türk Toraks Dergisi, 2012) Tülücü, Fadime; Aytemur, Zeynep Ayfer; Hacıevliyagil, Süleyman Savaş; Güneş, GülsenÖz:Amaç: Tütün yasasının yürürlülüğündeki başarı, uygulayıcı kurumların konuya bakış açısı, bilgi ve farkındalık düzeyi ile yakından ilişkilidir. Bu çalışmadaki amacımız, Malatya İl Tütün Kontrol Kurullarına (İTKK) üye kurumlarda çalışan kamu perso nellerinin tütün yasası hakkındaki farkındalık ve sorumluluk düzeylerini araştırmaktı. Gereç ve Yöntem: İTTK üyesi kamu kurumlarında çalışan 305 kamu personeline anket uygulandı. Ankette olguların demogra fik verileri, sigara içme özellikleri, çalıştıkları kurumlar, yasayı öğrenme yolları, yasadan sonra kendi sigara içme tutumlarında değişiklik, yasa hakkındaki bilgi düzeyleri, yasanın işlerliği hak kındaki görüşleri, yasa hakkında bireysel ve kurumsal sorumlu luk hakkındaki düşüncelerini sorgulayan sorular yöneltildi. Bulgular: Olguların yaş ortalaması 35.9±8.9 olup %73.1’i erkektir. Lise ve üniversite mezunu oranı %92.1’dir. Aktif sigara içicilik oranı %58.4’dür. Verem Savaş Dispanseri’nde sigara içme oranı diğer kurumlardan fazladır (%75). Yasa sonrası siga ra içme oranlarının en çok azaldığı kurum %51 ile Emniyet Müdürlüğü’dür. Yasa hakkında olguların %77’si medya yoluyla haberdar olurken kurum amiri yoluyla öğrenenlerin oranı %6’dır. Olgulardan %81.3’ü yasayı desteklemekte olup %30’u çalıştığı kurumda sigara içildiğini, %22.3’ü yasak yerde sigara satıldığını görmüştür. Katılımcıların yasanın uygulanması aşama sında ne kadar sorumluluk hissettiklerini anlamaya yönelik soru lan sorulara verdikleri yanıtlara göre olguların yaklaşık 1/4’ü sorumluluk hissetmemektedir. Sonuç: İTKK’da görev alan kurumlarda tütün yasası yeterince işlevsel değildir. İTKK üyesi kamu kurumlarında çalışan personel de yasaya karşı farkındalık ve sorumluluk konusunda eksiklikler bulunmaktadır. (Turk Toraks Derg 2012; 13: 99-110) Başlık (İngilizce):Attitude of employees in the ınstitution of Malatya provincial tobacco control committee towards content and being in force of the 4207 of law Öz (İngilizce):Objective: The current success of the implementation of the tobacco act is closely related to the perspective, knowledge and level of awareness of enforcing agencies. The aim our study was to identify the levels of awareness and responsibility regarding the tobacco law of employees of public institution members of Malatya Provincial Tobacco Control Committee (PTCC). Materials and Methods: A questionnaire was carried out with 305 employees of public institution members of PTCC. In the questionnaire, the demographic data, smoking characteristics, attitudes to smoking after changing the law and their opinions about the functioning of the law were obtained and they were asked how they had learnt about the law and their thoughts on individual and corporate responsibility. Results: The mean age was 35.9±8.9 years. 73.1% males, 92.1% high school and 58.4% were university. smokers. The rate of smoking in the Tuberculosis Dispensary was higher than in other institutions (75%). The greatest decrease in the smok ing rate after the law was seen in Police Department (51%). 77% of the cases were informed through the media about the law, while 6% of them learned through the authority of the institution, 81.3% of the cases supported the law. 30% know that cigarettes can be smoked at their institution and 22.3% continue the cigarette selling despite banning. A quarter of employees do not feel responsibility regarding the law. Conclusion: In public institution members of PTCC, the law is not sufficiently functional. The levels of awareness and respon sibility regarding the tobacco law of employees of public institu tion members of NTCC were insufficient. (Turk Toraks Derg 2012; 13: 99-110)Öğe Malatya il tütün kontrol kurulu üyesi kurum çalışanlarının 4207 no’lu kanunun içerik ve yürürlüğü hakkındaki tutumları(2012) Tülücü, Fadime; Aytemur, Zeynep Ayfer; Hacıevliyagil, Süleyman Savaş; Güneş, GülsenAmaç: Tütün yasasının yürürlülüğündeki başarı, uygulayıcıkurumların konuya bakış açısı, bilgi ve farkındalık düzeyi ileyakından ilişkilidir. Bu çalışmadaki amacımız, Malatya İl TütünKontrol Kurullarına (İTKK) üye kurumlarda çalışan kamu perso nellerinin tütün yasası hakkındaki farkındalık ve sorumlulukdüzeylerini araştırmaktı. Gereç ve Yöntem: İTTK üyesi kamu kurumlarında çalışan 305kamu personeline anket uygulandı. Ankette olguların demogra fik verileri, sigara içme özellikleri, çalıştıkları kurumlar, yasayıöğrenme yolları, yasadan sonra kendi sigara içme tutumlarındadeğişiklik, yasa hakkındaki bilgi düzeyleri, yasanın işlerliği hak kındaki görüşleri, yasa hakkında bireysel ve kurumsal sorumlu luk hakkındaki düşüncelerini sorgulayan sorular yöneltildi. Bulgular: Olguların yaş ortalaması 35.9±8.9 olup %73.1’ierkektir. Lise ve üniversite mezunu oranı %92.1’dir. Aktif sigaraiçicilik oranı %58.4’dür. Verem Savaş Dispanseri’nde sigaraiçme oranı diğer kurumlardan fazladır (%75). Yasa sonrası siga ra içme oranlarının en çok azaldığı kurum %51 ile EmniyetMüdürlüğü’dür. Yasa hakkında olguların %77’si medya yoluylahaberdar olurken kurum amiri yoluyla öğrenenlerin oranı%6’dır. Olgulardan %81.3’ü yasayı desteklemekte olup %30’uçalıştığı kurumda sigara içildiğini, %22.3’ü yasak yerde sigarasatıldığını görmüştür. Katılımcıların yasanın uygulanması aşama sında ne kadar sorumluluk hissettiklerini anlamaya yönelik soru lan sorulara verdikleri yanıtlara göre olguların yaklaşık 1/4’üsorumluluk hissetmemektedir.Sonuç: İTKK’da görev alan kurumlarda tütün yasası yeterinceişlevsel değildir. İTKK üyesi kamu kurumlarında çalışan personel de yasaya karşı farkındalık ve sorumluluk konusunda eksikliklerbulunmaktadır. (Turk Toraks Derg 2012; 13: 99-110)
