OBJECTIVES: The aim of this study was to evaluate the knowledge of physicians on influenza and pneumococcal vaccine.MATERIALS AND METHODS: A questionnaire was administered to physicians working in Kyrenia University Hospital and Near EastUniversity School of Medicine.RESULTS: There were 38 female (56.7%) and 29 male (43.3%) participants. The mean age was 39.3±12.5 years. There were 24 generalpractitioners (GP) and 43 specialists participating in the study. Influenza vaccine and its risk minimization for infection were well knownamong 92.5% of the participants. However, 76.1% of them mentioned that they had knowledge about the pneumococcal vaccine, andthis ratio about its reducing the risk of infection was 73.1%. 83.7% of specialists and 79.2% of GP thought that adult vaccines were effective (p=0.6). The rate of influenza vaccination among specialists was higher than that of GP (67.4% vs. 41.7%, p=0.04). However, therates of pneumococcal vaccination were low and similar in both groups (p=0.3). In both specialists and GP, the most common reason fornot receiving the vaccine was the belief of not being in the risk group (p=0.9). The knowledge level of pneumococcal vaccination in GPwas found to be statistically lower than in specialists (p<0.05).CONCLUSION: Although influenza vaccine and its risk minimization for infection are well known among physicians, the pneumococcal vaccine is not well known. It is suggested that training about vaccination for both specialists and GP are important for preventivemedicine.
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TUBA ERDOĞAN ,
Özlem GÖKSEL ,
Gamze KIRKIL , Tuğba Aslı ÖNYILMAZ,
Füsun YILDIZ ,
Bilun GEMİCİOĞLU ,
Evrim Eylem AKPİNAR ,
Elif YILMAZEL UÇAR ,
Eylem SERCAN ÖZGÜR ,
Ömür AYDIN ,
İ.Kıvılcım OĞUZÜLGEN ,
Gül KARAKAYA ,
Ali Fuat KALYONCU
OBJECTIVES: Asthma is a global problem and chronic condition that persists through patient’s entire life, during which the possibility ofa surgical procedure is common. An accurate clinical and functional evaluation of respiratory functions and asthma control is neededin patients undergoing surgical procedures and requiring general anesthesia. The aim of this study was to disclose any possible relationbetween postoperative complications and some pre- and postoperative factors.MATERIALS AND METHODS: In this prospective cross-sectional study, randomly selected 111 asthmatic patients who presented to 10different tertiary centers were included. The patients were evaluated at three different periods; any day between 1-7 days before surgery,and postoperative third and seventh to tenth days.RESULTS: Among the patients included in the study, 86 (77.5%) were women and mean age was 52.2±13.8 years. General anesthesiawas the most common anesthesia type (89.2%), and 33.3% of patients had had a thoracoabdominal surgery. There was a statisticallysignificant difference between pre- and postoperative third-day values, including ACT scores (22.2±3.16 and 21.59±3.84, respectively;p<0.001); forced expiratory volume during the first second (84.92±19.12 and 78.26±18.47, respectively; p<0.001); peak flow rate(79.51±21.12 and 70.01±19.72, respectively; p<0.001); and SaO2 (96.95±1.82 and 95.8±3.32, respectively; p<0.001). Bronchospasmand pain were the most common complications during the postoperative period.CONCLUSION: Controlled asthma under treatment steps 1-2-3 does not cause any serious postoperative pulmonary complications(PPCs). Therefore, achieving an optimal control level of asthma during the preoperative period must be considered the “gold standard”to reduce the risk of PPCs in asthmatic patients.
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Bilun GEMİCİOĞLU ,
Dilşad MUNGAN ,
Sevim BAVBEK ,
Füsun YILDIZ ,
Mehmet POLATLI ,
Sibel NAYCI ,
Ferda Öner ERKEKOL ,
Hatice TÜRKER ,
Hakan GÜNEN ,
Güngör ÇAMSARI ,
Öznur ABADOĞLU ,
Arif ÇIMRIN ,
A. Berna DURSUN ,
Özlem GÖKSEL ,
Seçil Kepil ÖZDEMİR ,
Şermin BÖREKÇİ ,
Ömür AYDIN ,
Birsen OCAKLI ,
Aygün GÜR ,
Arzu BAYGÜL ,
Zeynep MISIRLIGİL
OBJECTIVES: A multicenter trial was designed to validate the “Assessment Tools for Asthma (ATA)” questionnaire, a newly developedquestionnaire, which evaluates both asthma control and risk factors associated with asthma control with a single instrument.MATERIALS AND METHODS: This cross-sectional study involved 810 cases from 14 clinics in 9 Turkish cities. The ATA questionnaire and Asthma Control Test (ACT) were administered. The Visual Analog Scale (VAS) was used to evaluate the control status of 100randomized cases. ATA is an eight-item physician-administered questionnaire. It comprises the following two sections-ATA1, assessessymptomatic control criteria, and the remaining section, queries the flre-up of asthma, control of comorbidities, treatment adherence,and inhaler technique.RESULTS: The mean scores for ATA1, ATA total, VAS, and ACT were 24.7±14.8, 53.8±19, 7.1±3, and 18.8±5.5, respectively. According tothe ATA questionnaire, among all patients, 34.3% had controlled, 18.8% had partly controlled, and 46.9% had uncontrolled asthma. Furthermore, 16.6% patients had flre-ups between visits, 96.4% patients had uncontrolled comorbidity, 17% patients had irregular asthmatreatment, and only 8.4% patients used the incorrect inhaler technique. The ATA questionnaire showed internal consistency (Cronbach’salpha coeffiient=0.683). ACT, ATA1, and two specialists’ evaluations using VAS correlated strongly with the ATA total scores (Spearmancorrelation coeffiient (r) values: 0.776, 0.783, and 0.909, respectively; p-values: p<0.001, p<0.001, and p<0.001, respectively). According to Receiver Operating Characteristic analysis, the cut-off value of ATA was 50 (sensitivity=84.4%, specifiity=82.40%).CONCLUSION: The validated ATA questionnaire may be a practical tool for physicians in asthma management.
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BACKGROUND/AIMSThe aim of this study was to evaluate the knowledge of health care workers (HCW) on the influenza and pneumococcal vaccine.MATERIALS and METHODSA questionnaire about influenza and pneumococcal vaccination was administered to HCW and administrative staff.RESULTSA total of 225 subjects were included into the study; there were 180 women (80%) and 45 (20%) men. The mean age was 31.9±11.4 years, and 73.5% of the respondents stated that adult vaccination was effective. Pneumococcal vaccination (58.7%) was less well known, although 86.2% of respondents indicated that they were familiar with influenza vaccination. Only 28.4% of respondents indicated that they had influenza vaccine, and none of the cases had a pneumococcal vaccine. In 75% of influenza-vaccinated participants, the vaccination was suggested by a physician. Among influenza-vaccinated participants, the percentage of people who thought that vaccination was beneficial was 54.4%. The most common reasons for not vaccinating all participants were the belief that vaccination was ineffective (38.7%) and the belief about not being in a risk group (36.1%).CONCLUSIONIt was shown that the rate of influenza vaccination among hospital staff is low, and most of them were not familiar with pneumococcal vaccination. It is thought that educational programs on vaccination should be made to increase the awareness of the hospital staff who are at risk of infection due to their working environment.
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