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  1. Home
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Browsing by Author "Öner Erkekol F."

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    Assessing the knowledge in primary health care following an educational course structured in the context of gard chronic airway diseases national control program; [Türkiye kronik hava yolu hastalıkları önleme ve kontrol programı (GARD Türkiye) birinci basamakta çalışan hekim eğitimi bilgi değerlendirme sonuçları]
    (Ankara University, 2017) Öner Erkekol F.; Köktürk N.; Mungan D.; Saçkesen C.; Önen Z.P.; Özkan S.; Balkan A.; Ergün P.; Kocabaş C.N.; Baran Aksakal N.; Ekıcı B.; Özkan Altunay Z.; Gemıcıoğlu B.; Yorgancıoğlu A.
    Introduction: Chronic obstructive pulmonary diseases are common causes of disease in the community and account for considerable percent of the caseload in primary health care facilities. For this reason, it is important to question and improve the knowledge of primary health care physicians. This study is designed to assess the level of knowledge for bronchial asthma and COPD of the primary healthcare physicians, both before and immediately after an educational course structured in the context of GARD Chronic Airway Diseases National Control Program. Materials and Methods: The participating physicians attended an intensive educational course on asthma and COPD. Twenty five item questionnaires for asthma and COPD were administered to the participants both before and immediately after the end of the course. Contribution of education to the level of knowledge was investigated by comparing the percentages of the correct answers in the pre-and post-test. Results: From 11 different cities, 1817 and 1788 primary health care physician were attended to the asthma and COPD educations, respectively. The accuracy rate of ≥ 75% was obtained from only 4 questions in pre-test asthma questionnaire. On the contrary, in 15 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 45.8%, and this rate raised to 69.6% after education course. The accuracy rate of ≥ 75% could not be obtained from any of the questions in pre-test COPD questionnaire. On the contrary, in 19 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 42.0%, and this rate raised to 71.3% after education course. Conclusion: It has been shown that, in primary care settings, the level of knowledge in asthma and COPD should be enhanced and that this increase can be achieved with an education course. © 2017, Ankara University. All rights reserved.
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    Elderly and aged asthma have different characteristics: results of a multicenter study
    (Turkiye Klinikleri, 2024) Damadoğlu E.; Öztürk Aktaş Ö.; Gemicioğlu B.; Yilmaz N.; Bozkuş F.; Ayhan V.; Kalpaklioğlu A.F.; Öner Erkekol F.; Havlucu Y.; Erel F.; Aydin Ö.; Ekici A.; Baççioğlu A.; Argun Bariş S.; Köycü Buhari G.; Ceyhan B.; Göksel Ö.; Köse M.; Dursun A.B.; Yildiz F.; Yorgancioğlu A.; Işik S.R.; Ediger D.; Oğuzülgen İ.K.; Demir A.U.; Karakaya G.; Kalyoncu A.F.
    Background/ aim: Characteristics of asthma in the elderly population is not well-known. The aim of the present study was to evaluate asthma in the elderly population, to compare disease characteristics between patients diagnosed <60 (aged asthma) and ≥60 (elderly asthma) years of age. Materials and methods: The study was a prospective, multicenter, cross-sectional type. A questionnaire was filled out to patients 60 years of age and over, that have been followed for asthma for at least 3 months. Asthma Control Test (ACT), eight-item Morisky Medication Adherence Scale (MMAS-8) was filled out, inhaler device technique was assessed. Results: A total of 399 patients were included from 17 tertiary care centers across the country. Mean age was 67.11 years and 331 (83%) were female. The age at asthma diagnosis was ≥60 in 146 (36.6%) patients. Patients diagnosed ≥60 years were older (p < 0.001), had higher education level (p < 0.001), more commonly had first-degree relative with asthma (p = 0.038), asthma related comorbidities (p = 0.009) and accompanying rhinitis/rhinosinusitis (p = 0.005), had better asthma control (p = 0.001), were using less controller medications (p = 0.014). Inhaler technique was correct in 37% of the patients with no difference in between the groups. Treatment compliance was better in elderly asthma patients (p < 0.001). In the multivariate logistic regression analysis, having well-controlled asthma (odds ratio = 1.61, CI = 1.04–2.51), and high medication adherence rate (odds ratio = 2.43, CI = 1.48–4.0) were associated with being in the elderly asthma group. Conclusion: The characteristics of asthma are different among patients aged 60 years and over which seems to be related to onset age of asthma. In our cohort, the elderly asthma patients had higher education level, and treatment adherence and asthma control was better. Patients diagnosed ≥60 years of age did not have more severe disease. © 2024, Turkiye Klinikleri. All rights reserved.

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