Browsing by Author "Topcu, F"

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    Patient education in asthma
    Yorgancioglu, A; Celik, P; Topcu, F
    The day and night symptoms, medical therapy requirements, PEFR monitorizing : hospital admisssions, pulmonary function parameters and the seventy of disease of 80 asthmatics were compared before and after an education program which was repeated 3 times with a 4 month interval in groups of 20 people in order to evaluate the impact of education. The mean age of 63 female, 17 male patients was 40.52 +/- 10.89 (18-70). Day and night symptom scores were significantly decreased (p < 0.05). Self-recording of PEFR values was increased from 22.7% to 66.7% (p<0.05). Mean PEF% was changed from 65.59 +/- 24.32 (20-129) to 78.91 +/- 22.15 (31-144) and FEV1% pred. from 70.35 +/- 20.71 to 80.55 +/- 22.05 (p = 0.0000). Mild intermittan, mild, moderate and severe persistan groups were changed from 25.3% to 70.3%, 27.8% to 18.9%, 26.6% to 2.7% and 20.3% to 8.1% respectively (p < 0.05). These results strongly suggest the importance of education on management in asthma.
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    Asthma in elderly in Turkey: a multicenter study
    Gemicioglu, B; Mungan, D; Ogus, C; Erkekol, FO; Dursun, B; Saka, D; Yorgancioglu, A; Topcu, F; Bogatekin, G; Deveci, F; Turktas, H; Bayram, H; Kalyoncu, F; Tor, M; Yildiz, F
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    Asthma phenotypes in Turkey: a multicenter cross-sectional study in adult asthmatics; PHENOTURK study
    Yildiz, F; Mungan, D; Gemicioglu, B; Yorgancioglu, A; Dursun, B; Erkekol, FO; Ogus, C; Turktas, H; Bogatekin, G; Topcu, F; Deveci, F; Bayram, H; Tor, M; Kalyoncu, AF
    Background and AimsTo evaluate asthma phenotypes in patients with asthma from different regions of Turkey. MethodsA total of 1400 adult asthmatic patients (mean (SD) age: 44.0 (13.9) years, 75% females) from 14 centers across Turkey were included in this study and a standard questionnaire was applied between the time period of February 2011-January 2012. ResultsThe disease onset40 years of age was higher percentage in obese vs. normal/overweight patients and nonallergic vs. allergic patients (P<0.01). The percentage of patients who had FEV1 values over 80% was higher in allergic than nonallergic and normal/overweight than obese patients (P<0.01). Uncontrolled asthmatics have more severe disease (P<0.01). There were more frequent hospital admissions in nonallergic and uncontrolled asthmatics (P<0.01). Chronic rhino-sinusitis was the leading comorbid disorder in normal/overweight and allergic asthma, while gastroesophageal reflux disorder was more frequent in nonallergic and uncontrolled asthma (P<0.01). Asthma control rate was the highest (39.0%) in patients from Marmara region among all geographical regions (P<0.05). ConclusionIn conclusion, our findings revealed existence of clinical/trigger related phenotypes based on BMI, allergic status, control level and geographical region with more frequent respiratory dysfunction and/or adverse health outcomes in uncontrolled, obese and nonallergic phenotypes.
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    Asthma phenotypes in Turkey: A multicenter study
    Yildiz, F; Mungan, D; Gemicioglu, B; Dursun, B; Saka, D; Yorgancioglu, A; Erkekol, FO; Ogus, C; Turktas, H; Bogatekin, G; Topcu, F; Deveci, F; Bayram, H; Tor, M; Kalyoncu, F
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    Electronic Smoking In Parents In Pregnancy; A Multicenter Cross-Sectional Study
    Yildirim, EÖ; Duru, S; Sevim, T; Topcu, F; Gemicioglu, B; Ozmen, I; Ocakli, B; Tuncay, E; Altinoz, H; Apak, YK; Varol, Y; Polat, G; Ozkan, S; Dursunoglu, N; Sakarya, D; Gulhan, PY; Diken, OE; Cetinkaya, PD; Yorgancioglu, A; Selcuk, NT; Yildiz, F; Atacag, T; Niksarlioglu, Y; Uzaslan, E; Kokturk, N
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    Determination of Attitudes of Turkish Thoracic Society Members on Exposure to Sexist Approach and Sexism in Business Life
    Ocakli, B; Yorgancioglu, A; Topcu, F; Köktürk, N; Altinöz, H; Yasin, Y; Kuzuca, IG; Duru, S; Yildirim, EO; Sevim, T; Tekgul, S; Tuncay, EA; Gungor, S; Goktas, B; Senol, YY; Ozturk, CA; Ozmen, I; Tastan, CP; Dulger, SU; Uzaslan, E; Erboy, F; Aksoy, E; Gulhan, PY; Kocabas, A; Gemicioglu, B; Topcu, S; Altinisik, G; Celik, P
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    Attitudes toward and exposure to gender discrimination in work life by pulmonologists and thoracic surgeons: a questionnaire-based survey among Turkish thoracic society members
    Ocakli, B; Yorgancioglu, A; Gungor, S; Topcu, F; Senol, YY; Goktas, B; Kokturk, N; Tuncay, E; Gundogus, B; Altinoz, H; Yasin, Y; Ozmen, I; Duru, S; Yildirim, EO; Sevim, T; Ozturk, CA; Uzaslan, E
    Background: This study aimed to evaluate attitudes toward and exposure to gender discrimination in work life by chest diseases specialists and thoracic surgeons. Methods: A total of 275 members of Turkish Thoracic Society (TTS) were included on a voluntary basis in this online cross-sectional questionnaire-survey using an internal member-only social media platform of TTS. The questionnaire form elicited items on sociodemographic characteristics, occupational characteristics and gender discrimination in work life (general opinions, attitudes and exposure). Results: Female doctors (vs. males) were less likely to be a thoracic surgeon (13.8% vs. 34.5%, p < 0.05) and a professor of thoracic surgery (0.0% vs. 26.7% vs. p < 0.05), and more likely to consider housework as a considerable burden (89.8 vs. 73.6%, p = 0.02) and the significant role of discriminatory, negative and dissuasive attitudes of male physicians in their career choice (67.6 vs. 35.6%, p = 0.039). Male doctors were more likely to considered that men are more successful in specialties that require active physical strength (65.5 vs. 27.7%, p = 0.005) and those with very long working hours and heavy shifts (57.5 vs. 39.4%, p = 0.001). Female thoracic surgeons were more likely than males to consider that specialties with very long working hours and heavy shifts are more suitable for men (26.9 vs. 6.0%, p = 0.027) and men are given priority in academic career promotion (64.0 vs. 13.3%, p < 0.001). Younger (vs. older) females reported higher rate of exposure to gender discrimination (p = 0.041) and considerable impact of social roles on the specialty (p = 0.007), while female doctors working as a resident (33.8%) and a specialist (50.05%) indicated higher rate of exposure to gender discrimination during their career (p = 0.024). Conclusion: In conclusion, our findings revealed that exposure to gender discrimination in work life was more commonly expressed by female members of TTS, particularly in terms of burden of social roles, career advancement options and leadership positions, along with significant role of discriminatory, negative and dissuasive attitudes of male physicians in their career choice. Accordingly, women remain underrepresented in thoracic surgery, particularly in the academic rank of full professor and in leadership positions with inability to promote after a definite step in their careers.