Yazar "Sak, Zafer Hasan Ali" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    The Effect of the Ministry of Health's Periodic Free Drug Policy on Smoking Cessation Polyclinic13
    (2020) Sak, Zafer Hasan Ali; Kurtuluş, Şerif; Can, Remziye
    Aim: The aim of this study is to evaluate the effect of periodic free drug applications of theMinistry of Health on Smoking Cessation Polyclinic (SCP) and the success rates of thetreatment methods used.Material and Methods: A total of 1861 patients applied to SCP in a county state hospital inŞanlıurfa between January 1 and December 31, 2017 were included in this study. Patients notsmoke for at least six months were accepted as non-smokers. Each patient was followed up forat least six months. The data was calculated as number and percentage.Results: According to months the highest application was seen in December. In July andNovember, there was a significant decrease in the number of patients applying to SCP. It wasdetermined that 80.0% of the patients received behavior therapy, 20.0% receivedpharmacological treatment. Utilization of pharmacological treatment was the lowest in Julywith no patient and the highest in November with 96.8%. The rate of quitting withpharmacological treatment was 27.4% while this rate was 18.9% with behavioral therapy.Conclusion: The Ministry of Health's periodic free drug application policy has a direct impacton SCPs. This may be the reason for resistance in patients to smoking cessation with behavioraltherapy. Smoking cessation treatments should be provided throughout the year. It isrecommended that free drug treatments include all drugs and supply from pharmacies throughreport. We think that with these arrangements, the compliance of patients to treatment and theirdetermination to quit smoking will increase.
  • Küçük Resim
    Öğe
    The relationship between particulate matter and childhood respiratory complaints and peak expiratory flows in Harran agricultural area
    (Turkish J Pediatrics, 2021) Sak, Zafer Hasan Ali; Kurtulus, Serif; Ocakli, Birsen; Toreyin, Zehra Nur; Bayhan, Ibrahim; Yesilnacar, M. Irfan; Arbak, Peri Meram
    Background. In recent years, many studies have evaluated the increasing incidence of asthma and chronic respiratory diseases among children living close to rural areas with pesticide application. Pesticide exposure in 266 children (126 girls and 140 boys) in Sanliurfa, a cotton-producing province in Turkey, was explored in this work. Four different villages spread over 40 km(2) were included. Methods. Measurements of peak expiratory flow (PEF) in 266 children were conducted in late June, before intensive pesticide applications in the cotton-producing fields. The measurements were repeated for 72 of 266 children after pesticide application in late August. PEF, particulate matter with diameter less than 2.5 mu m (PM2.5), particulate matter with diameter less than 10 mu m (PM10), temperature, humidity, and wind speed were measured. Results. After pesticide application, mean PM2.5 and PM10 values were significantly increased compared to before pesticide application (p < 0.001 for both parameters). After pesticide exposure, nasal discharge, sneezing, burning and itching in the eyes, cough, sputum production, wheezing, shortness of breath and chest tightness were significantly increased (p < 0.001). The mean PEF value was demonstrated to decrease significantly after pesticide application (p < 0.001). Moreover, significant negative correlations were noted between PEF and PM10 and between PEF and PM2.5 (p < 0.001). Conclusions. Intensive pesticide application causes respiratory dysfunction and increased respiratory complaints in children living near the affected agricultural areas, and impacts quality of life adversely. The results of this work can be used to develop an early warning system and methods to prevent respiratory disorders in children residing in the study area.
  • Küçük Resim
    Öğe
    What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
    (Medknow Publications & Media Pvt Ltd, 2017) Müsellim, Benan; Börekçi, Şermin; Uzan, Gülfidan; Sak, Zafer Hasan Ali; Özdemir, Seçil Kepil; Altınışık, Göksel; Erboy, Fatma
    INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff. OBJECTIVE: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice. METHODS: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions. RESULTS: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 +/- 9.6 min. Among all steps of patient examination, the longest time was spent for "taking medical history." The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination. CONCLUSION: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly.