Browsing by Author "Yasin, Yesim"

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An assessment of emergency department visits for cardiovascular diseases in the early phase of the COVID-19 pandemic in Istanbul
(MRE PRESS, 2021-01-01) Yasin, Yesim; Yaylaci, Serpil; Eren, Berna; Cosgun, Erdal
Objectives: The coronavirus disease (COVID-19) pandemic has had a severe impact with an excess of one hundred million cases and over two million deaths worldwide. Countries have adopted different paths toward `flattening the curve'
COVID-19 Pandemic and the Global Perspective of Turkish Thoracic Society
(AVES, 2020-01-01) Kokturk, Nurdan; Itil, Bahriye Oya; Altinisik, Goksel; Adiguzel, Nalan; Akgun, Metin; Akyildiz, Levent; Altin, Sedat; Arikan, Huseyin; Ates, Gungor; Ay, Pinar; Aykac, Nilufer; Babayigit, Cenk; Bostan, Pinar; Cinel, Guzin; Calisir, Haluk Celaleddin; Celik, Pinar; Cetinkaya, Pelin Duru; Dagli, Elif; Demir, Ahmet Ugur; Demir, Canan; Dikensoy, Oner; Edis, Ebru Cakir; Elbek, Osman; Erdinc, Munevver; Ergan, Begum; Eyuboglu, A. Fusun Oner; Gemicioglu, Bilun; Goksel, Tuncay; Gulhan, Erkmen; Gultekin, Okkes; Gurkan, Canan Gunduz; Gurgun, Alev; Havlucu, Yavuz; Basoglu, Ozen K.; Karakurt, Sait; Karkurt, Zuhal; Kilinc, Oguz; Kocabas, Ali; Kul, Seval; Musellim, Benan; Nayci, Sibel; Ozkan, Metin; Pinarer, Ozgun; Salturk, Cuneyt; Sandal, Abdulsamet; Sayiner, Abdullah; Sen, Elif; Simsek, Gokcen Omeroglu; Karadag, Bulent Taner; Akyil, Fatma Tokgoz; Toreyin, Zehra Nur; Ucan, Eyup Sabri; Kucuk, Filiz Cagla Uyanusta; Varol, Ayhan; Yasin, Yesim; Yildiz, Tekin; Yorgancioglu, A. Arzu; Bayram, Hasan; Foll, Turkish Thoracic Soc C. O. V. I. D.-19
It has been more than 3 months now since the first case of COVID-19 was reported in Turkey. Globally, the number of confirmed cases and deaths reached 9,653,048 and 491,128 respectively, as reported by 216 countries by June 27, 2020. Turkey had 1,396 new cases, 194,511 total cases, and 5,065 deaths by the same date. From the first case until today, the Turkish Thoracic Society (TTS) has been very proactive in educating doctors, increasing public awareness, undertaking academic studies, and assisting with public health policies. In the present report, social, academic, and management perspectives of the pandemic are presented under appropriate subtitles. During this critical public health crisis, TTS has once again demonstrated its readiness and constructive stance by supporting public health, healthcare workers, and the environment. This review summarizes the perspective of TTS on each aspect of the COVID-19 pandemic and casts light on its contributions.
Influence of Gender on Inhaler Technique
(DAEDALUS ENTERPRISES INC, 2020-01-01) Ocakli, Birsen; Ozmen, Ipek; Tuncay, Eylem Acarturk; Gungor, Sinem; Ozalp, Aylin; Yasin, Yesim; Adiguzel, Nalan; Gungor, Gokay; Karakurt, Zuhal
This study was designed to evaluate the influence of gender on the inhaler technique of subjects on inhaler therapy and to determine the factors predicting the correct inhaler technique and a change of inhaler device. METHODS: A total of 568 adult subjects (276 male, 292 female) on inhaler therapy were included in this cross-sectional, observational study. Data on sociodemographic characteristics, inhaler therapy, subject-reported difficulties, and technician-reported errors in inhaler technique were recorded. RESULTS: A change of inhaler device was noted in 71.0\% of male subjects and 77.4\% of female subjects, and this was based on the physicians' decision in most cases (41.7\% and 51.7\%, respectively). A higher percentage of female subjects reported difficulties with using inhalers (63.7\% vs 40.6\%, P < .001). Overall, having received training on the inhaler technique was associated with a higher likelihood of correct inhaler technique (odds ratio 12.56, 95\% CI 4.44-35.50, P < .001) and a lower risk of device change (odds ratio 0.46, 95\% CI 0.27-0.77, P = .004). CONCLUSIONS: Errors in the inhaler technique, including inhalation maneuvers and device handling, were common in subjects on inhaler therapy. Subject-reported difficulties with using inhalers were more prevalent among female subjects, whereas errors in the inhaler technique identified by direct observation were similarly high in both genders. Overall, a lack of training on the inhaler technique predicted a higher likelihood of errors in the inhaler technique and a change of inhaler device.
Perceptions of Students of a Medical School on Combined Health Warnings in Plain Packs
(AVES, 2021-01-01) Yasin, Yesim; Aykac, Nilufer
OBJECTIVE: Turkey has recently adopted the regulation of plain and standard packaging for tobacco products and introduced newly designed combined health warnings. In this study, we aimed to reveal how the new combined health warnings are perceived among medical students. MATERIAL AND METHODS: The study was descriptive and the data were collected by a 3-part questionnaire. The first part covered demographic characteristics, the second part was designed to measure the saliency of the combined health warnings, and the third part evaluated their effect on the motivation to quit. RESULTS: Out of 484 students of medicine, 287 (59\%) were included in the study
Persistent Ambient Air Pollution in Turkey: A 4-Year Analysis
(AVES, 2021-01-01) Aykac, Nilufer; Yasin, Yesim
OBJECTIVE: Ambient air pollution is an important cause of morbidity and mortality for both individual and public health. The major contaminant that creates air pollution in Turkey is particulate matter. This study aims to demonstrate Turkey's air quality in terms of particulate matter in the last 4 years. MATERIAL AND METHODS: In this descriptive study, the public data of the National Air Quality Monitoring Network between the years 2016 and 2019 were analyzed for particulate matter (PM10). Stations with less than 75\% data throughout the year were excluded from the evaluation while calculating the annual average values. The averages of the years were compared statistically with each other. RESULTS: For 111 stations that made sufficient measurements for 4 years, the annual median value of particulate matter remained constant in 12 stations (10.8\%), increased in 26 stations (23.4\%), and decreased in 73 stations (65.7\%). The level of air pollution at 18 stations has been sustained for 4 years. It has been observed that there is no significant improvement in the criterion that the daily average PM10 level should not be higher than 50 mu g/m(3) for more than 35 days, and pollution is detected above the limit value permitted by the World Health Organization in all provinces and stations except a few provinces every year. Finally, during the 4-year observation, the number of stations that did not make sufficient measurements throughout the year has been found to increase over the years. CONCLUSION: Our data reveal that the air pollution attributable to particulate matter in Turkey between the years 2016 and 2019 did not regress prominently. On the contrary, air pollution has been found to gain permanency in certain provinces, and air quality monitoring has been inadequate due to insufficient measurement activities of some of the stations.
Predicting tuberculosis without knowing test specificity
(ELSEVIER SCI LTD, 2016-01-01) Koksalan, O. Kaya; Keske, Siran; Yasin, Yesim; Kilicaslan, Zeki
`Stepchildren of the Ministry': an examination of the difficulties endured by family physicians in Istanbul during tie course of the COVID-19 pandemic
(CSIRO PUBLISHING, 2022-01-01) Yasin, Yesim; Bozkurt, Seray Basak; Yilidrim, Cansu; Arzak, Atakan; Dondurur, Hakan; Eken, Adar; Kara, Ismail Jan
Introduction. Efforts to contain the SARS-CoV-2 virus would fall short without strong primary health care. Aim. In this study, we aimed to understand family physicians' experiences of coronavirus disease 2019 (COVID-19) in Istanbul, focusing on their coping strategies in order to draw lessons for the future management of pandemics. Methods. Twelve community-based physicians working in Istanbul participated in semi-structured interviews between January and May 2021. Purposive sampling was used to ensure a range of physicians' characteristics. Individual interviews were conducted with each participant on an online platform. Participants were asked 26 open-ended questions. Phenomenological analysis was performed to describe experiences of physicians. Results. The physical conditions of participants' health centres were insufficient to provide service safely during the COVID-19 pandemic. Most physicians were uncomfortable about the quality and quantity of personal protective equipment received from the Ministry of Health and took additional measures themselves. Vaccine supply was thought to be insufficient and there were problems with the associated software. Many family physicians highlighted the inadequate communication from the Ministry. Insufficient knowledge about the disease caused anxiety and fear for the physicians and hindered their performance at the beginning of the pandemic. Physicians who live with their families were more anxious than those who did not. Discussion. Despite challenges, routine procedures have mostly been continued, but newly added responsibilities during the COVID-19 pandemic have had significant impact on physicians' lives.