Person: AKICI, AHMET
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AKICI
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AHMET
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Publication Open Access Assessment of the association between drug disposal practices and drug use and storage behaviors(ELSEVIER, 2018-01) AKICI, AHMET; Akici, Ahmet; Aydin, Volkan; Kiroglu, ArzuObjective: Keeping unnecessary drugs at home is a situation showing both causes and consequences of irrational use of medicine. This study aimed to evaluate the approaches of a company's employees regarding drug storage, use, and disposal. Method: This online-based descriptive study was held in a multi-centered private-sector company in a voluntary basis. The survey assessing participants' drug handling and storage behaviors was answered by 1121 employees from across eight provinces of Turkey in 2016. Main outcome measures were storage and disposal of unused/unwanted drugs at home in a rational way. Results: The percentage of participants who declared that they keep unused/unwanted drugs at home was 28.0%. About one-third of participants disposed their unused/unwanted drugs via the garbage, sink, toilet, etc.. Participants >= 30 years old and living with < 4 household members significantly tended to bring their unused/unwanted drugs to the company's drug-box. Nearly half of all participants (46.5%) stated a recent change in their disposal behavior. The vast majority of participants (94.6%) who previously took drugs back to the company's drug-box stated that they either had, or would, help their contacts adopt such behaviors. These participants were also significantly less likely to dispose of drugs inappropriately, practice self-medication, be unaware of expired drugs at home, or fail to store drugs according to the labelling. Conclusion: While our findings showed that a substantial number of participants still had unused drugs at home and disposed of them inappropriately, it is understood that they started to exhibit more favorable behaviors in recent years. (C) 2017 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University.Publication Open Access Personal Analgesic List Definition in Accordance with the Rational Use of Medicine for Dentistry(MARMARA UNIV, FAC PHARMACY, 2017-10-03) AKICI, AHMET; Akici, Ahmet; Kirmizi, N. Ipek; Gocmen, GokhanPhysicians should prepare their own personal medicine list for each indication before consulting with patients. This approach is essential for rational use of medicine (RUM). One of the most commonly prescribed medicine groups by dentists is analgesics. The purpose of this review is to indicate how to perform medicine selection based on RUM principles. It is explained with the integration of personal analgesic list (PAL) concept to dentistry. PAL establishment is based on 4 main criteria, which are efficacy, safety, suitability and cost, and the knowledge of clinical pharmacology of analgesics. These principles are followed to choose the best alternative through all medicines. Therefore, dentists might minimize their necessity of knowledge about various kinds of analgesics. It will be easier to learn limited number of medicines in the PAL. In this method, dentists will precisely wise up about a few numbers of medicines, select the most proper one through them and easily remember every details of information that should be given to their patients. Consequently, a dentist with PAL will be able to perform a successful analgesic treatment. This rational approach, initiated with analgesics, might be used by the help of transfer effect in other medicine/product groups, such as antibiotics.Publication Open Access Assessment of antibiotic prescribing at different hospitals and primary health care facilities(ELSEVIER, 2013-07) AKICI, AHMET; Mollahaliloglu, Salih; Alkan, Ali; Donertas, Basak; Ozgulcu, Senay; Akici, AhmetIn this study, it was aimed to investigate the utilization of antibiotics at various health care facilities. Photocopies of 1250 prescriptions which were containing antibiotics and written out in primary health care facilities (PHCFs), public hospitals (PHs), private hospitals and university hospitals in 10 provinces across Turkey, were evaluated by some drug use indicators. The number of drugs per prescription was 3.23 +/- 0.92 and it was highest in PHCFs (3.34 +/- 0.84), (p < 0.05). The cost per prescription was 33.3 $, being highest in PHs while being lowest in PHCFs (38.6 $ and 28.2 $ respectively). Antibiotic cost per prescription was 16.7 $ and it was also highest and lowest in PHs and PHCFs respectively (p < 0.05). The most commonly prescribed group of antibiotics was beta-lactam antibacterials, penicillins (29.2%) while amoxicillin/clavulanic acid was the most commonly prescribed antibiotic (18.1%). Sixty-one percent of the antibiotics prescribed for acute infections was generics; among facilities being highest in PHCFs (66.5%) and among diagnosis being highest in acute pharyngitis. In general, the duration of antibiotic therapy was approximately 7 days for acute infections. Although much more drugs were prescribed in PHCFs than others, it was found to be in an inverse proportion with both the total cost of prescriptions and the cost of antibiotics. Broad-spectrum antibiotics, beta-lactamase combinations in particular, were considered to be more preferable in all health care facilities is also notable. These results do serve as a guide to achieve the rational use of antibiotics on the basis of health care facilities and indications. (C) 2012 King Saud University. Production and hosting by Elsevier B. V. All rights reserved.Publication Open Access Rational Pharmacotherapy Management Process in Dentistry(MARMARA UNIV, FAC PHARMACY, 2017-04-18) AKICI, AHMET; Akici, Ahmet; Gocmen, GokhanUnnecessary or improper use of medications is a common worldwide problem. Inadequate approach of doctors to the rational use of medicine (RUM) principles and lack of its educational process are main reasons of this problem. RUM defined as patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community. Dentists prescribe serious amount of medication, which is mostly analgesics and antibiotics. Therefore, informing dentists and dissemination of RUM among them is an urgent issue. This article points out, how to manage overall treatment process based on RUM principles next by a patient on the dental practice. In additionally, that is carried out by a simulation case requiring an analgesic drug treatment. Therefore, suitability of the drug with the patient, which is going to be prescribed after dental procedure with the correct diagnosis, will be assessed. Illness, treatment aim, participants and adaptation with the life style are explained to the patients. Dentist makes instructions and recommendations clearly about the pharmacotherapy process and informs the patient. Therefore, they integrate the patient to the overall treatment process and manage it.