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AY, NADİYE PINAR

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NADİYE PINAR

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Start date: 2020 × Subject: Sağlık Bilimleri ×

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Now showing 1 - 10 of 22
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    Excess mortailty during Covid-19 pandemic in Istanbul
    (2021-09-01) AY, NADİYE PINAR; Musellim B., Kul S., Ay P., Uyanusta C., Dagli E., Itil O., Bayram H.
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    PublicationOpen Access
    Research publications from the ATS MECOR program in Turkiye
    (2023-01-01) ARIKAN, HÜSEYİN; AY, NADİYE PINAR; Karakurt Z., Yilmaz O., ARIKAN H., AY N. P., Demir C., Gurkan C. G., Akgun M., Buist S.
    Background: The American Thoracic Society (ATS) Methods in Epidemiologic, Clinical, and Operations Research (MECOR) Program aims to build research capacit in low and middle-income countries. MECOR has three levels, during which students learn to develop a research protocol and write a manuscript. MECOR Turkiye has been offered every year since 2008. Objective: The aim of this paper is to report the number and impact of published articles generated from research questions developed by students in levels 1, 2, and 3 of the ATS MECOR Program in Turkiye between 2008 and 2018. Methods: We collected the research questions developed in all levels of the ATS MECOR Program in Turkiye between 2008 and 2018. We searched Google Scholar, PubMed, Web of Science, and ResearchGate in April 2022 to see how many of these research questions were published as articles and, if published, in which journals. Results: Of the 176 research questions collected, 49 had been developed in level 1, 82 had been developed in level 2, and 45 had been developed in level 3. Of those 176 research questions, 55 (31.3%) generated articles that were accepted for publication. The frequency of published articles based on MECOR-developed research questions increased linearly as the course level in which they were developed increased (18.4% in level 1, 30% in level 2, 46.7% in level 3; P = 0.012; linear-by-linear association, P = 0.003). The median time from the development of the research question to publication was three years overall and did not differ significantly among the course levels (P = 0.36). Of the research questions developed, 43 were published in Science Citation Index or Science Citation Index Expanded–indexed journals. Conclusion: Acceptance of an article for publication is one way to measure the impact of the ATS MECOR Program. Our data describe significant research output among our participants, which increases with their length of participation in the program.
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    Reliability and validity of the turkish version of the family caregiver medication administration hassles scale
    (2023-04-01) SANCAR, MESUT; AY, NADİYE PINAR; OKUYAN, BETÜL; Kingir Z. B., SANCAR M., AY N. P., Demirtunc R., Nuhoglu C., Misirli C. H., OKUYAN B.
    Background: The Family Caregiver Medication Administration Hassles Scale (FCMAHS) was developed to evaluate the hassles and concerns experienced by family caregivers in medication administration.Objective: This study aimed to evaluate the reliability and validity of the Turkish version of the Family Caregiver Medication Administration Hassles Scale (FCMAHS-TR).Methods: The FCMAHS-TR was developed after translation, cultural adaptation, and a pilot study. The cross-sectional study was conducted among family caregivers (=18 years) in community pharmacies. Test-retest reliability analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were performed. Hypothesis testing was used for the assessment of construct validity.Results: The majority (68.7%) of the family caregivers were female (n = 470). In the test-retest reliability analysis (n = 30), the ICC value was 0.917 (P < 0.001). In EFA analysis (n = 251), the Kaiser-Meyer-Olkin (KMO) measure was 0.799, 62.6% of the total variance was explained by five factors including eighteen items, and Cronbach\"s alpha was 0.836. According to CFA (n = 219), the root mean square error of approxi-mation (RMSEA) was 0.0654, and the comparative fit index (CFI) was 0.918. In construct validity, family caregivers with low reading ability of health-related materials and with high care burden had significantly higher median scores for all the factors of the FCMAHS-TR (P < 0.05 for all).Conclusions: The FCMAHS-TR can be used to evaluate the hassle and concerns experienced by family caregivers in medication administration. This scale can be used by healthcare professionals to identify family caregivers who need individualized interventions for medication adminis-tration hassles.
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    Curcumventing the Menthol Ban: Internet sales of menthol balls
    (2022-09-01) AY, NADİYE PINAR; Dagli E., Sonmez U. P., Guner M., Elbek O., Ay P., Yildiz F., Gezer T., Ceyhan M.
    Aim: Menthol makes smokers inhale more deeply and increase exposure time with its cooling effect on the airways. Use of menthol in tobacco products was banned in Turkey since 5th January 2022. This study aims to investigate the internet sales of a new product called "menthol ball" which is made to inject menthol into regular cigarettes. Method: “Menthol Ball" key word was Google searched. Out of 45,500 data retrieved 1696 relevant ones were further investigated. Web sites of the products, e-commerce websites,social media accounts were detected. Their promotional activities, methods of trading were noted. Results: 37 brands of menthol balls were detected. All brands promote their products through videos describing the injection of the tiny menthol balls into the classical cigarettes. Only 12 have their individual website, the other 25 use main e-commerce outlets to reach to the customers. Two menthol ball brands market their products in one-kilogram bags at e-commerce sites. One brand market a "menthol ball liquid" for roll-your-own tobacco. Three major e-commerce sites sell 1485 different flavored menthol balls under the category of air refresher. One other e-commerce site sold 88 various menthol balls under the category of tobacco bags. Conclusion: Banning menthol in tobacco products help prevent youth starting to smoke or lower smoking rates among vulnerable communities . However freely sold menthol that can be injected into the cigarettes may reincarnate menthol cigarettes. Any product that will circumvent menthol ban must be restricted.
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    Three years' follow up: relationship of maternal depression and anxiety with ever-wheezing
    (2021-09-01) AY, NADİYE PINAR; Yilmaz O., Yasar A., Ocalan M., AY N. P., ALKIN T., Hasdemir S., Yuksel H.
    Our previous data had not shown an association between wheezing during the first year life and maternal depression and anxiety. The aim of this study was to investigate the role of prenatal maternal depression and anxiety as risk factors for ever-wheezing in the first three years of life. Mother-infant pairs enrolled between 2016-2018 formed the population of this study (n=697). All subjects were phoned and questioned about wheezing and physician diagnosis of asthma. Age and maternal education, smoking habits, Edinburgh postnatal depression scale(EPDS) and State Trait Anxiety Inventory 1,2(STAI) scores during the last trimester were recorded from previous cohort data. Among 285 children enrolled, 84(%29.5) had ever-wheezing in the first 3 years of life. Mean age of wheezers and non-wheezers were 39.6±8.2 and 39.1±7.3 months respectively (p=0.13). Mean maternal age was not significantly different between the groups (p=0.16). 47,6% of ever-wheezers and %54.7 of non-wheezers were females (p=0.29). Family history of asthma was not signficantly different between the two groups (p=0.84). Current maternal smoking was reported by 40.5% of ever-wheezers and 41.3% of non-wheezers (p=1.0). Maternal smoking before and during pregnancy were 16.7% and 4.8% in ever-wheezers while 10.9% and 7.5% in never-wheezers respectively (p=0.33). Prenatal maternal depression was present in 17(20.2%) of ever-wheezers compared to 45(22.4%) of non-wheezers (p=0.75). Maternal depression and anxiety at three months postpartum were not significantly different (10.7 in wheezers,15.4% in non-wheezers, p=0.35). In conclusion, prenatal depression and anxiety was not related to ever-wheezing during the first three years of life.
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    PublicationOpen Access
    Will plain packaging of cigarettes achieve the expected? Perceptions among medical students
    (2022-10-01) AY, NADİYE PINAR; Ay P., Yasin Y., Elbek O., Guner M., Gezer T., Sonmez U. P., Ceyhan M., Yildiz F., Dagli E.
    INTRODUCTION Plain packaging is one of the critical strategies in eliminating the promotion of tobacco products. Evidence indicates that plain packaging decreases the attractiveness of tobacco products and enhances the effectiveness of health warnings. This study aimed to explore the perceptions of undergraduate medical students of plain packaging and new pictorial warnings before they came into use in Turkey. METHODS This qualitative study was carried out among undergraduate students in a Medical School in Istanbul in 2019. Participants were recruited through purposive sampling, and data were collected through focus group discussions. The participants were asked to discuss their perceptions regarding one original branded pack and ten plain package models. All discussions were audiotaped and thematic content analysis was conducted. RESULTS A total of 72 students participated in the study. None of the students had seen plain packaging before. Most of the students perceived plain packaging as more favorable compared to the branded packs. The terms used to describe plain package were: ‘appealing/desirable’, ‘attractive’, ‘beautiful’, ‘cool/eye-catching’, ‘charming’, ‘elegant’, and ‘special’. Some students indicated that they would have preferred plain packs over the branded ones if both types of products had been in the market and provided they were of the same brand. Pictorials had different impacts based on their content. At the same time, outer body deformities were perceived as ‘real’ and provoked unfavorable feelings; inner organ images were defined as ‘imaginary’ and had little to no impact. CONCLUSIONS Plain packaging was perceived as a more attractive alternative to the conventional branded packs among most participants. We must be aware of the unforeseen effects of plain packaging among different subgroups in the new generations. We suggest using outer body deformities in the pictorials more frequently due to their higher impact.
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    How do we manage asthma? Assessment of knowledge, attitude, and practice patterns among pulmonologists and allergists
    (2022-01-01) AY, NADİYE PINAR; GÜNAYDIN F. E., AY N. P., KARAKAYA G., EDİGER D.
    Objective: The objective of this study was to evaluate and compare knowledge, attitude, and practice patterns between pulmonologists and allergists for adult asthma in Turkey. Methods: Questionnaire-based data were gathered from 236 pulmonologists and 62 allergists, who had been members of the Turkish Thoracic Society and Turkish National Society of Allergy and Clinical Immunology in January-March 2021. Univariate and multivariate statistics were used to determine the factors associated with primary reliever preferences. Results: Of the 298 physicians, 39% encountered at least five asthma patients daily. Spirometer was used frequently by both the allergists (82.3%) and pulmonologists (77.5%) for asthma diagnosis. Budesonide was the most preferred inhaler corticosteroid. Formoterol/budesonide was the most preferred ICS/LABA combination, followed by beclomethasone/formoterol and fluticasone/salmeterol for asthma treatment. For mild asthmatics, formoterol/ICS was the most preferred (72.6%) reliever among allergists, whereas salbutamol was the most preferred (66.1%) among pulmonologists (p < 0.001). Age and workplace were associated with salbutamol preference of doctors for mild asthmatics. Age, specialty, and patient examination time were significantly associated with salbutamol preference for severe asthmatics. Conclusions: The use of diagnostic tools, such as a spirometer, for asthma diagnosis was compatible with the guidelines. While recent updates of the guidelines indicate that salbutamol should not be used solely in mild asthmatics due to its harmful effects in long-term use, it still was the most preferred drug by pulmonologists. Postgraduate education programs are needed to improve compliance with the guidelines.
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    PublicationOpen Access
    Has the cancer-related death trend been changing in Turkey? An evaluation of the period between 2009 and 2019
    (2022-10-01) AY, NADİYE PINAR; TEKER SAYIN, AYŞE GÜLSEN; Teker A. G., AY N. P.
    Background: The objective of this study was to determine the trend of cancer-related death rates between 2009 and 2019 in Turkey for all cancers combined and the five cancer types with the highest mortality: lung, stomach, pancreas, breast, and colon cancers. Methods: Cancer mortality data were obtained from the Turkish Statistical Institute (TURKSTAT) and standardized by age using the World Health Organization (WHO) standard population ratios. The change in cancerrelated mortality over the years was evaluated using Joinpoint Regression Analysis (JRA). Results: Total cancer-related deaths increased by 2.2% annually between 2009 and 2014 and decreased by 2.9% annually between 2014 and 2019 (p < 0.05). Among men; lung cancer-related deaths increased by 2.4% annually between 2009 and 2014 and decreased by 3.4% annually between 2014 and 2019 (p < 0.05), stomach cancer-related deaths decreased by 5.1% annually between 2014 and 2019 (p < 0.05), colon cancer-related deaths increased by 5.8% annually between 2009 and 2015 and decreased by 3.3% annually between 2015 and 2019 (p < 0.05), pancreatic cancer-related deaths increased annually by 5.6% in 2009–2013 (p < 0.05). Among women; lung cancer-related deaths increased by 2.5% annually between 2009 and 2016 (p < 0.05), stomach cancer-related deaths increased annually by 2.3% between 2009 and 2014 and decreased annually by 4.5% between 2014 and 2019 (p < 0.05), colon cancer-related deaths increased by 2.5% annually between 2009 and 2017 (p < 0.05), pancreatic cancer-related deaths increased by 7.4% annually between 2009 and 2013 (p < 0.05) and breast cancer-related deaths increased by 2.2% annually between 2009 and 2019 (p < 0.05). Conclusion: Mortality data in Turkey are collected only by TURKSTAT, which raises concern regarding the incompletion of the data. While this might lead to underestimation, the trend shows that there has been a decrease in total cancer-related deaths in Turkey. Pancreatic cancer, on the other hand, gains a higher proportion in cancer-related deaths in Turkey as in the world. Increasing deaths from lung and breast cancer in women remind of the importance of tobacco control interventions and cancer screening programs.
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    New Product at Point of Sales : Menthol ball
    (2022-09-01) AY, NADİYE PINAR; Dagli E., Pece U., Guner M., Yildiz F., Elbek O., Ay P., Gezer T., Ceyhan M.
    Aim: Point of sales (POS) advertising bans had been legislated in many countries without adequate enforcement. The aim of this study is to identify new products and devices at POS that could facilitate tobacco or nicotine use. Method: Shadow reporting at POS methodology developed by Framework Convention Alliance was used to investigate the products sold in four commercially dense districts of Istanbul. POS in one kilometer radius were visited by walking tour at each district. The products their display and compliance with legislation were noted. Results: Out of 198 POS visited 31 sell a product called "menthol ball". These were tiny colorful balls of menthol mixed with other various aromas that are sold together with an instrument that stab the end of a standard cigarette and insert the ball into the cigarette. The POS closest to schools were more likely to stock metholl balls. Majority of the POS placed the menthol balls close to candies, mints, chewing gums at eye level of children, just below the cigarette shelf. Conclusion: Tobacco industry uses menthol to sustain addiction among adolescents. Menthol use in cigarettes was banned on 5th January 2020 in Turkey. Using menthol balls to "make your own cigarette" is a novel technique developed by the industry to appeal the youth. Public health community needs to be vigilant and take actions.