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AY, NADİYE PINAR

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Subject: Klinik Tıp (MED) ×

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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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    PublicationOpen Access
    Is there a “hidden hiv/aids epidemic” in turkey?: the gap between The numbers and the facts
    (2006-01-01) AY, NADİYE PINAR; AY N. P., KARABEY S.
    Türkiye’de HIV/AIDS’in öncelikli sağlık sorunları arasında sayılmaması, olgu sayılarının bu hastalık tarafından vurulan diğer pek çok ülkeye kıyasla göreceli olarak düşük olmasından kaynaklanmaktadır. Ancak Türkiye’nin HIV/AIDS’in yayılımını kolaylaştıran pek çok risk faktörünü barındırdığı ve bildirilen olgu sayılarındaki düşüklüğün sürveyans sistemindeki yetersizliklere bağlı olduğu kabul edilmektedir. Bu makalede, HIV/AIDS epidemisi ile mücadele ederken yapılması gerekenleri ortaya koymak amacıyla Türkiye’deki hastalık epidemiyolojisi, riski etkileyen faktörler, önleme ve kontrol etkinlikleriyle ilgili gereksinimler tartışılmaktadır. Anahtar Kelimeler: HIV/AIDS, Türkiye, epidemiyoloji, önleme, kontrol
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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
    Evidence based public health
    (2011-01-01) AY, NADİYE PINAR; AY N. P.
    Bir toplumda var olan sağlık sorunlarının tanımlanması, tanımlanan sorunlar arasından öncelikli olanların tespit edilmesi ve ardından bu sorunların önlenmesi ile kontrolüne yönelik etkililiği kanıtlanmış müdahale yöntemlerinin oluşturulması, uygulanması ve değerlendirilmesi Halk Sağlığının temel çalışma alanını oluşturmaktadır. Kanıta Dayalı Halk Sağlığı, tüm bu aşamaların gerçekleştirilmesi sırasında güncel bilimsel kanıtların kullanılarak, toplumsal ihtiyaç ve önceliklere yanıt verecek kararlar alınmasını sağlayan yapılandırılmış bir süreçtir. Bu yazıda, Kanıta Dayalı Halk Sağlığı yaklaşımının temel ilkelerinin, güncel örnekler kullanılarak özetlenmesi hedeflenmiştir. Anahtar sözcükler: Kanıta dayalı tıp, kanıta dayalı halk sağlığı, önleme