8 research outputs found
Physicians' perception of childhood asthma in Turkey: more appropriate practice among female physicians
Get PDF<p>Abstract</p> <p>Background</p> <p>Low levels of asthma control worldwide point to the possibility of sub-optimal management; therefore, documentation of physicians' perception is critical for future interventions. Our aim was to examine self-reported management abilities of Turkish physicians dealing with children with asthma, document the factors affecting appropriate decisions and compare the results with those of a previous survey.</p> <p>Methods</p> <p>Physicians were surveyed via a questionnaire aimed to document self-perceived asthma knowledge and attitudes in asthma management.</p> <p>Results</p> <p>The majority of physicians were male (63%) and examined 234 ± 9 patients per week. Infrequent use of objective parameters in asthma diagnosis and attack severity assessment was reported and most preferred nebulized corticosteroids to the systemic form in acute asthma. Even though self-perceived overall asthma knowledge did not differ between genders (p = 0.098), male physicians scored higher than females for inhaled steroids for acute asthma (2.8 ± 0.12 vs 2.17 ± 0.2, respectively, p = 0.007), while female physicians recorded more frequent use of inhaled steroids for chronic asthma (3.72 ± 0.08 vs 3.43 ± 0.07, respectively, p = 0.006). Female physicians' scoring for "symptom control" as the main aim of asthma management was higher than that of their male counterparts (3.88 ± 0.04 vs 3.65 ± 0.06, respectively, p = 0.002).</p> <p>Conclusion</p> <p>Although there were some discrepancies between guidelines and clinical practice, most applications of Turkish physicians dealing with children with asthma were appropriate. Interestingly, when scores of female versus male physicians were compared, it can be suggested that female physicians have a more appropriate perception of asthma, indicating a significant contribution of gender-related factors in clinical attitudes and beliefs.</p
Pepsin levels and oxidative stress markers in exhaled breath condensate of patients with gastroesophageal reflux disease
No full textKISA, Ucler/0000-0002-8131-6810; Soyer, Tutku/0000-0003-1505-6042WOS: 000327140800012PubMed: 24210194Aim: To evaluate the pepsin and oxidative stress markers in exhaled breath condensate (EBC) in patients with gastroesophageal reflux disease (GERD). Patients and Method: Patients with a presumptive diagnosis of GERD with recurrent respiratory and gastrointestinal problems aged between 2 and 14 years were included in the study. All patients underwent pH monitoring. Patients with a reflux index (RI) >= 4 were assessed as the reflux group, and those with an RO 0.05)]. Conclusion: Decreased levels of NOX in patients with GER disease suggest increased oxidative stress in airways of these patients. (C) 2013 Elsevier Inc. All rights reserved.Kirikkale University Scientific Research UnitKirikkale UniversityThis study was supported by Kirikkale University Scientific Research Unit and presented in National Congress of Turkish Pediatric Surgeons on 30 September-3 October 2009, in Malatya, Turkey
Physicians' perception of childhood asthma in Turkey: more appropriate practice among female physicians-0
No full textNagement of chronic asthma. *: p < 0.05.<p><b>Copyright information:</b></p><p>Taken from "Physicians' perception of childhood asthma in Turkey: more appropriate practice among female physicians"</p><p>http://www.biomedcentral.com/1472-6963/8/155</p><p>BMC Health Services Research 2008;8():155-155.</p><p>Published online 23 Jul 2008</p><p>PMCID:PMC2488342.</p><p></p
A Rare Case of Pediatric Bullous Spontaneous Acute Urticaria
No full textObjective: Acute spontaneous bullous urticaria is an extremely rare entity, and there are few reports with blister formation in acute urticaria patients. Clinical Presentation and Intervention: We present a 2-year-old girl who was admitted for bullous spontaneous acute urticaria; the underlying reason for this was not detected. Nikolsky's sign and Darier's sign were negative. Lesions were not compatible with erythema multiforme. However, biopsy was not allowed to be performed. Because of this, the underlying pathogenesis could not be clarified. The patient recovered by a short course of antihistamine and systemic steroid treatment, and the lesions did not recur during a 2-year follow-up. Conclusion: Short-term systemic steroid in addition to oral antihistamines resulted in prompt recovery in a patient with acute urticaria complicated by bullae. (c) 2018 The Author(s) Published by S. Karger AG, BaselWoSScopu
Dysfunctional voiding in children with asthma
No full textSoyer, Tutku/0000-0003-1505-6042WOS: 000316110800020PubMed: 23378565A prospective study was performed to evaluate the prevalence of suspected dysfunctional voiding (DV) and associated risk factors in children with asthma. The DV is defined as any voiding symptoms and/or urinary incontinence. Children (4-10-year-old) with asthma (n=178) and healthy subjects (n=197) were enrolled. DV and Incontinence Scoring System were administrated. Demographic features and asthma related characteristics were recorded. Suspected DV was noted in 19 (27.9%) of patients with asthma and 5 (6.6%) of healthy subjects in children younger than 6 years of age (p=0.001). In this patient group, asthma increased the risk of suspected DV (OR=5.7 (95% CI 1.988 to 16.344)). Children with asthma older than 6 years of age had similar prevalence of suspected DV but they had higher frequency of voiding and urgency. Asthma is associated with higher DV symptom scores in younger children who have already completed toilet training and with some of DV symptoms such as frequency and urgency in older children.European Academy of Allergy and Clinical Immunology Congress in Istanbul, TurkeyThis study was presented at the European Academy of Allergy and Clinical Immunology Congress in 2011 in Istanbul, Turkey, and was awarded the best poster presentation
