14 research outputs found

    Evaluation of COPD patient’s relatives assessment of disease awarness, load of care giving and loss of workforce: Turkish Thoracic Society COPD working group

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    Objective: Our aim is to measure the level of awareness of patient’s relatives COPD, to determine the caregiver burden of patient's relatives, and to determine whether there is a work day loss. Material and method: 252 COPD patients and 252 patient’s relatives from 11 centers were included in this questionnaire study. Ethics committee was approval. Disease information of the patients were recorded and a questionnaire was applied. Socio-demographic characteristics of the patient’s relatives were recorded and a questionnaire consisting of 24 questions including COPD disease, treatment and loss of working days and Zarit Scale used in chronic diseases were used. Results: 128(50.8%) of the patients according to GOLD were group-D.97(38.5%) of the patient's relatives were working. 253(94.4%) knew that COPD was a lung disease. 62(24.7%) were not able to go to work for 1-14 days. 125(57.1%) spent outside the home from 1 to 14 nights, because those accompanied to patients. In univariate analysis were detected mMRC(p<0.001), CAT(p<0.001), the number of comorbidities of patients(p=0.027),Conclusion: In COPD increases caregiving burden. This burden is greater in symptomatic patients and when comorbidities are present. Psycho-social and legal regulations should be investigated and solutions should be produced for the person who gives care to COPD patients

    Logistics process improvement of Kapikule border crossing

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    Önsel Ekici, Şule (Dogus Author) -- Çekyay, Bora (Dogus Author) -- Özaydın, Özay (Dogus Author) -- Toktaş Palut, Peral (Dogus Author) -- Conference full title: The 15th International Logistics and Supply Chain Congress (LMSCM), October 19, 2017 through October 20, 2017 in Istanbul, TurkeyIn this study, logistics process improvement of Kapikule Border Crossing, one of the largest customs gates, has been evaluated. It is obvious that, any decrease in trade time is expected to realize positive impact on the logistics competitiveness of a specific country. In order to reduce time across all dimensions of the border process, the improvement of physical infrastructure and the proliferation of procedures are the most important issues that should be focused on. The aim of the study is to improve the Kapikule border crossing by reducing the process time. For this purpose, first, in-depth interviews were conducted with the Kapikule customs gate authorities in order to reveal explicitly the process flows. Subsequently, the current situation at the gate was simulated using the Arena simulation software. Finally, several improvement scenarios were tested to identify the ones that will have the highest impact on reducing the queues and the delays at the border

    Evaluation of patients with fibrotic interstitial lung disease: Preliminary results from the Turk-UIP study

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    OBJECTIVE: Differential diagnosis of idiopathic pulmonary fibrosis (IPF) is important among fibrotic interstitial lung diseases (ILD). This study aimed to evaluate the rate of IPF in patients with fibrotic ILD and to determine the clinical-laboratory features of patients with and without IPF that would provide the differential diagnosis of IPF. MATERIAL AND METHODS: The study included the patients with the usual interstitial pneumonia (UIP) pattern or possible UIP pattern on thorax high-resolution computed tomography, and/or UIP pattern, probable UIP or possible UIP pattern at lung biopsy according to the 2011 ATS/ERSARS/ALAT guidelines. Demographics and clinical and radiological data of the patients were recorded. All data recorded by researchers was evaluated by radiology and the clinical decision board. RESULTS: A total of 336 patients (253 men, 83 women, age 65.8 +/- 9.0 years) were evaluated. Of the patients with sufficient data for diag-nosis (n=300), the diagnosis was IPF in 121 (40.3%), unclassified idiopathic interstitial pneumonia in 50 (16.7%), combined pulmonary fibrosis and emphysema (CPFE) in 40 (13.3%), and lung involvement of connective tissue disease (CTD) in 16 (5.3%). When 29 patients with definite IPF features were added to the patients with CPFE, the total number of IPF patients reached 150 (50%). Rate of male sex (p<0.001), smoking history (p<0.001), and the presence of clubbing (p=0.001) were significantly high in patients with IPE None of the women <50 years and none of the men <50 years of age without a smoking history were diagnosed with IPE Presence of at least 1 of the symptoms suggestive of CTD, erythrocyte sedimentation rate (ESR), and antinuclear antibody (FANA) positivity rates were significantly higher in the non-IPF group (p<0.001, p=0.029, p=0.009, respectively). CONCLUSION: The rate of IPF among patients with fibrotic ILD was 50%. In the differential diagnosis of IPF, sex, smoking habits, and the presence of clubbing are important. The presence of symptoms related to CTD, ESR elevation, and EANA positivity reduce the likelihood of IPF

    An integrated transportation decision support system for transportation policy decisions: the case of Turkey

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    From the point of view of the feasibility of providing growth in road capacity parallel to the predicted growth in traffic as well in terms of impact on the environment and health, current trends in transportation are unsustainable. Transport problems are expected to worsen due to the fact that worldwide automobile ownership tripled between 1970 and 2000, and the movement of goods is projected to increase by 50% by 2010. Similar trends can be seen in an even more dramatic way in Turkey. The Turkish transport network has not followed a planned growth strategy, due to political factors. There is no transportation master plan which aims to integrate the transport modes in order to provide a balanced, multimodal system. This study proposes a decision support system that guides transportation policy makers in their future strategic decisions and facilitates analysis of the possible consequences of a specific policy on changing the share of transportation modes for both passenger and freight transportation. For this purpose, based on the wide spectrum of critical issues encountered in the transportation sector, several scenarios have been built and analysed. (c) 2006 Elsevier Ltd. All rights reserved

    A new approach for the knowledge assessment of countries

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    Şahin, Şule Önsel (Dogus Author), Ülengin, Füsun (Dogus Author) -- Conference full title: 9th symposium IFAC ASBoHS'06 on “Automated Systems Based on Human Skill and Knowledge”In this paper, 103 countries investigated by World Economic Forum in order to specify their global competitiveness level are analyzed and compared according to Knowledge-Specific Criteria. Under the "Knowledge Specific Criteria" heading, two basic criteria group, are taken into consideration, namely; "technology: innovation and diffusion" and "human resource, education and labor". The countries are clustered to find their relative position in terms of knowledge specific level and the basic factors underlying this position are revealed by using artificial neural network.IFAC Technical Committee 9.2 on Social Impact of Automation, TC 1.3 on Discrete Event and Hybrid Systems,TC 4.4 on Cost Oriented Automation, TC 4.5 on Human Machine Systems, TC 5.1 on Manufacturing Plant Contro

    An integrated transportation decision support system for transportation policy decisions: The case of Turkey

    No full text
    From the point of view of the feasibility of providing growth in road capacity parallel to the predicted growth in traffic as well in terms of impact on the environment and health, current trends in transportation are unsustainable. Transport problems are expected to worsen due to the fact that worldwide automobile ownership tripled between 1970 and 2000, and the movement of goods is projected to increase by 50% by 2010. Similar trends can be seen in an even more dramatic way in Turkey. The Turkish transport network has not followed a planned growth strategy, due to political factors. There is no transportation master plan which aims to integrate the transport modes in order to provide a balanced, multimodal system. This study proposes a decision support system that guides transportation policy makers in their future strategic decisions and facilitates analysis of the possible consequences of a specific policy on changing the share of transportation modes for both passenger and freight transportation. For this purpose, based on the wide spectrum of critical issues encountered in the transportation sector, several scenarios have been built and analysed.

    Policy developments for the reduction of climate change impacts by the transportation sector

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    Ekici, Şule Önsel (Dogus Author) -- Özaydın, Özay (Dogus Author)The transportation sector is one of the most significant sources of anthropogenic greenhouse gas emissions. In order to mitigate climate change, it is important to apply effective and immediate policies to reduce the transportation sector's emissions. This study aims to: (1) define the dimensions of the transportation sector, such as its environmental, economic, social, and political elements, and (2) investigate how they relate to climate change, in order to assess potential mitigation scenarios and policies that could reduce the sector's contribution to climate change. First, sector-related variables were specified using expert opinions and a literature survey. Relationships between the variables and the associated intensity values were then identified using document coding, as well as by gathering expert opinions through a workshop. A fuzzy cognitive map analysis was then conducted to investigate the relationships between the variables and the resulting impacts by the transportation sector on climate change. A scenario analysis was also conducted in order to identify the most effective policies in reducing the impacts of transportation on climate change, at both the local and global levels. For the scenario analysis at the global level, projections by the International Energy Agency were analyzed through the model. The local policy suggestions developed by Turkish authorities were also evaluated using scenario analysis

    Electronic Smoking In Parents In Pregnancy; A Multicenter Cross-Sectional Study

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    28th International Congress of the European-Respiratory-Society (ERS) -- SEP 15-19, 2018 -- Paris, FRANCEPolat, Gulru/0000-0002-2211-1268; Gemicioglu, Bilun/0000-0001-5953-4881; Altinoz, Hilal/0000-0002-3655-6727WOS: 000455567106192…European Respiratory So

    Work related symptoms of adult patients with asthma: A multicenter, national, questionnaire based study

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    Akgun, Metin/0000-0003-3404-4274; Bulbul, Yilmaz/0000-0002-8488-3650WOS: 000451979402225
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