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    Turkish version of the Drug Hypersensitivity Quality of Life Questionnaire: assessment of reliability and validity
    (Springer, 2016) Bavbek, Sevim; Ozdemir, Secil Kepil; Erdogan, Beyza Doganay; Karaboga, Isil; Buyukozturk, Suna; Gelincik, Asli; Yilmaz, Insu; Goksel, Ozlem; Dursun, Adile Berna; Karakaya, Gul; Kalyoncu, Ali Fuat; Ozseker, Ferhan; Karakis, Gulden Pasaoglu; Erkekol, Ferda Oner; Koycu, Gozde; Keren, Metin; Baiardini, Ilaria; Romano, Antonino
    The first disease-specific quality-of-life questionnaire in patients with drug hypersensitivity, Drug Hypersensitivity Quality of Life Questionnaire (DrHy-Q), was developed and validated recently. The aim of this study was to assess validity, reliability and responsiveness to interventions of the Turkish version of the DrHy-Q. The Turkish version of the DrHy-Q was administered to prospectively enrolled 736 patients with drug hypersensitivity from ten allergy units. To assess validity, all patients completed the validated Turkish version of Psychological General Well-Being Index (PGWBI). For test-retest reliability, 182 patients completed the DrHy-Q 1 week after the first questionnaire administration without any intervention. Responsiveness was assessed on 97 patients who had a DrHy-Q recorded at a follow-up visit after the intervention. The internal consistency and test-retest reliability of the scale were adequate (Cronbach's alpha = 0.934, intra-class correlation coefficient = 0.783). The DrHy-Q scores showed weak negative correlations with the PGWBI total and domain scores (r = - 0.378 to -0.254, p < 0.001). DrHy-Q was able to discriminate the patients with one drug hypersensitivity reaction from the patients with two and above two reactions (p = 0.012 and p < 0.001, respectively), and the patients who experienced a respiratory reaction from the patients who did not (p = 0.018). However, it did not discriminate the patients with comorbid disease including psychiatric comorbidity (p > 0.05). The baseline DrHy-Q scores were significantly higher than the post-intervention scores (p = 0.008). The Turkish version of DrHy-Q is reliable and valid for evaluating quality of life in patients with drug hypersensitivity, and it appeared responsive to interventions.
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    What should be the appropriate minimal duration for patient examination and evaluation in pulmonary outpatient clinics?
    (Medknow Publications & Media Pvt Ltd, 2017) Musellim, Benan; Borekci, Sermin; Uzan, Gulfidan; Sak, Zafer Hasan Ali; Ozdemir, Secil Kepil; Altinisik, Goksel; Altunbey, Sinem Agca; Sen, Nazan; Kilinc, Oguz; Yorgancioglu, Arzu; Yilmaz, Nafiye; Ulasli, Sevinc Sarinc; Salepci, Banu; Ocakli, Birsen; Sokullu, Zinet Gul Ersoy; Uzun, Oguz; Kurtulus, Serif; Uslu, Selen; Saritas, Emel; Genc, Sebahat; Annakkaya, Ali Nihat; Aydin, Omur; Bilgin, Cahit; Turk, Murat; Ozmen, Ipek; Tasbakan, Mehmet Sezai; Halis, Ayse Nigar; Bahcecioglu, Sakine Nazik; Dabak, Gul; Isik, Sacide Rana; Ozturk, Ayse Bilge; Akgun, Metin; Pihtili, Aylin; Ozkan, Gulcihan; Balbay, Ege Gulec; Okumus, Gulfer; Onen, Zeynep Pinar; Yasayancan, Nursen; Uysal, Funda Elmas; Hanta, Ismail; Kaya, Zuleyha; Turker, Hatice; Berkesoglu, Cigdem; Celik, Pinar; Cetinkaya, Pelin Duru; Gundogus, Baran; Ongen, Gul; Tuncay, Esin; Erboy, Fatma
    INTRODUCTION: Patient examinations performed in a limited time period may lead to impairment in patient and physician relationship, defective and erroneous diagnosis, inappropriate prescriptions, less common use of preventive medicine practices, poor patient satisfaction, and increased violent acts against health-care staff. OBJECTIVE: This study aimed to determine the appropriate minimal duration of patient examination in the pulmonary practice. METHODS: A total of 49 researchers from ten different study groups of the Turkish Thoracic Society participated in the study. The researchers were asked to examine patients in an almost ideal manner, without time constraint under available conditions. RESULTS: A total of 1680 patient examinations were reviewed. The mean duration of patient examination in ideal conditions was determined to be 20.4 +/- 9.6 min. Among all steps of patient examination, the longest time was spent for "taking medical history." The total time spent for patient examination was statistically significantly longer in the university hospitals than in the governmental hospitals and training and research hospitals (P < 0.001). Among different patient categories, the patients with a chronic disorder presenting for the first time and were referred from primary or secondary to tertiary care for further evaluation have required the longest time for patient examination. CONCLUSION: According to our study, the appropriate minimal duration for patient examination is 20 min. It has been observed that in university hospitals and in patients with chronic pulmonary diseases, this duration has been increased to above 25 min. The durations in clinical practice should be planned accordingly.

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