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  • Küçük Resim Yok
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    The approach to community-acquired pneumonia: A survey study
    (Turkish Respiratory Soc, 2018) Ozyurek, Berna Akinci; Erturk, Arzu; Aydemir, Yusuf; Sen, Nazan; Alizoroglu, Dursun; Ozhan, Mustafa Hikmet
    INTRODUCTION AND AIM: Community-acquired pneumonia (CAP), which is often seen in daily practice, is a lower respiratory tract and pulmonary parenchyma infection which develops in society and daily life with community-acquired pathogens in individuals with no known immune failure. Delay in the treatment of pneumonia is known to increase morbidity and mortality. Various scoring systems are currently used in the identification of treatment groups in pneumonia. With the aim of evaluating the approach to CAP cases, the infection. MATERIALS AND METHODS: Working Group of the Turkish Respiratory Research Association (TUSAD) prepared a 22-item questionnaire. RESULTS: The survey was published on the TUSAD official website between July 2013 and June 2016. A total of 78 individuals responded to the questionnaire on the website. CONCLUSION: The responses to the questionnaire could indicate the way forward for new guidelines for physicians in respect of the approach to CAP.
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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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