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  • [ N/A ]
    Öğe
    Chemotherapy Related Angioedema Reply
    (Aves, 2015) Hakimoglu, Sedat; Tuzcu, Kasim; Davarci, Isil; Karcioglu, Murat; Kurt, Raziye; Dikey, Ismail
    [Abstract Not Available]
  • Küçük Resim
    Öğe
    Intraoperative Ephedrine Allergy in a Patient Who Received Chemotherapy and Perioperative Hypersensitivity Reactions
    (Aves, 2015) Hakimoglu, Sedat; Tuzcu, Kasim; Davarci, Isil; Karcioglu, Murat; Kurt, Raziye; Dikey, Ismail
    Anaesthesia represents a specific set-up in respect to pharmacology, and during this time, early hypersensitivity reactions or anaphylaxis may occur in patients who are exposed to a great number of foreign substances. Intravenous ephedrine (5 mg) was applied to a 37-year-old patient due to the development of intraoperative hypotension in a total abdominal hysterectomy operation. After application, hyperaemia was seen in the track of the intravenous catheter of that extremity. Approximately 15 minutes later, urticarial plaques were observed extensively in the abdomen and in both extremities. Methylprednisolone (100 mg+ 100 mg) and pheniramine (45.5 mg) were given with an increasing infusion rate of intravenous crystalloid. The patient was extubated without any problem and removed to the recovery unit for observation. After the total disappearance of lesions at postoperative 60 minutes and because of the stability of vital signs, the patient was removed to the service. In the follow-up of surgery, no complication developed, and the patient was discharged on postoperative day 2.
  • Küçük Resim
    Öğe
    Kemoterapi almış hastada intraoperatif efedrin alerjisi ve perioperatif hipersensitivite reaksiyonları
    (2015) Hakimoğlu, Sedat; Tuzcu, Kasım; Davarcı, Işıl; Karcıoğlu, Murat; Dikey, İsmail; Kurt, Raziye
    Kemoterapi almış hastada intraoperatif efedrin alerjisi ve perioperatif hipersensitivite reaksiyonları anestezi, farmakolojik açıdan özgül bir durumu temsil eder ve bu süre boyunca çok sayıda yabancı maddelere maruz kalan hastalarda erken aşırı duyarlılık reaksiyonları veya anafilaksi gelişebilir. Otuz yedi yaşındaki, total abdominal histerektomi planlanan hastada intraoperatif hipotansiyon gelişmesi nedeniyle (5 mg) efedrin iv uygulandı. Uygulama sonrası aynı ekstremitenin iv kanülün yerleştirildiği ven trasesi hattında kızarıklık görüldü. Yaklaşık 15 dakika sonra her iki ekstremitede, batında yaygın ürtiker plakları gözlendi. İntravenöz kristalloid infüzyon hızı arttırılarak, metilprednisolon (100 mg+100 mg), Feniraminmaleat (45,5 mg) verildi. Postoperatif sorunsuz ekstübe edilerek postoperatif bakım ünitesinde gözleme alındı. Lezyonları postoperatif 60. dakikada tamamen ortadan kalkmasının ardından yaşamsal bulgularının da istikrarlı olması nedeniyle servise alındı. Cerrahi takibinde herhangi bir komplikasyon gelişmeyen hasta yatışının ikinci gününde taburcu edildi.
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    Öğe
    THE PREVALENCE OF URINARY INCONTINENCE, SEXUAL DYSFUNCTION AND QUALITY OF LIFE IN WOMEN OF REPRODUCTIVE AGE ADMITTED TO UROGYNECOLOGY DEPARTMENTS
    (Carbone Editore, 2014) Akkoca, Ayse Neslin; Kurt, Raziye; Ozdemir, Zeynep Tuba; Yengil, Erhan; Ozer, Cahit; Arica, Secil; Ozler, Serkan
    Aim: Urinary incontinence (Ul) is fairly common among women and reduces common emotional and psychological well-being and also a phenomenon that weakens sexual life. At the same time social activities and relationships; family life, his relationship with his Wife is adversely affected. In this study of prevalence of Ul and the sexual dysfunction(SD) and quality of life. were examined in women of reproductive age who admitted family medicine, obstetrics, urology clinics With various symptoms. (frequent urination; urinary burning; pelvic pain, urinary incontinence, vaginal discharge and similar complaints). Materials and methods: The study included a total of 665 female patients of 15-49 years of age admitted to Family Medicine, Obstetrics and Gynecology, and Urology polyclinics in Mustafa Kemal University Faculty of Medicine, Training and Research Hospital during October 2013-January 2014 with various complaints. General survey form ICIQ-SF (International Consultation on Incontinence Short Form), FSFI (Female Sexual Function Index) form; and EORTC QLQ-C30 (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30) version 3.0 were applied to these patients The general survey form addressed demographic characteristics, risk factor for urinary incontinence, concomitant diseases, anamnesis including medical history and family history. The data obtained in the study were assessed for statistical significance by using Student's (t-test, Mann Whitney U test, Chi,square test and Fisher's Exact Chi-square test. Results: The sociodemographic characteristics of the women were; mean age was 31.85 +/- 9.495 (SD) and mean body mass index (BMI) value was 26.39 +/- 4.03. Obstetric history was as follows; number of normal vaginal births was 317 (47,66%);number of caesarean sections 471 (70.8%); number of deliveries of infant over 4 kg of birth weight 138 (20.8%) and number of multiple gestations resulting in live birth was 60(9%) 235(35 3%) women had previous history of surgery to pelvic floor and 203 (30,5%). of had previous history of abdominal surgery (except cesarean section). Frequency of Ul was 42,7%(284 women) Situation that provokes Ul; mixed type at 95 (143%) women, stress type at 133 (20%) women, urge type at 56 (8.4%) women. The effect on daily life was scored(those who report an effect of 8 on a scale to 10 was 159 (23.9%) of). There was chronic disease at 175(26,4%) of them, disc herniation at 36 (5.4%) of, involuntary defecation at74 (11.1%)of, involuntary flatulence at 191 (28.7%) of, haemorrhoids at 405 (60.9%)of urinary tract infection at 244 (36,7%), vaginitis 1-2 times a year at 352 (52.9%) women. Sexual dysfunction (FSFI according to survey results); 215 (32.3%) Women have-not heard of sexual desire in the past month. Self-confidence about being sexually driven present at only in 222 (33.4%) women. 307 (46.2%) women dont feel wetness during sexual intercourse. 136(20.5%) women say sexual intercourse is not satisfactory. 57.9% of all cases not satisfied with your sexual life. Painful intercourse at 74 (11.1%) women. Conclusion: Urinary incontinence in female population is quite a common health problem. A large majority of women perceive it as a result of aging and female gender and do not seek medical assistance it is important to detect this problem and relevant risk factor among patients who admit to palyclinics. This approach would improve the treatnient of this condition which affects quality of life and sexuality.
  • [ N/A ]
    Öğe
    The prevalence of urinary incontinence, sexual dysfunction and quality of life in women of reproductive age admitted to urogynecology departments
    (Acta Medica Mediterranea, 2014) Akkoca, Ayşe Neslin; Kurt, Raziye; Özdemir, Zeynep Tuba; Yengil, Erhan; Özer, Cahit; Arica, Seçil; Özler, Serkan
    Aim: Urinary incontinence (UI) is fairly common among women and reduces common emotional and psychological well-being and also a phenomenon that weakens sexual life. At the same time, social activities and relationships; family life, his relationship with his wife is adversely affected. In this study of prevalence of UI and the sexual dysfunction(SD) and quality of life were examined in women of reproductive age who admitted family medicine, obstetrics, urology clinics with various symptoms (frequent urination, urinary burning, pelvic pain, urinary incontinence, vaginal discharge and similar complaints). Materials and methods: The study included a total of 665 female patients of 15-49 years of age admitted to Family Medicine, Obstetrics and Gynecology, and Urology polyclinics in Mustafa Kemal University Faculty of Medicine, Training and Research Hospital during October 2013-January 2014 with various complaints. General survey form, ICIQ-SF (International Consultation on Incontinence Short Form), FSFI (Female Sexual Function Index) form, and EORTC QLQ-C30 (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30) version 3.0 were applied to these patients. The general survey form addressed demographic characteristics, risk factor for urinary incontinence, concomitant diseases, anamnesis including medical history and family history. The data obtained in the study were assessed for statistical significance by using Student's t-test, Mann Whitney U test, Chi-square test and Fisher's Exact Chi-square test. Results: The sociodemographic characteristics of the women were; mean age was 31.85±9.495 (SD) and mean body mass index (BMI) value was 26.39±4.03. Obstetric history was as follows; number of normal vaginal births was 317 (47,66%);number of caesarean sections 471 (70.8%); number of deliveries of infant over 4 kg of birth weight 138 (20.8%) and number of multiple gestations resulting in live birth was 60 (9%). 235(35.3%) women had previous history of surgery to pelvic floor and 203 (30,5%) of had previous history of abdominal surgery (except cesarean section). Frequency of UI was 42,7%(284 women). Situation that provokes UI; mixed type at 95 (14.3%) women, stress type at 133 (20%) women, urge type at 56 (8.4%) women. The effect on daily life was scored(those who report an effect of 8 on a scale to 10 was 159 (23.9%) of). There was chronic disease at 175(26,4%) of them, disc herniation at 36 (5.4%) of, involuntary defecation at74 (11.1%)of, involuntary flatulence at 191 (28.7%) of, haemorrhoids at 405 (60.9%)of, urinary tract infection at 244 (36,7%), vaginitis 1-2 times a year at 352 (52.9%) women. Sexual dysfunction (FSFI according to survey results); 215 (32.3%) women have not heard of sexual desire in the past month. Self-confidence about being sexually driven present at only in 222 (33.4%) women. 307 (46.2%) women dont feel wetness during sexual intercourse. 136(20.5%) women say sexual intercourse is not satisfactory. 57.9% of all cases not satisfied with your sexual life. Painful intercourse at 74 (11.1%) women. Conclusion: Urinary incontinence in female population is quite a common health problem. A large majority of women perceive it as a result of aging and female gender and do not seek medical assistance.It is important to detect this problem and relevant risk factor among patients who admit to polyclinics. This approach would improve the treatment of this condition which affects quality of life and sexuality.
  • [ N/A ]
    Öğe
    RE: Chemotherapy Related Angioedema
    (AVES Ibrahim Kara, 2015) Hakimoğlu, Sedat; Tuzcu, Kasım; Davarcı, I.; Karcıoğlu, Murat; Kurt, Raziye; Dikey, İsmail
    [No abstract available]
  • Küçük Resim
    Öğe
    Sezaryen sonrası vajinal doğum : sağlık çalışanlarında bir anket çalışması
    (2016) Gözükara, İlay; Karapınar, Oya; Hakverdi, Ali Ulvi; Kurt, Raziye; Demirkıran, Gökhan
    Amaç: Çalışmadaki amacımız sağlık çalışanlarının sezaryen sonrası vajinal doğum hakkında bilgi düzeylerini ölçmek.Gereç ve Yöntemler: Tanımlayıcı tipteki bu çalışmada Mustafa Kemal Üniversitesi Tıp Fakültesinde görev yapan 100 sağlık personeline randomize anket formu dağıtılmış ve yanıtlanması istenmiştir. Anket formu Amerikan Obstetri ve Jinekoloji Derneği (ACOG) tarafından yayınlanmış SSVD hakkında hasta bilgilendirme formuna istinaden hazırlanmıştır.Bulgular: Çalışmaya dahil edilen 87 sağlık çalışanından'Sezaryen sonrası vajinal doğum yapılabilir mi?' sorusuna 63 (%72,4) kişi evet yanıtını verirken 24 (%27,6) kişi hayır cevabını verdi. Aynı sorunun cevabına meslek gruplarına göre bakıldığında ise gruplar arasında fark izlenmedi (p=0,3). Sezaryen sonrası vajinal doğuma evet cevabı veren katılımcılara SSVD yapılabilmesi için gerekli önceki doğuma ait kesi şekli ve sezaryen sayısı sorulduğunda 21( %33,3) kişi bilmiyorum, 30 (%47,6) kişi transvers ve 12 (%19) kişi vertikal olması gerektiğini belirtti. Aynı grubun SSVD için gerekli minimum geçirilmiş sezaryen sayısına cevabı değerlendirildiğinde 25 (%39,7) kişi bilmiyorum, 13 (%20,6) kişi 1, 13 (%20,6) kişi 2, 11 (%17,5) kişi 3 ve 1 (%1,6) kişi 4 olarak kaydedildi. 'Sezaryen sonrası normal doğum yapmanın riskleri nelerdir?' sorusuna katılımcıların cevaplarının dağılımları 29(%46) bilmiyorum, 30(%47,6) rüptür ve 4 (%6,3) yok olarak kaydedildi.Sonuç: Sonuç olarak özellikle geçirilmiş sezaryen olan hastalarda SSVD'nin bir seçenek olduğu günümüzde, SSVD'nin mümkün olduğu çoğu sağlık çalışanı tarafından bilinse de, şartları ve riskleri konusunda sağlık çalışanlarının yeterince bilgi sahibi olmadığı görüldü. Bu konuda uygun eğitim ve bilgilendirmenin sağlanması artan sezaryen oranlarının kontrolünde yardımcı olabilir