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    Acute deep vein thrombosis in a patient with mild COVID-19 infection: An unusual case report
    (2020) Tolu, Sena; Rezvani, Aylin; Karakaya, Atalay; Eren, Abdulkadir; Basim, Pelin
    An outbreak of a new type coronavirus (COVID-19) disease firstly emerged in Wuhan City, China in December 2019, rapidly spreads across the globe. COVID-19 predisposes a procoagulant state in severe COVID-19 cases with a significant increase in the incidence of venous thromboembolism, including both pulmonary embolism and deep vein thrombosis that appear to be associated with excessive inflammation, hypoxia, immobilization, and diffuse intravascular coagulation. As the thromboembolic risk of COVID-19 patients at home is not known, a risk assessment model for thrombosis may also be considered in these patients. Herein, we present a patient with mild COVID-19 infection who developed acute deep vein thrombosis.
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    Awareness of lymphedema risk management behaviors and associated factors among breast cancer survivors: Results from a cross-sectional survey
    (2020) Tolu, Sena; Basim, Pelin
    Aim: Breast cancer-related lymphedema (BCRL) is a disabling complication that can develop following breast cancer surgery months or even years after treatment ends. The effective management of BCRL requires adhering to simple risk-reduction strategies. The study aim was to assess the awareness and knowledge of lymphedema risk-management behaviors among breast cancer survivors and identify factors that affect it. Material and Methods: This study was conducted on 250 survivors of breast cancer. Demographic information, treatment details, time since surgery, duration and stage of lymphedema were recorded. Lymphedema education, knowledge about risk-minimization recommendations, and information sources were questioned using a survey. A multiple linear regression was used to identify predictors of lymphedema awareness.Results: Just over half (53.6%) of the patients had adequate lymphedema awareness (score≥8). BCRL was detected in 121 (48.4%) patients. Awareness scores varied by age, education level, body mass index, receiving chemotherapy and radiotherapy, and a previous BCRL treatment (all p0.05). Citing physiatrists as an information source reflected higher levels of awareness. Educational level and axillary lymph node dissection were positive predictors; time since surgery was the only negative predictor of lymphedema awareness. Conclusion: This study highlights the lack of lymphedema awareness among survivors of breast cancer. Accurate, timely, individualized training programs can improve knowledge and compliance of lymphedema risk management behaviors.