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    Comparison of treatment results of urinary incontinence verified/or not verified with urodinamic evaluation by using UDI-6, IIQ-7 questionnaire forms
    (2020) Okuyan, Erhan; Cakir, Caner; Gunakan, Emre; Ozkaya, Enis; Kucukozkan, Tuncay; Ozyurek, Eser Sefik
    Aim: Treatment of mixed type incontinence includes surgical and/or medical options. The efficacy of treatment frequently depends on the patient based choice. Thus, we aimed to compare treatment efficacy with UDI-6 and IIQ-7 questionnaire forms in groups with/without urodynamics in the diagnosis of mixed type incontinence.Material and Methods: In our study, 60 patients were registered. Patients were evaluated in 2 groups including 30 patients that: agreed (Group 1) to and did not agree (Group 2) for a urodynamic exam. "Quality of life" scoring questionnaires, urodynamics records, and urethral angle measurements were performed in both groups. Patients in the groups were evaluated in subgroups whether they received TOT (Transobturator tape) and/or medical treatment. Group 1; A: TOT patients, B: TOT + medical treatment, C: Only medical treatment; Group 2; D: TOT + medical treatment, E: Only medical treatment. Results: The mean age of the patients was 49 and 70% of patients were postmenopausal. Most of the patients were obese 45% of patients had had a BMI of >40kg/m2. The rate of TOT received the patients in Group 1 and 2 were 21 (70%) and 13 (43.3%), respectively. An analysis of questionnaire scores %94.4 of all patients stated a regression in symptoms after treatment. Both surveys showed positive changes in all groups. The change ratio in the survey scores was 81.1% and 67.3% in Group 1 and 2 respectively in UDI- 6 survey similarly with IIQ-7 survey results as 81.1% and 63.5 % in Group 1 and 2 respectively. In the comparison of medical treatment subgroups (C and E) the change rate was significantly lower in patients who did not agree with urodynamic in UDI 6 and IIQ7 surveys ( 86.4% vs 55.0%, p.001 and 79.7% vs. 50.5%, p0.001.Conclusion: Although it is limited in urge type dominant incontinence patients, non-complex UI patients benefit from appropriate treatment regardless of urodynamics evaluation. In the management of UI patients' QoL questionnaires before and after treatment might be helpful.
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    Knowledge, behaviors and opinions of medical faculty students during the COVID-19 pandemic
    (2020) Alanya Tosun, Sebnem; Nomer, Kaan; Alemdaroglu, Sila; Ozkaya, Enis
    Aim: The emergency of COVID-19 pandemic has severely affected medical students’ education and the possibility of being considered as health-care professionals has come to mind. We described knowledge, behaviours and opinions of medical students during the pandemic and separated into the continents and compared them with our country. Materials and Methods: The cross-sectional worldwide study including 26 items online questionnaire was conducted between March 24th and April 9th, 2020.Medical students were grouped according to their continent and Turkey as a separate group. Results: 1454 medical students studying in 64 countries from 4 continents including Asia, Europe, South America and Africa participated in study. Only 23.7% of all was adequately informed about approach to outbreak situations. This was the lowest in Europe and followed by Turkey (20.8%, 21.7% respectively).71.2% of all changed their hygiene habits; paying attention to social distance increased from 2% to 61.9%. In Africa, 58.6% of students feel qualified to work in hospitals voluntarily, whereas it was only 19.9% in Turkey and 29.2% in Europe (p0.001).91.5% of Asian and 87.7% of European students would agree to volunteer in hospitals. In Turkey it was only 71.1% (p0.001).75.9% of all support the view that they should be qualified to volunteer in hospitals when necessary. Conclusion: Medical students seem to want to volunteer, but have not been adequately informed about the approach to outbreak situations. An international consensus on medical students’ roles may improve medical school programs about the current COVID-19 Pandemic and future ones.