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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.
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    Work-related musculoskeletal disorders in anesthesiologists: A cross-sectional study on prevalence and risk factors
    (2019) Tolu, Sena; Basaran, Betul
    Aim: To investigate the prevalence of self-reported work-related musculoskeletal disorders (WRMDs) of anesthesiologists, to evaluate potential risk factors, including personal and workload characteristics and working ergonomics.Material and Methods: A cross-sectional international survey including personal and workload characteristics of anesthesiologists was conducted. The Standardized Nordic Musculoskeletal Questionnaire was used to identify working ergonomics and the quality of ergonomic conditions of the operating room. The prevalence of WRMDs was calculated, and predictors of these symptoms were evaluated using binary logistic regression.Results: 98.4% of respondents reported a WRMD in the previous 12 months, mainly low back disorders (70.7%). Cardiothoracic anesthesiologists were more likely to report 12-month knee problems (66%). Overall, pediatric anesthesiologists were more likely to report 12-month WRMDs in most of their body sites. Women were more likely to develop WRMDs in the upper back (OR=2.465; 95% CI:1.061-5.729) as compared with men. Long-duration bending was the most significant ergonomic hazard for all 3 body regions of musculoskeletal symptoms, with an OR of 4.210 (95% CI:1.081-16.391) for the neck, 4.619 (1.274-16.744) for the upper back, and 4.750 (1.045-21.590) for the low back. Suboptimal quality of ergonomic conditions in the operating room was significantly associated with increased WRMDs risk of the neck (OR=0.346; 95% CI:0.147- 0.812) and shoulder (OR=0.405; 95% CI:0.167- 0.982) regions. Conclusion: Anesthesiologists are at high risk for WRMDs. There is a need to improve ergonomic conditions of operative rooms according to demands of anesthesiologists and to educate them on proper posture for a longer and pain-free career.Keywords: Anesthesiologist; ergonomics; work-related musculoskeletal disorders; posture; survey.