Yazar "Yaprak, Bülent" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Cardiac Findings on Non-Contrast Thoracic Tomography in Patients with Acromegaly
    (2022) Keskin, Lezan; Ilgar, Mehtap; Yaprak, Bülent; Akçiçek, Mehmet; Aslantürk, Okan
    Aim: Acromegaly occurs as a result of excessive and permanent secretion of growth hormone from the pituitary. Mortality is mostly related to cardiovascular system involvement. In our study, we aimed to evaluate the correlation between epicardial fat volume (EFV) and growth hormone level in thorax computed tomography in patients with acromegaly and coronary artery calcification, pulmonary artery diameter, ascending aorta diameter, cardiothoracic ratio (CTO) measurements with the control group patients. Method: Our study was retrospective and included 16 patients with acromegaly who were previously diagnosed and treated by the endocrinology clinic and a control group consisting of 32 patients matched for gender and age.In thorax CT, EFV measurement of the patients was performed and main pulmonary artery diameters, ascending aorta diameters, cardio thoracic ratios, presence of coronary artery calcification were evaluated. Results: The number of patients with large ascending aorta was higher in patients with acromegaly and it was statistically significant (p=0.041). Although the rate of patients with large main pulmonary artery diameter was higher in patients with acromegaly, no significant difference was found between the groups (p=0.355). There was no significant difference between the groups in terms of increased CTO (p=0.818) and coronary artery calcification (p=0.157). Conclusion: In our study, a difference was found between the acromegaly and control group patients only in terms of ascending aorta diameters, but no significant difference was found in terms of other parameters. We think that regular follow-up and treatment of patients is effective in this result. Cardiovascular risks can be reduced in patients with acromegaly with early diagnosis, regular follow- up and treatment.
  • Küçük Resim Yok
    Öğe
    Evaluation Of Morbid Obese Patients In Terms Of Sexual Dysfunctions: A Cross-Sectional Study
    (2022) Yaprak, Bülent; Şahin, İbrahim; Evren, Bahri; Keskin, Lezzan; Erbay, Lale Gönenir
    Aim: Obesity is a risk factor for sexual dysfunction. The aim of this study was to determine the frequency of sexual dysfunction in patients diagnosed with morbid obesity.Methods: The patient group included in the study consisted of 78 morbidly obese patients with BMI?40 kg/m2 and 68 healthy individuals with normal BMI. The data were obtained by using the sociodemographic information form filled by the participants, Beck anxiety scale, Beck depression scale and Golombok Rust Sexual Satisfaction Inventory.Results: Obese individuals were found to have sexual dysfunction compared to individuals with normal body BMI (p<0.05). When the Golombok Rust subscale scores of obese men were compared to those of normal-weight individuals, a significant deterioration was found in all subscale scores, including frequency, communication, satisfaction, avoidance, touch, impotence and premature ejaculation. In addition, the anxiety and depression scores of obese individuals were shown to be higher than those of normal-weight individuals (p<0.05).Conclusion: Morbidly obese individuals should be evaluated in terms of sexual functions. We believe that regulating obesity treatment, including possible treatment for sexual dysfunction, will increase the success rate and enhance the quality of life for patients.
  • Küçük Resim
    Öğe
    An overlooked perforated appendicitis presenting with anal pus discharge
    (2016) Bilgiç, Yılmaz; Kum, Asli; Çağın, Yasir Furkan; Seçkin, Yüksel; Harputluoğlu, Murat Muhsin Muhip; Yıldırım, Oğuzhan; Yıldırım, İsmail Okan; Yaprak, Bülent; Akbulut, Sami
    Abstract: Akut apendisit dünyada acil başvuruların ensık nedenleri arasındadır. Perforasyon, abse, plastron ve fistül oluşumu akut apendisitin sık görülen komplikasyonları arasındadır. Literatürde divertikülit gelişimi sonrası ve inflamatuar barsak hastalığına sekonder gelişen kolo-apendisiyal fistüller vaka sunumları şeklinde yayınlanmıştır. Ancak komplike apendisite sekonder gelişen kolo-apendiküler fistül vakaları sadece birkaç vaka sunumu şeklinde yayınlanmıştır. Biz bu vakada perfore apendisit sonrası peri-apendiküler abse gelişimi ve sonrasında sigmoido-apendisiyal fistül gelişen 46 yaşında erkek hastayı sunduk. Anüsten pü gelmesi üzerine yapılan kolonoskopide anal werge'den yaklaşık 25 cm uzaklıkta sigmoid kolonda dıştan bası izlendi.Bizim vakanın diğer bir ilgi çekici yönü de fistül geliştikten sonra operasyona alınan hastada fistül traktının spontan kapanmasıdır
  • Küçük Resim Yok
    Öğe
    Pain behaviors and hemodynamic parameters of intubated and sedatized intensive care patients during aspiration
    (2021) Menekli, Tuğba; Doğan, Runida; Yaprak, Bülent
    The study was conducted in a descriptive type to evaluate the pain behavior and hemodynamic parameters during aspiration of intubated and mildly sedatized patients in the intensive care unit. The study sample consisted of 100 intubated and sedatized patients who were hospitalized in the Anesthesia Intensive Care Unit of Harran University Faculty of Medicine Hospital between February 2018 and June 2018. "Patient Information Form", "Hemodynamic Parameter Form", "Behavioral Pain Scale (BPS)", "Ramsay Sedation Scale" and "Glasgow Coma Scale (GCS)" were used to collect the data. There is a significant difference between the BPS total and subscale scores, mean "systolic and diastolic blood pressure", "heart rate", "respiratory rate" and "SpO2" before, during and after aspiration (p=0.0001), it was determined that the difference was due to the average score after aspiration (p=0.0001). While the SpO2 averages of intubated and sedatized intensive care patients decrease during aspiration, the averages of the BPS scores and other hemodynamic parameters increase.