Browsing by Author "Okudan, Yunus Emre"

Now showing 1 - 3 of 3

Akut Koroner Sendrom Hastalarında Syntax Skoru İle Epikardiyal Yağ Doku Arasındaki İlişki
(2021) Kilinc, Ali Yasar; Öztürk, Fatih; Atıcı, Adem; Okudan, Yunus Emre; Sımsek, Hakkı; Demir, Koray; Yaman, Mehmet
Amaç: Çalışmanın amacı akut koroner sendromlu (AKS) hastalarda epikardiyal yağ dokusu (EYD) kalınlığı ile SyntaxSkoru arasındaki ilişkiyi değerlendirmektedir. Yöntemler: Çalışmaya AKS geçiren 200 ve AKS geçirmemiş olan 150 hasta dahil edilmiştir. Her hasta için sistolik(S-EYD)ve diyastolik(D-EYD) EYD kalınlığı ölçülmüştür. EYD kalınlığı ve EYD ile Syntax Skoru arasındaki ilişki hastalar ve kontrolgrupları arasında karşılaştırılmıştır. Bulgular: Hastalar ve kontrol grubu karşılaştırıldığında yaş, vücut kitle indeksi, hipertansiyon ve diyabet varlığı anlamlıolarak farklı iken, tütün kullanımı ve hiperlipidemi varlığı açısından her iki grup arasında farklılık saptanmamıştır. HemS-EYD hem de D-EYD kalınlığı her iki grup arasında farklı olarak bulunmuştur (5.57±1.15 vs. 4.47± 0.60, p<0.001; 3.18±0.81 vs. 2.71±1.90, p=0.014, sırasıyla). Hasta grubunda EYD kalınlığı Syntax Skoru ile önemli bir korelasyon göstermiştir (p<0.001; r=0.740). Sonuç: EYD kalınlığı hasta grubunda daha fazla bulunmuş ve Syntax Skoru ile anlamlı bir korelasyon göstermiştir. Budurum bize hastalara koroner anjiografi yapmadan önce hastalığını ciddiyetini, noninvaziv bir yöntemle belirleme fırsatısunmaktadır.
Caregiver Reasons for Tertiary Health-Care Seeking for Children Aged 12 Years
(Wiley-blackwell, 2016) Yaprak, Seval; Bulut, Ulku; Okudan, Yunus Emre; Gokdemir, Ozden; Colak, Muhteber; Yildirim, Ediz; Guldal, Dilek
BackgroundIn Turkey, a mandatory referral system is not used. Caregivers, for their children, present directly to health-care providers at all levels. This allows patients to present directly to university hospitals. In this study, reasons for university hospital-treatment seeking by caregivers for child health problems is discussed. MethodsThis was a cross-sectional descriptive study at Dokuz Eylul University Faculty of Medicine, Izmir, Turkey, of 235 caregivers whose children were admitted to the outpatient clinic of the General Pediatrics Department between 4 and 11 April 2013. They completed a questionnaire on demographic data and reasons for presentation to the university hospital. Mann-Whitney U-test was used to compare group means, and Pearson chi-squared test for ratios between groups. P <0.05 was considered to be statistically significant. ResultsA total of 54.5% of participants lived far from the hospital. The most frequent complaints involved the respiratory tract, among which the most frequent complaint was cough. Time from symptom onset to presentation was 7 days in 58.3% of patients, and 48.9% had never presented to another institution. The most common reason for choosing the university hospital was the availability of the necessary tests (88.1%). ConclusionsDespite common use of primary health-care systems, with regard to tertiary hospital presentation, the most important factors for preferring tertiary hospital presentation were caregiver trust in tertiary hospital resources for diagnosis and treatment.
Levosimendan Accelerates Recovery in Patients With Takotsubo Cardiomyopathy
(Via Medica, 2016) Yaman, Mehmet; Arslan, Ugur; Kaya, Ahmet; Akyol, Aytac; Ozturk, Fatih; Okudan, Yunus Emre; Bektas, Osman
Background: The aim of this study was to determine the efficacy and safety of levosimendan in takotsubo cardiomyopathy (TC). Methods: The study was conducted in a retrospective design and 42 consecutive patients were enrolled in 6 cardiovascular centers in Turkey. The records of TC patients having left ventricular ejection fraction (LVEF) <= 35% were examined at admission, discharge and recovery period including their clinical and echocardiographic data. Results: Of these 42 TC patients, 17 were treated with loading dose and i.v. infusion of levosimendan (group 1) and 25 were treated without levosimendan (group 2). Echocardiographic findings at admission and at discharge were similar and no serious complications were observed in either group. However recovery period including the interval of 50% increase in LVEF, time to achieve the baseline troponin values and hospitalization were significantly lower in patients taking levosimendan. Conclusions: This is the first study using loading dose and subsequent continuous intravenous administration of levosimendan demonstrating accelerated recovery in patients with TC.