Browsing by Author "Unal, Harun"

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Effect of Preoperative Hba1c Levels on Postoperative Acute Renal Failure in Diabetic Patients Undergoing Coronary Bypass Surgery
(Discovery Publication, 2020) Gur, Ali Kemal; Sahinalp, Sahin; Eker, Esra; Unal, Harun
Introduction: Open heart surgery in patients with diabetes mellitus (DM) is associated with a higher mortality and morbidity than other patients. Diabetes mellitus (DM) is present in 30 to 40% of patients undergoing coronary bypass surgery (CABG). In this study, we aimed to clarify the relationship between preoperative glycohemoglobin (HbA1C) levels and postoperative acute renal failure (ARF) in patients with DM undergoing isolated coronary bypass surgery. Methods: We retrospectively enrolled a total of 295 patients who underwent elective, isolated CABG between January 2014 and February 2017 in our clinic and whose information was recorded. DM was detected in 118 of 295 patients. These patients were divided into two groups as Group 1 (HbA1c levels <7%, n = 72) and Group 2 (HbA1c levels >7%, n = 46). All patients were treated with standard insulin therapy after consulting the internal medicine department before the operation. Results: Of the 118 patients included in the study, 82 were males and 36 were females. There were 72 patients (51 M, 21 F) in Group 1 and 46 patients (31 M, 15 F) in Group 2. The mean age was 62.4 +/- 3.2 years in Group 1 and 61.5 +/- 4.5 years in Group 2. The mean duration of DM diagnosis was 10.2 +/- 3.3 years in Group 1 and 11.7 +/- 2.6 years in Group 2. The mean duration of hospitalization in intensive care unit was 6.10 +/- 2.3 days in Group 1 and 9.1 +/- 2.5 days in Group 2, which was found to be statistically significant (p=0.008). Discussion and conclusion: Hemodialysis (HD) may be required after coronary bypass surgery in diabetic patients. Although there is no direct correlation between high HbA1c levels and postoperative HD, we believe that these patients should be more closely monitored with more frequent measurements of urea, creatinine, blood gas and electrolyte levels.
The Relationship Between Individuals' Use of Complementary and Alternative Medicine During the Pandemic in Turkey and Their Attitudes Towards Perceived Covid-19 Risk
(Elsevier Science inc, 2022) Ozlu, Zeynep Karaman; Kilinc, Tulay; Ozlu, Ibrahim; Unal, Harun; Toraman, Rumeysa Lale
Introduction: The perceived COVID-19 risk may lead to the use of various complementary and alternative medicine (CAM) modalities to reduce the potential risks of this disease. This study was conducted to investigate the relationship between individuals' use of complementary and alternative medicine during the pandemic in Turkey and their attitudes towards perceived COVID-19 risk. Methods: The study was conducted in Turkey between November 2021 and March 2022 and 1003 individuals voluntarily participated. The Personal Information Form, Attitude Towards Holistic Complementary and Alternative Medicine Scale (HCAMS), and Perceived COVID-19 Risk Scale (PCRS) were used for data collection. To evaluate the data descriptive statistics, Pearson's correlation, and Cronbach's alpha reliability analysis were used. Results: In the study, 54.2% of the individuals were found to use CAM during the pandemic, and 56.2% believed that CAM practices were useful in preventing or recovering from COVID-19. It was revealed that 53.8% of the individuals drank herbal tea, 55.2% used religious and spiritual healing to manage, 6.6% used massage, and 10.1% applied aromatherapy. The mean total score of the HCAMS was 28.29 +/- 4.99, and the mean total score of the perceived COVID-19 risk scale was 27.78 +/- 6.35. A statistically significant positive correlation was identified between the CAM subscale and the emotional risk subscale (p < 0.05). Conclusion: Individuals had a positive attitude towards using CAM during the pandemic period, the risk perception of COVID-19 was high and CAM methods were widely used.The literature should be supported by increasing the current and scientific studies in which CAM methods are questioned and their benefits are investigated during epidemic periods.