Dilek Aygin

Assessment of resting electrocardiogram, P wave dispersion and duration in different genders applying for registration to the School of Physical Education and Sports – results of a single centre Turkish Trial with 2093 healthy subjects

BACKGROUND The 12-lead electrocardiogram shows a broad range of abnormal patterns in trained athletes. The primary end point of this study was to investigate P wave dispersion, and P wave durations and related factors in different genders applying for registration to the School of Physical Education and Sports. METHODS AND RESULTS From 2006 to 2009, a total of 2093 students - 1674 boys with a mean age of 19.8 plus or minus 1.9 years and 419 girls with a mean age of 19.1 plus or minus 1.8 years - were included in the study. All 12 leads of the resting electrocardiogram were evaluated for P wave dispersion and electrocardiogram abnormalities. Baseline parameters such as age, body weight, body height, and body mass index, as well as electrocardiogram findings such as P wave maximal duration and P wave dispersion, were significantly higher in boys than in girls. Of all the parameters tested with correlation analysis, only gender (p = 0.03) (r = 0.04), body weight (p < 0.001) (r = 0.07), body height (p = 0.004) (r = 0.06), and body mass index (p = 0.01) (p = 0.05) were correlated with P wave dispersion. CONCLUSION The frequencies of all electrocardiogram abnormalities, P wave dispersion, and P wave maximal duration were higher in boys as compared with girls in an unselected student population applying for registration to the School of Physical Education and Sports; in addition, P wave dispersion was correlated with gender, body weight, body height, and body mass index.

Life quality of patients who underwent breast reconstruction after prophylactic mastectomy: systematic review

BackgroundProphylactic mastectomy is used to reduce the incidence of breast cancer in women with genetic predisposition and family history of breast cancer, and the rate of application is increased nowadays. Chronic pain, body image, and sexuality may negatively affect quality of life, while patients generally have increased quality of life and satisfaction after prophylactic mastectomy. The aim of this study is the evaluation of the results of the studies about quality of life of patients who underwent breast reconstruction after prophylactic mastectomy.MethodsFor the 1996–2016 literature, we searched the databases of Scopus, Science Direct, PubMed, EBSCO, Cochrane, Medline Complete, Ovid, Springer Link, Google Academic, Taylor & Francis, PsychINFO databases. For the gray literature, National Thesis Center and ULAKBIM databases were searched. Seven studies complying with the criteria were included in the review.ResultsSeven studies included in this study aimed to investigate the effect of prophylactic mastectomy on breast pain, numbness, sexuality and quality of life. When the studies were reviewed, we were found that the majority of the patients were satisfied with the results of the procedure, although the body image perception and pain/ movement/ perception and sexual problems were experienced after the breast surgery.ConclusionsWhile overall satisfaction with cosmetic results was high, most women were not satisfied with the softness of the reconstructed breasts, and had problems with breast hardness, numbness and sex. Therefore, it is very important to inform the patients about the complications that may develop after the operation, while there is not enough data about the importance of informing the patients before the operation.

Exposure to violence in breast cancer patients: systematic review

ResultsThe nine studies included were reviewed under two titles as descriptive and qualitative. Based on the results of six descriptive studies, it was determined that the majority of these studies focused on violence and abuse in childhood; depression is high among breast cancer patients exposed to violence; healing is unfavorably influenced among breast cancer patients exposed to spouse violence or abuse/violence in childhood; physical, emotional and functional welfare/comforts are restricted and quality of life is low during disease process; there is positive correlation between advanced-stage cancer and history of violence; they hesitate to ask the clinical staff for support. Although breast cancer women underreport the violence they have been exposed to, a study stated that 55% of women are exposed to violence after being diagnosed with breast cancer. Results of the three qualitative study revealed that violence is the field of “taboo” among breast cancer patients and they reconsider the “life”, “relationship-origin stress”, “social support” and “importance of breast for herself” over the disease process.ConclusionIn conclusion, it is underlined that giving care becomes difficult, maintenance of treatment fails, and quality of life is decreased in breast cancer patients exposed to violence.

Bariatrik Cerrahi Cinselliği Etkiler Mi? Sistematik Derleme

Obezite bozulmus vucut imaji, psikolojik bozukluklar ve hormonal bozukluklar gibi cesitli nedenlere bagli olarak cinsel yasami olumsuz olarak etkilemektedir. Bariatrik cerrahi obezite tedavisinde sikca kullanilmaktir. Kilo kaybina bagli fiziksel aktivitede artis ve hormonal degisiklikler gibi olumlu etkilerinin yanisira, bariatrik cerrahinin hizli kilo kaybina bagli gelisen cildin sarkmasi ve burusmasi gibi yanetkileri de bulunmaktadir. Bu calismanin amaci bariatrik cerrahinin cinsel fonksiyonl uzerindeki etkisini belirlemektir. 2004 ile 2015 yillari arasindaki literatur, Scopus, Science Direct, PubMed, Ebsco, Coochrane, Medline Complete, Ovid, Springer Link, Google Scholar, Taylor & Francis, PsychInfo veri tabanlari, ulusal tez merkezi ve Ulakbim veritabanlari taranarak gozden gecirildi; kriterlere uygun on calisma calismaya dahil edildi. Calismaya, bariatrik cerrahi uygulanan toplam 524 hasta (152 erkek) alindi. Tum calismalarda cinsel islevin duzeldigi gorulmustur. Ayrica her iki cinsiyette de kilo vermenin ureme hormonlari uzerinde olumlu etkileri oldugu gosterilmistir. Bariatrik cerrahi, kilo kaybi ve dolayisiyla cinsel fonksiyon ve ureme hormonlari uzerinde olumlu etkilere sahiptir.

KRONİK HASTALIKLARIN CERRAHİSİNDE BİLGİ GÜNCELLEME

Kanita dayali tip, saglik bakiminin etkinliginin ve kalitesinin gelistirilmesinde kullanilan en onemli araclardan birisidir. Son 10 yilda yapilan onemli calismalarin sonuclarina gore, preoperatif barsak hazirligi, nazogastrik tup kullanimi ve kademeli diyet gibi bircok geleneksel cerrahi bakim yaklasimlarinin gereksiz yere uygulandigi, hatta zararli bile oldugu kanitlanmistir. Bu makalede kronik hastaliklarin cerrahisinde perioperatif bakimda geleneksel uygulamalara gore arastirmalar sonucunda belirlenen guncel yaklasimlardan bazilari tartisilacaktir. Anahtar Kelimeler: Perioperatif yaklasimlar, cerrahi uygulamalar, cerrahi bakim