Yazar "Kurt, Hasan Anıl" seçeneğine göre listele
Listeleniyor 1 - 9 / 9
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe A rare complication of amplatz sheath: Amplatz sheath rupture during percutaneous nephrolithotomy(Mary Ann Liebert Inc., 2020) Kurt, Hasan Anıl; Demirci, EmrahIntroduction: Amplatz sheaths are hollow tubes that serve as the portal for the insertion of the nephroscope during percutaneous nephrolithotomy (PCNL). Breakage of this tube during the procedure is rare, but when it does occur it should be recognized and addressed promptly. Case Presentation: A 46-year-old Caucasian male patient was scheduled for PCNL. The Amplatz sheath was inserted in the usual manner over a balloon dilator and nephroscopy was performed. Profuse bleeding was encountered early. Upon meticulous endoscopic navigation, the broken Amplatz tube was recognized and replaced. This allowed us to identify and remove the fragment of the Amplatz tube, followed by stone fragmentation and removal. Conclusion: Our experience highlights the importance of recognizing this rare complication of a broken Amplatz sheath that should be managed promptly and effectively through endoscopic means without the need to abort the planned PCNL. © Mary Ann Liebert, Inc.Öğe Comparison of Conventional Wet Dressing and Vacuum Assisted Closure with Hypochlorous Acid Application in Fournier Gangrene Treatment(Harran Üniversitesi, 2022) Kurt, Hasan Anıl; Demirci, Emrah; Özkaya, Hüseyin UğurBackground: Bacterial toxins cause local tissue damage and necrosis. This can continue until a significant amount of tissue becomes necrotic. Neutralization of bacterial toxins improves results. Low concentrations of Hypochlorous Acid can be antimicrobial without causing cytotoxicity in normal cells in the wound and surrounding tissues. In this study, we aimed to compare the results of patients treated with hypochlorous acid (0.01% w/v) through Vacuum Assisted Closure and with traditional wet dressing after surgical debridement due to Fournier Gangrene in our clinic. Materials and Methods: 73 patients treated for Fournier Gangrene between 2009-2019 in our clinic were evaluated retrospectively. The patients were divided into two groups: those who received Hypochlorous Acid with Vacuum Assisted Closure (Group A, n = 30) and those who received traditional wet dressing (Group B, n = 42) after the first debridement. Hypochlorous Acid (0.01% w/v), known to destroy bacteria and bacterial toxins, was administered to 30 patients with Fournier Gangrene in saline with a pH of 4-5, 5-6 times a day. Using Vacuum Assisted Closure, 5-10 ml of 0.01% Hypochlorous Acid was applied to the wound and aspirated. For wet dressing application, the wound was closed by applying mupirocin calcium and rifamycin to an appropriate number of wet sponges suitable for the wound surface and depth after cleansing the wound with sponges moistened with isotonic 3 times a day. The collected data were compared. P values smaller than 0.05 were considered significant. Results: The hospitalization time and wound healing time of 30 patients who received Hypochlorous Acid with Vacuum Assisted Closure were shorter (p <0.05), and the number of patients requiring secondary debridement was also lower (p <0.05). Conclusion: Hypochlorous Acid application with Vacuum Assisted Closure is an effective, successful and important postoperative treatment and wound care method that provides shorter hospital stay and faster recovery time. Toxicity and immune dysfunction due to bacterial toxins and toxins released from damaged cells can be alleviated with 0.01 Hypochlorous Acid application via Vacuum Assisted Closure. We recommend this method, which is easy to apply and inexpensive in certain Fournier Gangrene casesÖğe Comparison of two different surgical techniques in the treatment of Fournier’s Gangrene(2022) Kurt, Hasan Anıl; Güven, Emre OnurFournier’s gangrene is a rapidly progressive, fatal, necrotizing fasciitis of the perineum and penoscrotal region which requires rapid intervention. This retrospective study compares the surgical outcomes of the fasciocutaneous flap and the embedding of the testicles into the thigh skin, applied for the reconstruction of penoscrotal defects after surgical debridement due to Fournier’s gangrene, in the light of the literature. A total of 110 patients treated for Fournier’s gangrene at Çanakkale Onsekiz Mart University, Faculty of Medicine, Department of Urology, Urology Clinic between 2009 and 2021 were evaluated retrospectively. Among these, 82 patients treated with fasciocutaneous flap and embedding of the testicles into the thigh skin for the reconstruction of penoscrotal defects were included in the study. For these two wound closure methods, the cases were compared in age, hospital stay after debridement, hospital stay after wound closure, size of the debrided area, and postoperative complication parameters. There was no significant difference between the two groups in terms of age, comorbidity (hypertension, diabetes mellitus, etc.), and hospital stay after debridement. However, the length of hospital stay after wound closure and the size of the debrided area were significantly higher in patients with fasciocutaneous flap compared to the method in which the testis was embedded in the thigh. The fasciocutaneous flap application, which we apply for defects larger than 50% of the scrotum or extending beyond the scrotum, is a method that can be preferred by experienced surgeons for wound closure after Fournier gangrene debridement, considering patient comfort, since it does not create tension and blood supply to the testis is more comfortable. However, it would be more appropriate for the clinician to make a profit-loss calculation due to both the length of the operation and its more complex nature and the prolongation of the hospital stay after wound closure.Öğe Deneysel olarak parsiyel unilateral üreteral obstrüksiyon oluşturulan ratlarda böbrekte asimetrik dimetil arjinin düzeyinin nitrik oksit düzeyine etkileri(Çanakkale Onsekiz Mart Üniversitesi, 2014) Kurt, Hasan Anıl; Alan, CabirAmaç Üreteral obstrüksiyona bağlı olarak gelişen retrograd glomerüler reflü sonucu nitrik oksit sentezinin bozulduğu ve buna bağlı olarak da böbrek fonksiyonlarının etkilendiği birçok deneysel çalışmada gösterilmiştir. Ayrıca nitrik oksit sentaz inhibitörü olan asimetrik dimetil arjininin retrograd glomerüler reflüye bağlı olarak arttığı ve nitric oksit sentezini bozduğu bilinmektedir. Amacımız tek taraflı akut üreteral obstrüksiyon modeli oluşturulan ratlardaki asimetrik dimetil arjinin ve nitrik oksit düzeyleri ölçülerek, bunların böbrek üzerindeki etkileri araştırmaktır. Materyal Metod Çalışmaya ağırlıkları 240-290 gr arasında değişen 21 adet adolesan dönemdeki (ortalama 6 haftalık) Spraque-Dawley tipi erkek sıçanlar alındı ve rastgele olarak 3 gruba ayrıldılar. Grup 1: Kontrol grubu (n=6): Herhangi bir işleme tabi tutulmadı. Grup 2: Sham grubu (n=6): Deney grubu ile aynı işlem yapılıp üreter ve psoas kas diseksiyonu uygulanmayan grup. Grup 3: Parsiyel unilateral üreteral obstrüksiyon oluşturulan grup (9 rat). Tüm ratlar 12 hafta sonra sakrifiye edildi. Böbrek dokusunda Superoksit Dismutaz enzim aktivitesi ile nitrit ve nitrat tuzlarının düzeyleri saptandı. Plazma nitrit-nitrat ve ADMA düzeyleri çalışıldı. Bulgular Deney grubu doku SOD ve kan ADMA düzeyleri kontrol ve sham grubuna göre belirgin yüksek (p<0,05), deney grubundaki doku NO ve plazma NO değerlerinin ise sham ve kontrol grubuna göre belirgin düşük olduğu görüldü (p<0,05). Sonuç Obstrüktif nefropati sonrası gelişen renal komplikasyonları önlemek için ADMA'yı azaltma yönündeki çalışmalar, yeni stratejilerden biri olabilir diye düşünüyoruz.Öğe Evaluating the Relationship Between Burnout Levels and Compassion Fatigue, Emotional Intelligence, and Communication Skills of Organ Transplant Coordinators(Elsevier, 2021) Alan, Handan; Bacaksiz, Feride Eskin; Harmancı Seren, Arzu Kader; Kurt, Hasan AnılAim. The aim was to determine the effects of compassion fatigue, emotional intelligence levels, and communication skills of organ transplant coordinators on burnout. Methods. This descriptive correlational study included 104 organ transplant co- ordinators. Data were collected via a survey that consisted of demographic information, the Copenhagen Burnout Inventory, the Emotional Intelligence Scale, and the Compassion Fatigue Scale. Findings. A positive relationship was reported between burnout (mean, 39.42 [SD, 19.54]) and compassion fatigue (mean, 2.26 [SD, 0.86]) measurements of the organ transplant coordinators (r ¼ 0.432) and a negative and significant relationship existed between burnout and emotional intelligence (mean, 3.53 [SD, 0.58]) measurements (r ¼ 0.372). However, no correlation was found between communication skills (mean, 4.27 [SD, 0.52]) and burnout (r ¼ 0.184; P > .05) except a negative correlation with client-related burnout measurements (r ¼ 0.222; P < .05). As a result of the 2-step regression analysis, the regression-squared value predicted the joint effect of compassion fatigue and emotional intelligence on burnout (R2 ¼ .285). Conclusions. Organ transplant coordinators reported moderate levels of burnout and compassion fatigue and high levels of emotional intelligence and communication skills. Compassion fatigue caused burnout, while emotional intelligence decreased. Additionally, transplant coordinators’ communication skills were related to client-related burnout.Öğe Stress tip idrar kaçırmanın cinsel işlevler, sosyal durum ve yaşam kalitesi üzerine etkisi(2009) Alan, Cabir; Koçoğlu, Hasan; Ersay, Ahmet Reşit; Alan, Handan; Ertung, Yunus; Kurt, Hasan AnılAmaç: İdrar kaçırma kişinin sosyal hayatını etkilediği kadar cinsel yaşamını da olumsuz yönde etkileyebilen hatta boşanmalara neden olan ciddi bir problemdir. Bu çalışmada kadın hastalarda stres tip idrar kaçırmanın psikososyal, seksüel ve yaşam kalitesi üzerine olan etkileri araştırılmıştır. Gereç ve yöntem: Haziran - Ağustos 2009 tarihleri arasında kliniğimize idrar kaçırma şikayeti ile başvuran cinsel yönden aktif 78 bayan hastaya Üriner İnkontinans Yaşam Kalitesi Ölçeği (I-QOL), Ürogenital Stres Araştırma Kısa Formu (UDI-6), İnkontinans Etkisi Sorgulama Kısa Formu (IIQ-7), ve Pelvik Organ Prolapsusu / Üriner inkontinans Cinsel işlev Sorgulama Formu (PISQ-12) karşılıklı görüşmeyle doldurulmuştur. Bulgular: Araştırmaya katılanların yaş ortalaması 55,87 ± 10,64 (24-65) idi. Olguların %70’i 51 yaş ve üzerindeydi. Olguların PISQ-12 ölçeğinden aldıkları toplam puan ortalaması 23,70±11,14 dür. I-QOL toplam puan ortalaması 73,87±18,84 idi. I-QOL alt gruplarından alınan puan ortalamaları olguların yaşıyla karşılaştırıldığında; 50 yaş üzeri katılımcıların davranışlarını sınırlama puanları (27,18±1,3) ve psikolojik etki puanları (30,68±1,98) idi. Bu değer 50 yaş ve altı bayanların puanlarına (26,64±1,91;26,91±3,10) göre daha yüksektir. Stres tip idrar kaçırmanın yaşam kalitesi ve cinsel işlevlerdeki olumsuz etkisinin ilerleyen yaş ile birlikte daha da arttığını saptadık. Sonuç: İdrar kaçırma ciddi bir sağlık sorunu olup kadınların yaşam kalitesinde ve cinsel yaşamında bozulmaya neden olmaktadır. Yaşamın hangi döneminde olursa olsun idrar kaçırma ciddi bir sağlık sorunu olarak ele alınmalı ve uygun, etkili yöntemlerle tedavi edilmelidirÖğe The Association Between Delayed Graft Function and Renal Resistive Index in Kidney Transplant Recipients(Cureus, Inc., 2021) Bakırdöğen, Serkan; Kurt, Hasan Anıl; Kamış, Fatih; Bek, Sibel; Erbayraktar, AyşegülBackground and objectives Delayed graft function (DGF) may increase the risk for kidney graft dysfunction. Renal resistive index (RRI) in Doppler ultrasonography is useful in measuring blood flow changes in kidneys which is indicative of tubulointerstitial damage. Most of the diseases in DGF etiology are related to tubulointerstitium and arteries of the kidneys. In this study, we investigated whether there is a relationship between delayed graft function and renal resistive index in kidney transplant recipients (KTR). Materials and methods Patients who underwent kidney transplantation were included in this retrospective study. KTR were divided into two groups as DGF (+) and DGF (-). Comparison of RRI values of DGF (+) and DGF (-) groups according to the measurements at different times. Results The findings showed that both RRI measurements (post-transplant in the first week and the end of the first year) of the DGF (+) group were higher than DGF (-) group (p=0.001 and p=0.003, respectively). The interaction of measurements and DGF did not have an effect on RRI (p>0.05). Conclusion The value of RRI in the DGF (-) group was lower than DGF (+) group in the first week after kidney transplantation.Öğe The relationship between premature ejaculation and the timing of pre-adult circumcision(Wiley, 2021) Ongün, Şakir; Esen, Emre Cem; Özer, Muhammed Selçuk; Hasırcı, Eray; Şah, Cem; Şahin, Bahadir; Duran, Mesut Berkan; Çınar, Önder; Cihan, Ahmet; Kazaz, Iİke Onur; Gül, Ümit; Deliktaş, Hasan; Kızılkan, Yalçın; Altunkol, Adem; Kurt, Hasan Anıl; Tosun, Çağatay; Bozkurt, Ozan; Turunç, Tahsin; Akkuş, EmreWe aimed to investigate the relationship between premature ejaculation and the age when men had been circumcised before adulthood. A total of 2,768 sexually active male patients aged between 18 and 65 years were included in this study. A multicentre study was conducted prospectively with the participation of 20 centres. A survey consisting of 12 questions prepared by the researchers, as well as the validated Turkish versions of the five-item Premature Ejaculation Diagnostic Tool, was administered to all participants. The study included 1,603 participants who met the inclusion criteria. There was no significant difference in the Premature Ejaculation Diagnostic Tool and self-reported ejaculation time between the participants who had been circumcised at different ages during childhood. Remembering circumcision experience with fear or anxiety did not increase the risk of sexual dysfunction compared to the participants who described their experience with happiness or with no particular emotion. There was no significant difference in Premature Ejaculation Diagnostic Tool scores or the self-reported ejaculation time of the participants circumcised at different ages. The age of childhood circumcision, having a fearful or anxious circumcision experience, does not affect the risk of premature ejaculation in adult life.Öğe Yaşlanma Cinsel Bilgi ve Tutum Ölçeği: Türkçe Geçerlik ve Güvenirlik Çalışması(Rabia YILMAZ, 2022) Kurt, Hasan Anıl; Yılmaz, Büşra; Alan, Handan; Alan, CabirAmaç: ASKAS'ın Türkçe versiyonunun yaşlılar, sağlık çalışanları ve yaşlıları etkileyen kişiler için geçerlilik ve güvenilirliğini test etmek için tasarlanmıştır. Gereç ve Yöntem: Bu çalışmada dil ve içerik geçerliliği, madde analizi, açımlayıcı ve doğrulayıcı faktör analizi ve iç tutarlılık katsayıları değerlendirilmiştir. Bulgular: Ölçeğin bilgi alt ölçeğinden iki maddenin çıkarılmasına karar verilmiş ve tutum alt ölçeğinin üç faktörlü yapısının kabul edilebilir uyum indeksleri aralığında olduğu görülmüştür. Sonuç: ASKAS'ın Türkçe versiyonunun geçerli, güvenilir ve pratikte uygulanabilir olduğu belirlendi
