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Öğe AMATÖR BİSİKLETÇİLERDE BOYUN AĞRISINA NEDEN OLABİLECEK FAKTÖRLERİN DEĞERLENDİRİLMESİ: SORGULANMASI GEREKEN PARAMETRELER(2022) Altunan, Bengü; Ustaömer, Kübra; Sarıfakıoğlu, Banu; Deniz, ÇiğdemBisiklete binme tüm dünyada popüler hale gelmiş olan egzersizlerden biridir. Bu çalışmada profesyonel bir destek almayan amatör bisikletçilerde boyun ağrısı için risk faktörlerini değerlendirmeyi amaçladık. Bisiklet gruplarının internet üzerindeki sosyal ağlarında bireylerin demografik özelliklerini, bisiklet kullanım özelliklerini, bisiklete binme alışkanlıklarını, Bournemouth Boyun Anketini (BBA), dinlenme ve bisiklet kullanımı esnasındaki boyun ağrısı şiddetini sorgulayan yapılandırılmış bir anket paylaşıldı. Veriler toplandı ve analiz edildi. Yirmi yedi (%25,7) kişi kriterleri karşılamaması nedeni ile çalışma dışı bırakıldı. Yetmiş sekiz bisiklet kullanıcısının analiz sonuçlarında, haftada 10 saatten fazla bisiklet süren bireylerin ortalama BBA değerinin 1-5 ve 5-10 saat bisiklet süren bisikletçilere gore anlamlı derecede düşük olduğu gözlendi (p<0,001). Multivariate lojistik regresyon analizinde ise dağ bisikleti kullanımının (OR=0,147; p=0,033) ve 10-20 saat arasında (OR=0,022; p=0,005) bisiklet kullanım süresinin boyun ağrısı açısından en düşük riske sahip olduğu tespit edildi. Kişiye özel bisiklet ayarlamalarının (bike-fit) boyun ağrısına etkisinin olmadığı gözlemlendi (p=0,5). Çalışmamızın sonuçlarına gore amatör bisikletçilerde boyun ağrısını önlemek için haftalık kullanım süresinin 10-20 saat arasında tutularak düzensiz, az veya aşırı kullanımdan kaçınması ve boyun ağrısı olan bireylerin dağ bisikletine yönelmesi önerilebilir.Öğe Coexistence of external carotid artery embolus and internal carotid artery occlusion in acute ischemic stroke: An indicator of cardioembolic etiology?(Elsevier, 2022) Deniz, Çiğdem; Altunan, Bengü; Aykaç, Özlem; Özdemir, Atilla ÖzcanObjectives: This study aims to evaluate whether the presence of an external carotid artery embolism accompanying internal carotid artery occlusion may contribute to identifying the etiology of internal carotid artery occlusion in the early period. Mate-rial and methods: The presence of external carotid artery embolism was evaluated in 117 patients who were adjudicated for internal carotid artery occlusion based on digital subtraction angiography images. Results: Embolus in the external carotid artery was detected in 8 (6.8%) of the 117 patients with internal carotid artery occlu-sion (7 (87.5%) patients were found to have tandem and 1 (12.5%) patient had carotid T occlusion). In all of these patients, the thrombus was of embolic origin. Evaluation of the etiology revealed cardioembolic etiology in 4 patients and dissec-tion in 1 patient, and the cause could not be determined in the remaining 3 patients. Patients with external carotid artery embolism accompanying an internal carotid artery occlusion had significantly higher The National Institutes of Health Stroke Scale scores at admission and significantly lower recanalization success compared to those without external carotid artery embolism (p = 0.009, p = 0.01). In the com-parison of prognosis, poorer prognosis was observed in those with external carotid artery embolism, although without a statistically significant difference (p = 0.07). Conclusions: This study observed that the etiology was mostly embolic in patients with external carotid artery embolism accompanying an internal carotid artery occlusion, most of whom were found to have tandem embolic occlusion, and car-diac origin appeared to be the prominent etiology of stroke.Öğe Pethidine Induced Epileptic Seizure(Namık Kemal Üniversitesi, Tıp Fakültesi, 2016) Halaç, Gülistan; Tektürk, Pınar; Bilgen, Halide Rengin; Deniz, Çiğdem; Asıl, TalipIn this presentation we report a case of seizures following the administration of pethidine.Öğe Relationship of Carotid Artery Stenosis Ratio and Perioperative Stent Complications(2023) Deniz, Çiğdem; Güzel, Vildan; Halaç, Gülistan; Nasifov, Muharrem; Göktekın, Ömer; Asil, TalipIntroduction In this study, we aimed to evaluate the complications of carotid artery stenting in patients with extracranial carotid artery stenosis, retrospectively. Materials and Methods Complications such as stroke, death, restenosis in the rst 30 days and 1 year a er the CAS procedure, cerebral hyperperfusion and stent thrombosis/occlusion in the perioperative rst 24 hours and rst 30 days were evaluated. Results Of the 205 CAS procedures, complications developed in 12 patients. e complication rate for the rst 30 days a er the procedure was 4,87%, and at the end of the rst year, it was 5,85%. Of the 12 patients with complications, 8 had carotid stenosis of ?90%. Death occurred in 4 of 195 patients with carotid artery stenosis. e mortality rate within the rst 30 days and during the 1-year follow-up period was 1,53% and 2,05%, respectively. Ischemic stroke occurred in 6 of 195 patients with carotid artery stenosis. A er the rst 30 days and one year follow-up, ischemic stroke had occurred in 3,07% of patients. Stent thrombosis/occlusion rate was 4,87% in 205 CAS procedures, and 7 of them occurred in the perioperative rst 24 hours and another 3 occurred within the rst 30 days. Restenosis rates were 0,48% and 0,97% at 6 months and the rst year, respectively. Conclusion It has been observed that the incidence of complications in the CAS procedure is higher in symptomatic cases requiring emergency endovascular treatment or in cases with a carotid artery stenosis rate of 90% or more. In addition, the most common CAS complication in our study was found to be carotid artery stent thrombosis/occlusion.
