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Permanent URI for this collectionhttps://hdl.handle.net/11443/932
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Item Management of endocrine surgical disorders during COVID-19 pandemic: expert opinion for non-surgical options(SPRINGER-VERLAG ITALIA SRL, 2022-01-01) Agcaoglu, Orhan; Sezer, Atakan; Makay, Ozer; Erdogan, Murat Faik; Bayram, Fahri; Guldiken, Sibel; Raffaelli, Marco; Sonmez, Yusuf Alper; Lee, Yong-Sang; Vamvakidis, Kyriakos; Mihai, Radu; Duh, Quan-Yang; Akinci, Baris; Alagol, Faruk; Almquist, Martin; Barczynski, Marcin; Bayraktaroglu, Taner; Berber, Eren; Bukey, Yusuf; Cakmak, Guldeniz Karadeniz; Canturk, Nuh Zafer; Canturk, Zeynep; Celik, Mehmet; Celik, Ozlem; Ceyhan, Banu Ozturk; Cherenko, Sergii; Clerici, Thomas; Coombes, David Scott; Demircan, Orhan; Deyneli, Oguzhan; Dionigi, Gianlorenzo; Emre, Ali Ugur; Erbil, Yesim; Filiz, Ali Ilker; Gozu, Hulya Iliksu; Gurdal, Sibel Ozkan; Gurleyik, Gunay; Haciyanli, Mehmet; Kebudi, Abut; Kim, Seokmo; Koutelidakis, Giannis; Kuru, Bekir; Mert, Meral; Oruk, Guzide Gonca; Ozbas, Serdar; Palazzo, Fausto; Pandev, Rumen; Riss, Phillip; Sabuncu, Tevfik; Sahin, Ibrahim; Sakman, Gurhan; Saygili, Fusun; Senyurek, Yasemin Giles; Sleptsov, Ilya; Van Slycke, Sam; Teksoz, Serkan; Terzioglu, Tarik; Tezelman, Serdar; Tunca, Fatih; Ugurlu, Mustafa Umit; Uludag, Mehmet; Villar-del-Moral, Jesus; Vriens, Menno; Yazici, DilekPurpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by restricting resources for non-COVID-19 patients. As the burden of the disease escalates, routine elective surgeries are being cancelled. The aim of this paper was to provide a guideline for management of endocrine surgical disorders during a pandemic. Methods We used Delphi method with a nine-scale Likert scale on two rounds of voting involving 64 experienced eminent surgeons and endocrinologists who had the necessary experience to provide insight on endocrine disorder management. All voting was done by email using a standard questionnaire. Results Overall, 37 recommendations were voted on. In two rounds, all recommendations reached an agreement and were either endorsed or rejected. Endorsed statements include dietary change in primary hyperparathyroidism, Cinacalcet treatment in secondary hyperparathyroidism, alpha-blocker administration for pheochromocytoma, methimazole +/- beta-blocker combination for Graves' disease, and follow-up for fine-needle aspiration results of thyroid nodules indicated as Bethesda 3-4 cytological results and papillary microcarcinoma. Conclusion This survey summarizes expert opinion for the management of endocrine surgical conditions during unprecedented times when access to surgical treatment is severely disrupted. The statements are not applicable in circumstances in which surgical treatment is possible.Item Evaluation of the Sexual Functioning of Individuals Living in Turkey During the COVID-19 Pandemic: An Internet-Based Nationwide Survey Study(ELSEVIER SCI LTD, 2021-01-01) Karsiyakali, Nejdet; Sahin, Yusuf; Ates, Huseyin Aytac; Okucu, Emrah; Karabay, EmreIntroduction: Although many countries in the world prioritize self-isolation measures during the corona virus disease 2019 (COVID-19) pandemic period, the effects of this process on sexual functioning are not yet known. Aim: To evaluate the effects of the COVID-19 pandemic on the sexual functioning of individuals who declared no medical history of the COVID-19 disease. Methods: A total of 1,356 participants filled out an Internet-based survey between June 1 and June 20, 2020. The data from these participants were analyzed to determine sexual functioning in terms of sexual intercourse frequency and sexual desire during theCOVID-19 pandemic. Subgroups analyses were also performed, wherein the subgroups were developed according to the population density of the cities in which the participants lived to examine whether population density has any effect on the sexual functions of the participants during the COVID-19 pandemic. Main Outcome Measure: The study outcomes were obtained using a study-specific questionnaire to assess the changes in people's sexual functioning. Results: The mean age of the participants was 33.16 +/- 8.31 years. There was a statistically significant difference between the participants according to the decrease in the number of weekly sexual intercourses when they were compared in terms of smoking status, alcohol consumption, marital and parental status, being a health-care worker, having a regular sexual partner, and the working status during the COVID-19 pandemic (P <.05, for each). In the subgroup analyses, it was observed that there was a statistically significant difference between the groups for change in the number of sexual intercourses, the number of masturbations, and sexual desire during the COVID-19 pandemic (P <.05, for each). Conclusion: A decline in sexual functioning was observed during the COVID-19 pandemic period. Living in a metropolitan area was associated with a decline in both sexual intercourse frequency and sexual desire during the COVID-19 pandemic. Copyright (C) 2020, The Authors. Published by Elsevier Inc.Item What Has Changed in Patients Aged 65 and over Diagnosed with Breast Cancer during the COVID-19 Pandemic: A Single-Center Experience(KARGER, 2022-01-01) Soyder, Aykut; Guldogan, Nilgun; Isiklar, Aysun; Aribal, Erkin; Basaran, GulIntroduction: The COVID-19 pandemic has a worldwide negative impact on healthcare systems. This study aims to determine how the diagnosis, clinicopathological features, and treatment approaches of patients with breast cancer (BC) diagnosed at >= 65 years old were affected during the pandemic. This survey has shown that patients, especially the elderly, had to postpone their BC health problems or delay their routine controls due to the risk of COVID-19 transmission, high mortality rates due to comorbidity, and restrictions. Materials and Methods: The medical records of 153 patients with BC diagnosed at >= 65 years old before (January-December 2019Item The Attitude of Turkish Physicians Toward COVID-19 Vaccination and the Effects of Vaccination on Their Mental Health(AVES, 2022-01-01) Sancak, Baris; Kilic, Cenk; Agirbas, Urun OzerBackground: The study aims to investigate the willingness of physicians for the coronavirus disease 2019 vaccination, factors contributing to their attitude, and the effects of vaccination on their mental health. It is conducted online with physicians between February 17 and March 17, 2021, corresponding to a period of at least 1 month after the first dosage. Methods: Sociodemographic and professional characteristics are investigated along with coronavirus disease 2019 experiences. The Fear of Coronavirus Disease 2019 Scale, Attitudes Toward the Coronavirus Disease 2019 Vaccine, The Hospital Anxiety and Depression Scale, and Beck Hopelessness Scale are given to evaluate the effects on mental health. Results: Among 578 participants, the total vaccination rate was 91.5\% and the main reason for non-vaccination is being already infected by coronavirus disease 2019. Vaccination affected mental health positively in more than half of the participants (59.2\% in the vaccinated group). Advanced age (odds ratio= 0.985, P < .05), positive attitude toward vaccination (odds ratio=0.918, P < .001), and high fear of coronavirus disease 2019 (odds ratio=0.937, P= .001) were among the predictors of being positively affected by the vaccination. Fear of coronavirus disease 2019 was positively correlated with hopelessness (r = .239, P < .001), depression (r = 0.387, P < .001), and anxiety (r = 0.531, P < .001). The negative thoughts about the vaccination were found to be correlated with hopelessness levels (r=-0.093, P < .05). Conclusions: Physicians have positive attitudes toward vaccination and vaccination has positive effects on their mental health. As vaccination is a key point during the fight against the coronavirus disease 2019 pandemic, studies on vaccination and its effects on mental health gained importance. The role of physicians in this regard is inevitable.