Browsing by Author "Araz, C."
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Item Dental Anxiety and Oral Health-Related Quality of Life in Children Following Dental Rehabilitation under General Anesthesia or Intravenous Sedation: A Prospective Cross-Sectional Study(2018) Guney, S. E.; Araz, C.; Tirali, R. E.; Cehreli, S. B.; 0000-0002-4927-6660; 0000-0001-6487-3984; 30297563; AAJ-4576-2021; AAD-2907-2020; AAD-6138-2021Purpose: The study aimed to investigate dental anxiety and oral health-related quality of life among children undergoing dental rehabilitation under general anesthesia (GA) and intravenous sedation (IVS). Materials and Methods: Participants were 99 healthy children aged 3-5 or 6-12 years operated under GA or IVS. Dental anxiety before treatment and 1 month postoperatively were measured using the Frankl behavior scale (FBS), the venham picture test (VPT), the early childhood oral health impact scale (ECOHIS), and the children's fear survey schedule-dental subscale (CFSS-DS). Data were analyzed using Student's t-test and Mann-Whitney U-test. Results: ECOHIS scores decreased in all groups. VPT scores increased in the 3-5-year-olds treated under GA (P = 0.003). Postoperative CFSS-DS anxiety scores were lower in IVS groups. FBS scores were significantly higher for both age groups (P < 0.001). There was no effect of numbers of extracted or treated teeth. Conclusions: Dental rehabilitation under GA and IVS improved the quality of life and dental behavior. In the 6-12-year-olds, there was no statistically significant difference between children undergoing dental operations under GA and those undergoing dental operations under IVS. Dental anxiety decreased in 3-5-year-olds after treatment under GA but not after IVS.Item The Evaluation of Hemodynamic Changes During the Reperfusion Phase in Adult Living Donor Liver Transplantations: The Role of Cardiovascular Problems(2015) Ayhan, A.; Araz, C.; Komurcu, O.; Kaplan, S.; Torgay, A.; Haberal, M.; 0000-0003-3299-6706; 0000-0002-4927-6660; 0000-0002-6829-3300; 0000-0002-3462-7632; 0000-0001-6762-895X; 26036553; AAJ-2057-2021; AAJ-2066-2021; AAJ-4576-2021; AAJ-5221-2021; AAJ-8097-2021; GLV-1652-2022Objective. This study sought to evaluate the hemodynamic changes of and to analyze the effects of coronary artery disease (CAD) as well as its risk factors on hemodynamic parameters during the reperfusion phase (RP) in adult living donor liver transplantation (ALDLT). Patients and Methods. This single-center retrospective study evaluated 154 adult patients being assessed from January 2001 to December 2013 for orthotopic liver transplantation (OLT). The patients were divided into separate groups according to the presence or absence of CAD and its risk factors, including diabetes, hypertension, dyslipidemia, smoking, sex, and age. The hemodynamic parameters were noted during the RP with respect to the patient files. The comparison of the groups and the effects of cardiovascular problems on hemodynamic parameters were statistically analyzed. Results. A decrease of more than 20% in systolic arterial pressure was seen in 16 (16.7%), 7 (43.8%), and 17 (40.5%) patients without CAD, with CAD, and with its high risk factors (>2), respectively (P < .05). Moreover, diastolic hypotension was seen in 59 (38.3%) patients during RP; of those, 10 (62.5%) had CAD and 19 (45.2%) had CAD high-risk factors. The decline in both systolic and diastolic arterial pressure was significantly correlated with the increased number of risk factors (P < .05). Conclusions. RP in ALDLT remains an issue not only for the surgeons but also for the anesthesiologists. Clinicians should be aware of CAD and its risk factors before OLT and successful management of such problems are mandatory for hemodynamic stability during this formidable process.