Person: GÖKDEMİR, YASEMİN
Loading...
Email Address
Birth Date
Research Projects
Organizational Units
Job Title
Last Name
GÖKDEMİR
First Name
YASEMİN
Name
35 results
Search Results
Now showing 1 - 10 of 35
Publication Metadata only Akciğer transplantlı kistik fibroz hastasında kardiyopulmoner egzersiz testi(2022-05-12) GÖKDEMİR, YASEMİN; ERDEM ERALP, ELA; KASIMAY ÇAKIR, ÖZGÜR; KAHRAMAN, MERVE MERİÇ; Kahraman M. M., Mermer K. S., Gökdemir Y., Erdem Eralp E., Kasımay Çakır Ö.Giriş: G2P1A0 anneden term doğan, ablası kistik fibrozdan(KF) 6 yaşında ex, 50 günlükkentanı alan hasta. Anne baba sağ sağlıklı. Mayıs 2019’da 14 yaşında Amerika’da bilateralakciğer transplantı olmuş. Ek hastalığı yok.Amaç: Hasta polikliniğimize kardiyopulmoner egzersiz testi için başvurdu.Yöntem: Hastaya koşu bandı ergometresinde modifiye Bruce protokolü ile kademeli artankardiyopulmoner egzersiz testi(KPET) uygulanmıştır. Otomatik bir tansiyon aleti ile kanbasıncı ölçülmüştür. Hastanın yüzüne yerleştirilen maske ve önündeki türbün aracılığıyla hersoluk havasında tüketilen oksijen, üretilen karbondioksit, ventile edilen hava miktarı, solunumsıklığı, solunum rezervi, ventilatuar eşik değeri, nabız oksijeni, kalp hızı, hız-basınç ürünügibi kardiyopulmoner sağlamlığı gösteren belirteçler değerlendirilmiştir. Hastanınantropometrik ölçümleri Tanita 418 cihazıyla alınmıştır.Bulgular: Hastanın ölçümlerinde boyu 165 cm(10.p), kilosu 69.5 kg(50-75.p), BMI:25.5(85-95 p) olarak kaydedilmiştir. Hastanın yağ yüzdesi %25.9, yağ kütlesi 18 kg, yağsız vücutkütlesi ise 51.5 kg olarak ölçülmüştür. Egzersiz testinde VO2pik 30 ml/kg/dk(%49) olarak hesaplanmıştır. Maksimum kalp hızı 148 vuru/dk’dır(%81). Dakikadaki ventilasyonu 89.3 lt,soluk sayısı 48/dk, RER değeri 1.22dir. VE/VO2 değeri 39.5. VE/VCO2 değeri ise 32.4 olaraktespit edilmiştir. Ventilatuar eşik sırasındaki tüketilen oksijen 17 ml/kg/dk (beklenenin%34’ü, ulaşılanın %57’si), kalp hızı 125 vuru/dk’dır(%68).Tartışma: KPET KF hastalarında diagnostik, prognostik ve fonksiyonel verileri göstermesiaçısından çok kıymetlidir. VO2maks, VE/VO2, VE/VCO2 değerleri özellikle 10 yıllık izlemdeölüm ya da transplanta gidişle ilişkilendirilmiştir. KF hastalarında yapılan çalışmada dahayüksek aerobik sağlamlığa sahip olanlar diğer risk faktörlerinin ayarlaması yapıldıktan sonradahi daha düşük aerobik sağlamlığa sahip olanlarla karşılaştırıldıklarında hayatta kalmaşansları 3 kata kadar fazla bulunmuş. 27 pediatrik KF hastasının katıldığı başka çalışmadaVO2pik 32 ml/kg/dk’dan düşük olan hastalar yüksek mortaliteyle ilişkilendirilirken, pik VO2değeri 45 ml/kg/dk olanlar artmış yaşam süresiyle ilişkilendirilmiştir. Pre ve post-transplantdöneminde KPET’in kullanımı için rehberler eksiktir. Özellikle post-transplant dönemindetestin zamanının optimizasyonu ve çıktılarının prognostik değerleri açısından daha çok veriyeihtiyaç vardır.Anahtar Sözcükler: Kardiyopulmoner Egzersiz Testi, Kistik Fibroz, VO2maksPublication Metadata only WS07.04Electronic home monitoring of children with cystic fibrosis to detectand treat acute pulmonary exacerbations and their effect on one yearFEV1 loss(2022-06-16) ERGENEKON, ALMALA PINAR; GÖKDEMİR, YASEMİN; ERDEM ERALP, ELA; CENK M., YILMAZ YEĞİT C., Guliyeva A., Kalyoncu M., SELÇUK M., Uzunoğlu B., Taştan G., ERGENEKON A. P., GÖKDEMİR Y., ERDEM ERALP E., et al.Publication Metadata only Bronchoscopic evaluation of unexplained recurrent and persistent pneumonia in children(WILEY-BLACKWELL, 2013) KARADAĞ, BÜLENT TANER; Gokdemir, Yasemin; Cakir, Erkan; Kut, Arif; Erdem, Ela; Karadag, Bulent; Ersu, Refika; Karakoc, Faziletd Background: Persistent or recurrent pneumonia in children can pose a significant challenge to paediatricians and respiratory physicians. Aim: The aim of this study is to determine the role of flexible bronchoscopy (FB) in evaluation of recurrent or persistent pneumonia that remain otherwise unexplained by non-invasive diagnostic tests in children. Methods: Retrospective evaluation of patients who underwent FB with an indication of recurrent or persistent pneumonia from 1997 to 2011. Results: Among 2600 FB procedures, 434 (17%) were performed with the indication of recurrent or persistent pneumonia. There were 237 (54%) boys. Median age at presentation was 84 months, and median duration of symptoms was 9 months. FB led to specific diagnosis in 33% of the cases. The most common diseases diagnosed by FB were malacia disorders (n: 32, 7%), aspirated foreign body (n: 30, 7%), endobronchial tuberculosis (n: 20, 5%), congenital airway anomalies (n: 14, 3%), mucus plugs (n: 14, 3%), pulmonary haemosiderosis (n: 12, 3%) and middle lobe syndrome (n: 11, 3%). During FB, only 6% of the patients had minor complications such as transient hypoxia, stridor and tachycardia. Conclusions: In our study, FB proved to be a safe and effective tool in evaluation of children with persistent or recurrent pneumonia. FB is indicated for children with recurrent or persistent pneumonia where the underlying diagnosis remains unclear even after non-invasive diagnostic tests.Publication Metadata only Evaluation of caregiver burden, somatization and sleep quality in mothers of children with cystic fibrosis(2022-12-08) KARAVUŞ, MELDA; GÖKDEMİR, YASEMİN; ERDEM ERALP, ELA; ERGENEKON, ALMALA PINAR; KARADAĞ, BÜLENT TANER; AYVAZ, İLKNUR; HIDIROĞLU, SEYHAN; Ayvaz İ., Karavuş M., Hıdıroğlu S., Atasoy A., Karagöz D. C. , Baştuğ R. E. , Ladikli Ş. B. , Gökdemir Y., Erdem Eralp E., Ergenekon A. P. , et al.Publication Metadata only Ev içi temaslı beş çocuk olguda çoklu ilaca dirençli tüberkülozun yönetimi(2022-03-17) ERDEM ERALP, ELA; GÖKDEMİR, YASEMİN; KEPENEKLİ KADAYİFCİ, EDA; Parlak B., Yılmaz D., Ergenç Z., Yılmaz S., Aslan S., Babalık A., Erdem Eralp E., Gökdemir Y., Kepenekli Kadayifci E.Publication Metadata only Predictors of eradication failure at first isolation of MRSA in cystic fibrosis patients(EUROPEAN RESPIRATORY SOC JOURNALS LTD, 2020) KARAHASAN, AYŞEGÜL; Mursaloglu, Huseyin Hakan; Akin, Can; Yilmaz, Cansu; Ergenekon, Pinar; Gokdemir, Yasemin; Eralp, Ela Erdem; Karakoc, Fazilet; Karahasan, Aysegul; Karadag, BulentPublication Metadata only The utility of risk assessment tools for acute pulmonary embolism in children(2022-09-01) ERGENEKON, ALMALA PINAR; YILMAZ YEĞİT, CANSU; SELÇUK, MERVE; TRUE, ÖMER; ERDEM ERALP, ELA; GÖKDEMİR, YASEMİN; KARADAĞ, BÜLENT TANER; ERGENEKON A. P. , YILMAZ YEĞİT C., Cenk M., Gulieva A., Kalyoncu M., SELÇUK M., DOĞRU Ö., ERDEM ERALP E., GÖKDEMİR Y., Karakoc F., et al.Background and Aim Pulmonary embolism (PE) is a potentially life-threatening disease in children. The objective of the study is to evaluate the utility of adult-based pulmonary embolism rule-out criteria (PERC), Pediatric PE Model, and D-dimer in the diagnosis of PE in children. Material and Methods The study consisted of patients under 18 years of age who were consulted to the Pediatric Pulmonology Clinic for the evaluation of PE. Patients were divided into two groups based on the confirmation of PE. The group with the presence of PE (n = 20) consisted of children who were diagnosed with PE. The group with the absence of PE (n = 28) consisted of children with clinically suspected PE but negative diagnostic imaging. Adult validated clinical decision PERC rule and Pediatric PE Model were retrospectively applied to the patients. Results In the study, PERC demonstrated a sensitivity of 60% and a specificity of 46% for the diagnosis of PE in children. When PE Model was evaluated for the children, it was found a 50% sensitivity and 75% specificity. Combining PE Model and PERC rule with D-dimer did not increase the specificity and sensitivity. Smoking was found to be relevant for PE in the childhood. Twenty-five percent of the patients had a genetic tendency for PE. All of the patients had an underlying disease as well. Conclusion None of the current risk assessment tools (PE Model, PERC, D-dimer) were found to be accurate in predicting PE. Further larger population studies are still required to develop a better diagnostic approach.Publication Metadata only Ki̇sti̇k fi̇brozi̇s tanili hastalarda odyoloji̇k bulgular(2022-03-10) ÇİPRUT, AYŞE AYÇA; YUMUŞAKHUYLU, ALİ CEMAL; GÖKDEMİR, YASEMİN; ERDEM ERALP, ELA; ÇİPRUT A. A., Öztürk N., Toktaş F., YUMUŞAKHUYLU A. C., YILMAZ YEĞİT C., ERGENEKON P., GÖKDEMİR Y., ERDEM ERALP E.Publication Metadata only Polisomnografi aracılığıyla tanı alan bir nöroblastom olgusu(2019-10-11) ERGENEKON, ALMALA PINAR; ERDEM ERALP, ELA; GÖKDEMİR, YASEMİN; EKER, NURŞAH; TOKUÇ, AYŞE GÜLNUR; KARADAĞ, BÜLENT TANER; YILMAZ YEĞİT C., ERGENEKON A. P., ERDEM ERALP E., GÖKDEMİR Y., EKER N., TOKUÇ A. G., KARADAĞ B. T.Publication Metadata only Health-related quality of life in patients with bronchiolitis obliterans(WILEY, 2020) KARADAĞ, BÜLENT TANER; Atag, Emine; Ikizoglu, Nilay Bas; Ergenekon, Pinar; Kalin, Sevinc; Unal, Fusun; Gokdemir, Yasemin; Eralp, Ela Erdem; Yalcin, Koray; Oktem, Sedat; Ersu, Refika; Karakoc, Fazilet; Karadag, BulentIntroduction Bronchiolitis obliterans (BO) is mainly caused by infections and hematopoietic stem cell transplantation (HSCT). This study aimed to investigate the health-related quality of life (HRQOL) of children with BO compared to the healthy children and also to assess the HRQOL according to the etiology. Methods Postinfectious (group 1) and post-HSCT BO (group 2) patients and healthy children were included in the study. HRQOL was assessed by the Short Form-36 (SF-36) and St George's Respiratory Questionnaire (SGRQ). Correlations between demographic and clinical characteristics, pulmonary function tests, high-resolution chest tomography scores, and HRQOL were assessed. Results Thirty-seven postinfectious and post-HSCT BO patients and 34 healthy children were included in the study. Mean age was 13.8 +/- 0.7 years. Mean forced vital capacity and forced expiratory volume(1)were 60.7 +/- 2.7% predicted, and 49.8 +/- 3.1% predicted, respectively. The SF-36 scores were lower in BO patients compared to healthy children (P < .01). Patients with better lung functions had higher SF-36 scores, but lower SGRQ. The number of inhaled therapies, acute exacerbations, hospitalizations were inversely correlated with SF-36. A positive correlation was found between these parameters and total SGRQ scores (r = .507,P = .02;r = .409,P = .12;r = .326,P = .049, respectively). SF-36 scores were better in group 1 for subscales of physical role functioning and social role functioning compared to group 2. (P = .01,P = .01, respectively). Conclusion The HRQOL of patients with BO measured by SF-36 was low compared to healthy children. SF-36 scores were more affected in post-HSCT BO patients. HRQOL of children with chronic lung disease should be taken into consideration in the management of these patients.