Journal of Turgut Ozal Medical Center最新文献_第2页

Complementary treatment options in carpal tunnel syndrome surgery; Prospective randomized controlled study 腕管综合征手术的辅助治疗方案前瞻性随机对照研究

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.03.042

Y. Ekinci, E. Ulusoy, A. Cirakli

{"title":"Complementary treatment options in carpal tunnel syndrome surgery; Prospective randomized controlled study","authors":"Y. Ekinci, E. Ulusoy, A. Cirakli","doi":"10.5455/jtomc.2018.03.042","DOIUrl":"https://doi.org/10.5455/jtomc.2018.03.042","url":null,"abstract":"Aim: In this study, we aimed to determine the efficacy of splinting and exercise modalities in addition to surgical treatment in advanced carpal tunnel syndrome (CTS) cases. Material and Method: Patients were divided into 3 different groups according to the order of application, and after surgical intervention their treatment was continued according to the group they were in. There were 51 hands in 50 female patients in group 1 (control group); 52 hands in 51 female patients in group 2 (exercise group); 52 hands in 50 patients in group 3 (wrist splint group). Patients were given a follow-up number by computer software under which the following data were recorded: age, body mass index (BMI), date of surgery, operated side, preoperative disorders, pre and postoperative EMG findings, surgical technique, pre and postoperative visual analogue scales (VAS), pre and post-operative Boston Carpal Tunnel Questionnaire (BCTQ) and post-operative complications. Kolmogorov-Smirnov test and Spearman’s rho correlation coefficient (r) were used for statistical analysis. Results: There was no statistical difference between the groups in terms of VAS and FSS change. However, there was a statistically significant difference in terms of BSSS change. In the exercise group (Group 2) it was found that the healing was better and faster than the other groups. Conclusion: We believe that early and effective postoperative exercise, which is to be applied in addition to surgical treatment in advanced CTS cases, leads to healing of the patient and, in parallel, early return to work.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85946464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating of the effects of Ramadan fasting on ankle proprioception performance 斋月禁食对踝关节本体感觉性能影响的评价

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.02.025

Mahmut Çay, D. Şenol, S. Cuglan, F. Çevirgen, D. Ozbağ

{"title":"Evaluating of the effects of Ramadan fasting on ankle proprioception performance","authors":"Mahmut Çay, D. Şenol, S. Cuglan, F. Çevirgen, D. Ozbağ","doi":"10.5455/jtomc.2018.02.025","DOIUrl":"https://doi.org/10.5455/jtomc.2018.02.025","url":null,"abstract":"Aim: Human body has an unmatched capacity to keep the correct posture against gravity. Balance is the most important factor for the stability of ankle joint. Ramadan is a special religious month of Muslim calendar (The Hegira calendar) which includes an integrated life style change in dietary habits, sleep pattern, daily life and social activities. The objective of this study was to examine the effect of fasting on ankle proprioception sense. Material and Methods: This study was attended by 30 of the first year students of the Faculty of Medicine of Inonu University. Ankle proprioception sense was measured at 10º dorsiflexion (DF), 11º plantarflexion (PF) and 25º PF angles in eyes open position (EOP) and eyes closed position (ECP) by using active reproduction test. Deviations from these angles were recorded as proprioception score. The measurements were made two weeks before Ramadan started and 2 weeks after Ramadan started when the students were fasting. Ankle proprioception measurement was conducted separately for right and left foot with digital inclinometer. Results: According to the results of Wilcoxon paired samples test, statistically significant difference was found between pre-fasting and fasting period in ECP 10º DF and 11º PF angles of the right foot and ECP 11º PF angle of the left foot (p<0.05). Conclusion: As a conclusion, we believe that fasting has an effect on proprioceptive sense, even though partly. Considering the difficulty of finding out the angles measured, associating the results with only fasting period is open to dispute.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81631259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Evaluation of frequency of irritable bowel syndrome in patients with chronic urticaria 慢性荨麻疹患者肠易激综合征发生频率的评价

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.02.026

M. Unal, A. Küçük, F. T. Akyürek, Z. İslamoğlu

{"title":"Evaluation of frequency of irritable bowel syndrome in patients with chronic urticaria","authors":"M. Unal, A. Küçük, F. T. Akyürek, Z. İslamoğlu","doi":"10.5455/JTOMC.2018.02.026","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.02.026","url":null,"abstract":"Aim: Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. Urticaria is a disease with papules and plaques accompanied by pruritus and edema. In this study, the relationship between these two diseases, which have many common features, was evaluated. Material and Methods: Patients with urticaria and volunteers who did not have any dermatologic disease were included in the study. Participants were assessed for diagnosis of IBS according to Rome III diagnostic criteria. In addition, findings supporting IBS diagnosis, and fecal shape and consistency were evaluated. Results: Fifty urticaria patients (18 males - 36% and 32 females - 64%) and 70 volunteers (38 males - 54.3% and 32 females - 45.7%) were evaluated. The mean age of the urticaria group was 34.8 ± 15.0; the mean age of the control group was 25.8 ± 10.9. IBS was detected in 34 (68%) patients in the urticaria group; and in 22 (31.4%) controls (p <0.001). Diagnosis-supporting findings were more frequently detected in the group of urticaria (p values respectively: 0.037; < 0.001; 0.036; 0.050). It was observed that the higher the serum IgE level, the higher the incidence of IBS in chronic urticaria patients ( p: 0.02; eta: 0.206). Conclusion: IBS was observed more frequently in urticaria patients. Diagnosis-supporting findings for IBS were found more frequently in urticaria patients. Serum IgE values also seem to be associated with IBS. These results indicate an association between chronic urticaria and IBS. For this reason, the presence of IBS in patients with chronic urticaria diagnosis should be questioned.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84105733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Assessment of bioelectrical impedance analysis for determining dry weight in pediatric hemodialysis patients; single center experience 生物电阻抗分析法测定儿童血液透析患者干体重的评价单中心体验

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.01.08

H. Nalcacioglu, O. Ozkaya

{"title":"Assessment of bioelectrical impedance analysis for determining dry weight in pediatric hemodialysis patients; single center experience","authors":"H. Nalcacioglu, O. Ozkaya","doi":"10.5455/JTOMC.2018.01.08","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.01.08","url":null,"abstract":"Aim: Maintaining euvolemia is an important purpose in patients on hemodialysis therapy. Multiple-frequency bioimpedance spectroscopy (BIS) appears to be a useful and appropriate technique for assessing hydration status and body composition in hemodialysis patients.The aims of this study were to determine the pre and post hemodialysis hydration status of the pediatric hemodialysis patients by BIS and compare the dry weight determined by BIS to established by clinically. Material and Methods: Body Composition Monitor (BCM; Fresenius Medical Care, Germany) was performed in 13 pediatric hemodialysis patients in a single center. Patients were measured at the midweek session, once immediately before and once 30 minutes after dialysis. Pre-and post-HD weights, blood pressures, were collected on the day of the BCM measurements. Results: Seven (53.8%) of the 13 patients were male and 6 (46.2%) were female. The mean age ranged from 11.92 ± 3.13 (5.7-16) years and duration time ranged from 7 to 54 months, and the median duration of dialysis was 11 months. Dry weights which was determined clinically were higher than those calculated by BCM. A significant difference was found between mean values (34,71 ± 12,68 versus 33,71 ± 12,16 kg, Δ: 1 ± 1,51, p = 0.035). There was a high positive correlation between dry weights measured by BCM and dry weight established by nephrologists (r = 0.993, p <0.001). Conclusion: In assessing dry weight, BCM appears to be a quick and easy-to-use tool that can assist the clinician in hemodialysis treatment and optimizing patient outcomes.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88311335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Results of scleral fixated intraocular lens implantation 巩膜固定人工晶状体植入术的结果

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2017.12.154

E. Ozsoy, B. Duman, Abuzer Gunduz, T. Cumurcu

{"title":"Results of scleral fixated intraocular lens implantation","authors":"E. Ozsoy, B. Duman, Abuzer Gunduz, T. Cumurcu","doi":"10.5455/jtomc.2017.12.154","DOIUrl":"https://doi.org/10.5455/jtomc.2017.12.154","url":null,"abstract":"Aim: To evaluate the results of scleral fixated intraocular lenses (SFIOLs) implantation in eyes that had lost capsular support. Material and methods: Eyes of twenty patients who had lost their capsular support due to various causes included in this study. This study involved 5 females and 15 males. Eight eyes were included following complicated cataract surgeries, five eyes were patients in trauma, three eyes were with subluxated intraocular lens, three aphakic eyes which underwent congenital cataract surgeries and one eye that had beginning of bullous keratopathy due to anterior chamber lens were operated. The secondary SFIOLs implantation were performed in all eyes. Preoperative and postoperative best corrected visual acuities were compared. Results: The mean age of patients was 61.4Â±15.04 years. The mean follow-up time was 3.12Â±0.7 months. The best corrected mean preoperative and postoperative visual acuities of patients were found as 0.16Â±0.02 and 0.38Â±0.07; respectively, using the Snellen chart. In our study; in two patients corneal edema, in one patient pupillary irregularity and in one patient increased intraocular pressure were observed. There was a statistically significant difference between the mean preoperative and postoperative visual acuities of patients according to the Wilcoxon test (p=0.01). Conclusion: SFIOLs implantation have still maintained its importance for correction of aphakia in patients without adequate capsular support despite all new developments.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88196730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

N-terminal pro-brain natriuretic peptide predicts instent restenosis in patients with stable coronary artery disease 脑钠肽前体n端预测稳定型冠状动脉疾病患者即刻再狭窄

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.01.07

A. Bayramoğlu

{"title":"N-terminal pro-brain natriuretic peptide predicts instent restenosis in patients with stable coronary artery disease","authors":"A. Bayramoğlu","doi":"10.5455/JTOMC.2018.01.07","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.01.07","url":null,"abstract":"Aim: Instent restenosis is associated with a poor outcomes in coronary artery disease patients. There are many factors and mechanisms that contribute to the development of IRS. Some of clinical trials have been shown that N-Terminal Â–pro Brain Nnatriuretic Peptide has an important prognostic value in coronary artery disease. we aimed to evaluate the relationship between stent restenosis and N-TerminalÂ–pro Brain Nnatriuretic Peptide in patients of stable coronary artery disease undergo percutaneous coronary intervention. Material and Methods: 411 patients with stent implantation due to stable coronary artery disease were evaluated and eighty patients underwent re-coronary angiography because of recurrent angina. NT-proBNP measured before coronary intervention. The patients were divided into two groups of instent restenosis developed and undeveloped. Results: In the multivariate regression analysis; Age (OR = 1.067; 95% CI 1.002-1136, P = 0.042) and NT-proBNP (OR = 1.023, 95% CI 1.008-1.038.p = 0.002). ) have been shown that they were independent predictors of IRS. The optimal threshold NT-pro BNP value for predicting IRS was >111, with a 56.5% sensitivity and 92% specificity (area under the curve [AUC]: 0.749, 95% CI: 0.639-0.840, P","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86933793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of tinnitus masking therapy in tinnitus patients with and without hearing loss 耳鸣掩蔽治疗对伴有和不伴有听力损失的耳鸣患者的影响

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.03.041

E. Saraç, C. Arli

引用次数: 2

The effects of total parenteral nutrition on telomerase expression and in rabbit 全肠外营养对兔端粒酶表达的影响

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/jtomc.2018.01.021

Kubilay Gürünlüoğlu, Ercan Bayrakçı, A. Koçbıyık, H. Gokce, C. Taskapan, A. Taşçı, Z. Aksungur, A. Arslan, M. Demircan

{"title":"The effects of total parenteral nutrition on telomerase expression and in rabbit","authors":"Kubilay Gürünlüoğlu, Ercan Bayrakçı, A. Koçbıyık, H. Gokce, C. Taskapan, A. Taşçı, Z. Aksungur, A. Arslan, M. Demircan","doi":"10.5455/jtomc.2018.01.021","DOIUrl":"https://doi.org/10.5455/jtomc.2018.01.021","url":null,"abstract":"Aim: Total parenteral nutrition (TPN) is a technique which is use to give vitally mandatory substances in to the venous compartments whenever the gastrointestinal system cannot be used by the patients. Telomerase catalyzes DNA synthesis, which is necessary to maintain telomere length and stabilize the genome to allow continued cell proliferation. In this study, we explored the effects of TPN administration on telomerase reverse transcriptase (TERT) expression in various tissue and serum telomerase level. Material and Methods: In this study a number of 42 same-aged albino, equal number of male and female, new zealand rabbits were use, divided in to three groups. Group 1 rabbits received TPN for 10 days via a central venous catheter. Group 2 received 50 mL/ kg/day physiological saline via a central venous catheter. Group 3 served as the control group. The rabbits were sacrificed after 10 days, and serum telomerase levels were measured by enzyme-linked immunosorbent assay. TERT expression in gonadal, liver, jejunum, and skin tissues were determined immunohistochemically. Blood samples were obtained before and after TPN and saline administration in the TPN and serum saline groups, respectively, and at the end of the experiment in the control group. Results: Telomerase expression in liver, gonads and serum level of TPN group was significantly higher than control and serum saline groups. Conclusion: TPN may be a positive effect in liver and gonadal telomer kinetic. However, we think that TPN increases DNA damage throughout the body.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84149748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infectious dermatological diseases findings of the wrestlers according to regions 各地区摔跤手传染性皮肤病的调查结果

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2017.12.149

Omer Kaynar

{"title":"Infectious dermatological diseases findings of the wrestlers according to regions","authors":"Omer Kaynar","doi":"10.5455/JTOMC.2017.12.149","DOIUrl":"https://doi.org/10.5455/JTOMC.2017.12.149","url":null,"abstract":"Aim: Dermatologic diseases are commonly found in people engaged in contact sports. Particularly wrestlers can easily contract skin infections. The aim of this study is to reveal the incidence of infectious skin diseases engaged in wrestling athletes living in different climate regions. Material and Methods: Three hundred nineteen volunteer who actively wrestle in different climate regions of Turkey participated to the research. All of the athletes were asked the questions in the survey of Â“Personal History and Dermatological Examination Findings of AthleteÂ”. The findings and diagnoses of each wrestler were then recorded and evaluated. Results: Dermatological diseases were observed in 195 (61.12%) Turkish wrestlers, 84 (26.33%) in the eastern region, 43 (13.47%) in the inland region and 68 (21.32%) in the coastal region. These diseases were 118 (36.99%) fungal, 49 (15.36) bacterial and 28 (8.77%) viral, respectively. It was found that infectious dermatological diseases were observed more frequently in the eastern and coastal regions than inland region and this difference was statistically significant. (P = 0.045). Conclusion: In this study which is the first study conducted on this issue in sports literature, various infectious dermatological diseases were detected in wrestlers living in different climate regions in Turkey and it was determined that these diseases differ by climate regions.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82049233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Hypertension in patients with sleep disordered breathing: cause or result? a cross-sectional analysis 高血压患者睡眠呼吸障碍:原因还是结果?横断面分析

Journal of Turgut Ozal Medical Center Pub Date : 2018-01-01 DOI: 10.5455/JTOMC.2018.03.044

M. Kayabekir, Ö. Topaloğlu

{"title":"Hypertension in patients with sleep disordered breathing: cause or result? a cross-sectional analysis","authors":"M. Kayabekir, Ö. Topaloğlu","doi":"10.5455/JTOMC.2018.03.044","DOIUrl":"https://doi.org/10.5455/JTOMC.2018.03.044","url":null,"abstract":"Aim: Sleep disordered breathing and its most frequent presentations, cardiovascular complications of OSAS, are important, frequent and not well known causes of mortality and morbidity. When considering physiological hemodynamic processes during sleep, togetherness of HT and OSAS become an important clinical picture. To investigate the frequency of hypertension in ‘Obstructive Sleep Apnea Syndrome’ (OSAS) patients applied to sleep laboratory. Study Design: Retrospective clinical study. Material and Methods: The test protocol consisted of the PSG recording and diagnosis. Sleep stages and respiratory events observed during sleep were evaluated according to “American Academy of Sleep Medicine” (AASM). The blood pressure measured manually by a sphygmomanometer and the measurements occur 3 times on the left arm. Data analysis was performed using IBM SPSS 23.0 statistical software package. Data were analyzed using descriptive statistical methods (frequency, percentage, mean, standard deviation, median, min-max). Results: Blood pressure measurements of 336 patients were evaluated. 98 (48 male, 50 female) of 336 OSAS patients were diagnosed as hypertension (29%). Hypertensive male patients had 3.3 times increased risk to be diagnosed as severe OSAS than female patients (OR=3,30; 95% CI=1,436-7,585). Together with this, hypertension frequency was found as 29% in patients with sleep disordered breathing. Conclusion: Finally; although hypertension and OSAS seem to be distinct clinical pictures, co-existence of these two disorders has been increased. Frequency of hypertension increases with increasing severity of OSAS. Hypertensive patients have increased risk for developing OSAS.","PeriodicalId":17427,"journal":{"name":"Journal of Turgut Ozal Medical Center","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76153253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0