Ankara Medical Journal最新文献_第10页

Evaluation of risk factors for cardiovascular diseases and prevalence of metabolic syndrome in overweight and obese adolescents 评估超重和肥胖青少年心血管疾病的危险因素和代谢综合征的患病率

Ankara Medical Journal Pub Date : 2021-01-01 DOI: 10.5505/AMJ.2021.57767

Yağmur Gökseven, Güzin Zeren Öztürk

{"title":"Evaluation of risk factors for cardiovascular diseases and prevalence of metabolic syndrome in overweight and obese adolescents","authors":"Yağmur Gökseven, Güzin Zeren Öztürk","doi":"10.5505/AMJ.2021.57767","DOIUrl":"https://doi.org/10.5505/AMJ.2021.57767","url":null,"abstract":"Objectives: It is reported that there are more than 340 million people who are either overweight or obese aged between 5-19. Obesity starting in childhood and adolescence leads up to metabolic syndrome, cardiovascular diseases and hastens the atherosclerotic process. The aim of our study is to evaluate risk factors for cardiovascular diseases and the prevalence of metabolic syndrome in overweight and obese adolescents. Materials and Methods: The study population comprised overweight and obese adolescents aged 11–18 years. After taking all anthropometric measurements and blood samples; cardiovascular risk according to the REGODCI scoring system and prevalence of metabolic syndrome according to the International Diabetes Federation were examined. Results: 150 overweight and obese adolescents were included. 115 (76.70%) subjects were determined as obese. MetS was seen in 22% (n=33); cardiometabolic risk (CMR) was seen in 46.60% (n=80) of the participants. A statistically significant difference between systolic blood pressure, TG/HDL, and BMI of participants diagnosed with MetS was detected (p = 0.040, p= 0.012, p < 0.001, respectively). A significant correlation was found between CMR and participants’ BMI, TG/HDL, waist-hip ratio (p = 0.001, p = 0.001, p= 0.034, respectively). According to the ROC analysis for MetS, the area under the curve was 0.826, the cutoff value was 2.59 with 72% sensitivity and 72% specificity; and for the CMR the area under the curve was 0.652, the cutoff value was 2.06 with 65% sensitivity and 63% specificity. Conclusion: Obesity is an independent risk factor for both MetS and CMR, and it should be treated immediately after diagnosis. TG/HDL ratio may use as a predictor factor for MetS (over 2.59) and for CMR (over 2.06) in overweight and obese adolescents.","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74140072","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

Outcomes of Posterior Spinal Fusion and Vertebral Body Tethering in Patients with Adolescent Idiopathic Scoliosis and Evaluation of Quality of Life 青少年特发性脊柱侧凸患者后路脊柱融合术和椎体系扎术的疗效及生活质量评价

Ankara Medical Journal Pub Date : 2021-01-01 DOI: 10.5505/amj.2021.30783

A. Yucekul, G. Ergene

{"title":"Outcomes of Posterior Spinal Fusion and Vertebral Body Tethering in Patients with Adolescent Idiopathic Scoliosis and Evaluation of Quality of Life","authors":"A. Yucekul, G. Ergene","doi":"10.5505/amj.2021.30783","DOIUrl":"https://doi.org/10.5505/amj.2021.30783","url":null,"abstract":"Objectives: Posterior instrumentation and fusion (PEF) is the standard surgical approach and vertebral body tethering (VBT) emerged as an alternative non-fusion technique in the treatment of idiopathic scoliosis. The aim of this study was to compare the correction and health-related life quality of the patients who have undergone PEF and VBT. Materials and Methods: Matched cohorts were obtained among patients whose curves ranged between 400700 who had >2 years follow-up. Patients with a lumbar curve included in surgery were excluded. Patients' demographic data, perioperative and follow-up radiographic measurements, and SRS-22 scores were compared. Results: 16 PEF and 18 VBT patients (30F, 4M) were included. The mean age and follow-up were 13.4 (10-17) years and 25.7 (24–32) months. Preoperative upper thoracic, main thoracic (MT), and thoracolumbar (TL) curves were similar among groups. The surgical correction percentage in the MT curve was greater in the PEF group (84%–53%, p<0.001), while the overall correction percentage at two years was similar (80–76%, p=0.616). There was an improvement in self-image and subtotal scores at two years in PEF and VBT groups (p<0.001–p=0.037 and p<0.001–p=0.016). In the PEF group, function scores at six months and two years (p=0.027), pain and sub-total scores at two years (p=0.020, p=0.036) were found to be lower compared to VBT. Conclusion: Following PEF and VBT surgeries, a similar improvement was observed in MT and TL curves. While similar improvement is achieved in SRS22 scores, this improvement is dynamically progressed in VBT. Whether SRS22 scores are better in the VBT group should be examined in larger patient series with longer follow-up.","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78105414","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

Knowledge Level of the Family Medicine Residents and Specialists about Asymptomatic Bacteriuria during Pregnancy 家庭医学住院医师及专科医师妊娠期无症状菌尿知识水平调查

Ankara Medical Journal Pub Date : 2021-01-01 DOI: 10.5505/AMJ.2021.27879

Murat Çevik, Izzet Goker Kucuk, Utku Eser, K. Öngel

引用次数: 0

Knowledge levels and attitudes of family physicians in city of Samsun about traditional and complementary medicine 三顺市家庭医生对传统和补充医学的知识水平和态度

Ankara Medical Journal Pub Date : 2021-01-01 DOI: 10.5505/amj.2021.56833

Merve Dağci, O. Öztürk

引用次数: 0

Family Medicine Through the Eyes of Final Year Medical Students; A University Example in South of Turkey 从医学生的视角看家庭医学土耳其南部大学的一个例子

Ankara Medical Journal Pub Date : 2021-01-01 DOI: 10.5505/amj.2021.27037

H. Akbayram, H. Keten, Salimatu Seidu