Remziye Nur Eke, Y. Albayrak, Seçil Kuru, Hatice Esen
{"title":"An examination of the effectiveness of digital applications for obese patients whose follow-up and treatment were disrupted due to the COVID-19 pandemic","authors":"Remziye Nur Eke, Y. Albayrak, Seçil Kuru, Hatice Esen","doi":"10.5505/amj.2022.96729","DOIUrl":"https://doi.org/10.5505/amj.2022.96729","url":null,"abstract":"Objectives: This study aimed to investigate the effectiveness of digital technologies in the follow-up and treatment of obesity patients during the COVID-19 pandemic. Materials and Methods: Prospective case-control study was carried out at the Obesity Centre of Antalya Training & Research Hospital. While 30 obese patients in the project group were followed and guided 7/24 for three months with smartphones/smart wristbands, 27 control patients were followed up with face-to-face meetings every two weeks as standard. Project group patients were evaluated in terms of calorie consumption, conditions regarding exercises, sleep and stress, and laboratory data in addition to anthropometric measurements at the beginning and end of the project, while control group patients were evaluated only in terms of anthropometric measurements. Results: Mean age of patients in the project group was 42.57 ± 7.57 years, and the control group was 54.63 ± 6.20 years. Of all the patients, 94.74% of them were female, while 5.26% were male. At the end of the project, the weight of the project group patients dropped from 92.25 kg to 89.70 kg, and their BMI from 35.60 kg/m2 to 34.80 kg/m2 (p<0.001). In addition, a statistically significant decrease was found in laboratory parameters such as HbA1c and triglyceride levels, as well as systolic and diastolic blood pressures. There was a minimal decline in weight and BMI of the control group, which was not statistically significant. Conclusion: Online and/or smartphone/smart wristband-based follow-up and guidance can be used as an effective method in the treatment of patients with obesity who do not tend to go to the hospital due to pandemics. measure through the widest part of the hips by the same assistant personnel. Fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), fasting insulin, insulin resistance, total cholesterol (total-C), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and triglyceride (TG) were analyzed in blood samples taken after 12 hours of fasting. FBG, total - C, triglyceride and HDL - C levels were evaluated using a spectrophotometric method using Beckman Coulter commercial kits in a Beckman Coulter AU5800 (Beckman Coulter Inc., CA, USA) autoanalyzer. HbA1c levels were measured by a commercially available high-performance liquid chromatography method (Tosoh HLC 723 G8; Tosoh Bioscience, Japan). The Homeostasis Model Assessment (HOMA- IR) formula [FBG (mg/dL) x fasting insulin (µU/mL) / 405] 14 was used in the estimation of insulin resistance, whereas the formula developed by Friedewald et al. was used to calculate the LDL-C level. 15 Prediabetes was diagnosed in accordance with TEMD recommendations in patients with FPG = 100 - 125 mg/dL and/or HbA1c = 5.7% - 6.4% who did not receive antidiabetic therapy. Based on the hospital laboratory classification, those with HOMA-IR > 2.5 were diagnosed with insulin resistance.","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84337277","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}
{"title":"Effects of active/passive smoking exposure in patients with COPD","authors":"Nurgül Bozkurt, A. Bozkurt","doi":"10.5505/amj.2022.79026","DOIUrl":"https://doi.org/10.5505/amj.2022.79026","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82183810","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}
{"title":"Normocalcemic Primary Hyperparathyroidism is not innocent as it sounds","authors":"Ş. Polat","doi":"10.5505/amj.2022.82231","DOIUrl":"https://doi.org/10.5505/amj.2022.82231","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77183424","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}
{"title":"The Relationship Between Children with Psychiatric Disorder and Personality Traits of Their Mothers","authors":"Dilşad Yıldız Miniksar","doi":"10.5505/amj.2022.76402","DOIUrl":"https://doi.org/10.5505/amj.2022.76402","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78013164","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}
{"title":"The Knowledge about Sexuality and Sexually Transmitted Diseases of Syrian Women and Men Immigrated to Hatay-Antakya: A Qualitative Study","authors":"Kadriye Şahin, Pınar Döner Güner","doi":"10.5505/amj.2022.71677","DOIUrl":"https://doi.org/10.5505/amj.2022.71677","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80395757","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}
R. Erten, Fatma Kaplan Efe, Büşragül Yılmaz, Mehmet Poyrazer, Atacan Aras, Ü. Üyetürk
{"title":"Evaluation of the General Demographic Characteristics of Colon Cancer Patients: Is There a Difference between Male and Female Patients?","authors":"R. Erten, Fatma Kaplan Efe, Büşragül Yılmaz, Mehmet Poyrazer, Atacan Aras, Ü. Üyetürk","doi":"10.5505/amj.2022.41103","DOIUrl":"https://doi.org/10.5505/amj.2022.41103","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88298928","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}
Z. Gamsızkan, Attila Onmez, İ. E. Şahin, G. Erdemir, Safa Ünal
{"title":"Can We Use the Triglyceride/HDL Ratio to Determine Insulin Resistance in Obesity Screening and Follow-Up in Primary Care?","authors":"Z. Gamsızkan, Attila Onmez, İ. E. Şahin, G. Erdemir, Safa Ünal","doi":"10.5505/amj.2022.38991","DOIUrl":"https://doi.org/10.5505/amj.2022.38991","url":null,"abstract":"Objectives: Obese patients are followed up with periodic laboratory tests. Insulin resistance is also a parameter used in these tests. There is a need for parameters that can determine insulin resistance more easily and practically. The aim of our study is to investigate the discriminative power of triglyceride (Tg) and triglyceride/high-density lipoprotein cholesterol ratio (Tg/HDL) for Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) in our patient population by examining the laboratory findings. Materials and Methods: In this retrospective study, the laboratory data of patients who applied to the Family Medicine Obesity Polyclinic of Düzce University Hospital between April 2018 and April 2019 with the desire to lose weight and/or have healthy lifestyle suggestions were examined. Results: Of the 512 patients included in our study, 66.40% (n=340) were female and 33.59% (n=172) were male. In the examination performed on patients grouped according to their Body Mass Index (BMI), Total cholesterol, HDL, Low-density lipoprotein (LDL), Tg, HOMA-IR, Insulin and Tg/HDL ratios were significantly different between the groups. The cut-off value in the ROC analysis of the Tg/HDL parameter between patients with and without insulin resistance was found to be 2.29 with 66% sensitivity and 55% specificity (AUC: 0.634, p<0.001). In Spearman's correlation analysis of Tg/HDL and HOMA-IR, both parameters were found to have a statistically significant correlation (r: 0.248; p< 0.000). Conclusion: The significant relationship between the high Tg/HDL ratio and HOMA-IR detected in the results of our study shows that the Tg/HDL ratio can be used as a practical tool to evaluate insulin resistance in obese patients.","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83256638","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}
Ş. Polat, L. Akdoğan, M. Keskin, G. Yüce, Berna Evranos Öğmen, O. Topaloğlu, B. Çakır
{"title":"Less Known and Neglected Renal Complication of Primary Hyperparathyroidism: Renal Cysts","authors":"Ş. Polat, L. Akdoğan, M. Keskin, G. Yüce, Berna Evranos Öğmen, O. Topaloğlu, B. Çakır","doi":"10.5505/amj.2022.89588","DOIUrl":"https://doi.org/10.5505/amj.2022.89588","url":null,"abstract":"","PeriodicalId":30639,"journal":{"name":"Ankara Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79349280","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}