Background: Anaphylaxis is a sudden onset condition that may progress with severe systemic symptoms and may be accompanied by life-threatening respiratory failure and cardiovascular shock. Exposure to a traumatic event may cause patients and their parents to fear reliving the same event, so they try to avoid risk factors. It was aimed to determine the anxiety and stress levels in adult patients and in parents of adolescent patients diagnosed with anaphylaxis and to compare them with healthy controls. Materials and Methods: A questionnaire-type study was conducted. Control group (group 1), adult pa-tients diagnosed with anaphylaxis (group 2), and parents (a mother or father) of adolescent diagnosed with anaphylaxis (group 3) were included in the study. The anxiety levels of participants were evaluated by State-Trait Anxiety Inventory (STAI).Results: A total of 163 participants were included in the study. Seventy-one participants were in the con-trol group, forty-four were in group 2, thirty-eight were in group 3. STAI-T and STAI-S scores of groups 2 and 3 were significantly higher than controls. No difference was found between groups 2 and 3 for STAI-T scores (p=0.8) and STAI-S scores (p=0.74). Conclusions: Adult patients diagnosed with anaphylaxis and parents of adolescents are more anxious than the normal healthy population. Anxiety and anaphylactic conditions are often comorbid. Psychosocial assessment should be the first step in adult patients with anaphylaxis and their parents. Physicians should prevent the harm that anxiety may cause. For this purpose, education programs, screening programs, support trainings with patient participation should be organized.
{"title":"Evaluation Anxiety Levels of Adult Patients and Parents of Adolescent Patients With Anaphylaxis","authors":"E. Emre, A. Kan","doi":"10.35440/hutfd.1122524","DOIUrl":"https://doi.org/10.35440/hutfd.1122524","url":null,"abstract":"Background: Anaphylaxis is a sudden onset condition that may progress with severe systemic symptoms and may be accompanied by life-threatening respiratory failure and cardiovascular shock. Exposure to a traumatic event may cause patients and their parents to fear reliving the same event, so they try to avoid risk factors. It was aimed to determine the anxiety and stress levels in adult patients and in parents of adolescent patients diagnosed with anaphylaxis and to compare them with healthy controls. Materials and Methods: A questionnaire-type study was conducted. Control group (group 1), adult pa-tients diagnosed with anaphylaxis (group 2), and parents (a mother or father) of adolescent diagnosed with anaphylaxis (group 3) were included in the study. The anxiety levels of participants were evaluated by State-Trait Anxiety Inventory (STAI).Results: A total of 163 participants were included in the study. Seventy-one participants were in the con-trol group, forty-four were in group 2, thirty-eight were in group 3. STAI-T and STAI-S scores of groups 2 and 3 were significantly higher than controls. No difference was found between groups 2 and 3 for STAI-T scores (p=0.8) and STAI-S scores (p=0.74). Conclusions: Adult patients diagnosed with anaphylaxis and parents of adolescents are more anxious than the normal healthy population. Anxiety and anaphylactic conditions are often comorbid. Psychosocial assessment should be the first step in adult patients with anaphylaxis and their parents. Physicians should prevent the harm that anxiety may cause. For this purpose, education programs, screening programs, support trainings with patient participation should be organized.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128742662","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}
Amaç: Pandeminin farklı dönemlerinde 3. basamak bir hastaneye başvuran 65 yaş üstü neovasküler glokomlu olguların sayısında, GİB’ ı ve görme düzeylerindeki değişikliği incelemeyi amaçlamaktadır. Materyal ve metod: Hastalar karantina öncesi (21 mart 2019 -10 haziran 2019), karantina dönemi (21 mart 2020 -10 haziran 2020), karantina sonrası (21 mart 2021 -10 haziran 2021) 65 yaş üstü neovasküler glokom tanılı hastalar olmak üzere 3 gruba ayrıldı. Yaş, cinsiyet, dahil olan göz(ler), etiyoloji, göz içi basıncı (GİB), en iyi düzeltilmiş görme keskinliği (EİDGK), uygulanan tedaviler karşılaştırıldı. Bulgular: Karantina öncesi gruba göre karantina grubunda % 51.02, karantina sonrası grubunda % 14.29 oranında hasta sayısında azalma tespit ettik. Karantina döneminde uygulanan tedavi sayısı, karantina öncesi döneme göre % 51.85 azaldı (p=0.002). Karantina ve karantina sonrası dönem, karantina öncesi ile karşılaştırıldığında ortalama EİDGK seviyelerinde istatiksel anlamlı fark saptanmadı (p=0.078). Ancak ortalama GİB değerlerinde anlamlı fark tespit edildi (p<0.001) Sonuç: 65 yaş üstü neovasküler glokomlu hastaların karantina sürecinde ve sonrasında hastaneye başvurularında azalma tespit edildi. Karantina sürecinden sonra tedavinin gecikmesine bağlı olarak görme düzeylerinde azalma, GİB seviyelerinde yükselme mevcut idi. İlerleyen dönemlerde kaçınılmaz olarak neovasküler glokomlu hasta ve cerrahi sayısında artış görülecektir.
{"title":"Changes in the Prevalence of Neovascular Glaucoma in Individuals Over Sixty-Five Years of Age During the Covid-19 Pandemic","authors":"M. Toptan","doi":"10.35440/hutfd.1209137","DOIUrl":"https://doi.org/10.35440/hutfd.1209137","url":null,"abstract":"Amaç: Pandeminin farklı dönemlerinde 3. basamak bir hastaneye başvuran 65 yaş üstü neovasküler glokomlu olguların sayısında, GİB’ ı ve görme düzeylerindeki değişikliği incelemeyi amaçlamaktadır.\u0000Materyal ve metod: Hastalar karantina öncesi (21 mart 2019 -10 haziran 2019), karantina dönemi (21 mart 2020 -10 haziran 2020), karantina sonrası (21 mart 2021 -10 haziran 2021) 65 yaş üstü neovasküler glokom tanılı hastalar olmak üzere 3 gruba ayrıldı. Yaş, cinsiyet, dahil olan göz(ler), etiyoloji, göz içi basıncı (GİB), en iyi düzeltilmiş görme keskinliği (EİDGK), uygulanan tedaviler karşılaştırıldı.\u0000Bulgular: Karantina öncesi gruba göre karantina grubunda % 51.02, karantina sonrası grubunda % 14.29 oranında hasta sayısında azalma tespit ettik. Karantina döneminde uygulanan tedavi sayısı, karantina öncesi döneme göre % 51.85 azaldı (p=0.002). Karantina ve karantina sonrası dönem, karantina öncesi ile karşılaştırıldığında ortalama EİDGK seviyelerinde istatiksel anlamlı fark saptanmadı (p=0.078). Ancak ortalama GİB değerlerinde anlamlı fark tespit edildi (p<0.001) \u0000Sonuç: 65 yaş üstü neovasküler glokomlu hastaların karantina sürecinde ve sonrasında hastaneye başvurularında azalma tespit edildi. Karantina sürecinden sonra tedavinin gecikmesine bağlı olarak görme düzeylerinde azalma, GİB seviyelerinde yükselme mevcut idi. İlerleyen dönemlerde kaçınılmaz olarak neovasküler glokomlu hasta ve cerrahi sayısında artış görülecektir.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125469058","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}
Background: Aim of the study determine the duration of mobile phone use on handgrip strength and thumb flexion muscle strength. Materials and method: The measurements were taken from hand dynamometer for handgrip strength and manual muscle tester for thumb flexion muscle strength. The means of the right and left handgrip strength, thumb flexion muscle strength were measured. Results: There was a statistically significant difference in height and weight measurements between genders (p<0.05). We found as using of mobile phone increased, hand strength increased. However, the highest value of thumb muscle strength on the right and left sides was observed to be over 8 hours. There was a high relation between gender and muscle strength measurements (p<0.05; r=0.700). Conclusion: This study revealed that the duration of mobile phone use has an effect on grip and thumb flexion muscle strength.
{"title":"The Effect of Mobile Phone on Hand Pain and Muscle Strength","authors":"Ayşe Gül Kabakci, Sema ÖZANDAÇ POLAT, Emir İbrahim Işık, Gamze TAŞKIN ŞENOL","doi":"10.35440/hutfd.1187345","DOIUrl":"https://doi.org/10.35440/hutfd.1187345","url":null,"abstract":"Background: Aim of the study determine the duration of mobile phone use on handgrip strength and thumb flexion muscle strength.\u0000Materials and method: The measurements were taken from hand dynamometer for handgrip strength and manual muscle tester for thumb flexion muscle strength. The means of the right and left handgrip strength, thumb flexion muscle strength were measured. \u0000Results: There was a statistically significant difference in height and weight measurements between genders (p<0.05). We found as using of mobile phone increased, hand strength increased. However, the highest value of thumb muscle strength on the right and left sides was observed to be over 8 hours. There was a high relation between gender and muscle strength measurements (p<0.05; r=0.700). \u0000Conclusion: This study revealed that the duration of mobile phone use has an effect on grip and thumb flexion muscle strength.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122255807","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}
Background: The scapula plays a unique role in shoulder movement and stability. The dimensions of the scapula and its geometry, however, are of essential importance in the pathomechanics of rotator cuff syndrome, total shoulder arthroplasty, and recurrent shoulder dislocation. The aim of this study is to determine the scapula morphology and to investigate with the relationship between rotator cuff syndrome. Materials and Methods: This study was a retrospective, observational study, and a total of 232 radiographs, 125 of which were male and 107 were female, were analyzed. The patients were divided into two groups as follows: Patients with rotator cuff syndrome (116 patients) and patients with no history of shoulder problems (116 patients). 9 different parameters were measured: The maximum scapular length, the maximum scapular width, the scapular index, the maximum glenoid cavity length, the maximum glenoid cavity width, the glenoid cavity index, the length of acromion, the distances between the acromion and coracoid process and length of the spina scapula. Results: The maximum scapular length, the maximum glenoid cavity length (p=0.009) and the length of spina scapula (p=0.041) were significantly different between the rotator cuff and control groups in evaluating parameters. All parameters were significantly different between male and female patients (p<0.05). Conclusion: A detailed knowledge of scapular anatomy is essential for successful total shoulder arthroplasty or surgical treatment of disorders related to scapula and shoulder. We think that the measurements of acromion, glenoid and scapula sizes obtained from our study will help surgeons to better understand shoulder morphology and to decide on the appropriate glenoid component size for shoulder arthroplasty. The fact that the lengths of the scapula, glenoid cavity and spina scapula are significantly different in rotator cuff syndrome suggests that scapula morphology may be effective in rotator cuff syndrome.
{"title":"Could Some Measurements of the Scapula be Related to Rotator Cuff Syndrome?","authors":"B. Candan, E. Torun","doi":"10.35440/hutfd.1187836","DOIUrl":"https://doi.org/10.35440/hutfd.1187836","url":null,"abstract":"Background: The scapula plays a unique role in shoulder movement and stability. The dimensions of the scapula and its geometry, however, are of essential importance in the pathomechanics of rotator cuff syndrome, total shoulder arthroplasty, and recurrent shoulder dislocation. The aim of this study is to determine the scapula morphology and to investigate with the relationship between rotator cuff syndrome.\u0000Materials and Methods: This study was a retrospective, observational study, and a total of 232 radiographs, 125 of which were male and 107 were female, were analyzed. The patients were divided into two groups as follows: Patients with rotator cuff syndrome (116 patients) and patients with no history of shoulder problems (116 patients). 9 different parameters were measured: The maximum scapular length, the maximum scapular width, the scapular index, the maximum glenoid cavity length, the maximum glenoid cavity width, the glenoid cavity index, the length of acromion, the distances between the acromion and coracoid process and length of the spina scapula.\u0000Results: The maximum scapular length, the maximum glenoid cavity length (p=0.009) and the length of spina scapula (p=0.041) were significantly different between the rotator cuff and control groups in evaluating parameters. All parameters were significantly different between male and female patients (p<0.05).\u0000Conclusion: A detailed knowledge of scapular anatomy is essential for successful total shoulder arthroplasty or surgical treatment of disorders related to scapula and shoulder. We think that the measurements of acromion, glenoid and scapula sizes obtained from our study will help surgeons to better understand shoulder morphology and to decide on the appropriate glenoid component size for shoulder arthroplasty. The fact that the lengths of the scapula, glenoid cavity and spina scapula are significantly different in rotator cuff syndrome suggests that scapula morphology may be effective in rotator cuff syndrome.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"207 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114306553","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. Özmen, C. Mertoğlu, L. Aydoğan, M. Nacar, K. Deveci, M. Katar, Zeki Özsoy
Background: The aim of this study is to evaluate the effect of 50 g oral glucose tolerance test (OGTT) on oxidative stress and interleukin-8 (IL-8) parameters in prediabetic pregnant women. Materials and Methods: Fasting and 1 hour blood samples were collected from 79 pregnant women who were administered 50 gr OGTT. Patients with a 1 hour blood glucose level of 140–200 mg/dl were considered as the prediabetic group. Thereafter, routine biochemical parameters and the levels of superoxide dismutase (SOD), glutathione peroxidase (GPx), malondialdehyde (MDA) and interleukin-8 (IL-8) parameters were measured from the serum samples taken during fasting and at 1 hour. Results: The serum GPx and SOD levels of the prediabetic group were remarkably lower than that of the control group (p<0.05). Whereas the serum IL-8 levels of the prediabetic group were significantly higher than that of the control group (p<0.05). When the fasting and 1 hour levels of the parameters were compared during OGTT, SOD levels were significantly decreased (p<0.001) and IL-8 levels were significantly higher (p<0.001). Conclusions: In conclusion, it was found that serum GPX and SOD levels decreased, while serum IL-8 levels increased in prediabetic pregnant women; however, when 50 g OGTT was administered to these patients, SOD levels decreased and IL-8 levels increased. These results we obtained suggest that oxidative stress and systemic inflammation that are already present in prediabetic pregnant women may be triggered by 50 g OGTT, posing negative risk factors for pregnant women.
背景:本研究旨在探讨50g口服糖耐量试验(OGTT)对糖尿病前期孕妇氧化应激和白细胞介素-8 (IL-8)参数的影响。材料与方法:采集79例接受50克OGTT治疗的孕妇的空腹和1小时血样。1小时血糖水平在140-200 mg/dl的患者被认为是糖尿病前期组。随后，测定空腹及1 h时血清常规生化指标及超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)、丙二醛(MDA)、白细胞介素-8 (IL-8)水平。结果:糖尿病前期组血清GPx、SOD水平显著低于对照组(p<0.05)。而糖尿病前期组血清IL-8水平显著高于对照组(p<0.05)。对比OGTT期间空腹和1小时参数水平，SOD水平显著降低(p<0.001)， IL-8水平显著升高(p<0.001)。结论:糖尿病前期孕妇血清GPX、SOD水平降低，血清IL-8水平升高;然而，当给予这些患者50 g OGTT时，SOD水平降低，IL-8水平升高。我们获得的这些结果表明，50 g OGTT可能会触发糖尿病前期孕妇已经存在的氧化应激和全身炎症，对孕妇构成负面危险因素。
{"title":"Evaluation the Effect of 50 g Glucose Tolerance Test on Oxidative Stress and Interleukin-8 Parameters in Prediabetic Pregnancy","authors":"Z. Özmen, C. Mertoğlu, L. Aydoğan, M. Nacar, K. Deveci, M. Katar, Zeki Özsoy","doi":"10.35440/hutfd.1082328","DOIUrl":"https://doi.org/10.35440/hutfd.1082328","url":null,"abstract":"Background: The aim of this study is to evaluate the effect of 50 g oral glucose tolerance test (OGTT) on oxidative stress and interleukin-8 (IL-8) parameters in prediabetic pregnant women. \u0000Materials and Methods: Fasting and 1 hour blood samples were collected from 79 pregnant women who were administered 50 gr OGTT. Patients with a 1 hour blood glucose level of 140–200 mg/dl were considered as the prediabetic group. Thereafter, routine biochemical parameters and the levels of superoxide dismutase (SOD), glutathione peroxidase (GPx), malondialdehyde (MDA) and interleukin-8 (IL-8) parameters were measured from the serum samples taken during fasting and at 1 hour. \u0000Results: The serum GPx and SOD levels of the prediabetic group were remarkably lower than that of the control group (p<0.05). Whereas the serum IL-8 levels of the prediabetic group were significantly higher than that of the control group (p<0.05). When the fasting and 1 hour levels of the parameters were compared during OGTT, SOD levels were significantly decreased (p<0.001) and IL-8 levels were significantly higher (p<0.001). \u0000Conclusions: In conclusion, it was found that serum GPX and SOD levels decreased, while serum IL-8 levels increased in prediabetic pregnant women; however, when 50 g OGTT was administered to these patients, SOD levels decreased and IL-8 levels increased. These results we obtained suggest that oxidative stress and systemic inflammation that are already present in prediabetic pregnant women may be triggered by 50 g OGTT, posing negative risk factors for pregnant women.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129838910","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}
M. Eren, Hüseyin Karaaslan, Mehmet Selim Mamiş, Ahmet Cebeli Gökay, Meliha Özkutlu, Tevfik Sabuncu
Amaç: Diyabet ve hipertansiyon birbirlerinin bulunma riskini arttıran, ayrıca kardiyak, vasküler ve renal kompli-kasyonlara neden olabilen yaygın hastalıklardır. Ayaktan takip edilen diyabetli hastalarda hipertansiyon sıklığı çoğu kez çalışılmışsa da yatan hastalar ile ilgili bilgiler kısıtlıdır. Biz de hastaneye yatan diyabetli hastalarda hipertansiyon sıklığını araştırmayı amaçladık.Materyal ve metod: Herhangi bir nedenle servise yatırılan tip 2 diyabetes mellituslu hastalar çalışmaya alındı. Hipertansiyon, antihipertansif ilaçlar almak veya hastanede ölçülen arteryel kan basıncının en az iki kez 140/90 mmHg’den daha yüksek çıkması olarak tanımlandı.Bulgular: Hastanede yatan tip 2 diyabet hastalarında hipertansiyon sıklığı %52.6 olarak bulundu. Hipertansiyonu olan ve ilaç kullanan 98 hastanın 29’unda (%29.5) kan basıncı kontrol altında değildi. Hipertansiyonu olanların yaşları ve vücut kütle indeksleri (VKİ), hipertansiyonu olmayanlara göre anlamlı olarak daha yüksekti (yaş için 63.2 ± 10.4’e karşın 55.3 ± 11.2, p <0.001; VKİ için 31.0 ± 6.8’e karşın 27.5 ± 5.6, p <0.001). Sigara içenlerin sıklığı hipertansiyonu olmayanlarda (%67.0), olanlara göre (%45.5) anlamlı olarak daha fazlaydı (p=0.004). Kreatinin düzeyi hipertansiyonu olan diyabetlilerde (1.2 ± 1.0), olmayanlara (1.0 ± 0.5) göre anlamlı olarak yüksek bulundu (p=0.038). Sonuç: Yatarak tedavi edilen tip 2 diyabetli hastalarda, yatış sırasında hipertansiyon sıklıkla eşlik edebilmektedir. Bu hastaların ise üçte birinde kan basınçları kontrol altında olmayıp bu durum diyabetle ilişkili komplikasyonlara olumsuz katkıda bulunabilir. Diyabeti olan bireylerde hipertansiyonun varlığı tespit edilmeli ve tedavisi mutlaka gözden geçirilmelidir. Anahtar Kelimeler: Tip 2 diyabetes mellitus, Hipertansiyon, Komplikasyon
{"title":"Üçüncü Basamak Bir Hastanede Yatan Tip 2 Diyabetli Hastalarda Hipertansiyon Sıklığı ve Etkileyen Faktörler","authors":"M. Eren, Hüseyin Karaaslan, Mehmet Selim Mamiş, Ahmet Cebeli Gökay, Meliha Özkutlu, Tevfik Sabuncu","doi":"10.35440/hutfd.1092287","DOIUrl":"https://doi.org/10.35440/hutfd.1092287","url":null,"abstract":"Amaç: Diyabet ve hipertansiyon birbirlerinin bulunma riskini arttıran, ayrıca kardiyak, vasküler ve renal kompli-kasyonlara neden olabilen yaygın hastalıklardır. Ayaktan takip edilen diyabetli hastalarda hipertansiyon sıklığı çoğu kez çalışılmışsa da yatan hastalar ile ilgili bilgiler kısıtlıdır. Biz de hastaneye yatan diyabetli hastalarda hipertansiyon sıklığını araştırmayı amaçladık.Materyal ve metod: Herhangi bir nedenle servise yatırılan tip 2 diyabetes mellituslu hastalar çalışmaya alındı. Hipertansiyon, antihipertansif ilaçlar almak veya hastanede ölçülen arteryel kan basıncının en az iki kez 140/90 mmHg’den daha yüksek çıkması olarak tanımlandı.Bulgular: Hastanede yatan tip 2 diyabet hastalarında hipertansiyon sıklığı %52.6 olarak bulundu. Hipertansiyonu olan ve ilaç kullanan 98 hastanın 29’unda (%29.5) kan basıncı kontrol altında değildi. Hipertansiyonu olanların yaşları ve vücut kütle indeksleri (VKİ), hipertansiyonu olmayanlara göre anlamlı olarak daha yüksekti (yaş için 63.2 ± 10.4’e karşın 55.3 ± 11.2, p <0.001; VKİ için 31.0 ± 6.8’e karşın 27.5 ± 5.6, p <0.001). Sigara içenlerin sıklığı hipertansiyonu olmayanlarda (%67.0), olanlara göre (%45.5) anlamlı olarak daha fazlaydı (p=0.004). Kreatinin düzeyi hipertansiyonu olan diyabetlilerde (1.2 ± 1.0), olmayanlara (1.0 ± 0.5) göre anlamlı olarak yüksek bulundu (p=0.038). Sonuç: Yatarak tedavi edilen tip 2 diyabetli hastalarda, yatış sırasında hipertansiyon sıklıkla eşlik edebilmektedir. Bu hastaların ise üçte birinde kan basınçları kontrol altında olmayıp bu durum diyabetle ilişkili komplikasyonlara olumsuz katkıda bulunabilir. Diyabeti olan bireylerde hipertansiyonun varlığı tespit edilmeli ve tedavisi mutlaka gözden geçirilmelidir. Anahtar Kelimeler: Tip 2 diyabetes mellitus, Hipertansiyon, Komplikasyon","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127922040","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. Toy, Y. Secgin, D. Şenol, Zülal Öner, Abdullah Ray, Ismail Malkoç
Background: The mandible is a very important bone for forensic medicine, anthropology, anatomy and odontology sciences. This bone has many functions such as speaking, chewing and swallowing. This study was carried out to examine the relationship between morphometric parameters ob-tained from the head of the mandible and other parameters of the mandible.Materials and Methods: In our study, 45 dry mandible bones were used. These bones were photo-graphed and measured in the Image J program. These measurements were the distance of the head of the mandible to mental foramen (right, left), the distance of the head of the mandible to angle of the mandible (right, left), the distance of the head of the mandible to gnathion (right, left), the distance of the head of the mandible to coronoid process (right, left), the distance of the head of the mandible to the mandibular notch (right, left), the distance of the head of the mandible to alveolar juga (right, left) and the distance between right and left head of the mandible.Results: While no difference was found in terms of direction in dry mandibles with correlation anal-ysis (p>0.05), a high significant correlation was found in 18 parameters (p≤0.05).Conclusions: In our study, correlations were found between parameters obtained from the head of the mandible and other parameters of the mandible.
{"title":"Correlation of Morphometric Parameters Taken from the Head of the Mandible with Other Parameters of the Mandible","authors":"Ş. Toy, Y. Secgin, D. Şenol, Zülal Öner, Abdullah Ray, Ismail Malkoç","doi":"10.35440/hutfd.1186395","DOIUrl":"https://doi.org/10.35440/hutfd.1186395","url":null,"abstract":"Background: The mandible is a very important bone for forensic medicine, anthropology, anatomy and odontology sciences. This bone has many functions such as speaking, chewing and swallowing. This study was carried out to examine the relationship between morphometric parameters ob-tained from the head of the mandible and other parameters of the mandible.Materials and Methods: In our study, 45 dry mandible bones were used. These bones were photo-graphed and measured in the Image J program. These measurements were the distance of the head of the mandible to mental foramen (right, left), the distance of the head of the mandible to angle of the mandible (right, left), the distance of the head of the mandible to gnathion (right, left), the distance of the head of the mandible to coronoid process (right, left), the distance of the head of the mandible to the mandibular notch (right, left), the distance of the head of the mandible to alveolar juga (right, left) and the distance between right and left head of the mandible.Results: While no difference was found in terms of direction in dry mandibles with correlation anal-ysis (p>0.05), a high significant correlation was found in 18 parameters (p≤0.05).Conclusions: In our study, correlations were found between parameters obtained from the head of the mandible and other parameters of the mandible.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123801641","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}
Amaç: Baş ile gövde arasındaki bağlantıyı sağlayan servikal omurgalar kraniyofasial bir çok yapıyı barındıran önemli bir anatomik konuma sahiptir. Bu çalışmada yetişkin bireylerdeki ikinci servikal vertebranın (C-2) morfometrik özelliklerinin ortaya konulması ve cinsiyete bağlı farklılıkların belirlenmesi amaçlanmıştır. Materyal ve Metod: Çukurova Üniversitesi Radyoloji Anabilim dalına başvuran ve lateral kraniyofasiyal radyografisi çekilmiş 22 yaş ve üstü toplam 89 (40’ı kadın, 49’u erkek) hastada retrospektif olarak gerçekleştirilmiştir. Çalışmaya dahil edilen bireylerin yaşlarının ortalaması 47,85 (kadınlarda 48,15, erkeklerde 47,61) idi. Bulgular: Çalışmaya dahil edilen erkeklerin boy ve kilo ölçümlerinin kadınlardan daha yüksek olduğu belirlenmiştir (p<0,05). Ölçüm parametrelerine baktığımızda total yükseklik (TY), üst dens derinliği (ÜDD), alt dens derinliği (ADD), ön vertebra gövde yüksekliği (ÖVGY), arka vertebra gövde yüksekliği (AVGY) ve horizontal ön-arka uzunluklarının (HÖAU) erkeklerde kadınlardan istatistiksel olarak daha fazla olduğu görülmüştür (p<0,05). Sonuç: C-2 vertebranın morfometrik özellikleri ile kadın ve erkeklerdeki farklılıkları ortaya konulmuştur. Bu sonuçların göz önünde bulundurularak hastalıkların tanı ve tedavisinde, cerrahi operasyonlarda klinisyenlere yardımcı olabileceği kanaatindeyiz.
{"title":"İkinci Servikal Vertebranın Morfometrik Analizi: Radyolojik Bir Çalışma","authors":"Sema Doğru, Sibel ATEŞOĞLU KARABAŞ, Tuğsan Ballı","doi":"10.35440/hutfd.1208504","DOIUrl":"https://doi.org/10.35440/hutfd.1208504","url":null,"abstract":"Amaç: Baş ile gövde arasındaki bağlantıyı sağlayan servikal omurgalar kraniyofasial bir çok yapıyı barındıran önemli bir anatomik konuma sahiptir. Bu çalışmada yetişkin bireylerdeki ikinci servikal vertebranın (C-2) morfometrik özelliklerinin ortaya konulması ve cinsiyete bağlı farklılıkların belirlenmesi amaçlanmıştır. \u0000Materyal ve Metod: Çukurova Üniversitesi Radyoloji Anabilim dalına başvuran ve lateral kraniyofasiyal radyografisi çekilmiş 22 yaş ve üstü toplam 89 (40’ı kadın, 49’u erkek) hastada retrospektif olarak gerçekleştirilmiştir. Çalışmaya dahil edilen bireylerin yaşlarının ortalaması 47,85 (kadınlarda 48,15, erkeklerde 47,61) idi.\u0000Bulgular: Çalışmaya dahil edilen erkeklerin boy ve kilo ölçümlerinin kadınlardan daha yüksek olduğu belirlenmiştir (p<0,05). Ölçüm parametrelerine baktığımızda total yükseklik (TY), üst dens derinliği (ÜDD), alt dens derinliği (ADD), ön vertebra gövde yüksekliği (ÖVGY), arka vertebra gövde yüksekliği (AVGY) ve horizontal ön-arka uzunluklarının (HÖAU) erkeklerde kadınlardan istatistiksel olarak daha fazla olduğu görülmüştür (p<0,05).\u0000Sonuç: C-2 vertebranın morfometrik özellikleri ile kadın ve erkeklerdeki farklılıkları ortaya konulmuştur. Bu sonuçların göz önünde bulundurularak hastalıkların tanı ve tedavisinde, cerrahi operasyonlarda klinisyenlere yardımcı olabileceği kanaatindeyiz.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134515054","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}
M. Altın, Halil Fedai̇, M. Erkuş, Özgür Günebakmaz
Amaç: Kardiyovasküler hastalıklar açısından hipertansiyon önemli bir risk faktörüdür. Amblatuvar kan basıncı monitörizasyonu(AKBM) ile yapılan çalışmalar kan basıncının gün içerisinde değiştiğini ve sirkadiyen bir ritminin olduğunu ortaya koymuştur. Kan basıncında gece % 10 veya daha fazla düşme olması dipper hipertansiyon (HT), olmaması non-dipper HT olarak nitelendirilmiştir. Non-dipper HT’li hastalarda kardiyovasküler riskin arttığı gösterilmiştir. Copeptin ise antidiüretik hormonun parçası olan bir molüküldür. Bazı çalışmalarda kardiyovasküler hastalıklar, serebrovasküler hastalıklar, sepsis ve şok gibi durumlarda kanda copeptin düzeyi hızlı bir yükseliş göstermektedir. Bu çalışmada dipper ve non-dipper hasta gruplarında serum copeptin düzeylerini karşılaştırmayı amaçladık. Materyal ve Metod: Bu çalışmaya yeni HT tanısı konulan 73 hasta çalışma grubu olarak ve 35 sağlıklı bireyde kontrol grubu olarak dahil edildi. HT tanısı konulan bireyler AKBM göre dipper HT ve non-dipper HT alt gruplarına ayrıldı. Çalışmaya alınan tüm bireylerin temel biyokimyasal parametreleri ve copeptin düzeyleri çalışıldı. Bulgular: Non-dipper HT'u olan bireylerin serum copeptin düzeyleri, hem kontrol hem dipper hasta grubuna göre serum copeptin düzeylerinden anlamlı olarak daha yüksek bulundu. İkili korolerasyon analizlerinde copeptin ile trigliserid arasında pozitif korelasyon görüldü. Diğer biyokimyasal belirteçler ile copeptin arasında istatistiksel olarak anlamlı bir ilişki bulunamadı. Sonuç: Serum copeptin düzeyleri prognoztik olarak kötü seyreden non-dipper hipertansif olan hasta grubunda yüksek saptandı. Bu bulgu artmış copeptin düzeyinin non-dipper HT’u olan hastaların prognozu ile ilişkili olduğunu düşündürmektedir. Bu nedenle copeptin düzeyi hipertansiyonlu hastalarda bir prognoztik parametre olarak kullanılabilir.
{"title":"Non-dipper ve Dipper Hipertansiyonlu Hastalardaki Copeptin Düzeyinin Karşılaştırması","authors":"M. Altın, Halil Fedai̇, M. Erkuş, Özgür Günebakmaz","doi":"10.35440/hutfd.1141304","DOIUrl":"https://doi.org/10.35440/hutfd.1141304","url":null,"abstract":"Amaç: Kardiyovasküler hastalıklar açısından hipertansiyon önemli bir risk faktörüdür. Amblatuvar kan basıncı monitörizasyonu(AKBM) ile yapılan çalışmalar kan basıncının gün içerisinde değiştiğini ve sirkadiyen bir ritminin olduğunu ortaya koymuştur. Kan basıncında gece % 10 veya daha fazla düşme olması dipper hipertansiyon (HT), olmaması non-dipper HT olarak nitelendirilmiştir. Non-dipper HT’li hastalarda kardiyovasküler riskin arttığı gösterilmiştir. Copeptin ise antidiüretik hormonun parçası olan bir molüküldür. Bazı çalışmalarda kardiyovasküler hastalıklar, serebrovasküler hastalıklar, sepsis ve şok gibi durumlarda kanda copeptin düzeyi hızlı bir yükseliş göstermektedir. Bu çalışmada dipper ve non-dipper hasta gruplarında serum copeptin düzeylerini karşılaştırmayı amaçladık. Materyal ve Metod: Bu çalışmaya yeni HT tanısı konulan 73 hasta çalışma grubu olarak ve 35 sağlıklı bireyde kontrol grubu olarak dahil edildi. HT tanısı konulan bireyler AKBM göre dipper HT ve non-dipper HT alt gruplarına ayrıldı. Çalışmaya alınan tüm bireylerin temel biyokimyasal parametreleri ve copeptin düzeyleri çalışıldı. Bulgular: Non-dipper HT'u olan bireylerin serum copeptin düzeyleri, hem kontrol hem dipper hasta grubuna göre serum copeptin düzeylerinden anlamlı olarak daha yüksek bulundu. İkili korolerasyon analizlerinde copeptin ile trigliserid arasında pozitif korelasyon görüldü. Diğer biyokimyasal belirteçler ile copeptin arasında istatistiksel olarak anlamlı bir ilişki bulunamadı. Sonuç: Serum copeptin düzeyleri prognoztik olarak kötü seyreden non-dipper hipertansif olan hasta grubunda yüksek saptandı. Bu bulgu artmış copeptin düzeyinin non-dipper HT’u olan hastaların prognozu ile ilişkili olduğunu düşündürmektedir. Bu nedenle copeptin düzeyi hipertansiyonlu hastalarda bir prognoztik parametre olarak kullanılabilir.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"240 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133125238","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}
Background: The aim of the current study was to investigate magnetic resonance imaging (MRI) findings in children who developed convulsions after COVID-19 infection. Materials and Methods: A retrospective screening was made of paediatric cases who presented at the COVID-19 pandemic clinic with suspected COVID-19 infection between March 2020 and June 2021 and were diagnosed with COVID-19 from a positive real-time polymerase chain reaction test (qRT-PCR). Non-contrast brain and diffusion MRI performed using a 3-Tesla device in all patients with convulsions. The demographic characteristics and brain MRI findings were recorded of cases with COVID-19 infection who developed convulsions. Results: Evaluation was made of 6 cases who were diagnosed with COVID-19 and developed convulsions during the disease course. There was a history of convulsions in 3 patients and recurrent convulsion attacks developed despite anticonvulsant therapy. In the other 3 cases developed convulsion, there was no history of convulsions, or additional disease. Non-contrast brain MRI was taken for etiology in all patients. In all the cases, no signal changes of acute pathologies were detected on diffusion MRI. Conclusion: COVID-19 infection can trigger convulsions even in patients with epilepsy and taking anticonvulsant therapy and may cause convulsions in previously healthy cases. Unlike in the adult patient population, COVID-19 infection was not seen to cause acute changes in brain MRI findings in the pediatric age group who developed convulsions due to COVID-19 infection.
{"title":"Brain MRI Findings In Children With Convulsions Secondary to Covid-19 Infection","authors":"F. Doğan, Mehmet Zeki Yilmazteki̇n","doi":"10.35440/hutfd.1201798","DOIUrl":"https://doi.org/10.35440/hutfd.1201798","url":null,"abstract":"Background: The aim of the current study was to investigate magnetic resonance imaging (MRI) findings in children who developed convulsions after COVID-19 infection.\u0000Materials and Methods: A retrospective screening was made of paediatric cases who presented at the COVID-19 pandemic clinic with suspected COVID-19 infection between March 2020 and June 2021 and were diagnosed with COVID-19 from a positive real-time polymerase chain reaction test (qRT-PCR). Non-contrast brain and diffusion MRI performed using a 3-Tesla device in all patients with convulsions. The demographic characteristics and brain MRI findings were recorded of cases with COVID-19 infection who developed convulsions.\u0000Results: Evaluation was made of 6 cases who were diagnosed with COVID-19 and developed convulsions during the disease course. There was a history of convulsions in 3 patients and recurrent convulsion attacks developed despite anticonvulsant therapy. In the other 3 cases developed convulsion, there was no history of convulsions, or additional disease. Non-contrast brain MRI was taken for etiology in all patients. In all the cases, no signal changes of acute pathologies were detected on diffusion MRI.\u0000Conclusion: COVID-19 infection can trigger convulsions even in patients with epilepsy and taking anticonvulsant therapy and may cause convulsions in previously healthy cases. Unlike in the adult patient population, COVID-19 infection was not seen to cause acute changes in brain MRI findings in the pediatric age group who developed convulsions due to COVID-19 infection.","PeriodicalId":117847,"journal":{"name":"Harran Üniversitesi Tıp Fakültesi Dergisi","volume":"265 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115791742","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}
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