82 results on '"Ozlem Altindag"'
Search Results
2. The effect of different anti-inflammatory treatment strategies on process of atherosclerosis in ankylosing spondylitis patients
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Mehmet Akif Bozdayi, Hasan Ulusal, Neytullah Turan, Ozlem Altindag, Mustafa Orkmez, Seyithan Taysi, and Mehmet Tarakcioglu
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Biochemistry (medical) ,Clinical Biochemistry ,Molecular Biology ,Biochemistry - Abstract
Objectives Our aim in this study was to examine the effects of different anti-inflammatory treatment strategies on the process of atherosclerosis, which is an important cause of mortality in ankylosing spondylitis (AS) patients, by examining the possible effect of treatments on inflammation, lipid profile and oxidative stress parameters in patients with AS. Methods In this study, 32 healthy volunteers served as the control group in addition to a total of 76 AS patients who were divided into two groups according to whether they were receiving anti-TNF medications or not. We assessed the levels of inflammation, oxidative stress, lipid profile parameters, and oxidized low-density lipoprotein (oxLDL). The atherogenic index of plasma (AIP), non-HDL cholesterol levels, BASDAI, and BASFI scores were also calculated. Results AS patient groups and the control group had similar lipid profile parameters, thiol-disulfide homeostasis metrics, non-HDL cholesterol, oxLDL, and AIP levels (p>0.05). In contrast to AS patients receiving non-anti-TNF treatment, the BASDAI and BASFI scores, ESR, and CRP levels were lower in AS patients receiving anti-TNF treatment (p Conclusions AS patients face increased oxidative stress that does not correlate with inflammatory status and disease activation level. Anti-TNF alpha treatment may reduce some risk factors of atherosclerotic CVD in AS patients.
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- 2023
3. The Immediate Effects of Muscle Energy Technique on Range of Motion and Isokinetic Muscle Strength in Volleyball Players with Glenohumeral Internal Rotation Deficit: A Randomized Controlled Trial*
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Zubeyir Sari, Bahar Ayberk, Mustafa Ozdal, Ozlem Altindag, and Ender Ersin Avci
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medicine.medical_specialty ,Physical medicine and rehabilitation ,Randomized controlled trial ,law ,business.industry ,Internal rotation ,Muscle strength ,Medicine ,Muscle energy technique ,business ,Range of motion ,law.invention - Published
- 2021
4. Daytime Sleepiness and Its Relationship with Disease Activity and Emotional State in Patients with Ankylosing Spondylitis
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Mazlum Serdar Akaltun, Ozlem Altindag, and Ali Gur
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Medicine (General) ,medicine.medical_specialty ,Ankylosing spondylitis ,business.industry ,medicine.disease ,behavioral disciplines and activities ,sleep disturbances ,humanities ,Disease activity ,R5-920 ,Internal medicine ,ankylosing spondylitis ,medicine ,Medicine ,disease severity ,In patient ,business - Abstract
Objective:This study aimed to evaluate sleep disturbance in patients with ankylosing spondylitis (AS) and to analyse the relationship between disease activity, anxiety/depression and pain level.Materials and Methods:Disease activity was assessed using the Bath ankylosing spondylitis disease activity index (BASDAI), sleep disturbance was evaluated by the Epworth sleepiness scale (ESS), pain level was evaluated by the visual analogue scale and emotional state was evaluated by the Beck depression inventory (BDI), state-trait anxiety inventory (STAI) I and STAI II. Data were examined using independent samples t-tests and Pearson’s correlation analysis.Results:Daytime sleepiness, depressive mood and anxiety levels were higher in patients with AS than in healthy controls. The ESS score correlated with BASDAI, BDI, STAI I and STAI II. Patients with AS had a considerably impaired sleep quality compared with the healthy controls, and a strong correlation was found between sleep and mood. A positive correlation was also noted between disease activity/pain severity and sleep quality.Conclusion:Measuring sleep quality and mood is important for the comprehensive evaluation of the health status of patients with AS, which could provide valuable evidence for improving the management of disease and treatment decisions.
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- 2021
5. Efficacy of high intensity laser therapy in knee osteoarthritis: a double-blind controlled randomized study
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Mazlum Serdar Akaltun, Neytullah Turan, Savaş Gürsoy, Ozlem Altindag, and Ali Gur
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medicine.medical_specialty ,WOMAC ,Visual analogue scale ,Osteoarthritis ,Placebo ,law.invention ,Double-Blind Method ,Rheumatology ,Randomized controlled trial ,law ,Internal medicine ,medicine ,Humans ,Femur ,Range of Motion, Articular ,Pain Measurement ,business.industry ,General Medicine ,Osteoarthritis, Knee ,medicine.disease ,Treatment Outcome ,Anesthesia ,Laser Therapy ,business ,Range of motion - Abstract
The aim of this study is to investigate the effectiveness of high intensity laser therapy on pain, functionality, flexion range of motion (FROM), and ultrasonographic cartilage measurement in patients with knee osteoarthritis.This study was designed as a double-blind randomized placebo-controlled study. Forty patients diagnosed with knee osteoarthritis according to the American College of Rheumatology criteria were included in the study. After obtaining written informed consent, patients were randomized into high intensity laser therapy (HILT) + exercise therapy (ET), and placebo laser (PL) + ET groups. Each patient was treated five sessions per week for 2 weeks. The outcomes measured were pain level and functional disability using the visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), respectively. The femoral cartilage thickness measurement was made ultrasonographically, and FROM was measured with goniometry.Statistically significant improvements were detected in VAS, WOMAC scores, femoral cartilage thickness, and FROM at the end of the treatment (in week 2) compared to the pre-treatment period in both groups (p0.05). There were significant decreases in the VAS and WOMAC scores of both groups in the 6th week compared to the pre-treatment period, and the results of the FROM and femur cartilage thickness measurements were increased at statistically significant levels (p0.05). The VAS and WOMAC scores were significantly lower in the 6th week in HILT + ET group compared to the PL + ET group (p0.05). Similarly, statistically significant increases were detected in the FROM and femur cartilage thickness measurements in HILT + ET group (p0.05).HILT + ET combination was more effective in KOA than the PL + ET combination. Key Points • HILT is an effective modality on pain, functional status and FROM in patients with KOA. • HILT is a modality that increases femoral cartilage thickness in patients with KOA.
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- 2020
6. The Relationship Between Postmenopausal Osteoporosis and Autophagic Gene Polymorphisms
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Elif Pala, Savaş Gürsoy, Türkan Turgay, Ozlem Altindag, Filiz Özbaş Gerçeker, and Ali Aydeniz
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Oncology ,medicine.medical_specialty ,autophagy ,gene polymorphism ,business.industry ,Endocrinology, Diabetes and Metabolism ,Autophagy ,lcsh:R ,lcsh:Medicine ,lcsh:Other systems of medicine ,Postmenopausal osteoporosis ,lcsh:RZ201-999 ,postmenopausal osteoporosis ,Internal medicine ,medicine ,business ,Gene - Abstract
Objective:This study investigates the role of ATG16L1 rs2241880, ATG10 rs1864183 and ATG5 rs2245214 gene polymorphisms, which are involved in autophagosome formation, in the susceptibility to postmenopausal osteoporosis (PMO) disease.Materials and Methods:Hundred PMO patients and 100 healthy controls without PMO were included into the study. The distribution of the genotypes of ATG16L1 rs2241880, ATG10 rs1864183 and ATG5 rs2245214 polymorphisms in these subjects were analyzed using the TaqMan 5´-exonuclease allelic discrimination assay.Results:The T allele was detected more frequent among patients with osteoporosis (53%) of the ATG10 rs1864183 polymorphism. C allele in ATG16L1 rs2241880 polymorphism in the group of patients with osteoporosis was observed more frequent (56.5%). Besides, the G allele of the ATG5 rs2245214 polymorphism was identified more common in PMO (34%) than in control group. However, no significant difference were detected in genotype and allele frequencies in terms of these polymorphisms between the patient and the control groups (p>0.05).Conclusion:In summary, the results of our study do not support the hypothesis that ATG16L1 rs2241880, ATG10 rs1864183 and ATG5 rs2245214 polymorphisms influence the predisposition for osteoporosis in postmenopausal women.
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- 2020
7. The Relationship Between Cd 74 Levels, Macrophage Migration Inhibitory Factor Gene Polymorphism and Clinical Features in Patients with Ankylosing Spondylitis
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Sacide Pehlivan, Ali Aydeniz, Mazlum Serdar Akaltun, Savaş Gürsoy, Tekin Karsligil, Ozlem Altindag, and Ali Gur
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Macrophage Migration Inhibitory Factor Gene ,Ankylosing spondylitis ,business.industry ,Immunology ,medicine ,In patient ,medicine.disease ,business - Published
- 2020
8. Alexithymia and attention deficit and their relationship with disease severity in fibromyalgia syndrome
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Ozlem Altindag, Savaş Gürsoy, Ali Aydeniz, Gulcin Elboga, Mazlum Serdar Akaltun, Ali Gur, and Abdurrahman Altindag
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medicine.medical_specialty ,business.industry ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,Mean age ,Disease ,medicine.disease ,Fibromyalgia syndrome ,Alexithymia ,Disease severity ,Fibromyalgia ,Internal medicine ,medicine ,Attention deficit ,Original Article ,business ,Depression (differential diagnoses) - Abstract
Objectives The aim of this study was to investigate the frequency of alexithymia and attention deficit and to evaluate their relationship with the severity of disease in patients with fibromyalgia syndrome (FMS). Patients and methods A total of 101 patients (6 males, 95 females; mean age 45.0 years; range, 33 to 56 years) who were admitted to Gaziantep University, Medical Faculty, Physical Medicine and Rehabilitation Department between January 2013 and December 2013 and were diagnosed with FMS and 40 healthy volunteers (4 males, 36 females; mean age 41.5 years; range, 31 to 51 years) were enrolled in this study. The Fibromyalgia Impact Questionnaire (FIQ), Hamilton Depression Scale (HAM-D), Toronto Alexithymia Scale-26 (TAS-26), and Jasper-Goldberg Attention Deficit Test (ADT) were applied. Results The rate of alexithymia and possible alexithymia was 56.4% and 20.8% in the patients with FMS and 2.5% and 5% in the control group, respectively. The mean TAS-26 score was 60.1±11.7 in the patients with FMS. According to the HAM-D, depressive symptoms were seen in 72.0% and 2.5% of the patients with FMS and healthy controls, respectively. Conclusion Our study results confirm the presence of psychiatric comorbidities in patients with FMS and clearly suggest that depression, alexithymia, and attention deficit are high and mutually correlated in FMS patients. Therefore, all patients should be meticulously evaluated for these conditions at the treatment stage.
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- 2020
9. Effect and reliability of Transcranial Magnetic Stimulation on neuropathic pain, depressive symptoms in stroke patients: Preliminary Study
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Türkan Turgay, Şengül Kocamer Şahin, Ozlem Altindag, Neytullah Turan, and Mazlum Serdar Akaltun
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030203 arthritis & rheumatology ,medicine.medical_specialty ,Visual analogue scale ,business.industry ,medicine.medical_treatment ,Beck Depression Inventory ,Chronic pain ,Pain scale ,medicine.disease ,behavioral disciplines and activities ,Transcranial magnetic stimulation ,03 medical and health sciences ,0302 clinical medicine ,Health Care Sciences and Services ,mental disorders ,Neuropathic pain ,Physical therapy ,Medicine ,Transcranial magnetic stimulation,stroke,pain ,Sağlık Bilimleri ve Hizmetleri ,business ,Stroke ,030217 neurology & neurosurgery ,Neurorehabilitation - Abstract
Objective: In this paper, we aimed to evaluate the effect of repetitive Transcranial Magnetic Stimulation (rTMS) on central pain in patients with stroke. Material and Methods: Ten patients who had a stroke history were included in this preliminary study. Patients with middle cerebral artery lesion, first-time stroke, subacute or chronic lesion and no other neurological involvement were included. Patients were examined before and after the first month of treatment with repetitive Transcranial Magnetic Stimulation (rTMS). Visual Analog Scale (VAS) was used for pain scale measurement; Leeds Assessment of Neuropathic Symptoms and Signs Scale (LANSS) and Douleur Neuropathique en 4 Questions (DN4) were used for neuropathic pain level and Beck Depression Inventory (BDI) for depressive mood. All patients received the current treatments and appropriate neurorehabilitation as recommended for the treatment of ischemic stroke Results: This prospective study included a total of 10 post-stroke patients (mean age 58.2 ± 16.1 years; range 29 to 75, 8 male; 2 female) with neuropathic pain. The mean values of VAS, LANSS, DN4 and BDI scales were significantly decreased after rTMS treatment in all patients. Conclusion: We discussed the preliminary results of the efficacy and safety of rTMS in the treatment of uncontrolled neuropathic pain. We consider that, rTMS may have significant effect on relief of chronic pain. These clinical parameters can be utilized for the further study of rTMS application in pain control.
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- 2019
10. Use of lower extremity orthoses in patients with cerebral palsy and related factors
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Neytullah Turan, Mazlum Serdar Akaltun, Ozlem Altindag, Savaş Gürsoy, Sükrü Bicer, and Ali Gur
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Male ,medicine.medical_specialty ,Orthotic Devices ,Modified Ashworth scale ,medicine.medical_treatment ,Foot Orthoses ,Logistic regression ,Health Professions (miscellaneous) ,Cerebral palsy ,Medicine ,Humans ,In patient ,Spasticity ,Range of Motion, Articular ,Retrospective Studies ,Rehabilitation ,business.industry ,Cerebral Palsy ,Gross Motor Function Classification System ,medicine.disease ,Lower Extremity ,Physical therapy ,Female ,medicine.symptom ,business ,Range of motion - Abstract
BACKGROUND The purpose of this study was to investigate the frequency of using lower extremity orthosis prescribed for patients with cerebral palsy (CP) and to determine the factors associated with orthosis use. STUDY DESIGN The study had a retrospective and descriptive design. METHODS One hundred and twenty-nine patients with CP who were prescribed orthoses were included in this study. The sociodemographic data and orthosis use status of patients were questioned with telephone calls. Motor functions were evaluated with Gross Motor Function Classification System (GMFCS). Spasticity was evaluated with the modified Ashworth scale, and range of motion was evaluated by goniometry. The study had a retrospective and descriptive design and included 129 patients with CP (53 females and 76 males) who were prescribed orthosis. The sociodemographic data and orthosis use status of patients were questioned with telephone calls. Motor functions were evaluated with Gross Motor Function Classification System (GMFCS). Spasticity was evaluated with the modified Ashworth scale, and range of motion was evaluated by goniometry. RESULTS A total of 53 patients who were included in the study were female, and 76 were male. The most commonly used orthosis was Ankle-Foot Orthosis. The number of patients who used orthosis every day was 45 (34.8%). The most common reason for not using orthosis was difficulty in wearing it. The mean age was significantly lower in the group that used orthosis regularly (P < 0.05). Spasticity and range of motion limitations were low in the group that used orthosis regularly at significant levels (P < 0.05). A significant relation was detected in logistic regression analysis between age and orthosis use (P < 0.05). CONCLUSION Regular orthosis use is at quite low levels in patients with CP. The decision for prescribing orthosis should be made with a rehabilitation team, with the patient included before orthosis is prescribed. Problems related to orthosis use should be addressed at regular intervals after prescribing orthosis.
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- 2021
11. The Effect of Pulmonary Rehabilitation Program on Work Productivity and Clinical Parameters in Patients with Ankylosing Spondylitis
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Ali Gur, Ozlem Altindag, and Mazlum Serdar Akaltun
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Spirometry ,Ankylosing spondylitis ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,medicine.disease ,Quality of life ,medicine ,Physical therapy ,Pulmonary rehabilitation ,Respiratory function ,business ,BASFI ,BASDAI ,Depression (differential diagnoses) - Abstract
Objectives: The objective of the present study was to investigate the effect of the Pulmonary Rehabilitation Program on work productivity, disease activity, functional status, quality of life, Respiratory Function Tests (RFTs), physical capacity,and depression in Ankylosing Spondylitis (AS) patients. Method: Twenty-five patients diagnosed with AS were included in the study. The disease severity was evaluated with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional status was evaluated with Bath Ankylosing Spondylitis Functional Index (BASFI), and quality of life was evaluated with AS-Related Quality of Life scale (ASQOL). Physical capacity was evaluated with the 6-Minute Walking Test (6MWT), depression level was evaluated with Beck Depression Scale (BDS),and work productivity was evaluated with Spondyloartropathy Work Productivity and Activity Impairment (WPAI-SpA) Survey. RFT was evaluated with spirometry measurement. The patients were included in the Pulmonary Rehabilitation Program for 8 weeks. Results: A total of 30% of the patients who were included in the study were unemployed; 35% of them were on and below hunger limit; 25% were on and below poverty line; and 40% were on normal income line. No significant changes were detected in the RFTs after the exercise program in AS patients (p > 0.05), but significantly improvements were detected in the BASDAI, BASFI, WPAI, 6MWT, ASQOL and BDS scales (p
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- 2020
12. The effect of Pulmonary Rehabilitation Programme on work productivity and clinical parameters in patients with ankylosing spondylitis
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Mazlum Serdar Akaltun, Ozlem Altindag, and Ali Gur
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Spirometry ,medicine.medical_specialty ,medicine.medical_treatment ,Efficiency ,030204 cardiovascular system & hematology ,Severity of Illness Index ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Surveys and Questionnaires ,medicine ,Humans ,Pulmonary rehabilitation ,Respiratory function ,Spondylitis, Ankylosing ,030212 general & internal medicine ,Spondylitis ,BASDAI ,Ankylosing spondylitis ,medicine.diagnostic_test ,business.industry ,General Medicine ,medicine.disease ,Physical therapy ,Quality of Life ,BASFI ,business - Abstract
OBJECTIVE The objective of the present study was to investigate the effect of the Pulmonary Rehabilitation Programme on work productivity, disease activity, functional status, quality of life, respiratory function tests (RFTs), physical capacity and depression in ankylosing spondylitis (AS) patients. METHOD Twenty-five patients diagnosed with AS were included in this study. The disease severity was evaluated with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional status was evaluated with Bath Ankylosing Spondylitis Functional Index (BASFI), quality of life was evaluated with AS-Related Quality of Life Scale (ASQOL), physical capacity was evaluated with the 6-min walking test (6MWT), depression level was evaluated with Beck Depression Scale (BDS) and work productivity was evaluated with Spondyloartropathy Work Productivity and Activity Impairment (WPAI-SpA) Survey. Finally, RFT was evaluated with spirometry measurement. The patients were included in the Pulmonary Rehabilitation Programme for 8 weeks. RESULTS A total of 30% of the patients who were included in this study were unemployed, 35% of them were on and below the hunger limit, 25% were on and below the poverty line, and 40% were on the normal income line. No significant changes were detected in the RFTs after the exercise programme in AS patients (P > .05), but significant improvements were detected in the BASDAI, BASFI, WPAI, 6MWT, ASQOL and BDS (P
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- 2020
13. Digital Game Applications on Mathematics Achievement of Students at Risk of Mathematics Learning Difficulty
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Ali Özkaya, Adile Emel Sardohan Yıldırım, Özlem Altındağ Kumaş, Hatice Oral, and Erkam Can
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mathematics learning disability ,dyscalculia ,mathematics instruction ,digital-based instruction ,teaching through games ,mathematics achievement ,Education ,Education (General) ,L7-991 - Abstract
In this study, the effect of four operations-based digital game applications on the basic mathematics skills of students at risk of math learning difficulties was examined. In this context, the study was designed as a mixed research method. Quantitative and qualitative methods were used in two separate interactive phases following an exploratory design scheme. The study was conducted with seven 5th grade students from two primary schools in two provinces in the Mediterranean region. A pre-test was administered to the students and a 10-session intervention was conducted. Finally, a post-test was administered after the intervention. Participants' responses to the pre-test and post-test were analysed. Shapiro-Wilk test and Wilcoxon signed-rank test were used to analyse quantitative data, and descriptive analysis technique was used to analyse qualitative data. At the end of the study, semi-structured interviews were conducted with the parents of the students. The results of the study showed that the intervention positively affected the academic achievement of the students and the interviews with the parents supported this result. At the end of the study, it can be said that mathematics education with students at risk of mathematics learning difficulties gave positive feedback in the learning domain of numbers and operations, and it may be useful to carry out applications in other learning domains.
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- 2024
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14. ENVIRONMENTAL CHARACTERISTICS OF OLDER PEOPLE ATTENDING PHYSICAL MEDICINE AND REHABILITATION OUTPATIENT CLINICS
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Kutay Ordu Gökkaya, Pınar Borman, Kazım Şenel, Pınar Öztop, Yeşim Gökçe Kutsal, Nilay Dinçer, Mehmet Beyazova, Rezzan Günaydin, Sevilay Karahan, Deniz Evcik, Muesser Okumus, Sami Hizmetli, Saime Ay, Füsun Toraman, Jale İrdesel, Ozden Ozyemisci-Taskiran, Nur Turhan, Şule Arslan, Ali Aydeniz, Asuman Doğan, Sibel Eyigör, Esma Ceceli, Nurten Eskiyurt, Özgür Ortancil, Ozlem Altindag, Pelin Yazgan, and Ege Üniversitesi
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aged population ,medicine.medical_specialty ,Social characteristics ,Turkey ,Ambulatory Care Facilities ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Stairs ,Residence Characteristics ,Complaint ,medicine ,Outpatient clinic ,Humans ,030212 general & internal medicine ,Neighbourhood (mathematics) ,Aged ,0303 health sciences ,Apartment ,Public Health, Environmental and Occupational Health ,030311 toxicology ,General Medicine ,Physical and Rehabilitation Medicine ,Community health ,Older people ,Psychology ,social life ,environment - Abstract
Objective: A residential environment refers to the physical and social characteristics in a neighbourhood. The physical characteristics include interior housing qualities, exterior neighbourhood characteristics, and the accessibility of essential facilities and services outside the neighbourhood. Older adults especially may be vulnerable to the negative impacts of the residential environment. The aim of this study is to elucidate the problems ageing people face in their neighbourhoods, buildings and public areas. Methods: The study group consisted of a total of 1,001 people over the age of 65 who were admitted to physical medicine and rehabilitation clinics in Turkey and consented to participate. A questionnaire covering demographic, social and environmental information was used. Results: Of the study group, 58.6% was living in an apartment building, but only 23.6% of these buildings had an elevator, and the stairs were inconvenient in 46.7% of the buildings. Only 49% of the elderly people went for a walk regularly. The most frequent complaint about the hospitals, community health centres and other public areas was the inappropriate restroom conditions. Eighty-six percent of the study group were not members of an organization, a foundation or a group, and 73.6% did not have personal hobbies. Conclusions: The layouts of buildings and surroundings are inappropriate for older people, and the opportunities for them to participate in social activities are limited. Health and social programmes and governmental and local policies for older people are needed, and public awareness about this issue should be raised.
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- 2020
15. Neuropathic Pain and Its Relationship With Clinical Findings in Patients With Fibromyalgia
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Ozlem Altindag, Ali Gur, Ali Aydeniz, Ahmet Akyol, Mazlum Serdar Akaltun, Hilal Gokturk, and Savaş Gürsoy
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Psychiatry and Mental health ,medicine.medical_specialty ,business.industry ,General Neuroscience ,Fibromyalgia ,Neuropathic pain ,medicine ,Physical therapy ,In patient ,medicine.disease ,business ,humanities ,Research Article - Abstract
INTRODUCTION: Fibromyalgia syndrome (FMS) is a clinical condition characterised by chronic generalised body pain, fatigue and presence of tender points. In this study, we hypothesized that FMS could be a type of neuropathic pain and investigated the relationship between neuropathic pain and sleep disturbance and depression. We also investigated the association between these clinical conditions and disease severity METHODS: Seventy-six patients who had FMS diagnosis according to 2010 ACR criteria were included in the study. Patients were evaluated by Fibromyalgia Impact Questionnaire (FIQ), Hamilton Depression Rating Scale (HAM-D), Pittsburgh Sleep Quality Index (PSQI), Douleur Neuropathique 4 Questions (DN4) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS). RESULTS: Patients had neuropathic pain in 92.1% of patients with LANSS and 82.9% of patients with DN4. According to the Pittsburg Sleep Quality Scale, 90.8% of patients had poor sleep quality. According to HAM-D, 82.9% of the patients had depression. The mean FIQ values of the patients were calculated as 63.16±10.73. There was a positive correlation between DN4 values and FIQ, PSQI, HAM-D and LANSS. There was a positive correlation between LANSS values and FIQ and PSQI values. CONCLUSION: In this study we found the frequency of neuropathic pain high in FMS. We also found a positive association between neuropathic pain scales and depression, sleep disturbance, and fibromyalgia impact score. Pain, functionality and psychosocial characteristics should be assessed extensively to understand fibromyalgia completely. Abnormal pain process and secondary clinical conditions should be considered together.
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- 2020
16. Influence of promoter region of TNF-α gene polymorphisms on anti-TNF treatment in rheumatoid arthritis: Preliminary report
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Ali Aydeniz, Ozlem Altindag, Savaş Gürsoy, Sacide Pehlivan, Türkan Turgay, and Mustafa Pehlivan
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0301 basic medicine ,03 medical and health sciences ,030104 developmental biology ,business.industry ,Preliminary report ,Rheumatoid arthritis ,Cancer research ,medicine ,Tumor necrosis factor alpha ,Promoter ,medicine.disease ,business ,Gene - Published
- 2017
17. The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study
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Ibrahim Gundogdu, Dilek Keskin, Aylin Demirhan, Ayşe Yaliman, Banu Aydeniz, Yalkın Calik, Meral Bilgilisoy, Emine Esra Bilir, Ebru Umay, Meltem Vural, Ozlem Altindag, Betul Yavuz Keles, Gülten Karaca, Murat Inanir, Mazlum Serdar Akaltun, Ebru Alemdaroğlu, Canan Tikiz, Ilknur Albayrak Gezer, Ekin Ilke Sen, Zeliha Unlu, Sibel Eyigör, Ali Yavuz Karahan, Ayse Kurkcu, Zeynep Alev Ozcete, Selçuk Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Gezer, Ilknur Albayrak., Kurkcu, Ayse., Uşak Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Ege Üniversitesi, Department of Physical Medicine and Rehabilitation Clinic, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences, Altindag, Ankara, Turkey, Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey, Department of Physical Medicine and Rehabilitation, Usak University, Usak, Turkey, Department of Physical Medicine and Rehabilitation, Selcuk University, Konya, Turkey, Department of Physical Medicine and Rehabilitation, Kırıkkale University, Kirikkale, Turkey, Department of Physical Medicine and Rehabilitation, Celal Bayar University, Manisa, Turkey, Department of Physical Medicine and Rehabilitation, Bakırköy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey, Department of Physical Medicine and Rehabilitation, Istanbul University, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Gaziantep University, Gaziantep, Turkey, Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey, Department of Physical Medicine and Rehabilitation, Izmir Tepecik Training and Research Hospital, Izmir, Turkey, Department of Physical Medicine and Rehabilitation, Kocaeli University, Kocaeli, Turkey, Department of Physical Medicine and Rehabilitation, Bolu Izzet Baysal Training and Research Hospital, Bolu, Turkey, and Kırıkkale Üniversitesi
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medicine.medical_specialty ,030214 geriatrics ,business.industry ,GUSS ,Dysphagia ,Screen test ,medicine.disease ,Test (assessment) ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Swallowing ,Cronbach's alpha ,otorhinolaryngologic diseases ,Physical therapy ,Medicine ,030212 general & internal medicine ,medicine.symptom ,Older people ,business ,Stroke ,Oropharyngeal dysphagia - Abstract
Sen, Ekin Ilke/0000-0002-6489-3368; karahan, ali yavuz/0000-0001-8142-913X; Akaltun, Mazlum Serdar/0000-0002-9666-9483, WOS: 000496659300007, Purpose Dysphagia is known to be a disorder of the swallowing function, and is a growing health problem in aging populations. Swallowing screening tests have mostly been studied in comorbidities such as stroke associated with old age. There is no simple, quick and easy screening test to best determine the risk of oropharyngeal dysphagia in geriatric guidelines. We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Methods This cross-sectional and multicenter study was conducted at 13 hospitals between September 2017 and February 2019. the study included 1163 participants aged >= 65 years and who had no secondary dysphagia. Reliability was evaluated for data quality, scaling assumptions, acceptability, reliability, and validity as well as cutoff points, specificity and sensitivity. Results the age distribution of 773 (66.5%) patients was between 65 and 74 years and 347 (29.8%) of them were male and 767 (66%) patients were female. the average total GUSS score was 18.57 +/- 1.41. the Cronbach's alpha was 0.968. There was a moderate statistically significant negative correlation between the total GUSS and 10-item Eating Assessment Tool scores as well as between the total GUSS score and quality of life. the cutoff point of the total GUSS score was 18.50, sensitivity was 95.5% and specificity was 94.4%. Conclusions the GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older people who had no secondary dysphagia. It is suitable as a screen test for clinical practice. Key summary pointsAim We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Findings Total GUSS score sensitivity was 95.5% and its specificity was 94.4%. Message the GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older person who had no secondary dysphagia. It is suitable as a screen test for clinical practice.
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- 2019
18. Which swallowing difficulty of food consistency is best predictor for oropharyngeal dysphagia risk in older person?
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Canan Tikiz, Ebru Alemdaroğlu, Sibel Eyigör, Mazlum Serdar Akaltun, Aylin Demirhan, Gülten Karaca, Ebru Umay, Dilek Keskin, Zeliha Unlu, Zeynep Alev Ozcete, Betul Yavuz Keles, Emine Esra Bilir, Banu Aydeniz, Ayşe Yaliman, Ekin Ilke Sen, Meral Bilgilisoy, Ali Yavuz Karahan, Ibrahim Gundogdu, Meltem Vural, Ozlem Altindag, Department of Physical Medicine and Rehabilitation Clinic, Ankara Diskapi Training and Research Hospital, University of Health Sciences, Altindag, Ankara, Turkey, Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey, Department of Physical Medicine and Rehabilitation, Usak University, Usak, Turkey, Department of Physical Medicine and Rehabilitation, Kırıkkale University, Kirikkale, Turkey, Department of Physical Medicine and Rehabilitation, Celal Bayar University, Manisa, Turkey, Department of Physical Medicine and Rehabilitation, Bakırköy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey, Department of Physical Medicine and Rehabilitation, Istanbul University, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Gaziantep University, Gaziantep, Turkey, Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Turkey, Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey, Department of Physical Medicine and Rehabilitation, Izmir Tepecik Training and Research Hospital, Izmir, Turkey, Kırıkkale Üniversitesi, and Uşak Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
- Subjects
Food consistency ,medicine.medical_specialty ,Activities of daily living ,030214 geriatrics ,business.industry ,digestive, oral, and skin physiology ,Older person ,Dysphagia ,Affect (psychology) ,Likelihood ratios in diagnostic testing ,03 medical and health sciences ,0302 clinical medicine ,Swallowing ,medicine ,Diagnostic odds ratio ,Physical therapy ,Outpatient clinic ,030212 general & internal medicine ,medicine.symptom ,business ,Oropharyngeal dysphagia - Abstract
Akaltun, Mazlum Serdar/0000-0002-9666-9483; Sen, Ekin Ilke/0000-0002-6489-3368; karahan, ali yavuz/0000-0001-8142-913X WOS: 000476771900010 Key summary pointsAimOur aim was to investigate which swallowing difficulty of food consistency in older people who did not have any disease that might affect swallowing functions, and which symptoms were most likely related to oropharyngeal dysphagia (OD) risk.FindingsWe have found that the eating/drinking difficulty of thick liquids was the highest predictive value with respect to OD risk and the eating difficulty of mixed content food had the highest diagnostic ratio.MessageThe present study reports that even in older person who do not go to the hospital with the complaints of swallowing difficulty, the difficulty of swallowing thick liquids and especially the mixed content food should be questioned. AbstractPurposeThe present study aimed to investigate which swallowing difficulty of food consistency in participants over 65years of age who did not have any disease that might affect swallowing functions, and which symptoms were most likely related to oropharyngeal dysphagia (OD).MethodsThe cross-sectional and multicenter study was conducted at 12 hospitals including 883 participants aged >= 65years who were fed orally and who were admitted to the physical medicine and rehabilitation outpatient clinics between September 2017 and December 2018. Demographic characteristics were recorded. Katz Daily Living Activities Index (KDLAI), swallowing-related quality of life scale (Swal-QoL) and 10-item Eating Assessment Tool (EAT-10) were used. The participants were asked the yes or no questions including swallowing difficulty of various types of food consistency with the face-to-face interview.ResultsParticipants were divided into two groups as normal swallowing (EAT-10= 3 group) (n=244) according to the EAT-10 scores. While there was no difference related to number of teeth and KDLAI scores between groups (p=0.327 and p=0.221, respectively), the significant difference was found between groups in terms of yes/no questions and Swal-QoL scores (p
- Published
- 2019
19. Impact of pulmonary rehabilitation program with cycle ergometry in chronic obstructive pulmonary disease
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Mazlum Serdar Akaltun, Meral Uyar, Ali Gur, Savaş Gürsoy, and Ozlem Altindag
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BODE index ,COPD ,medicine.medical_specialty ,Rehabilitation ,business.industry ,medicine.medical_treatment ,Beck Depression Inventory ,General Medicine ,medicine.disease ,respiratory tract diseases ,Quality of life ,medicine ,Physical therapy ,Anxiety ,Pulmonary rehabilitation ,medicine.symptom ,business ,Depression (differential diagnoses) - Abstract
Aim: To evaluate impact of pulmonary rehabilitation (PR) on quality of life (QoL) and respiratory variables in Chronic Obstructive Pulmonary Disease (COPD).Materials and methods: PR program for 3 times per week for 8 weeks were performed in patients with COPD. Breathing, upper extremity strengthening and cycle ergometry exercises were performed. PFTs, MMRC dyspnoea scale, BODE Index and 6-minute walking test (6-MWT) were evaluated baseline and after treatment in all patients with COPD. Beck Depression Inventory and State-Trait Anxiety Inventory (STAI I and II) were used for evaluating depression and anxiety and QoL was evaluated with SF-36 scale. Patients having any other cardiac or pulmonary co-morbiditites, inability for attending rehabilitation program (due to physical, physicologic or neurologic problems) were excluded. Results: A total of 50 patients were included (45 male and 5 female patients). Mean age was 59.4±8.8 (56-62). Improvement was detected in exercise capacity, dyspnea severity, QoL, anxiety, and depression levels. Improvement in PFT results were obtained after exercise program. Conclusion: PR program with cycle ergometry is effective in patients with COPD.
- Published
- 2021
20. The power of digital story in early mathematics education: Innovative approaches for children with intellectual disabilities.
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Özlem Altindağ Kumaş
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Medicine ,Science - Abstract
This study explored the effectiveness of digital story interventions in improving early math skills in kindergarten children with mild intellectual disabilities. Digital stories are multimedia narratives that combine text, images, and audio to enhance learning experience. This experimental study used a pretest-posttest control group design. The intervention group consisted of 15 children who participated in an 8-week digital story intervention targeting early math skills. A matched control group was used to control for sex differences. Data were collected through the TEMA-3 test scores and teacher and child feedback. Post-intervention, the experimental group showed significant improvements in TEMA-3 test scores compared to the control group. Teachers and children reported a positive perception of the intervention's social validity, highlighting enhanced engagement and understanding of math concepts. This study demonstrated that digital story-based education is a promising approach for improving early math skills in children with mild intellectual disabilities. These findings suggest potential implications for integrating digital storytelling into special education curricula and highlight avenues for future research in this field.
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- 2024
- Full Text
- View/download PDF
21. Common Mistakes in the Dual-Energy X-ray Absorptiometry (DXA) in Turkey. A Retrospective Descriptive Multicenter Study
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Zekiye Hasbek, Ömer Nas, Savas Karpuz, Banu Ordahan, Banu Kuran, Ahmet Yildirim, Ali Yavuz Karahan, Gozde Turkoglu, Turgay Altınbilek, Murat Çubukçu, Sinan Bağçacı, Umit Sarp, Aynur Başaran, Ufuk Yucel, Selcuk Yesilyurt, Buğra Kaya, Ender Salbaş, Serpil Tuna, Ercan Kaydok, Emel Güler, Pelin Yildirim, Ahmet Karadağ, Tuba Güler, Almula Demir Polat, Ozan Yasar, Seher Kucuksarac, Ozlem Altindag, Sena Tolu, Kemal Erol, and Sevil Ceyhan Doğan
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Turkey ,Osteoporosis ,lcsh:Medicine ,030209 endocrinology & metabolism ,Lumbar vertebrae ,Dual Energy X-ray Absorptiometry ,Education ,Metabolic bone disease ,Technician ,03 medical and health sciences ,Absorptiometry, Photon ,0302 clinical medicine ,Diagnosis ,Humans ,Medicine ,Femur ,030212 general & internal medicine ,Dual-energy X-ray absorptiometry ,Retrospective Studies ,Bone mineral ,Medical Audit ,Lumbar Vertebrae ,Medical Errors ,medicine.diagnostic_test ,business.industry ,lcsh:R ,Retrospective cohort study ,General Medicine ,musculoskeletal system ,medicine.disease ,medicine.anatomical_structure ,Multicenter study ,Radiology ,business - Abstract
Background: Osteoporosis is a widespread metabolic bone disease representing a global public health problem currently affecting more than two hundred million people worldwide. The World Health Organization states that dual-energy X-ray absorptiometry (DXA) is the best densitometric technique for assessing bone mineral density (BMD). DXA provides an accurate diagnosis of osteoporosis, a good estimation of fracture risk, and is a useful tool for monitoring patients undergoing treatment. Common mistakes in BMD testing can be divided into four principal categories: 1) indication errors, 2) lack of quality control and calibration, 3) analysis and interpretation errors, and 4) inappropriate acquisition techniques. The aim of this retrospective multicenter descriptive study is to identify the common errors in the application of the DXA technique in Turkey. Methods: All DXA scans performed during the observation period were included in the study if the measurements of both, the lumbar spine and proximal femur were recorded. Forearm measurement, total body measurements, and measurements performed on children were excluded. Each examination was surveyed by 30 consultants from 20 different centers each informed and trained in the principles of and the standards for DXA scanning before the study. Results: A total of 3,212 DXA scan results from 20 different centers in 15 different Turkish cities were collected. The percentage of the discovered erroneous measurements varied from 10.5% to 65.5% in the lumbar spine and from 21.3% to 74.2% in the proximal femur. The overall error rate was found to be 31.8% (n = 1021) for the lumbar spine and 49.0% (n = 1576) for the proximal femur. Conclusion: In Turkey, DXA measurements of BMD have been in use for over 20 years, and examination processes continue to improve. There is no educational standard for operator training, and a lack of knowledge can lead to significant errors in the acquisition, analysis, and interpretation.
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- 2016
22. Ankilozan spondilit hastalarında wingless / beta-katenin inhibitörlerinin serum düzeyi ve anti-tümör nekrozis faktör alfa tedavileri ile ilişkisi
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Savaş Gürsoy, Müzeyyen Günay Örkmez, Ali Gur, Ali Aydeniz, Ozlem Altindag, Ahmet Akyol, Osman Konukoğlu, Mehmet Tarakcioglu, Hasan Ulusal, and Burhan Fatih Kocyigit
- Subjects
medicine.medical_specialty ,sclerostin,ankylosing spondylitis,dickkopf-1,anti-tumor necrosis factor alpha ,Alpha (ethology) ,Gastroenterology ,chemistry.chemical_compound ,Health Care Sciences and Services ,Internal medicine ,Medicine ,In patient ,Sağlık Bilimleri ve Hizmetleri ,BASDAI ,Ankylosing spondylitis ,Ankilozan spondilit,Dickkopf-1,sklerostin,anti-tümör nekrozis faktör alfa ,medicine.diagnostic_test ,biology ,business.industry ,C-reactive protein ,General Medicine ,medicine.disease ,Psychiatry and Mental health ,Neuropsychology and Physiological Psychology ,chemistry ,Erythrocyte sedimentation rate ,biology.protein ,Sclerostin ,business ,BASFI - Abstract
Aim: The primary aim of the study was to compare the serum levels of Dickkopf-1 (DKK-1) and sclerostin in patients with ankylosing spondylitis (AS) and healthy controls. The secondary aim was to evaluate the effects of anti-tumor necrosis factor alpha (TNF-α) treatments on levels of DKK-1 and sclerostin. The last aim was to evaluate any relationship between DKK-1, sclerostin, and radiologic progression in AS.Material and Method: We included 70 patients with AS (35 anti-TNF-α treated, 35 anti-TNF-α naïve) and 31 healthy controls in this study. Serum DKK-1, sclerostin, C reactive protein, and erythrocyte sedimentation rate (ESR) were assessed in patients and healthy controls. The Ankylosing Spondylitis Disease Activity Score (ASDAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI), and Bath Ankylosing Spondylitis Functional Index (BASFI) were calculated for the patients. Radiographs were scored according to the modified Stoke AS Spine Score (mSASSS) by an experienced radiologist who was blinded to the patients’ identity.Results: Patients with AS who were treated with anti-TNF-α agent had higher scores of BASMI and mSASSS compared with the anti-TNF-α naïve patients. Serum levels of DKK-1 and sclerostin were significantly lower in patients with AS than in healthy controls. There was a negative correlation between DKK-1 levels with ASDAS and BASMI in patients with AS. There was no correlation between DKK-1 or sclerostin levels with mSASSS. There was a positive correlation between BASMI score with mSASSS in patients with AS.Conclusion: DKK-1 levels in patients with AS were negatively correlated with BASMI, on the other hand, BASMI had a strong positive correlation with mSASSS. Therefore, these findings suggest that lower DKK-1 levels in patients with AS may play a role in new bone formation., Amaç: Bu çalışmadaki öncelikli amacımız ankilozan spondilit (AS) hastalarında ve sağlıklı kontrollerde Dickkopf-1 (DKK-1) ve sklerostinin serum düzeylerini karşılaştırmaktı. İkincil amacımız anti-tümör nekrozis faktör alfa (anti-TNF-a) tedavilerinin DKK-1 ve sklerostinin serum düzeylerine olan etkisini değerlendirmekti. Son olarak AS hastalarında DKK-1, sklerostin düzeyleri ile radyolojik progresyon arasında ilişki olup olmadığını değerlendirmeyi amaçladık.Gereç ve Yöntem: Çalışmamıza 70 AS (35 anti-TNF tedavi alan, 35 anti-TNF almayan) hastası ve 31 sağlıklı kontrol alındı. Hastalarda ve sağlıklı kontrollerde serum DKK-1, sklerostin, C-reaktif protein ve eritrosit sedimentasyon hızı ölçüldü. Ankilozan spondilit hastalık aktivite skoru (ASDAS), Bath ankilozan spondilit hastalık aktivite indeksi (BASDAİ), Bath ankilozan spondilit metroloji indeksi (BASMİ), Bath ankilozan spondilit fonksiyonel indeksi (BASFİ) hesaplandı. Radyografiler hasta bilgilerine körleştirilmiş deneyimli bir radyolog tarafından modifiye stoke ankilozan spondilit spinal skoru (mSASSS) yöntemine göre skorlandı.Bulgular: Anti-TNF-a tedavi alan AS hastalarında BASMI ve mSASSS skorları anti-TNF-a tedavi almayan hastalara göre daha yüksekti. AS hastalarında serum DKK-1 ve sklerostin düzeyleri sağlıklı kontrollere göre daha düşüktü. AS hastalarında DKK-1 düzeyleri ile ASDAS ve BASMİ arasında ters yönlü bir korelasyon vardı. DKK-1 ve sklerostin düzeyleri ile mSASSS arasında korelasyon yoktu. AS hastalarında BASMİ skoru ile mSASSS arasında anlamlı korelasyon vardı.Sonuç: AS hastalarındaki DKK-1 düzeyleri ile BASMİ arasında ters yönlü bir korelasyon vardı, diğer yandan BASMİ ve mSASSS skorları arasında güçlü bir korelasyon vardı. Bu nedenler, bu bulgular AS hastalarındaki düşük DKK-1 seviyelerinin yeni kemik oluşumunda rol oynayabileceğini düşündürmektedir.
- Published
- 2018
23. Evaluation the Relationship between Body Mass Index and Kinesiology Band Application to Acute Grip Strength on Healthy Men
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Ozlem Altindag and Ender Ersin Avci
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Grip strength ,medicine.medical_specialty ,Kinesiology ,business.industry ,Physical therapy ,Medicine ,business ,Body mass index - Published
- 2018
24. Epidemiological and clinical data of patients with spinal cord injury: Five-year experience of our center
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Ozlem Altindag, Ali Aydeniz, Ali Gur, Burhan Fatih Kocyigit, Savaş Gürsoy, and Mazlum Serdar Akaltun
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Gynecology ,medicine.medical_specialty ,business.industry ,Medicine ,epidemiology ,Spinal cord injury ,business ,medicine.disease - Abstract
Amac: Bu calismada, hastanemizde rehabilite edilmis spinal kord yaralanmali hastalarin epidemiyolojik ve klinik verilerinin sunulmasi, etiyolojik faktorlerin ve yuksek riskli gruplarin tanimlanmasi amaclandi. Yontemler: Ocak 2009 ile Ekim 2014 arasinda hastanemizde rehabilitasyon hizmeti almis olan 174 hastanin verileri retrospektif olarak incelendi. Yas, cinsiyet, yaralanma etiyolojisi, yaralanma seviyesi (servikal, torakal, lomber), toplam uygulanan rehabilitasyon seans sayisi, spinal cerrahi alip almadigi, American Spinal Injury Association (ASIA) evrelemesine gore fonksiyonel grubu kaydedildi. Bulgular: Hastalarin 105’i erkek, 69’u kadindi. Hastalarin ortalama yasi 36,61 ± 16,16 yil olarak bulundu. Trafik kazalari en sik yaralanma nedeniydi (n=45, %25,9), bunu yuksekten dusmeler takip ediyordu ( n=39, % 22,4). En sik torakal spinal yaralanmalar gozlendi (n=95, % 54,6). Lomber bolge ikinci sik yaralanma seviyesiydi (n=48, % 27,6). Trafik kazalarina bagli yaralanmalarda torakal seviye daha sikti (p=0,007). Basarisiz sinir cerrahisi lomber spinal yaralanmalar ile anlamli derecede iliskiliydi (p
- Published
- 2015
25. Hasta Takip Sistemi’nin Osteoporozlu Hastaların Tedavi Uyumu ile Yaşam Kalitesi Üzerine Etkisinin Araştırılması
- Author
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Erhan İbas, Ozlem Altindag, Ercan Madenci, and Irfan Koca
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Gynecology ,medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,Medicine ,business - Published
- 2014
26. Acute Longitudinal Myelitis and Guillain-Barre Overlap Syndrome Following Mumps Viremia
- Author
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Ercan Madenci, Ozlem Altindag, Muzeyyen Gunay, Irfan Koca, and Mustafa Isik
- Subjects
Pediatrics ,medicine.medical_specialty ,Myocarditis ,business.industry ,Rehabilitation ,Myelitis ,Physical Therapy, Sports Therapy and Rehabilitation ,Overlap syndrome ,medicine.disease ,Virology ,medicine ,Orchitis ,Pancreatitis ,business ,Polyneuropathy ,Meningitis ,Encephalitis - Abstract
Mumps infection has some rare complications, such as myocarditis, nephritis, pancreatitis, orchitis, and hearing problems. The main neurological complications of mumps infection are reported to be meningitis, encephalitis, myelitis, cranial nerve involvement, and, rarely, polyneuropathy. In this article, a 12-year-old male patient with mumps infection associated with acute longitudinal myelitis and Guillain-Barre syndrome (GBS) was described and discussed with the literature.
- Published
- 2014
27. Bilateral Sacroiliitis in Patients with Early Rheumatoid Arthritis
- Author
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Ahmet Tutoglu, Mehmet Ucar, Irfan Koca, Ozlem Altindag, and Ercan Madenci
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musculoskeletal diseases ,Sacroiliac joint ,medicine.medical_specialty ,Bilateral sacroiliitis ,Axial skeleton ,business.industry ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,Disease ,medicine.disease ,Dermatology ,medicine.anatomical_structure ,Rheumatoid arthritis ,medicine ,Etiology ,Outpatient clinic ,Differential diagnosis ,business - Abstract
Rheumatoid arthritis (RA) is a chronic, systemic, and inflammatory disease with unknown etiology, involving peripheral synovial joints in addition to its effect on other tissues and organs (1). Although all peripheral joints may be involved in the disease, the metacarpo-phalangeal (MCF) joints, proximal interphalangeal (PIF) joints, wrists, and metatarsophalangeal (MTF) joints are the most frequently involved. In the axial skeleton, C1-C2 involvement is predominant in general, whereas sacroiliac joint involvement (SIJ) is rare (2). In this article, we present a differential diagnosis of bilateral sacroiliitis observed in a patient followed up and treated in our outpatient clinic for 2 years with a diagnosis of early RA.
- Published
- 2014
28. Guillain-Barre Syndrome Associated with Peginterferon Alfa-2a: A Case Report
- Author
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Ercan Madenci, Mehmet Ucar, Irfan Koca, Ozlem Altindag, and Ahmet Celik
- Subjects
medicine.medical_specialty ,Guillain-Barre syndrome ,business.industry ,Potential risk ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease ,Surgery ,Peripheral ,Chronic hepatitis ,Bone marrow suppression ,Internal medicine ,medicine ,business ,Depression (differential diagnoses) ,Peginterferon alfa-2a ,medicine.drug - Abstract
Polyethylene glycol-interferon α (PEG-IFNα), used in the treatment of chronic hepatitis C, has the potential risk for serious side effects. Among the most frequent side effects are symptoms similar to flu, depression, nervousness, and bone marrow suppression. Serious neurological side effects that have an influence on the peripheral nerves are rarely reported. In this article, a 58-year-old woman with the clinical findings of Guillain-Barre syndrome in the sixth week of PEG-IFa-2a treatment is analyzed and discussed.
- Published
- 2014
29. Can blood parameters be guiding in fibromyalgia syndrome?
- Author
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Ali Gur, Ali Aydeniz, Neytullah Turan, Savaş Gürsoy, Mazlum Serdar Akaltun, and Ozlem Altindag
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Platelet Distribution Width ,Complete blood count ,General Medicine ,medicine.disease ,Rheumatology ,Rating scale ,Internal medicine ,Fibromyalgia ,medicine ,Mean platelet volume ,business ,Blood parameters ,Depression (differential diagnoses) - Abstract
Aim: The aim of this study was to evaluate MPV (Mean Platelet Volume), NLR (Neutrophil-to-lymphocyte ratio), and PDW (Platelet Distribution Width) values obtained from complete blood count in patients with fibromyalgia syndrome (FMS). In addition, we aimed to investigate the relationship of these parameters with clinical conditions such as disease activity and depression.Materials and Methods: 91 patients who presented to Gaziantep University Physical Medicine and Rehabilitation department between November 2017 and March 2018 and were diagnosed with FMS according to the 2010 ACR (American Colleague of Rheumatology) criteria, and 33 healthy volunteers were enrolled in this study. Both groups filled out Fibromyalgia Impact Questionnaire (FIQ) and Hamilton Depression Rating Scale (HAM-D). Neutrophil, platelet, lymphocyte count, MPV, and PDW values were recorded from full blood count.Results: Although NLR was higher in the patient group, there was no statistically significant difference (p>0.05). While MPV and CRP values were significantly high, PDW values were significantly low in the patient group (p0.05). As the mean age values of both groups were different, a significant difference was found between the groups in terms of NLR values according to the results of regression model adjusted to age (p0.05).Conclusion: In our study, we found the NLR and MPV values to be high and the PDW values to be low, and found the NLR values to be associated with depression. The results of this study show that blood parameters can be used in FMS patients.Keywords: Inflammation; depression; fibromyalgia.
- Published
- 2019
30. Comparison of the Efficacy of Ultrasound and Extracorporeal Shock Wave Therapies in Patients with Myofascial Pain Syndrome: A Randomized Controlled Study
- Author
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Irfan Koca, Hilal Karagullu, Ozlem Altindag, Ercan Madenci, and Ali Gur
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Neck pain ,medicine.medical_specialty ,business.industry ,Ultrasound ,Myofascial pain syndrome ,medicine.disease ,law.invention ,Nottingham Health Profile ,Rheumatology ,Quality of life ,Randomized controlled trial ,law ,medicine ,Physical therapy ,Anxiety ,medicine.symptom ,business ,Trapezius muscle - Abstract
Objective: Evaluation and comparison of the efficacy of ultrasound [US] and extracorporeal shock wave therapy [ESWT] in the treatment of myofascial pain syndrome. Methods: Sixty-six patients with active myofascial trigger points in the trapezius muscle were randomized into treatment groups with US and three sessions of ESWT. Efficacy of the therapies were evaluated prior to therapy at 3 weeks and at 3 months of therapy using the Patient Global Assessment and Physician’s Global Assessment scales, Neck Pain and Disability Scale, Nottingham Health Profile, and Hamilton Anxiety Scale. Results: No severe complications were encountered with US and ESWT, and patients tolerated the therapies well overall. Statistically significant improvement was determined in the number of trigger points, pain, quality of life, and anxiety scores in post-therapy evaluations [p50.01]. Efficacy of therapies in inter-group comparison was evaluated in terms of improvement in the same scores, and the ESWT group had greater improvement when the anxiety scores were excluded [p50.05]. Conclusion: Our results indicated that both US and ESWT were effective and safe treatment modalities in myofascial pain syndrome. Three sessions of low dosage ESWT was more effective compared to US therapy that could be used as an effective and safe modality in the treatment protocols of myofascial pain syndrome.
- Published
- 2013
31. Expert opinion and key recommendations for the physical therapy and rehabilitation of patients with ankylosing spondylitis
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Mahir Ugur, Zuhal Altay, Ercan Madenci, Ozlem Altindag, Mustafa Çaliş, Erhan Capkin, Kazım Şenel, Salih Ozgocmen, Remzi Çevik, Ayhan Kamanli, Ozgur Akgul, Ali Gur, Meltem Alkan Melikoglu, Özlem Baysal, Kemal Nas, Murat Karkucak, and Bekir Durmus
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Ankylosing spondylitis ,medicine.medical_specialty ,Rehabilitation ,business.industry ,medicine.medical_treatment ,MEDLINE ,Rheumatic disease ,medicine.disease ,Physiatrists ,Rheumatology ,Expert opinion ,medicine ,Physical therapy ,business ,Spondylitis ,Systematic search - Abstract
Aim: Physiotherapy is an integral part of the management of ankylosing spondylitis (AS) and there is a needfor recommendations which focus on the rehabilitation of patients with AS. We aimed to develop recommen-dations for the physical therapy and rehabilitation of patients with AS based on the evidence and expertise.Methods: The Anatolian Group for the Assessment in Rheumatic Diseases (ANGARD) is a scientific group ofTurkish academicians (physiatrists and rheumatologists) who are experts in the rehabilitation of patients withAS. A systematic literature search summarizing the current available physiotherapy and rehabilitation trials inAS were presented to the experts before a special 2-day meeting. Experts attending this meeting first defined aframework based on the main principles and thereafter collectively constructed six major recommendationson physiotherapy and rehabilitation in AS. After the meeting an email survey was conducted to rate thestrength of the recommendations.Results: Six key recommendations which cover the general principles of rehabilitation in AS in terms of earlyintervention, initial and follow-up assessments and monitoring, contraindications and precautions, key advicefor physiotherapy methods and exercise were constructed.Conclusion: These recommendations were developed using evidence-based data and expert opinion. The imple-mentation of these recommendations should encourage a more comprehensive and methodical approach in therehabilitation of patients with AS. Regular lifelong exercise is the mainstay of rehabilitation and there is a consid-erable need for well-designed studies which will enlighten the role of physical therapy in the management of AS.Key words: ankylosing spondylitis, physiotherapy, recommendations, rehabilitation.Ankylosing spondylitis (AS) is a common inflamma-tory rheumatic disease that predominantly affects thesacroiliac joints and spine, leading to structural
- Published
- 2011
32. Reliability and efficacy of the new massage technique on the treatment in the patients with carpal tunnel syndrome
- Author
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Ercan Madenci, Ozlem Altindag, Ali Gur, Irfan Koca, and Mustafa Yilmaz
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Turkey ,medicine.medical_treatment ,Immunology ,“Madenci” hand massage technique ,Severity of Illness Index ,law.invention ,Disability Evaluation ,Grip strength ,Rheumatology ,Randomized controlled trial ,law ,Surveys and Questionnaires ,Hand strength ,Humans ,Immunology and Allergy ,Medicine ,Prospective Studies ,Prospective cohort study ,Carpal tunnel syndrome ,Pain Measurement ,Splint ,Massage ,Analgesics ,Hand Strength ,business.industry ,Recovery of Function ,Middle Aged ,Hand ,medicine.disease ,Combined Modality Therapy ,Biomechanical Phenomena ,Exercise Therapy ,Splints ,Treatment Outcome ,The new massage technique ,Physical therapy ,Female ,Original Article ,business ,Splint (medicine) - Abstract
We aimed to bring a more understandable and applicable technique to the literature instead of “massage therapy” in CTS. We compared our new technique with the splint wear, of which the efficacy in CTS has been proven with many studies. Eighty-four patients between 31 and 65 years of age were included in the study. The patients were divided into two equal groups. In the first group, splint and “Madenci” hand massage technique were applied, and in the second group only splint was applied. A splint was provided for all patients with tendon and nerve gliding exercises, and also when needed analgesic drugs were given. When the pretreatment and posttreatment parameters were compared via repetitive measurement analysis, it was found that PGA and MDPGA were significantly decreased in both groups (P = 0.001), whereas grip strength was significantly increased (P = 0.001). While no statistically significant difference was found between the groups regarding pretreatment values (P > 0.05), the posttreatment PGA, MDPGA, and grip strength scores were significantly improved in Group I compared to Group II (P
- Published
- 2011
33. The relation between genitourinary prolapse and joint hypermobility in Turkish women
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Savaş Gürsoy, Ali Aydeniz, Bahar Cebesoy, Ebru Dikensoy, Ozcan Balat, and Ozlem Altindag
- Subjects
Adult ,Joint Instability ,Joint hypermobility ,medicine.medical_specialty ,Turkey ,genetic structures ,Turkish ,Cross-sectional study ,behavioral disciplines and activities ,Pelvic Organ Prolapse ,Statistics, Nonparametric ,Surveys and Questionnaires ,Humans ,Medicine ,Longitudinal Studies ,Prospective Studies ,Prospective cohort study ,Aged ,Aged, 80 and over ,Gynecology ,Pelvic organ ,business.industry ,Obstetrics ,Genitourinary system ,Hypermobility syndrome ,Obstetrics and Gynecology ,General Medicine ,Middle Aged ,medicine.disease ,language.human_language ,body regions ,Cross-Sectional Studies ,language ,Female ,business - Abstract
In this cross-sectional study, we compared frequency of hypermobility syndrome in pelvic organ prolapse (POP) patients and normal healthy Turkish women.Sixty-five women who had diagnosed as POP and ward to surgery and 52 healthy women with similar age group were included into this study.It was found that subjects with POP had a significantly higher prevalence of joint hypermobility (53.8%) when compared with normal individuals (9.6%). No significant correlation was demonstrated between Beighton scores and incontinence, exercises pattern and hormone replacement therapy.We concluded that joint laxity is associated with POP but not with urinary incontinence in Turkish women.
- Published
- 2009
34. Assessment of paraoxonase activities in patients with knee osteoarthritis
- Author
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Hale Cakir, Neslihan Soran, Ahmet Demirkol, Nurten Aksoy, Hakim Celik, and Ozlem Altindag
- Subjects
Adult ,Male ,Lipid Peroxides ,medicine.medical_specialty ,Physiology ,Clinical Biochemistry ,Osteoarthritis ,medicine.disease_cause ,Biochemistry ,Antioxidants ,Lipid peroxidation ,Arylesterase ,chemistry.chemical_compound ,Internal medicine ,Humans ,Medicine ,Sulfhydryl Compounds ,chemistry.chemical_classification ,biology ,Aryldialkylphosphatase ,business.industry ,Biochemistry (medical) ,Paraoxonase ,Cell Biology ,Osteoarthritis, Knee ,Atherosclerosis ,medicine.disease ,Surgery ,Oxidative Stress ,Endocrinology ,chemistry ,Thiol ,biology.protein ,Female ,business ,Carboxylic Ester Hydrolases ,Oxidative stress ,Lipoprotein - Abstract
The objective of this study was to investigate serum paraoxonase and arylesterase activities, and lipid hydroperoxide (LOOH) and total thiol (total free sulfhydryl groups, -SH) levels along with lipid parameters in patients with knee osteoarthritis. Thirty-six patients with knee osteoarthritis and 30 healthy individuals were enrolled in the study. Serum paraoxonase and arylesterase activities were measured spectrophotometrically. LOOH levels were measured by ferrous oxidation with xylenol orange assay (FOX-2). Serum high-density lipoprotein-cholesterol (HDL-C), -SH levels, paraoxonase and arylesterase activities were significantly lower in the patient group than those in the controls (P < 0.05, for all), while LOOH and low-density lipoprotein (LDL) levels were significantly higher. In conclusion, paraoxonase and arylesterase activities were decreased significantly in patients with knee osteoarthritis. Lower serum paraoxonase-1 activity and lower level of HDL-C seem to be related to increased oxidative stress and inflammatory condition in these patients. It is known that paraoxonases reduce oxidative stress in serum and tissues thereby protecting against cardiovascular disease, particularly atherosclerosis. Thus, decreased paraoxonase and arylesterase activities play a role in the pathogenesis of atherosclerosis through increased susceptibility to lipid peroxidation in patients with osteoarthritis.
- Published
- 2008
35. Bioelectrical impedance analyses of patients with postmenopausal osteoporosis
- Author
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Suleyman Dasdag, M. Zulkuf Akdag, Ozlem Altindag, and Cemil Sert
- Subjects
medicine.medical_specialty ,business.industry ,Rehabilitation ,Urology ,medicine ,Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,Postmenopausal osteoporosis ,business ,Bioelectrical impedance analysis - Published
- 2008
36. The Relationship Between Clinical Parameters and Depression Level in Patients with Myofascial Pain Syndrome: Table 1
- Author
-
Ali Gur, Abdurrahman Altindag, and Ozlem Altindag
- Subjects
medicine.medical_specialty ,business.industry ,Beck Depression Inventory ,Chronic pain ,General Medicine ,Myofascial pain syndrome ,medicine.disease ,Comorbidity ,Anesthesiology and Pain Medicine ,Fibromyalgia ,Internal medicine ,Severity of illness ,medicine ,Physical therapy ,Major depressive disorder ,Neurology (clinical) ,business ,Depression (differential diagnoses) - Abstract
Harran University Faculty of Medicine, Department of Psychiatry, Sanliurfa, Turkey ABSTRACT Objective. Several studies and reviews have documented the high degree of comorbidity between depression and chronic pain. It was reported that chronic muscle pain is frequently accompanied by symptoms of depression. The purpose of this study was then to investigate the prevalence of major depression in chronic pain patients (CPP) with myofascial pain syndrome (MPS) and to investigate the relationship between some clinical parameters and level of depression, utilizing a healthy control group without MPS. Design/Setting/Patients. The study group consisted of 77 MPS patients (65 female, 12 male) and 72 healthy volunteers (60 female, 12 male). The diagnosis of MPS was based on clinical characteristics, examination findings, and ruling out other diagnoses. Major depressive disorder was diagnosed by a psychiatrist utilizing DSM-IV criteria. Levels of depression were obtained from the Beck Depression Inventory (BDI). Results. There was no significant difference between MPS patients and controls with respect to age and gender ( P > 0.05). The mean age of the patients was 31.1 years (SD 9.8) and the mean age of controls was 29.7 years (SD 7.1). Major depression was more frequently found in CPPs with MPS ( P < 0.001). BDI scores were higher in the MPS group than in controls ( P < 0.001). There was a significant correlation between the severity of pain and depression level in patients with MPS ( r = 0.654, P < 0.001). Conclusion. Major depression is found in MPS CPPs at a rate previously noted in the literature in mixed diagnoses CPPs. In addition, the severity of the depression may be related to perceived pain severity.
- Published
- 2008
37. Serum oxidative–antioxidative status in patients with ankylosing spondilitis
- Author
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Sahabettin Selek, Neslihan Soran, Huseyin Keles, Ozlem Altindag, and Mehmet Karakoç
- Subjects
Adult ,Male ,medicine.medical_specialty ,Antioxidant ,medicine.medical_treatment ,Immunology ,Oxidative phosphorylation ,medicine.disease_cause ,Severity of Illness Index ,Gastroenterology ,Antioxidants ,Pathogenesis ,Rheumatology ,Internal medicine ,Humans ,Immunology and Allergy ,Medicine ,Spondylitis, Ankylosing ,Spondylitis ,BASDAI ,Ankylosing spondylitis ,business.industry ,medicine.disease ,Surgery ,Oxidative Stress ,Female ,business ,Oxidative stress - Abstract
Ankylosing spondylitis (AS) is an inflammatory disorder with unknown etiology that mainly affects the axial skeleton as well as the peripheral joints and extra-articular structures. The aim of this study was to evaluate the total antioxidant status (TAS), total oxidative status (TOS) and oxidative stress index (OSI) in patients with ankylosing spondylitis (AS). Fifty AS patients with a mean Bath AS Activity Index (BASDAI) 4.6 (range 4-9.3) and 26 healthy controls were included in the study. Plasma TAS, TOS levels were determined by using novel automated methods. The OSI was calculated. Plasma TOS level and OSI values were significantly higher, and plasma TAS level was lower in patients than in healthy controls (15.8 +/- 4. 9 vs. 4.3 +/- 2.8, 12.8 +/- 3. 9 vs. 9.6 +/- 5.5, 1.2 +/- 0.03 vs. 1.8 +/- 0.2, respectively, P < 0.001 for all). There was no significant correlation between oxidant/antioxidant parameters and disease activity. The results of this study indicated that increased oxidant and decreased antioxidant capacity may be associated with the pathogenesis of AS.
- Published
- 2007
38. Relation of cortisol levels and bone mineral density among premenopausal women with major depression
- Author
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Abdurrahman Altindag, Mehmet Asoglu, M. Gunes, Neslihan Soran, Z. Deveci, and Ozlem Altindag
- Subjects
musculoskeletal diseases ,Bone mineral ,medicine.medical_specialty ,biology ,business.industry ,Osteoporosis ,Hamilton Rating Scale for Depression ,General Medicine ,musculoskeletal system ,medicine.disease ,Bone remodeling ,Endocrinology ,Internal medicine ,Osteocalcin ,biology.protein ,Medicine ,business ,Body mass index ,Depression (differential diagnoses) ,Hydrocortisone ,medicine.drug - Abstract
We aimed to investigate the relationship between cortisol levels and bone mineral density (BMD) among premenopausal women with major depression. We compared BMD, plasma cortisol, osteocalcin and C-telopeptide (CTx) levels of 36 premenopausal women with major depression with 41 healthy women who were matched for age and body mass index. Osteocalcin and CTx were used for the evaluation of bone turnover. The clinical diagnosis of major depression was made by using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. The 21-item Hamilton Rating Scale for Depression was used for the assessment of depressive symptoms. In comparison with the controls, the mean BMD of the depressed women was significantly lower at the lumbar spine and at all sites of the proximal femur (p = 0.02, 0.01). Plasma cortisol levels were significantly higher in depressive patients than in controls (p = 0.001). Osteocalcin was lower and CTx was higher in the patient group than in controls (p = 0.04, p = 0.008). Lumbar and femur BMD scores were negatively correlated with cortisol levels in the patient group. Major depression had important effects on BMD and bone turnover markers. Depression should be considered among risk factors for osteoporosis in premenopausal women.
- Published
- 2007
39. Efficacy of Pulmonary Rehabilitation Program with Cycle Ergometer in Obstructive Sleep Apnea Syndrome
- Author
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Ali Gur, Meral Uyar, Hilal Karagullu, Mehmet Eren, and Ozlem Altindag
- Subjects
medicine.medical_specialty ,Cardiopulmonary rehabilitation ,business.industry ,medicine.medical_treatment ,medicine.disease ,Obstructive sleep apnea ,Physical medicine and rehabilitation ,Heart rate ,medicine ,Respiratory muscle ,Physical therapy ,Anxiety ,Aerobic exercise ,Respiratory function ,Pulmonary rehabilitation ,medicine.symptom ,business - Abstract
Background and objectives: Obstructive Sleep Apnea Syndrome (OSAS) is characterized by recurrent upper airway obstruction during sleep. The aim of this study was to investigate impact of respiratory rehabilitation program with cycle ergometer on exercise capacity, respiratory parameters, sleep and quality of life in OSAS. Patients and methods: Study population was consisted of mild and moderate OSAS patients aged 18-65. Controlled breathing techniques and respiratory muscle exercises were asked to practice 2 times a day for 10-20 minutes. Upperlimb muscles of the shoulder girdle and cycle ergometer exercise device consisting of aerobic exercise and resistance programs we implement, was performed 3 times a week for 50-60 minutes. Anthropometric measurements, respiratory function tests; exercise capacity, 6 Minute Walk Test; level of day time sleepiness the Ep worth Sleepiness Scale; sleep and quality of life, Functional Outcome of Sleep Questionnaire and the Short Form-36 Questionnaire; anxiety levels were assessed using the State-Trait Anxiety Inventory. Results: 40 patients were included in the study. After treatment, neck circumference, level of daytime sleepiness, resting and post-exercise heart rate and blood pressure response, dyspnea and leg fatigue decreased; and improved exercise capacity, MIP, quality of life and sleep were observed. Conclusion: PR may be an effective treatment option in patients with OSAS. To our knowledge this is the first report that demonstrating the effectiveness of cycling exercises on functional status, exercise capacity, life and sleep quality in patients with OSAS.
- Published
- 2015
40. Increased oxidative stress and its relation with collagen metabolism in knee osteoarthritis
- Author
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Hakim Celik, Sahabettin Selek, Ozlem Altindag, Ozcan Erel, Nurten Aksoy, and Mustafa Karaoglanoglu
- Subjects
Male ,Dipeptidases ,Lipid Peroxides ,medicine.medical_specialty ,Antioxidant ,medicine.medical_treatment ,Immunology ,Oxidative phosphorylation ,Osteoarthritis ,medicine.disease_cause ,Antioxidants ,Rheumatology ,Internal medicine ,Humans ,Immunology and Allergy ,Medicine ,chemistry.chemical_classification ,Reactive oxygen species ,biology ,business.industry ,Middle Aged ,Osteoarthritis, Knee ,Catalase ,medicine.disease ,Enzyme assay ,Oxidative Stress ,Endocrinology ,chemistry ,Biochemistry ,Case-Control Studies ,Thiol ,biology.protein ,Female ,Collagen ,business ,Oxidative stress - Abstract
The purpose of this study was to determine serum oxidative/antioxidative status in patients with knee osteoarthritis and its relation with prolidase activity, which plays an important role in collagen metabolism. Serum antioxidative status was evaluated by measuring total antioxidant capacity (TAC), thiol level and catalase enzyme activity in patients with osteoarthritis and in healthy controls. Serum oxidative status was evaluated by measuring total peroxide (TP) and lipid hydroperoxide. Oxidative stress index (OSI) was calculated. Prolidase enzyme activity was measured to investigate the collagen metabolism. Serum TAC, thiol level, catalase activity and prolidase activity were significantly lower in patients than in controls (P < 0.001, for all). In contrast, TP, lipid hydroperoxide and OSI values were significantly higher in patients than in controls (P < 0.001 for all). Further, prolidase activity was negatively correlated with TP and OSI, and positively correlated with TAC. The present results indicate that the oxidant parameters increased and antioxidant parameters decreased in patients with osteoarthritis; therefore, these patients may be exposed to a potent oxidative stress. Decreased collagen metabolism may be related with oxidative stress, which has a role in the ethiopathogenesis and/or in the progression of the disease.
- Published
- 2006
41. Efficacy of 904 nm gallium arsenide low level laser therapy in the management of chronic myofascial pain in the neck: A double-blind and randomize-controlled trial
- Author
-
Ali Gur, Remzi Çevik, Aysegul Jale Sarac, Serdar Sarac, and Ozlem Altindag
- Subjects
Adult ,Male ,medicine.medical_specialty ,Visual analogue scale ,medicine.medical_treatment ,Dermatology ,Myofascial pain syndrome ,Placebo ,law.invention ,Double-Blind Method ,Randomized controlled trial ,law ,medicine ,Humans ,Prospective Studies ,Functional ability ,Low-Level Light Therapy ,Myofascial Pain Syndromes ,Low level laser therapy ,Neck pain ,business.industry ,Recovery of Function ,medicine.disease ,Treatment Outcome ,Nottingham Health Profile ,Chronic Disease ,Quality of Life ,Physical therapy ,Female ,Surgery ,medicine.symptom ,business ,Neck - Abstract
Background and Objectives: A prospective, doubleblind, randomized, and controlled trial was conducted in patients with chronic myofascial pain syndrome (MPS) in the neck to evaluate the effects of infrared low level 904 nm Gallium-Arsenide (Ga-As) laser therapy (LLLT) on clinical and quality of life (QoL). Study Design/Patients and Methods: The study group consisted of 60 MPS patients. Patients were randomly assigned to two treatment groups: Group I (actual laser; 30 patients) and Group II (placebo laser; 30 patients). LLLT continued daily for 2 weeks except weekends. Follow-up measures were evaluated at baseline, 2, 3, and 12 weeks. All patients were evaluated with respect to pain at rest, pain at movement, number of trigger points (TP), the Neck Pain and Disability Visual Analog Scale (NPAD), Beck depression Inventory (BDI), and the Nottingham Health Profile (NHP). Results: In active laser group, statistically significant improvements were detected in all outcome measures compared with baseline (P < 0.01) while in the placebo laser group, significant improvements were detected in only pain score at rest at the 1 week later of the end of treatment. The score for self-assessed improvement of pain was significantly different between the active and placebo laser groups (63 vs. 19%) (P < 0.01). Conclusion: This study revealed that short-period application of LLLT is effective in pain relief and in the improvement of functional ability and QoL in patients with MPS. Lasers Surg. Med. 35:229–235, 2004. 2004 Wiley-Liss, Inc.
- Published
- 2004
42. Epidermoid cyst and lipoma with tethered spinal cord: A case report
- Author
-
Ekrem Karakas, Ozlem Altindag, Bahattin Çelik, Irfan Koca, Ercan Madenci, and Ali Gur
- Subjects
lcsh:R5-920 ,medicine.medical_specialty ,Tethered cord syndrome,intradural epidermoid cyst,lipoma ,business.industry ,lcsh:R ,fungi ,lcsh:Medicine ,Epidermoid cyst ,intradural epidermoid cyst ,lipoma ,Lipoma ,medicine.disease ,Spinal cord ,Tetheret cord sendromu,intradural epidermoid kist,lipom ,Surgery ,medicine.anatomical_structure ,Concomitant ,medicine ,Cyst ,Tethered cord syndrome ,Imaging technique ,lcsh:Medicine (General) ,Tethered Cord ,business - Abstract
Tethered cord syndrome (TCS) is a stretch-induced disorder of the spinal cord caused by congenital or acquired con-ditions. Due to improvement of imaging technique, it is currently realize that TCS may be seen with different pathol-ogy. Differing from relevant literature, concomitant presence of TCS, epidermiod cyst and lipoma in a 17 year old fe-male patient is presented and discussed in the present paper., Tethered kord sendromu (TKS) konjenital ya da edinsel nedenlerle omuriliğin gerilmesi sonucu oluşur. Manyetik Re-zonans Görüntüleme (MRG)\'nin spinal bölge rahatsızlıklarının tanısında kullanılmaya başlanması ile birlikte TKS\'nin farklı patolojilerle birlikte görülebileceği fark edilmiştir. Bu yazıda literatürden farklı olarak TKS\'nin, intradural epider-moid kist ve lipom ile birlikte ortaya çıktığı 17 yaşında bir kadın hasta anlatıldı ve tartışıldı.
- Published
- 2012
43. Cep Telefonu Radyasyonunda Melatonin’in Testis Dokusunda Olası Koruyucu Etkisi
- Author
-
Gülnur Take Kaplanoğlu, Bahriye Sirav Aral, Cemile Merve Seymen, and Ozlem Altindag
- Subjects
Gynecology ,lcsh:R5-920 ,medicine.medical_specialty ,business.industry ,lcsh:R ,lcsh:Medicine ,Health Care Sciences and Services ,Radyasyon,Melatonin ,Medicine ,Sağlık Bilimleri ve Hizmetleri ,lcsh:Medicine (General) ,business ,Radyasyon ,Melatonin - Abstract
Amaç: Çalışmamızda cep telefonu radyasyonuna kronik etkin kalmanın testis dokusu üzerinde meydana getireceği değişimler ve melatonin kullanımının olası koruyucu etkisinin ışık mikroskobik düzeyde incelenmesi amaçlandı. Yöntemler: 24 adet Wistar albino cinsi erkek sıçan 4 gruba ayrılarak 90 günlük deney süresince; kontrol grubuna hiçbir uygulama yapılmazken, 2. gruba her gün 30 dk 2100 MHz radyasyon uygulaması, 3. gruba her gün derialtı melatonin uygulaması, 4. gruba ise radyasyon uygulamasından 40 dk önce derialtı melatonin ve sonrasında 30 dk radyasyon uygulaması yapıldı. Deney bitiminde yüksek doz anestezi altında feda edilen deneklerden testis dokuları alındı, ağırlıkları ölçülerek ışık mikroskobik izleme yöntemlerinden geçirildi. Örneklere yapısal değişimleri incelemek amacıyla Hematoksilen Eozin, bazal membran kalınlığının değerlendirilmesi amacıyla da PAS boyamaları yapıldı; germinal epitel kalınlığı ve seminifer tübül çapı ile bazal membran kalınlığı ölçülerek istatistiksel analizler yapıldı. Bulgular: Radyasyon uygulaması ile birlikte seminifer tübüllerde düzenli yapının bozulduğu ve seminifer epitel hücreleri arasında ödem oluştuğu izlendi. Radyasyon ve melatonin uygulanan grupta seminifer tübül yapısının radyasyon grubuna karşı oldukça korunduğu dikkati çekti. Tüm gruplarda testis ağırlığında istatistiksel olarak anlamlı bir farklılık saptanmazken, radyasyon uygulanan grupta bazal membranın daha kalın olduğu, germinal epitel kalınlığının azaldığı, seminifer tübül çapının ise arttığı istatistiksel olarak belirlendi. Sonuç: Sonuç olarak yüksek doz cep telefonu radyasyonunun testis histolojik yapısına, özellikle spermatogenezis ve spermiyogenezis düzeyinde etkili olduğu belirlenirken, melatoninin koruyucu özellik gösterdiği kanısına varıldı.
- Published
- 2017
44. Sleep Disturbances in Patients with Spinal Cord Injury
- Author
-
Ozlem Altindag, Hilal Karagullu, and Ali Gur
- Subjects
education.field_of_study ,medicine.medical_specialty ,Sleep disorder ,Rehabilitation ,business.industry ,medicine.medical_treatment ,Population ,medicine.disease ,Affect (psychology) ,Sleep in non-human animals ,Quality of life ,medicine ,Physical therapy ,Insomnia ,medicine.symptom ,education ,business ,Spinal cord injury - Abstract
Sleep problems in rehabilitation patients have not yet understood. Age, physiological, or environmental condition may affect sleep habits. Sleep problems occur frequently in the general population, and are even more common in individuals with spinal cord injury (SCI). SCI patients have restless sleep, complain of spasms, difficulty in initiating and maintaining sleep, snoring, often awaking in the early hours of the morning and are unable to fall asleep again, and during the day time they are tired and sleepy. Patients with SCI often say they sleep less or don?t feel rested when they wake up. Studies have been reported that sleep disturbances have potential negative impact and sleep disorders can hinder the rehabilitation process and affect global outcomes in patients with spinal cord injury. It is important to assess the presence of sleep problems in SCI patients, and to provide effective treatments when indicated for their compliance of rehabilitation program and increasing quality of life.
- Published
- 2014
45. Effectiveness of the Big Math for Little Kids Program on the Early Mathematics Skills of Children with Risk Group
- Author
-
Özlem Altındağ Kumaş and Cevriye Ergül
- Subjects
early mathematics ,early intervention ,preschool period ,big maths for little kids ,Education - Abstract
The aim of this study is to determine the effect of Big Math for Little Kids (BMLK) Program on the early mathematics skills of children with lower socioeconomic level. The participants of the study consist of between 60-72 months of aged children with lower socioeconomic level recruited to kindergartens of Ministry of National Education from Turkey in Diyarbakır in the 2018-2019 academic year. The sample of the study consists of 40 children with above mentioned characteristics. Of these, 20 were assigned to the experimental group and 20 to the control group. Two schools were selected for experimental and control group, and the study was conducted after selecting ten children in a class of each school. In the study pretest-posttest with control group experimental model was used. The data of the study were collected through the Tests of Early Language Development Test (TELD-3) to determine children with adequate language skills of their own age group, and Test of Early Mathematical Ability (TEMA-3) to assess early mathematical development of children. As a result, BMLK program was determined to be effective in the mathematics development of children with lower socioeconomic level.
- Published
- 2021
- Full Text
- View/download PDF
46. A Case with Anti TNF- α Induced Bullous Pemhigoid
- Author
-
Ozlem Altindag, Savaş Gürsoy, and Ali Aydeniz
- Subjects
medicine.medical_specialty ,Rheumatology ,business.industry ,Anti tnf α ,Rheumatoid arthritis ,medicine ,Bullous pemphigoid ,medicine.disease ,business ,Dermatology - Abstract
Ozet Otoimmun inflamatuvar hastaliklarin etiyopatojenezinde TNFα’nin onemli rolu oldugu ve tedavide anti-TNF-α ilaclarin yillardan beri kullanildigi bilinmektedir. Bununla birlikte bu ilaclarin kullanimi sirasinda farkli otoimmun hastaliklarin ortaya cikmasi gibi istenmeyen sonuclarla karsilasilabilmektedir. Bu yazida romatoid artrit tanisiyla adalimumab kullandigi donemde bulloz pemfigoid tablosu gelisen bir kadin hasta anlatildi ve tartisildi. (Turk J Rheumatol 2010; 25: 214-6) Anahtar sozcukler: Bulloz pemfigoid, anti TNF-alfa, romatoid artrit
- Published
- 2010
47. Heterotopic Ossification in Hip and Knee Joint After Abdominal Surgery
- Author
-
Birsev Kucukoglu and Ozlem Altindag
- Subjects
Aortic aneurysm ,medicine.medical_specialty ,Rheumatology ,business.industry ,medicine ,Heterotopic ossification ,Knee Joint ,medicine.disease ,business ,Surgery ,Abdominal surgery - Published
- 2010
48. Rehabilitation of Tendon Transfers for Radial Nerve Injury: A Report of Two Cases
- Author
-
Savaş Gürsoy, Ali Aydeniz, Arif Türkmen, and Ozlem Altindag
- Subjects
medicine.medical_specialty ,Radial nerve injury ,medicine.anatomical_structure ,Rehabilitation ,business.industry ,medicine.medical_treatment ,medicine ,Physical Therapy, Sports Therapy and Rehabilitation ,business ,Tendon ,Surgery - Published
- 2010
49. Anxiety, health anxiety and somatosensory amplification levels in individuals with carpal tunnel syndrome with normal electromyography
- Author
-
Ali Gür, Savaş Gürsoy, Abdurrahman Altındağ, Bahadır Demir, Özlem Altındağ, Hacer Karaoglan, and Mazlum Serdar Akaltun
- Subjects
carpal tunnel syndrome ,electromyography ,anxiety ,depression ,neuropathic pain ,karpal tünel sendromu ,elektromyografi ,anksiyete ,depresyon ,nöropatik ağrı ,Medicine (General) ,R5-920 - Abstract
Purpose: The aim of this study was to investigate the levels of anxiety, health anxiety and somatosensory amplification in patients who presented with the clinical manifestation of Carpal Tunnel Syndrome (CTS) without electromyography findings. Materials and Methods: Patients who applied to the Physical Therapy and Rehabilitation outpatient clinic, respectively, and were diagnosed with CTS with clinical findings were included in the study. The patients who were determined to have no evidence of conduction loss in EMG were evaluated by using Short Health Anxiety Inventory (HAI-18), SomatoSensory Amplification Scale (SSAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Visual Analog Scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ). Results: A total of 111 participants were included in the study, of whom 56 were patients and 55 were healthy control subjects. There was no significant difference between the patient and control groups in terms of age, gender, and body mass index (BMI). A statistically significant relationship was observed between these scales and the VAS, BCTQ symptom-severity and BCTQ function status in the positive direction. Conclusion: In our study, it was shown that the patient group showed higher anxiety, health anxiety and somatosensory amplification characteristics, and these features were associated with the severity of the CTS clinical scales. Studies with large-scale samples are needed to be carried out to confirm the results of this study.
- Published
- 2021
- Full Text
- View/download PDF
50. Daytime Sleepiness and Its Relationship with Disease Activity and Emotional State in Patients with Ankylosing Spondylitis
- Author
-
Özlem Altındağ, Mazlum Serdar Akaltun, and Ali Gür
- Subjects
ankylosing spondylitis ,sleep disturbances ,disease severity ,Medicine ,Medicine (General) ,R5-920 - Abstract
Objective:This study aimed to evaluate sleep disturbance in patients with ankylosing spondylitis (AS) and to analyse the relationship between disease activity, anxiety/depression and pain level.Materials and Methods:Disease activity was assessed using the Bath ankylosing spondylitis disease activity index (BASDAI), sleep disturbance was evaluated by the Epworth sleepiness scale (ESS), pain level was evaluated by the visual analogue scale and emotional state was evaluated by the Beck depression inventory (BDI), state-trait anxiety inventory (STAI) I and STAI II. Data were examined using independent samples t-tests and Pearson’s correlation analysis.Results:Daytime sleepiness, depressive mood and anxiety levels were higher in patients with AS than in healthy controls. The ESS score correlated with BASDAI, BDI, STAI I and STAI II. Patients with AS had a considerably impaired sleep quality compared with the healthy controls, and a strong correlation was found between sleep and mood. A positive correlation was also noted between disease activity/pain severity and sleep quality.Conclusion:Measuring sleep quality and mood is important for the comprehensive evaluation of the health status of patients with AS, which could provide valuable evidence for improving the management of disease and treatment decisions.
- Published
- 2021
- Full Text
- View/download PDF
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