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Search Results: 1 - 10 of 1953 matches for " Hatice Rana Erdem "
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Evaluation of Sexual Dysfunction in Females With Rheumatoid Arthritis
Sibel Arslan Cebeci,Hakan Gen?,Hatice Rana Erdem,Bar?? Nacir
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2012,
Abstract: Ob-jec-ti-ve: To investigate the influence of rheumatoid arthritis (RA) on sexual functioning in female patients and to compare the results with data from the general population. Metarials and Methods: One hundred women with RA and 45 age- and body mass index-matched healthy women were included in the study. Clinical parameters, health status of the patients during activities of daily living, functional classifications of patients, activity of disease, scores of articular index, hand grip values, laboratory activity parameters and radiological damage at the hands, wrists, ankles, knees, and hips were evaluated. The Female Sexual Function Index (FSFI) and the Beck Depression Index (BDI) were used in both groups. Correlations between the disease parameters and the total score and individual scores of 6 domain structure of FSFI (desire, subjective arousal, lubrication, orgasm, satisfaction, and pain) were analysed. Results: The mean age of the patients was 44.8±8.2 (21-60) years and controls was 44.7±8.5 (26-59) years (p>0.05). Total and subunit FSFI scores were significantly lower in RA group than in controls (p<0.001, p<0.001 to p<0.01, respectively). BDI scores were also significantly higher in RA group (p<0.001). It was found that all parameters, which affecting the progress of disease, also had negative effects on sexual function in RA group. Regression analysis showed that the correlations between the sexual dysfunction and age (elderly), the duration of disease, high functional class, high health status score and high BDI score were more significant than the other parameters. Conclusion: In this study, sexual dysfunction was found to be more frequent among RA patients than in the normal population. Turk J Phys Med Re-hab 2012;58:36-46.
Brachial Plexus Lesion Due to Pathological Fracture of Clavicle in a Patient With Primary Hyperparathyroidism
Hatice Rana Erdem,Bar?? Nac?r,Aynur Karag?z,Meryem Sara?o?lu
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2011,
Abstract: Primary hyperparathyroidism (PHPT) is the third most common endocrine disorder. The clinical manifestations primarily involve the kidneys and the skeletal system. Pathologic bone fractures and proximal myopathies are rare conditions associated with PHPT. Early brachial plexus lesion secondary to clavicle fracture is very rare as well. The present case is of importance since it includes all of the three above-mentioned rare conditions. A 43-year-old female patient presented with complaints of pain and weakness in the right arm and limitation of movements in the right shoulder after a minor trauma. According to clinical, laboratory and radiological examination, she was diagnosed as having PHPT and traumatic right brachial plexus lesion due to pathologic fracture of clavicle, as well as hyperparathyroidism associated with secondary osteoporosis and myopathy. The patient underwent parathyroid surgery. After the surgery, a rehabilitation program including range of motion and strengthening exercises was given. PHPT may be diagnosed in an advanced stage of the disease. Therefore, clinicians should keep in mind that PHPT may present with complications of hyperparathyroidism. Turk J Phys Med Rehab 2011;57 Suppl 2: 361-5.
Myofascial Pain Syndrome in Chronic Tension-Type Headache
Burcu Duyur ?ak?t,Hatice Rana Erdem,Esin ?etinkaya,Bar?? Nac?r
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2010,
Abstract: Objective: The aim of this study was to investigate the presence of active and latent trigger points and to determine their relationship to pain-pressure thresholds of cervical muscles, neck mobility, head position and depression in patients with tension-type headache (TTH).Materials and Methods: Twenty-seven patients with TTH and 19 healthy subjects without history of headache were included. The presence of active and latent trigger points in the sternocleidomastoid, trapezius, levator scapulae, multifidus, and suboccipital muscles were investigated. Pain-pressure thresholds were measured in the sternocleidomastoid, trapezius, levator scapulae, multifidus, and suboccipital muscles of both sides. Cervical range of motion of the patients and control subjects were measured using a goniometer. Measurements of cranio-vertebral angle were performed in the patients and control subjects. Psychological status of both groups was determined using Beck Depression Inventory. Results: Twenty-one patients had active trigger points in at least one of the analyzed muscles. Five patients had no active trigger point in any muscle, but the occurrence of latent trigger points was detected in these patients. One patient had no active or latent trigger point. Within the control subjects, there was no active trigger point, but 12 subjects had latent trigger points in at least one of the analyzed muscles. Neck mobility of the patients was more restricted compared to the control subjects. Pain-pressure threshold values of the patients were lower than those of the control subjects (p<0.05). Craniovertebral angle values obtained from both sitting and standing positions were significantly lower in the patients than in the controls (p<0.05). Within the patient group, the mean Beck Depression Inventory Scores were higher than that in the control subjects (p=0.0001).Conclusion: The results of the present study indicate that, almost all TTH patients had trigger points, altered craniovertebral posture and restricted neck mobility. Therefore, it is thought that, cervical myofascial pain syndrome may play an important role in both pathogenesis and exacerbation of the symptoms of TTH. Turk J Phys Med Rehab 2010;56:21-5.
Turkish Studies , 2011,
Abstract: The Turks came to the first stages of the history by their military achievements and this general observation on the Turkish history overshadowed different characteristics of the Turks from ancient period onwards. Though, the Turks predominantly lived in the steppes of Inner Asia they were known to have “earth-water” belief and used the river transportation. By the familiarity and capability of the Turks with water reservoirs and rivers the Turks did not stay within Inner Asia and they became one of the exceptional example in the history. It is also suggested that in the archaic period, during the ancestors of the Turks Inner Asia was covered with sea but since there is no enough evidence for this issue this study will consantrate on different Turkish groups who have relations with various water reservoirs as Skyths, Avars, G ktürks, Uygurs. This study reveals the existance of physical infrastructure together with religious, political and philosophical ideal in the nautical progress while establishing fleet and maritime trade ship even after the arrival of the Turks to Anatolia. It is also observed that the Turks layed the foundation of “maritime policy” with their earlier naval knowledge by improving it with Byzantine’s and Arab’s experiences in the sea. Furthermore, it is not an exageration to state that the Turks are one of the unique people in the world to built special vehicles to use on rivers, lakes and close sea according to the needs of time and place (merchandise, strategical, military needs). Eski a dan bu yana Türkler’in daha ok askerlik ve ordu kurma konusundaki zellikleri n plana km , hatta Türklerin bu konudaki kabiliyetleri onlar n di er alanlardaki yetenek ve ilgilerinin tesbit edilmesini engellemi g rünmektedir. Halbuki Orta Asya steplerinde ya ad klar d nemlerde dahi bir “yer-su” inanc na sahip olan ve nehir ula m n maharetli bir ekilde kullanm olduklar anla lan Türkler, bu hareket kabiliyetleri sayesinde tek bir b lgeye s k p kalmam lar ve tarihte benzerine az rastlanan bir rnek te kil etmi lerdir . Bu al mada, Türkler’in atalar n n erken d nemlerde ya ad klar Orta Asya’n n denizlerle kapl oldu u tahmin edilmekle birlikte, bu d nemlere ait yeterince verinin elimizde bulunmad üzerinde durularak, Türklerin (ki daha ncesi hakk nda ok kesin bilgilere sahip de iliz) skitler a nda dahi evrelerindeki sularla ba lant l olduklar , ve Avarlar, G ktürkler, Hazarlar ve Uygurlar gibi Türk topluluklar n n nehir, g l ve denizlerde faaliyetlerinin oldu u anlat lacakt r. Bu al ma, Türkler’in Anadolu’ya geldikten son
Vaginal douching (vd) practice and adverse health effects of 15-49 years married women
Emel Ege,Belgin Ak?n,Hatice Erdem
International Journal of Human Sciences , 2006,
Abstract: OBJECT VE: The purpose of the study is to explore the vaginal douching practice and adverse health effects of the 15-49 age, married women in Konya. MATERIAL AND METHOD: The population of this descriptive- cross-sectional study is 15-49 age, married women who recruited in the number 15 health-center region. The sample consisted of 183 women who were selected with systematic sampling method. A questionnaire designed with researcher based on literature which was 30 questions include fertility characteristics, VD practice and adverse health effects was used to collect data. The data were collected by the researcher with home visiting between April-May 2005. Descriptive statistics and X2 test were used to analysis data. RESULTS: The mean age of women in the study group is 33.5±7.86, 87. 4 % has primary school education, 68.3 % middle income, 54.6 % practice VD. The mean year of VD practice is 12.9±8.8 and 65.1 % douche at least once a week. The reasons of the women’s VD practices are religious practice (45.4 %), cleaning (41.5%) and preventing pregnancy(13.1%) and, 68.9 % of women don’t know harmfull efects of VD. There was no difference between history of sterility, extopic pregnancy, abortus, low birth weigh, symptoms of genito-urinary infection and its frequency and VD in the X2 test. There was a difference between contraceptive method used and VD. CONCLUSION: Sterility, extopic pregnancy, abortus, low birth weigh, symptoms of genito-urinary infection and its frequency were not related to VD. We suggest that the women have been educated about adverse health effects of VD and analytic researches may be planned for causal relationship between adverse health effects and VD.
Rational Usage of Disease Modifying Anti-Rheumatic Drugs with the Guidance of EULAR and ACR Suggestions  [PDF]
Zuhal ?rnek, Metin I??k, Nesibe Karahan Ye?il, ?smail Do?an, Hatice ?ahin, Ali Erdem Baki
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2015, DOI: 10.4236/ojra.2015.54017
Abstract: Disease modifying anti-rheumatic agents are the cornerstone in management of Rheumatoid Arthritis and when used correctly they are life-saving. As the number of the agents increases, detailed guidelines become more and more important for clinicians to set safe and effective regimens. Herein, we combined the EULAR and ACR recommendations for clinicians and also pointed some important facts peculiar to our country.
The Efficacy of Tocilizumab for Takayasu Arteritis: Review of the Literatures  [PDF]
Nesibe Karahan Ye?il, Hatice ?ahin, Metin I?ik, Ziyaeddin Aktop, ?smail Do?an, Ali Erdem Baki
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2015, DOI: 10.4236/ojra.2015.54019
Abstract: Takayasu arteritis is a large vessel vasculitis of the young women with giant cells and granuloma formation. The diagnosis and management of the disease are really not so easy because of the insidious onset and the difficulties in assessment of disease activity. Nearly 60% of the patients are corticosteroid resistant or dependent and relapses are very frequent during taper of the dose [1]. The novel biologic agents as Anti-TNF, Rutiximab and Tocilizumab provide acceptable response rates with low toxicity. Herein, we reviewed the efficacy of Tocilizumab in Takayasu arteritis.
Low Back Pain in Pregnancy
Bar?? Nac?r,Aynur Karag?z,H. Rana Erdem
Romatizma , 2009,
Abstract: Pregnancy-related low back pain is a common problem during pregnancy. More than half of all pregnant women experience low back pain at some time during pregnancy. The pain can vary from a mild discomfort to being severe and disabling. In one-third of these women, pain is a severe problem compromising activities of daily living, work and sleep. The awareness of the possible impact of low back pain on the quality of life and the associated costs to society has increased medical attention over the last decade. Pain usually develops between the fifth and seventh month of pregnancy but may appear as early as the first trimester. Moreover, some women who experience back pain during pregnancy experience persistent back pain in the postpartum period or have an increased risk of back pain in subsequent pregnancies, and many women with chronic back pain link its onset to a pregnancy. Despite its high frequency, there are some ambiguities inherent in the terminology, diagnosis and classification. The etiology and pathogenesis are not yet clearly understood. The etiology of pain is probably related to a combination of mechanical, hormonal and vascular contributing factors. Low back pain in pregnancy is most commonly subdivided into lumbar pain and posterior pelvic pain. This subdivision is important in terms of both management and prognosis. Characteristic findings and treatment may differ between the two categories. Accurate assessment and effective treatment are important for managing the low back pain of pregnancy.The purpose of the present article was to provide a summary review of the performed studies on pregnancy-related low back pain.
Cyanocobalamin and 25-Hydroxy Vitamin D Levels in Gout Patients: An Overlooked Issue  [PDF]
Yunus Emre Yand?, Ercan Gencer, Beyza K?lavuz, Ali Erdem Baki, Hatice ?ahin, Muammer Bilici, Metin I??k, Tamer Al??kan
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2016, DOI: 10.4236/ojra.2016.64015
Abstract: Gout is one of the most frequent type of inflammatory arthritis in developed countries. The elevation of serum uric acid levels and the deposition of monosodium urate crystals in joints and/or soft tissues are the mechanisms of pathogenesis. Uric acid is a product of the metabolic cleavage of purine nucleotides and organ meats, beef, pork, and lamb, anchovies, sardines, herring, mackerel, scallops, gravy and beer are known to be very rich in purine. On the other hand, some of these foods are also the main sources of vitamin B12 (cyanocobalamin). As a chronic inflammatory arthritis corticosteroids are frequently prescribed for gout patients, meaning a higher risk for osteoporosis which may be blocked by daily calcium and vitamin D replacement. However, there are no recommendations about screening or replacement of Gout patients for vitamin D and B12. Herein, we evaluated our patients retrospectively to document their vitamin levels and also to find the factors associated with vitamin deficiency. Totally, 90 patients, 71 (79.9%) male and 19 (20.1%) female patients with a median diagnostic age of 55 (19 - 80) were included. Thirty six (40%) patients were newly diagnosed (group 1) but 54 (60%) patients had established diseases (group-2) with median disease duration of 36 (11-240) months. Nearly half (47.2%) of the patients in group-1 and 37% of the patients in group-2 had vitamin B 12 deficiency. Similarly, 38.9% in each group had vitamin D deficiency and 52.8% in group-1 and 44.4% in group-2 had vitamin D insufficiency. In conclusion, we strongly recommend routine screening and replacement of vitamin B12 and D for patients with Gout.
Radiological Followup of the Evolution of Inflammatory Process in Sacroiliac Joint with Magnetic Resonance Imaging: A Case with Pyogenic Sacroiliitis
Muhammet Cinar,Hatice Tugba Sanal,Sedat Yilmaz,Ismail Simsek,Hakan Erdem,Salih Pay,Ayhan Dinc
Case Reports in Rheumatology , 2012, DOI: 10.1155/2012/509136
Abstract: Pyogenic sacroiliitis (PS) is an acute form of sacroiliitis that mostly starts with very painful buttock pain. Here in this case, the followup magnetic resonance (MR) images of a 49-year-old male patient with PS is displayed. After his sacroiliitis was documented by MR images, he was treated with the combination of rifampicin plus streptomycin and moxifloxacin. Serial MR investigations were done to disclose acute and subsequent imaging changes concerning sacroiliac joint and surrounding bone structures. Although after treatment all the symptoms were completely resolved, 20 months later changes suggesting active sacroiliitis on MR images were continuing.
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