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Search Results: 1 - 10 of 3275 matches for " Mustafa Aparci "
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Approach to Cardiovascular Disease in Primary Care Medicine
Mustafa Aparci,Ejder Kardesoglu,Bekir Sitki Cebeci
TAF Preventive Medicine Bulletin , 2007,
Abstract: Significance of primary health services was understood by the time and a distinct care began to be directed at in our country. Increasing prevalence of cardiovascular disease and death urged the health systems to provide early diagnosis, appropriate treatment and regular control of those patients. Thus primary health care physicians deserve currently greater importance. The purpose of this review is to mention shortly about the widely used diagnosis method and techniques and also treatment modalities and goals of atherosclerotic heart disease, hypertension, diabetes and sudden cardiac death in the direction of recent guidelines. [TAF Prev Med Bull. 2007; 6(5): 380-388]
Cardiovascular Risk Assesment at the Personnel of Turkish Armed Forces
Zekeriya Arslan,Mustafa Aparci,Ejder Kardesoglu,Atila Iyisoy
TAF Preventive Medicine Bulletin , 2009,
Abstract: AIM: In this study we aimed to evaluate the cardiovascular risk profile of Turkish Armed Forces (TSK) personnel and also to determine the ones at high risk. METHOD: Totally, 1311 individuals were participated in a questionnaire. Smoking, hypertension, diabetes, hyperlipidemia, family history, physical activity, previous cardiovascular disease or symptoms were interrogated. Of the 249 individuals with ≥2 risk factors or even not exist risk factors but having active cardiac complaint; 176 volunteers (%71) were performed physical examination, ECG, echocardiography, and biochemical tests (fasting glucose, lipid profiles etc) and the ones with high risk (n=14) were performed exercise stress test. Statistical analysis was performed by Chi-Square test, Fisher s exact test and Student t test using SPSS 11.0 for Windows. RESULTS: Of 1311 subjects (age 32.6 ± 6.7, %98.7 male), 24.3 % had no risk factors. Rate of Smoking, hypertension, hyperlipidemia, family history, overweight (BMI>25 kg/m2), and inactivity were 43.0%, 5.2%, 2.7%, 17.5%, 28.8%, 20.8% and 20%, respectively. Rate of overweight, inactivitiy, and typical chest discomfort were significantly increased with age (p<0.001). Smoking was similar in all age groups. While the the ten year-Framingham risk score was %1.6 before 40 years old, it was significantly increased then. Of 176 subjects, when rated general poll population, cardiovascular diseases rate was 2.7% (coronary 0.6%, valvular 1.1%, rhytm-conductance 0.8%, and other -congenital, peripheral vascular etc. 0.2%) compared to whole group. 22 patient had left ventricular hypertrophy due to valvular diseases or hypertension. Newly diagnosed 15 patients were started on medication, and three subjects referred advanced medical center. CONLUSION: Risk stratification and modification gain importance for an earlier diagnosis and treatment of cardiovascular diseases worldwide. Similar society based projects could also reduce the morbidity and mortality of cardiovascular disease in our country. [TAF Prev Med Bull. 2009; 8(5): 373-380]
Effect of Chronic Smoking on Aortic Elasticity
Ejder Kardesoglu,Mustafa Aparci,Omer Uz,Namik Ozmen
TAF Preventive Medicine Bulletin , 2008,
Abstract: AIM/BACKGROUND: In this study, we aimed to determine the effects of chronic smoking on aortic elasticity in healthy young individuals. METHODS: The study population was composed of healthy and moderately active 20 volunteer males (21.8±1.4 years old) who have smoked more than 10 cigarettes/day for at least 3 years and moderately active (Smoker Group). Twenty five healthy males were enrolled to the study as the control group (21.6 ±1.5 years old). Heart rate, systolic and diastolic blood pressures (SBP, DBP) of each subject were measured. Systolic and diastolic diameters of aorta were measured from ascending aorta at modified parasternal long axis views by M mode echocardiography. Parameters of aortic elasticity such as aortic strain (AS), aortic distensibility (AD) and stiffness index beta (SIB) were calculated using standart formulas. The parameters of groups were compared to each other. RESULTS: In the smoker group the mean duration of smoking and number of cigarettes were 5.5±1.9 years and 16.2±3.8 cigarettes per day, respectively. We did not find any statistical difference between groups in terms of ejection fraction, heart rate, SBP, and DBP. Aortic Strain and Aortic Distensibility were lower whereas stiffness index beta was higher in smoker group comparison to control group. CONCLUSION: In the conclusion, aortic elasticity was significantly decreased in chronically smoking healthy youths. [TAF Prev Med Bull. 2008; 7(2): 147-152]
Effect of Hashish Use by the way of Smoking on Development of Pulmonary Hypertension in Youngs
Mustafa Aparci,Ejder Kardesoglu,Namik Ozmen,Bekir Yilmaz Cingozbay
TAF Preventive Medicine Bulletin , 2008,
Abstract: BACKGROUND: Hashish was reported having either acute or chronic many adverse effects on human body. In this study we aimed to evaluate the probable adverse effects of hashish smoking on pulmonary artery pressure and thus relationship to pulmonary hypertension development in youth by using echocardiographic examination method. METHODS: 21 young patient (age 22.3±2.0) addicted to hashish smoking (duration 6±1.2 years) and 25 healthy youths (age 22.2±1.5) were evaluated echocardiographically. Pulmonary artery systolic pressure through tricuspid regurgitation via continuous wave Doppler and pulmonary wave acceleration time and ratio of pulmonary acceleration time to pulmonary wave ejection time was measured via Pulse wave Doppler by using echocardiography. Also presence of dyspnea was interrogated. Data were analyzed statistically by Mann Whitney-U test. RESULTS: In the comparison of definitive features of groups there is not any significant difference. Pulmonary hypertension was diagnosed in youths addicted to hashish because of raised pulmonary artery pressures, supported by diminished pulmonary acceleration time, diminished ratio of pulmonary acceleration time to ejection time when compared to healthy youths. Dyspnea on either exercise or rest was presented in youths addicted to hashish with 85%. CONCLUSION: In the youth addicted to hashish smoking is closely related to develop pulmonary hypertension due to hashish and its smoke. We brought up that with our echocardiographic findings. This adverse effect of hashish smoking on the lung and the respiratory system is to be emphasized on the seminars or panels to the youth. Also those patients should be consultated to the specialist of cardiology. Serial echocardiographic examination is recommended for development or progression of pulmonary hypertension. [TAF Prev Med Bull. 2008; 7(1): 25-30]
Comparison of the Treatment Period and Individual Properties of Patients with Hypertension Followed Up in the Two Cottage Hospitals from the Different Social Cultural Subgroups
Mustafa Aparci,Ejder Kardesoglu,Omer Yiginer,Namik Ozmen
TAF Preventive Medicine Bulletin , 2008,
Abstract: BACKGROUND: Hypertension is a major risk factor and also a component of metabolic syndrome. Its prevalence is closely related with social-cultural levels of a society. In this study we aimed to evaluate the blood pressure control in populations from lower (LSC) and higher social-cultural (HSC) subgroups of our society. METHOD: 53 and 36 hypertensive patients from societies with high and low social-cultural level, respectively. Systolic (SBP) and diastolic blood pressures (DBP), duration of the treatment, education and income levels of patients were recorded and analyzed. Independent samples t test and Pearson s Chi-Square test were used for statistical analyses. RESULTS: Age (51,08±5,6 vs 55,5±5,9 <0,05), SBP (128,8±7,8 vs 142,8±15,11 <0,05), and DBP (81,6±6,3 vs 88,01±6,9, <0,05) were found significantly increased in LSC. Blood pressure was not under control in LSC. The education and income level were statistically lower in the patients with high blood pressures. Also, it was noticed that the onset of hypertension treatment was significantly delayed in LSC when compared to the HSC. CONCLUSION: Control of blood pressure could not be achieved by the current hypertension drug treatment in the patients living in lower social-cultural subgroup of our society. Hypertension should be more effectively treated and monitored in the patients living in rural areas in order to reduce the prevalence of stroke and cardiovascular disease. It should be one of the health policies in preventive health care. [TAF Prev Med Bull. 2008; 7(4): 333-338]
Variability of Carotid Intima Media Thickness in Youth According to the Geographic Region
Mustafa Aparci,Zekeriya Arslan,Ejder Kardesoglu,Eyup Buyukkaya
TAF Preventive Medicine Bulletin , 2009,
Abstract: AIM: Carotid intima media thickness (IMT) is proposed to be an earlier predictor of subclinical atherosclerosis. Currently risk management of atherosclerosis at earlier ages gains importance. In this study we evaluated the carotid intima media thickness of young individuals and any possible changes due to the geographic region in which the individuals lived in. METHOD: Totally, 164 young individuals (age 21.14± 2.06) were enrolled to the study. Geographic regions in which they have been living for at least 10 years were documented. Measurements of IMT were performed by Logic5 Pro Color Doppler Device using transverse probe. Measurements of IMT, systolic and diastolic blood pressures, and levels of total cholesterol, HDL, LDL, and triglyceride were compared between the groups designed according to the geographic regions. Statistical analysis was performed by Oneway ANOVA test using SPSS 11.0 for Windows. RESULTS: Carotid IMT was significantly lower in subjects living in Mediterranean (0.416±0.02 mm) and South East Region (0.428±0.04), whereas it increased in subjects living in Marmara Region (0.468±0.06 mm) and Mid-Anatolian Region (0.473±0.04). CONCLUSION: We can propose that individual changes in carotid intima media thickness may develop at younger ages. Differences in dietary habits and its content, also cultural, and environmental differences due to geographic region in which the individuals lived in may contribute those changes. Measurement of IMT could be used as a screening test to detect young individuals with subclinical atherosclerosis in geographic region at risk for atherosclerosis in the future. [TAF Prev Med Bull. 2009; 8(2): 119-124]
Unfavorable Effects of Smoking on Atherosclerotic Risk Factors of Young Individuals
Mustafa Aparci,Zekeriya Arslan,Zafer Isilak,Ejder Kardesoglu
TAF Preventive Medicine Bulletin , 2009,
Abstract: AIM: It was documented that smoking was a significant atherosclerotic risk factor for adults. However reality of the initiation of atherosclerosis at childhood guided us to evaluate the probable effects of smoking on other atherosclerotic risk factors at young ages. METHODS: One hundred sixty four young subjects (age 21.14± 2.06) were enrolled. Participants were grouped as not smoking (n=48), ex-smoking (n=30), 1-3 cigarettes/day (n=26), a half package/day (n=26), a package/day (n=34). Body mass index (BMI) of subjects were calculated. Systolic and diastolic blood pressures (SBP, DBP) were measured. Carotid intima media thickness (IMT) was measured by Logic5 pro Colour Doppler Device. Total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride levels of subjects were measured from the serum obtained at 12 hour fasting state. IMT and IVSd were measured by transverse and 3S probes using. Statistical analysis was performed by One-way ANOVA test using SPSS 11.0 for Windows. RESULTS: BMI, SBP, and DBP were not different between groups (p=0.16). HDL cholesterol was significantly lowered whereas LDL cholesterol was significantly increased in group smoking one package/day. Also carotid IMT was increased in patients smoking one package/day compared to others but data was not statistically significant. Triglyceride level group. CONCLUSION: Smoking effects atherosclerotic risk factors unfavorably even at young ages. Thus smoking should be eradicated since earlier ages in order to reduce the prevalence of cardiovascular diseases. [TAF Prev Med Bull. 2009; 8(3): 193-198]
Increased P wave dispersion in patients with liver steatosis
Mustafa Aparci,Zafer Isilak,Omer Uz,Ejder Kardesoglu
Medicinski Glasnik , 2010,
Abstract: Aim Hepatic steatosis is associated with metabolic and hemodynamicabnormalities induced by insulin resistance and inflammatory state. Since abnormalities of P wave dispersion may be accompanied with latter issues we evaluated this subject in patients with hepatic steatosis. Methods Total of 106 patients and 56 healthy subjects were enrolled and performed hepatic ultrasonography, echocardiography, electrocardiogram, and biochemistry tests. Clinical features, laboratory and echocardiographic parameters, P wave dispersion were compared between groups and analyzed for any correlation among parameters. Results Body mass index (BMI), waist circumference, systolic and diastolic blood pressure, levels of total and LDL cholesterol, and fasting blood glucose (FBG), and left atrial diameter were significantly higher in patients with hepatic steatosis. Peak velocities of mitral E and A waves and their ratio were abnormally changed in patients compared to normals. In multiple linear regression analysis, approximately all of the variables previously correlated within Pearsons’ correlation test were found to be significantly correlated with P wave dispersion [ waist circumference ( =0.151, p=0.048), LDL cholesterol ( =0.234, p=0.000), FBG ( =0.402, p= 0.000), alanine aminotransferase (ALT) ( =0.205, p= 0.006), alkaline phosphatase (ALP) ( =0.277, p=0.000), γ-glutamyl transferase (γ-GT) ( =0.240, p=0.000), left atrial diameter ( =0.204, p=0.003), heart rate ( =0.123, p=0.037)]. Conclusion Increased P wave dispersion may indicate a risk of atrial arrhythmia which may be complicated with disabling symptoms and thromboembolism in patients with hepatic steatosis. Consequently, hepatic steatosis is associated with increased risk for cardiovascular disease due to metabolic and hemodynamic abnormalitiesprobably induced by insulin resistance and inflammatory state.
Rapidly Progressing Mitral Regurgitation After Cabergolin Treatment
?mer UZ,Ejder KARDE?O?LU,Mustafa APARCI,Nam?k ?ZMEN
Trakya Universitesi Tip Fakultesi Dergisi , 2008,
Abstract: Ergot-derived dopamine receptor agonists are often used in the treatment of Parkinson's disease. Cardiac valvulopathy has been associated with the use of the dopamine agonists, pergolide and cabergoline, in Parkinson's disease. In this case report, we present a patient who had cabergoline-induced mitral regurgitation.
Comparison between OSPFv3 and OSPFv2  [PDF]
Mustafa ElGili Mustafa
Wireless Sensor Network (WSN) , 2014, DOI: 10.4236/wsn.2014.64006
Abstract: This paper aims to compare between OSPFv2 and OSPFv3, to explain the impact of the change in OSPFv3 packet format and the over load when OSPFv3 uses IPv6 packet instead of IPv4 packet format that was used by OSPFv2, and the comparison based on common OSPF packets that was sent in the same network.
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