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Search Results: 1 - 10 of 324 matches for " Ozlem SENOCAK "
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Hemiplegic Shoulder Pain; Frequency and Related Factors
Ramazan KIZIL,Ozlem SENOCAK,Ozlem EL,Mehtap GOZUM
Journal of Neurological Sciences , 2009,
Abstract: Objective: To investigate the frequency of shoulder pain and related factors in hemiplegic patients.Methods: Thirtyeight patients having a stroke in past 18 months were included in the study. Demographic features, factors related to stroke, shoulder subluxation, shoulder pain and time passed until the beginning of shoulder pain were recorded.Results: The frequency of shoulder pain was 50%. In most of the patients ( 84%), shoulder pain occurred in first 8 weeks. Thromboembolic stroke, complete plegia at the beginning, low Brunnstrom motor recovery stage and shoulder subluxation were more prominent in patients with shoulder pain.Conclusions: Complete plegia at the begining and shoulder subluxation seem to be related factors in hemiplegic shoulder pain. In stroke patients, all preventive measures and early rehabilitation should be started.
Factors Affecting Quality of Life Following Stroke
Ozlem SENOCAK,Ozlem EL,Gozde Ozcan SOYLEV,Soner AVCILAR
Journal of Neurological Sciences , 2008,
Abstract: Stroke is a chronic and important health problem affecting all aspects of an individual’s life. Neurological impairment resulting from stroke leads to functional disability in patients. The aim of this study is to investigate the effects of age, gender, duration of stroke and side of hemiplegia on the quality of life and the correlation between disability indices and the quality of life. Sixty-eight patients followed by the Stroke Policlinic of Physical Medicine and Rehabilitation Department were included in the study. Functional status was evaluated with Brunnstrom Assessment, Functional Independence Measurement (FIM)and Rivermaed Mobility Index (RMI). Nothingham Health Profile (NHP) was used for the evaluation of quality of life. We did not determine any statistically significant difference in the subdivisions of quality of life between male and female patients and right or left hemiplegia patients. We also found that there was no correlation between the duration of stroke and subdivisions of quality of life whereas there was a positive correlation between age and only sleep subdivision of quality of life. A significant negative correlation was observed between Functional Independence Measurement and following subdivisions of Nothingham Health Profile: physical mobility (r= -0.609, p=0.000), social isolation (r= -0.403, p=0.009) and emotional reaction (r= -0.330, p=0.035). There was also a significant negative correlation between Rivermaed Mobility Index and such subdivisions of Nothingham Health Profile as physical mobility (r= -0.509, p=0.001), energy(r=-0.365, p=0.019), and social isolation (r=-0.319, p=0.042) As a result, disability ruins the quality of life in stroke patients. Improving the functional independence of these patients will affect their quality of life positively.
Is Palmomental Reflex Actually A Part of Feeding Behavior?
Journal of Neurological Sciences , 2009,
Abstract: Purpose and hypothesis: Palmomental reflex is considered to be a primitive reflex and related to pathologic processes. The reflex can be obtained from every individual by electrophysiologic measures. There have been no reports concerning submental, orbicularis oris and masseter muscle reflex responses provoked by median nerve stimulation in healthy elderly individuals and patients with dementia up to now.Method: In the present study the median nerve was stimulated below the pain threshold and activities obtained from mental, submental, orbicularis oris and masseter muscles were recorded simultaneously in patients with dementia (n = 18) and in healthy elderly individuals (n = 18).Result: Latencies obtained from mental, submental, orbicularis oris and masseter muscles were approximately recorded within 80 – 100 milliseconds and the differences between the latencies were not statistically significant.Conclusion: The palmomental reflex seems to be an activity co-occurring with functions like mouth opening and swallowing, and reflecting hand – mouth reaction, rather than being only a primitive reflex involving mental muscle. We believe close temporal relationship among the activities of mental, submental, orbicularis oris and masetter muscles after hand stimulation requires these reflexes to be investigated in the physiology of hand and mouth coordination in further studies.
The Diagnostic Value of Semmes-Weinstein Monofilaman Test in Diagnosis of Carpal Tunnel Syndrome
Journal of Neurological Sciences , 2009,
Abstract: The aim of the current study was to investigate the sensitivity and spesificity of Semmes-Weinstein monofilament test in diagnosis of carpal tunnel syndrome. Totally fifty patients and their eighty five hands were included in this study. Carpal tunnel syndrome was diagnosed as electroneuromyographic study in fifty five hands of thirty patients and it wasn't diagnosed at thirty hands of eighteen patients. The patients were evaluated by two different protocols of Semmes-Weinstein monofilament test that are used in diagnosis of carpal tunnel syndrome. At the end of the study, we found that sensitivity of Semmes-Weinstein monofilament test was %85,5 and spesificity was %10 according to first protocol, it's sensitivity was %43,6 and spesificity was %90 according to second protocol. In conclusion, we think that Semmes-Weinstein monofilament test is insufficient alone in diagnosis of carpal tunnel syndrome.
Meta-Herpetic Keratitis and Therapeutic Approach: Case Report  [PDF]
Ozlem Sahin
Open Journal of Ophthalmology (OJOph) , 2014, DOI: 10.4236/ojoph.2014.43012

The purpose of this study is to disclose the steps in the therapeutic approach for meta-herpetic corneal ulcer. Report of a case with anterior segment photography was used. The 6 months of follow-up results of the case were disclosed. The efficacy of the therapeutic approach for meta-herpetic corneal ulcer was discussed.

Assessment of Relative Risk Measurement Comparing with Odds Ratio, Attributable Risk and Number Needed to Treat
Necdet SUT,Mustafa SENOCAK
Trakya Universitesi Tip Fakultesi Dergisi , 2007,
Abstract: Objectives: It was aimed to clarify the theoretical aspects of relative risk (RR) and other risk measurements (odds ratio “OR”, attributable risk “AR” and number needed to treat “NNT”), to examine the associations between RR and others, to refer the limitations of RR in medical decision making and to put forward some solution suggestions.Study Design: All possible RR, OR, AR, NNT values and their confidence intervals were calculated in a sample of 200 subjects. In addition, an example practice was performed based on real clinical data.Results: The value of RR was the same in different clinical conditions. The change in absolute risk measurements such as AR and NNT was parallel with clinical change rate.Conclusion: Interpretation of RR causes problem since it can take the same value in different clinical conditions. Therefore, in addition to RR, considering the AR measurement which is parallel with clinical change rate, may be useful while interpreting the RR values.
Evaluating "superiority", "equivalence" and "non-inferiority" in clinical trials
Turan Fatma,Senocak Mustafa
Annals of Saudi Medicine , 2007,
Abstract: Clinical studies are usually performed with the aim of justifying that a new treatment approach is "superr rior" to the common standard approach (active control) with respect to benefits. In a general sense, this justification is carried out on the basis of the "null hypothesis significance test" with the P value based on this test used for justification. Today, new drugs differ so little from existing ones that factors such as cost and side effects affect the choice of therapy, when the bioavailability of treatment methods are found equivalent. Therefore, the aim of comparative clinical trials has extended beyond showing that a treatment is "superior" and now attempts to show that new treatments are "equal" and "nonrinferior" to existing treatments. New approaches have become necessary since the classical null hypothesis approach is insufrr ficient to justify the use of new agents, especially in cases of "equivalence" and "nonrinferiority". This new approach to justification makes use of the "clinical equivalence interval", , which determines the limits of the differences between specific endpoints that can be regarded as clinically "equal" to the value that was prerspecified based on studies of established therapies. It also makes use of the quantitativerbased "conrr fidence intervals" as the criteria for statistical justification. Many analyses can be done confidently when these tools are applied and the data are interpreted correctly.
Post-Varicella Disciform Keratitis: Case Report  [PDF]
Ozlem G. Sahin
Open Journal of Ophthalmology (OJOph) , 2012, DOI: 10.4236/ojoph.2012.23017
Abstract: The purpose of this study is to report a rare condition of post-varicella disciform keratitis in a 4-year-old child. It is a prospective study of the follow-up of a 4 year-old girl who was diagnosed as post-varicella stromal disciform keratitis related to high serum antibody titers five months after the skin lesions. Rapid response to topical steroids, topical and oral antivirals have been observed in 6 weeks of treatment. There was no recurrence in the 6 months of follow-up. Total resolution of the disciform stromal keratitis in a short period of time was disclosed with an effective treatment of both topical and oral antivirals and topical steroids.
Epidemiologic Characteristics of Patients with Cerebral Palsy  [PDF]
Fatma Fidan, Ozlem Baysal
Open Journal of Therapy and Rehabilitation (OJTR) , 2014, DOI: 10.4236/ojtr.2014.23018
Abstract: Aim: The aim of this study was to determine the demographical and clinical features of patients with cerebral palsy (CP) attending to our outpatient or inpatient clinics. Materials and Methods: Children admitted to Inonu University Faculty of Medicine Department of Physical Medicine and Rehabilitation outpatient or inpatient clinics, Malatya, Turkey with the diagnosis of CP during the study period were included in the study. Age, sex, etiological factors, clinical classifications, and epidemiological characteristics such as socio-economic status as well as the problems associated with CP were analyzed in all patients. Results: Of the total of 130 patients with mean ages 51.05 ± 36.06 months, 51 were girls and 79 were boys. The most common etiologic risk factors were bleeding and presence of threatened miscarriage in prenatal period; asphyxia, low birth weight and prematurity in perinatal period; and neonatal convulsions and hyperbilirubinemia in the postnatal period. Consanguineous marriage was present in 24.6% of families. In clinical classification it was seen that 45 subjects were spastic quadriplegic (34.6%), 41 were spastic diplegic (31.5%), 15 were dyskynetic (11.5%), 14 were spastic hemiplegic (10.8%), 10 were mixed type (7.7%) and 5 were hypotonic/ataxic (3.8%). Conclusion: Prenatal risk factors constitute the foremost risk factors in CP etiology. CP incidence can be lowered by close follow up of the newborns who has been considered as high risk newborns due to the presence of risk factors during pregnancies or deliveries, and by increasing the number of neonatal intensive care units. Besides, it is important to raise public awareness about consanguinity marriages in our country.
Optimum Arrival Routes for Flight Efficiency  [PDF]
Ozlem Sahin Meric
Journal of Power and Energy Engineering (JPEE) , 2015, DOI: 10.4236/jpee.2015.34061

With the development of aircraft equipment, conventional navigation is the shift from performance based navigation (PBN). As is known, conventional navigation is based on ground-based navigation aids; however, PBN is based on aircraft avionics and performance. In this paper, a new method called Point Merge System (PMS) considered as one of PBN procedures will be introduced. PMS has many benefits related to fuel savings and emission reductions by implementing Continuous Descent Approaches (CDAs). A new PMS standard arrival route (STAR) model will be designed in radar simulation and it will be suggested.

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