Menü Kapat

Efficiency of high intensity laser therapy in patients with knee osteoarthritis

Original Article

Efficiency of high intensity laser therapy in patients with knee osteoarthritis

Ezgi Deniz Ciplak, Semra Akturk, Raikan Buyukavci, Yuksel Ersoy

   

Abstract
It is aimed to compare the effects of high-intensity laser treatment (HILT) and the transcutaneous electrical nerve stimulation (TENS) and ultrasound (US) combined treatment on pain, functionality, and quality of life in the patients with knee osteoarthritis. The patients were randomized into 2 groups. Combination of hot pack, TENS and US treatment were applied to the first group and HILT was applied to the second group for 2 weeks. At every visit; resting, movement and night pain scores, function, and stiffness scores were assessed.The patients were invited for the control after the treatment and in the 6th week. A total of 48 patients (33 women and 15 men, aged between 25 and 65 years, average age of 54.25 years) participated in this study. In both groups, a statistical significant change was observed in all the parameters in post-treatment measurements. In the between-groups comparison, it was observed that HILT provided a significant recovery in pain scores both after the treatment and in the 6th week than TENS and US combined treatment. HILT in knee osteoarthritis is a statistically significant efficient method on pain and functional scales compared to TENS+US combined treatment.

Key words: Knee osteoarthritis, hiltherapy, TENS, ultrasound

Med-Science. 2018; 7(4): 724-7

 
Medicine Science Vol:7 Issue:4 Year:2018 PP:724-966

An analysis of the relationship between insomnia-fatigue levels of the mothers and their depression and maternal attachment status

Original Article

An analysis of the relationship between insomnia-fatigue levels of the mothers and their depression and maternal attachment status

Songul Aktas, Dilek Kucuk Alemdar

   

Abstract
The study was conducted to investigate the relationship between the insomnia-fatigue levels of the mothers with infants and their depression and maternal attachment status. The universe of this descriptive study consisted of the mothers with infants who applied to a state hospital in the north of Turkey with the mothers admitted to the pediatric polyclinic. The sample comprised 194 mothers who were selected by a simple random sampling method and who agreed to participate in the study. In the G power analysis, the sample calculation was performed based on the relationship between two means. As a result of the analysis, the sample was calculated as 178 people. This number was increased to 194 to improve the power of the research. As data collection tools, a Mother Introductory Information Form for descriptive features, Brief Fatigue Form, Sleep Status Rating Scale for Mothers, Beck Depression Scale and Maternal Attachment Scale were used. In the statistical analysis, arithmetic means, standard deviations and percentages were used for descriptive variables. Spearman correlation analysis was used to examine the relationships between the quantitative variables. The average age of the mothers was found as 29.28±5.52 and 52.7% of them were primary school graduates. 86.1% had planned pregnancy and 64.9% had a cesarean section. 68.7% of the mothers stated that they could take their baby on their laps more than one hour and 45.6% were breastfeeding them. It was determined that the mean fatigue scores of the mothers were 4.33±2.56, the mean insomnia score was 4.23±1.24, the Beck depression score was 14.01±11.06 and the maternal attachment score was 99.22±6.74. In our study, there was a significant weak relationship in the positive direction between maternal fatigue and insomnia levels and depression status (p 0.05). It was determined that there was a weak correlation in the positive direction between the fatigue-insomnia levels and the depression status of the mothers. In the light of these results, by identifying the factors that cause fatigue and insomnia, it could be suggested to prevent the maternal depression and to strengthen maternal attachment of the mothers with infants aged 2-6 months through social support provided by health professionals.

Key words: Postpartum, infant, fatigue-insomnia, depression, maternal attachment

Med-Science. 2018; 7(4): 728-32

 

Home medical care waste collection by caregivers in Turkey

Original Article

Home medical care waste collection by caregivers in Turkey

Mehtap Omac Sonmez Feyza Nazik, Senem Andi

   

Abstract
Domestic medical waste is a constant concern and growing problem in home medical care. This study was carried out to determine the applications for collection of medical wastes that result from the home medical care performed by the caregivers/patients. This study was descriptive type. There were 3301 registered patients in home care services. A minimum sample size of 345 patients was reached by systematic sampling within homecare patient registration forms. The data were given as frequency distribution and averages. The person who provides care for 89.3% of the patients was the relative of the family. Although 31% caregivers have trained on home medical care waste collection, only 22.3% of caregivers collected and separated home medical care wastes. Totally 84.1% of the caregivers did not collect the home medical care wastes and threw into the domestic waste bin. The home medical care wastes thrown into the domestic waste have a great danger not only for caregivers but also for domestic waste collectors, the environment and even street animals. The home medical care waste should be collected by municipalities and health care institutions are responsible for collection all home medical care waste and they should be controlled.

Key words: Home care, medical waste, caregiver, Turkey

Med-Science. 2018; 7(4): 733-5

 

Validity and prognostic value of serum albumin level in emergency acute ischemic stroke egyptian patients

Original Article

Validity and prognostic value of serum albumin level in emergency acute ischemic stroke egyptian patients

Adel Hamed Elbaih, Islam M Elshaboury, Rasha M Ahmed, Monira A Abd’Allah

   

Abstract
There are two main types of stroke: ischemic and hemorrhagic. Some studies showed the favorable relationship of serum albumin levels on the outcome of patients who suffer from ischemic stroke (IS). Some experimental studies have suggested a neuroprotective effect of albumin either by reducing brain edema or by its antioxidative or antiapoptotic effects. To detect serum albumin level and evaluate its prognostic value in patients with acute ischemic stroke in emergency department in compared to Scandinavian Stroke Scale (SSS). The study was carried out as descriptive (cross-sectional) study conducted on 60 patients with ischemic stroke attending emergency department in Suez Canal University hospital. It was found that all of died patients (100%) had hypoalbuminemia. While (92.5%) of patients who discharged from hospital had normal serum albumin level in follow up. but (7.5%) of them had hypoalbuminemia. And the ROC curve of both SSS and Serum albumin level on admission had Sensitivity: 100% and Specificity: 83% among studied patients. Thus serum albumin level has a direct correlation with short term prognosis of acute ischemic stroke patients. Patients with a lower SSS on admission and had higher levels of serum albumin had good short-term prognosis, and those with a high SSS and had a lower level of albumin had bad prognosis. higher levels of serum albumin is associated with a better short term prognosis. So they may act as indicators of short term prognosis.

Key words: Ischemic stroke IS, scandinavian stroke scale (SSS), serum albumin, outcome

Med-Science. 2018; 7(4): 736-44

 

Evaluation of pain status and quality of life in patients with lumbar disc hernia who underwent microdiscectomy

Original Article

Evaluation of pain status and quality of life in patients with lumbar disc hernia who underwent microdiscectomy

Abdurrahman Cetin, Mehmet Tahir Gokdemir

   

Abstract
The objective of this study was to evaluate the emotional state, pain status, and quality of life in patients with lumbar disc herniation using preoperative Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and 1- and 3-months postoperative VAS scores. Between December 2017 and March 2018, 49 patients with lumbar disc herniation, who were admitted to our neurosurgery department, were enrolled in this retrospective study. According to the ODI questionnaire, pre- and postmicrodiscectomy analysis revealed a statistically significant improvement in all the parameters (for all parameters, p < 0.001). VAS scores of the patients showed a significant gradual decrease in the severity of pain at 1 and 3 months following the operation (p < 0.001). It was observed that lower back pain and quality of life in patients improved following microdiscectomy surgery. Microdiscectomy surgery is still an important option in lumbar disc herniation treatment.

Key words: Lumbar disc herniation, Visual Analog Scale (VAS), microdiscectomy

Med-Science. 2018; 7(4): 745-7

 

 

The use of serum hypoxia-inducible factor two alpha levels and diagnostic values in adult carbon monoxide poisoning

Original Article

The use of serum hypoxia-inducible factor two alpha levels and diagnostic values in adult carbon monoxide poisoning

Ismail Altintop, Mehmet Tatli, Cigdem Karakukcu, Ahmet Ozturk

   

Abstract
Carbon monoxide poisoning (COP) is a life-threatening intoxication which should be interfered immediately to be prevented from serious damages. The effect of carbon monoxide (CO) in the body at the cell level is mediated by a CO-releasing molecule. This molecule results in heme degradation via heme oxygenase. Because of the high affinity of CO on heme, many enzymes with biological signal transduction cause heme protein increase. Universally, this signal activation with similar enzymes and mechanisms are used in COP. The most widely used test is Carboxyhaemoglobin (COHb) in serum. The COHb is used as a standard parameter in the diagnosis of COP. COHb levels, are high after CO poisoning and decrease rapidly with oxygen therapy in the first four hours. So COHb is insufficient to demonstrate chronic ischemic damage of hypoxia. Hypoxia-inducible factors (HIFs) are the master regulators of oxygen homeostasis. The best known HIF isoforms in the literature are HIF-1α and HIF-2α. Recently, more data have found about selective HIF-2α responsive genes and indicate the importance of this isoform in hypoxic gene regulation. The present study purposed to determine the change in HIF-2α values in adult patients in diagnosing COP. A significant statistical correlation was found between (p=0.05) serum HIF-2α levels and the first COHb level. HIF-2α levels at 4th hour in COP patients were significantly higher like first COHb. HIF-2α levels can be used as a new biomarker in long-term for monitoring COP patients.

Key words: Carbon monoxide, carboxyhemoglobin, hypoxia-inducible factor, poisoning

Med-Science. 2018; 7(4): 962-6

Evaluation of probation implementations of drug users in Adiyaman university training and research hospital: A one-year retrospective study

Original Article

Evaluation of probation implementations of drug users in Adiyaman university training and research hospital: A one-year retrospective study

Mehmet Hamdi Orum, Mahmut Zabit Kara, Oguzhan Bekir Egilmez, Murat Eren Ozen, Aysun Kalenderoglu

   

Abstract
Increasing the use of drugs all over the world and our country has become a very important social problem, making legal obligations necessary. Probation Implementation (PI) refers to the correction of the conduct of criminals causing criminal acts, the prevention of repeat offenses, the follow-up of prisoners, the rehabilitation of substance abusers, the elimination of the harm suffered by the victims, and the protection of the society in this way. In this study, it was aimed to investigate the substance use characteristics of people who applied to our hospital within the scope of PI law. 313 cases, applying to Adiyaman University, Training and Research Hospital, all of whom were decided to have PI on 01.01.2017-31.12.2017 were included in the study. PI was carried out by having psychiatric interview and evaluating psychoactive substance in urine in three-time and six-time programs. It was determined that totally 313 cases applied as required by PI during the study. These cases consist of people, 298 of whom were male and 15 of whom were female. Mean age was determined as 26.2±6.8 (15-55). It was also observed that 251 cases (80.2%) completed three-times program and 62 (19.8%) cases completed six-times program. According to the number of programs, there was no significant difference in terms of gender distribution and ethyl glucuronide positivity in two groups (p>0.05). PI, which is a fairly new practice in Turkey, has an important place in the care of substance users. In terms of gender distribution, results were consistent with studies in the literature. Alcohol comorbidities in PI-applied individuals are noteworthy.

Key words: Addiction, illicit drug detection, probation, retrospective study, substance use

Med-Science. 2018; 7(4): 754-8

 

Diffusion-weighted magnetic resonance imaging of thorax in diagnosis of pulmonary embolism

Original Article

Diffusion-weighted magnetic resonance imaging of thorax in diagnosis of pulmonary embolism

Sevgi Yumrutepe, Muhammet Gokhan Turtay, Hakan Oguzturk, Zeynep Aytemur, Taner Guven

   

Abstract
Pulmonary embolism (PE) has a high mortality rate and a considerable incidence in emergency care. Thorax computed tomography (CT) angiography is the primary diagnosis method for PE, but has many contraindications. In the present study, we aimed to determine the usability of Diffusion-weighted magnetic resonance imaging (DWMRI) in diagnosis of pulmonary embolism. Patients, diagnosed as pulmonary embolism previously by thorax CT angiography, were taken DWMRI. Demographic parameters, complaints, laboratory values and imaging findings were recorded on standart forms. Twenty nine patients, who were diagnosed as pulmonary emboli, were evaluated. Many of them were female(69%) and the mean of age was 61 years. Dyspnea and chest pain were the main complaints. Atelectasis(69,1%) and pulmonary infarct(30,9%) were determined lesions on CT and DWMRI. Region of interest (ROI) were determined by using MRI (T2) images. Three different ROI values were placed on areas and apparent diffusion coefficient (ADC) values were calculated for peripheric lung lesions. Significant difference was determine between mean ADC values of atelectasis and pulmonary infarct lesions (p

Key words: Diffusion-weighted magnetic resonance imaging, dyspnea, lung disease, pulmoary embolism

Med-Science. 2018; 7(4): 759-61

 

 

Prevalence of MMP-3 E45K polymorphism in Turkish patients with endometrial carcinoma

Original Article

Prevalence of MMP-3 E45K polymorphism in Turkish patients with endometrial carcinoma

Sibel Bulgurcuoglu Kuran, Emine Hande Karagedik, Cem Iyibozkurt, Elif Sinem Iplik, Bedia Cakmakoglu, Arzu Ergen

   

Abstract
Endometrial carcinoma is a metastatic and recurrent disease has a worse prognosis. We aim to investigate the MMP-3 gene polymorphism in Turkish patients with endometrial carcinoma. In recent years, number of genetic studies have been increased to find new prognostic and theraupeutic markers. Matrix metalloproteinases [MMPs] are proteolytic enzymes that degrade all components of the extracellular matrix which are play an important role of cancer metastasis and invasion. MMP-3, also known as stromelysin-1, to lyse basal membrane collagen and induce the synthesis of some other MMPs. 97 patients with endometrial carcinoma and 100 healthy controls were included in this study. MMP-3 E45K polymorphism was determined using polymerase chain reaction/ restriction fragment length polymorphism in study groups.There were no significant differences between any genotypes or allele in control and patient groups for MMP-3 E45K polymorphism. Besides no significant correlation was found between MMP-3 E45K polymorphisms and clinical characteristics, such as histology, grade, metastasis and family history. ur study suggests that the MMP-3 E45K polymorphism is not associated with endometrial carcinoma process in Turkish patients.

Key words: MMP-3, polymorphism, endometrial carcinoma, prevalence

Med-Science. 2018; 7(4): 762-5

 

Can neutrophil-lymphocyte ratio be a predictor of cerebral vasospasm in patients with subarachnoid hemorrhage?

Original Article

Can neutrophil-lymphocyte ratio be a predictor of cerebral vasospasm in patients with subarachnoid hemorrhage?

Huseyin Ulas Pinar, Enes Duman, Suleyman Deniz, Ilker Coven, Omer Karaca, Rafi Dogan

   

Abstract
This study aimed to investigate the relationship between neutrophil-lymphocyte ratio (NLR) and development of vasospasm in patients with aneurysmal subarachnoid hemorrhage (SAH). Materials and Methods The study was performed by retrospectively analyzing the data of 170 aneurysmal SAH patients who admitted to the intensive care unit of our hospital between 2011 and 2017. We investigated the ability of NLR values calculated from the blood samples taken at the time of admission to predict for vasospasm. Results Thirty-five percent of the patients developed vasospasm. NLR values were associated with the development of vasospasm (OR 1.15; 95% confidence interval, 1.09-1.22; p

Key words: Aneurysmal subarachnoid hemorrhage, vasospasm, neutrophil-lymphocyte ratio

Med-Science. 2018; 7(4): 766-8