Yazar "Yakşi, Elif" seçeneğine göre listele
Listeleniyor 1 - 20 / 20
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Are inflammatory parameters an independent predictor of hip osteoarthritis severity? A prospective cross-sectional study(Assoc Medica Brasileira, 2022) Korkmaz, Merve Damla; Menekşeoğlu, Ahmet Kıvanç; Yakşi, ElifOBJECTIVE: This study aimed to investigate the relationship between the presence of hip osteoarthritis and the neutrophil-lymphocyte ratio, platelet -lymphocyte ratio, monocyte-lymphocyte ratio, and neutrophil-monocyte ratio.METHODS: Participants with hip osteoarthritis and healthy controls aged 45-75 years were recruited in the study. The participants with hip osteoarthritis were divided into two groups: mild/moderate hip osteoarthritis and severe hip osteoarthritis. Complete blood parameters of the participants were recorded, and neutrophil-lymphocyte ratio, neutrophil-monocyte ratio, monocyte-lymphocyte ratio, and platelet-lymphocyte ratio were calculated. Pain severity was evaluated using a visual analog scale.RESULTS: A total of 76 participants with hip osteoarthritis and 59 healthy controls were included in the study. The mean age of the participants was 57.6 +/- 6.11 years. Mean neutrophil-lymphocyte ratio and neutrophil-monocyte ratio values were statistically significantly different between the hip osteoarthritis group and healthy control group (p<0.05). Platelet-lymphocyte ratio, monocyte-lymphocyte ratio, erythrocyte sedimentation rate, and C-reactive protein values were not significantly different between the groups. Also, there was no difference between all inflammatory parameters and hip osteoarthritis severity (p>0.05).CONCLUSIONS: Neutrophil-lymphocyte ratio and neutrophil-monocyte ratio values were higher in patients with hip osteoarthritis than in healthy controls. Mean platelet-lymphocyte ratio, monocyte-lymphocyte ratio, erythrocyte sedimentation rate, and C-reactive protein values did not change according to the presence of hip osteoarthritis. Not all hematological indices give valuable information regarding the severity of hip osteoarthritis.Öğe Are static posturography-assisted biofeedback exercises effective in Parkinson's disease?(Assoc Arquivos Neuro- Psiquiatria, 2022) Yakşi, Elif; Yaşar, Mustafa Fatih; Türel, Canan Akünal; Balcı, MuhammedBackground Parkinson disease (PD) is a progressive condition that causes disorders in movement and balance.Objective To evaluate the effectiveness of static posturography-assisted biofeedback exercises in PD-related balance disorder.Methods We screened 83 patients, 48 of whom were enrolled, and 41 completed the study. The sample was randomized into two groups, one submitted to static posturography-assisted biofeedback exercises and the other, to a conventional exercise program. The patients in the biofeedback group ( n = 20) performed biofeedback exercises in addition to conventional balance exercises. Those in the conventional exercise group ( n = 21) performed classic balance exercises. Both groups were treated for 20 minutes per session 3 times a week for 6 weeks. The patients were evaluated using the Hoehn and Yahr Scale, the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS), the Berg Balance Scale (BBS), the Tinetti Gait and Balance Assessment (TGBA), the Timed Up and Go Test (TUG), the Tandem Stance Test (TST), a Turkish version of the Stanford Health Assessment Questionnaire (HAQ), and the Beck Depression Inventory (BDI) before and at the end of the treatment.Results No statistically significant differences were observed between the two groups in terms of the MDS-UPDRS, BBS, TGBA, TST, TUG, HAQ, or BDI measurements before and after the treatment ( p > 0.05).Conclusions Improved balance parameters were observed following balance training in the patients with PD, although static posturography-assisted biofeedback exercises appeared to provide no additional benefit. However, larger, randomized controlled trials are needed to investigate their effectiveness.Öğe Association between neutrophil-to-lymphocyte ratio and mortality in neurological intensive care unit patients(Coll Physicians & Surgeons Pakistan, 2019) Ögün, Muhammed Nur; Yakşi, ElifObjective: To investigate the effect of neutrophil-lymphocyte ratio (NLR) on survival and mortality in patients who were interned in the Neurology Intensive Care Unit (NICU). Study Design: A cohort study. Place and Duration of Study: Tertiary referral hospital in Bolu, Turkey, between February 2016 and November 2017. Methodology: Demographic data, hemogram and other laboratory parameters of the patients who were treated in NICU were retrospectively recorded. The patients who had a history of hematologic disease and/or premorbid use of corticosteroids were excluded from the study. Patients were divided into two groups: surviving and dead patients. MannWhitney U-test, Independent sample t-test or Chi-square test was used to compare the data between the groups, including demographic parameters, NLR and other blood parameters. Results: A total of 120 patients were studied. There was no significant difference in age, gender, hemoglobin (Hb), platelet (PLT), and erythrocyte distribution width (RDW) between the two groups. On the other hand, The NLR values [(3.9 (0.9-48) vs. 11.9 (0.9-69, p <0.001))], C-reactive protein [CRP=(25.6 mg/dL (0.1-250) vs. 57.7 mg/dL (1.2-337, p <0.002)] and white blood cell [WBC=(8.9 mu/mm(3) (3-59.8) vs. 12.4 p/mm 3 (5-41.3), p <0.002)] were significantly higher in dead patients compared to survived patients. Conclusion: Elevated NLR ratio in NICU patients may be considered as a poor prognostic factor. Clinicians should be more cautious in the follow-up of these patients.Öğe Bone mineral density and vitamin D levels in parkinson’s disease: A retrospective controlled study(2022) Yakşi, Elif; Yaşar, Mustafa FatihObjective: This study aimed to compare bone mineral density and vitamin D levels in patients with Parkinson’s Disease (PD) and healthy controls. Methods: Eighty-six patients aged 60-85, diagnosed with PD and receiving regular medical treatment for the disease were screened. Data for 34 participants (19 women and 15 men) meeting the inclusion criteria were entered into the retrospective analysis. The data for 31 healthy age- and sex-matched participants (18 women and 13 men) were also included. Bone mineral density (BMD) values and vitamin D levels of each participant were recorded. Results: BMD values for the femoral neck and total hip in the PD group were statistically significantly lower than healthy controls. In addition, T-scores for the femoral neck, total hip, and trochanteric area, and Z-scores for the total hip and trochanteric area were also lower in the patients with PD than in the healthy controls. The two groups did not have significant differences regarding lumbar spinal BMD measurements and T- and Z-score values or vitamin D levels. Discussion and Conclusion: PD’s total hip and femoral neck BMD measurements are low. Further multicenter studies involving larger patient populations are now needed to understand the incidence and mechanisms of osteoporosis in PD.Öğe Comparison of dry needling and kinesio taping methods in the treatment of myofascial pain syndrome: A single blinded randomised controlled study(Wiley, 2021) Yaşar, Mustafa Fatih; Yakşi, Elif; Kurul, Ramazan; Alışık, Tuğba; Şeker, ZeynepObjectives The aim of this study was to compare the effectiveness of kinesio taping (KT) and dry needling (DN) in the treatment of myofascial pain syndrome (MPS) of the trapezius muscle. Methods The patients with MPS were divided into 3 groups as those who received exercise only (control group), those who received KT and exercise (KT group) and those who received DN and exercise (DN group) by using a sealed opaque envelope randomisation method. Visual Analog Scale (VAS), Pressure Pain Threshold (PPT), Neck Disability Index (NDI) and Global Perceived Effect Scale (GPES) were measured twice at baseline and at the end of the second week by blinded evaluator. Results A total of 26 patients were assigned to KT group, 32 to DN group and 30 to control group. The results of the study showed that PPT, VAS and NDI scores were significantly improved in the KT (1.61 +/- 1.25, -2.66 +/- 1.24 and -7.08 +/- 6.24, respectively) and DN (1.30 +/- 1.13, -3.34 +/- 1.40 and -10.63 +/- 7.80 respectively) groups (P < .001 for all). In the control group, no significant improvement was found in the VAS (.10 +/- 1.39) and NDI (-.83 +/- 4.91) scores (P > .05), with a significant decrease in PPT (-.98 +/- 1.92) (P = .014). KT and DN methods in MPS treatment have more positive effects in terms of pain, disability and global effect compared to the control group. Conclusions In the treatment of MPS, adding DN or KT to exercise programme may provide important contributions to the treatment.Öğe Comparison of outpatient and inpatient spa therapy in knee osteoarthritis(Springer, 2021) Yaşar, Mustafa Fatih; Yakşi, Elif; Kurul, Ramazan; Balcı, MuhammedOsteoarthritis (OA) is a common condition that impacts many people worldwide and involves weight-bearing joints, resulting in chronic pain. In this study, we aimed to compare the effectiveness of inpatient and outpatient physical therapy modalities and spa combination treatments on pain and functional status in patients with knee osteoarthritis. Seventy-four patients diagnosed with primary knee osteoarthritis were included in this study. The patients were randomized into two groups, inpatient (n = 37) and outpatient (n = 37) physical therapy. All patients received a physical therapy program (superficial heater + deep heater + transcutaneous electrical nerve stimulation) for 2 weeks and spa therapy. All cases were evaluated clinically, laboratory, and radiographically. In order to evaluate pain and functional status, the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and Timed Up and Go (TUG) test were used before and after treatment. There was no significant difference between the two groups in the TUG test and WOMAC scores (p > 0.05). However, a significant difference was found in VAS scores in favor of the outpatient group (p < 0.05). As a result, although there was a significant improvement in pain scores in the outpatient group, multicenter studies with larger patient groups may provide more evidence.Öğe Comparison of the Efficacy of Corticosteroid and Local Anesthetic Injections Combined with Physiotherapy in Patients with Concomitant Pes Anserine Bursitis and Knee Osteoarthritis: A Prospective Randomized Study(2022) Yaşar, Mustafa Fatih; Kurul, Ramazan; Yakşi, Elif; Aydilek, Merve; Ates, Zeynep; Tonuk, Sukru BurakObjectives: It was aimed to investigate the effects of local corticosteroid and local anesthetic injection in patients with concomitant pes anserine bursitis and knee osteoarthritis.\rMethods: In this prospective randomized controlled study, 102 patients with knee osteoarthritis with pes anserine bursitis were divided into three groups: group I (physiotherapy + lidocaine), group II (physiotherapy + betamethasone dipropionate), and group III (physiotherapy: control). Evaluations were performed three times at the start of treatment, \rat day 15, and at week eight, using the Visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), and the Timed up and go (TUG).\rResults: There was no difference in age, BMI, gender and baseline values in all three groups. There was a significant difference between the groups in pre and post treatment VAS and WOMAC scores (p<0.05). However, there was no difference between the groups in the post-test follow-up values (p>0.05). While betamethasone significantly decreased \rVAS and WOMAC scores, only WOMAC scores were decreased in the lidocaine group. There was no significant difference between the WOMAC scores of the lidocaine and betamethasone groups (p>0.05).\rConclusion: Corticosteroids and lidocaine are avaiable choices to relieve pain, our results show, corticosteroids are more effective. Consequently, steroids may be considered as a better option in patients with concomitant pes anserine bursitis and knee osteoarthritis.Öğe Disfajik inmeli bireylerde kullanılan kompansatuvar postürün yutma üzerine etkisi(2018) Yakşi, Elif; Kurul, Ramazan; Avcı, Şebnem; Ögün, Muhammed NurAmaç: Bu çalışmanın amacı inme sonrası disfaji görülen bireylerde kullanılan postüral adaptasyon manevralarının bireylerin yutması üzerine etkisini incelemektir. Gereç ve Yöntem: Fonksiyonel oral alım skalasına göre disfaji görülen 64 inmeli birey bu çalışmaya dahil edilmiştir. Bireylerin yutma becerileri Teat-10 testi ile baş nötral pozisyonda ve etkilemiş tarafa rotasyon yaptırılarak 2 kez değerlendirilmiştir. Bulgular: Etkilenen arter bölgelerine göre yutma bozukluk şiddetlerinde belirgin farklılık olduğu bulunmuştur(p<0.05). Pozisyonlama sonrası yapılan yutma değerlendirmesi sonuçlarında nötral pozisyona göre yutmalarının anlamlı düzeyde değiştiği gözlenmiştir(p<0.05). Sonuç: Bu çalışmada chin tuck postürüne ek olarak başın etkilenen tarafa rotasyonunun inmeli disfajik bireylerde yutma fonksiyonları üzerine olumlu etkisi bulunmuştur.Öğe Does transcutaneous electrical nerve stimulation affect pain, neuropathic pain, and sympathetic skin responses in the treatment of chronic low back pain? A randomized, placebo- controlled study(Korean Pain Soc, 2021) Yakşi, Elif; Ketenci, Ayşegül; Baslo, Mehmet Barış; Orhan, Elif KocasoyBackground: The purpose of this study was to assess the effectiveness of trans cutaneous electrical nerve stimulation (TENS) in chronic low back pain and neuropathic pain. Methods: Seventy-four patients aged 18-65 with chronic low back pain were included in the study. Baseline measurements were performed, and patients were randomized into three groups. The first group received burst TENS (bTENS), the second group conventional TENS (cTENS), and the third group placebo TENS (pTENS), all over 15 sessions. Patients' visual analogue scale (VAS) scores were evaluated before treatment (preT), immediately after treatment (postT), and in the third month after treatment (postT3). Douleur Neuropathique 4 Questions (DN4), the Modified Oswestry Low Back Pain Disability Questionnaire (MOS), the Beck Depression Inventory (BDI), and sympathetic skin response (SSR) values were also evaluated preT and postT3. Results: A statistically significant improvement was observed in mean VAS scores postT compared to preT in all three groups. Intergroup comparison revealed a significant difference between preT and postT values, that difference being assessed in favor of bTENS at multiple comparison analysis. Although significant improvement was determined in neuropathic pain DN4 scores measured at postT3 compared to preT in all groups, there was no significant difference between the groups. No statistically significant difference was also observed between the groups in terms of MOS, BDI, or SSR values at postT3 (P > 0.05). Conclusions: bTENS therapy in patients with low back pain is an effective and safe method that can be employed in short-term pain controlÖğe The Effect of Occupational Therapy on Upper Extremity Function and Daily Life Activities in Stroke Patients(2022) Aydilek, Merve; Yaşar, Mustafa Fatih; Yakşi, ElifObjective: This study aims to assess the effectiveness of occupational therapy (OT) added to standard rehabilitation treatments on hemiplegic stroke patients' daily life activities and upper extremity functions. \rMaterial and Methods: This prospective, randomized, controlled clinical \rstudy included 50 patients aged between 20 and 80 who had suffered a \rstroke and developed hemiplegia due to cerebrovascular accident and applied to Bolu Abant İzzet Baysal University Physical Therapy and Rehabilitation Hospital. The study patients were divided into two groups: an OT \r[treatment] group receiving standard rehabilitation (five days a week for six \rweeks) and OT (three days a week for six weeks, 45 minutes per day) and \ra standard treatment (ST) [control] group receiving standard rehabilitation \ronly. All patients were evaluated before (at initial) and after the treatment \r(at the end of the 6-week treatment). The Barthel Index (BI), Fugl-Meyer \rAssessment of Motor Recovery (FMA) Scale, and Action Research Arm \rTest (ARAT) were used to investigate treatment effectiveness. Results: \rThere was a significant increase in the post-treatment (at the end of the 6-\rweek treatment) BI, FMA Scale, and ARAT scores in both OT and ST \rgroups compared to the pre-treatment (at initial) scores. The FMA scale and \rARAT scores significantly differed between groups 6 weeks after the treatment; the post-treatment ARAT and FMA scale scores were statistically significantly higher in the OT group than in the ST group. No significant \rdifference was found between the groups in pre-treatment and post-treatment BI scores. Conclusion: The present study revealed that occupational \rtherapies added to the standard rehabilitation practices contribute to developing motor functions of the upper extremity in hemiplegic stroke patientÖğe Effect of pulsed electromagnetic field therapy in patients with supraspinatus tendon tear(ASSOC MEDICA BRASILEIRA, 2021) Özdemir, Mesut; Yaşar, Mustafa Fatih; Yakşi, ElifOBJECTIVE: The aim of this study was to compare the effect of transcutaneous electrical nerve stimulation (TENS), ultrasound (US), and pulsed electromagnetic field (PEMF) combination with TENS and US therapy alone in patients with supraspinatus tear. METHODS: Forty patients were included in this study. The patients were randomly divided into two groups as follows: PEMF (n=20) and Sham (n=20) groups. PEMF was applied to the first group at a frequency of 50 Hz, 25 G intensity, and 20 min/session. The device was turned off while PEMF was applied to the second group. Diathermy (US) and electrotherapy (TENS) were applied to both groups for 10 sessions. Numerical Rating Scale (NRS), University of California-Los Angeles (UCLA) Shoulder Scale, and Shoulder Pain and Disability Index (SPADI) were used as outcome measures. RESULTS: In both groups, there was a significant improvement in the NRS, UCLA Shoulder Scale, and SPADI scores after treatment compared with pretreatment (p<0.05). In the comparison of the difference between the pretreatment and posttreatment measurement values between the groups, no significant difference was found between PEMF and Sham groups according to the NRS (p=0.165), UCLA Shoulder Scale (p=0.141), and SPADI (p=0.839) scores. CONCLUSIONS: In our study, a combination of PEMF therapy with conventional physical therapy modalities was not found to be superior to the conventional therapy alone, and adding it to the routine treatment of symptomatic supraspinatus tear would not provide any additional benefit.Öğe The effect of robot-assisted gait training frequency on walking, functional recovery, and quality of life in patients with stroke(Springer, 2023) Yakşi, Elif; Bahadır, Elif Selim; Yaşar, Mustafa Fatih; Alışık, Tuğba; Kurul, Ramazan; Demirel, AdnanAimThis study aims to investigate the effects of robot-assisted gait training (RAGT) frequency on walking, functional recovery, QoL and mood.MethodsSixty patients aged 50-75, diagnosed with post-stroke hemiplegia were entered into the retrospective analysis. Participants who scored maximum 3 on the Modified Rankin Scale and were diagnosed with moderate stroke according to The NIH Stroke Scale were included in the study. The participants in group 1 (G1) received only conventional treatment (CT), in group 2 (G2) participants received one session of RAGT per week in addition to the CT program, and group 3 (G3) received two sessions of RAGT per week in addition to the CT program. 6-min walk test (6-MWT), Barthel Index (BI), Stroke-Specific Quality of Life Scale (SSQoL), and Beck Depression Inventory (BDI) were recorded.ResultsMedian change in SSQoL of G3 was significantly higher from median change of G1 (p < 0.05), and median change in BDI of G3 was significantly lower than median change of G1 (p < 0.05). Median change in BDI of G3 was also significantly lower from change of G2 (p < 0.05).ConclusionTwo weekly sessions of RAGT in addition to CT exhibit positive effects on QoL and mood but no additional contribution to functional status.Öğe The effects of COVID-19 on physical medicine and rehabilitation in Turkey in the first month of pandemic(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2020) Yağcı, İlker; Sarıkaya, Selda; Ayhan, Fikriye Figen; Bahşi, Ayse; Kaya, Başak Bilir; Erhan, Belgin; Ahi, Emine Dündar; Yakşi, ElifObjectives: The outbreak of novel coronavirus-2019 (COVID-19) has affected Turkey very seriously, as well as all around the world. Many urgent and radical measures were taken due to the high contagious risk and mortality rate of the outbreak. It is noteworthy that isolation recommendations and the provision of health services for pandemic have a negative impact on Physical Medicine and Rehabilitation (PMR) services. In this study, we aimed to evaluate the effects of COVID-19 on the PMR services and physiatrists immediately after the first month of pandemic in Turkey. Patients and methods: An online survey consisting of 45 items was sent to the members of the Turkish Society of Physical Medicine and Rehabilitation. The main goal of the survey was to evaluate the changes in the provided service of PMR and conditions of physiatrists one month after the first reported COVID-19 case in Turkey. Results: A total of 606 PMR specialists and residents responded to the survey. The mean number of the patients visited the outpatient clinics was 148.2 +/- 128.5 per week before the pandemic, it significantly decreased to 23.4 +/- 33.1 per week after the first month of the reported first COVID-19 case. Similarly, the mean number of the patients of inpatient service significantly decreased from 21.7 +/- 39.3 per week to 2.5 +/- 10.0 per week after the first month of the pandemic. Most of the residents (69%) reported that their training was seriously affected due to pandemic. From the economic aspect, 69.2% of the participants who were working at private hospitals reported a decrease in their monthly salary, and 21% of them were sent to an unpaid vacation. A total of 21.9% of private-practice institutions paused their services. During the first month, 46.9% of the participants were assigned to the different services such as COVID-19 inpatient service, emergency or COVID-19 outpatient clinics. According to the Republic of Turkey, Ministry of Health guideline and algorithm, 15.7% of the physicians were in the category of healthcare workers with suspected COVID-19. Conclusion: The COVID-19 pandemic affected seriously both the services and the PMR physicians as early as the first month. This effect is expected to become worse, when the duration of pandemic prolongs. Proper arrangements and measures should be planned to ameliorate the negative effects of the pandemic on the patients and PMR physicians.Öğe Effects of virtual balance training and conservative rehabilitation on balance in chronic stroke patients(Asean Neurological Assoc, 2023) Kılınç, Serdar; Ali, Chasan Mola; Doğaner, Işıl; Yakşi, Elif; Özdemir, FerdaObjective: This study aimed to test the comparative efficacy of virtual balance training (VBT) and conservative rehabilitation (CR) relative to CR alone on balance in chronic stroke patients. Methods: Thirty patients with chronic stroke (>6-months post-stroke) were allocated into 2 groups (n=15) as Group CR and Group VBT. CR was performed for 60 min, 4 times a week, for 8 weeks in both groups. VBT was applied for 20 min, 4 times a week, for 8 weeks along with the CR, in Group VBT. Brunnstrom motor recovery (BMR) stage, spasticity degrees, Functional Ambulation Scale (FAS), Short Form-36 (SF-36) scale, Berg Balance Scale (BBS) in both groups were assessed before and after treatment. Mann-Whitney U, Wilcoxon signed rank tests were used to evaluate BBS data (p<0.05). Results: Although, no significant difference was observed between groups in terms of BBS scores, BMR stages, FAS scores, SF-36 scale scores, and spasticity degrees before and after treatment; significant improvements were observed in BBS scores, BMR stages, and FAS scores after treatment in both groups (p<0.05). Comparing the SF-36 subscale scores before and after treatment, significant differences were noted in emotional role limitation scores for Group VBT (p=0.03) and in pain scores for Group CR (p=0.01).Conclusion: VBT along with the CR in chronic stroke patients was not superior to the CR alone, in terms of improving balance, motor recovery, ambulation level, and quality of life.Öğe Kronik Bel Ağrılı Hastalarda Düşük Yoğunluklu Lazer Tedavisinin Etkinliğinin Araştırılması(2022) Atli, Zehra; Yakşi, Elif; Yaşar, Mustafa FatihAmaç: Bu çalışmanın amacı; kronik bel ağrılı hastalarda düşük yoğunluklu lazer (DYL) tedavisinin ağrı, fonksiyonel durum ve yaşam kalitesi üzerine etkilerini araştırmaktır.Materyal ve Metot: Çalışmaya, üç aydan uzun süre bel ağrısı şikayeti olan, 18-65 yaş arası 40 hasta dahil edildi. Hastalar randomize olarak iki gruba ayrıldı. Birinci gruptaki hastalara (n=20) DYL+egzersiz tedavisi; ikinci gruptaki hastalara (n=20) yalnızca egzersiz tedavisi 15 seans olacak şekilde uygulandı. Hastalar tedavi öncesi (TÖ) ve tedavi sonrası (TS) dönemde değerlendirildi. Hastaların ağrı şiddeti değerlendirmesi Vizüel Analog Skala (VAS) ile, fonksiyonel durumu Modifiye Oswestry Bel Ağrısı Engellilik Anketi (MOS) ile, yaşam kalitesi ise Short Form-36 (SF-36) ile değerlendirildi.Bulgular: Her iki grupta VAS ve MOS skorlarında TS’de TÖ’ye oranla istatistiksel olarak anlamlı azalma saptandı (p<0,05). Gruplar arası karşılaştırmada VAS ve MOS değerlerinde TS ’de DYL lehine istatistiksel olarak anlamlı düzelme saptandı (p<0,05).Sonuç: Kronik bel ağrısında DYL tedavisinin ağrı kontrolü ve fonksiyonel durumda iyileşmede etkili olduğu gösterilmiş olsa da yaşam kalitesi üzerine etkileri saptanamamıştır. Bu konuda daha geniş kapsamlı, randomize kontrollü çalışmalara ihtiyaç vardır.Öğe Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery(2021) Yakşi, Osman; Özel, Alp; Yakşi, Elif; Kliliçgün, AliAim: To investigate the complications that occur in our patients who underwent thoracic surgery, as well asthe relationship between postoperative pain and complications.Method: Of the 117 patients who underwent surgery between January 2018 and December 2018, there were99 patients with pain and the other parameters whose data’s were complete. Medical records of the patientswere investigated in terms of age, gender, smoking status and frequency, diagnosis, treatment, length of stayin the hospital, postoperative complications and visual analog scale (VAS). The postoperative complicationsand VAS values were compared statistically.Results: The mean age of the patients was 50.52±18.46 years, 26 (26.3%) patients were female and 73 (73.7%)were male. The average length of stay in hospital was 4.08±3.06 days and average pain severity was 3.92±2.07.The most common diagnosis in our cases was lung cancer, and the most common complication was prolongedair leakage. There was a significant relationship between the severity of pain and the presence of postoperativecomplications in our patients (p=0.001). However, the correlation relationship was found to be low (r=0.322).Conclusion: The results of our study revealed that optimal postoperative pain control is an important factorfor preventing postoperative complications.Öğe The prevalence of temporomandibular disorders among medical students(2023) Yakşi, Elif; Demirel, Adnan; Yaşar, Mustafa Fatih; Kilinç, Serdar; Balci, MuhammedObjective: This study aimed to evaluate the frequency of temporomandibular disorders (TMD) among students at the Abant Izzet Baysal University Medical Faculty in Turkey. Material and Method: Two hundred eleven medical students aged between 18 and 30 were included in the study. The presence and severity of TMD were evaluated using the Fonseca Anamnestic Index (FAI). Parafunctional habits, bruxism, and orthodontic treatments potentially associated with TMD were investigated. Results: No TMD was determined in 87 (41.2%) of the participants, mild TMD in 82 (38.9%), moderate TMD in 37 (17.5%), and severe TMD in five (2.4%) in the evaluations performed using the FAI. The frequency of TMD was significantly higher in women compared to men (p<0.05). The incidences of parafunctional habits and self-reported bruxism were significantly higher among participants with TMD compared to those with no TMD (p<0.05). The severity of TMD also increased significantly in the presence of parafunctional habits and bruxism (p<0.05). Conclusions: The incidence of TMD among medical students was 59% and female gender, parafunctional habits, and bruxism were found to be associated with the disorders.Öğe The relationship between headache and hiposmi-anosmi in Covid-19 patients(ASEAN Neurological Association, 2021) Demiryürek, Bekir Enes; Yakşi, Elif; Yakşi, Osman; Özsarı, Emine; Türel, Canan Akünal; Çelik, KaanObjective: The aim of this study is to evaluate the relationship of olfactory disorder with headache and laboratory findings in COVID-19 patients admitted to the emergency room with hyposmia-anosmia. Methods: Sixty-three patients admitted to the emergency room and diagnosed as COVID-19 according to WHO guidelines were included in the study. Medical records, laboratory findings and radiological findings were examined and then phone calls were made for additional data. Sociodemographic characteristics and emergency room symptoms at the time of admission of all patients testing positive for COVID-19 were evaluated. Neurological problems were assessed under two categories: Headache and olfactory disorders. The severity of the headache was evaluated by visual analog scale (VAS) and the duration of headache and time taken for resolution was recorded. In addition, the duration of the hyposmia-anosmia and its improvement time, starting from the COVID-19 symptoms, was recorded. Results: Twenty four (38%) presented with hyposmia-anosmia symptoms at the emergency room, while 39 (62%) patients had no symptoms of hyposmia-anosmia. Thirty three (52.4%) had a headache. Headache incidence and headache improvement time (days) in COVID-19 patients with olfactory impairment were significantly higher than in COVID-19 patients without olfactory complaints (p=0.002, p= 0.019). In addition, there was a correlation between the mean hyposmia-anosmia improvement time and headache improvement time (days) in the group presenting with olfactory impairment (r=0.81, p=0.001). Conclusion: Clinicians should be aware of the relationship between headache and olfactory impairment in COVID-19 patients.Öğe The relationship of monocyte to high density lipoprotein-cholesterol ratio and complete blood count parameters with radiologic staging of knee osteoarthritis(2022) Yaşar, Mustafa Fatih; Yakşi, ElifAim: To evaluate the predictive ability of bioindicators derived from complete blood count (CBC) parameters\rand monocyte-high density lipoprotein-cholesterol ratio (MHR) in the diagnosis of radiological stage of knee\rosteoarthritis (OA) in this study.\rMethod: This cross-sectional retrospective study was carried out between November 2017 and June 2021, in\rour physical therapy and rehabilitation clinics. 65 patients knee x-rays and routine laboratory results were\rincluded in the study. Each knee x-rays were assigned a grade from 0 to 4 (Kellgren-Lawrence Classification\rSystem (KL). Patients were divided into two groups according to severity of the knee OA as follows. Group\r1: Mild-moderate OA (KL Grade1-2), Group 2: Severe OA (KL Grade 3-4).\rResults: Independent T test and Mann Whitney U test were used to assess whether there was a difference in\rCBC parameters and their derivatives between two groups. Platelet lymphocyte ratio (PLR), red cell\rdistribution width (RDW) to platelet ratio (RPR) and platelet (PLT) counts indicated statistically significant\rdifferences between the groups, p-values were 0.04, 0.03 and 0.04 respectively. There were no significant\rdifferences in terms of MHR score between the groups.\rConclusions: We could not find a relationship between MHR and radiological degree of knee osteoarthritis.\rHowever, there is a correlation between radiological stage of knee osteoarthritis and hemogram parameters\rlike PLT and their derivatives such as PLR and RPR.Öğe Vitamin D levels and oral health in stroke patients during inpatient rehabilitation(Wiley, 2023) Yakşi, Elif; Horasan, NevinBackgroundStroke is a severe that restricts the individual's functions, effects the oral health. ObjectivesThe aim of this study was to investigate the relationship between oral health and vitamin D levels in stroke patients in rehabilitation units. MethodsParticipants with stroke, and age- and sex-matched healthy controls were recruited for the study. Oral Health Impact Scale-14 (OHIP-14), Decayed, Missing, Filled Teeth (DMFT) Index, Community Periodontal Index of Treatment Needs (CPITN), Gingival Index (GI) and Plaque Index (PI) were assessed for all participants. Barthel Index (BI), Brunnstrom Recovery Scale (BRS) and Modified Ashworth Scale (MAS) assessed for the stroke patients. Vitamin D levels of each participant were recorded. ResultsThe stroke patients' DMFT index and OHIP-14 values were higher than those of the healthy controls (p < .05). However, no significant differences were observed in terms of CPTIN, PI, or GI scores (p > .05). No statistically significant difference was determined in the DMFT index, OHIP-14 scores, Community Periodontal Index of Treatment Needs (CPITN), PI (Plaque Index) and GI (Gingival Index) scores according to vitamin D levels among the stroke patients (p > .05). Stroke patients' functional scores (BRS, MAS and BI), vitamin D levels and oral health status (OHIP-14, DMFT, CPITN, PI and GI) were subjected to correlation analysis. This revealed significant negative correlation between BRS (arm, hand and leg), and BI and OHIP-14 scores (p < .05). ConclusionAlthough the DMFT index and oral health-related quality of life were adversely affected in stroke patients, no relationship was found between vitamin D and oral health status.
