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Öğe Dental age assessment: The applicability of Demirjian method in southwestern of eastern Anatolia region Turkish children(2012) Karataş O.H.; Öztürk F.; Dedeo?lu N.; Çolak C.; Altun O.Objectives: Age estimation plays an important role in forensic medicine and orthodontics. Many methods of age estimation have been suggested. Demirjian method is the most frequently used one of these. In the literature, there is a little known about applicability of this method in Turkish children. The aim of the present study was to evaluate the reliability of Demirjian method of dental age estimaiton and for description of mandibular permanent tooth formation in Turkish children from the southwest Eastern Anatolia region. Materials and Methods: A retrospective study was performed on 1015 panoramic radiographs and 5-15 years of age South western of Eastern Anatolia Regionof Turkish children. The stages of dental maturity of the mandibular left seven permanent teeth for each subject using the eight radiographic dental maturity stages demonstrated by Demirjian's method were evaluated. A pired t-test was used for statistical analysis. Results: The mean difference between the chronological and dental ages ranged 0,28 to 1,10 years in boys and from 0,18 to 0,68 years in girls. South western of Eastern Anatolia Region of/Turkish children were generally delayed in dental maturity compared with children in Demirjian sample. The differences between the chronological and dental ages were statistically significant in 6-6.9, 8-8.9, 9-9.9, 10-10.9, 11-11.9 years in boys and in 8-8.9, 9-9.9,11-11.9 years in girls. Conclusions: Turkish children from the southwest Eastern Anatolia region are significantly more delayed in dental maturity compared to Demirjian's French-Canadian sample. The applicability of Demirjian data is not suitable for Southwestern of Eastern Anatolia Region of Turkish children.Öğe Effects of Home-Based Aerobic Exercise Training on Glycemic Control and Lipid Profiles in Patients with Prediabetes and Type 2 Diabetes: A Randomized Controlled Study(AVES, 2021) Özdemir F.; Kilcik M.H.; Evren B.; Şahin I.; Çolak C.Objective: Diabetes is an important health condition; in recent years, its prevalence has increased dramatically. This study aimed to evaluate the effects of home-based aerobic exercise training on glycemic control and lipid profiles in patients with prediabetes and type 2 diabetes. Material and Methods: This study included a total of 65 patients with ages between 38 and 66 years. The participants were divided into prediabetes exercise group (group I, n = 17), prediabetes control group (group II, n = 17), type 2 diabetes exercise group (group III, n = 17), and type 2 diabetes control group (group IV, n = 14). Home-based aerobic exercise training was suggested to all individuals in exercise groups (30 min, 60% of maximum heart rate [220 beats/min minus their age], 3 days per week) by a physiotherapist. Results: Among the patients, 61.5% were male and 38.5% were female. Participants’ sociodemographic characteristics, such as age, sex, and body mass index values, were similar (P > .05). After follow-up, the fasting plasma glucose (FPG) and high-density lipoprotein cholesterol (HDL_C) values were different in group I (P < .05). However, there were no differences in group II (P > .05). Hemoglobin A1c, HDL_C, FPG, and postprandial plasma glucose variables showed significant differences in group III (P < .05). There was a significant difference only in FPG levels in group IV (P < .05). Conclusion: Home-based exercise program is important for improving the patient’s self-control of diabetes. However, patients need physiotherapy counseling for sustainable home-based exercise training. © 2021 AVES. All Rights Reserved.Öğe Evaluation of intestinal parasites and risk factors in patients applying to outpatient clinics with digestive system complaints in Ordu Province(Refik Saydam National Public Health Agency (RSNPHA), 2022) Karaman Ü.; Kaya Y.; Özdemİr Ö.; Engİnyurt Ö.; Gamsizkan Z.; Çolak C.; Yolalan G.Objective: The aim of this study is to investigate the parasite prevalence, species and factors affecting parasite positivity in patients with digestive system complaints in Ordu Province in Turkey. Methods: 317 patients who presented with gastrointestinal complaints were included in the study. A questionnaire including; socio-demographic characteristics of the patients, lifestyle and digestive system complaints was applied. Cellophane band method, nativ-lugol, sedimentation and Modifiye kinyoun acid-fast methods were used for the diagnosis of fecal parasites. After the samples were prepared and stained, they were examined under a microscope. Results: Parasite positivity was detected in 205 (64.66%) of 317 patients. Blastocystis spp. constitutes 34.1%, 34.7% of Cryptosporidium spp and 16.1% of Entamoeba coli. The incidence of helminths was 2.8% and the incidence of protozoa was 97.2%. 73.7% of the parasite positive patients were in the age group of 40 years and over, 72.7% were women, 81% were married, 65.6% were middle-income, 48.3% had a primary and secondary education level. 58.5% lived in villages, 74.1% were housewives / unemployed. 77.6% of the parasite positive patients lived in the nuclear family, 51.2% were using city water, 93.7% were eating vegetables predominantly. In 9 (4.4%) of the patients with parasite positivity, no parasite was detected at the first examination, and it was detected in the 2nd and 3rd Bakers. The complaints of salivation in Entamoeba coli, Blastocystis spp. and Cryptosporidium spp, and allergy, rectal itching, drooling, increased appetite were significantly higher in Enterobius vermicularis (p <0.05). Conclusion: It has been observed that there is a high rate of parasites in patients presenting with digestive complaints. Mostly Blastocystis spp., Cryptosporidium spp species were observed in Ordu Province. Patients who present with the complaint of digestion, especially those whose complaints do not improve, should definitely be evaluated in terms of parasites and the preliminary diagnosis of parasitosis should not be immediately ruled out, even if the first stool examination is negative. © 2022,Turk Hijyen ve Deneysel Biyoloji Dergisi. All Rights Reserved.Öğe Haemodynamic effects of isoflurane and sevoflurane in pulmonary hypertensive mitral valve stenosis(2002) Kadir But A.; Türköz A.; Durmuş M.; Toprak H.I.; Çolak C.; Özcan Ersoy M.Although isoflurane and sevoflurane are widely used in cardiac surgery for their clinical properties, sufficient studies on their cardiovascular and pulmonary effects in mitral stenotic patients with pulmonary hypertension have not been found. Forty patients with mitral stenosis and pulmonary hypertension, who were undergoing mitral valve replacement surgery, were randomly divided into Isoflurane (Gi, n=20) and Sevoflurane (Gs, n=20) groups. After anaesthesia induction, the maintenance of anaesthesia was provided with 1 MAC izoflurane in Gi and 1 MAC sevoflurane in Gs. Hemodynamic measurements, central venous pressure (CVP), mean pulmonary arterial pressure (MPAP), pulmonary capillary wedge pressure (PCWP), cardiac index (CI), pulmonary vascular resistance index (PVRI) and systemic vascular resistance index (SVRI), were performed before anaesthesia induction (t0), after intubation (t1), and just before cardiopulmonary bypass (t2). Heart rates (HR) and mean arterial pressure (MAP) were also determined t0, t1 and t2 as well as during incisron (ti) and sternotomi (ts) In inter-group evaluation, HR were found to be different at t2 (p<0.05). In-group evaluation, there was statistically significant decrease at t2 compared to t0 in Gs. Inter-group evaluation revealed no significant difference in the other hemodynamic measurements. In-group evolution, MAP, MPAP, PCWP and CI decreased at t1 and t2 compared to t0 in both groups, but CVP declined only at t2 compared to t0. As a result, 1 MAC isoflurane and sevoflurane used in mitral stenotic patients with pulmonary hypertension caused a decrease in MAP, MPAP, and CVP, which is not necessary to be corrected and the decrease in CI was clinically acceptable. According to results of the study, both agents have been thought to be convenient to be used in patients with mitral stenosis with pulmonary hypertension.Öğe Malondialdehyde, glutathione and nitric oxide levels in patients with Enterobius vermicularis infection(2010) Kiran T.R.; Karaman Ü.; Çolak C.; Bay Karabulut A.; Daldal N.The aim of this study was to investigate the levels of malondialdehyde (MDA) and nitric oxide (NO) which are indicators of oxidative stress and also the level of glutathione (GSH) which is an antioxidant molecule, in patients with Enterobius vermicularis infection. A total of 41 patients (mean age: 36.4 years; 31 were male) and 40 healthy controls (mean age: 40.2 years; 28 were male) were included to the study. None of the patients and controls have had history of hormone/steroid drug use, smoking and alcoholism. The mean level of GSH in patient and control groups were found 1.17 ± 0.02 ?mol/l and 2.49 ± 0.10 ?mol/l; MDA 26.97 ± 2.06 ?mol/l and 19.47 ± 2.25 ?mol/l NO 20.74 ± 0.60 ?mol/dl and 17.83 ± 0.50 ?mol/dl, respectively. The mean GSH level in patient group was statistically significantly lower (p< 0.05) than controls, while the mean MDA and NO levels were statistically significantly higher (p< 0.05). These results indicated that the consumption of GSH was increased due to the severity of oxidative stress in patients infected with E.vermicularis. Detailed experimental and clinical studies are required to enlighten the relation of GSH in the pathogenesis of E.vermicularis infection. Since oxidative stress is increased during enterobiosis, the use of antioxidant agents (e.g. vitamins C and E) for the supportive treatment deserves evaluation.Öğe Parasitosis in appendectomy cases(TIP ARASTIRMALARI DERNEGI, 2010) Karaman Ü.; Türkmen E.; Iraz M.; Karataş T.; Çolak C.Aim: Obstruction of lumen of appendix vermiformis causes inflammation and requires surgery. The study aimed to detect any parasitosis in appendiceal specimens brought to pathology laboratory. Method: A total 916 appendectomy specimens from Faculty of Medicine at Inonu University between 2002 and 2005 were examined for inflammation and luminal parasitosis. Result: Adult worms and eggs of Enterobius vermicularis were detected in 23 (2.5%) of all cases, while Taenia spp. were found in only 2 (0.2%) cases. Also parasites were found in 8 of (2.0%) of 391 construction appendicitis, and in 5 (1.3%) of 384 acute appendicitis cases. Moreover, plasma cells and polymorphonuclear leukocytes were observed, respectively, in 18, and 2 of Appendix vermiformis cases with parasite. Eosinophils in lamina propria were detected in all cases. Conclusion: Therefore, the intestinal parasitosis should be considered in the differential diagnoses of appendicitis. Education on how to prevent parasitosis should be included in training programs to avoid any unnecessary surgery.Öğe Prevalence of Demodex ectoparasites among humans in Ordu Province in Turkey(SEAMEO TROPMED Network, 2016) Karaman Ü.; Kolören Z.; Enginyurt Ö.; Çolak C.Demodex folliculorum and Demodex brevis are common ectoparasites in humans. Demodex parasite infestations have not been determined in the province of Ordu. We determined the prevalence of Demodex species among humans in Ordu Provience, Turkey. Seven hundred ninety-nine subjects (438 males and 361 females) aged ? 18 years living in the central districts of Ordu Province, Turkey, were selected using the World Health Organization cluster sampling method. A superficial skin biopsy of the face was obtained from each subject. Six hundred sixty-nine subjects (83.7%) had a Demodex parasite. Factors significantly associated with the presence of Demodex infestation were: female gender, employment in the private sector, people who only occasionally wash their face and district of residence. Since Demodex ectoparasites were common in Ordu Province, it is suggested that the diagnosis and treatment of this ectoparasite should be carried out in the hospitals of this region. © 2016, SEAMEO TROPMED Network. All rights reserved.Öğe The rates of seropositivity and seroconversion of Toxoplasma infection in pregnant women(2012) Do?an K.; Kafkasli A.; Karaman U.; Atambay M.; Karao?lu L.; Çolak C.Infections caused by Toxoplasma gondii are frequently asymptomatic in healthy adults, however they may be serious in pregnant women and immunocompromised patients. The aims of this study were to investigate the rates of seropositivity and seroconversion in pregnant women and newborn cord blood samples, and to evaluate those data in the view of relation to lifestyle and nutrition. A total of 312 pregnant women (mean age: 28.1 ±5.2 years) who were admitted to and followed by gynecology clinics of Inonu University Medical School Hospital, Malatya, Turkey were included in this observational and cross-sectional study. Anti-toxoplasma IgG and IgM antibodies in pregnants and newborn cord sera were screened by commercial ELISA and immunofluorescence antibody (BioTek; USA) methods. A total of 312 sera from pregnant women and 312 cord blood samples during delivery were collected. IgG seropositivity rate in pregnants was found as 37.5% (117/312), seroconversion was not determined in restrained pregnants and T.gondii IgM was found negative in all pregnants. Also in all newborns IgM was negative and IgG seropositivity was determined as 33.3% (104/312) in cord blood. There was a statistically significant relationship between IgG seropositivity and raw meat consumption (p< 0.001) and being engaged in agriculture (p< 0.005). It was concluded that toxoplasma antibodies should routinely be searched on the first visit of the pregnants and the seronegative cases should be trained about the preventive measures related to toxoplasmosis. The follow-up of toxoplasma seronegative cases during pregnancy can be achieved by only detecting the IgM class antibodies and this will also reduce the cost of screen test.
