Yazar "Akpolat, Tekin" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Arm circumference: its importance for dialysis patients in the obesity era
    (Springer, 2013) Akpolat, Tekin; Kaya, Coskun; Utas, Cengiz; Arinsoy, Turgay; Taskapan, Hulya; Erdem, Emre; Yilmaz, M. Emin
    The purposes of this study were to investigate the association between arm circumference and body mass index (BMI) and to discuss problems, mainly arm circumference and cuff size mismatch, that could affect the reliability of home blood pressure monitoring (HBPM) among peritoneal dialysis (PD) and hemodialysis (HD) patients. 525 PD and 502 HD patients from 16 centers were included in the study. A two-part questionnaire was used to gather information from the participants. Arm circumferences were categorized into four groups according to the British Hypertension Society cuff size recommendations. Mean BMI and arm circumference of all participants were 25.0 kg/m(2) and 27.6 cm, respectively. There was a significant correlation between BMI and arm circumference. The mean BMI and arm circumference values were higher in PD patients than in HD patients. Requirement of a large-sized adult cuff was more common among PD patients compared to HD patients (14 % vs 8 %, p = 0.002). Since HBPM is a useful tool for clinicians to improve BP control, nephrologists should be aware of the problems related to HBPM in dialysis patients and take an active role to increase the reliability of HBPM.
  • Küçük Resim Yok
    Öğe
    Renal Behcet's Disease: An Update
    (W B Saunders Co-Elsevier Inc, 2008) Akpolat, Tekin; Dilek, Melda; Aksu, Kenan; Keser, Goekhan; Toprak, Oemer; Cirit, Mustafa; Oguz, Yusuf
    Objective: The aims of this study are (1) to report 33 patients with Behcet's disease (BD) having various renal manifestations, and (2) to update Current data using our patients and published papers about BD and renal manifestations. Methods: The PubMed database was searched using the terms BD or Behcet's syndrome. We found reports of 94 patients (including ours) with BD and specific renal diseases (amyloidosis, 39; glomerulonephritis [GN], 37; renal vascular disease, 19; interstitial nephritis, 1). Results: The presentation of renal disease was edema/nephrotic syndrome in 12 patients (36%). Renal disease was incidentally diagnosed by routine Urine analysis and measurement Of Serum creatinine level in 20 patients (61 %). Renal failure was present in 23 patients (70%) and 5 of them have had cyclosporine treatment. The frequency of renal disease among BD patients has been reported to vary from less than 1 to 29%. Conclusions: The clinical spectrum OF renal BD shows a wide variation. Amyloidosis (AA type), GN, and macroscopic/microscopic vascular disease are the main causes of renal BD. Patients with vascular involvement have a high risk of amyloidosis and amyloidosis is the most common cause of renal failure in BD. Several types of glomerular lesions are seen in BD. Current treatment options for renal BD are not evidence based. Radiological vascular intervention combined with immunosuppressive drugs can be useful in selected cases. Routine Urine analysis and measurement of serum creatinine level are needed Cor early diagnosis of renal BD. (C) 2008 Elsevier Inc. All rights reserved. Semin Arthritis Rheum 38:241-248