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Öğe An analysis of the relationship between pulmonary-aerobic capacity variables defined via pulmonary function tests and anthropometric measurements of different somatotypes(Turgut Özal Tıp Merkezi Dergisi, 2016) Cay, Mahmut; Yılmaz, Nesibe; Şenol, Deniz; Çevirgen, Furkan; Uçar, Cihat; Özbağ, DavutAbstract Objectives? The aim of this study is (i) to detect pulmonary-aerobic capacity in different somatotypes by using body morphometry in sedentary subjects, and (ii) to show that pulmonary-aerobic capacity an be enhanced. Materials and Methods: This study was carried out at Inonu University Medical Faculty between the dates of May 1-30 in 2016. The study included 120 voluntary sedentary subjects, aged 20 to 26 years. Each subject was exposed to pulmonary function tests (PFT) three times through an acceptable technique. Such anthropometric measurements were taken to generate somatotypes by using method of Carter and Heath. Results? Six distinct somatotypes were defined. Pulmonary function test (PFT) performed on different somatotypes in accordance with Kruskal-Wallis test revealed that FVC, FEV1, FEV1/FVC, PEF and FEF25-75 values are not affected by somatotype (p>0.05). Such anthropometric measurements as biacromial diameter, chest depth, chest breadth, neck circumference, chest circumference and waist circumference are considered to be significant in measuring lung capacity. Besides, a statistically significant relation between these measurements and somatotype differences was apparent (p<0.05). Correlation analysis revealed that biacromial diameter, chest breadth, chest circumference and waist circumference had a positive relation with FVC, FEV1, PEF and FEF25-75; and that neck circumference had a positive relation with all the respiratory parameters. Conclusion: This study, we believe, will not only serve as a clinical resource for specialists in the area in terms of diagnosis and treatment, but also as an academic resource in the relevant literature. Keywords: PFT; Lungs; Somatotype; Anthropometry; Aerobic Capacity.Öğe Effect of increase in cortisol level due to stress in healthy young individuals on dynamic and staticbalance scores(Kare publ, concord ıstanbul, dumlupınar mah, cıhan sk no 15, b blok 162 kadıkoy, ıstanbul, 00000, turkey, 2018) Cay, Mahmut; Ucar, Cihat; Senol, Deniz; Cevirgen, Furkan; Ozbag, Davut; Altay, Zuhal; Yildiz, SedatOBJECTIVE: Stress is a condition caused by various factors and characterized by imbalance in body functioning, impair in nervous system, and tension. The purpose of this study was to examine the effects of cortisol level, which increases in healthy young individuals due to stress, on dynamic and static balance scores as well as to present the results caused by high levels of stress. METHODS: In this study, 107 healthy medicine faculty students in their second year (who will take the same committee exam) aged between 19 and 23 years were included. The first balance measurements and saliva samples were taken 40 days before the committee exam, and this period was acknowledged as the relaxed period. The same students were considered for balance measurements again on the day of committee exam; saliva samples were collected, and cortisol concentration was determined. This period was acknowledged as the stressful period. The State-Trait Anxiety Inventory (STAI) was given to the participants in their relaxed and stressful periods. Dynamic balance scores were measured with Star Excursion Balance Test (SEBT). Static balance scores were measured with One Leg Standing Balance Test (OLSBT). RESULTS: The mean cortisol level was found to increase approximately 9 times in stressful periods compared with that in relaxed periods. STAI, which shows state anxiety, showed an increase supporting this increase. In stressful periods, dynamic balance scores showed obvious decrease in all directions. In addition, in stressful periods, an obvious decrease was observed in static balance scores compared with those in relaxed periods. CONCLUSION: This study showed that stress negatively affected dynamic and static balance, even for short periods of time. We believe that our study will form a positive source and basis when correlated with long terms stress and balance measurements.Öğe The effect of stress-induced cortisol increase on the sense of ankle proprioception(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2019) Senol, Deniz; Ucar, Cihat; Cay, Mahmut; Ozbag, Davut; Canbolat, Mustafa; Yildiz, SedatObjectives: The aim of this study is to analyze the effect of stress-induced cortisol increase on the sense of ankle proprioception. Patients and methods: Between April 2016 and May 2016, a total of 60 students (30 males, 30 females; mean age: 19.2 +/- 1.5 years; range, 19 to 20 years) from Inonu University, Faculty of Medicine, Department of Freshmen were included in the study. Separate measurements were made for the right and left ankle to make ankle proprioception measurements a month before the committee exam during their relaxed period using a device designed with digital inclinometer. The sense of ankle proprioception was measured at 10 degrees dorsiflexion (DF), 11 degrees plantar flexion (PF), and 25 degrees PF angles with open eyes and closed eyes using active reproduction test. Salivary samples were taken for stress assessment and State Trait Anxiety Inventory-I (STAI-I) was conducted. The same tests were repeated on the day of committee exam. Results: Test results showed no statistically significant difference between the right and left ankle proprioception measurements of 10 degrees DF, 11 degrees PF, and 25 degrees PF angles with open eyes (p>0.05). However, a statistically significant difference was found between the right and left ankle proprioception scores at the same angles with closed eyes (p<0.05). According to the Wilcoxon analysis conducted for the comparison of the relaxed and stressed periods of cortisol and STAI-I inventory, a statistically significant difference was found (p<0.05). The Spearman's Rho analysis showed no significant correlation between the right and left ankle proprioception scores and cortisol and STAI-I with open eyes, while there was a statistically significantly positive direction and low correlation between the same angles with closed eyes. Conclusion: Our study results show that the increase in the stress-related cortisol is negative for the ankle proprioception sense.Öğe Evaluating of the effects of ramadan fasting on ankle proprioception performanceMahmut Cay(2018) Cay, Mahmut; Senol, Deniz; Cuglan, Songul; Cevirgen, Furkan; Ozbag, DavutAim: Human body has an unmatched capacity to keep the correct posture against gravity. Balance is the most important factor for the stability of ankle joint. Ramadan is a special religious month of Muslim calendar (The Hegira calendar) which includes an integrated life style change in dietary habits, sleep pattern, daily life and social activities. The objective of this study was to examine the effect of fasting on ankle proprioception sense. Material and Methods: This study was attended by 30 of the first year students of the Faculty of Medicine of Inonu University. Ankle proprioception sense was measured at 10º dorsiflexion (DF), 11º plantarflexion (PF) and 25º PF angles in eyes open position (EOP) and eyes closed position (ECP) by using active reproduction test. Deviations from these angles were recorded as proprioception score. The measurements were made two weeks before Ramadan started and 2 weeks after Ramadan started when the students were fasting. Ankle proprioception measurement was conducted separately for right and left foot with digital inclinometer. Results: According to the results of Wilcoxon paired samples test, statistically significant difference was found between pre-fasting and fasting period in ECP 10º DF and 11º PF angles of the right foot and ECP 11º PF angle of the left foot (p<0.05). Conclusion: As a conclusion, we believe that fasting has an effect on proprioceptive sense, even though partly. Considering the difficulty of finding out the angles measured, associating the results with only fasting period is open to dispute.Öğe Evaluation of early thyroidectomy complications(Bayrakol Medical Publisher, 2022) Karatas, Turgay; Selcuk, Engin Burak; Karatas, Mehmet; Yildirim, Atilla; Ozbag, Davut; Cay, Mahmut; Senol, DenizAim: Our aim in this study is to reveal the relationships between patient findings, surgical methods and early thyroidectomy complications. Material and Methods: The files and operative notes of 308 patients who underwent thyroidectomy within 10 years were reviewed retrospectively. Gender, age, preoperative diagnosis, primary or reoperated cases, the type of thyroidectomy [ bilateral subtotal (BST), bilateral total (BTT), unilateral subtotal (UST) and unilateral total (UTT)] and early postoperative complications (hypocalcemia, bleeding, nervus laryngeus recurrens (NLR) injury, infection and seroma) were recorded. The peculiarity of this study is that NLR neuromonitoring was not used in thyroidectomy operations. Results: Of the 308 patients who underwent thyroidectomy, 287 were females and 21 were males. Two hundred eighty three cases of multinodular goiter, 18 cases of nodular goiter and 7 thyroid cancers were operated; 180 BTT, 100 BST, 17 UTT + UST, 7 UST and 4 UTT were applied. Complications were seen in a total of 20 (6.49%) patients who underwent 19 BTT and 1 BST. The only complication in BST was bleeding. There were 10 (3.24%) hypocalcemia, 4 (1.29%) bleeding, 2 (0.649%) NLR injury, 2 (0.649%) infections and 2 (0.649%) seromas. In terms of the frequency of early thyroidectomy complications, hypocalcemia was the first (P=0.0047). In addition, the rates of hypocalcemia and NLR injury were higher in reoperated patients than in primary patients (P<0.05). Discussion: The most common complication was hypocalcemia. NLR injury and hypocalcemia rates were higher in reoperated cases who underwent BTT.Öğe The evaluation of the effect of vaginal delivery and aging on anal sphincter anatomy and function(Elsevier Masson, Corporation Office, 2018) Cay, Mahmut; Cetin, Aymelek; Ates, Mustafa; Koleli, Isil; Senol, Deniz; Kose, Evren; Ozgor, DincerObjective. - This study was conducted to evaluate the effect of vaginal delivery and aging on anal sphincter anatomy and function. Method. - Asymptomatic thirty women were included in this prospective study. Group 1 included 10 women (age range: 18-50) who had never been pregnant. Group 2 included 10 women (age range: 18-50) who had vaginal delivery. Group 3 included 10 women over 50 who had vaginal delivery. Results. - There was no statistically significant difference between the three groups in terms of resting and squeeze pressures. It was found that sphincter thickness showed statistically significant difference between the group 1 and group 3, and also group 2 and group 3. There was not statistically significant difference between the group 1 and group 2 in terms of sphincter thickness. There was a positive correlation between the age and sphincter thickness in all groups. In terms of sphincter thickness and pressure findings there was a positive correlation between the squeeze pressure and external anal sphincter thickness only in group 3. Conclusion. - The vaginal delivery did not have a negative influence on the structure and function of the anal sphincter in asymptomatic women. However, it was found that anal sphincter thickness changed strongly in a positive manner with aging. (C) 2018 Elsevier Masson SAS. All rights reserved.Öğe The evaluation of the effect of vaginal delivery and aging on anal sphincter anatomy and function (vol 47, pg 309, 2018)(Elsevier Masson, Corp Off, 2020) Cay, Mahmut; Cetin, Aymelek; Ates, Mustafa; Koleli, Isil; Senol, Deniz; Kose, Evren; Ozgor, Dincer[Abstract Not Available]Öğe The evaluation of the effect of vaginal delivery and aging on anal sphincteranatomy and function(Elsevıer masson, corporatıon offıce, 65 camılle desmoulıns cs50083 ıssy-les-moulıneaux, 92442 parıs, france, 2018) Cay, Mahmut; Cetin, Aymelek; Ates, Mustafa; Koleli, Isil; Senol, Deniz; Kose, Evren; Ozgor, Dincer; Simsek, Arife; Ozbag, DavutObjective. - This study was conducted to evaluate the effect of vaginal delivery and aging on anal sphincter anatomy and function. Method. - Asymptomatic thirty women were included in this prospective study. Group 1 included 10 women (age range: 18-50) who had never been pregnant. Group 2 included 10 women (age range: 18-50) who had vaginal delivery. Group 3 included 10 women over 50 who had vaginal delivery. Results. - There was no statistically significant difference between the three groups in terms of resting and squeeze pressures. It was found that sphincter thickness showed statistically significant difference between the group 1 and group 3, and also group 2 and group 3. There was not statistically significant difference between the group 1 and group 2 in terms of sphincter thickness. There was a positive correlation between the age and sphincter thickness in all groups. In terms of sphincter thickness and pressure findings there was a positive correlation between the squeeze pressure and external anal sphincter thickness only in group 3. Conclusion. - The vaginal delivery did not have a negative influence on the structure and function of the anal sphincter in asymptomatic women. However, it was found that anal sphincter thickness changed strongly in a positive manner with aging. (C) 2018 Elsevier Masson SAS. All rights reserved.Öğe Examining the Effect of Stress-induced Increases in Cortisol Levels on the Dynamic Balance Scores of Medical Students(Wiley-Blackwell, 2016) Senol, Deniz; Ucar, Cihat; Cay, Mahmut; Cevirgen, Furkan; Ozbag, Davut; Yildiz, Sedat[Abstract Not Available]Öğe Investigation of the Relationship Between Pulmonary Function Test and Different Somatotypes(Wiley-Blackwell, 2016) Cay, Mahmut; Yilmaz, Nesibe; Senol, Deniz; Cevirgen, Furkan; Ucar, Cihat; Ozbag, Davut[Abstract Not Available]Öğe Oral administration of hesperidin, a citrus flavonone, in rats counteracts the oxidative stress, the inflammatory cytokine production, and the hepatotoxicity induced by the ingestion of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)(John Libbey Eurotext Ltd, 2013) Bentli, Recep; Ciftci, Osman; Cetin, Asli; Unlu, Merve; Basak, Nese; Cay, MahmutThe objective of the current study was to investigate the protective effects of hesperidin against oxidative stress, altered cytokines levels and histological changes in rats induced by 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Rats were divided randomly into four equal groups (Control, TCDD, hesperidin and TCDD+hesperidin). TCDD and hesperidin were given by gavage, dissolved in corn oil at doses of 2 mu/kg/week and 50 mg/kg/day respectively. The blood and tissue samples were taken from all rats on the 60th day, to be analyzed for the determination of oxidative stress, histological changes and cytokine levels. The results indicated that hesperidin prevented oxidative damage caused by TCDD via decrease lipid peroxidation and increased antioxidant defense systems. It also reversed the histological damage induced by TCDD. Although, TCDD led to a significant increase in TNF-alpha and IL-1 beta levels, hesperidin treatment was able to normalize these values in rats. In conclusion, it was shown that TCDD caused adverse effects as regards cytokine levels, histological alterations and oxidative stress in rats. However, hesperidin treatment mitigated these toxic effects. These results suggest that hesperidin could play a protective role against TCDD toxicity.Öğe Physiotherapy outweighed multiple therapy methods of bell’s palsy: A review study(2017) Calisgan, Elisa; Senol, Deniz; Cay, MahmutAlthough its etiology is not known, Bell’s palsy is commonly based on trauma, infection, nervous damage due to surgery, genetic predisposition, autoimmune disease, temporal bone fracture, cerebellar arachnoid cyst and viral infection associated with vascular ischemia and inflammation. Viral infection due to herpes zoster and herpes simplex is the most common known cause of Bell’s palsy. It is seen in about 20-35 out of 100.000 people each year. Its incidence is low in children under the age of 14 and it is more frequent within the range of 15-45 years. It is also known to occur equally in men and women. In the third trimester of pregnancy and postpartum in the first week, its frequency increases 3-fold. Unilateral paralysis, lagophthalmos, keratitis, droop of eyelid and edge of mouth, mouth and eye dryness, conjunctivitis and decreasing sensation and 2/3 taste of luxury in front of lingua are its common symptoms. 3 days from the onset of palsy, patients begin to use corticosteroid and antiviral drugs. 71% of patients had improvement after recovery but 29% of patients were shown to have hemifacial weakness and residual sequela throughout life. Synkinesis is the most common sequela of Bell’s palsy. The effects of physiotherapy methods and their different combinations with other methods on prognosis were discussed in the treatment of Bell’s palsy.Öğe Quantitative Evaluation of Normal Aqueductal Cerebrospinal Fluid Flow Using Phase-Contrast Cine MRI According to Age and Sex(Wiley, 2017) Oner, Zulal; Kahraman, Aysegul Sagir; Kose, Evren; Oner, Serkan; Kavakli, Ahmet; Cay, Mahmut; Ozbag, DavutThe aim of this study was cerebrospinal fluid (CSF) flow quantification in the cerebral aqueduct using phase-contrast cine magnetic resonance imaging (PCC-MRI) according to both sexes and three different age groups to obtain normative data. Seventy two volunteers with no cerebral pathology were included in this study. Subjects were divided into three age groups: 20-34 years, 35-49 years, and 50-65 years including equal gender groups. CSF flow's quantitatively evaluation was performed with images that were obtained by 1.5 T Magnetic Resonance (MR) unit from cerebral aqueduct level on the semi-axial plan. Between groups, peak velocity (cm sec21), average velocity (cm/s), forward volume (mL), reverse volume (mL), net forward volume (mL), and average flow over range (ml/ min)values of current flowing through aqueduct and average aqueductal areas were compared. There were no statistically significant differences in CSF flow parameters among different age groups and between sexes (P> 0.05). There was a statistically significant difference in average cerebral aqueduct area between the age group of 50-65 years and the other age groups (P50.002). The average aqueductal area was higher in the age group of 50-65 years. Normal aqueductal CSF flow parameters evaluated with PCC-MRI don't show a significant difference by age and sex. We have achieved the lower and upper values of these parameters would be useful in future clinical studies. The size of aqueductal area may also be explained by atrophy-dependent ventricular system dilatation in the elderly. (C) 2016 Wiley Periodicals, Inc.Öğe Variation of axillopectoral muscle and surgical importance: a case report(Turgut Özal Tıp Merkezi Dergisi, 2016) Cay, Mahmut; Çuğlan, Songül; Şenol, Deniz; Özbağ, Davut; Köse, EvrenAbstract M. axillopectoralis (MAP) has been examined under different names and variations in different studies. In routinely conducted dissection studies, an arch holding onto great pectoral muscle originating from latissimus dorsi muscle was detected in the left fossa axillaris of a male cadaver aged 35-40. It was determined that the end branches of a. axillaris, v. axillaris, and plexus brachialis existing in that area passed through the underneath of that arch. MAP has a clinical and morphological importance for those surgeons that are to make surgical interventions in the fossa axillaris area. Thus, surgeons are required to consider the probability of such muscle structures in this area. Keywords: Fossa Axillaris; Variation; Latissimus Dorsi Muscle; MAP; Cadaver.Öğe The views of Usak University Dental Faculty academic staff on anatomy education(2019) Cay, Mahmut; Bakirci, SinanAim: In this study, we aimed to find out the positive and negative effects of the pregraduation anatomy education received by academic staff working in the Faculty of Dentistry on their professions both as an educator and as a dentist. Material and Methods: The study was conducted through a questionnaire given to 19 academic staff at Uşak University Faculty of Dentistry. A 5-Likert type scale was used for the reliability of feedback. Results: Of the academic staff who participated in the study, 3 were research assistants, 13 were assistant professors, 1 was associate professor and 2 were professors. 84% of the academic staff who participated in the study stated that they “liked the anatomy course during their undergraduate education” and 95% stated that “the content of anatomy course was useful in professional sense”. 90% of the participants stated that “there should be an anatomy department in dentistry faculties”. Conclusion: We believe that these feedbacks we get from the academic staff participants will contribute to anatomy education given during undergraduate period in dentistry education.