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    Analysis of lumbar disc degeneration: 82 cases
    (2019) Ozevren, Huseyin; Cetin, Abdurrahman; Baloglu, Murat
    Aim: The purpose of this study was to investigate if the grade of lumbar disc degeneration. Intervertebral disc degeneration is a common degenerative disease.Material and Methods: A retrospective analysis on 34 males and 48 females with intervertebral discs degeneration and a mean age of 51.5 years. Using MRI, the grade of lumbar intervertebral discs degeneration was assessed according to the Pfirrmann classification.Results: There was a high correlation (R =0.385) and significant association (pearson correlation, p 0.01) between L3/L4 disc degeneration and the aging. There was also a high correlation (R =0.56) and significant association (pearson correlation, p 0.001) between the L3/L4 disc degeneration and the L4/L5. Conclusion: For many years, excessive or abnormal mechanical load was thought to be the main cause of disk degeneration. Rates of aging and lumbar disc degeneration have gradually increased over the years. It is important to note that there is a significant relationship between aging and L3 / L4 disc degeneration and that L4 / L5 disc degeneration may also be present in patients with L3 / L4 disc degeneration.
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    Fatigue severity scale, fibromyalgia impact questionnaire, and visual pain scale scores in patients with fibromyalgia
    (2019) Cetin, Abdurrahman; Gokdemir, Mehmet Tahir
    Aim: This study aimed to evaluate and compare the clinical and laboratory results of antinuclear antibodies (ANA)-positive and ANAnegative patients. In addition, it is also intended to determine the fatigue severity scale (FSS), fibromyalgia (FM) impact questionnaire (FIQ), and visual pain scale (VAS) scores in patients with FM in terms of sex and to determine the correlation between them. Material and Methods: A total of 97 patients with FM aged >18 years were included in this retrospective study. Clinical characteristics such as age, sex, and FSS, FIQ, and VAS scores of patients with adequate records and who received a diagnosis of FM through Fibromyalgia Questionnaire Diagnostic Criteria and Severity Scale were analyzed at the physical therapy clinic at our hospital. Results: Of the 97 patients with FM, 88 (90%) were females and 9 (0.92%) were males. The mean age of the patients was 36.71 ± 9.11 years. The mean age of ANA-positive patients was significantly higher than the ANA-negative patients (P = 0.011). Mean level of Alkaline Phosphatase (ALP) in ANA-positive and ANA-negative patients was 59.18 ± 8.56 and 69.98 ± 24.20, respectively, and the difference between them was significant (P = 0.006). Mean FSS and VAS scores were 57.66 ± 4.89 and 6.33 ± 0.86 in males and 55.77 ± 5.69 and 6.63 ± 0.84 in females (P = 0.302, P = 0.310), respectively. Mean FIQ scores were significantly lower in females than in males (P = 0.034). FSS had a strong positive correlation with VAS (r = 0.538, P < 0.001) and FIQ (r = 0.692, P < 0.001). Conclusions: In conclusion, our study showed that an overwhelming majority of patients with FM comprise females, which is consistent with the literature. Mean FIQ scores were significantly lower in females than in males. In our study, the mean age of ANApositive patients was significantly higher than that of ANA-negative patients. The FSS, VAS, and FIQ scores of ANA-positive patients were similar to those of ANA-negative patients.
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    Relation of neural tube defects with folic acid use during pregnancy
    (2019) Cetin, Abdurrahman; Gokdemir, Mehmet Tahir; Nas, Cemal; Gokdemir, Gul Sahika
    Aim: The objective of this study was to investigate the rate of neural tube defects (NTD) and the clinical features of newborns of mothers who did not use folic acid (FA) in their pregnancies.Material and methods: The data of a total of 82 newborns, who were diagnosed with meningomyelocele were operated and examined, retrospectively. The newborns were divided into two groups depending on whether their mothers used FA during pregnancy or not. Results: The mothers of 37 (45.1%) newborns used FA during the antenatal period, whereas those of 45 (54.9%) newborns did not.The mean birth weight of the newborns whose mothers did not use FA were lower. Furthermore 9 (25%) newborns whose mothers did not use FA were delivered via cesarean section.The incidence of meningomyelocele was 80% for 45 newborns with NTDs whose mothers did not use FA.Conclusion: Our results revealed that the mean birth weight was lower while the incidence of meningomyelocele was significantly higher in newborn infants whose mothers did not use FA.Keywords: Folic Acid; Pregnancy; Meningomyolocele; Spina Bifida.