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    Epidemiologic features of the patients with cerebral palsy in the vicinity of Malatya
    (2003) Baysal Ö.; Fidan F.; Kabasakal S.; Altay Z.E.; Aykol G.
    Epidemiologic studies have great value in Cerebral Palsy (CP) where preventive care, early diagnosis and early treatment are considered to be basic in patient management. This study was held to describe the epidemiologic features of 130 CP patients being followed-up by Malatya Inonu University Physical Medicine and Rehabilitation Department. The age and gender of the patients, mother age and occupation, father age and occupation, family structure, number of brother and sister, social security status, economic status, mother and father relationship, etiologic factors that could be detected were investigated. The mean age of the patients were 51.5±36.6 (9-168) months. There were 79 (60.8%) male and 51 (39.2%) female patients. The types of the disease were spastic in 76.9%, dyskinetic in 11.5%, hypotonic in 3.8% and mixed in 7.7%. While the etiologic factors were prenatal 10.7%, natal 16.3%, postnatal 9.2% and mixed 53.8%. Any risk factor could not be detected in 10% of the patients. Asphyxia was the first (52.3%) among the natal factors. Our results revealed that there were preventable risk factors playing role in the etiology of CP and the development of CP seems to be an indicator of socioeconomic and sociocultural development of the society.
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    The value of mammographic magnification technique in the evaluation of hand and wrist radiographs in rheumatoid arthritis
    (2002) Baysal Ö.; Baysal T.; Alkan A.; Fidan F.; Altay Z.; Ersoy Y.
    The purpose of this study was to determine the efficacy of direct magnification radiographs in comparison to optically magnified conventional radiographs in the diagnosis of erosive changes and joint space narrowing seen in the hand and wrists of rheumatoid arthritis patients. In thirty one rheumatoid arthritis patients (26 women and 5 men) dominant hand conventional radiographs magnified with a hand lens and direct magnified radiographs (1.5X) using the standart magnification equipment of the mammography unit were compared. A scoring system was used in the evaluation of erosive changes and joint space narrowings. Total scores of both erosions (p<0.0001) and joint space narrowing (p<0.02) were significantly higher in direct magnification radiographs compared to optically magnified conventional radiographs. In early rheumatoid patients, with a disease duration of less than one year, total score of erosions was significantly higher in direct magnification technique compared to optical magnification technique (p<0.001). Our findings revealed that, direct magnification radiographs obtained using standart magnification equipment of the mammographv unit were superior to opticallv magnified conventional radiographs in demonstrating erosive changes particularly in the hands and wrists of patients with early rheumatoid arthritis.