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Öğe Aim: Pilonidal disease is a chronic inflammatory process. From time to time poor cosmetic results can be obtained after surgery. In this study, it was aimed to investigate the effects of cosmetic results and the satisfaction level of the cases in patients who underwent surgery with different surgical techniques due to pilonidal disease. Material and Methods: The information about study was given to cases, which were operated due to pilonidal disease between January 2014 and December 2014 and could be contacted by phone. The questionnaire was applied to 125 cases who agreed to participate in the study. Cases were divided into two groups as primary excision with midline closure applied group and other surgical techniques applied group. The questions about the postoperative results were asked to the cases. Results: There was no statistically significant difference between the two groups in terms of pain duration, painless sitting-walking times, time to return to daily life, complications, reoperation rates and patient satisfaction of surgical scar. It was detected that there was more recurrence in the primary excision group and the results were statistically significant (p = 0.038). In the both groups, it was found that there is no statistically significant difference in the satisfaction questionnaire on surgical scar. (p> 0.05). Conclusions: The surgical scar can cause significant cosmetic problems in surgery treatment of pilonidal disease. Poor cosmetic results on cases may sometimes be more important. The results of this study showed that patients care more about the functional outcomes of treatment than the cosmetic results.(2019) Kizilay, Fatma; Toy, Seyma; Akyol, Betul; Ersoy, YukselAim: Stroke is basically classified as hemorrhagic and ischemic etiologically. Stroke type can be a factor influencing recovery and evidence is insufficient on this issue. Therefore, the purpose of study is to compare motor and functional recovery in terms of stroke type. Material and Methods: 20 patients with stroke between 30 and 65 years of age participated in the study voluntarily. The volunteers were grouped according to the stroke type as ischemic (n=10) or hemorrhagic (n=10). Disability levels of patients determined using Functional Independence Measure (FIM). The patients were compared with isokinetic knee strength, static-dynamic balance test, and 6-minutes walking test according to stroke type. Results: According to isokinetic strength test results, no statistically significant difference was found between groups in the parameters of hemiplegic side knee extension peak torque, knee flexion peak torque, values obtained in the flexion and extension phases of the average power, total work in the flexion phase and extension phase of the movement and hamstring/quadriceps (H/Q) muscle groups strength ratio (p>0.05). According to the data of balance test and 6-minute walk test, no statistically significant difference was found between groups in the parameters of balance indexes and test completion time and 6 minute-long walk distance (p>0.05). Conclusion: It was concluded that a stroke’s being ischemic or hemorrhagic did not create a difference in the recovery of motor function such as strength, balance, and walking. The fact that there are contradictory results and that there is no consensus shows that more studies are required in literature.Öğe Analysis of chippaux smirak index on dynamic balance scores(2020) Senol, Deniz; Toy, Seyma; Bilge, Damla; Ozbag, Davut; Ozdemir, BeyzaAim: The aim of this study is to examine whether Chippaux Smirak Index (CSI) calculated from footprint and measurements taken from foot have an effect on balance scores. Materials and Methods: 61volunteers (25 males, 36 females) between the ages of 18 and 24 were included in our study and 122 feet were measured. Footprints of the participants were taken by using Harris imprint. Footprints were scanned, the parameters were measured with Digimizer program and CSI was calculated. Metatarsal foot width (MFW), maximum metatarsal foot width (MMFW), length of the foot (LoFA), heel width (HW) and foot length (FL) taken from footprints were measured. Individuals with CSI >62.70% were considered as flatfooted and excluded from the study. Dynamic balance measurements were made with Biodex Balance System (BBS) (Biodex Medical Systems, Shirley, 2000, New York). Overall (OA), anterior-posterior (AP) and medial-lateral (ML) dynamic balance assessments of the participants were made with eyes open. Results: According to Mann Whitney U analysis results, statistically significant difference was found between MFW, MMFW, LoFA, HW and FL parameters of men and women in both feet (p0.05). It was found that OA, AP and ML balance scores had a statistically significant difference between men and women for dynamic balance (p0.05). According to Sperman Rho correlation analysis, a positive correlation was found between weight and body mass index (BMI) and balance scores in men and women. It was found that there was no significant correlation between CSI and balance scores. Conclusion: As a conclusion, while no association was found between weight and BMI and CSI, a positive correlation was found between weight and balance scores. We believe the fact that women have lower BMI gives them an advantage in terms of balance scores. In addition, it was found as a result of this study that there was no association between CSI and balance scores. We believe that our study will have an important place in literature and be a guide since we compared both genders.Öğe Analysis of the effects of hypothalamic-pituitary-adrenal axis activity in menstrual cycle on ankle proprioception, dynamic balance scores and visual-auditory reaction times in healthy young women(Jmni, 2021) Senol, Deniz; Ucar, Cihat; Toy, Seyma; Kisaoglu, Aysegul; Ozbag, Davut; Ersoy, Yuksel; Yildiz, SedatObjectives: Menstrual cycle (MC) can affect not only the female reproductive system, but also functions such as neuromuscular performance. For this reason. the aim of this study is to investigate the effect of hypothalamic-pituitary-adrenal axis (HPA) activity in MC on proprioception, balance and reaction times. Methods: For cortisol analysis, saliva samples were taken from the same women (n=43) in the four phases of MC. While State Trait Anxiety Inventory-I (STAI-I) was applied in each phase to support cortisol analysis, pain was measured with visual analogue scale (VAS). Proprioception, dynamic balance, visual and auditory reaction times (VRT-ART) measurements were made in the four phases of MC. Results: Cortisol, STAI-I and VAS scores, angular deviations in proprioception measurements, dynamic balance scores, VRT and ART measurements were found to show statistically significant difference between MC phases (p<0.05). As a result of the post hoc test conducted to find out which MC phase the statistical difference resulted from, it was found that statistically significant difference was caused by the mensturation (M) phase (p<0.05). Conclusions: It was found that neuromuscular performance and postural control was negatively affected by HPA axis activity in M phase of MC and by pain, which is a significant menstrual symptom.Öğe Comparison of motor functions according to stroke type in hemiplegic patients with a specific level of disability(2019) Kızılay, Fatma; Toy, Seyma; Akyol, Betül; Ersoy, YükselAbstract: Aim: Stroke is basically classified as hemorrhagic and ischemic etiologically. Stroke type can be a factor influencing recovery and evidence is insufficient on this issue. Therefore, the purpose of study is to compare motor and functional recovery in terms of stroke type. Material and Methods: 20 patients with stroke between 30 and 65 years of age participated in the study voluntarily. The volunteers were grouped according to the stroke type as ischemic (n=10) or hemorrhagic (n=10). Disability levels of patients determined using Functional Independence Measure (FIM). The patients were compared with isokinetic knee strength, static-dynamic balance test, and 6-minutes walking test according to stroke type. Results: According to isokinetic strength test results, no statistically significant difference was found between groups in the parameters of hemiplegic side knee extension peak torque, knee flexion peak torque, values obtained in the flexion and extension phases of the average power, total work in the flexion phase and extension phase of the movement and hamstring/quadriceps (H/Q) muscle groups strength ratio (p>0.05). According to the data of balance test and 6-minute walk test, no statistically significant difference was found between groups in the parameters of balance indexes and test completion time and 6 minute-long walk distance (p>0.05). Conclusion: It was concluded that a stroke’s being ischemic or hemorrhagic did not create a difference in the recovery of motor function such as strength, balance, and walking. The fact that there are contradictory results and that there is no consensus shows that more studies are required in literature.Öğe Comparison of the effects of conventional physiotherapy and proprioception exercises on pain and ankle proprioception in patients with lumbar radiculopathy(Ios Press, 2022) Senol, Deniz; Erdem, Cumali; Canbolat, Mustafa; Toy, Seyma; Karatas, Turgay; Baykara, Rabia Aydogan; Ozbag, DavutBACKGROUND: Lumbar radiculopathy is characterized by a significant amount of backache causing loss of workforce and is a significant health problem frequently seen in the general population. OBJECTIVE: The purpose of this study was to compare the effects of conventional physiotherapy (CT) and proprioception exercises (PE) on ankle proprioception and lumbar pain between patients with lumbar radiculopathy and a healthy control group. METHODS: In this randomized clinical trial, 89 patients referred to the Physical Medicine and Rehabilitation outpatient clinic were selected through convenience sampling. They were randomly assigned to three groups: CT ( n = 27), PE ( n = 31), CT&PE (n = 31). Thirty healthy volunteers were included in the study as the control group. Proprioception measurements were made with an isokinetic dynamometer at 10 degrees dorsiflexion (DF), 11 degrees, and 25 degrees plantarflexion (PF) angles. Lumbar pain was assessed by using the Numerical Pain Rating Scale (NPRS). The data were analyzed by IBM SPSS Statistics version 22.0 via the Kruskal-Wallis and Mann-Whitney U tests. RESULTS: There was a statistically significant difference between the groups in terms of ankle proprioception and NPRS measurements in post-treatment evaluations (p < 0.05). Statistically significant differences were found between CT and PE groups and CT&PE and control groups. There was no statistically significant difference in comparing CT and PE groups and CT&PE and control groups within themselves (p > 0.05). CONCLUSION: The combined use of CT and PE is an effective method that can be used in the clinic to reduce angular differences in ankle proprioception which is one of the primary factors of balance and coordination and lumbar pain.Öğe Comparison of the Effects of the Somatotype on the Physical Activity, Kinesiophobia, and Fatigue Levels of Obstructive Sleep Apnea Syndrome Patients and Healthy Individuals(Iranian Scientific Society Medical Entomology, 2021) Toy, Seyma; Ciftci, Rukiye; Senol, Deniz; Kizilay, Fatma; Ermis, HilalBackground: We aimed to compare the physical activity, kinesiophobia, and fatigue levels of obstructive sleep apnea syndrome (OSAS) patients and healthy individuals in terms their somatotypes. Methods: A total of 165 individuals were enrolled referred to the Department of Chest Diseases Sleep Disorders Center Outpatient Clinic of Inonu University, Malatya, Turkey in 2018. The somatotype analysis was conducted using the Heath- Carter method, the fatigue level was assessed using the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, the kinesiophobia level was assessed using the Tampa Scale for Kinesiophobia (TSK), and the physical activity level was assessed using the International Physical Activity Questionnaire (IPAQ). Results: The results of the somatotype analysis revealed 3 different somatotypes in the healthy individuals and the OSAS patients' mesomorph endomorph, endomorphic mesomorph, and mesomorphic endomorph. When comparing the somatotypes of the healthy individuals and the OSAS patients, statistically significant differences were found in the FACIT scores of the mesomorph endomorphs, the IPAQ and FACIT scores of the endomorphic mesomorphs, and the TSK and FACIT scores of the mesomorphic endomorphs (P<0.05). Conclusion: In all three somatotypes of the OSAS patients, the fatigue index scores were higher when compared to those of the healthy individuals. Moreover, when compared with the healthy individuals, the physical activity levels of the endomorphic mesomorphs with OSAS were low, while the kinesiophobia scores of the mesomorphic endomorphs with OSAS were high. Based on the results of this study, in OSAS patients, the endomorphic mesomorph somatotype could be a risk factor for reduced physical activity, while the mesomorphic endomorph somatotype could be a risk factor for increased kinesiophobia.Öğe Early rehabilitation results in a child who developed herpes simplex encephalitis(Kare Publ, 2017) Toy, Seyma; Ozdemir, Filiz; Kizilay, Fatma; Ersoy, Yuksel; Apaydin, HakanIn this case, a 4-year-old girl was admitted to the emergency service with the complaints of a sudden onset of fever, shortness of breath, jerking motions of the hands and feet and a sliding mouth. Her condition deteriorated, and she was kept under observation in the intensive care unit for 6 days. The Glasgow Coma Score of the patient was 1. Lumbar puncture revealed a white blood cell count of 0 and cerebrospinal fluid was positive for herpes simplex virus 1 and 2. Antiviral therapy was administered for 14 days. One month earlier, the patient had experienced a herpes labialis infection, which suggested herpes simplex encephalitis (HSE). Cranial magnetic resonance imaging indicated significant bilateral cerebral ischemic changes, which also supported suspicion of HSE. After antiviral treatment, the patient was referred to the department of physical therapy and rehabilitation. The Functional Independence Measure for Children (WeeFIM) scale was used to evaluate the patient. A 30-session rehabilitation program based on the Bobath concept of neurodevelopmental therapy was implemented. Before the treatment, the WeeFIM score was 20 points, and at its conclusion, the score was 88 points. The patient began to walk without limitation and the choreoathetosis was almost completely corrected. The patient was discharged with medical treatment and a home-based exercise training program.Öğe The effects of pre-obesity on quality of life, disease activity, and functional status in patients with ankylosing spondylitis(Kare Publ, 2017) Toy, Seyma; Ozbag, Davut; Altay, ZuhalOBJECTIVE: This study was an investigation of effects of pre-obesity on clinical characteristics and quality of life in patients with ankylosing spondylitis (AS). METHODS: Total of 28 AS patients and 30 age-and sex-matched healthy controls were included in the study. Patients and controls with any systemic inflammatory disease and/or cognitive and mental problems were excluded. Disease activity and functional capacity were measured using the Bath Ankylosing Spondylitis Disease Activity Index and Bath Ankylosing Spondylitis Functional Index. For quality of life assessment, 36-Item Short Form Health Survey was used in both groups, and AS group also responded to Ankylosing Spondylitis Quality of Life questionnaire. RESULTS: There was no significant difference in sociodemographic characteristics between AS patients and healthy controls (p>0.05). Mean quality of life scores were significantly lower in the pre-obese AS patients compared with controls (p<0.05). Functional capacity was positively and significantly associated with body mass index (BMI) (p=0.024) and disease activity was significantly associated with female gender (p=0.011). CONCLUSION: Increased BMI in patients with AS is factor that affects quality of life, disease activity, and functional capacity. Multidisciplinary rehabilitation programs will support improved quality of life for pre-obese patients with AS.Öğe The effects of pre-obesity on quality of life, disease activity, and functional status in patients with ankylosing spondylitis (vol 4, pg 52, 2017)(Kare Publ, 2021) Toy, Seyma; Ozbag, Davut; Altay, Zuhal; Kavakli, Ahmet[Abstract Not Available]Öğe Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021) Ozdemir, Filiz; Toy, Seyma; Kizilay, Fatma; Avci, Zeynep Tugce; Altay, Zuhal; Colak, CemilObjectives: This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. Patients and methods: This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age: 41 +/- 12.8 years; range, 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n=13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; Group 2 (n=12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and Group 3 (n=11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the Visual Analog Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). Results: Significant differences were found in the pre- and post-treatment VAS scores, and Group 1 and Group 2 created this significant difference (p<0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p<0.05). Group 1 showed the most significant improvement of the NPQ scores (p<0.05). Conclusion: Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.Öğe Evaluation of scapular dyskinesis and ergonomic risk level in office workers(Taylor & Francis Ltd, 2021) Ozdemir, Filiz; Toy, SeymaPurpose. The purpose of this study is to evaluate the association between ergonomic risk level and scapular dyskinesis in office workers.Methods. This cross-sectional study included office workers aged 20-65 years. A lateral scapular slide test (LSST) was used to evaluate scapular dyskinesis, and the quick exposure check (QEC) method was used to analyze the ergonomic risk level.Results. In all, 37 (45.7%) participants were men and 44 (54.3%) participants were women. Of the participants with scapular dyskinesis in any of the three LSST positions, 10.3% had low, 20.6% had medium, 30.9% had high and 37.9% had very high ergonomic risk level (p = 0.001). A low, positive linear correlation was observed between ergonomic risk level and LSST-1, LSST-2 and LSST-3 values.Conclusion. These results indicate that patients with scapular dyskinesis have a high ergonomic risk level. We believe that our work will serve as a foundation for intervention studies assessing ergonomic risk management.Öğe Evaluation of visual and auditory reaction time, pain, and hand grip strength performance before and after conventional physiotherapy in patients with herniated cervical intervertebral disc with radiculopathy(2021) Şenol, Deniz; Kızılay, Fatma; Toy, Seyma; Çiftci, Rukiye; Ersoy, YükselOBJECTIVE: Herniated cervical intervertebral disc (cervical disc herniation [CDH]) with radiculopathy is known to occur in seven or eight out of 100 people worldwide. This disease causes movement limitation, loss of strength, and pain of upper extremity. The aim of this study is the effect of conventional physiotherapy agents on predetermined parameters in patients with cervical radiculopathy and to compare the results with healthy controls. METHODS: A total of 102 patients with CDH with radiculopathy and 98 healthy controls were included in the study. Visual reaction time (VRT) and auditory reaction time (ART) measurements were evaluated with reaction timer, while the pain was assessed with visual analog scale (VAS) and handgrip strength (HGS) assessed with hand dynamometer, respectively. Conventional physiotherapy (transcutaneous electrical nerve stimulation, hot pack application, and therapeutic ultrasound) agents were applied 5 days/week for 3 weeks as treatment protocol. RESULTS: As a result, VAS, VRT, and ART scores were significantly decreased, and HGS scores increased significantly in both female and male patients post-treatment measures (p<0.05). There was no statistically significant difference between patient group and control group measurements in post-treatment evaluations (p>0.05). CONCLUSION: This study presents the conclusion to literature that conventional physiotherapy agents have the effect of decreasing pain and regaining motor function and also a therapeutic effect on VRT and ART in the treatment of patients with CDH with radiculopathyÖğe Gender Estimation with Parameters Obtained From the Upper Dental Arcade by Using Machine Learning Algorithms and Artificial Neural Networks(Pera Yayincilik Hizmetleri, 2023) Erkartal, Halil Saban; Tatli, Melike; Secgin, Yusuf; Toy, Seyma; Duman, Suayip BurakObjective: The aim of this study is to predict gender with parameters obtained from the upper dental arch by using machine learning algorithms (ML) machine learning algorithms and artificial neural networks to provide optimum aesthetics, functionality, long-term stability, diagnosis and treatment intervention in orthodontics, forensic medicine and anthropology. Methods: The study was conducted on cone-beam computed tomography (CBCT) images of 176 individuals between the ages of 18 and 55 who did not have any pathologies or surgical interventions in their upper dental arcade. The images obtained were transferred to RadiAnt DICOM Viewer program in Digital Imaging and Communications in Medicine format and all images were brought to orthogonal plane by applying 3D Curved Multiplanar Reconstruction. Length and curvature length measurements were performed on these images brought to orthogonal plane. The data obtained were used in ML algorithms and artificial neural networks input and rates of gender estimation were shown. Results: In the study, an accuracy ratio of 0.86 was found with ML models linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), logistic regression (LR) algorithm and an accuracy ratio of 0.86 was found with random forest (RF) algorithm. It was found with SHAP analyser of RF algorithm that the parameter of width at the level of 3rd molar teeth contributed the most to gender. An accuracy rate of 0.92 was found as a result of training for 500 times with multi-layer classifier perceptron (MLCP), which is an artificial neural network (ANN) model. Conclusion: As a result of our study, it was found that the parameters obtained from the upper dental arcade showed a high accuracy in estimation of gender. In this context, we believe that the present study will make important contributions to forensic sciences.Öğe Morphometric examination of the hepatobiliary duct system in healthy individuals and patients with cholelithiasis: A radio-anatomic magnetic resonance cholangiopancreatography study(Cukurova Univ, Fac Medicine, 2023) Toy, Seyma; Senol, Deniz; Ciftci, Rukiye; Sevgi, Serkan; Secgin, Yusuf; Yildirim, Ismail OkanPurpose: Cholelithiasis is a common gallbladder disease with high morbidity and treatment cost. Although the disease has many formation factors such as bile duct obstruction, congenital anomalies, genetic and metabolic diseases, the main cause is gallstones. The aim of this study is to examine the radio-anatomic and demographic characteristics of the bile ducts of patients who have cholelithiasis due to gallstones by using magnetic resonance cholangiopancreatography (MRCP) and to compare with healthy individuals.Materials and Methods: The study was carried out by retrospectively scanning the MRCP images of 113 patients diagnosed with cholelithiasis and 87 healthy individuals who were referred to the hospital for various indications and had no gallbladder pathology. Results: According to the Spearman rho correlation test performed by ignoring gender, a significant correlation was found between right hepatic duct diameter (RHD-D) and right hepatic duct - cystic duct angle (RHDCD-A), and between left hepatic duct diameter (LHD-D) and common bile duct diameter (CBD-D). In the correlation analysis performed only among males, a significant correlation was found between RHDCD-A and right hepatic duct - left hepatic duct angle (RLHD-A), RHDCD-A and common hepatic duct diameter (CHD-D) parameters. In the correlation analysis performed only among women, a significant relationship was found between age and RHD-D, LHD-D, CHD-D, CBD-D, between RHDCD-A and cystic duct - gallbladder angle (CDG-A), RHD-D, and between CHD-D and cystic duct diameter (CD-D).Conclusion: This study will contribute to literature by revealing the morphometric characteristics and radio -anatomic information of the hepatobiliary systems of both patients with cholelithiasis and healthy individuals.Öğe Morphometric Examinations of Internal Carotid Arteries of Patients with Hypertension and Patients with Type 2 Diabetes Mellitus: A Radio Anatomic Study Based on Computed Tomography Angiography Findings(Turkish Neurosurgical Soc, 2022) Ciftci, Rukiye; Ulubaba, Hilal Er; Senol, Deniz; Toy, Seyma; Yildirim, Ismail OkanAIM: To examine the relationship between the morphologic features of the internal carotid artery (ICA) and symptoms affecting cerebral blood circulation including type 2 diabetes mellitus (T2DM) and hypertension (HT).MATERIAL and METHODS: In this study, retrospective morphometric analysis of ICA measurements from 100 patients (aged 45-60 years) was performed using computed tomographic angiography (CTA) images. The images were divided into four groups: patients with HT (group 1), patients with T2DM (group 2), patients with HT and T2DM (group 3), and a healthy control group (group 4). Length and diameter measurements of the cervical, petrous, cavernous, and terminal segments of the ICA were made using 3D CTA images and recorded. The measurements of the male and female patients were compared using the Mann-Whitney U test and the groups were compared using the Kruskal-Wallis H test.RESULTS: It was found that there were statistically significant differences between male and female patients in terms of the right and left petrous, cavernous, and terminal segments of the ICA in group 1, right and left cervical left cavernous in group 3, left cervical, right and left petrous, cavernous, and right cavernous in group 4 (p<0.05). According to the Kruskal-Wallis H test analysis results, it was determined that there were no statistically significant differences between the patients in the four groups for all segment measurements (p>0.05).CONCLUSION: It was determined that ICA was more affected by HT than diabetes. In addition, we think that being knowledgeable of morphometric measurements of ICA will guide radio-anatomic evaluations and increase the level of microanatomic knowledge in surgical treatment.Öğe Morphometry of the Middle Cerebral Arteries: A Radio-Anatomical Study Based on Computed Tomography Angiography Findings(Soc Chilena Anatomia, 2023) Ciftci, Rukiye; Toy, Seyma; Ulubaba, Hilal Er; Senol, Deniz; Cinarli, FS.; Sigirci, AhmetMiddle cerebral artery (MCA), which has the largest irrigation area of the arteries that feed the brain, is an important artery whose microanatomy should be well known because of its vascular variation. In pathologies which are known to affect the cerebrovascular system such as type 2 diabetes mellitus (T2DM) and hypertension, morphometric characteristics of MCA gain importance. The aim of this study is to compare the morphometric characteristics of M1 segment of MCA in T2DM and hypertensive patients with those of healthy control group by using computed tomographic angiography (CTA). The study was carried out with retrospective morphometric analysis of CTA images of 200 individuals between 40 and 65 years of age. The individuals were grouped in four as hypertensive patients (group 1), patients with T2DM (group 2), patients with hypertension and T2DM (group 3) and healthy control group (group 4). Length and diameter measurements of M1 segment were performed and recorded by using 3D CTA images. While statistically significant difference was found between bilateral M1 segment diameters of both women and men (p<0.05), no statistically significant difference was found between segment lengths (p>0.05). As a result of the post hoc analysis performed, it was concluded that right and left M1 segment diameter of group 1, group 2 and group 3 was found to be different from group 4 in both sexes (p<0.05). We believe that this study will both be a guide in radio-anatomic assessments to be performed and also increase microanatomic level of information in the surgical treatment of the artery by showing the morphometric changes that occur in M1 segment of MCA in T2DM diseases.Öğe Rectus femoris tendinopathy: a case report(2019) Özdemir, Filiz; Kızılay, Fatma; Toy, Seyma; Ergünay Altay, ZühalAbstract: Tendinopathy may not be noticed in the differential diagnosis due to the complaint of pain spreading to the leg in the presence of nerve radiculopathy in the lumbar discopathy which is seen more frequently in the clinic shows similarity to the leg pain of musculus rectus femoris tendinopathy which is rarely seen. This situation leads to time, labor force and economic loss for both the patient and the health professionals. The case referred to the hospital with severe lower extremity pain and the complaint of incapability to walk. Despite the absence of findings in the imaging reports supporting a discopathy; conventional physiotherapy, intramuscular injection, and nerve blockage treatments were administered for the discopathy due to the clinical presentation. However, the complaints of the patient did not recover. The patient who had pain with a maneuver during exercise training was evaluated regarding tendinopathy and m.rectus femoris tendinitis was diagnosed with ultrasonography. The pain, quality of life and lower extremity functions of the patient were evaluated before and after treatment. The isolated deep transverse friction massage was applied on the tendon for the treatment. A positive change in pain, quality of life and lower extremity function scores was obtained after the five sessions of treatment.Öğe Rehabilitation before reimplantation in degenerative hip arthritis-case report(Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey.;Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey.;Malatya Doğanşehir State Hospital, Malatya, Turkey;Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey., 2017) Toy, Seyma; Ozdemir, Filiz; Kizilay, Egemen; Altay, Zuhal[Abstract Not Acailable]Öğe Sex and age estimation with machine learning algorithms with parameters obtained from cone beam computed tomography images of maxillary first molar and canine teeth(Int Assoc Law & Forensic Sciences, 2023) Senol, Deniz; Secgin, Yusuf; Duman, Burak Suayip; Toy, Seyma; Oner, ZulalBackgroundThe aim of this study is to obtain a highly accurate and objective sex and age estimation by using the parameters of maxillary molar and canine teeth obtained from cone beam computed tomography images in the input of machine learning algorithms. Cone beam computed tomography images of 240 people aged between 25 and 54 were randomly selected from the archive systems of the hospital and transferred to Horos Medikal. 3D curved multiplanar reconstruction was applied to these images and a 3D image was obtained. The resulting image was brought to the orthogonal plane and the measurements were made by superimposing them.ResultsThe results were grouped in four different age groups (25-30, 31-36, 37-49, 50-54) and recorded. As a result of our study, the highest accuracy rate was found as 0.81 in sex estimation with ADA Boost Classifier algorithm, while in age estimation, the highest accuracy rate was found as 0.84 between 25-30 and 31-36 age groups with random forest algorithm, as 0.74 between 25-30 and 37-49 age groups with random forest and ADA Boost Classifier algorithms and as 0.85 between 25-30 and 50-54 age groups with random forest algorithm.ConclusionsOur study differs from other studies in two aspects; the first is the selection of a sensitive method such as cone beam computed tomography, and the second is the selection of machine learning algorithms. As a result of our study, the highest accuracy rate was found as 0.81 in sex estimation and as 0.85 in age estimation with parameters of maxillary canine and molar teeth.
