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    Commonly administered physiotherapy techniques in thoracic surgery clinics in Turkey
    (2021) Kilicgun, Ali; Ozel, Alp; Yaksi, Osman; Unal, Mehmet
    Aim: The aim of this study was to investigate the physiotherapy techniques in the thoracic surgery clinic in Turkey. Materials and Methods: The data of this research was obtained through the online questionnaire created by the authors. The questions in the questionnaire were created by the researcher in parallel with the literature (14 questions). In the questionnaire, descriptive information was asked using multiple-choice question types about chest surgery clinics and applied physiotherapy. A chest surgeon from each participating clinic was asked to respond to the questionnaire. Results: A total of 62 clinics participated in the study. The mean number of monthly operations of these clinics is 0-20 in 51.6%, 21-40 in 19.4%, and 41-60 in 19.4%. 64.5% of the clinics participating in the study perform regular physiotherapy practices to their patients. The clinics that applied pulmonary rehabilitation to their patients, 65% of them additionally performed pulmonary rehabilitation in the preoperative period. The most common applications were early mobilization, airway cleaning techniques, deep breathing exercises, assisted coughing, humidification of the airway, incentive spirometer exercises, forced expiration, and exercise practices. 53.3% of the clinics where routine physiotherapy was administered benefited from assistive devices for pulmonary rehabilitation. Conclusion: Although physiotherapy practices are performed in the thoracic surgery clinic in Turkey, they are not at the desired level. Preoperatively pulmonary rehabilitation practice in thoracic surgery is even rarer. Moreover, the content of pulmonary rehabilitation programs is not standard. The prevalence of evidence-based physiotherapy applications should be increased in thoracic surgery clinics.
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    Evaluation of frequency of irritable bowel syndrome in patients with chronic urticaria
    (2018) Kucuk, Adem; Unal, Mehmet; Kaya Islamoglu, Zeynep Gizem; Tuncez Akyurek, Fatma
    Aim: Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. Urticaria is a disease with papules and plaques accompanied by pruritus and edema. In this study, the relationship between these two diseases, which have many common features, was evaluated. Material and Methods: Patients with urticaria and volunteers who did not have any dermatologic disease were included in the study. Participants were assessed for diagnosis of IBS according to Rome III diagnostic criteria. In addition, findings supporting IBS diagnosis, and fecal shape and consistency were evaluated. Results: Fifty urticaria patients (18 males - 36% and 32 females - 64%) and 70 volunteers (38 males - 54.3% and 32 females - 45.7%) were evaluated. The mean age of the urticaria group was 34.8 ± 15.0; the mean age of the control group was 25.8 ± 10.9. IBS was detected in 34 (68%) patients in the urticaria group; and in 22 (31.4%) controls (p <0.001). Diagnosis-supporting findings were more frequently detected in the group of urticaria (p values respectively: 0.037; < 0.001; 0.036; 0.050). It was observed that the higher the serum IgE level, the higher the incidence of IBS in chronic urticaria patients ( p: 0.02; eta: 0.206). Conclusion: IBS was observed more frequently in urticaria patients. Diagnosis-supporting findings for IBS were found more frequently in urticaria patients. Serum IgE values also seem to be associated with IBS. These results indicate an association between chronic urticaria and IBS. For this reason, the presence of IBS in patients with chronic urticaria diagnosis should be questioned.
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    Leukonychia is the most common nail change in Alopecia areata patients: A retrospective study in 207 patients
    (2019) Aktas, Habibullah; Unal, Mehmet
    Aim: Alopecia areata is an auto-immune skin disease characterized by non-scarring hair loss. Nail changes are strongly associated with prognosis. In patients with Alopecia areata, the nail examination should not be neglected for an optimal follow-up. Material and Methods: A retrospective study involving 207 patients with Alopecia areata was undertaken in a tertiary hospital between April 2016 and May 2017. Patients whose nail changes were registered in the database were included in the study. Gender, age, disease severity, sites affected, and nail changes of those patients were noted. Results: 114 patients (55%) had nail involvement. The most common nail finding was leukonychia (n = 84). Nail pitting was detected in 29 patients.11 patients had both leukonychia and nail pitting. The mean age of the patients with leukonychia was 23.3, while the mean age of nail pitting patients was 31.7 and the mean age of the patients without nail change was 34.1. Conclusion: Leukonychia is the most common nail change in this study, as a different finding from all previous studies.
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    Skin and Gut: Psoriasis and irritable bowel syndrome. Is there an association?
    (2020) Urun Unal, Gulbahar; Marakoglu, Kamile; Eryilmaz, Mehmet Ali; Unal, Mehmet; Kulahci, Orhan
    Aim: The frequent occurrence of psoriasis with gastrointestinal system diseases indicates that psoriasis may also be associated with IBS. We aimed to evaluate the frequency of irritable bowel syndrome in patients with psoriasis and psoriatic arthritis.Material and Methods: Study included 111 patients with psoriasis, and 214 healthy volunteers. The presence of IBS in the psoriasis and control groups was evaluated according to the Rome III diagnostic criteria (Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with two or more of the following: Improvement with defecation, onset associated with a change in frequency of stool, onset associated with a change in form (appearance) of stool). The participants were also asked about the presence of findings supporting the diagnosis of IBS. The participants were asked about the frequency of defecation, and the stool type was evaluated according to the Bristol stool form scaleResults: 41 (36.9%) patients in the psoriasis group and 27 (12.6%) controls were detected to have IBS( p 0.001). Passage of mucus, abdominal distension, and straining were found more frequently in the psoriasis group than in the control group (p = 0.023, 0.001, and 0.001, respectively). The mean defecation frequency per week was significantly higher in the psoriasis group than in the control group (p = 0.000). The mean value for the Bristol stool scale was 4.12 ± 1.13 for the psoriasis group and 3.72 ± 1.16 for the control group (p = 0.003).Conclusion: The increased frequency of IBS and the findings supporting the diagnosis of IBS in these patients suggest that they have a tendency to develop IBS. The indication of a higher frequency of IBS in patients with psoriatic arthritis is another important outcome of the present study.