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Öğe Effects of cervical degenerative changes on vertebral artery blood flow in patients with and without vertigo(2003) Çevik R.; Bilici A.; Can A.; Kocamaz S.; Gür A.; Nas K.Vertigo is an important clinical finding of vertebrobasiller insufficiency syndrome which occurs as a result of cervical spondylosis. The aim of present study was to investigate blood flow velocity of vertebral artery in patients having cervical spondylosis with and without vertigo by color Doppler ultrasonography, and its relation with degenerative changes of cervical spine. Thirty patients with vertigo due to spondylosis (I group), 20 patients with spondylosis and without vertigo (II group), and 20 healthy controls were included to the study. Maximum systolic velocity and end diastolic velocity of vertebral arteries were measured bilaterally in all subjects by color Doppler ultrasonography. Mean ages of study groups were 49.2 ± 8.5, 47.35 ± 8.23 and 45.63 ± 4.75, respectively There were significant differentiations among three groups in all VA blood flow velocities (p<0.01 and p<0.001). There were significant correlations between stage of cervical degenerative changes and all VA blood flow velocities (p<0,001). In conclusion, color Doppler ultrasonography, which is non-invasive and uncomplicated tecnique, is a useful method to evaluate vertebral artery blood flow velocity in patients having cervical spondylosis with vertigo.Öğe The evaluation of relationship between plasma asymmetric dimethylarginine (ADMA) and aortic stiffness in patients with systemic sclerosis(2013) Aritürk Z.; Dağ Ş.; Ali Elbey M.; Kaya H.; Erta F.; Bozkurt M.; Çevik R.Objective: Endothelial dysfunction and vasculopathy are crucial pathogenic factors in systemic sclerosis. Increased concentrations of plasma asymmetric dimethylarginine (ADMA) may also contribute to endothelial dysfunction in patients with systemic sclerosis. We evaluated the relationship between ADMA and aortic elastic properties in patients with systemic sclerosis. Material and Method: Plasma ADMA levels were measured in 30 patients with systemic sclerosis (28 females, mean age 40.7±11.6) and 30 healthy subjects (27 females, mean age 40.6±13). Aortic stiffness was determined with echocardiography. Results: In patients with systemic sclerosis, the mean value of ADMA was 0.53±0.13?mol/l compared with 0.46±0.15 ?mol/l for control group. Systolic blood pressure, pulse pressure and aortic 'strain' were found to be higher in patients with systemic sclerosis (p=0.027, p=0.048, p=0.037, respectively), diyastolic blood pressure and aortic distensibility was found lower in systemic sclerosis (p=0.039, p=0.045, respectively). There was no significant correlations between ADMA and aortic 'strain'. Conclusion: ADMA serum levels were increased in patients with systemic sclerosis, but no significant correlation was found between ADMA and aort's elastic structure (aortic 'strain', distensibility, and aortic stiffness index).Öğe Musculoskeletal involvement in brucellosis in different age groups: A study of 195 cases(SMW supporting association, 2002) Geyik M.F.; Gür A.; Nas K.; Çevik R.; Saraç J.; Dikici, Bünyamin; Ayaz C.Objective: The aim of the present study was to determine the distribution and characteristics of arthritis in 195 patients with musculoskeletal involvement due to brucellosis in different age groups in the southeastern region of Turkey. Patients and methods: We carried out a retrospective analysis of 283 patients with brucellosis records and identified 195 with musculoskeletal involvement. Patients were classified into acute-subacute (<12 months) and chronic (>12 months) brucellosis. Patients were also classified into three age groups: <15 years old (group A), 15-45 years (group B), and over 45 years (group C). In addition, patients were classified into five subgroups according to type of arthritis: peripheral arthritis, polyarthritis, spondylitis, sacroiliitis, and spondylitis/sacroiliitis. Results: 195 (69%) of the 283 patients [138 female (49%), 145 male (51%)] had musculoskeletal involvement. Of the patients with musculoskeletal involvement 113 (58%) were female and 82 (42 %) were male, ranging in age from 3 to 71 years (mean age 33.14 ± 15.03). Of 195 patients studied, 39 (14%) were <15 years old (group A), 122 (43%) were aged 15-45 (group B), and 34 (12%) were over 45 (group C). The most commonly affected joints were the sacroiliac joint in 108 patients (55%), peripheral joints in 106 (54%), and spondylitis in 60 (31%). Of 108 patients with sacroiliitis, 19 were in group A, 76 in group B, and 13 in group C. Bilateral sacroiliitis was less common in group B (23 patients) than in groups A (3) and C (3) (p <0.05). Spondylitis was more common in group B (18%). Sacroiliitis and polyarthritis were more common than other types of musculoskeletal involvement in females, whereas in males the distribution of all types was similar. In patients aged under 15 and 15-45, sacroiliitis and polyarthritis were common compared with other types of arthritis, but the distribution was similar in patients over 45. Conclusion: In southeastern Anatolia musculoskeletal involvement in brucellosis is frequent. The series presented suggests that musculoskeletal involvement in group A is higher than groups A and C. The prevalence of musculoskeletal involvement appears to differ according to age, sex and clinical type.Öğe Prevalence of disability in Diyarbakir(2000) Nas K.; Çevik R.; Gür A.; Erdo?an F.; Saraç A.J.; Atli Turhano?lu A.D.While the ideal vision for everyone may be to lead a physically and mentally healthy life well into old age, every year many millions die prematurely or are disabled by diseases and condition that are to a large extent preventable. In our study, the prevalence of disabilities was investigated at four zones of Diyarbakir which determinant by socioeconomic situation. The epidemiological survey was carried out from a total of 38685 persons and questionnaires formed by World Health Organization (WHO) were used. The prevalence of disabilities was found to be 14.84% (5742 persons). The prevalence of visceral disabilities was found to be 6.8% (2629 persons) and locomotor disabilities was found to be 2.66%(1013 persons). The relationships between disabilities and factors such as age, educational status, economic status, and marriages among relatives were found to be significant (p<0.001).
