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Öğe Chronic fatigue and depression experienced by senior students of dicle university(Acta Medica Mediterranea, 2014) Aslan I.; Tanriverdi M.H.; Erten Bucaktepe P.G.; Celepkolu T.; Yilmaz A.Aims: Chronic fatigue syndrome (CFS) is a debilitating disease that presents with a chronic fluctuating course of multi-systemic symptoms. The purpose of this study was to examine chronic fatigue syndrome and depression, experienced by senior students attending Diyarbaki{dotless}r Dicle University, to investigate the factors involved in the development of CFS and depression and to shed light on preventive measures that can be taken to overcome CFS, with the help of the collected data. Methods: The study was conducted in Dicle University Campus between January and April 2012 and 525 students participated in the study. The questionnaire, used for this study, included 22 questions regarding the participants' demographic features, working conditions, habits and activities and a 17-item extracted from the HAM-D scale (Hamilton Depression Rating Scale), and the CFS evaluation criterias of the CDC (Center for Disease Control and Prevention). In order to analyze the data, Student's t-test, Chi-square (Fisher's exact) test, One way Analysis of Variance (ANOVA), Pearson correlation test and logistic regression analysis were used. Results: Of all the students, 2% of them (n=11) were found to suffer from CFS. CFS was found to be more prevalent among females. Minor depressive symptoms were found to occur in 92 students (18%), and 20 students (4%) had major depressive symptoms. Gender, non-relaxing sleep, social life and person's perception of their health status were found to have a relationship with CFS. The CFS cases were found to have a higher HAM-D scale value. Conclusion: The school stress experienced by the students and their social life experiences are influential on depression and on the development of CFS. For this reason, the guidance departments and social support units of universities must be improved, in order to prevent CFS.Öğe The evaluation of nephropathy risk factors in type 2 diabetes(Acta Medica Mediterranea, 2014) Celepkolu T.; Tanriverdi M.H.; Celik S.B.; Bucaktepe P.G.E.; Can H.; Aslan I.; Kibrisli E.Introduction: The prevalence of diabetes has been increasing at an alarming rate worldwide. Thus, the complications of diabetes are increasingly prevalent and each year three million people die as a result of its chronic complications. In our study, we aimed to compare nephropathic and non nephropathic patients according to socio-demographic features, biochemical parameters, and proteinuria characteristics. Methods: Data of 923 type 2 diabetic patients, who were admitted to our Department between January 2000 and December 2008, were analysed retrospectively. The records of 378 patients were included in the study and classified as normoalbuminuric, microalbuminuric and macroalbuminuric. These groups were compared in terms of demographic, clinical and laboratory findings to investigate the risk factors related to nephropathy. Results: Of the 378 patients, 224 were female (59%) and 154 were male (41%). The mean age was 58.9±9.7 years. A total of 100 patients (26.5%) with micro and macroalbuminuria were identified as nephropathic. In the nephropathic group, the levels of FBG (Fasting Blood Glucose), PBG (Postprandial Blood Glucose), HbA1c (Hemoglobin A1c=glycosylated hemoglobin), urea, and creatinine, and the duration of known diabetes were significantly increased when compared with the non-nephropathic group. Diastolic blood pressure and urea levels were significantly higher and creatinine clearance was significantly lower in the macroalbuminuric group. Conclusion: We found a significant relationship between nephropathy and HbA1c, an important indicator of blood glucose control. Therefore, it is essential to provide aggressive blood pressure management and long-term glycaemic control in order to reduce cardiovascular risk, prevent the development of diabetic nephropathy and ESRF (End Stage Renal Failure), and reduce overall mortality and morbidity. Education of diabetic patients about the risks and complications of elevated blood pressure and poor glycaemic control is a critical component of clinical practice.Öğe The Evaluation of Streptococcus Mutans Colonization in Private School NurseryKindergarten Children's Toothbrush#(Cumhuriyet University Faculty of Dentistry, 2022) Toptancı I.R.; Toptancı B.Ç.; Celepkolu T.; Bucaktepe P.G.E.Aim: Disinfection of the toothbrush is an essential parameter for oral hygiene. As a result, especially children cannot clean their toothbrushes sufficiently after brushing their teeth. The purpose of this study was to evaluate the accumulation level of Streptococcus mutans colonization at private school nursery-kindergarten children's toothbrushes and evaluate the effectiveness of chlorhexidine solution in four weeks for disinfection. Methods: This study was approved by the local ethics committee. Two hundred thirty-four private school nursery-kindergarten children were selected for this study, who's aged between 24-72 months. These selected children for this study did not have any dental, antibiotic, antimycotic treatment in the last three months. Before the study, a survey was conducted about parents' education, employment, the income. A pediatric dentist made an oral examination of these children, dental caries, fillings, and missing teeth were determined. Children were divided into two groups; toothbrushes, toothpaste, and practical solutions distilled water and %0.12 chlorhexidine gluconate solution was given in a bottle for four weeks. In addition, the toothbrushes of children were collected every week. After incubation, Streptococcus mutans colonization was evaluated under stereomicroscope. All the collected data were statistically evaluated. Results: The DMF-T scores were statistically significant when evaluated with parents' education and income, but there was no statistical relationship between parents' employment and DMF-T scores. Streptococcus mutans colony reduction at the Chlorhexidine group was statistically significant. Conclusion: From the first brushing, toothbrushes can be contaminated with bacteria. If the toothbrushes are not clean sufficiently, the bacteria taken from the oral environment have a chance to form a colony on the toothbrushes with the effect of moisture. In addition, Streptococcus Mutans is a bacteria that can stay on toothbrushes and cause re-infection. This study shows that toothbrush disinfection is essential to prevent bacteria from re-infection and contamination of oral flora. © 2022. All Rights Reserved.Öğe Evaluation of the reaching target values in patients with hypertension and importance of tension follow-up cards(Acta Medica Mediterranea, 2014) Can H.; Celik S.B.; Celepkolu T.; Akbayin Z.; Guclu Y.A.; Öngel K.; Çakir L.Aim: To detect the efficiancy of the "tension follow-up cards", which are used to follow tension, in achieving target values in the treatment of hypertension. Material and method: The research planned as a multicenteral, noninterventional observe and follow-up. It was made in 15 different Family Health Care units in different 7 cities, in Turkey, between November 2011 and April 2012. Patients diagnosed as essential hypertension and who were already taking at least one antihypertensive medicine, who were above 18 years old, were informed about the study and accepted 529 patients were involved into the study. The patients involved were divided into two groups as "experimental group" and "control group". The patients in the experimental group were given a tension follow up card while the control group were not. Both of the groups were given appoinments for control at the end of the fourth week. For statistical analysis, chi-square test, t-test and multiple variable logistic regression analysis were used. Results: Study was performed on 529 hypertensive patients; 247 (46.7%) were in the experimental, 282 (53.3%) were in the control group. In total; 332 patients (62.8%) were women and 197 patients (37.2%) were men. Mean age for the patients was 58.15±10.68 (min:32 max:90) and mean body mass index was 30.76±5.18 (min:18.31 max:52.07). No statistical difference was found between experimental and control groups for the begining tension values, except for the first visit first systole measurement. After one month, all measurements were repeated. For all measurements in the second visit, tension values of the experimental group were statistically lower than the control group (p<0.001). Conclusion: Patients who get treatment for hypertension but don't reach target blood pressure values constitudes high risk in the society. Data obtained from the study showed that; to control hypertension effectively, patients must be under control and must participate in the follow-up actively.Öğe Radiological damage in rheumatoid arthritis: Relationship between the duration of morning stiffness, depressive symptoms, and disease duration(Acta Medica Mediterranea, 2015) Celepkolu T.; Sariyildiz M.A.; Yazmalar L.; Gamze Erten Bucaktepe P.; Çetinçakmak M.G.; Satici O.Aims: The aim of this study was to evaluate radiological damage and disease-related variables in patients with rheumatoid arthritis (RA). Material and methods: Ninety patients diagnosed with RA were enrolled in this cross-sectional and descriptive study. All of the patients were assessed using the Rheumatoid Arthritis Quality of Life and Health Assessment Questionnaire scales and the Beck Depression Inventory. The Disease Activity Score 28 scale was used to assess disease activity, and antibodies against mutated citrullinated vimentin (Anti MCV) were identified with an Enzyme-Linked Immuno Sorbent Assay. Radiological damage was calculated with the modified Larsen method. Results: According to the suggested cut-off point for the Larsen score (scores ? 28), 35.5% (n=32) of the patients with RA had an erosive score. The patients with erosive RA had significantly higher Anti MCV, disease duration and Beck depression scores than did the non-erosive RA group. Multivariate regression analyses indicated that the Beck depression score, disease duration and duration of morning stiffness were independently associated with the radiological score. Conclusion: Radiological damage in RA patients is a result of multifactorial origins and is associated with disease-related variables such as disease duration, duration of morning stiffness, Anti- Cyclic citrullinated peptide levels and depressive symptoms.
