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  • Küçük Resim
    Öğe
    Psychological Status and Related Factors in Syndactyl Patients
    (Düzce Üniversitesi, 2007) Emul, Murat; Altınel, Levent; Ildık, Gurbet Zehra B; Geçıcı, Ömer; Solak, Mustafa
    Purpose: Syndactyl (SD) can cause secondary psychiatric problems as well as functional impairment. We aimed to determine the psychiatric problems of SD patients in comparison to a healthy control group. Methods: There were 38 SD (22 male, 16 female) patients in the study and 32 (18 male, 14 female) people in the control group. The control and study groups were age and sex matched and comprised of people living in the same region. All participants filled out Symptom Check List–90, Beck Depression Inventory and Beck Anxiety Inventory. Results: The baseline scores regarding somatic symptoms (p= 0.05), depressive symptoms (p=0. 03), interpersonal relationship sensitivity (P=0.002) and psychotic symptoms (P=0.01) were significantly higher in the SD group when compared to the control group. The SD group BDE (p=0.014) and BAE (p=0.018) scores were also higher than the control group. There was a negative correlation between male sex and anxiety, depression, obsession, interpersonal relations, anger, paranoid psychosis, additional mean baseline scores and general symptoms index. Conclusion: SD causes psychiatric problems especially in females. Psychiatric support should be given to the patients in addition to surgical treatment to improve life quality
  • Küçük Resim
    Öğe
    The value of FDG-PET/CT by using 3-dimensional stereotactic surface projection software analysis in the differential diagnosis of dementia
    (Tubitak Scientific & Technical Research Council Turkey, 2015) Arslan, Esra; Ekmekçioğlu, Özgül; Görtan, Fatma Arzu; Akcan, Zeynep Funda Engin; Erkan, Melih Engin; Emul, Murat; Sönmezoğlu, Kerim
    Background/aim: To retrospectively reevaluate brain fluor-18-fluorodeoxyglucose positron emission tomography (FDG-PET) imaging studies with 3-dimensional stereotactic surface projection (NEUROSTAT) software in order to detect changes in regional brain metabolism and to find out its contribution to the final diagnosis. Materials and methods: A total of 48 cases were included in this study. According to clinical evaluation and neuropsychometric test results, there were 17 (35%) patients with probable Alzheimer disease (AD), 17 (35%) patients with probable frontotemporal dementia (FTD), and 14 (30%) patients with undefined advanced dementia. Brain FDG-PET imaging studies were interpreted visually and also using 3-dimensional stereotactic surface projection. Results: Clinic and PET findings were consistent in 20 patients and inconsistent in 14 patients. When consensus diagnosis was taken as the reference, the sensitivity, specificity, accuracy, and positive and negative predictive values of FDG-PET imaging were 93%, 85%, 90%, 90%, and 89% respectively, for AD diagnosis. The same values were 85%, 93%, 90%, 89%, and 90%, respectively, for FTD definition. Conclusion: Using automatized programs that enable quantitative evaluation of regional brain glucose metabolism, in addition to visual evaluation, may increase diagnostic efficiency, as well as minimize interobserver and/or intercenter variability.