Yazar "Samanci, Rumeysa" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Efficacy of Prolotherapy With Periarticular 5% Dextrose In The Treatment of Knee Joint Osteoarthritis(Düzce Üniversitesi, 2021) Avşar, Murat Tolga; Okudan, Resmiye Nur; Gümüş, Zeynep Zehra; Samanci, RumeysaObjective: Determination of the effectiveness of periarticular 5% dextrose prolotherapy in the treatment of knee pain due to osteoarthritis.Material and Methods: The clinical results of prolotherapy with 5% periarticular dextrose in adult female and male patients with knee pain and complaints related to osteoarthritis were evaluated retrospectively. During the examination, we identified the sensitive ligaments in the knee and injected 1 cc of 5% dextrose with a 0.6 * 60 mm sterican needle. In routine practice, stretching exercises are recommended to patients after prolotherapy and for analgesia, a combined analgesic containing paracetemol 500mg + codeine phosphate 10mg + caffeine 30mg is given for the first 3 days. In addition to the initial application, prolotherapy is performed 3 times with an interval of 20 days, and when the Visual Analogue Scale (VAS) score decreases by 80% or more after the first or second injection, prolotherapy is terminated. Results: 30 patients aged between 36-70 years were included in the study. Patients’ mean age was 52,9±9,0 years. Nineteen patients received 3 sessions and 11 patients received 2 sessions of prolotherapy. A significant decrease was achieved in VAS scores of all patients except one patient. The VAS score was 2.9 at the end of the third session meanwhile the initial VAS average was 8.4. None of the patients had any side effects that would terminate the treatment.Conclusion: The data obtained in the study show that prolotherapy with periarticular 5% dextrose is effective in the treatment of knee pain and complaints related to osteoarthritis. However, more comprehensive studies will be guiding the clarification of its place in the osteoarthritis’ treatment.Öğe Fibromiyalji hastalarında serum leptin ve irisin düzeyleri ile hastalık aktivitesi ve inflamasyon belirteçleri arasındaki korelasyonun araştırılması(Düzce Üniversitesi, 2015) Samanci, Rumeysa; Ataoğlu, Sarfinaz; Özşahin, MustafaAmaç: Bu çalışmanın amacı; fibromiyalji sendromu (FMS) tanılı hastalarda serum leptin ve irisin düzeylerinin değerlendirilmesi ayrıca bu parametrelerle hastalık aktivitesi ve inflamasyon belirteçleri arasında korelasyon olup olmadığının araştırılmasıdır. Gereç ve yöntem: Çalışmaya, 1990 Amerikan Romatoloji Derneği (ACR) kriterlerine göre FMS tanısı konmuş 48 hasta ve 36 sağlıklı kontrol olmak üzere toplam 84 kadın gönüllü alındı. Hasta ve kontrol grubunun demografik özellikleri kaydedildi. Ağrı bozukluğu için 10 ölçekli vizüel analog skala (VAS), hastaların fiziksel fonksiyonunun değerlendirilmesi için fibromiyalji etki anketi (FIQ), yaşam kalitesini değerlendirmek için kısa form-36 (SF-36) ve eşlik eden depresyonun değerlendirilmesi için Beck depresyon ölçeği (BDS) kullanıldı. Leptin, irisin ve inflamatuar belirteçlerden ESH, CRP, hsCRP ve nötrofil/lenfosit oranı (NLO) analizleri için kan örnekleri alındı. Serum leptin ve irisin düzeyleri ELİSA yöntemi ile değerlendirildi. Bulgular: FMS'li hastaların serum leptin seviyeleri, sağlıklı kontrol grubuyla karşılaştırıldığında anlamlı derecede yüksekti. Hastaların BDS, FIQ ve SF-36 komponentleri ile leptin arasında herhangi bir ilişki bulunamadı. FMS'li hastaların serum irisin seviyeleri ile sağlıklı kontrol grubu arasında anlamlı farklılık saptanmadı. Serum leptin seviyeleri ile irisin arasında anlamlı bir ilişki bulunamadı. FMS'li hastaların ESH, CRP, hsCRP ve NLO değerleri sağlıklı kontrollerle kıyaslandığında aralarında anlamlı bir farklılık saptanmadı. Serum leptin ve irisin seviyeleri ile inflamatuar belirteçler arasında anlamlı bir ilişki yoktu. Sonuç: FMS'li hastalarda saptanan yüksek serum leptin seviyeleri, bu hastalığın etyopatogenezinde leptinin rolü olabileceğini düşündürmektedir. Leptin ile BDS, FIQ ve SF-36 komponentleri arasında herhangi bir ilişki olmaması da, leptinin FMS'de hastalık aktivitesini gösteren bir belirteç olmadığına işaret etmektedir. Ayrıca, FMS'li hastalar ile sağlıklı kontroller arasında serum irisin seviyeleri açısından belirgin fark bulunmadı. Bundan dolayı, ilk defa bizim yaptığımız çalışmamız bir miyokin olan irisinin FMS patogenezinde belirgin bir rolünün olmadığını göstermiştir. Ancak, daha homojen ve geniş hasta gruplarıyla yeni araştırmalara ihtiyaç olduğu kanatindeyiz.Öğe Investigation of the effect of subacromial corticosteroid injections on intraocular pressure(Lippincott Williams & Wilkins, 2023) Engin, Onur; Engin, Ceren Durmaz; Samanci, Rumeysa; Teberik, Kuddusi; Ataoglu, SafinazBackground:Subacromial corticosteroid injection is one of the most commonly used procedures to treat subacromial impingement syndrome. Despite their significant efficacy, corticosteroids have several serious adverse effects, including increased intraocular pressure (IOP) and visual loss. The purpose of this study is to determine the effect of subacromial corticosteroid injections on IOP.Materials and Methods:42 patients with impingement syndrome, who received subacromial corticosteroid injection, were included in the study. Patients received a single dose of betamethasone. IOP was monitored using a tonometer prior to injection, 24 hours after injection, and one week following injection.Results:The average age of the patients was 52.1 +/- 9.0, and 31 (74%) of them were female. Patients' mean IOP values were 16.0 +/- 2.6 mmHg, 16.4 +/- 2.4 mmHg, and 16.1 +/- 2.31 mmHg before injection, one day after injection, and one week after injection, respectively. Repeated ANOVA tests revealed no statistically significant difference between the three measurements (P=0.386). Age, gender, history of diabetes, and history of hypertension didn't have a significant effect on IOP change after corticosteroid injection. Those with a family history of glaucoma had a significantly greater increase in IOP on day 1 post-injection than those without (P=0.05).Conclusions:This is the first study to examine the effect of subacromial corticosteroid injections on IOP change. While a single subacromial steroid injection has no statistically significant effect on IOP change, care should be taken, particularly in susceptible individuals and those who need repeated injections.Öğe Investigation of the Knowledge and Attitude of Physicians About Traditional and Complementary Medicine(Düzce Üniversitesi, 2020) Samanci, Rumeysa; Samanci, Volkan Murat; Günel, Mehmet Göktuğ; Yıldız, Sena Nur; Ataoğlu, SarfinazObjective: Traditional and complementary medicine (TACM), which are increasing all over the world, have become more common in our country. On the date of 27.10.2014, regulation on TACM practices which includes 15 different methods has been published in our country. Although TACM methods have become legal in our country, they have not yet been included in the curriculum of the medical faculties and most physicians do not have enough knowledge about them. In this study, we aimed to increase the awareness of physicians about TACM, working at various levels of the medical faculty and to evaluate the knowledge, attitudes and behaviors of pyhsicians about TACM methods.Material-Method: This cross-sectional and descriptive study was conducted between May and July 2018, among physicians working at Düzce University Faculty of Medicine. Questionnaires were administered to physicians participating in the survey, which includes descriptive questions and 25 questions evaluating the knowledge attitudes and behaviors of the participants about TACM methods.Results: 50 physicians participated in our study. Acupuncture (86%), cupping (68%) and leech therapy (68%) were the most well-informed practices, respectively. The number of physicians with certificates participating in our study was quite low. 58% of the participants wanted to know more about TACM methods. The rate of physicians recommending TACM to their patients was found to be 38.3%. Also, 77.6% of the participants thought that TACM methods should be used as complementary. While 44.7% of the participants who participated in our study wanted TACM methods to be included in the curriculum, 21.3% did not. All of the participants think that the studies in the field of TACM are insufficient and as the reason, 56.4% believe that there is no scientific basis and 33.3% believe it is the bias of physicians.Conclusion: As a result, due to the position of TACM, it has become a necessary for any physician to have the correct information even if they are not practitioners.Öğe Prolotherapy Method in Treatment of Chronic Low Back Pain(Düzce Üniversitesi, 2021) Avşar, Murat Tolga; Okudan, Resmiye Nur; Solmaz, İlker; Samanci, Rumeysa; Nalbant, GökhanObjective: The aim of this study is to evaluate the effectiveness of 5% dectrose prolotherapy on low back pain in patients with chronic low back pain without neurological deficits. Material-Method: Prolotherapy with 5% dextrose was applied to patients with localized low back pain, hip pain, spreading pain in the legs for more than six months. Stretching exercises were recommended after prolotherapy and an analgesic containing paracetamol (500 mg) + codeine phosphate (10 mg) + caffeine (30) mg was used for analgesia for the first 3 days. Prolotherapy was planned 3 times with an interval of twenty days. Results: Thirty patients between the ages of 24-73 were included in the study. Eighteen patients received 3 sessions whereas twelve patients received 2 sessions of prolotherapy. Visual analogue scale (VAS) pain scores of all patients decreased. The mean pre-treatment VAS score was 8.43 and it decreased to 2.41 after the treatment. None of the patients had side effects that would terminate the treatment.Conclusion: The data obtained in the study show that prolotherapy is effective in treating chronic low back pain. We did not conduct long-term follow-up in our study. After three sessions and between sessions, we assessed the current state of well-being. More extensive studies will guide clarification of its place in the treatment of long-term low back pain.
