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Gençosmanoğlu H, Ünlüer NÖ, Akın ME, Demir P, Aydın G. An investigation of biomechanics, muscle performance, and disability level of craniocervical region of individuals with temporomandibular disorder. Cranio 2024; 42:232-242. [PMID: 34128775 DOI: 10.1080/08869634.2021.1938854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To investigate biomechanics, muscle performance, and disability of the craniocervical region in temporomandibular disorder (TMD) patients and compare them with controls. METHODS Craniocervical posture was evaluated using lateral photography and radiography. Range of motion, muscle performance, disability, and TMD severity were assessed using an inclinometer, Functional Strength Testing of Cervical Spine, Neck Disability Index, and Fonseca Anamnestic Index, respectively. RESULTS Compared to the control group, the TMD group demonstrated higher cervical flexion angle (p=0.005) and neck disability (p<0.001) as well as lower cervical extension (p=0.040), right cervical rotation (p=0.005), left cervical rotation (p<0.001), and tragus-C7-horizontal (p=0.048) angles, and reduced muscle performances (p≤0.001). Most patients had higher than normal craniocervical angle (p<0.001). Muscle performance in each cervical motion (p<0.005) and disability (p<0.001) were associated with TMD severity in the TMD group. CONCLUSION Biomechanics, muscle performance, and disability of craniocervical region were altered in the TMD group.
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Affiliation(s)
- Harun Gençosmanoğlu
- Department of Physiotherapy & Rehabilitation, Faculty of Health Sciences, Avrasya University, Trabzon, Turkey
| | - Nezehat Özgül Ünlüer
- Department of Physiotherapy & Rehabilitation, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Mustafa Emre Akın
- Department of Radiology, Yenimahalle Training & Research Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Pervin Demir
- Department of Biostatistics & Medical Informatics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey
| | - Gülümser Aydın
- Department of Physical Medicine & Rehabilitation, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey
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Sarıkaya A, Aydın G, Özyüncü Ö, Şahin E, Uçkan-Çetinkaya D, Aerts-Kaya F. Comparison of immune modulatory properties of human multipotent mesenchymal stromal cells derived from bone marrow and placenta. Biotech Histochem 2021; 97:79-89. [PMID: 33641543 DOI: 10.1080/10520295.2021.1885739] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Multipotent mesenchymal stromal cells (MSC) can be isolated from many tissues, including bone marrow (BM) and placenta (PL). Human placenta can be obtained readily without invasive procedures. There may be differences, however, in differentiation capacity and immunomodulation by MSC isolated from BM or PL. The early pregnancy factor (heat shock protein 10; EPF/Hsp10) is a small protein that exhibits immunomodulatory properties. We compared BM- and PL-MSC, and assessed their efficacy for suppressing T-cell proliferation in vitro and the role of EPF/Hsp10 in this process. PL-MSC were collected from whole placenta after removal of the amniotic and chorionic membranes followed by serial enzymatic digestions. The PL-MSC were compared to BM-MSC, obtained from healthy donors. Differentiation capacity, cytokine secretion, expression and secretion of immunomodulatory molecules, immunophenotype and real time proliferation were assessed using cytokine arrays, ELISA assays, flow cytometry, immunohistochemical staining and western blotting. Whereas BM-MSC consisted of a homogeneous cell population with strong expression of mesenchymal markers, PL-MSC consisted of a mixed population of cells with variable CD73, CD90 and CD105 expression. PL-MSC exhibited a significantly greater proliferation rate than BM-MSC. The presence of both stem cells and more mature cells in the PL-MSC cultures resulted in decreased differentiation capacity and reduced efficacy of immune suppression in co-cultures with T-cells. Although robust intracellular expression of EPF/Hsp10 in both BM- and PL-MSC was observed, secretion of the protein in response to immune activating stimuli remained below detectable levels. Secretion of pro-inflammatory cytokines was significantly greater in BM-MSC than PL-MSC, whereas no difference was observed in the secretion of hematopoiesis supporting growth factors. Development of culture methods for isolation of pure populations of PL-MSC may improve the quality of the product and reproducibility of results.
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Affiliation(s)
- A Sarıkaya
- Department of Stem Cell Sciences, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.,Center for Stem Cell Research and Development, Hacettepe University, Ankara, Turkey.,Department of Histology and Embryology, Institute of Health Sciences, Sakarya University, Sakarya, Turkey
| | - G Aydın
- Department of Stem Cell Sciences, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.,Center for Stem Cell Research and Development, Hacettepe University, Ankara, Turkey
| | - Ö Özyüncü
- Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - E Şahin
- Department of Histology and Embryology, Institute of Health Sciences, Sakarya University, Sakarya, Turkey.,Department of Basic Medical Sciences, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - D Uçkan-Çetinkaya
- Department of Stem Cell Sciences, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.,Center for Stem Cell Research and Development, Hacettepe University, Ankara, Turkey.,Bone Marrow Transplantation Unit, Division of Pediatric Hematology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - F Aerts-Kaya
- Department of Stem Cell Sciences, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.,Center for Stem Cell Research and Development, Hacettepe University, Ankara, Turkey
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3
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Abstract
We present a computational study of the atomic morphology, structural order and charge transfer properties of radially π-conjugated, closed-loop, and highly strained chiral carbon nanobelts (CNBs).
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Affiliation(s)
- G. Aydın
- Department of Physics, Marmara University
- Istanbul
- Turkey
| | - O. Koçak
- Department of Physics, Marmara University
- Istanbul
- Turkey
| | - C. Güleryüz
- Department of Physics, Marmara University
- Istanbul
- Turkey
| | - I. Yavuz
- Department of Physics, Marmara University
- Istanbul
- Turkey
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Ekiz T, Ata A, Kara M, Gürçay E, Chang KV, Sekizkardeş M, Serrano S, Barotsis N, Picelli A, Coraci D, Mezian K, Akkaya N, Tiftik T, Yorulmaz E, Aydın G, Wu WT, Giraldo-Prieto M, Özçakar L, Franchignoni F. Musculoskeletal ultrasound publications in rehabilitation journals: A EURO-MUSCULUS/USPRM update. J Int Soc Phys Rehabil Med 2020. [DOI: 10.4103/jisprm.jisprm_1_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Bulut N, Yardımcı Lokmanoğlu B, Aydın G, Kabakçı F, Atcı M, Gürbüz I, Topaloğlu H, Karaduman A, Yılmaz O. EP.94Reliability and validity of trunk control measurement scale in Duchenne muscular dystrophy. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Turna A, Melek H, Agkoç M, Gebitekin C, Turna H, Dinçbaş F, Erturan S, Aydın G, Kaynak K. EP1.18-23 Is Salvage Lung Resection Necessary After Definitive Chemoradiation Therapy for Stage IIIA(N2) Non-Small Cell Lung Cancer? J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Serel Arslan S, Aydın G, Alemdaroğlu İ, Tunca Yılmaz Ö, Karaduman AA. Reliability and validity of the Karaduman Chewing Performance Scale in paediatric neuromuscular diseases: A system for classification of chewing disorders. J Oral Rehabil 2018; 45:526-531. [DOI: 10.1111/joor.12642] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2018] [Indexed: 12/30/2022]
Affiliation(s)
- S. Serel Arslan
- Department of Physiotherapy and Rehabilitation; Faculty of Health Sciences; Hacettepe University; Ankara Turkey
| | - G. Aydın
- Department of Physiotherapy and Rehabilitation; Faculty of Health Sciences; Hacettepe University; Ankara Turkey
| | - İ. Alemdaroğlu
- Department of Physiotherapy and Rehabilitation; Faculty of Health Sciences; Hacettepe University; Ankara Turkey
| | - Ö. Tunca Yılmaz
- Department of Physiotherapy and Rehabilitation; Faculty of Health Sciences; Hacettepe University; Ankara Turkey
| | - A. A. Karaduman
- Department of Physiotherapy and Rehabilitation; Faculty of Health Sciences; Hacettepe University; Ankara Turkey
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8
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Aydın M, Ergönül Ö, Azap A, Bilgin H, Aydın G, Çavuş SA, Demiroğlu YZ, Alışkan HE, Memikoğlu O, Menekşe Ş, Kaya Ş, Demir NA, Karaoğlan I, Başaran S, Hatipoğlu Ç, Erdinç Ş, Yılmaz E, Tümtürk A, Tezer Y, Demirkaya H, Çakar ŞE, Keske Ş, Tekin S, Yardımcı C, Karakoç Ç, Ergen P, Azap Ö, Mülazımoğlu L, Ural O, Can F, Akalın H. Rapid emergence of colistin resistance and its impact on fatality among healthcare-associated infections. J Hosp Infect 2017; 98:260-263. [PMID: 29248504 DOI: 10.1016/j.jhin.2017.11.014] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 11/26/2017] [Indexed: 10/18/2022]
Abstract
This article describes the emergence of resistance and predictors of fatality for 1556 cases of healthcare-associated Gram-negative bloodstream infection in 2014 and 2015. The colistin resistance rate in Klebsiella pneumoniae was 16.1%, compared with 6% in 2013. In total, 660 (42.4%) cases were fatal. The highest fatality rate was among patients with Acinetobacter baumannii bacteraemia (58%), followed by Pseudomonas aeruginosa (45%), Klebsiella pneumoniae (41%), Enterobacter cloacae (32%) and Escherichia coli (28%). On multi-variate analysis, the minimum inhibitory concentrations for carbapenems [odds ratio (OR) 1.02, 95% confidence interval (CI) 1.01-1.04; P = 0.002] and colistin (OR 1.1, 95% CI 1.03-1.17; P = 0.001) were found to be significantly associated with fatality.
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Affiliation(s)
- M Aydın
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Başkent University, Istanbul, Turkey.
| | - Ö Ergönül
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Koç University, Istanbul, Turkey
| | - A Azap
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - H Bilgin
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Marmara University, Istanbul, Turkey
| | - G Aydın
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Ankara University, Ankara, Turkey; Infectious Diseases and Clinical Microbiology Department, Afyonkarahisar Training and Research Hospital, Afyonkarahisar, Turkey
| | - S A Çavuş
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Dokuz Eylül University, İzmir, Turkey
| | - Y Z Demiroğlu
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Başkent University, Adana, Turkey
| | - H E Alışkan
- Clinical Microbiology Department, School of Medicine, Başkent University, Adana, Turkey
| | - O Memikoğlu
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - Ş Menekşe
- Infectious Diseases and Clinical Microbiology Department, SBÜ Kartal Koşuyolu Yüksek İhtisas Hospital, Training and Research Hospital, Istanbul, Turkey
| | - Ş Kaya
- Infectious Diseases and Clinical Microbiology Department, Diyarbakır Training and Research Hospital, Diyarbakır, Turkey
| | - N A Demir
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Selçuk University, Konya, Turkey
| | - I Karaoğlan
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Gaziantep University, Gaziantep, Turkey
| | - S Başaran
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, İstanbul University, Istanbul, Turkey
| | - Ç Hatipoğlu
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ş Erdinç
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Ankara, Turkey
| | - E Yılmaz
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Uludağ University, Bursa, Turkey
| | - A Tümtürk
- Infectious Diseases and Clinical Microbiology Department, Ankara Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Y Tezer
- Infectious Diseases and Clinical Microbiology Department, Ankara Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - H Demirkaya
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Başkent University, Ankara, Turkey
| | - Ş E Çakar
- Infectious Diseases and Clinical Microbiology Department, Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Ş Keske
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Koç University, Istanbul, Turkey
| | - S Tekin
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Koç University, Istanbul, Turkey
| | - C Yardımcı
- Infectious Diseases and Clinical Microbiology Department, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey
| | - Ç Karakoç
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, İstinye University, Istanbul, Turkey
| | - P Ergen
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Medeniyet University, Istanbul, Turkey
| | - Ö Azap
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Başkent University, Ankara, Turkey
| | - L Mülazımoğlu
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Marmara University, Istanbul, Turkey
| | - O Ural
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Selçuk University, Konya, Turkey
| | - F Can
- Clinical Microbiology Department, School of Medicine, Koç University, Istanbul, Turkey
| | - H Akalın
- Infectious Diseases and Clinical Microbiology Department, School of Medicine, Uludağ University, Bursa, Turkey
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9
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Serel Arslan S, Aydın G, Alemdaroğlu I, Yılmaz O, Karaduman A. Assessment of chewing function and investigation reliability of Karaduman chewing performance scale in pediatric neuromuscular diseases. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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10
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Bulut N, Aydın G, Karaduman A, Alemdaroğlu I, Topaloğlu H, Yılmaz O. The relation of respiratory and upper extremity functions in early stage of Duchenne muscular dystrophy: a pilot study. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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11
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Aydın G, Alemdaroğlu I, Karaduman A, Topaloğlu H, Yılmaz O. Acute effect of muscle facilitation application on performance and energy expenditure in Duchenne muscular dystrophy. Neuromuscul Disord 2017. [DOI: 10.1016/j.nmd.2017.06.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Rezvani A, Bodur H, Ataman Ş, Kaya T, Buğdaycı DS, Demir SE, Koçyiğit H, Altan L, Uğurlu H, Kırnap M, Gür A, Kozanoğlu E, Akıncı A, Tekeoğlu I, Şahin G, Bal A, Sivrioğlu K, Yazgan P, Aydın G, Hepgüler S, Ölmez N, Şendur ÖF, Yener M, Altay Z, Ayhan F, Durmuş O, Duruöz MT, Günendi Z, Nacır B, Öken Ö, Toktaş H, Delialioğlu SÜ, Evcik D, Sertpoyraz FM. Correlations among enthesitis, clinical, radiographic and quality of life parameters in patients with ankylosing spondylitis. Mod Rheumatol 2013; 24:651-6. [DOI: 10.3109/14397595.2013.850182] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Aylin Rezvani
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Faculty of Medicine,
Istanbul, Turkey
| | - Hatice Bodur
- Physical Medicine and Rehabilitation Clinic, Ankara Numune Training and Research Hospital,
Ankara, Turkey
| | - Şebnem Ataman
- Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Ankara University, Faculty of Medicine,
Ankara, Turkey
| | - Taciser Kaya
- Physical Medicine and Rehabilitation Clinic, Izmir Bozyaka Training and Research Hospital,
Izmir, Turkey
| | - Derya Soy Buğdaycı
- Istanbul Physical Medicine and Rehabilitation Training and Research Hospital,
Istanbul, Turkey
| | - Saliha Eroğlu Demir
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Faculty of Medicine,
Istanbul, Turkey
| | - Hikmet Koçyiğit
- Physical Medicine and Rehabilitation Clinic, Izmir Katip Celebi University Atatürk Training and Research Hospital,
Izmir, Turkey
| | - Lale Altan
- Department of Physical Medicine and Rehabilitation, Uludağ University, Faculty of Medicine,
Bursa, Turkey
| | - Hatice Uğurlu
- Department of Physical Medicine and Rehabilitation, Selcuk University, Meram Faculty of Medicine,
Konya, Turkey
| | - Mehmet Kırnap
- Department of Physical Medicine and Rehabilitation, Erciyes University, Faculty of Medicine,
Kayseri, Turkey
| | - Ali Gür
- Department of Physical Medicine and Rehabilitation, Gaziantep University, Faculty of Medicine,
Gaziantep, Turkey
| | - Erkan Kozanoğlu
- Department of Physical Medicine and Rehabilitation, Çukurova University, Faculty of Medicine,
Adana, Turkey
| | - Ayşen Akıncı
- Department of Physical Medicine and Rehabilitation, Hacettepe University, Faculty of Medicine,
Ankara, Turkey
| | - Ibrahim Tekeoğlu
- Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Sakarya University, Faculty of Medicine,
Sakarya, Turkey
| | - Günşah Şahin
- Department of Physical Medicine and Rehabilitation, Mersin University, Faculty of Medicine,
Mersin, Turkey
| | - Ajda Bal
- Physical Medicine and Rehabilitation Clinic, Dışkapı Yıldırım Beyazıt Training and Research Hospital,
Ankara, Turkey
| | - Konçuy Sivrioğlu
- Department of Physical Medicine and Rehabilitation, Uludağ University, Faculty of Medicine,
Bursa, Turkey
| | - Pelin Yazgan
- Department of Physical Medicine and Rehabilitation, Harran University, Faculty of Medicine,
Urfa, Turkey
| | - Gülümser Aydın
- Department of Physical Medicine and Rehabilitation, Kırıkkale University, Faculty of Medicine,
Kırıkkale, Turkey
| | - Simin Hepgüler
- Department of Physical Medicine and Rehabilitation, Ege University, Faculty of Medicine,
Izmir, Turkey
| | - Neşe Ölmez
- Physical Medicine and Rehabilitation Clinic, Atatürk Training and Research Hospital,
Izmir, Turkey
| | - Ömer Faruk Şendur
- Department of Physical Medicine and Rehabilitation, Adnan Menderes University, Faculty of Medicine,
Aydın, Turkey
| | - Mahmut Yener
- Department of Physical Medicine and Rehabilitation, Süleyman Demirel University, Faculty of Medicine,
Isparta, Turkey
| | - Zühal Altay
- Department of Physical Medicine and Rehabilitation, İnönü University, Faculty of Medicine,
Malatya, Turkey
| | - Figen Ayhan
- Physical Medicine and Rehabilitation Clinic, Ankara Training and Research Hospital,
Ankara, Turkey
| | - Oğuz Durmuş
- Physical Medicine and Rehabilitation Clinic, GATA Haydarpaşa Training and Research Hospital,
İstanbul, Turkey
| | - Mehmet Tuncay Duruöz
- Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Celal Bayar University, Faculty of Medicine,
Manisa, Turkey
| | - Zafer Günendi
- Department of Physical Medicine and Rehabilitation, Gazi University, Faculty of Medicine,
Ankara, Turkey
| | - Barış Nacır
- Physical Medicine and Rehabilitation Clinic, Ankara Training and Research Hospital,
Ankara, Turkey
| | - Öznur Öken
- AnkaraPhysical Medicine and Rehabilitation Training and Research Hospital,
Ankara, Turkey
| | - Hasan Toktaş
- Department of Physical Medicine and Rehabilitation, Kocatepe University, Faculty of Medicine,
Afyon, Turkey
| | | | - Deniz Evcik
- Department of Therapy and Rehabilitation, Ankara University, Haymana Vocational School; Department of Physical Medicine and Rehabilitation, Ufuk University, Faculty of Medicine Ankara,
Ankara, Turkey
| | - Filiz Meryem Sertpoyraz
- Physical Medicine and Rehabilitation Clinic, Tepecik Training and Research Hospital,
Izmir, Turkey
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Bodur H, Ataman S, Buğdaycı DS, Rezvani A, Nas K, Uzunca K, Emlakçıoğlu E, Karatepe AG, Durmuş B, Sezgin M, Ayhan F, Yazgan P, Duruöz T, Yener M, Gürgan A, Kırnap M, Cakar E, Altan L, Soydemir R, Capkın E, Tekeoğlu I, Aydın G, Günendi Z, Nacır B, Sallı A, Oztürk C, Memiş A, Turan Y, Kozanoğlu E, Sivrioğlu K. Description of the registry of patients with ankylosing spondylitis in Turkey: TRASD-IP. Rheumatol Int 2010; 32:169-76. [PMID: 20711591 DOI: 10.1007/s00296-010-1599-7] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2010] [Accepted: 07/28/2010] [Indexed: 11/25/2022]
Abstract
A web-based application patient follow-up program was developed to create a registry of patients with ankylosing spondylitis (AS) by the Turkiye Romatizma Arastirma Savas Dernegi (TRASD) AS Study Group. This study describes the methodological background and patient characteristics. The patient follow-up program is a web-based questionnaire, which contains sections on socio-demographic data, anamnesis, personal and family history, systemic and musculoskeletal examination, laboratory and imaging data and treatment. Between October 1, 2007 and February 28, 2009, 1,381 patients from 41 centers were included in the registry (1,038 males [75.2%]; mean age 39.5 ± 10.7 years). Mean disease duration was 12.1 ± 8.5 years, and mean time from initial symptom to diagnosis was 5 ± 6.8 years (median 2 years). HLA-B27 positivity was detected in 73.7% of 262 patients tested. Manifestations of extraarticular involvement were anterior uveitis (13.2%), psoriasis and other skin and mucous membrane lesions (6%) and inflammatory bowel disease (3.8%). The prevalence of peripheral arthritis was 11.2%. In 51.7% of patients, the Bath AS Disease Activity Index was ≥4. But since our patients consisted of the ones with more severe disease who referred to the tertiary centers and needed a regular follow-up, they may not represent the general AS population. Disease-modifying anti-rheumatic drugs were being used by 41.9% of patients, with 16.4% using anti-TNF agents. TRASD-IP (Izlem Programi: Follow-up program) is the first AS registry in Turkey. Such databases are very useful and provide a basis for data collection from large numbers of subjects. TRASD-IP gives information on the clinical and demographic profiles of patients, and the efficacy and safety of anti-TNF drugs, examines the impact on quality of life, and provides real-life data that may be used in cost-effectiveness analyses.
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Affiliation(s)
- Hatice Bodur
- Ankara Numune Training & Research Hospital, Mürsel Uluç M, 937 S, No: 35/17, 06450 Ankara, Turkey.
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