Browsing by Author "Ozkan, Yasemin"

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The Effects of Helicobacter Pylori Eradication on the Number of Tender Points, Sleep Quality, Depression, and Anxiety in Patients With Fibromyalgia
(Turkish League Against Rheumatism, 2014) Gezici, Emrullah; Alpayci, Mahmut; Ozkan, Yasemin; Kucuk, Mehmet Emin; Unver, Hakan; Hiz, Ozcan
Objectives: This study aims to investigate the effects of Helicobacter pylori (H. pylori) eradication on the number of tender points, sleep quality, depression, and anxiety in patients with fibromyalgia syndrome. Patients and methods: The study was performed on 32 fibromyalgia syndrome patients (28 females, 4 males; mean age 38.5 +/- 8.6 years) suffering from dyspeptic complaints. All participants were evaluated by gastric endoscopy and bacterial culture for the presence of H. pylori. Patients included in the study were all H. pylon positive. The patients were assessed by the number of tender points, the Pittsburgh Sleep Quality Index, the Beck Depression Inventory, and the Beck Anxiety Inventory pre- and post-treatment for eradication of H. pylon. Amoxicillin 1 g, clarithromycin 500 mg, and lansoprazole 30 mg were given twice daily for three weeks to all patients. Results: The number of tender points was significantly reduced at the evaluation of post-treatment compared with baseline (p<0.001). However, there were no significant differences between pre- and post-treatment for the scores of the Pittsburgh Sleep Quality Index, the Beck Depression Inventory, and the Beck Anxiety Inventory (all p>0.05). Conclusion: Our study results show that H. pylon eradication has a positive impact on the number of tender points.
Efficiency of Therapeutic Ultrasound on Pain, Disability, Anxiety, Depression, Sleep and Quality of Life in Patients With Subacromial Impingement Syndrome: a Randomized Controlled Study
(Ios Press, 2016) Yazmalar, Levent; Sariyildiz, Mustafa Akif; Batmaz, Ibrahim; Alpayci, Mahmut; Burkan, Yahya Kemal; Ozkan, Yasemin; Cevik, Remzi
BACKGROUND: Subacromial impingement syndrome (SIS) is characterized by pain and disability of shoulder. Various treatment methods have been used for SIS. OBJECTIVES: The aim of our study was to evaluate efficacy of therapeutic ultrasound (US) on pain, disability, anxiety, depression, sleep quality and quality of life in patients with SIS. METHODS: Patients with SIS were randomly divided into two groups, including the group 1 (continuous US group; 3 MHz, 1.5 W/cm(2), n = 26) and group 2 (sham US group, n = 24). Additionally, transcutaneous electrical nerve stimulation (TENS) + exercise program were added in both groups. Pain and disability of the shoulder were assessed by the Shoulder Pain and Disability Index (SPADI), while anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality. Quality of life was evalutaed by the Nottingham Health Profile (NHP). Patients were evaluated at baseline and after end of three weeks. RESULTS: Both groups had significantly improvements in terms of SPADI-pain, SPADI-disability, SPADI-total, NHP-pain and NHP-sleep scores after the three weeks interventions. There were significantly improvements in the Group 1 in terms of PSQI-total, and NHP-physical activity. Group 2 had significantly improvements in terms of anxiety-HADS, depression-HADS and NHP-emotional reaction scores. In the inter-group comparison, there were no significantly differences in the change scores were observed in any domains of SPADI scores, anxiety, depression and sleep scores, or any NHP scores. CONCLUSIONS: Our study showed that US does not have any benefits on SIS. TENS + exercise program are not effective on anxiety, depression and fatigue, however TENS + exercise program are effective on pain, disability and sleep disturbance in patients with SIS.
Multifocal Osteonecrosis in a Case With Systemic Lupus Erythematosus: Original Image
(Ortadogu Ad Pres & Publ Co, 2009) Hiz, Ozcan; Unver, Hakan; Ozkan, Yasemin; Yazmalar, Levent; Tekeoglu, Ibrahim
Although osteonecrosis (ON) is a well-known complication of systemic lupus erythematosus (SLE), the diagnosis is generally delayed. Steroid treatment is considered the major risk factor for the development of ON in SLE. ON involving at least tree anatomical localizations is called multifocal osteonecrosis (MFON). We presented a case with MFON diagnosed with SLE seven years ago. The patient has received corticosteroids at various doses and had obvious destruction in the shoulders and hips apparent in plain X-rays. Although the knees seemed normal in X-rays, scintigraphy and magnetic resonance imaging (MRI) revealed ON of the knees. SLE patients with ON in one joint should be screened with MRG and/or scintigraphy in the early stages of the disease even when the plain X-rays seem normaldue to the increased risk of multifocal ON involving other joints.
Pleuropericarditis Associated With Sulphasalazine in a Case of Rheumatoid Arthritis: a Drug-Induced Lupus-Like Syndrome
(Turkish League Against Rheumatism, 2011) Hiz, Ozcan; Gulcu, Elif; Ozkan, Yasemin; Tekeoglu, Ibrahim; Aladag, Nesim
Pericarditis, a life-threatening condition, can be seen in rheumatic diseases. It may occur secondary to rheumatic diseases or drugs used in the treatment. In this article, we present a case of 47-year-old female, who had joint complaints for 15 years and had treatment of methotrexate and corticosteroid for six years. In the last three months, after the addition of sulphasalazine to her treatment, she developed chest pain, palpitations, rash, fever, and pleuropericarditis and was subsequently diagnosed with systemic lupus erythematosus induced by sulfasalazine. When cardiac disease is seen in a patient with rheumatoid arthritis, medication should be discontinued immediately, and it should be kept in mind that cardiac involvement may be associated with drugs.
A Randomized Controlled Trial on the Efficacy of Intermittent and Continuous Traction for Patients With Knee Osteoarthritis
(Sage Publications Ltd, 2013) Alpayci, Mahmut; Ozkan, Yasemin; Yazmalar, Levent; Hiz, Ozcan; Ediz, Levent
Objective: To investigate the efficacy of intermittent and continuous traction in the treatment of knee osteoarthritis. Design: A randomized, controlled, observer-blind seven-week trial. Setting: Hospital-based outpatient practice. Subjects: Ninety-eight patients with stage 3 knee osteoarthritis according to Kellgren-Lawrence radiological rating scale. Interventions: All 98 patients were randomly assigned to three treatment groups, for three weeks (weekends excluded). The control group (n=30, mean age: 59.30 +/- 8.16) received hot pack and short wave diathermy; the intermittent group (n=30, mean age: 58.20 +/- 7.78) received hot pack, short wave diathermy and intermittent traction; and the continuous group (n=30, mean age: 57.97 +/- 9.53) received hot pack, short wave diathermy and continuous traction. Outcome measurements: The values of the Turkish version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), visual analog scale, and knee passive range of motion were measured at baseline, three-week and seven-week follow-up. Results: Compared with baseline at weeks 3 and 7, all the outcome measures, except range of motion, were significantly reduced in all groups (all P <= 0.001). In terms of the change data from baseline to week 3, both traction groups were significantly superior to the control in the WOMAC physical function scores. Considering the change data from baseline to week 7, both traction groups were significantly superior to the control in the pain scores, physical function and total scores, while only the continuous group was significantly better than the control in the stiffness scores (control: 1.17 +/- 1.64; continuous: 2.38 +/- 1.44) (P=0.014). Compared with baseline at weeks 3 and 7, range of motion values significantly increased in both traction groups (P < 0.05) but not in the control (P > 0.05). However, there were no significant differences among the three groups considering the change data from baseline to week 7 in range of motion values (P=0.300). Conclusions: Joint traction was found to be beneficial for the improvement of pain and physical function loss related to knee osteoarthritis.
The Severity of Periodontal Disease in Patients With Rheumatoid Arthritis: a Comparative Study
(Nobel Ilac, 2015) Ozkan, Yasemin; Alpayci, Mahmut; Ozkan, Mehmet; Hiz, Ozcan; Bozan, Nazim
Objective: There is an increasing interest in the associations between oral health and auto-inflammatory diseases. Rheumatoid arthritis (RA) and periodontal disease (PD) are the most common chronic inflammatory conditions often coexist as well. The aim of this study is to evaluate and compare RA patients and healthy controls in terms of PD severity and jaw gripping force. To our knowledge, there is only one study evaluating jaw gripping force of patients with RA in the literature. Material and Method: RA patients (n=60) and healthy controls (n=60) were included in the study. Both RA patients and the control group were examined for their gingival index, plaque index, probing dept, attachment loss, and number of teeth. In addition, jaw gripping forces of all participants were measured by digital dynamometer. The data obtained were compared between two groups. Results: There were no significant differences in participants' age, gender, body mass index, education level, frequency of tooth brushing and smoking between two groups (all, p>0.05). RA patients' scores were significantly lower compared to controls considering the number of teeth (respectively, 16 and 20; p<0.001) and jaw gripping force (respectively, 0.6 and 1.30; p<0.001). Conclusion: There is a strong association between RA and PD. The severity of PD is significantly increased in RA patients compared to healthy controls. Periodontal health should be considered in the management of patients with RA.
Short-Term Effects of Kinesio Taping in Women With Pregnancy-Related Low Back Pain: a Randomized Controlled Clinical Trial
(int Scientific information, inc, 2016) Kaplan, Seyhmus; Alpayci, Mahmut; Karaman, Erbil; Cetin, Orkun; Ozkan, Yasemin; Ilter, Server; Sahin, Hanim Guler
Background: Pregnancy-related low back pain is a common condition during pregnancy. Kinesio tape is a drug-free elastic therapeutic tape used for treating various musculoskeletal problems. The aim of this study was to investigate the short-term effects of lumbar Kinesio taping on pain intensity and disability in women with pregnancy-related low back pain. Material/Methods: A total of 65 patients with pregnancy-related low back pain were randomly allocated into either Kinesio taping (n=33) or control (n=32) groups. The intervention group was treated with paracetamol plus Kinesio taping, while the control group received only paracetamol. Kinesio taping was applied in the lumbar flexion position, and four I-shaped bands were used. Two bands were attached horizontally, with space correction technique. The remaining 2 bands, 1 on each side of the lumbar spine, were placed vertically, with inhibition technique. Low back pain intensity was measured on a 10-cm visual analogue scale (VAS), and the Roland-Morris Disability Questionnaire (RMDQ) was used for evaluation of disability. Results: Pain intensity and RMDQ scores improved significantly in both groups at 5 days compared with baseline. Considering the degree of treatment effect (the change from baseline to day 5), the Kinesio taping group was significantly superior than the control group in all outcome measures (for all, P<0.001). Conclusions: The results of this study indicate that Kinesio taping can be used as a complementary treatment method to achieve effective control of pregnancy-related low back pain.