Browsing by Author "İrdesel, Jale Fatma"
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Item Accessory nerve function after level 2b-preserving selective neck dissection(Wiley, 2009-11) Çelik, Bilge; Coşkun, Hakan; Kumas, Ferda F.; İrdesel, Jale Fatma; Zarifoğlu, Mehmet; Erişen, Levent M.; Onart, Selçuk; Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz-Baş Boyun Cerrahisi Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; C-3960-2015; 6602824701; 13610800100; 35740737000; 56631533300; 6603411305; 6602590279; 7801637934Background. The aim of this prospective study was to evaluate the relationship between accessory nerve functions and level 2b-preserving selective neck dissection. Methods. Forty-one necks of 30 patients with laryngeal cancer who underwent unilateral or bilateral level 2b-preserving neck dissections, between February 2003 and July 2005, were evaluated. Neck and shoulder movements and muscle strengths were examined and electroneuromyography (ENMG) was performed preoperatively at the postoperative 21st day and 6th month. Pathological anatomical findings at the postoperative 6th month were also evaluated. Results. All shoulder movements and muscle strengths were preserved. Neck extension, rotation movements, and flexion strengths were restricted. ENMG values were affected moderately in the early postoperative period and improved slightly in the late postoperative period. None of the patients developed shoulder syndrome or adhesive capsulitis. Conclusion. Preserving level 2b during selective neck dissection decreases trauma to the accessory nerve and improves functional results.Item Effects of balance-coordination, strengthening, and aerobic exercises to prevent falls in postmenopausal patients with osteoporosis: A 6-month randomized parallel prospective study(Human Kinetics Pupl Inc, 2018-01) Dizdar, Meltem; Dizdar, Oğuzhan Sıtkı; İrdesel, Jale Fatma; Topsaç, Mine; Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Anabilim Dalı.; Uludağ Üniversitesi/Beden Eğitimi ve Spor Bölümü.; IDR-0892-2023; 56631533300; 57200945569Osteoporosis is a systemic disease characterized by the increase of bone fragility and fracture risk. Postmenopausal female osteoporotic patients were randomized into three groups: balance and coordination, strengthening, and aerobic exercise. The exercise programs were performed for 12 weeks, 1 hr each day for 3 days of the week. Patients were followed-up for 12 weeks after the initial intervention. After the exercise program, patients continued their daily life activities and were called back to the clinic for additional testing after 12 weeks. Static and dynamic balance measurements and pain and life quality assessments were performed at enrollment, and at the 12th and 24th weeks. Significant improvements in both the Timed Up and Go test and Berg Balance Scale values at the 12th week were only observed in the balance-coordination group. There were statistically significant improvements in night and daytime pain visual analog scale scores at the 12th and 24th weeks in the strengthening exercise group. No patient experienced falling during the 24th week follow-up. The strengthening exercises were observed to be more effective in pain reduction, and balance and coordination exercises were found to be more effective in improvement of static and dynamic balance.Item Influence of patient training on persistence, compliance, and tolerability of different dosing frequency regimens of bisphosphonate therapy: An observational study in Turkish patients with postmenopausal osteoporosis(Türk Ortopedi ve Travmatoloji Derneği, 2015-10-05) Akarırmak, Ülkü; Kocyiğit, Hikmet; Eskiyurt, Nurten; Esmaeilzadeh, Sina; Kuru, Ömer; Yalcınkaya, Ebru Yılmaz; Peker, Özlen; Ekim, Ayşe Aydemir; Özgirgin, Neşe; Çalış, Mustafa; Rezvani, Aylin; Çevikol, Alev; Eyigör, Sibel; Şendur, Ömer Faruk; İrdesel, Jale Fatma; Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; 56631533300Objective: In our study, we aimed to evaluate the influence of training on compliance and persistence with bisphosphonate treatment given on a weekly vs. monthly basis in postmenopausal osteoporosis patients. Methods: A total of 979 patients with postmenopausal osteoporosis (mean age: 63.2 +/- 7.2 years) were included in this national, multicenter, prospective non-interventional observational cohort registry study. Patients were randomized into training (n = 492, 50.3%, mean age: 63.4 +/- 7.2 years) and control (n = 487, 49.7%, mean age: 63.0 +/- 7.1 years) groups. Patients in each intervention group were given weekly (44.9% and 44.6% for training and control subjects, respectively) or monthly (55.1% and 55.4%, respectively) bisphosphonate regimens. After the initial visit, patients were followed up at three-month intervals throughout 12 months of treatment for evaluation of persistence, compliance and adverse events. Results: On average, 79.4% of the patients were persistent with the treatment with a mean of 350.4 days of duration during the 12-month follow-up period. The mean compliance in the compliant and fully compliant group remained at an average of 86.6%. No significant difference was detected between the training and control groups in terms of compliance and persistence. Significantly longer persistence (360.0 +/- 89.0 vs. 345.0 +/- 108.0 days; p = 0.035), higher percentage of persistent patients (83.4% vs. 74.2%; p = 0.012) and higher compliance rates (88.8% vs. 83.3%; p = 0.002) were noted in monthly regimen patients in comparison to those given weekly regimen. Conclusion: Our findings revealed remarkably high rates for persistence and compliance with bisphosphonate treatment in postmenopausal osteoporosis, with no impact of training on compliance and persistence rates. Longer persistence and better compliance rates were achieved with the monthly bisphosphonate regimen when compared to the weekly regimen.Item The role and importance of laboratory in diagnosis and differantial diagnosis of osteoarthritis(Güneş Kitabevi, 2011) İrdesel, Jale Fatma; Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; 0000-0002-1456-9121; AAG-8149-2021; 56631533300Osteoarthritis (OA) is among the most frequent diseases in the population and a common cause of pain and disability in adults. Although there is an increasing body of evidence that inflammatory events may be involved in its pathogenesis, OA is still classified as a degenerative or non-inflammatory condition, in contrast to inflammatory arthropathies. The main diagnostic methods in OA are still radiographic changes, which are only evident when disease is established. Thus biochemical markers would be ideal in order to diagnose OA in pre-radiological stages and to identify different subsets of OA. Biochemical markers of OA may be useful in diagnosis; assessment of the disease activity; prediction of outcome; and evaluation of drugs effects. Many biomarkers have been proposed, in particular those reflecting cartilage and bone turnover and synovitis. Among these, cartilage oligomeric matrix protein, antigenic keratan sulphate, hyaluronan, YKL-40, type III collagen N-propeptide, and urinary glucosyl-galactosyl pyridinoline appear to be the most promising. However, serum or urinary determinations of these molecules are difficult to interpret adequately due to their complex metabolism.