Comparison of right ventricular functions according to infarct localization using advanced echocardiographic methods in myocardial infarction with ST elevation

Objectives: In this study, we aimed to compare the effectsof infarct localization in patients with ST ElevatedMyocardial Infarction (STEMI) on the right ventricular(RV) functions by using advanced echocardiographicmethods.Materials and methods: A total of 89 patients withSTEMI were included into the study and patients weredivided to three groups as anterior, isolated-inferior andinferior+RV MI groups. In addition to standard echocardiographicmesurements, RV tissue doppler, RV EjectionFraction (RVEF), Myocardial performance index (MPI)and TAPSE measurements of all patients were performedbetween 24-72 hours after the event.Results: Compared to groups, RV functions in inferior MIwith RV involvement group were deteriorated. Tricuspidannular plane systolic excursion (TAPSE) value for theinferior MI with RV involvement (19±1mm) group werelower than those for Inferior MI group without RV involvement(23±1mm) and anterior MI (23±1mm) (p<0.05). TheRV MPI value for inferior MI group with RV involvement(0.76±0.14) were found to be higher than those for anterior(0.64±0.1) and inferior MI (0.56±0.1) group withoutRV involvement (p<0.05). Peak Sm (r = -0.35, p =0.01), TAPSE (r = -0.47, p<0.001) and RV EF (r = -0.46,p<0.001) showed a negative correlation with RV MPI value.Furthermore, RV tricuspid E/A rate (r = -0.19, p = 0.7)and RV free wall tissue doppler Em/Am rate (r = -0.26, p =0.01) displayed a negative correlation with RV MPI value.Conclusions: Use of advanced methods addition to theconventional echocardiographic methods in STEMI patients,could produce more valuable information to evaluateRV functions and provide a positive impact on treatmentstrategies.Key words: Acute myocardial infarction, right ventricle,echocardiography, TAPSE, MP

Snapshot evaluation of acute and chronic heart failure in real-life in Turkey: a follow-up data for mortality

Objective: Heart failure (HF) is a progressive clinical syndrome. SELFIE-TR is a registry illustrating the overall HF patient profile of Turkey. Herein, all-cause mortality (ACM) data during follow-up were provided. Methods: This is a prospective outcome analysis of SELFIE-TR. Patients were classified as acute HF (AHF) versus chronic HF (CHF) and HF with reduced ejection fraction (HFrEF), HF with mid-range ejection fraction, and HF with preserved ejection fraction and were followed up for ACM. Results: There were 1054 patients with a mean age of 63.3±13.3 years and with a median follow-up period of 16 (7–17) months. Survival data within 1 year were available in 1022 patients. Crude ACM was 19.9% for 1 year in the whole group. ACM within 1 year was 13.7% versus 32.6% in patients with CHF and AHF, respectively (p<0.001). Angiotensin-converting enzyme inhibitor/angiotensin receptor blocker, beta blocker, and mineralocorticoid receptor antagonist were present in 70.6%, 88.2%, and 50.7%, respectively. In the whole cohort, survival curves were graded according to guideline-directed medical therapy (GDMT) scores ?1 versus 2 versus 3 as 28% versus 20.2% versus 12.2%, respectively (p<0.001). Multivariate analysis of the whole cohort yielded age (p=0.009) and AHF (p=0.028) as independent predictors of mortality in 1 year. Conclusion: One-year mortality is high in Turkish patients with HF compared with contemporary cohorts with AHF and CHF. Of note, GDMT score is influential on 1-year mortality being the most striking one on chronic HFrEF. On the other hand, in the whole cohort, age and AHF were the only independent predictors of death in 1 yea

10 HAFTALIK YÜZME EGZERSİZİNİN HAFİF DÜZEYDE ZİHİNSEL ENGELLİ

Bu çalışmanın amacı; 10 haftalık yüzme egzersizi uygulamasının hafif düzeyde zihinsel engelli bireyler ve ailelerinin yaşam kalitelerine etkisinin incelenmesidir. Çalışmanın örneklemini Uşak il merkezinde bulunan Vala Gedik İlköğretim Okulu ve İş Okulu'nda öğrenim gören 12-16 yaş arası 12 Kız (x: 15,250,86) ve 20 Erkek (x: 14,901,11) olmak üzere toplam 32 hafif düzeyde zihinsel engelli birey oluşturmaktadır. Engelli bireyler ve ailelerinin (Anne: 20, Baba: 12) yaşam kalitelerini belirlemek için çalışmanın başında ve sonunda Sağlıkla İlişkili Yaşam Kalitesi Ölçeği (KINDL) ve Yaşam Kalitesi Ölçeği Kısa Form-36 (SF-36) kullanılmıştır. Yaşam kalitesi düzeyleri belirlenen bireyler tesadüfi örnekleme yöntemiyle deney ve kontrol gruplarına ayrılmıştır. Deney grubuna 10 haftalık (60 dk./3 gün /hafta) yüzme egzersiz programı uygulanmıştır, kontrol grubuna ise hiçbir uygulama yapılmamıştır. Çalışmamızda zihinsel engelli bireylerin yaşam kalitesi değerlendirildiğinde; ön -test sonuçlarında okul alt boyutunda, son test sonuçlarında ise sadece özsaygı parametresinde gruplar arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p0,05). Engelli bireylerin ailelerinin yaşam kalitesi parametrelerinin son -test sonuçları değerlendirildiğinde ise canlılık alt boyutunda anlamlı farklılık tespit edilmiştir (p0,05). Diğer parametrelerde ise istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p0,05). Sonuç olarak; 10 haftalık yüzme egzersizinin yaşam kalitesini etkileme noktasında yetersiz kaldığı ve bununla birlikte egzersiz süresinin uzatılması ile daha pozitif yönde gelişim sağlana cağı düşünülmektedir. Zihinsel engelli bireylerin günlük yaşamlarında ve eğitimlerinde yer alan kişilere, bu bireylerin yaşam kalitelerinin artırılması noktasında eğitimler verilmeli ve uzun süreli egzersiz programları mutlaka bu bireylerin hayatlarına dahil edilmelidir. Anahtar Kelimeler: Egzersiz, yaşam kalitesi, zihinsel engel.The present study aims to investigate the effect of 10-week swimming exercise practice on life qualities of individuals with mild intellectual disability (MID) and their families. The study sampling is consisted of totally 32 individuals with MID aged 1216 (12 females (x: 15,25&plusmn;0,86) and 20 males (x: 14,90&plusmn;1,11)) from the Vala Gedik Primary School and Practice School in Uşak City. In order to determine life qualities of handicapped individuals and their families (Mother: 20, Father: 12), HealthRelated Life Quality Scale (KINDL) and Life Quality Scale Short Form-36 (SF-36) were employed in the pre- and post-study periods. Individuals whose life quality levels were determined were separated into experiment and control groups through random sampling method. Whereas the experiment group was applied 10-week (60 min./3 days /week) swimming exercise program, the control group incurred no program. When life qualities of individuals with MID were evaluated in our study, pre-test and post-test results indicated statistically significant differences among groups in terms of school sub-dimensions and self-respect parameters (p&lt;0.05). When post-test results of life quality parameters of families of handicapped individuals were considered, significant difference was determined with the liveliness sub-dimension (p&lt;0.05). In terms of other parameters, no statistical difference was found (p&gt;0.05). Finally, it was considered that 10-week swimming exercise was not effective on life quality and extension of exercise period could allow positive development. Individuals who participate in daily lives and training activities of individuals with MID are required to be given training to enhance life qualities of individuals; and long-term exercise programs should be included in the lives of these individuals

Effects of a 3-month recreative exercise applied to individuals with intellectual disability on their electromyogram (EMG) variations and balance performance

Objective: The objective of the present study was to determine how 3-month recreative exercises affect the balance performance of individuals with intellectual disability (ID) and to evaluate the electromyogram (EMG) changes following exercises. Methods: Eleven individuals (M=14.18, S.D=1.94) with mild intellectual disability (MID) who attend the school for children with ID and to the vocational school were included in the study. In the study, the subjects were applied a recreative exercise program (60 min/3 days/12 weeks) and their balance, EMG, and aerobic and anaerobic performances were evaluated by means of the pretest-posttest model. Results: When the EMG values in our study were examined, differences were found in terms of EMG3-VL muscle variable (P=0.075/2=0.038), EMG3-RF muscle variable (P=0.080/2=0.040), and EMG5-RF muscle variable (P=0.066/2=0.033). The exercise program decreased the EMG values significantly. When the balance scores were evaluated, significant differences were found in terms of the variables of Balance 2 (after 30 s) (P=0.077/2=0.039) and Balance 3 (after 3 min) (P=0.084/2=0.042). The exercise program significantly decreased the balance values. Conclusion: Consequently, it was determined that 3-month recreative exercises applied to individuals with ID lowered the EMG and Balance values during and after the exercise. In this context, it is thought that the people working with the children with MID need to consider the parameters constituting the balance in a detailed way in their exercise practices and to include activities improving their balance skills into their programs, and that recreative exercises can also provide contribution in this term. © 2017, © The British Society of Developmental Disabilities 2017.This work was supported by the Usak University Scientifi

The effect of families’ alexithymic status and social skill levels on directing their children with intellectual disabilities to sports

The aim of this study was to investigate the social skill levels of families who have children with mild intellectual disabilities and the effect of alexithymic status on their orientation to sports. The study group consisted of 194 families who have children with mild intellectual disabilities. Personal Information Form, Toronto Alexithymia Scale (TAS) and Social Problem Solving Inventory-Short Form (SPSI-R/SF) were used as data collection tools. The families’ alexithymic status and social problem solving skills were moderate. There was a relationship between alexithymia levels of families and positive orientation to the problem (r = 0.147; p < 0.01) and avoidance of problem solving sub-dimension and directing their children to sports (r = 0.145; p < 0.01). The total alexithymia levels and their sub-dimensions of the families whose children were engaged in sports were significantly higher than the children who did not do sports (p < 0.05). In conclusion; families’ alexithymic status and social skill levels may affect their children’s orientation to sports. As the alexithymia levels of the families increase, their children’s orientation to sports shows a moderate increase. © 2019, © The British Society of Developmental Disabilities 2019

The Level of Damage Caused by Football Matches on Players

Futbol, &uuml;st d&uuml;zey dayanıklılık, kuvvet, esneklik, s&uuml;rat, &ccedil;abukluk gibi sportif performans gerektiren bir takım sporudur. Futbol oyuncusu ma&ccedil; s&uuml;resince sprint ve orta şiddet koşularda dahil yaklaşık 10-12000 metre koşmaktadır. Bu &ccedil;alışma da, Futbol ma&ccedil;ının sporcular &uuml;zerinde yol a&ccedil;tığı kas hasarının belirlenmesi amacıyla yapılmıştır. &nbsp;&Ccedil;alışmaya; B&ouml;lgesel liglerde oynayan, yaş ortalamaları 22.01&plusmn;0.63 (yıl), ağırlık ortalamaları 71.06&plusmn;1.50 (kg) ve boy ortalamaları 177.67&plusmn;0,06 (cm), Beden K&uuml;tle İndeksleri 22.42&plusmn;0.39 (kg)/[boy(m2)], Spor yaşları 8.50&plusmn;0.49 yıl olan erkek futbolcular dahil edildi. Araştırma kapsamında deneklerden; Ma&ccedil; &ouml;ncesi, Ma&ccedil; arasında, Ma&ccedil;tan hemen sonra, Ma&ccedil;tan 24 saat sonra olmak &uuml;zere 4 kez ve her seferde 5 cc olacak şekilde kan alındı.&nbsp; Alınan kan &ouml;rneklerinde Kreatin Kinaz (CK), Kreatin Kinaz Miyokardiyal Bant (CKMB), Laktat dehidrogenaz (LDH), Alaninaminotransferaz (ALT), Aspartataminotransferaz (AST) ve Gama-Glutamil Transferaz (GGT) parametreleri incelendi. İncelenen Kreatin Kinaz Miyokardiyal Bant ve Laktat dehidrogenaz parametreleri arasında anlamlı farklılıklar (p&lt;0.05) bulunurken, Kreatin Kinaz, Alaninaminotransferaz, Aspartataminotransferaz, Gama-Glutamil Transferaz &ouml;l&ccedil;&uuml;mleri arasında anlamlı bir farklılık (p&lt;0.05) tespit edilemedi. T&uuml;m değişkenlerin tanımlayıcı istatistikleri yapıldıktan sonra &ouml;l&ccedil;&uuml;m zamanının impedans ve reaktans &uuml;zerine etkisi Tekrarlı &Ouml;l&ccedil;&uuml;mlerde ANOVA ile test edildi. F&rsquo;in anlamlı &ccedil;ıktığı durumlarda farkların hangi zamanlarda oluştuğu Bonferroni &ccedil;oklu karşılaştırma testi ile belirlendi. Yanılma d&uuml;zeyi p&lt;0.05 olarak kabul edildi. Sonu&ccedil; olarak, Futbol ma&ccedil;ının Kreatin Kinaz Miyokardiyal Bant ve Laktat dehidrogenaz enzim değerlerini y&uuml;kseltirken 24 saatlik dinlenme ile bu y&uuml;kselmenin giderildiği belirlenmiştir. Ma&ccedil;ın Kreatin Kinaz, Alaninaminotransferaz, Aspartataminotransferaz ve Gama-Glutamil Transferaz parametrelerinde ise anlamlı bir farklılık oluşturmadığı, sporcuların m&uuml;sabaka sırasında oluşan enzim değişikliklerine karşı uyum sağladığı s&ouml;ylenebilir. &nbsp; Anahtar Kelimeler: Futbol Ma&ccedil;ı, Kas Hasarı, Enzim, Antrenman. &nbsp; Football is a team game requiring high level of athletic performance such as resistance, strength, flexibility, speed and promptness. The goal of this study is to determine the level of muscle damages of players caused by football matches. The study enrolled male football players of the local leagues, whose age, weight and height averages, body-mass indexes, and sport ages were 22.01&plusmn;0.63 (years), 71.06&plusmn;1.50 (kg), 177.67&plusmn;0,06 (cm), 22.42&plusmn;0.39 (kg)/[weight(m2)], 8.50&plusmn;0.49 years, respectively. Within the scope of the &nbsp;study, blood samples have been taken from the subjects at the amount of 5 cc each time for 4 times as &ldquo;Before the Match&rdquo;, &ldquo;During the Match&rdquo;, &ldquo;After the Match&rdquo; and &ldquo;24 Hours After the Match&rdquo;. Over the blood samples, Creatine Kinase, Creatine Kinase Myocardinal Band, Lactate Dehydrogenase, Alanin aminotransferase, Aspartat aminotransferase and Gamma Glutamyl Transferase parameters have been analyzed. While statistical differences have been observed between Creatine Kinase Myocardinal Band and Lactate Dehydrogenase parameters, no statistical difference has been identified among the measurements of Creatine Kinase, Alaniamnotransferase, Apartaminotransferase and Gamma Glutamil Transferase. In conclusion, when all data are evaluated together, it can be claimed that while a football match increases the enzyme values of Creatine Kinase Myocardinal Band and Lactate Dehydrogenase, it can be overcome with 24 hours of resting and no statistical difference occurs among Creatine Kinase, Alaninaminotransferase, Apartaminotransferase, Gamma Glutamyl Transferase parameters and players adapt to the occurring damage during the match as a result of adaptation to the exercise. &nbsp; Key Words: Football Match, Muscle Damage, Enzyme, Training.</p

Levels of approaching and avoiding emotional situations of the students studying in the faculties of sport sciences

Objective: The present study has the purpose of determining the levels of approaching and avoidance of the students studying in the faculties of Sports Sciences in universities to emotional situations. The population of the study comprises 405 people studying in the Faculties of Sports Sciences in various universities, 155 of which is female and 250 male. Methods: The study group was determined using the random cluster sampling method. In the study, the “Need for Affect Scale” was employed. Results: Of the students of the faculties of sports sciences taking part in the study, the average score for approaching the environments involving emotion was found to be positive with x=+8.70, and the average score for avoiding was found to be negative with x=-4.18. Accordingly, it was determined that the students’ motivation for approaching the environments involving emotions was slightly higher than the medium level, and their avoidance level was slightly lower than the medium level (p<0.05). While a significant differences were determined between the students’ levels of approaching and avoiding emotions depending on the universities they study in, it was found out that the female students’ levels of approaching the environments involving emotions were significantly higher than those of the male students (p<0.05). When the total scores were examined, it was found out that the female students’ total scores were higher than those of the male students (p<0.05). Conclusions: Consequently, it was determined that the motivation of the students studying in the faculties of Sports Sciences for approaching the environments involving emotions was slightly higher than the medium level and their avoidance level was slightly lower than the medium, and that this results were affected by the city they live in, as well as by their gender. © JPES

The level of damage caused by football matches on players

Football is a team game requiring high level of athletic performance such as resistance, strength, flexibility, speed and promptness. The goal of this study is to determine the level of muscle damages of players caused by football matches. The study enrolled male football players of the local leagues, whose age, weight and height averages, body-mass indexes, and sport ages were 22.01±0.63 (years), 71.06±1.50 (kg), 177.67±0,06 (cm), 22.42±0.39 (kg)/[weight(m2)], 8.50±0.49 years, respectively. Within the scope of the study, blood samples have been taken from the subjects at the amount of 5 cc each time for 4 times as "Before the Match", "During the Match", "After the Match" and "24 Hours After the Match". Over the blood samples, Creatine Kinase, Creatine Kinase Myocardinal Band, Lactate Dehydrogenase, Alanin aminotransferase, Aspartat aminotransferase and Gamma Glutamyl Transferase parameters have been analyzed. While statistical differences have been observed between Creatine Kinase Myocardinal Band and Lactate Dehydrogenase parameters, no statistical difference has been identified among the measurements of Creatine Kinase, Alaniamnotransferase, Apartaminotransferase and Gamma Glutamil Transferase. In conclusion, when all data are evaluated together, it can be claimed that while a football match increases the enzyme values of Creatine Kinase Myocardinal Band and Lactate Dehydrogenase, it can be overcome with 24 hours of resting and no statistical difference occurs among Creatine Kinase, Alaninaminotransferase, Apartaminotransferase, Gamma Glutamyl Transferase parameters and players adapt to the occurring damage during the match as a result of adaptation to the exercise

Researching the Effects of Ellagic Acid on Depletion Exercise

WOS: 000462168100002Introduction: The purpose of this study was to investigate whether exhaustion exercise causes endothelial damage and to investigate the effect of ellagic acid on this potential damage. Methods and Materials: The study was carried out on 32 male and adult Spraque - Dawley rats at Experimental Animal Research and Research Center of Afyon Kocatepe University. The experimental animals were equally divided into four groups. Swimming exercises will be performed as acute exercises for once and experimental animals are made to swim in groups including two rats following the completion of the study and before the decapitation. At the end of procedures that last for four weeks, total oxidant (TOS), total antioxidant (TAS), nitric oxide (NO) and Asymmetric dimethyl Arginine (ADMA), TNF alpha, INF gamma and IL6 plasma and tissue levels was assayed from the blood samples to be taken from experimental animals with decapitation. Results: The data obtained as a result of the studies were evaluated by using SPSS 20.0 statistical program. Endothelial damage markers and cytokine levels were significantly (p<0,05) increased in swimming groups and ellagic acid significantly (p<0,05) decreased these parameters. Conclusion: Ellagic acid may have protective effect against damage that may occur during exhaustion exercise.USAK BAP Project [2015MF/010]The author wishes to thank Usak University, Scientific Research Coordination Division (USAK-BAP) for contribution to this research. This study was carried out within the USAK BAP Project No: 2015MF/010