Türkiye Romatizma Araştırma ve Savaş Derneği ankilozan spondilit ulusal tedavi önerileri

Objectives: To develop Turkish League Against Rheumatism (TLAR) National Recommendations for the management of ankylosing spondylitis (AS). Materials and methods: A scientific committee of 25 experts consisting of six rheumatologists and 19 physical medicine and rehabilitation specialists was formed by TLAR. Recommendations were based on the 2006 ASsessment in Ankylosing Spondylitis International Working Group(ASAS)/European League Against Rheumatism (EULAR) recommendations and a systematic review of associated publications between January 2005 and September 2010. A Delphi process was used to develop the recommendations. Twelve major recommendations were constructed for the management of AS. Voting using a numerical rating scale assessed the strength of each recommendation. Results: The 12 recommendations include patient assessment, patient follow-up along with pharmacological and non-pharmacological methods. Some minor additions and changes have been made to the ASAS/EULAR recommendations. All of the recommendations had sufficient strength. Conclusion: National recommendations for the management of AS were developed based on scientific evidence and consensus expert opinion. These recommendations will be updated regularly in accordance with recent developments.Türkiye Romatizma Araştırma ve Savaş Derneği᾽nin (TRASD) Ankilozan Spondilit (AS) için ulusal tedavi önerilerinin oluşturulmasıdır. Gereç ve yöntemler: TRASD tarafından altı Romatoloji ve 19 Fiziksel Tıp ve Rehabilitasyon uzmanı olmak üzere toplam 25 kişiden oluşan bir bilimsel kurul oluşturuldu. Önerilerde 2006 yılında yayınlanan Ankilozan Spondilit Değerlendirme Uluslararası Çalışma Grubu (ASAS)/Romatizmaya karşı Avrupa Ligi (EULAR) önerileri ve Ocak 2005 - Eylül 2010 arasında yayınlanmış olan ilişkili yayınlar konusundaki sistematik bir inceleme temel alındı. Öneriler oluşturulurken Delphi süreci kullanıldı. Ankilozan spondilit tedavisi ile ilgili 12 ana öneri oluşturuldu. Oylama yapılarak önerilerin güçlülük düzeyi bir nümerik derecelendirme skalası ile belirlendi. Bulgular: On iki öneri hasta değerlendirilmesini, hasta takibini ve farmakolojik ve non-farmakolojik yöntemleri içermektedir. ASAS/EULAR önerilerine bazı ilaveler ve önerilerde bazı küçük değişiklikler yapılmıştır. Tüm öneriler yeterli kuvvete sahipti. Sonuç: Bilimsel kanıtlar ve uzmanların görüş birliği ile AS tedavisine yönelik ulusal öneriler oluşturulmuştur. Bu öneriler, yeni gelişmeler doğrultusunda düzenli olarak güncellenmelidi

Peak Bone Mass. The Role of Heredity and Modifiable Factors

Osteoporosis is a metabolic bone disease that is characterized by low bone mineral density and increase in fragility of bone. Low peak bone mass has been considered as a risk factor for osteoporosis. Heredity, physical activity level and diet are of importance in the determination of variations in peak bone mass. Investigations have been continuing on numerous candidate genes playing a role in the genetic programming of peak bone mass. It has been suggested that heredity may account for about 50-85% of the variation in peak bone mass. However, negative consequences of genetic factors may be changed by the modification of some environmental factors such as diet and physical activity

Relationship Between Patient’s Age and Bone Mineral Density of Lomber Spine and Femur in Postmenopausal Women

The aim of this study was to examine the relationship between patient’s age and lomber spine, hip regions(femur neck, trochanter, Ward’s triangle) bone mineral density (BMD) and T scores. A total of 85 postmenopausal women whose L2-4 T score was equal to or less than -2.5 with a mean age of 65.72 (50-81) years were included. Bone mineral density of lomber spine and hip was measured by dual energy x-ray absorbtiometry (DEXA) in all patients. Pearson correlation analysis was used to perform the statistical evaluation. There was negative correlation between patient’s age and femoral neck and ward’s triangle BMD and T scores (p 0.05)

Gebelikte Güncel Kozmetik Uygulamalar

Kozmetik ürünlerin kullanımının olumsuz etki oluşturma riskinin yüksek olduğu dönemlerden biri de gebelik sürecidir. Kozmetik uygulamalar sırasında kullanılan birçok farmakolojik ajan Amerikan Gıda ve İlaç Dairesi tarafından, gebelik sırasındaki güvenlik profilinin yeterince değerlendirilmediği sebebi ile C kategorisinde sınıflandırılmıştır. Tüm kozmetik ajanların kullanımının güvenirliği desteklenene kadar, gebe kadınlara veya emziren annelere önerilmemelidir. Kozmetik uygulamaların güvenliğinin ortaya konulması için daha fazla randomize kontrollü çalışmaya ihtiyaç vardır. Ayrıca kadın sağlık hizmeti sağlayıcılarının gebelikte kozmetik ürün kullanımı ve kozmetik uygulamalar hakkında bilgi sahibi olmaları, güncel literatürü takip etmeleri ve gebeleri bilgilendirmeleri önemlidir. Bu derlemenin amacı gebelik döneminde yapılan kozmetik uygulamalar ve gebeliğe etkileri konusunda güncel bilgi sağlamaktır

The impact of foreign exchange movements on Turkish textile sector

Due to importance of global supply chain and high-tech exports, importance of new developing markets is gradually increasing. Turkey keeps the strategic importance for textile sector being in the center of Balkans, Asia, Middle East, North Africa, Eastern Europe and Russia. The geographical location allowing trade in the region makes the country much more advantageous than its competitors. However, devaluation and the exchange rate volatility of Turkish Lira in 2018 have been seriously affecting Turkish textile sector. This study aims to determine the impact of exchange rate fluctuation on Turkish textile firms’ performance between the years of 2013 and 2017. Additionally, multiple regression analysis was done in order to investigate the impact of firms’ performance such as firm age and firm size on performance of the textile firms. According to results, it was observed that exchange rate volatility had a negative effect on the firm performance and the firm size had a negative effect on firm performance while the firm age did not have any influence on firms’ performance significantly. © 2019 Inst. Nat. Cercetare-Dezvoltare Text. Pielarie. All rights reserved

Ciddi aort kapak yetersizliğinin nadir bir nedeni: İzole aort kapak prolapsusu

WOS: 000421963600015PubMed: 25782130

Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short-and mid-term results

To the Editor, We read the original investigation entitled “Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results” by İnci et al. (1) published in the Anatol J Cardiol 2015; 15: 289-96 with great interest. We would like to touch on some points regarding this article