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Öğe Awareness of cardiac rehabilitation in people with cardiovascular diseases in Hatay: A cross-sectional study(2023) Huzmeli, Irem; Katayıfçı, Nihan; Akkus, OguzAim: This study aimed to assess the awareness of cardiac rehabilitation (CR) among patients with cardiovascular disease (CVD) in Hatay. Methods: In the study, 218 patients (44.5% male, 55.5% female) in an age range of 18 to 84 [median 57(46.75–65.25) years] with CVD completed an awareness questionnaire, which included 35 items that addressed knowledge about CVD, CR features and content, CR effectiveness, reasons for not participating in CR programs, and general knowledge about CR. Results: Ninety-seven (44.5%) participants stated that they had knowledge about CVD, and 29.5% thought CR was required to prevent heart diseases. Fifty-nine subjects expressed they knew the exercises they needed to practice for CVD. Participants mostly accepted that CR effectively regulated blood lipids and blood pressure and managed blood glucose, obesity, and general well-being. One hundred patients (45.7%) reported that they did not participate in a CR program because they had no knowledge of CR. Most participants (60.6%) were undecided about whether the CR program was available in their city and whether it would be beneficial in treating heart diseases (50.5%). Men, young people, and people with higher education levels were more aware of the components of CR (p<0.05). Conclusion: There was a lack of awareness regarding the content of CR, especially in exercise and protective factors for CVDs in Hatay. Seminars are needed to increase the awareness of CR in the community. Health professionals should encourage patients with cardiovascular disease to support the outreach of the CR program.Öğe Comparison of functional exercise capacity, quality of life and respiratory and peripheral muscle strength between patients with stable angina and healthy controls(Sage Publications Ltd, 2020) Huzmeli, Irem; Ozer, Aysel-Yildiz; Akkus, Oguz; Katayifci, Nihan; Sen, Fatih; Yurdalan, Saadet Ufuk; Polat, Mine GuldenObjective We aimed to compare functional exercise capacity, respiratory and peripheral muscle strength, pulmonary function and quality of life between patients with stable angina and healthy controls. Methods We compared 33 patients with stable angina (55.21 +/- 6.12 years old, Canada Class II-III, left ventricular ejection fraction: 61.92 +/- 7.55) and 30 healthy controls (52.70 +/- 4.22 years old). Functional capacity (6-minute walk test (6-MWT)), respiratory muscle strength (mouth pressure device), peripheral muscle strength (dynamometer), pulmonary function (spirometer) and quality of life (Short Form 36 (SF-36)) were evaluated. Results 6-MWT distance (499.20 +/- 51.91 m versus 633.05 +/- 57.62 m), maximal inspiratory pressure (85.42 +/- 20.52 cmH(2)O versus 110.44 +/- 32.95 cmH(2)O), maximal expiratory pressure (83.33 +/- 19.05 cmH(2)O versus 147.96 +/- 54.80 cmH(2)O) and peripheral muscle strength, pulmonary function and SF-36 sub-scores were lower in the angina group versus the healthy controls, respectively. Conclusion Impaired peripheral and respiratory muscle strength, reduction in exercise capacity and quality of life are obvious in patients with stable angina. Therefore, these parameters should be considered in stable angina physiotherapy programmes to improve impairments.Öğe Does subthalamic nucleus deep brain stimulation affect the static balance at different frequencies?(Elsevier Espana Slu, 2023) Oz, Fatma; Yucekeya, Bircan; Huzmeli, Irem; Yilmaz, AtillaPurpose: To investigate the effects of bilateral subthalamic nucleus deep brain stimulation (STN-DBS) with different stimulation frequencies on static balance. Materials and methods: Twenty patients (15 males and 5 females), aged between 43 and 81 (mean: 60.05 +/- 7.4) years, who had been diagnosed with idiopathic Parkinson's disease (PD) and undergone STN-DBS surgery were included in the study. Static balance was assessed with TecnoBody Rehabilitation System at four different frequencies: 230, 130, 90 and 60 Hz and off-stimulation. Static balance tests were 'stabilometric test, stabilometric compared bipedal closed/opened eye, stabilometric compared mono pedal (right/left foot)'. These tests reported the centre of pressure data 'ellipse area, perimeter, front/back and mediolateral standard deviations'. Results: There were no statically differences between the static balance test results at any frequency (p > 0.05), but results were found better at 90 Hz. Stabilometric compared bipedal opened eye forward-backward standard deviation result was significant between off -stimulation and 130 Hz (p = 0.04). Different frequency stimulation affected the static balance categories percentage with no statistical significance between off-stimulation and others (all p > 0.05). Conclusion: This study showed that STN-DBS did not affect the static balance negatively. Low -frequency (LF) stimulation improved the static equilibrium. Posturography systems will give more precise and quantitative results in similar studies with wide frequency ranges. (c) 2022 Sociedad Espa nola de Neurocirugi ' a. Published by Elsevier Espa n similar to a, S.L.U. All rights reserved.Öğe Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores?(Springernature, 2022) Davut, Serkan; Huzmeli, Irem; Hallaceli, Hasan; Kalacı, AydınerObjectiveThe aim of this study was to determine the balance problems and risk of falling by using digital or computerized methods in patients who underwent total knee arthroplasty (TKA) and have satisfactory functional scores in the early postoperative period.MethodologyA total of 31 participants (24 women, seven men; mean age: 61.93 +/- 10.75 years; range: 49-82 years) who underwent unilateral TKA were included. The fall risk was evaluated using the time up-and-go (TUG) test and computerized platforms. Patient-reported pain, stiffness, and physical functional outcome measures [Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford Knee Score (OKS)] and posture (New York Posture Rating Chart) were evaluated.ResultsBased on the WOMAC scores, there was a significant impact on self-reported pain (p`0.001), function (p=0.001), and stiffness (p=0.001) between preoperative and postoperative results. The OKS (p=0.006) and the TUG score (p=0.004) improved significantly, but the posture scores remained the same after the surgery. There was a statistically significant difference between the preoperative and third-month postoperative test results of the stabilometric test, bipedal opened eye, bipedal closed eye, monopedal right, and monopedal left foot static balance tests (p`0.05). However, the disequilibrium and equilibrium dynamic balance values remained unchanged three months after TKA.ConclusionsSatisfactory functional scores according to WOMAC or OKS were achieved in the early postoperative period. However, posture and dynamic balance problems related to falling risk continued to persist in the same period. Although the TUG test results were statistically significant, they also showed fall risk values. Fall risk and postural problems should be analyzed objectively using computerized methods. Early rehabilitation programs after TKA in elderly individuals should be designed accordingly and close attention must be paid to fall risks.Öğe Effectiveness of a training program for a patient with non-cardiac chest pain that combines intervention to improve quality of life, psychological state, and functional capacity: a case report(Bmc, 2023) Huzmeli, Irem; Ozer, Aysel YildizBackgroundNoncardiac chest pain (NCCP) is persistent angina-like chest pain without cardiac origin that affects the patient's health related quality of life (HrQoL), although it does not affect mortality. The effect of a comprehensive training program for NCCP focused on quality of life, psychological state, peripheral muscle strength, physical activity, and quality of life has not been previously established or published. Therefore, this study aimed to show the effectiveness of our combined training program that focuses on functional capacity, physical activity, pulmonary function, respiratory and peripheral muscle strength, dyspnea, fatigue, anxiety, and depression perception in NCCP patients with dyspnea.Case presentationA 38-year-old man with shortness of breath and NCCP was referred to to us for cardiopulmonary rehabilitation. Respiratory muscle strength (mouth pressure device), functional capacity (6 min walking test, 6-MWT), peripheral muscle strength (dynamometer), pulmonary function (spirometry), fatigue (fatigue severity scale), shortness of breath (MMRC, Modified Medical Council Research, Modified Borg Scale-MBS), physical activity (International Physical Activity Questionnaire, IPAQ), health related quality of life (SF-36, Short Form-36), and depression and anxiety (Hospital Depression and Anxiety scale, HADs) were assessed. Aerobic training combined with inspiratory muscle training (loading 30% maximal inspiratory pressure (MIP)) was administered at least 5 days/week for 6 weeks. Functional capacity, physical activity, pulmonary function, and respiratory and peripheral muscle strength improved, and dyspnea, fatigue, anxiety, and depression perception were decreased after the management.ConclusionsThis combined training program was effective for patients with NCCP and shortness of breath. Future studies should be conducted to find the most effective biopsychosocial training protocol for NCCP patients.Öğe Effectiveness of Device-Guided Breathing in Chronic Coronary Syndrome: A Randomized Controlled Study(Taiwan Soc Cardiology, 2023) Akkus, Oguz; Huzmeli, Irem; Seker, Taner; Bekler, Ozkan; Sen, Fatih; Kaypakli, Onur; Ozer, Aysel YildizBackground: Chronic coronary syndrome (CCS) is one of the most life-restricting coronary artery diseases, and symptom relief is the main goal in CCS patients who suffer from angina.Objectives: To assess the potential benefits of device-guided breathing in CCS patients with angina in this randomized, controlled, single-blinded study.Methods: Fifty-one patients with CCS received device-guided breathing for 7 days/8 weeks. Exercise capacity [exercise stress test], cardiac function [transthoracic echocardiography], and angina severity [Canadian Cardiovascular Society Classification] were evaluated initially and after the training. Device-guided breathing was performed at the lowest resistance of the device (POWERbreathe (R) Classic LR) for the control group (n = 17). The low load training group (LLTG; n = 18) and high load training group (HLTG; n = 16) were trained at 30% and 50% of maximal inspiratory pressure. Baseline characteristics were compared using one-way ANOVA and Kruskal-Wallis test. Categorical data were compared using the chi-square test. ANCOVA was performed to compare changes between three groups. A p value < 0.05 was considered statistically significant.Results: Metabolic equivalent values were significantly improved in both HLTG and LLTG groups (p < 0.001, p = 0.003). The Duke treadmill score significantly improved and shifted to low-risk both in the HLTG (p < 0.001) and LLTG (p < 0.001) groups. Angina severity significantly alleviated after the training in both HLTG and LLTG groups (p < 0.001, p = 0.002).Conclusions: An 8-week long program of short-term respiratory muscle training provided positive gains in exercise capacity and angina severity in CCS patients with angina. The effects of long-term training programs on CCS patients should be investigated clinically because of the possibility of helping to decrease the need for invasive treatments.Öğe THE EFFECTS OF CALISTHENIC EXERCISES ON SLEEP QUALITY, FATIGUE, AND DEPRESSION IN ELDER ADULTS(Turkey Assoc Physiotherapists, 2023) Cetisli-Korkmaz, Nilufer; Kara-Cakici, Guzin; Dogru-Huzmeli, Esra; Huzmeli, Irem; Melek, Ismet MuratPurpose: The physical, psychological, even economic and environmental changes emerged with age cause problems in sleep. The lack of exercise habits could increase the incidence of unfavorable sleep disorders with depression and fatigue. The aim of this non-randomized controlled study was to investigate the considerable effects of calisthenic exercises on sleep disorders, depression, and fatigue in elder adults. Methods: The study was conducted at Pamukkale University and Hatay Mustafa Kemal University. Sixty-two individuals participated in the study between May 2018-October 2019. While the Calisthenic Group (n=32) performed calisthenic exercises for 30-45minutes/session and 3days/6-weeks, and Control Group (n=30) did not performed. Fatigue, depression, and sleep quality levels were assessed using the Fatigue Severity Scale (FSS), Beck Depression Scale (BDI), and Pittsburgh Sleep Quality Index (PSQI), respectively. Results: Statistically significant differences among FSS (p=0.001), BDI (p=0.022), and PSQI (p=0.006) scores were found in the Calisthenic Group after the intervention, while there were differences only in fatigue (p=0.035) and total sleep quality (p=0.035) for the Control Group. We found that the Calisthenic Group's PSQI latency, PSQI sleep duration and PSQI total scores decreased in post-treatment. Both fatigue severity (p=0.001) and depression levels (p=0.001) were highly correlated with PSQI-subscores, except for sleep duration subscore (FSS p=0.934, BDI p=0.276). Conclusion: Regular calisthenic exercise programs may enable elders to better manage changes in the aging process. Physiotherapists should consider including calisthenic exercises in the rehabilitation programs for its effects on all parameters of sleep, fatigue, mental and emotional status in this population.Öğe Effects of Different Inspiratory Muscle Training Protocols on Exercise Capacity, Respiratory Muscle Strength, and Health-Related Quality of Life in Patients with Hypertension(Wiley-Hindawi, 2024) Huzmeli, Irem; Katayifci, Nihan; Yalcin, Fatih; Huzmeli, Esra DogruAim. This study aimed to explore how varying inspiratory muscle training workloads affect exercise capacity, health-related quality of life (HrQoL), depression, peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, and physical activity levels in hypertension (HT) patients. Methods. A randomized, controlled three-arm study. Forty-five patients (58.37 +/- 8.53 y, 7F/38M) with HT received IMT (7 days/8 weeks) by POWERbreathe (R) Classic LR device and were randomized to control group (CG, 10% maximal inspiratory pressure (MIP), n: 15), low-load group (LLG, 30% MIP), and high-load group (HLG, %50 MIP). Exercise capacity, HrQoL, depression, peripheral and respiratory muscle strength, pulmonary function, fatigue, physical activity level, dyspnea, and sleep quality were evaluated before and after the training. Results. Exercise capacity, physical functioning, peripheral muscle strength, and resting dyspnea were statistically significantly improved in HLG and LLG after the training compared to CG . Similar improvements in perception of depression, fatigue, and sleep quality were seen within and between the groups . Statistically significant differences were found within all the groups in terms of MIP and PEF values of respiratory functions . The superior improvement in the physical activity level was found in the HLG . Discussion. High-load IMT was particularly effective in increasing physical activity level, peripheral muscle strength, exercise capacity, and improved HrQoL. Low-load IMT was effective in reducing dyspnea and improving respiratory function. Device-guided breathing exercises decreased blood pressure, improved sleep quality, and strengthened respiratory muscles. IMT, an efficient method, is suggested for inclusion in rehabilitation programs due to its capacity to increase physical activity, exercise capacity, and peripheral muscle strength, enhance HrQoL and respiratory function, and alleviate dyspnea. Also, the efficacy of IMT should be investigated with different training protocols such as endurance IMT or functional IMT in HT patients.Öğe Effects of different inspiratory muscle training protocols on functional exercise capacity and respiratory and peripheral muscle strength in patients with chronic kidney disease: a randomized study(Bmc, 2024) Katayifci, Nihan; Huzmeli, Irem; Iris, Dondu; Turgut, Faruk HilmiBackground Pathological changes were observed in the diaphragm due to abnormal renal function in chronic kidney disease (CKD). Inspiratory muscle training (IMT) has been suggested for patients with CKD; however, the most appropriate intensity for IMT has not been determined. Therefore, this study aimed to investigate the effects of different IMT protocols on respiratory muscle strength, quadriceps femoris muscle strength (QMS), handgrip muscle strength (HGS), functional exercise capacity, quality of life (QoL), pulmonary function, dyspnoea, fatigue, balance, and physical activity (PA) levels in patients with CKD. Methods This randomized, controlled, single-blind study included 47 patients and they were divided into three groups: Group 1 (n = 15, IMT with 10% maximal inspiratory pressure (MIP)), Group 2 (n = 16, IMT with 30% MIP), and Group 3(n = 16; IMT with 60% MIP). MIP, maximal expiratory pressure (MEP), 6-min walking test (6-MWT), QMS, HGS, QoL, pulmonary function, dyspnoea, fatigue, balance, and PA levels were assessed before and after eight weeks of IMT. Results Increases in MIP, %MIP, 6-MWT distance, and %6-MWT were significantly higher in Groups 2 and 3 than in Group 1 after IMT (p < 0.05). MEP, %MEP, FEF25-75%, QMS, HGS, and QoL significantly increased; dyspnoea and fatigue decreased in all groups (p < 0.05). FVC, PEF, and PA improved only in Group 2, and balance improved in Groups 1 and 2 (p < 0.05). Conclusions IMT with 30% and 60% MIP similarly improves inspiratory muscle strength and functional exercise capacity. IMT with 30% is more effective in increasing PA. IMT is a beneficial method to enhance peripheral and expiratory muscle strength, respiratory function, QoL and balance, and reduce dyspnoea and fatigue. IMT with %30 could be an option for patients with CKD who do not tolerate higher intensities.Öğe Effects on Learning and Memory of Olive Leaf Extract in Streptozotocin-induced Diabetic Rats(Wiley-Blackwell, 2015) Huzmeli, Irem; Dokuyucu, Recep; Ozcan, Oguzhan; Dogan, Hatice; Tutuk, Okan; Ozturk, Atakan; Sefil, Fatih[Abstract Not Available]Öğe Evaluation of Respiratory Function in Patients with Epileptic Seizures(Kare Publ, 2021) Gokcek, Ozden; Huzmeli, Irem; Hallaceli, Hasan; Melek, Ismet; Okuyucu, Esra E.Objectives: Respiratory problems increase the number of epileptic seizures in individuals with epileptic seizures. This study aimed to determine the relationship between the number of seizures, sleep quality, and respiratory problems by evaluating the changes in respiratory parameters of epileptic patients. Methods: Thirty individuals aged 18-40 years with generalized epilepsy were included in the study. Demographic data, number of seizures per week, pulse and blood pressure measurements, age of seizures, and body mass index were recorded. Dyspnea with mMRC; pulmonary function test; level of physical activity (PA) with International physical activity assessment survey (IPAQ); mouth pressure measuring device with respiratory muscle strength; and sleep quality with Pittsburgh Sleep Quality Index (PSQI) were evaluated. Results: Thirty patients with epileptic seizures (mean age: 26.56 +/- 6.64 years) were included in the study. The mean; % maximal inspiratory pressure (MIP) 67.44, %Maximal expiratory pressure (MEP) 35.14, MIP 70.47, and MEP 62.24 cmH(2)O were found.The forced expiratory volumes/ forced vital capacity (FEV1/FVC) (41.01%) and FEV1 (62.50%; 2.56 L) was found lower than the standards. The positive correlation between the MEP, MIP, FEV1 (L), and severe PA was found. FVC with sitting, FEV1 (L) with moderate PA, and FEV1/FVC (%) with PSQI, sitting with educational status were positively correlated (p<0.05). There was a negative correlation between the %MIP and a systolic blood pressure; MIP, MEP (% and cmH(2)O) with diastolic blood pressure (p<0.05), and a positive correlation between the %MEP and SpO(2) (p<0.05). Conclusion: As a result, respiratory function, PA, and the sleep quality of individuals with epilepsy were affected. Respiratory muscle training, PA programs, and behavioral changes should be added to the medical treatment programs of these individuals.Öğe Evaluation of respiratory functions in patients with epileptic seizure(European Respiratory Soc Journals Ltd, 2019) Gokcek, Ozden; Huzmeli, Irem; Hallaceli, Hasan; Melek, Ismet[Abstract Not Available]Öğe Immediate Effect of Kinesiology Tape on Functionality, Static and Dynamic Balance, Exercise Capacity, and Posture in Users of High-Heeled Shoes(Amer Podiatric Med Assoc, 2023) Huzmeli, Irem; Sari, Zubeyir; Hallaceli, Hasan; Gokcek, Ozden; Davut, SerkanBackground: Using high-heeled shoes in daily life affects the stability of walking, body posture, and functionality. We aimed to determine the immediate effect of kinesiology taping (KT) on functionality, static and dynamic balance, exercise capacity, and posture in young women using high-heeled shoes.Methods: Thirty-seven women who wore high-heeled shoes (mean +/- SD age, 20.32 +/- 1.37 years) were divided into control (n = 20) and study (n = 17) groups. Both limbs of study group participants were taped medially, laterally, and dorsally with KT; no application was made to the control group. Balance (TecnoBody postural line), functionality (vertical jump and functional reach tests), exercise capacity (6-Minute Walk Test), and human body posture (New York Posture Rating Chart) were assessed.Results: Median use of high-heeled shoes was 8 hours daily, 5 days weekly, and 3 years in the study group versus 6 hours daily, 4 days weekly, and 4 years in the control group. Significance in functional reach distance was found within the control (P = .010) and study (P = .005) groups but not between the groups. Stabilometric monopedal right foot ellipse area (P = .016) and perimeter (P = .009); left foot ellipse area (P = .016), perimeter (P = .023), and front/back standard deviation (P = .018); and dynamic balance area gap percent-age (P = .030) were significant within the study group. Posture, vertical jump distance, exercise capacity, stabilometric test results, and bipedal closed-eye and opened-eye results were similar within and between groups (P > .05).Conclusions: Kinesiology taping has no immediate effect on exercise capacity, vertical jump function, posture, and bipedal static balance but can modulate functional reach function, static monopedal leg balance, and dynamic equilibrium. Further studies are recommended to investigate the additive effect of KT with high-heeled shoes and after 45 min, 24 hours, and 72 hours. (J Am Podiatr Med Assoc 113(4), 2023)Öğe Impairments of functional exercise capacity, muscle strength, balance and kinesiophobia in patients with chronic kidney disease: a cross-sectional study(Bmc, 2024) Katayifci, Nihan; Huzmeli, Irem; Iris, Dondu; Turgut, Faruk HilmiBackground Muscle weakness, balance, and functional capacity are affected in patients with chronic kidney disease (CKD) in dialysis. However, studies about kinesiophobia, peripheral and respiratory muscle strength, balance, exercise capacity, fatigue, and physical activity level in patients with CKD 3-4 are limited. The study aimed to compare the functional exercise capacity, peripheral and respiratory muscle strength, pulmonary function, balance, kinesiophobia, physical activity, fatigue, and dyspnea between patients with CKD 3-4 and controls.Methods This cross-sectional study included 43 patients and 45 controls. Functional exercise capacity [6-Minute Walking Test (6MWT)], peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, physical activity, balance [Berg Balance Scale (BBS)], and kinesiophobia were evaluated.Results Demographic characteristics were similar in patients [53(50-57) y, 26 M/17F] and controls [51(4.506-55) y, 33 M/12F] (p > 0.05). The 6MWT, respiratory and peripheral muscle strength, pulmonary function, physical activity, and BBS were significantly lower, and the level of dyspnea and kinesiophobia were higher in patients compared with controls (p < 0.05).Conclusions Patients had impaired functional exercise capacity, upper and lower extremity muscle strength, respiratory muscle strength, pulmonary function, and balance, increased perception of dyspnea and kinesiophobia, and reduced physical activity level compared with controls. Patients should be directed to cardiopulmonary rehabilitation programs.Öğe IMPORTANCE OF PHYSIOLOGY EDUCATION IN PHYSIOTHERAPY AND REHABILITATION(Dokuz Eylul Univ Inst Health Sciences, 2023) Huzmeli, Irem; Katayifci, NihanPurpose: Physiology is an experimental science and is present in the fundamental education of medicine and health sciences. The study aimed to investigate the importance of physiology education in physiotherapy and rehabilitation (PT).Material and Methods: The study retrieved the opinions of 249 participants (131 physiotherapists (PTs) and 118 PT students) on physiology education with an online questionnaire. The questionnaire included 30 items on the following subjects: physiology education, effects of physiology education on professional life, opinions on supplementary materials (laboratory brochures, books), and PT curriculum (lessons and lesson hours of physiology).Results: Theoretical physiology education mainly employed PowerPoint or projection (66.4% of PTs and 55.1% of students), while practical education utilized supplementary materials in the laboratories of 40.5 % of PTs and 35.6 % of students. Nearly half of the participants (47.8%) declared the quality of the physiology education as moderate. A ratio of 41.2% of PTs and 44.9% of students neither agreed nor disagreed with receiving problem-focused physiology education. Participants considered that the most critical physiology course was exercise physiology. Furthermore, they stated that physiology education was essential in clinical practice and helpful in understanding other curriculum lessons.Conclusion: Physiology education was critical in clinical lessons and professional life quality in PT. The results of the study recommend increasing and updating problem-based physiology education.Öğe Investigation of the Effects of Olive Leaf Extract on Liver Enzymes in Streptozotocin-induced Diabetic Rats(Wiley-Blackwell, 2016) Yarim, Zehra; Dokuyucu, Recep; Tutuk, Okan; Dogan, Hatice; Huzmeli, Irem; Ozcan, Oguzhan; Tumer, Cemil[Abstract Not Available]Öğe Is Low-free Triiodothyronine (fT3) Associated with Increased Morbidity in Patients Admitted to Coronary Care Units?(Bentham Science Publ Ltd, 2024) Akkus, Oguz; Sen, Fatih; Yasdibas, Ramazan; Otegen, Alper Tunga; Huzmeli, Irem; Akkus, GamzeBackground: The effects of thyroid hormone on patients hospitalized in coronary intensive care units are still controversial. Objective: We retrospectively examined thyroid hormone levels and their impact on cardiovascular morbidity in patients admitted to coronary intensive care units. Methods: A total of 208 (Female/Male; 46.6%/53.4%) patients without any history of thyroid disease were enrolled and screened. Patients with specific heart disease and existing thyroid hormone parameters were included in the study. Low triiodothyronine syndrome is characterized by reduced serum total or free T3 (fT3) concentrations in normal free T4 (fT4) and TSH levels. Results: The common diagnosis of the patients in the coronary care unit is acute coronary syndrome (n=59, 28.2%) and heart failure (n=46, 23.3%). Patients were divided into two groups according to left ventricular ejection fraction percentages (LVEF <= 39% vs LVEF >= 40%). Plasma fT3 levels were significantly correlated with low LVEF (<= 39%) (p =0.002). fT3 (r=-0.183, p =0.013) and hospitalization etiology (r=-0.161, p =0.023) were also the most critical parameters affecting the length of hospitalization. Conclusion: Low fT3 was associated with reduced ejection fraction and prolonged hospitalization, which may lead to potential morbidities in HF patients which may be useful in risk stratification and treatment strategies.Öğe Obstructive sleep apnea analysis techniques(IGI Global, 2021) Dogru-Huzmeli, Esra; Katayifci, Nihan; Huzmeli, IremObstructive sleep apnea (OSA) is a common disease in adults between 20 and 100 years of age and its prevalence has been reported to be higher in males than in females. There are several methods for measuring the severity of OSA. These include measuring the number of apnea and hypopneas per hour of sleep (apnea-hypopnea index: AHI), the degree of oxygen desaturation during sleep, or the severi ty of daytime sleepiness, which is the most common condition that negatively affects the quality of life. The gold standard test for the diagnosis of OSA is polysomnography. The pulse oximeter, home sleep apnea testing, SleepQuest device, peripheral arterial tonometry, ApneaLink Plus device, maximum static inspiratory pressure, and maximum static expiratory pressure measurements are preferred methods for OSA diagnosis. © 2021, IGI Global.Öğe The Validity and Reliability of the Turkish Version of Short Questionnaire to Assess Healthcare Professionals' Perceptions of Asynchronous Telemedicine Services(Mattioli 1885, 2022) Karadag, Mehmet; Huzmeli, Irem; Huzmeli, Esra DogruStudy Objectives: The purpose of this study was to translate the Short Questionnaire to Assess Healthcare Professionals' Perceptions of Asynchronous Telemedicine Services into Turkish, and analyze it for validity and reliability. Methods: A total of 80 individuals were accepted in this cross-sectional descriptive study. The original scale was translated into Turkish (forward translate, reconciliation, back translation, review, plot test, final scale). Cronbach alpha, exploratory and confirmatory factor analysis were employed to assess the reliability and validity of the measurement model. Results: Cronbach's alpha was obtained as 0.880 in the Quality and 0.829 in the Difficulties subscales. The overall alpha value was 0.885. ICC (95% CI) values of the scale were calculated as 0.841 (0.775 to 0.891). RNISEA=0.09 was observed below the acceptable level of 0.10; GFI=0.92, AGFI=0.81 above the acceptable threshold of 0.90. Conclusion: The Turkish version of the scale is valid and reliable, and can be used in studies evaluating healthcare professionals' perceptions of asynchronous telemedicine services.
