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    Assessment of asthma and chronic obstructive pulmonary disease awareness in university students
    (2022) Katayıfçı, Nihan; Hüzmeli, İrem; Dıkmen, Nursel; Yucekaya, Bircan
    Objective: The study was aimed to identify the awareness of the chronic obstructive pulmonary disease (COPD) and asthma among university students and to compare awareness of COPD and asthma at the faculty of health science and education. Method: The universe of this cross-sectional observational study was students at Faculty of Health Science and Education in Hatay Mustafa Kemal University. Students divided into two groups (Group I: 317 Faculty of Health Science students, and Group II: 308 Faculty of Education students). TC Ministry of Health Chronic Airway Diseases Prevention Control Program Asthma-COPD Awareness Questionnaire Form was applied to volunteer face to face or via the internet. Results: Correct answers about COPD awareness were approximately above 70% except for questions: “Is COPD a treatable disease?” and “What test is required for the diagnosis of COPD?”. Correct answers about asthma awareness were approximately above 60% except for questions “Are asthma medications addictive?” and “Is asthma a disease that can be cured completely?”. The questions about awareness of COPD and asthma were answered more correctly in Group I more than in Group II except for questions: “In which age group is COPD most common” and “Are asthma medications addictive?” (p<0.05). Conclusion: COPD and asthma awareness was greater in students from the health sciences faculty than those from the education faculty. However, the university students showed an inadequate knowledge of the diagnosis and management of COPD and the medication and management of asthma. It is thought that providing education and awareness about chronic respiratory diseases to all university students will facilitate disease management
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    Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods
    (2020) Öz, Fatma; Çiçekcibaşı, Aynur Emine; Atcı, Nesrin; Keleş, Fatma Öztürk; Yucekaya, Bircan; Hüzmeli, Esra Doğru; Damlar, İbrahim
    Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p<0.05). The depth of the mandibular fossa was significantly shallower in the TMD group (p<0.05). The most commonly encountered condylar shape was convex in the TMD group (63.6%), but flat (58.8%) in the control group. No statistically significant relationship was observed between condyle type and fossa depth (p>0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.
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    Öğe
    Volumetric analysis of the brain structures of children with down’s syndrome: A 3D MRI study
    (Ondokuz Mayis Universitesi, 2021) Oz, Fatma; Acer, Niyazi; Ceviz, Yasin; Eroz, Recep; Canatan, Halit; Yucekaya, Bircan
    Down’s syndrome (DS) is one of the most common genetic causes of mental and cognitive retardation. In fact, it results in a number of characteristic neuropsychological and physical symptoms, including mental retardation. The aim of this study was to compare the brain structure volumes of children with DS to those of healthy children using MRI Studio in order to investigate whether there exists correlation between the developmental stages of DS and the results of both the Denver II Developmental Screening Test and magnetic resonance imaging (MRI) quantitative analysis. Five children diagnosed with Down’s syndrome (age range = 2–6 years) were matched for gender and age with five healthy comparison subjects. To analyse the overall and regional brain volumes, high-resolution MRI scans were performed and a morphometric analysis was conducted via MRI Studio software. The MRI T1 volumetric images were normalised using a linear transformation, which was followed by large deformation diffeomorphic metric mapping. Significant decreases (p<0.05) in the volumes of the right pons, cerebellum and left superior frontal gyrus (prefrontal cortex) were observed in the children with DS when compared with the control group (p<0.05). Although decreases were detected in the regional volumes of other brain locations, they were not significant (p>0.05). It was further found that the developmental retardation observed in the children with DS, as detected using the Denver II test, increased due to decreases in the volumes of certain regions of the brain, although this was also not statistically significant (p>0.05). The results of this study generally confirm the findings of prior studies concerning the overall patterns of the brain volumes in children with DS and also provide new evidence of the abnormal volumes of specific regional tissue components among such a population. These results suggest that the brain volume reduction associated with DS may primarily be due to early developmental differences rather than neurodegenerative changes © 2021 Ondokuz Mayis Universitesi. All rights reserved.