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Öğe Differences in steep quality and body mass index in asthmatic children and healthy control group(Codon Publications, 2021) Gokcek, Ozden; Yurdalan, Ufuk; Huzmeli, Esra Dogru; El, CigdemIntroduction: Childhood asthma has become a serious public health problem. Obesity has been determined to be one of the risk factors of asthma. Aim: We aimed to determine the difference in body mass index (BMI) and sleep quality in pediatric asthmatic individuals compared to their peers. Method: Thirty children aged 8-17 years were followed up in the Pediatric Outpatient Clinic for asthma along with 30 healthy children. The BMI percentile values of the children were recorded. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Results: Each group in our study had 10 girls and 20 boys. The mean age was found to be 11.76 +/- 2.69 years in asthma group and 11.33 +/- 2.29 years in the healthy group. The asthma group were found to be more obese than the healthy group (P = 0.033). There was a significant difference between groups interested in a sport (P = 0.028) and steep quality (P = 0.007). Conclusion: It was observed that the asthma group had more obesity and poorer sleep quality than the healthy group. Further, it was determined that in the asthma group, the level of interest in any sport was less than that in the healthy group. We think that high obesity in the asthma group reduces the effect of corticosteroids, and the continuity of nighttime cough symptoms causes deterioration in sleep quality. We conclude that participation in sports activities should be encouraged to reduce the level of obesity in asthmatic children. (C) 2021 Codon Publications. Published by Codon Publications.Öğe Evaluation of the possible effect of inspiratory muscle training on inflammation markers and oxidative stress in childhood asthma(Springer, 2023) Gokcek, Ozden; Yurdalan, Ufuk; Tugay, Baki Umut; El, Cigdem; Dogan, SerdarAirway inflammation characterized as asthma is one of the most common chronic diseases in the world. The aim of this study was to evaluate the possible effect of inspiratory muscle training on inflammation markers and oxidative stress levels in childhood asthma. A total of 105 children (age range 8-17 years), including 70 asthmatics and 35 healthy children, participated in the study. The 70 asthma patients were randomly assigned to the inspiratory muscle training (IMT) group (n = 35) and control group (n = 35), and healthy children were assigned to the healthy group (n = 35). The IMT group was treated with the threshold IMT device for 7 days/6 weeks at 30% of maximum inspiratory pressure. Respiratory muscle strength was evaluated with a mouth pressure measuring device, and respiratory function was evaluated with a spirometer. In addition, CRP, periostin, TGF-beta, and oxidative stress levels were analyzed. The evaluation was performed only once in the healthy group and twice (at the beginning and end of 6 weeks) in asthma patients. In the study, there were significant differences between asthma patients and the healthy group in terms of MIP and MEP values, respiratory function, oxidative stress level, periostin, and TGF-beta. Post-treatment, differences were observed in the oxidative stress level, periostin, and TGF-beta of the IMT group (p <.05). Conclusion: After 6 weeks of training, IMT positively contributed to reducing the inflammation level and oxidative stress. This suggests that IMT should be used as an alternative therapy to reduce inflammation and oxidative stress.Öğe İnspiratuar Kas Eğitimi Alan Astımlı Çocuk Olguda Üflemeli Enstrüman İcra Düzeyinin İncelenmesi(2021) Gökçek, Özden; Yurdalan, Ufuk; Hüzmeli, Esra Doğru; El, ÇigdemAstım, çocukluk çağında en sık görülen kronik bir hastalıktır.\rAstım hastalığında havayolu obstrüksiyonu ve ekspiratuar hava akımı\rkısıtlılığı mevcuttur. Çalışmamızda, astımlı olgunun üflemeli enstrüman\ricrasında tıbbi tedavi desteği ile inspiratuar kas eğitiminin (İKE)\retkinliği incelendi. Bu amaçla, astım tanısı almış ve 6 hafta süre ile\rİKE uygulanan 12 yaşındaki erkek olgunun solunumsal değerleri ve\ryaşam kalitesi değerlendirildi. Müzik eğitiminin çocuklarda sosyalleşme\rüzerinde ve zekâ gelişiminde (konsantrasyon düzeyi ve hafıza\rgelişimi vs) olumlu etkisi vardır. Astımlı çocukların bazı derslerden\rmuaf tutulmaları, sosyalleşme sorunlarına ve okul başarılarında düşüşlere\rneden olmaktadır. Aktivite sırasında görülen dispne algısı,\ratak geçirme korkusu ve hastane yatışları nedeniyle okula olan devamsızlık,\rçocukların akademik başarılarını, konsantrasyon düzeylerini\rolumsuz etkilemektedir. Bu çalışmada, solunumsal değerlerinde\riyileşme yanında müzik parçasının flüt ile çalınma süresinde artış olan\rbir olgu anlatılmıştır.Öğe Investigation of wind instrument performance level in an asthmatic child case receiving inspiratory muscle training(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2021) Gökçek, Özden; Yurdalan, Ufuk; Doğru Hüzmeli, Esra; El, ÇiğdemAsthma is the most common chronic disease in childhood. There are airway obstruction and expiratory airflow limitation in asthma. In our study, the effectiveness of medical treatment support and inspiratory muscle training (IMT) in the wind instrument of the asthmatic patient was examined. For this purpose, the respiratory values of a twelve-year-old male patient, who was diagnosed with asthma and underwent IMT for six weeks, and quality of life was evaluated. Music education has a positive effect on socialization and development of intelligence (concentration level and memory development, etc.) in children. Exemption of asthmatic children from some lessons causes socialization problems and decreases in school success. Perception of dyspnea during activity, fear of attacks, and absence from school due to hospitalizations negatively affect academic achievement and concentration levels of children. In this study, a case with an increase in the duration of the flute playing of musical piece besides improvement in respiratory values is described. Copyright © 2021 by Türkiye Klinikleri. This is an open