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Öğe Effects of sildenafil and vardenafil treatments on sleep quality and depression in hemodialysis patients with erectile dysfunction(NATURE PUBLISHING GROUP, 2011) Solak, Y.; Atalay, H.; Kan, S.; Kaynar, M.; Bodur, S.; Yeksan, M.; Turk, S.ED is prevalent in hemodialysis (HD) patients, and closely related to poor sleep and depression. Efficacy of treating ED either with sildenafil or vardenafil has been shown to be beneficial in ameliorating concomitant depression in non-HD patients. It is yet to be shown whether treatment of ED with a PDE-5 inhibitor would improve poor sleep in HD patients. We aimed to compare the effects of sildenafil and vardenafil on sleep quality and depression in HD patients with ED. A total of 32 maintenance HD patients with ED randomized into two groups to receive either sildenafil or vardenafil for 4 weeks. After a 2-week washout and a crossover, each group received the other drug for another 4-week period. Sleep quality and depression were evaluated via post-sleep inventory (PSI) and Beck's depression inventory (BDI), respectively, at baseline and at the end of the treatment. Sildenafil and vardenafil both improved PSI and BDI scores significantly compared with pretreatment values. However, there was no difference between sildenafil and vardenafil with respect to these parameters. PDE-5 inhibitors, sildenafil and vardenafil, caused a significant improvement in sleep quality and depression in this cohort of HD patients with ED. International Journal of Impotence Research (2011) 23, 27-31; doi:10.1038/ijir.2010.32; published online 6 January 2011Öğe Evaluation of the efficacy of methotrexate and cyclosporine therapies on psoriatic nails: a one-blind, randomized study(WILEY, 2011) Gumusel, M.; Ozdemir, M.; Mevlitoglu, I.; Bodur, S.Background Treatment of psoriatic nail is difficult. Objective The aim of this study was to evaluate and compare the efficacy and safety of methotrexate and cyclosporine in psoriatic nail. Methods Thirty-seven psoriatic patients with nail involvement were randomized to treatment with methotrexate (initial dose, 15 mg per week) or cyclosporine (initial dose, 5 mg per kg of bodyweight per day) for 24 weeks. The primary outcome was the Nail Psoriasis Severity Index (NAPSI). The Psoriasis Area and Severity Index (PASI), doctor and patient global score were also measured. The scores were determined by a blinded observer. Results Seventeen patients completed the study in each group. The mean percentages of reduction of the NAPSI score after methotrexate and cyclosporine treatments were 43.3% and 37.2%, respectively. No significant differences between the treatment groups was found for in the NAPSI, PASI, physician's and patient's global score at the end of the study period. The methotrexate group showed a significant improvement in nail matrix scores and the cyclosporine group in nail bed score. Conclusion Moderate effectiveness on psoriatic nail was found in the two treatment agents and there were no significant differences in efficacy between the groups. A significant improvement was detected in methotrexate group for the nail matrix findings, and in cyclosporine group for the nail bed findings.Öğe Fluid replacement via the rectum for treatment of hypovolaemic shock in an animal model(B M J PUBLISHING GROUP, 2006) Girisgin, A. S.; Acar, F.; Cander, B.; Gul, M.; Kocak, S.; Bodur, S.Background: The importance of early and effective fluid resuscitation in hypovolaemic shock treatment is indisputable. Aim: To examine the effects of fluid replacement via the rectum in an animal model of hypovolaemic shock as a possible life-saving method in situations where veins cannot be accessed quickly. Methods: Rabbits were randomly divided into two groups: a control group of 7 animals and a second group of 10, the fluid replacement via the rectum (FRVR) group. The femoral artery of each subject was catheterised and 15 ml blood was withdrawn over 1 min at 5-min intervals. After reaching a mean arterial pressure ( MAP) of 30 mm Hg, additional blood was withdrawn until the MAP dropped to,25 mm Hg, at which time blood withdrawal ceased. At this point, control animals were given no treatment and were monitored for 30 min. The FRVR group, however, was given 0.9% sodium chloride solution ( amount equal to three times the amount of blood withdrawn) via the rectum over a 15-min period. The MAPs of both groups were then measured, every 5 min after the start of resuscitation, for 30 min. Results: In the FRVR group, the MAP began to rise significantly after 15 min of receiving fluid per rectum ( p = 0.035) and continued to be significantly greater than the control group at 20, 25 and 30 min ( p = 0.035, 0.002 and 0.001, respectively). Conclusion: FRVR is a viable alternative for fluid resuscitation in this animal model of hypovolaemic shock. This easy and non-invasive method of fluid replacement may be useful when standard intravenous access is unobtainable, and should be compared with other access routes using varying types and amounts of fluids in future animal studies.Öğe The Frequency of Consanguinity in Konya, Turkey, and Its Medical Effects(MEDECINE ET HYGIENE, 1997) Demirel, S.; Kaplanoğlu, N.; Acar, A.; Bodur, S.; Paydak, F.This study was conducted in the town of Konya, Turkey, on 1120 randomly selected women to find out the overall rate of consanguineous marriages among couples. The frequency of consanguineous marriages was found to be 23.2 %. It was found that 14.6% of this figure was first cousin marriages and the rest was 8.6%. Consanguineous marriages were higher among women born in villages compared to those born in provinces and the town center. Based on the findings, it was not too difficult to say: the higher the level of education of women, the lower the rate of consanguineous marriages. The number of children with an abnormality was high in consanguineous marriages, while the frequency of spontaneous abortion, still-birth and infant death remained the same.Öğe Job Satisfaction of Health Care Staff Employed at Health Centres in Turkey(OXFORD UNIV PRESS, 2002) Bodur, S.The objective of the study was to identify job satisfaction levels and their causes among health care workers employed at public health centres. A survey was therefore carried out of health care workers in 21 health centres in Konya, Turkey. The Minnesota Satisfaction Questionnaire was used to investigate job satisfaction. The satisfaction score and proportion of those satisfied were determined according to demographic features. The percentage of satisfied health care workers was 60% and the satisfaction score was 3.8 +/- 0.5. Midwives had the lowest satisfaction scores. Working environment and income were the most important factors for dissatisfaction. There was no correlation between global satisfaction and other demographic variables. These results showed that the health care workers at public health centres in the province have low satisfaction scores. Improving working conditions and income may improve the overall quality of health care provision.Öğe Konya'da Çocukların Aşılanma Hızı ve Ailenin Aşı ile İlgili Tutumu(1997) Bodur, S.; Batan, N.; Akdin, S.Amaç: Çalışma, toplumumuzda çocukların aşılanma hızları ve ailelerin aşılama ile ilgili tutumunu belirlemek amacıyla yapıldı. Yöntem: 1997 yılında yapılan araştırmanın evreni Konya il merkezindeki 2-23 aylık çocuklar olup örneklem küme yöntemiyle belirlendi. Veriler gözlem ve anket yardımıyla toplandı. Bulgular: Annesiyle görüşülen 467 çocuğun % 79.9’u yaşına göre tam aşılı idi. Annelerin % 81.8’inin çocuklarını aşıya vaktinde götürdüğü belirlendi. Bir sonraki aşı randevusunu hatırlama hızı da benzerdi (% 82.3). Öğrenim ve ekonomik düzeyi düşük olanlar çocuklarını aşıya daha düzensiz götürmekteydi. Çocukların % 83.3’ünün aşı kartı vardı. Genç anneler diğerlerine göre aşı kartını daha yüksek sıklıkta saklamaktaydı. Sonuç: Konya il merkezinde bağışıklama hızı Genişletilmiş Bağışıklama Programı hedeflerinin altındadır. İşsizliğin önlenmesinin, kadınların öğrenim düzeyinin yükseltilmesinin ve sağlık eğitiminin süreklilik kazanmasının aşılama oranına olumlu etki yapacağı kanısına varıldı.Öğe Relationship between vitamin D receptor gene polyrnorphism and periodontal diseases.(INT AMER ASSOC DENTAL RESEARCHI A D R/A A D R, 2003) Erdal, M. E.; Duran, L.; Erdal, N.; Ozgur, Z.; Bodur, S.[Abstract not Available]Öğe Using Whoqol-Bref to Evaluate Quality of Life Among Turkish Elders in Different Residential Environments(Springer France, 2009) Bodur, S.; Cingil, D. DayanırThis study used the Brief Version of The World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF) to assess and compare the quality of life in older people who live at home and older people who live in public assisted-living facilities for the elderly. Cross-sectional. Data were collected by a research nurse in each home and in the assisted living facility. Participants were 60 years old and older. The sample included 37 people who were living in a public assisted-living facility and 37 elderly people living in their own homes. The WHOQOL-BREF was used to measure participants' quality of life. The groups were similar according to gender, literacy, existence of chronic diseases, and general perceived health. However, quality of life scores for social relationships and environment domains were lower in those living in an assisted living facility than those living in their own homes. The scores for elderly females staying in the assisted living facility were lower compared to the scores of males in the facility. The results suggest that social and environmental domains of life quality are low in elderly assisted living facilities. Social activities should be diversified for elderly people staying in assisted living facilities to improve social relationships. Physical and psychological health of females in assisted living facilities should be comprehensively supported by professionals. Alternatively, elderly people may be professionally supported to live in their own homes.