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Öğe Epicardial Adipose Tissue and Atherosclerosis In Patients With Familial Mediterranean Fever(WILEY-BLACKWELL, 2013) Küçük, Adem; Solak, Yalçın; Akıllı, Hakan; Yıldırım, Oğuzhan; Güler, İbrahim; Uçar, Ramazan; Arıbaş, Alpay[Abstract not Available]Öğe EVALUATION OF THE SLEEP QUALITY IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER(CARBONE EDITORE, 2015) Küçük, Adem; Albayrak, İlknur; Bağçacı, Sinan; Karpuz, Savaş; Küçükşen, Sami; Tunç, RecepBackground: Familial Mediterranean Fever (FMF) is a hereditary autoimmune disorder characterised by acute attacks of fever and serosal inflammation. This study aimed to investigate sleep quality in patients with familial Mediterranean fever (FMF). Methods The study involved 86 patients. The patients were enrolled in the study during an attack-free period. The sleep quality of all the patients. was evaluated by the Pittsburgh Sleep Quality Index (PSQ1). Results: The PSQ1 total score was 6.5 +/- 4 and the prevalence of poor sleepers was 50% (43/86) according the PSQ1 total score in this study. Women with a higher number of attacks per year and patients resistant to the colchicine treatment had a. poorer sleep quality (p<0.05)., Conclusions: This study underlines the need to assess and manage sleep problems in patients with FMF. Poor sleep quality cause other symptoms of the disease to aggravate. So, the physician must also assess the sleep quality when questioning the routine complaints Of the patients with FMF.Öğe Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis(TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY, 2017) Gezer, İlknur Albayrak; Balkarlı, Ayşe; Can, Beray; Bağçacı, Sinan; Küçükşen, Sami; Küçük, AdemBackground/aim: The aim of this study was to evaluate and determine the relationships (if any) among pain, depression levels, fatigue, sleep quality, and quality of life in patients with rheumatoid arthritis (RA) aged 65 years and over, and to compare the results with those of RA patients under 65 years of age. Materials and methods: The study included 52 patients with RA aged 65 years and over (Group 1) and 84 patients with RA under 65 years of age (Group 2). Pain, depression levels, fatigue, sleep quality, quality of life, and disease activity of all of the participants were evaluated using a visual analog scale (VAS), the Beck Depression Inventory (BDI), the Checklist Individual Strength (CIS), the Pittsburgh Sleep Quality Index (PSQI), the Short Form-36 (SF-36), and the Disease Activity Score-28, respectively. Results: When the two groups were compared, higher scores for the VAS, BDI, total CIS, and PSQI were found in Group 1 compared to Group 2 (P = 0.003, P = 0.003, P = 0.007, and P = 0.001, respectively). The SF-36 subscales of the physical component summary and mental component summary were not statistically significantly different between the two groups (P > 0.05). Conclusion: This study evaluated the situation in elderly patients with RA and showed that pain, depression level, fatigue, and sleep quality worsen with age.Öğe Spontaneous patellar tendon rupture in a case followed up for diagnosis of systemic lupus erythematosus(2014) Albayrak, İlknur; Küçük, Adem; Arslan, Şevket; Özbek, OrhanSpontaneous patellar tendon rupture is a rare condition that usually occurs secondary to conditions, such as rheumatoid arthritis, systemic lupus erythematosus (SLE), and use of steroids and fluoroquinolones. This paper presents a full-thickness patellar tendon rupture detected with magnetic resonance imaging, which was performed due to pain and swelling that started spontaneously on the front side of the left knee without a history of any trauma, of a 35-year-old male patient who had been followed up for a diagnosis of SLE for approximately 4 months and who had started taking methylprednisolone 4 mg/day 4 months prior, used it for 1 month, and then stopped using it. In patients who are followed up for a diagnosis of SLE, it should be kept in mind that there is a risk of developing a spontaneous tendon rupture secondary to chronic inflammation and use of corticosteroidsÖğe Tibia Platosunun Spontan Osteonekrozu(2014) Çubukçu, Murat; Ordahan, Banu; Küçük, Adem; Kaya, BuğraTibia platosunun spontan osteonekrozu: Olgu sunumuOsteonekroz nedeni tam olarak bilinmeyen eklemin yapısını bozan ve ilerleyici fonksiyon kaybına neden olan bir hastalıktır. Osteonekroz kalça ekleminde sık görülmesine karşın, diz ekleminde oldukça seyrek rastlanan patolojik bir durumdur. En sık görülen diz osteonekroz tipi idiyopatik (spontan) tiptir. Altmış yaş üstünde daha sık görülür. Bu olgu sunumunda otuz dokuz yaşında kadın hastada aniden gelişen diz ağrısı sonrasında saptanan spontan osteonekroz olgusu sunulmuştur.