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Öğe Adölesan diparetik ve hemiparetik serebral palsililerde dinamik denge ve vu?cut ku?tle indeksi ile ilişkisi(6. Ulusal Fizyoterapi ve Rehabilitasyon Kongresi, 2017) Soyuer, Ferhan; Cankurtaran, Feyzan; Şırayder, Ukbe; Baydoğan, Murat Çağlar; Özkantar, VildanAmaç: Adölesan hemiparetik ve diparetik serebral palsili (SP) gruplar arasında dinamik denge yönünden farklılığı araştırmak ve denge ile vücut kütle indeksi(VKİ) ilişkisini saptamaktır. Yöntem: Çalışmamıza yaş ve cinsiyet bakımından benzer olan 12-18 yaş aralığındaki 21 hemiparetik SP’li, 19 diparetik SP’li, 26 sağlıklı adölesan alındı. Bireylerin sosyodemografik bilgileri kişisel bilgi formunda kaydedildi ve dinamik denge değerlendirmesi için ise zamanlı kalk yürü testi (ZKY testi) kullanıldı. Bulgular: Yapılan çalışmada hemiparetikler ve diparetik adölesanlar arasında hamilelikte geçirilen hastalıklar, hamilelikte sigara ve ilaç kullanımı, doğum şekli, tek/çoğul gebelik, doğum sırasında komplikasyonlar, postnatal diğer özellikler, yaş, boy, kilo, vücut kütle indeksi gibi değişkenler açısından fark bulunmadı (p?0,05). Çalışmamızda sağlıklı adölesanlar, hemiparetikler ve diparetikler SP’li adölesanların ZKY skorları yönünden en iyi sonuçlar sağlıklılarda elde edildi ve üç grup arasında bu skorlar arasında fark bulundu (p<0,001). Hemiparetik adölesanların ZKY testi skorları ise diparetiklere göre düşük bulundu (p<0,05). Ayrıca sağlıklı adölesanlar, hemiparetik ve diparetik SP’li adölesanlarda ZKY ile VKİ arasında fark bulunmadı (p>0,05). Tartışma: Serebral palsili adölesanlarda denge problemleri fonksiyonel motor aktiviteleri, yürüyüşü ve günlük yaşam aktivitelerini olumsuz yönde etkilemektedir. Araştırmaya dâhil edilen gruplardan ZKY testi skorları en iyi olan grup sağlıklı adölesanlar sonrasında ise hemiparetik SP’lilerdir. Çalışmamız, SP tiplerinden hemiparetik ve diparetik adölesanlar ile sağlıklı bireylerin dinamik dengeleri arasındaki ilişkiyi göstermesi bakımından önemlidir. Purpose: To investigate the difference in dynamic balance between adolescent hemiparetic and diparetic cerebral palsy (CP) groups and to determine the relationship between balance and body mass index (BMI). Methods: Twenty two hemiparetic, 19 diparetic CP, and 26 healthy adolescents who were similar in terms of age and gender ranged between 12-18 years old were included in this study. Socio-demographic information of the individuals was recorded in the personal information form and the Timed Up And Go (TUG) Test was used for dynamic balance evaluation. Results: No statistically significant difference found between the hemiparetic and diparetic adolescents in terms of the variables such as diseases during pregnancy, cigarette and drug use during pregnancy, birth type, single/multiple pregnancy, complications during birth, other postnatal features, age, height, weight, body mass index (p?0.05). In our study, healthy adolescents had best outcomes in terms of TUG scores and a statistically significant difference was found between these three groups (p0.05). Conclusion: Balance problems in adolescent with CP, affect functional motor activities, gait and daily life activities negatively. Among the groups included in the study, the group with the best TUG scores were healthy adolescents followed by hemiparetic CPs. Our study is important in showing the dynamic balances relationship between hemiparetic and diparetic CP types and healthy individuals.Öğe Adölesan diparetik ve hemiparetik serebral palsililerde dinamik denge ve vücut kitle indeksi ile ilişkisi(Journal of Exercise Therapy and Rehabilitation, 2018) Soyuer, Ferhan; Cankurtaran, Feyzan; Şırayder, Ukbe; Türkmen, Mustafa CemAmaç: Adölesan hemiparetik ve diparetik serebral palsili (SP) gruplar arasında dinamik denge yönünden farklılığı araştırmak ve denge ile vücut kütleindeksi(VKİ) ilişkisini saptamaktır.Yöntem: Çalışmamıza yaş ve cinsiyet bakımından benzer olan 12-18 yaş aralığındaki 21 hemiparetik SP’li, 19 diparetik SP’li, 26 sağlıklı adölesan alındı. Bireylerin sosyodemografik bilgileri kişisel bilgi formunda kaydedildive dinamik denge değerlendirmesi için ise zamanlı kalk yürü testi (ZKY testi) kullanıldı. Bulgular: Yapılan çalışmada hemiparetikler ve diparetik adölesanlar arasında hamilelikte geçirilen hastalıklar, hamilelikte sigara ve ilaç kullanımı, doğum şekli, tek/çoğul gebelik, doğum sırasında komplikasyonlar, postnatal diğer özellikler, yaş, boy, kilo, vücut kütleindeksi gibi değişkenler açısından fark bulunmadı(p?0,05). Çalışmamızda sağlıklı adölesanlar, hemiparetikler ve diparetikler SP’li adölesanların ZKY skorları yönünden en iyi sonuçlar sağlıklılarda elde edildive üç grup arasında bu skorlar arasında fark bulundu(p<0,001). Hemiparetik adölesanların ZKY testi skorları ise diparetiklere göre düşük bulundu(p<0,05). Ayrıca sağlıklı adölesanlar, hemiparetik ve diparetik SP’li adölesanlarda ZKY ile VKİ arasında fark bulunmadı(p>0,05).Tartışma: Serebral palsili adölesanlarda denge problemleri fonksiyonel motor aktiviteleri, yürüyüşü ve günlük yaşam aktivitelerini olumsuz yönde etkilemektedir. Araştırmaya dâhil edilen gruplardan ZKYtesti skorları en iyi olan grup sağlıklı adölesanlar sonrasında ise hemiparetik SP’lilerdir. Çalışmamız, SP tiplerinden hemiparetik ve diparetik adölesanlar ile sağlıklı bireylerin dinamik dengeleri arasındaki ilişkiyi göstermesi bakımından önemlidir.Anahtar kelimeler: Serebral palsi, Posturaldenge, Zamanlı Kalk Yürü Testi, Vücut kütle indeksi. Purpose: To investigate the difference indynamic balance between adolescent hemiparetic and diparetic cerebral palsy (CP) groups and to determine the relationship between balance and body mass index (BMI).Methods: Twenty two hemiparetic, 19 diparetic CP,and 26 healthy adolescents who were similar in terms of age and genderranged between12-18 years old were included in this study. Socio-demographic information of the individuals was recorded in the personal information form and the Timed Up And Go (TUG) Test was used for dynamic balance evaluation.Results: No statistically significant difference found between the hemiparetic and diparetic adolescents in terms of the variables such as diseases during pregnancy, cigarette and drug use during pregnancy, birth type, single/multiple pregnancy, complications during birth, other postnatal features, age, height, weight, body mass index(p?0.05). In our study, healthy adolescents had best outcomes in terms of TUG scores and a statistically significant difference was found between these three groups (p<0.05). The TUG scores of hemiparetics were statistically significantly lower than the diparetics (p<0.05). There was also no difference in TUG and BMI scores between healthy, hemiparetic and diparetic CP (p>0.05).Conclusion: Balance problems in adolescent with CP, affect functional motor activities, gait and daily life activities negatively. Among the groups included in the study, the group with the best TUG scores were healthy adolescents followed by hemiparetic CPs. Our study is important in showing the dynamic balances relationship between hemiparetic and diparetic CP types and healthy individuals.Öğe Diabetic children and exercise(Duzce University Medical School, 2014) Soyuer, Ferhan; Saraç, HalitDiabetes increasing prevalence in our country, which leads to serious organ loss and that may affect the life quality adversely is chronic disease. Enhancing the quality of life of people with diabetes, consisting of nutrition, exercise, medical treatment and education it is possible to four main factor. Adequate and balanced diet combined with physical activity, diabetes revealed the inhibition of the minimum level of delay and complications in are known to play an important role in the formation. Learn the diabetes is the first step to get it under control. Children with diabetes should consider regular physical activity. In studies performed previously are indicated, the exercise provides some physiological responses and insulin and blood glucose levels limities in children with diabetes. All children with diabetes must learn to exercise and sports glycemic response. To control glucose increase or decrease, appropriate dose of insulin and diet are recommended. With few limitations in physical exercises to compete on an equal footing with active young people in youth with diabetes enables the acquisition of a social environment. This review discusses the benefits of exercise and physical activity in children with diabetes. © 2012 Düzce Medical Journal.Öğe Examination of the correlation between hand grip strength and muscle mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes(Ios Press, 2023) Soyuer, Ferhan; Cankurtaran, Feyzan; Menevse, Ozlem; Zararsiz, Gozde ErturkBACKGROUND: Aging is a process that includes progressive physiological changes. Grip strength is an important indicator of current health in the elderly. OBJECTIVE: The aim of the studywas to examine the correlation between dominant-hand grip strength (HGS) and cognitive function, mid-upper arm circumference, muscle-bone mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes and determine the effect rates of these factors on HGS. METHODS: Seventy-two elderly individuals aged over 65 who lived in a nursing home were included in the study. Dominant HGS and mid-upper forearm circumference were measured. Muscle and bone masses were measured with bioelectrical impedance analysis. Mid-upper arm circumference was measured using a non-elastic tape. HGS was measured using a hand dynamometer. Cognitive function was evaluated with the Standardized Mini-Mental Test (SMMT); mobility and balance were evaluated with the Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS); the Katz Activities of Daily Living Scale (KATZ ADL) was used to evaluate daily life activities. RESULTS: There was a significant correlation between HGS and muscle and bone masses (p < 0.001). A significant correlation was found between HGS and TUGT, ADL (p = 0.001, p = 0.016). There was no significant correlation between HGS and BBS (p = 0.2). There was a correlation between HGS and SMMT at the statistical significance limit (p = 0.055). On HGS, the Body Mass Index had a 64.9% effect; the muscle mass had a 30.9% effect; the TUGT had a 27.7% effect. These parameters were found to explain 59.9% of the variance. CONCLUSION: As a global indicator of muscle strength, HGS can be used to predict age-related functional changes. Approaches to increase physical activity levels in elderly can be effective in reducing age-related negativities.Öğe Fatigue and physical performance in the elderly aged 65 and over living in a nursing home(International Journal of Family & Community Medicine, 2018) Soyuer, FerhanObjective: The purpose of this study was to investigate fatigue, physical performance and functional status in elderly aged 65 and over living in nursing home and to evaluate the influence of fatigue on functional status and physical performance in elderly. Methods: Fatigue was measured using the fatigue severity scale (FSS). Functional status was assessed using the functional independence measurement (FIM), The timed up and go test (TUG) and The five-times sit-to-stand test ( FTSS) were used to assess physical performance. Results: One hundred and ten individuals completed the study. Fatigue symtomps were found in 40 (36.3 %) older people aged 65 years and over. Higher fatigue was associated with lower FIM (p<0.05, r=0.251) and with lower TUG (p<0.05, r=0.353) and with lower FTSS (p<0.05, r= 0.312). Conclusions: Fatigue is a often symptom among older people living in nursing home. The results suggest that higher fatigue was associated with lower functional status and with lower physical performance in older people aged 65 and over.Öğe Frequency of Falls and Relationship Between Falls, Socio-demographic and Clinical Factors in Idiopathic Parkinson's Disease(Turkish Neurological Soc, 2017) Soyuer, Ferhan; Cankurtaran, Feyzan; Gultekin, Murat; Mirza, Meral; Erturk, GozdeObjective: Falls are major problems for people with Parkinson's disease. This study aimed to determine fall frequency, and the relation of socio-demographic and clinical factors in idiopathic Parkinson's disease (IPH). Materials and Methods: Eighty-seven patients with IPH who were under follow-up in Erciyes University Faculty of Medicine, Neurology Department [37 females (42.5%), and 50 males (57.5%)] were included in the study. The participants were evaluated with neurologic examination, mini-mental state examination, the Unified Parkinson's Disease Rating Scale (UPDRS), 6-meter walking test, turning time, freezing phenomenon, Hoehn and Yahr (H&Y) Scale, and ranking of fear of falls. Fall was recorded as history of fall in the 6 months before testing. Results: A total of 22 (25.3%) patients reported a fall in the 6-month period before testing. Twenty-five patients (28.7%) were stage 1.5, and 22 (25.3%) were stage 2 according to the H&Y Scale. Freezing phenomenon was observed in 34 39.1%) patients. There was no significant difference between patients with and without a history of falls according to age, sex, education, occupation, and marital status (p>0.05). According to disease period, H&Y Scale and the UPDRS, motor, turning time 360 degrees from right, turning time 360 degrees from left, balance defect at 360 degrees right turning, balance defect at 360 degrees left turning, and freezing phenomenon there were no significant difference between those with and without a history of fall (p> 0.05). There was a significant difference between those who had fallen and had not fallen according to UPDRS-mental, UPDRS-ADL, degree of fear of falling, 6-m walking time, 6-m walking test, and number of steps (p<0.05). Conclusion: Our study showed that frequency of falls and walking speed, fear of falling, activities of daily living, and mental function are important factors for falls in IPH. Fall assessment in IPH is needed for a multifactorial approach and determining these factors will be helpful for taking measures against falls.Öğe Huzurevinde kalan yaşlılarda düşme korkusu ve ilişkili faktörler(Türk Fizyoterapi ve Rehabilitasyon Dergisi, 2015) Soyuer, Ferhan; Cankurtaran, Feyzan; Sert, Serhat; Akıllı, Ahmet Halit; Bilbay, Özcan; Cengiz, CanerThis study was designed to determine fear of falling and its related variables in elderly people living in rest home.85 elderly people staying at Hacı Rukiye Gazioğlu Rest Home are included. Elderly people, are evaluated by mental state; Standardized Mini Mental Test , balance; Berg Balance Scala, mobility; Time up and go test, depression; Geriatric Depression Scale, daily of living activities; Katz’s Daily ofLiving Activities Index, fear of fall; Tinetti’s effect scale of fall and visualanalog scale.38 elderly people are (44.7%) female, 47 are male ( 55.3%). Age average is 77.36±8,68 (65-98). Due to VAS evaluation 61 of elderly people (71.8%) are effected by fear of fall. There was a statistically significant correlations only between Tinetti’s effect scale of fall and visualanalog scale and age, Katz’s Daily of Living Activities Index, Geriatric Depression Scale, Berg Balance Scala, Time up and go test (p<0,05, p<0,001). There was a statistically significant difference in Tinetti’s effect scale of fall and visualanalog scale scores between female and male, use of help equipment and not use of help equipment (p<0,01). There was a statistically significant difference in Tinetti’s effect scale of fall scores between the groups of depression and non-depression (p<0,05).Fear of fall is a very important health issue in elderly people living in rest homes. There are lots of factors detected to be in relation with fear of fall like age, gender, use of help equipment, daily of living activities, balance, mobility and depression. In order to make elderly people live like active people program for preventing fear of fall and limiting activities improving physical activities like balance and mobility and improving depression programs should be used. Huzurevinde yaşayan yaşlılarda, düşme korkusunu ve ilişkili olabilecek değişkenleri belirlemek amacıyla bu çalışma planlanmıştır.Çalışmaya Hacı Rukiye Gazioğlu Huzurevi’nde kayıtlı, alınma kriterlerine uyan 85 yaşlı dahil edilmiştir. Yaşlılar; mental durum, Standardize Mini Mental Test (SMMT), denge, Berg Denge Skalası (BDÖ), mobilite, Süreli Kalk ve Yürü Testi (SKYT), depresyon, Geriatrik Depresyon Ölçeği (GDÖ), günlük yaşam aktivitesi, Katz’in Günlük Yaşam Aktiviteleri İndeksi (GYA), düşme korkusu, Tinetti’ nin Düşmenin Etkisi Ölçeği (TDEÖ) ve Görsel Analog Skala (GAS) kullanılarak değerlendirilmiştir.Çalışmaya katılan yaşlıların 38 (%44,7)’si kadın, 47 (%55,3)’ü erkektir. Yaş ortalamaları 76,36±8,68 (65-98) yıldır. GAS değerlendirmesine göre, yaşlıların 61 (%71,8)’inin düşme korkusu yaşadığı tespit edilmiştir. TDEÖve GAS’la, yaş, Katz GYA, GDÖ, BDÖ veSKYT arasında istatistiksel olarak anlamlı bir ilişki tespit edilmiştir (p<0,05, p<0,001). TDEÖ ve GAS değerleri, kadın ve erkekler arasında ve yardımcı cihaz kullanan ve kullanmayanlar arasında istatistiksel olarak anlamlı fark göstermiştir (p<0,01). TDEÖ değerleri, depresyonu olan ve olmayan yaşlılar arasında, istatistiksel olarak anlamlı fark göstermiştir (p<0,05).Huzurevinde yaşayan yaşlılarda düşme korkusu önemli bir sağlık problemidir. Düşme korkusu ile ilişkili olduğu tespit edilmiş, yaş, cinsiyet, yardımcı cihaz kullanımı, günlük yaşam aktivitesi, denge, mobilite, depresyon gibi birçok faktör vardır. Yaşlıların, aktif bireyler olarak yaşamalarını sağlamak için, düşme korkusu ve aktivite kısıtlanmasını önleyici programlarla, denge ve mobilite gibi fiziksel becerilerini geliştirici, depresyonu iyileştiren girişimler sağlanmalıdır.Öğe Huzurevinde Kalan Yaşlılarda İdrar Kaçırma Problemi Ve Mobilite İle İlişkisi(Gümüşhane Üniversitesi, 2015) Cankurtaran, Feyzan; Soyuer, Ferhan; Akın, SibelÇalışmamız huzurevinde yaşayan yaşlılarda üriner inkontinans şikâyeti, tanılanmış ve tanı konulmamış popülasyonu belirlemek ve bağımlılık düzeyi ile ilgili olarak, kişilerin mobilite durumları ve yürüyüş yardımcısı kullanımı ile ilişkisinin olup olmadığını belirlemek amacı ile planlandı. Çalışmamıza Kayseri Büyükşehir Belediyesi Hacı Rukiye Gazioğlu Huzurevi’nde yaşayan kognitif, nörolojik ve ortopedik problemleri olmayan, 60 ve üzeri yaşta olan toplam 110 kişi dâhil edildi. Çalışmada, kişilerin demografik bilgileri, idrar kaçırma problemi ile ilgili bilgileri, yardımcı cihaz kullanımı bilgileri kaydedildi. Mobilite durumlarını değerlendirmek amacı ile zamanlı kalk ve yürü testi uygulandı. Çalışma grubumuzu oluşturan 110 yaşlının 61’i (%55,5) erkek, 49’u (%44,5) kadındı. Erkeklerin %32,7’sinde, kadınların %36,7’sinde idrar kaçırma şikayeti saptandı. İdrar kaçırma şikâyeti olan 38 kişinin 13’ünün daha önceden idrar inkontinansı tanısının bulunduğu tesbit edildi. İdrar kaçırma şikâyeti olan ve olmayan grup karşılaştırıldığında, yürüyüş yardımcısı kullanımı ve zamanlı kalk ve yürü testi açısından istatistiksel olarak anlamlı bir fark saptanmadı (p?0.05). Elde ettiğimiz sonuçlarla idrar kaçırma şikâyetinin tanılanma oranlarının arttırılması ve ilerde çalışmalarla bu problemin düşük maliyetli çözüm yollarının ortaya konulması gerektiğinin önemli olduğu düşünülmektedir.Öğe İdiopatik Parkinson Hastalarında Düşme Sıklığının, Sosyo- demografik ve Klinik Faktörlerle İlişkisi(2017) Soyuer, Ferhan; Cankurtaran, Feyzan; Gültekin, Murat; Mirza, Meral; Ertürk Zararsız, GözdeAmaç: Düşmeler, Parkinson hastaları için yaygın ve önemli bir problemdir. Çalışma, idiopatik Parkinson hastalarında (İPH) düşme sıklığını, sosyo-demografik ve klinik faktörlerin düşme ile ilişkisini belirlemek amacıyla planlanmıştır.Gereç ve Yöntem: Erciyes Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı Poliklinikleri'nde izlenen 87 İPH [37 kadın (%42,5), 50 erkek (%57,5)] çalışmaya alınmıştır. Olgular, nörolojik muayene, mini mental durum değerlendirme testi, Hoehn ve Yahr (H&Y) Evrelemesi, Birleşik Parkinson Hastalığı Değerleme Ölçeği (BPHDÖ), 6 metre yürüme testi, dönme zamanı, donma fenomeni, düşmekten ne kadar korktuğu yönünden değerlendirilmişlerdir. Düşme, testlerden önceki 6 aylık dönemde düşme hikayesi olarak kaydedilmiştir.Bulgular: Olguların, 22'sinin (%25,3), değerlendirmeden önceki 6 ayda düştükleri belirlenmiştir. H&Y Evrelemesi'ne göre olguların 25'i (%28,7) 1,5, 22'si (%25,3) 2 evresinde oldukları tespit edilmiştir. Donma fenomeni 34 (%39,1) olguda tespit edilmiştir. Yaş, cinsiyet, eğitim, meslek ve medeni durum yönünden, düşen ve düşmeyen gruplar arasında istatistiksel olarak fark bulunmamıştır (p>0,05). Hastalık süresi, H&Y Evrelemesi, BPHDÖ motor, sağdan 360 derece dönüş zamanı, soldan 360 derece dönüş zamanı, sağdan 360 derece dönüşteki denge bozukluğu, soldan 360 derece dönüşteki denge bozukluğu, donma fenomeni yönünden, düşen ve düşmeyen gruplar arasında istatistiksel olarak fark bulunmamıştır (p>0,05). BPHDÖ mental, BPHDÖ-Günlük yaşam aktiviteleri (GYA), düşmekten ne kadar korktuğu, 6 metre yürüme zamanı, 6 metre yürüme testi adım sayısı yönünden, düşen ve düşmeyen gruplar arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). GYA ölçeğinin düşme durumuna göre yapılan risk karşılaştırma sonucunda, GYA ölçüm sonuçlarına göre düşme var diyenler yok diyenlere göre 1,373 kat daha riskli durumdadır. BPHDÖ mental durum ölçüm sonuçlarına göre düşme var diyenler yok diyenlere göre 1,029 kat daha riskli durumdadır.Sonuç: Çalışmamız İPH için, düşmelerin sıklığını ve yürüme hızının, düşme korkusunun, mental durumun, günlük yaşam aktivitesinin düşmede etkili faktörler olduğunu göstermiştir. Düşmeleri değerlendirmede multi-faktöriyel yaklaşımların gerekli olduğu ve bu faktörlerin belirlenmesi ile düşmeleri önlemede gerekli önlemlerin alınabileceği sonucuna varılmıştırÖğe Impaired exercise capacity in electrostatic polyester powder paint workers(Taylor & Francis Ltd, 2021) Sirayder, Ukbe; Inal-Ince, Deniz; Acik, Cihangir; Soyuer, FerhanPurpose Limited number of studies investigated the effects of Electrostatic powder paints (EPP) on human health. We investigated the effects of EPP exposure on lung function, exercise capacity, and quality of life, and the factors determining exercise capacity in EPP workers. Methods Fifty-four male EPP workers and 54 age-matched healthy male individuals (control group) were included. Lung function and respiratory muscle strength were measured. The lower limit of normal (LLN) cut-points for FEV1 and FEV1/FVC were calculated. An EPT was used to evaluate bronchial hyperactivity. The handgrip and quadriceps muscle strength were evaluated using a hand-held dynamometer. An ISWT was used to determine exercise capacity. The physical activity level was questioned using the IPAQ. The SGRQ and NHP were used to assessing respiratory specific and general quality of life, respectively. Results Duration of work, FEV1, MIP, handgrip strength, and ISWT distance were significantly lower, and the change in FEV1 after EPT and %HRmax were significantly higher in the EPP group compared to the control group (p < 0.05). There were no subjects with a < LLN for FEV1 and FEV1/FVC in both groups. In the EPP group, ISWT distance was significantly related to age, height, duration of work, FEV1, change in FEV1 after EPT, MIP, MEP, handgrip strength, IPAQ, SGRQ, and NHP total scores (p < 0.05). The change in FEV1 after EPT, MIP, and duration of work explained % 62 of the variance in the ISWT distance (p < 0.001). Conclusions Changes in lung function based on LLN for the FEV1 and FEV1/FVC were not clinically relevant in EPP workers. Exercise capacity is impaired in EPP workers. Degree of exercise-induced bronchospasm, inspiratory muscle strength, and duration of work are the determinants of exercise capacity in EPP workers.Öğe In the new coronavirus, current effects and precautions(International Journal of Family & Community Medicine., 2020) Soyuer, FerhanIn China, the pathogen of the new coronavirus Covid-19 (coronavirus disease 2019; SARSCoV-2; previously called 2019-nCoV), originating from Wuhan and currently spreading over 6 continents, including 66 countries, is now a worldwide there are epidemics and these numbers are increasing rapidly. Countries are under increasing pressure to stop the spread of a global epidemic. At this stage, preparedness and correct sharing of information is essential to risk. This short article summarizes the current effects and measures of this new type of coronavirus.Öğe Modifiye Fried ölçeğine göre kırılganlık görülme sıklığı ve kırılganlığı etkileyen risk faktörleri(İç Hastalıkları Dergisi, 2016) Soyuer, Ferhan; Cankurtaran, Feyzan; Conger, Senem; Develi, İbrahim[Abtsract Not Available]Öğe Perceived social support systems' and depression's effects on attitudes regarding coping strategies for the disease in patients with epilepsy(Riyadh Armed Forces Hospital, 2015) Unalan, Demet; Soyuer, Ferhan; Basturk, Mustafa; Ersoy, Ali O.; Elmali, Ferhan; Ozturk, AhmetObjective: To investigate the perceived social support systems', and depression's effects on attitudes regarding coping strategies for the disease in patients with epilepsy. Methods: This cross-sectional study was conducted on 182 epileptic patients who applied to the Neurology Polyclinics of the Faculty of Medicine at Erciyes University, Kayseri, Turkey between November 2011 and November 2012. As data collection tools, we used the Multidimensional Scale of Perceived Social Support Systems, Beck Depression Inventory, and the Assessment Scale for Coping Attitudes. Results: We found that epileptic patients most frequently employed emotion-oriented coping strategies. Among the emotion-oriented coping strategies, religious coping ranked first, positive reinterpretation and growth came second, while using instrumental social support, which was one of the problem-oriented coping strategies, ranked third. The most frequently used non-functional coping methods were focus on and venting of emotions. The most influential variables on coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication. We found a negatively significant correlation among the scores of depression and emotion-oriented coping strategies, dysfunctional coping strategies, and problem-based coping strategies, while there was a positive correlation found between dysfunctional coping strategies and emotion-oriented coping strategies. Conclusions: The most influential variables on the coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication.Öğe Perceived social support systems’ and depression’s effects on attitudes regarding coping strategies for the disease in patients with epilepsy(Saudi Arabian Armed Forces Hospital, 2015) Unalan, Demet; Soyuer, Ferhan; Basturk, Mustafa; Ersoy, Ali O.; Elmali, Ferhan; Ozturk, AhmetObjective: To investigate the perceived social support systems’, and depression’s effects on attitudes regarding coping strategies for the disease in patients with epilepsy. Methods: This cross-sectional study was conducted on 182 epileptic patients who applied to the Neurology Polyclinics of the Faculty of Medicine at Erciyes University, Kayseri, Turkey between November 2011 and November 2012. As data collection tools, we used the Multidimensional Scale of Perceived Social Support Systems, Beck Depression Inventory, and the Assessment Scale for Coping Attitudes. Results: We found that epileptic patients most frequently employed emotion-oriented coping strategies. Among the emotion-oriented coping strategies, religious coping ranked first, positive reinterpretation and growth came second, while using instrumental social support, which was one of the problem-oriented coping strategies, ranked third. The most frequently used non-functional coping methods were “focus on and venting of emotions”. The most influential variables on coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication. We found a negatively significant correlation among the scores of depression and emotion-oriented coping strategies, dysfunctional coping strategies, and problem-based coping strategies, while there was a positive correlation found between dysfunctional coping strategies and emotion-oriented coping strategies. Conclusions: The most influential variables on the coping strategies of epileptic patients were age, gender, educational level, family structure, type of seizures, and the interference of the disease in communication. © 2015, Saudi Arabian Armed Forces Hospital. All rights reserved.Öğe Reliability and validity of the Turkish version of king's Parkinson's disease pain scale(Wolters Kluwer Medknow Publications, 2020) Soyuer, Ferhan; Gultekin, Murat; Cankurtaran, Feyzan; Elmali, FerhanObjective: Pain, a nonmotor symptom in Parkinson's disease (PD), affects approximately 40%-85% of patients and adversely affects their daily activities. Therefore, our aim was to establish the validity and reliability of the Turkish version of King's PD Pain Scale (KPDPS) and to make it available for Turkish patients with PD patients. Methods: The first phase of the study involved the translation and adaptation of the KPDPS to Turkish. For the language validity of the scale, a translation back-translation method was applied, and expert's opinion was considered for content validity. In the second stage, the developed Turkish scale was administered to 152 patients with PD. In the study, test-retest was performed in 50 patients for 1 week. Results: The internal consistency value was found as 0.856 in the KPDPS. When the test-retest was performed, the internal consistency value of the scale showed excellent reliability. The test-retest-Cronbach's alpha value for the whole scale was 0.827. According to the data analysis results, it showed that 14 items on the scale were sufficient for the evaluation of pain in patients with PD. Conclusion: The results from this study show that KPDPS items have adequate internal consistency and test-retest reliability. The Turkish KPDPS can be used as a reliable and valid instrument for assessing the pain symptoms common to patients with PD.Öğe The evaluation of gait problems and related factors in patients with Parkinson’s disease(International Journal of Family & Community Medicine, 2018) Soyuer, Ferhan; Cankurtaran, Feyzan; Kahrıman, MeryemBackground/aim: The purpose of study is to determine the gait performance and other factors related to turning in mild and moderate phase Parkinson’s disease patients (PD). Methods: Ninety two patients were followed up for observation. After passing neurological examinations, the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn/Yahr Scale (H&Y), Mini Mental State Examination (MMSE), Tinetti test, Berg Balance test, 6 m walking test, step count, 360° turning duration, and Functional Independence Measure (FIM) were applied. All cases were evaluated according to the “on” period. Results: Forty one females and 51 males participated in the study. The duration of time it took to turn right was 8.22 ±6.26 seconds, and the time it took to turn from left was 8.51±6.63 sec. There appeared to be no statistical difference in the turn times of patients either in terms of the socio-economic factors of gender, education level, or employment status. But, statistically significant relationships were found when it came to in both directions, age, duration of illness, UPDRS, FIM, Tinetti, the Berg Test, the walking test, and the number of steps taken. Conclusion: Results suggest that 360 degree turning performance in mild and moderate stage PD is strongly associated with patient’s age, disease duration and disease severity.Öğe Turning performance and factors related to turning in mild and moderate phase Parkinson’s disease patients(International Journal of Aging Research, 2018) Soyuer, Ferhan; Cankurtaran, Feyzan; Yiğit, Meryem Kaygısız; Yalvaç, Beyza; Dilek, Fatma; Canger, Emin MuratBackground/aim: The purpose of study is to determine the turning performance and other factors related to turning in mild and moderate phase Parkinson’s disease patients (PD). Methods: Ninety two patients were followed up for observation. After passing neurological examinations, the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn / Yahr Scale (H&Y), Mini Mental State Examination (MMSE), Tinetti test, Berg Balance test, 6 m walking test, step count, 360° turning duration, and Functional Independence Measure (FIM) were applied. All cases were evaluated according to the “on” period. Results: Forty one females and 51 males participated in the study. The duration of time it took to turn right was 8.22 ± 6.26 seconds, and the time it took to turn from left was 8.51 ± 6.63 sec. There appeared to be no statistical difference in the turn times of patients either in terms of the socio-economic factors of gender, education level, or employment status. But, statistically significant relationships were found when it came to in both directions, age, duration of illness, UPDRS, FIM, Tinetti, the Berg Test, the walking test, and the number of steps taken. Conclusion: Our results suggest that 360 degree turning performance in mild and moderate stage PD is strongly associated with patient’s age, disease duration and disease severity.Öğe Turning performance and factors related to turning in mild and moderate Phase Parkinson’s Disease patients(International Journal of Aging Research, 2018) Soyuer, Ferhan; Cankurtaran, Feyzan; Maraş, Meryem; Ayvaz, Elif NurBackground/aim: The purpose of study is to determine the turning performance and other factors related to turning in mild and moderate phase Parkinson’s disease patients (PD). Methods: Ninety two patients were followed up for observation. After passing neurological examinations, the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn / Yahr Scale (H&Y), Mini Mental State Examination (MMSE), Tinetti test, Berg Balance test, 6 m walking test, step count, 360° turning duration, and Functional Independence Measure (FIM) were applied. All cases were evaluated according to the “on” period. Results: Forty one females and 51 males participated in the study. The duration of time it took to turn right was 8.22 ± 6.26 seconds, and the time it took to turn from left was 8.51 ± 6.63 sec. There appeared to be no statistical difference in the turn times of patients either in terms of the socio-economic factors of gender, education level, or employment status. But, statistically significant relationships were found when it came to in both directions, age, duration of illness, UPDRS, FIM, Tinetti, the Berg Test, the walking test, and the number of steps taken. Conclusion: Our results suggest that 360 degree turning performance in mild and moderate stage PD is strongly associated with patient’s age, disease duration and disease severity.Öğe Üniversite Öğrencilerinin Sosyal Kaygı Düzeyleri Ve Bunun Depresyon, Anksiyete ve Demografik, Sosyo-Kültürel Özelliklerle İlişkisi(Kafkas Üniversitesi, 2018) Ünalan, Demet; Soyuer, Ferhan; Baştürk, Mustafa; Elmalı, FerhanAmaç: Bu çalışmanın amacı, üniversite öğrencilerinde sosyal kaygı düzeylerinin belirlenmesi, bunun depresyon, anksiyete ve demografik, sosyo-kültürel özelliklerle ilişkisini araştırmaktır. Materyal ve Metot: Kesitsel tipteki bu çalışmada, 20112012 eğitim- öğretim yılında, Erciyes Üniversitesi Sağlık hizmetleri Meslek Yüksekokulu’nda 10 farklı programda öğrenim gören 264 (%83.8) öğrenci üzerinde yürütülmüştür. Araştırmada veri toplama aracı olarak, öğrencilerin demografik-sosyokültürel özelliklerini içeren kişisel bilgi formu ile Sosyal Kaygı Ölçeği, Beck depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ) kullanılmıştır. İki grubun ortalamalarının karşılaştırılmasında Mann-Whitney U testi, iki den fazla grup ortalamalarının karşılaştırılmasında tek yönlü varyans analizi ve/veya Kruskal Wallis testi uygulanmıştır. Değişkenler arasındaki ilişkinin değerlendirilmesinde sperman korelasyon katsayısı hesaplanmıştır. Bulgular: Öğrencilerin “sosyal kaygı” puan ortancası 33 ( 0-109), alt boyut puanı ortancaları ise, “sosyal kaçınma” 12.0 ( 6.0-20.75), “eleştirilme kaygısı” 14.0 ( 8.0-20.75), “bireysel değersizlik” ise 6.0 ( 2.0-10.0) olarak bulunmuştur. Konut tipi müstakil olan öğrencilerin “sosyal kaçınma” puanı anlamlı düzeyde yüksek bulunmuştur (p<0.05). Yaşamının uzun bir süresini köyde geçirenlerin “sosyal kaçınma” puanları ilçede geçirenlere göre, “bireysel değersizlik” puanları ise il ve ilçede yaşayanlara göre anlamlı düzeyde yüksek bulunmuştur (p<0.05). Araştırmamızda öğrencilerin gelir düzeyleri ile “sosyal kaçınma” (rho=-0.129, p=0.037) eleştirilme kaygısı” (rho=-0.123, p=0.046) ve bireysel değersizlik” (rho=-0.155, p=0.012) alt boyut puanları arasında negatif yönde anlamlı bir ilişki bulunmuştur. Öğrencilerin depresyon ve anksiyete puanları ile “sosyal kaçınma” eleştirilme kaygısı” ve bireysel değersizlik” alt boyut puanları arasında pozitif yönde anlamlı bir ilişki bulunmuştur (p<0.001).Sonuç: Kültürel bir boyutu da bulunan sosyal kaygının oluşmaması için gerek aile içerisinde gerekse eğitim sürecinde çocuk ve gençlerin “yetersiz ben” duygusunun gelişmesine sebep olabilecek tutumlar yerine “yeterli ben” duygusunun gelişmesi ve pekişmesini sağlayacak tutumların geliştirilmesi ve sosyalleşmenin artırılması için gerekli politikaların oluşturulması uygunÖğe World is on alarm for “Coronavirus”(Open Access J Sci., 2020) Soyuer, Ferhan[Abtsract Not Available]
