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Öğe Comparative neurophysiological study for the diagnosis of mild polyneuropathy in patients with diabetes mellitus and glucose intolerance(Taylor & Francis Ltd, 2006) Turgut, Nilda; Guldiken, Sibel; Balci, Kemal; Tugrul, Armagan; Berberoglu, Ufuk; Altun, Betul UgurThis article evaluates diagnostic sensitivity of minimal F-wave latency, sural/radial amplitude ratio ( SRAR), dorsal sural/radial amplitude ratio ( DSRAR), sympathetic skin response ( SSR), and R-R interval variability ( RRIV) for detecting early polyneuropathy in patients with glucose intolerance and diabetic patients. F-wave latencies were more prolonged in diabetic patients with normal and abnormal nerve conduction studies than control subjects ( p < .001). SRAR was lower, SSR latency was more prolonged, and RRIV was lower in diabetic patients with abnormal nerve conduction studies than healty controls ( p < .001). SSR latency was more prolonged and RRIV was lower in diabetic patients with normal nerve conduction studies than healty controls ( p < .01, p < .05, respectively). DSRAR was lower in diabetic patients with normal and abnormal nerve conduction studies than control subjects ( p < .001). DSRAR was also lower in patients with glucose intolerance than control subjects ( p < .01). DSRAR was the most sensitive and specific test in either of diabetic patients with normal nerve conduction studies ( sensitivity 66%, specificity 90%) and diabetic patients with abnormal nerve conduction studies ( sensitivity 100%, specificity 90%). DSRAR is the most reliable method for detection of early nerve pathology. Patients with glucose intolerance might have subclinical neuropathy that can be demonstrated with DSRAR analysis.Öğe The effects of noise reduction by earmuffs on the physiologic and behavioral responses in very low birth weight preterm infants(Elsevier Ireland Ltd, 2012) Duran, Ridvan; Ciftdemir, Nukhet Aladag; Ozbek, Ulfet Vatansever; Berberoglu, Ufuk; Durankus, Ferit; Sut, Necdet; Acunas, BetulObjective: Preterm infants are exposed to loud noises during their stay in the neonatal intensive care unit which can lead to physiologic and behavioral alterations and even hearing loss. The use of earmuffs can reduce sound level and these changes. The objective of the present study is to evaluate the effectiveness of the earmuffs in preterm infants solely cared for in closed incubators. Methods: A comparative prospective study comprising 20 clinically stable preterm infants weighing less than 1500 g cared in closed incubator was conducted. Preterm infants acted as their own controls whereby they were observed without earmuffs (Group 1) for 2 days and with earmuffs (Group 2) on consecutive 2 days. The preterm infants' physiologic responses and Anderson Behavioral State Scoring System (ABSS) scores were assessed over 30 s every 2 h for 8 h during daytime for 4 days. Results: Out of 20 preterm infants, 6 were male and 14 female with a mean birth weight of 1220 +/- 209 g, gestational age of 29.9 +/- 2.1 weeks. The total number of measurements was 320. The mean ABSS scores of Group 1 and 2 were 3.07 +/- 1.1 and 1.34 +/- 0.3, respectively. Statistically significant difference was noted between the means of ABSS scores (p < 0.001). Preterm infants with earmuffs (87.5%) were more frequently observed in a quiet sleep state of ABSS compared with those without earmuffs (29.4%). Conclusions: Noise level reduction was associated with significant improvement in behavioral states of ABSS. We suggest that noise reduction in preterm infants with earmuffs is helpful by improving sleep efficiency and increasing time of quiet sleep. (C) 2012 Elsevier Ireland Ltd. All rights reserved.Öğe Knowledge, attitudes and self-reported practices of food service staff regarding food hygiene in Edirne, Turkey(Elsevier Sci Ltd, 2009) Tokuc, Burcu; Ekuklu, Galip; Berberoglu, Ufuk; Bilge, Esra; Dedeler, HasanThe purpose of this study was to evaluate the knowledge, attitudes and practices among food service staff with regards to food hygiene in hospitals in Edirne, Turkey, and to provide baseline data for implementing HACCP in hospital food services by carrying out a questionnaire by a face-to-face interview. The current study shows that food service staff in Edirne hospitals have insufficient knowledge regarding the basics of food hygiene. And also revealed a discrepancy between attitudes and practices towards food hygiene. There is an immediate need for continuous training among food handlers regarding safe food handling practices. (C) 2008 Elsevier Ltd. All rights reserved.Öğe Tularemia seroprevalence in humans in the region of the Hittite-Arzawa War (Inner Aegean Region), where the fiirst biological weapon was used 3300 years ago(Tubitak Scientific & Technological Research Council Turkey, 2023) Davarci, Ismail; Eryildiz, Canan; Renders, Duygu Percin; Berberoglu, Ufuk; Gurcan, SabanBackground/aim: According to Egyptian records, tularemia emerged in the Canaan region, where it was first identified and spread to Anatolia over the Euphrates. It was used as an active biological weapon for the first time in the Hittite-Arzawa War in 1320-1318 BC. This study aimed to investigate the seroprevalence of tularemia in the Inner Aegean Region, which is thought to be the region where this war was fought 3300 years ago.Materials and methods: Tularemia seropositivity in humans was investigated in 27 villages/neighborhoods in 3 districts in each of Manisa, Kiltahya, and Usak provinces. Before the study, the participants were informed about the disease via posters, and their blood samples were taken following filling out the questionnaire. Microagglutination tests were performed using in-house tularemia antigen and V plate for serological experiments. Rose-Bengal test was also performed on seropositive sera.Results: Of the total of 410 people, 226 (55.12%) were male. The mean age of the volunteers was 43.72 years. The highest participation was from Kiltahya Province. According to the results of the tularemia microagglutination test, seropositivity was detected in 6 cases. It was determined that all of the seropositive volunteers were in Kiltahya. When the tularemia antibody titers were examined, seropositivity was determined at 1/20-1/160 titers. No positivity was detected in the Rose-Bengal test for cross-reaction.Conclusion: Kiltahya has been identified as a risky region in terms of tularemia in the Inner Aegean Region. In order to use the resources in the country economically, first of all, the risk areas in terms of tularemia should be determined by serological studies in all regions. In order to increase awareness about the disease, physicians and filiation teams should be trained in risky areas. Surveillance studies should be conducted to identify and monitor possible sources in areas identified as risky.Öğe Weight, height and BMI references in Elazig: an east Anatolian city(Turkish J Pediatrics, 2011) Pirincci, Edibe; Mazicioglu, M. Mumtaz; Berberoglu, Ufuk; Acik, Yasemin; Durmus, Birsen; Ozturk, AhmetThe aim of this study was to produce the growth references for Elazig children aged 6-11 years. Data were collected in eight primary schools of Elazig in 2007. Age-and gender-specific height, weight and body mass index (BMI) references were produced with LMS (Lambda-Mu-Sigma) method and compared with reported values in an Anatolian and a metropolitan city. A total of 3,342 (1,634 females, 1,708 males) children aged 6-11 years from among 4,258 students were included in the study. Age-and gender-specific height, weight and BMI references were produced. The 3rd-97th percentiles were detected to be higher than the range of percentiles between 6-11-year-old children. We consider that this first local reference for Elazig will provide a useful tool for health planning and monitoring of growth and development.
