Person: ÖZDER, ACLAN
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Anxiety levels among Turkish public transportation drivers: a relation to restless legs syndrome?
The aim of this study was to estimate the prevalence of individuals who are at high risk for state and trait anxiety as well as to investigate the relationship of anxiety levels of urban transportation drivers from Istanbul, Turkey with restless legs syndrome (RLS). The data was gathered between April 2013 and June 2013 by the use of a questionnaire prepared for the purpose of this study, completed anonymously. Restless leg syndrome and anxiety level were evaluated in the group; data obtained was analyzed using the SPSS version 16. Chi-square, correlation and student-t tests were used. Restless leg syndrome symptoms were determined by a self-assessment questionnaire, including the International Restless Legs Syndrome Study Group (IRLSSG) diagnostic criteria, to determine RLS symptoms and Spielberger State-Trait Anxiety Inventory (STAI) to determine anxiety levels of the participants. In the present study, the four RLS criteria were reported in 31.2%. STAI-state and STAI-trait scores were 40.82 +/- 9.55 and 42.99 +/- 8.54 respectively. The state and trait anxiety mean scores were different among participants with RLS in this study (p < 0.05). It was found a significant difference between tobacco usage and state anxiety (p < 0.05). There were a significant difference between RLS and age, number of cigarettes daily consumed and employment time (p < 0.05). The state and trait anxiety scores were found high among bus drivers with RLS in this study.
Investigation of mean platelet volume in patients with type 2 diabetes mellitus and in subjects with impaired fasting glucose: a cost-effective tool in primary health care?
The aim of this study was to compare mean platelet volume (MPV) in patients with type 2 diabetes mellitus (T2DM), in subjects with impaired fasting glucose (IFG), and in non-diabetic controls. A total of 201 adults with T2DM and 201 subjects with IFG from the Family Medicine out-patient clinic as well as 201 healthy controls were included in the study. We measured blood fasting glucose, complete blood count and LDL-cholesterol and compared the results between the groups enrolled. In the patients with diabetes and subjects with IFG, MPV was significantly higher (10.66 ± 0.94 fL and 10.49 ± 0.96 fL, respectively ) as compared to the non-diabetic group (10.04 ± 1.01 fL) (p = 0.000). Among the diabetic subjects, a positive statistical Pearson correlation was seen between MPV and HbA1c levels (r = 0.357; p = 0.000) and fasting blood glucose (FBG) levels (r = 0.306; p = 0.000). The mean MPV in patients having HbA1C < 7.5% was 10.17 ± 0.83 fL and significantly lower than that of patients with HbA1c ≥ 7.5% (10.80 ± 0.92 fL) (p = 0.001). MPV could be used as a simple and cost-effective tool to monitor the progression and control of T2DM and thereby in preventing vascular events in primary health care.
METABOLIC SYNDROME IN COLLECTION AND DISPOSAL OF SOLID WASTE SECTOR
Objectives: This study aims to assess the frequency and factors relevant to metabolic syndrome in workers employed in the collection and disposal of solid waste sector. Materials and Methods: This cross-sectional study was conducted in the major solid waste collecting and disposal company named ISTAC AS (Istanbul Environmental Protection and Waste Processing Corporation) in Istanbul, Turkey. All 715 male employees of the company were included in the study without sampling. The study was completed with 619 subjects. Since it was a small group, female workers were not taken into account in the study. Metabolic syndrome frequency was investigated according to the NCEP-ATP III criteria including the levels of systolic and diastolic blood pressure, waist perimeter, HDL, triglyceride, fasting blood glucose values. Results: Metabolic syndrome was present in 40.9% of participating employees. Metabolic syndrome was more common in those working in the excavation field (54.0%), such as caterpillar operators (56.5%), and less common in employees working in administrative offices, such as office staff or managers, who were under 35 years old and who had been working for less than 10 years (p < 0.05). Employees working in work stations other than administrative offices had a 2.60 times higher risk compared to those working in administrative offices. Conclusions: Metabolic syndrome may be related to work station, job, age and period worked by the subjects.
Violence related behaviours among adolescent students and factors affecting thereto
© 2015 Eker HH, et al.Background: Violence among young people is an important public health problem in society. Act of violence seen in schools is disturbing students- learning processes and inhibiting their developments generally results in emotional abuse, physical injury and death. Objectives: This study is conducted in order to find out the prevalence of and exposure to violence, which is an important public health problem, in schools and to determine the factors affecting thereto. Specific factors investigated were exposure to violence, gender, age, type of school, economic status of families and level of education of mothers. Method: This cross-sectional study was performed between March 2012 and May 2012. The population is 1575 students from 9th grade and the study is completed with 1405 students accepting to participate therein. A study questionnaire form established based on the -Youth Risk Behaviour Survey (YRBS)- prepared by CDC (Center for Disease Control and Prevention) is used as data collecting tool. Results: The ratios of each violence-related behaviour are 35.8% and 14.1%, respectively for boys whereas 20.4% and 6.4% for girls. These behaviours are statistically more common among boys than girls (p < 0.05). It was found out that there is a significant relationship between the students- family income level and getting involved in a physical fight in school (p < 0.05).Though no significant relationship is detected between mother-s educational level and getting involved in a physical fight and carrying weapons, ratios of gang membership is 6.2% for students whose a mother is illiterate and is 14.3% for student whose mother-s educational level is high school and above (p < 0.05) Conclusions: It is observed that each violence-related behaviour is more common among boys and with the increase in the mother-s education, tendency of being a member of a gang and getting involved in a physical fight accordingly increases.
Determination of Genetic Changes of Rev-erb beta and Rev-erb alpha genes in Type 2 Diabetes Mellitus by Next-Generation Sequencing
Background: The nuclear receptors Rev-erb alpha and Rev-erb beta are transcription factors that regulate the function of genes in glucose and lipid metabolism, and they also form a link between circadian rhythm and metabolism. We evaluated the variations in Rev-erb alpha and Rev-erb beta genes together with biochemical parameters as risk factors in type 2 diabetic (T2DM) patients. Methods: Molecular analyses of Rev-erb alpha and Rev-erb beta genes were performed on genomic DNA by using next-generation sequencing in 42 T2DM patients (21 obese and 21 non-obese) and 66 healthy controls. Results: We found 26 rare mutations in the study groups, including 13 missense mutations, 9 silent mutations, 3 5'UTR variations, and a 3'UTR variation, of which 9 were novel variations (5 missense and 3 silent and 1 5'UTR). Six common variations were also found in the Rev-erb genes; Rev-erb beta Chr3:24003765 A > G, Rev-erb beta rs924403442 (Chr3:24006717) G > T, Rev-erb alpha Chr17:38253751 T > C, Rev-erb alpha rs72836608 C > A, Rev-erb alpha rs2314339 C > T and Rev-erb alpha rs2102928 C > T. Of these, Rev-erb beta Chr3:24003765 A > G was a novel missense mutation (p.Q197R), while others were identified as intronic variants. T2DM patients with Rev-erb beta rs924403442 T allele had lower body surface area (BSA) than noncarriers (GG genotype) (p = 0.039). Rev-erb alpha rs72836608 A allele and Rev-erb alpha rs2314339 CC genotype were associated with decreased serum HDL-cholesterol levels in T2DM patients (p = 0.025 and p = 0.027, respectively). In our study, different effects of Rev-erbs polymorphisms were found according to gender and presence of obesity. Rev-erb alpha rs72836608 (C > A) and rs2314339 (C > T) and Rev-erb alpha rs2102928 (C > T) were associated with low HDL-C levels in male T2DM patients. In female patients, Rev-erb alpha rs2102928 (C > T) was associated with high microalbuminuria and Rev-erb beta rs9244403442 G > T was associated with low HDL and high BSA values. In addition, Rev-erb alpha Chr17: 38,253,751 (T > C), rs72836608 (C > A), and rs2314339 (C > T) and Rev-erb beta Chr3:24003765 (A > G) were associated with increased serum GGT levels in obese T2DM patients. In non-obese patients, Rev-erbs SNPs had no effect on serum GGT levels. Conclusion: Our findings indicate that variations in the Rev-erb alpha and Rev-erb beta genes can affect metabolic changes in T2DM and these effects may vary depending on gender and obesity.
Bir Üniversitenin Girişimsel Olmayan Araştırmalar Etik Kuruluna Yapılan Başvurularda Eksiklikler ve Sıklıkla Yapılan Hatalar
Girişimsel olmayan araştırmalarda, ilgili etik kurulun onayını almadan çalışmalara başlamak mümkün değildir. Dünya Sağlık Örgütü-nün kurallarına göre, gerekli tüm belgeleri içeren başvuru dosyası ilgili Etik Kurula eksiksiz sunulmalıdır. Araştırmacıların başvuru dosyasındaki belgeleri eksiksiz tamamlamadaki isteksizliği, Etik Kurulların çalışma sürecini yavaşlatmakta ve hatta Etik Kurul ile araştırmacılar arasında tartışmaya bile neden olabilmektedir. Bu nedenle bu çalışma, bir üniversitenin Girişimsel Olmayan Araştırmalar Etik Kuruluna gönderilen proje başvuru dosyalarındaki eksiklikleri ve en çok yapılan hataları göstermek ve araştırmacılar için bir rehber oluşturmak amacıyla yapıldı. 24 Mart 2016 ve 30 Haziran 2018 tarihleri arasında Girişimsel Olmayan Araştırmalar Etik Kurula gönderilen başvuru dosyaları ve kararları ilgili etik kurulun veri tabanından analiz edildi. Başvuru dosyalarının revizyonuna neden olan en önemli gerekçeler, projenin amacının ilgili referanslar eşliğinde yeterince açıklanamaması ve özellikle iyi yazılamamış yöntem kısmı gibi başvuru formundaki eksikliklerdi. Araştırmacıları proje başvuru dosyası hazırlarken en çok yapılan hatalar hakkında eğitmek, Üniversite Etik Kurullarının gözden geçirme sürecinin verimliliğini ve hızını artıracaktır.
Association between nutritional status and Modic classification in degenerative disc disease
[Purpose] This study was conducted to examine the association between Modic classification and the eating habits in patients with degenerative disc disease (DDD) and to determine the influence of nutrition on disease severity. [Subjects and Methods] Sixty patients with DDD visiting a low back pain outpatient clinic were enrolled. Through face-to-face interviews, they completed questionnaires regarding their demographics, disease activity, smoking and alcohol use, concomitant diseases, disease duration, and nutritional status. Exclusion criteria were age 65 years, other comorbidities, missing MRI data, and inability to speak Turkish. [Results] Forty patients were finally included in the study. The frequency with which they consumed water, salt, fast food, eggs, milk, yogurt, cheese, whole wheat bread, white bread, butter, and margarine was recorded. A weak negative correlation was observed between the Modic types and fish and egg consumption. [Conclusion] Modic changes, which indicate the severity of DDD, seem to be correlated to patients- dietary habits. However, studies with comparison groups and larger samples are needed to confirm our promising results before any cause-and-effect relationship can be proposed.
A novel indicator predicts 2019 novel coronavirus infection in subjects with diabetes
Aims: Diabetes mellitus (DM) is associated with significant morbidity and mortality. The disease severity in 2019 novel coronavirus (Covid 19) infection has varied from mild self-limiting flu-like illness to fulminant pneumonia, respiratory failure and death. Since DM and Covid 19 infection are closely associated with inflammatory status, mean platelet volume (MPV) was suggested to be useful in predicting Covid infection onset. This study aimed to evaluate the diagnostic role of MPV in Covid patients with diabetes. Methods: A total of 640 subjects (160 Covid patients with type 2 diabetes, 160 healthy controls, 160 patients with non-spesific infections and 160 Covid patients without type 2 diabetes) enrolled in the study. Results: MPV was significantly higher (11.21 ± 0.61 fL) as compared to the results from the last routine visits of the the same individuals with diabetes (10.59 ± 0.96 fL) (p = 0.000). Conclusions: MPV could be used as a simple and cost-effective tool to predict the Covid infection in subjects with diabetes in primary care.