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  • Küçük Resim Yok
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    Coronavirus ve Fitoterapi
    (Sağlık Bilimleri Üniversitesi, 2020) Uçar, Demet; Tayfun, Kanat; Müslümanoğlu, Ahmet Yaser; Kalaycı, Mehmet Zafer
    Dünya Sağlık Örgütü tarafından, 2020 yılının şubat ayında, SARS-CoV-2 olarak adlandırılan ve COVID-19 hastalığına neden olan virüs pandemi nedeni olarak ilan edilmiştir. Ani gelişen solunum sıkıntısıyla ortaya çıkan alt solunum sistemi tutulumu özellikle immun yetersizliği olan bireylerde mortal seyretmektedir. Halihazırda SARS-CoV-2’yi hedefleyen etkili spesifik bir ilaç tanımlanmış değildir. Esas olan; hastalık öncesinde immuniteyi artırmak, hastalık etkeniyle karşılaşıldığında ise kimyasal ilaçların beklenen/olası yan etkilerini belirli oranda azaltılarak hastanın tedaviye uyumunun artırılmasıdır. COVID-19 enfeksiyonunun tedavisinde fitoterapötik düzeyde Curcuma Longa, Vitamin D, Vitamin C, Vitamin A, Zn, Fe, Propolis, Scutellaria baicalensis, Glycyrrhiza glabra, Allium cepa, Malus domestica, Solanum lycopersicum, Fragaria, Matricaria recutita, Petroselinum crispum, Apium graveolens, Allium sativum, Quercetin, Astragalus membranaceus, Miselyum Mantarı Ekstresi, Mentha piperita, Andrographis paniculata, Rheum Palmatum, Aloe vera, Salvia officinalis, Melissa officinalis ,Rosa canina, Nigella Sativa ve Rhus typhina kullanılabilir. Ayrıca Geleneksel Çin Tıbbı’na ait Saposhnikoviae divaricata, Rhizoma Atractylodis Macrocephalae, Lonicerae Japonicae Flos, Fructus forsythia, Atractylodis Rhizoma, Radix platycodonis, Agastache rugosa, Cyrtomium fortune J. Sm, ShuFengJieDu ve Lianhuaqingwen kapsülleri önerilebilir. GÇT'da kullanılan tıbbi bitkilerin viruslerin hücreye tutunmasını, hücre içine girmesini, sinsisyal formasyon oluşumunu inhibe ettiği, hava yolu inflamasyonunu azalttığı, interferon sekresyonu ve immun sistem stimulasyonu yaptığı bildirilmiştir. Coronavirus tedavisinde konvansiyonel tedavinin yanında fitoterapinin integratif bir tedavi yöntemi olarak kullanılmasının faydalı olacağı öngörülmektedir.
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    Demographic and clinical characteristics of inpatient stroke patients in Turkey
    (Turkish Society of Physical Medicine and Rehabilitation, 2022) Uçar, Demet; vd.
    Objectives: This study aims to assess the stroke rehabilitation facilities provided by university hospitals (UHs) and training and research hospitals (TRHs) and to evaluate the geographical disparities in stroke rehabilitation.Patients and methods: Between April 2013 and April 2014 a total of 1,529 stroke patients (817 males, 712 females; mean age: 61.7±14.0 years; range, 12 to 91 years) who were admitted to the physical medicine and rehabilitation clinics in 20 tertiary care centers were retrospectively analyzed. Demographic, regional and clinical characteristics, details of rehabilitation period, functional status, and complications were collected. Results: The median duration of stroke was five (range, 1 to 360) months. The ratio of the patients treated in the TRH in the Marmara region was 77%, but only 25% of the patients were living in the Marmara region. Duration of hospitalization was longer in the TRHs with a median of 28 days compared to those of UHs (median: 22 days) (p<0.0001). More than half of the patients (55%) were rehabilitated in the Marmara region. Time after stroke was the highest in the Southeast region with a median of 12 (range, 1 to 230) months and the lowest in the Aegean region with a median of four (range, 1 to 84) months. Conclusion: This study provides an insight into the situation of stroke rehabilitation settings and characteristics of stroke patients in Turkey. A standard method of patient evaluation and a registry system may provide data about the efficacy of stroke rehabilitation and may help to focus on the problems that hinder a better outcome
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    Extruded Disc Herniations Are Experienced Earlier By İnactive Young People İn The High-Tech Gaming Era
    (Bucharest : "Carol Davila" University Press, 2021) Uçar, Demet; Duman, Sedat; Bayram, Yusuf; Uçar, Bekir Yavuz
    In this study, we would like to draw attention to the advanced disc diseases seen in young people. The objective is to investigate the reasons for the increasing trend of disc herniations in young people. A total of 33 young patients with extruded lumbar disc herniations managed by conservative or surgical approaches between 2017 and 2018 were included. The average patient age was 25 years. Smoking, familial predisposition, sporting activity, and the occupation of the patients were questioned and noted. A visual analog scale (VAS) was used to assess the efficacy of pain. Body mass index (BMI) was calculated. All patients were subjected to lumbar magnetic resonance imaging. Eighteen patients (8 females, 10 males) had disc extrusion at the L5-S1 level, whereas 12 patients (8 females, 4 males) had disc extrusion at the L4-L5 level. Three other patients had disc extrusion at the level of both L4-L5 and L5-S1 levels. Motor deficits were detected in four patients, and surgical treatment was required and performed. The other 29 patients were treated conservatively. Young non-sport-oriented patients may face severe disc herniations. Understanding how spine degeneration can affect the likelihood of developing a herniated disc can help people make small lifestyle changes to postpone any serious pain and deficits. While aging is unavoidable, simple lifestyle changes can help improve overall spine health and deter the risk of developing a degenerative spine condition.