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Öğe An assessment of the face on Turkish and African students.(Allied Acad, 2017) Acar, Musa; Alkan, Senay Burcin; Ulusoy, Mahinur; Akkubak, YaseminIntroduction: Calculating the values about the human body dimensions and evaluating them is possible by physical anthropometry. Those values are affected by the factors such as ecological, biological, geographic, racial, gender and age. Method: This study has been carried out on 40 (20 male, 20 female) Turkish and 40 (20 male, 20 female) African students whose ages differed between 18-25 studying in the University of Mevlana and University of Necmettin Erbakan. In the research, the individuals who had been identified with a morphological deformation had a major trauma and plastical or reconstructive surgeries are excluded. The parameters for measurement have been determined as; eye-fissure width (right), eye-fissure width (left), intercanthal distance, outercanthal distance, nose width, nose height, mouth width. Results: Morphometric parameters belonging to both race males and female ears were compared between genders. Right and left tragus-helix and tragus-antihelix distance of Turkish male individuals were founded significantly lower than African male individuals, right and left lobular width and lobular height were founded significantly higher than African male individuals (p<0.05). Left and right ear length of Turkish female individuals, lobular width and left lobular width were founded significantly higher than African Female individuals (p<0.05). Conclusion: Consequently, the values we obtained are important for establishing a referential gap between the individuals of Turkish and African races. Also we are of the opinion that those values will be useful to the anatomists in the anatomical education and to the aesthetic surgeons and dentists.Öğe Effects of the COVID-19 pandemic on psychology and disease activity in patients with ankylosing spondylitis and rheumatoid arthritis(Tubitak Scientific & Technological Research Council Turkey, 2021) Gica, Sakir; Akkubak, Yasemin; Aksoy, Zakire Kubra; Kucuk, Adem; Cure, ErkanBackground/aim: The COVID-19 outbreak is known to increase stress levels of most patients with chronic diseases. Patients with ankylosing spondylitis (AS) and rheumatoid arthritis (RA) are highly susceptible to environmental stress. In the current study, we aimed to determine how the COVID-19 pandemic psychologically affected patients with chronic progressive diseases such as AS and RA and the effects of these psychological factors on disease activity. Materials and methods: Age and sex-matched patients with AS (n = 80), RA (n = 80), and healthy controls (n = 80) were included in the study. All participants were evaluated with the Perceived COVID-19 Threat Form (PCTF), Suicide-Ideation Scale (SIS), Hospital Anxiety and Depression Scale (HADS), The Ability to Cope with Trauma (PACT), and Psychological General Well-Being Index (PGWB) scales. BASDAI was used in patients with AS, and DAS28 was used in patients with RA to assess disease severity. Results: Compared to healthy individuals, patients with RA and AS had lower PGWB scores and higher HADS depression and anxiety subscale scores. Almost all psychometric assessment test scores were worse in AS patients with high-disease activity compared to those in low-disease activity. PACT scores were higher in patients with moderate RA compared to patients with mild RA (p = 0.006). While a positive correlation was identified between BASDAI and most of the psychometric assessment test scores (r = 0 .36 for PCTF, r = 0.53 for depressive scores, r = 0.54 for anxiety scores, r = 0.57 for suicidal ideation), DAS28 scores were found to be associated only with PACT total and PACT perceived forward-focused subscale scores (r = -.26 and r = .33, respectively). Conclusion: Psychologically, AS and RA patients were found to be worse off compared to healthy controls. The perceived COVID threat and psychological status were associated with disease activity in AS, but not RA patients. Patients with chronic illnesses may be more vulnerable to the psychological effects of the pandemic, which can worsen disease activity.Öğe The reliability and validity of the animated activity questionnaire in the Turkish population with knee and hip osteoarthritis(Elsevier, 2021) Akkubak, Yasemin; Teker, Busra Baytok; Kulunkoglu, Bahar AnaforogluAim of the work: Activity limitation is one of the most common causes of disability in people with knee and hip osteoarthritis (OA). The present study aimed to determine the reliability and validity of the Turkish adaptation of Animated Activity Questionnaire (AAQ) in patients with hip and knee OA. Patients and methods: Two hundred knee and hip OA patients aged 18-80 were assessed using the AAQ. Internal consistency and test-retest measurements were performed to determine reliability. A subgroup of 40 patients completed the AAQ again after seven days to determine test-retest reliability. In order to validate Turkish version of the AAQ, all patients completed the AAQ, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score-Physical Function Shortform (KOOS-PS) and Hip Disability and Osteoarthritis Outcome Score-Physical Function Short form (HOOS-PS). Another subgroup of 136 patients performed the timed up and go (TUG) test, the 30-second chair stand test (CST), and the stair climbing test (SCT). Results: The Cronbach alpha value of the AAQ was 0.94, demonstrating high internal consistency. The test-retest score of the AAQ was 0.97, which was also high. The AAQ exhibited negative and moderate correlation with the WOMAC, KOOS-PS and HOOS-PS (0.59, -0.60, and -0.49, respectively). Stronger and high correlations were determined between the AAQ and TUG, CST, SCT tests (-0.74, 0.62, and -0.58, respectively). Conclusion: The study findings suggest that the AAQ is a reliable and valid tool for evaluating activity limitations in Turkish knee and hip OA patients. (C) 2020 Egyptian Society of Rheumatic Diseases. Publishing services provided by Elsevier B.V.Öğe Reliability and Validity of the Turkish Version of Arthritis Research UK Musculoskeletal Health Questionnaire(Turkish League Against Rheumatism, 2020) Akkubak, Yasemin; Kulunkoglu, Bahar AnaforogluObjectives: This study aims to investigate the validity and reliability of the Turkish version of the Musculoskeletal Health Questionnaire (MSK-HQ-T) for assessing the general health status in patients with axial spondyloarthritis (ax-SpA). Materials and methods: One hundred ax-SpA patients (42 males, 58 females; mean age 40.3 +/- 9.1 years; range, 18 to 65 years) who were able to speak and understand Turkish language were included in this study. All participants answered MSK-HQ-T, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI) and Short-Form 36 (SF-36). MSK-HQ-T was repeated five-seven days later for test-retest and internal consistency reliability. Results: The Cronbach's alpha value was 0.912, demonstrating high internal consistency. The test-retest score of MSK-HQ-T was 0.968, which was significant. The correlation of MSK-HQ-T with the subgroup scores of SF-36 was statistically significant (p<0.001). The correlation between MSK-HQ-T and the total scores of BASDAI and BASFI was statistically significant (r=-0.788, p<0.001; r=-0.743, p<0.001). Conclusion: The MSK-HQ-T is a reliable and valid questionnaire to assess general health status in Turkish patients with ax-SpA.Öğe Syndecan 1 may slow the progression of subclinical atherosclerosis in patients with ankylosing spondylitis(Taylor & Francis Inc, 2023) Yilmaz, Pinar Diydem; Kadiyoran, Cengiz; Goktepe, Mevlut Hakan; Akkubak, Yasemin; Icli, Abdullah; Kucuk, AdemBackground Subclinical atherosclerosis may be seen at an early age of ankylosing spondylitis (AS). Syndecan 1 (S1) expression is increased in response to proinflammatory cytokine and inflammation. High S1 may reduce carotid atherosclerosis progression. We aimed to investigate the relationship between S1 levels and subclinical atherosclerosis in patients with AS. Methods Fifty-eight patients diagnosed with AS and 58 age-, sex-, and body mass index-matched controls were included in the study. S1 level and carotid intima-media thickness (cIMT) were evaluated using appropriate methods. Results AS patients' cIMT (0.53 +/- 0.1 vs 0.45 +/- 0.1 mm, p = .008), S1 (6.0 [1.7-149.2] vs 5.5 [1.0-29.8] ng/ml, p = .020), CRP (C-reactive protein) (2.1 [0.1-19.7] vs 1.1 [0.3-9.6] mg/dl, p = .012), fibrinogen (330.2 +/- 87.0 vs 278.0 +/- 54.5 mg/dl, p < .001) values were significantly higher than the values of the control group. There was a negative correlation between cIMT and CRP (p = .034), age (p < .001), disease duration (p = .005), BASDAI (p = .048) and fibrinogen (p = .009) in AS patients. There was a negative correlation between cIMT and S1 (p = .029). In multivariate analysis, an independent relationship was found between cIMT and age (beta = 0.611, p < .001) and syndecan (beta = -0.196, p = .046). Conclusion S1 level may rise in AS patients to suppress the inverse effects of proinflammatory cytokines and inflammation. A negative relationship between the cIMT values of AS patients and S1 level may reveal that S1 has a protective effect on the development of atherosclerosis in AS patients, independent of disease activity.
