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Öğe Epidemiology and pathophysiology of pediatric spinal cord injury(2008) Keleş I.It is essential to know the incidence and etiology of pediatric spinal cord injury (SCI) in order to identify risk groups, improve prevention and plan care and rehabilitation. SCI significantly and usually irreversibly alters every aspect of a person's life. Pediatric SCI is relatively uncommon, with distinctive manifestations due to the characteristic anatomical and physiologic features of the growing child. The interaction of growth and development, modified by injury, is responsible for the various clinical deformities frequently seen in pediatric patients. The incidence of pediatric SCI is lower than in adults, varying from 1 to 10% of all spinal injuries. However, the diagnostic studies and images differ from adults and require particular consideration. This article provides a review of epidemiologic data from different countries and also the pathophysiology of pediatric SCI with unique aspects in outline.Öğe Familial Mediterranean fever and ankylosing spondylitis: A case report(2005) Güliter S.; Özkurt Z.N.; Keleş I.; Keleş H.; Aydin G.Familial Mediterranean fever (FMF) is an inherited disease characterized by recurrent attacks of fever and accompanying peritonitis, pleuritis, arthritis or erysipelas-like skin disease. The relationship between FMF and spondyloarthropathy (SpA) remains controversial. We described a particular case of 36-yr-old male patient with FMF and ankylosing spondylitis with negative HLA-B27. This case had late-onset FMF in spite of homozygote M694V mutation and his typical acute attacks of FMF began many years after the initiation of complaints related to sacroiliitis. There is no general consensus on whether the association of FMF and SpA is only an occasional coincidence or they are clinically and pathologically linked two conditions. Further studies with larger series are required to clarify the relationship between FMF and SpA.Öğe How does the habit of teeth clenching affect the symptoms and signs of patients with temporomandibular disorders?(2004) Aydin G.; Keleş I.; Zög G.; Orkun S.OBJECTIVES: We aimed to compare the symptoms and signs of patients with temporomandibular disorders (TMD) with and without a history of diurnal teeth clenching. PATIENTS AND METHODS: The study was designed prospectively and included 34 patients with a diagnosis of bilateral temporomandibular joint pain and/or dysfunction. A "Patient Questionnaire Form" and "Patient Assessment Form" generated by the Diagnosis and Treatment Unit of Temporomandibular Disorders, Istanbul Medical Faculty, Istanbul University, were used in the evaluation of the patients. RESULTS: The mean ages of patients with (group I, n=17) and without (group II, n=17) teeth clenching habit were 28.6+/-10.6 and 31.5+/-13.8 years, respectively. Female patients accounted for 76.5% and 47.1% in group I and group II, respectively. The age and gender showed no significant difference between the two groups (p>0.05). Stress factor was significantly higher in group I and was found to aggravate pain and other complaints, according to the questionnaire (p<0.05). Pain associated with jaw movements of all directions and pain radiating to the ear region were found to be significantly higher in group I (p<0.05). Total palpation index, based on physical examination of bilateral extra- and intra-oral masticatory muscles, neck muscles, and capsule of the temporomandibular joints was significantly higher in group I (p<0.05). CONCLUSION: Our findings indicate that habit of teeth clenching in patients with TMD affects biomechanically both muscles and joints of the masticatory system, resulting in muscle/joint pain, and that stress factor aggravates those symptoms. This finding may be useful in the treatment of symptoms and signs of patients with TMD.Öğe The utility of portable ultrasound devices in the neurogenic bladder rehabilitation(2000) Ersöz M.; Keleş I.Post-void residuel urine volume and bladder capacity measurements are important in the diagnosis and the follow up of bladder disfunction. Portable ultrasound-based measurement devices (PU) offer the possibility of making these measurements accuretly, in a short time, without discomfort. This non-invasive method doesn't have the risk of urethral trauma and urinary tract infection. In the highlights of this knowledge PU will simplify the daily routine and will be useful in the neurogenic bladder rehabilitation.
