Edip Erkus

ANALYSIS OF THE TYPE 2 DIABETIC PATIENTS FOLLOWED IN A UNIVERSITY CLINIC

Amac: Bu calismanin amaci klinigimizde izlenen tip 2 diyabetik hastalarda hastaligin farkinda olma, tedaviye uyum, hedef Hb A1c duzeyini bilme gibi kan sekeri regulasyonunu etkileyebilecek faktorleri belirlemektir . Gerec ve Yontem: Klinigimizde izlenen tip 2 diyabetik hastalar calismaya alindi. Hasta verileri hastane veri tabani ve dosyalardan el de edildi. Antropometrik olcumler, kan basinci, fizik muayene bulgulari ve laboratuvar sonuclari kaydedildi. HbA1c seviyesine gore (%8’in alti ve ustu) hastalar iyi kontrollu ve kotu kontrollu diyabetikler olarak 2 gruba ayrildi . Bulgular: Toplamda 150 hasta (72’si erkek ve 78’i bayan)xa0 calismaya alindi. Bel cevresi, beden kitle indeksi, diyabet suresi, LDL- kolesterol, total kolesterol, trigliserid ve serum kreatinini iyi kontrollu diyabetiklerde kotu kontrollu olanlara kiyasla anlamli derecede dusuktu (hepsi icin p<0.05). Kentsel alanda yasan hastalarda iyi kontrol orani kirsalda yasayanlardan belirgin olarak daha fazlaydi (p=0.01). Ilaclarini taniyanlarda, kan sekerini evde kendi olcenlerde, hedef HbA1c duzeyinin farkinda olanlarda ve diyabetik nefropa ti, noropati ve diyabetik ayak bulunmayanlarda diyabetik regulasyon anlamli derecede daha iyiydi (hepsi icin p<0.05). Sonuc: Bu calisma daha iyi diyabetik kontrol icin, en onemli faktorlerin kendi kendine olcumlerle kan sekerini takip etmek, tedavi hedef d egerlerinin farkinda olmak ve kullandigi ilaclari bilmek oldugunu gostermistir. Bu faktorlerin hepsine iyi bir hasta egitimi ve hastalarin tedavi surecine katilimlari ile elde edilebilecegini dusunmekteyiz .

Analysis Of The Factors Related To The Blood Pressure Control In Hypertension

OBJECTIVEnTo determine the factors associated with blood pressure control and comparing anthropometric and clinical parameters of subjects with well-controlled hypertension to those with poorly controlled blood pressure.nnnSTUDY DESIGNnObservational cross-sectional study.nnnPLACE AND DURATION OF STUDYnAbant Izzet Baysal University Hospital, Bolu, Turkey, from January to June 2016.nnnMETHODOLOGYnMedical data obtained and recorded from computerised database and case files of our clinic. Subjects with mean blood pressure above target levels were defined as poorly controlled and others were as well-controlled hypertension group according to JNC VIII.nnnRESULTSnOut of 342 subjects, only 116 (33.9%) were aware of normal blood pressure range. The number of patients who had a blood pressure on goal in the group and knew the normal range of blood pressure was significantly higher than the patients in group who did not know the normal range of blood pressure. Body mass index and waist circumference were both significantly higher in poorly controlled compared to well-controlled hypertensive subjects. Treatment compliance was significantly associated with better control of hypertension.nnnCONCLUSIONnStriking results of present study indicate that lower body mass index and lesser waist circumference along with treatment compliance and awareness of normal blood pressure ranges are important factors that affect reaching treatment targets in hypertensive subjects.

Elevated neutrophil-to-lymphocyte ratio in the diagnosis of Hashimoto's thyroiditis

OBJECTIVEnHashimotos thyroiditis (HT) is an autoimmune inflammatory disorder. The purpose of this study was to determine the neutrophil-to-lymphocyte ratio (NLR), a novel marker of inflammation, in patients with HT and to compare these values with those from healthy subjects.nnnMETHODnA total of 154 participants were included in the study, 90 HT patients and 64 healthy volunteers. Retrospectively, demographic and laboratory data of the subjects were obtained from our institutions database. Patients with active infection, diabetes mellitus, malignancy, other chronic inflammatory diseases, hematologic disorders and patients on aspirin or steroid treatment were excluded from the study. Values for complete blood count (CBC) and serum laboratory parameters of HT patients were the baseline values obtained at the time of HT diagnosis. Control subjects consisted of healthy volunteers who visited our institution for a routine check-up.nnnRESULTSnAge, gender and CBC parameters were not different between the HT group and the control group; however, the NLR of HT group (2.1 [1.3-5.8]) was significantly higher than the control group (1.9 [0.6-3.3]), p=0.04.nnnCONCLUSIONnIncreased NLR may be useful as an indicator of the presence of HT, especially in complicated cases. NLR is inexpensive and easy to determine. Larger, prospective studies are required to determine its usefulness in assessing diagnostic potential and treatment outcomes in HT patients.