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I Koçak

Publications and source records attributed to I Koçak.

38 records · Page 3Linked to original sources

Evaluation of the Brusini glaucoma staging system for follow-up in glaucoma.

BACKGROUND: Brusini developed a new interpretation system for Octopus and Humphrey automated perimeters that is based on mean defect (MD) and corrected loss variance (CLV) or corrected pattern standard deviation (CPSD). This study tested the performance of Brusini's glaucoma staging system (GSS) in staging and follow-up. METHODS: Retrospectively, 610 visual fields of 64 eyes of open-angle glaucoma patients were analyzed with Brusini GSS and compared with Aulhorn-Karmeyer stages and by PeriData 7.0 trend analysis. RESULTS: Follow-up was comparable to PeriData 7.0 trend analysis in 97%. Change was observed in 41% of eyes, i.e., initial improvement (19% eyes), deterioration (16%), and after an initial improvement, either deterioration (11%) or a stable period (5%). No change was seen in 59% of the eyes, of which 30% showed small and 19% high long-term fluctuation (LF) due to fatigue effect, poor cooperation of patient, impaired reliability, or short-term fluctuation (SF) greater than 1.7 dB. However, for 8% of the eyes there was no apparent reason for high LF. CONCLUSIONS: Brusini GSS is useful for staging and recommended for follow-up evaluation of visual fields in glaucoma.

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Enuresis: point prevalence and associated factors among Turkish children.

The aim of this study was to establish the prevalence and associated factors of enuresis nocturna and to better understand nocturnal bladder control in Turkish children. A randomized epidemiological study was performed among primary school children, aged four to 12 years, living in Aydin, Turkey. After data collection via a self-administered questionnaire completed by the parents, data of 2,300 children were accepted for the analysis. The overall prevalence of reported marked nocturnal enuresis (at least weekly) was 11.6 percent and of day wetting 0.8 percent. Enuresis was more frequent in boys than in girls. Age, family history of enuresis, large family size, urinary tract infections and low parental socioeconomic class were all statistically associated with reported enuresis nocturna. Familial history among the enuretics and non-enuretics was 40.7 percent and 9.5 percent, respectively. Of the enuretics, 11 percent were treated professionally, 65 percent were treated traditionally by the family and 25 percent sought no help to manage the enuresis. A reference age of 2.9 +/- 1.6 years was calculated for nocturnal bladder control of the children studied. These results suggest that prevalence of enuresis nocturna and development of bladder control in Turkish children are not so different from that seen in other European and Middle East countries, and that the most significant factors associated with enuresis are socioeconomic and familial ones. Turkish families do not have a high level of concern about enuresis, even in the older children. This study demonstrated that enuresis is a sizable problem in Turkey and that a great ignorance about enuresis by both parents and physicians exits.

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