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Öğe Effects of Circuit Exercise Program on Cognitive Function, Functional Exercise Capacity, Mobility, Depression, and Quality of Life in Women with Gestational Diabetes(Hacettepe Üniversitesi, 30 Nisan 2024) Tekin, Saadet Turhan; Budak, Miray; Altınok, ÖyküObjectives: The purpose of this study was to investigate the effects of circuit exercise programs applied in addition to diet therapy on cognitive function, functional exercise capacity, mobility, depression, and QoL in women with GD. Materials and Methods: 43 women with GDM aged 18-35 years old were included and 43 were analyzed. A parallel, single-blind trial with participants allocated (1:1) to one of two groups the Exercise Group and the Diet Group. Personalized diet programs were received by all participants. In the Diet Group, only a diet program was performed. In the Exercise Group, a circuit exercise program was applied to 40-minute sessions, 3 days a week over 6 weeks in addition to the diet program. Participants were assessed at baseline, after 6 weeks for general cognitive function, attention, selective attention, functional exercise capacity, mobility, depression, and quality of life. Results: Significant differences were found in terms of MoCA, Stroop ve SF-36 Physical Functioning in both groups (p<0.05). In Time*Group evaluations, there was a significant difference in the WMS Backward Digit Span in favor of the Diet Group, and in TUG in favor of the Exercise Group (p<0.05). Conclusion: In conclusion, personalized diet programs may enhance cognitive functions, and circuit exercise programs in addition to the personalized diet program may enhance mobility and cognitive functions in women with GD.Öğe A rare case report: bilateral occipital artery arising from the vertebral artery(Springer Nature, 2021) Demirbaş, Ahmet Taha; Demirtaş, İsmet; Sönmez Topçu, Feyza; Karasu, Sevilay; Ayyıldız, BehçetBackground Variations of the origin of the occipital artery (OA) can be considered as congenital anomalies that are often asymptomatic and detected incidentally on angiography or during cadaver dissection. While OA normally originates from the posterior aspect of the external carotid artery (ECA), recent evidence also refects that OA may infrequently originate from the internal carotid artery (ICA); however, OA originating from the vertebral artery (VA) is a highly rare phenomenon. Case presentation In a 54-year-old female patient with the complaint of left hemiparesis, computed tomography (CT) angi ography revealed nonstenotic calcifed plaques at the beginning of right ICA where common carotid artery (CCA) bifurcates. We also incidentally observed that bilateral OA originated from the VA using maximum intensity projection (MIP) technique. In addition to this rare variation, CT angiography showed the osseous anomaly termed as high-riding VA (HRVA) in the C1/2 vertebral space of the V3 segment of the VA. Conclusion To the best of our knowledge, a case of bilateral OA originating from the VA has not been reported to date. We believe that recognition of this rare variation may contribute to the relevant literature and it is of importance to consider this variation in radiological imaging and surgical procedures involving this region.
