Effect of low back pain on psychological health and quality of life in patients with lumbar spondylosis: a pilot study

Amaç: Bu pilot çalışmanın amacı; lumbar spondilozisi, kronik bel ağrısı olan hastalarda ve bel ağrısı dışında, kronik kas ve iskelet ağrısı olan hastalarda psikososyal sağlık ve yaşam kalitesi düzeylerini değerlendirmekti. Yöntem: Lumbar spondilozisi, kronik bel ağrısı olan 80 birey ve bel ağrısı dışında, kronik kas ve iskelet ağrısı olan 60 birey çalışmaya katıldı. Her iki grupta ağrı, sağlıkla ilgili yaşam kalitesi, bel ağrısı ile ilişkili özür, depresyon, iyilik hali, yaşam memnuniyeti ve işlevsel bel performansı değerlendirildi. Sonuçlar: İki grup, ağrı şiddeti, iyilik hali ve yaşam memnuniyeti yönünden benzerdi (p0.05). Diğer grupla kıyaslandığında, lumbar spondilozlu hastalarda, bel ağrısı ile ilişkili özür ve depresyon düzeyi daha yüksek; işlevsel bel performansı ve yaşam kalitesi düzeyi daha düşüktü (p0.05). Tartışma: Bu pilot çalışma ile kronik bel ağrısının psikososyal sağlık ve yaşam kalitesi üzerindeki olumsuz etkileri diğer kas iskelet ağrılarına göre belirgin olduğunu gösterdi. Bu konuda daha kapsamlı çalışmalara ihtiyaç vardır.Purpose: The aim of this pilot study was to evaluate psychosocial health and quality of life levels in patients with lumbar spondylosis and chronic low back pain and in patients with musculoskeletal pain without low back pain. Methods: Eighty patients with lumbar spondylosis, chronic low back pain and 60 patients with musculoskeletal pain (wihout low back pain) participated in the study. Pain, health-related quality of life, disability associated with back pain, depression, well-being, life satisfaction and functional back performance were evaluated in both groups. Result: Two groups were similar for pain intensity, well-being and life satisfaction (p>0.05). When compared to the other group, disability associated with back pain and depression level were higher; functional back performance and quality of life level were lower in the low back pain group (p<0.05). Conclusion: This pilot study showed that the negative effects of chronic low back pain on psychosocial health and quality of life were more significant than other musculoskeletal pain conditions. More comprehensive studies are needed on this issue

Effects Of Two Different Aquatic Exercises Training On Cardiopulmonary Endurance And Anxiety & Depression Scores With Knee Osteoarthritis Patients

Annual Meeting of the American-College-of-Sports-Medicine (ACSM) -- MAY 31-JUN 04, 2016 -- Boston, MAWOS: 000415210700146Amer Coll Sports Me

Bone Loss in the Acute Stage Following Burn Injury - Original Investigation

Aim: The purpose of this study was to determine whether a bone loss occurs during acute period following burn injury or not, and to investigate the effects of various parameters on it. Materials and Methods: This study was conducted on 19 patients, ages between 20 and 50, who had a burn injury with more than %20 of Total Body Surface Area (TBSA). We recorded the patients’ burn cause, localization, percantage, ambulation and functional status. At the end of the first month, we measured bone mıneral densıty of total L1-L4 vertebrae, left distal forearm, left total femur, in all patients. A Z score less than –1 was accepted to be the indicator of bone loss. Results: The mean age of the patients (14 male and 5 female) was 33.09±11.61. We found a Z score less then -1 in 68.4% of left distal forearm, 21.1% of left total femur and 36.8% of total L1-L4 vertabrae measurements. There were no significant correlations between TBSA, Functional Ambulatıon Scale and Functional Independence Measure, and Z scores. Conclusion: There is a reduction in Bone Mineral Density in patıents wıth moderate/severe burn ınjuries in the acute period which is not correlated wıth neither TBSA nor functional status. (From the World of Osteoporosis 2007;13:33-6

Epidemiological aspects of endemic upper gastrointestinal cancers in Eastern Turkey

Background/Aims: The aim of our study was to present the epidemiological aspects of endemic upper gastrointestinal (esophageal and gastric) cancers in the Van region of Eastern Turkey. Methodology: The patients were diagnosed by esophagogastroscopy, biopsy and histopathological analysis. The control group consisted of 73 healthy subjects. Epidemiological characteristics (age, sex, dietary habits, educational status, life style) were evaluated by questionnaires. Helicobacter pylori infection was diagnosed in nontumoral gastric mucosal biopsy specimens by Giemsa staining. Results: 298 esophageal Ca and 384 gastric Ca patients were diagnosed in seven years (1994-2001). Most of the patients (90%) were of rural origin. Endoscopic prevalence rate of upper gastrointestinal (UGI) Ca was the highest (1 Ca per 7 esophagogastroscopy) in the Van region compared to other parts of Turkey. Esophageal Ca were 1.5 times more common in females whereas gastric Ca were 1.6 times more common in males. Ninety per cent of esophageal cancers were epidermoid and the remaining 10% were adenocarcinomas. Ninety-seven per cent of gastric Ca were adenocarcinomas. Helicobacter pylori infection was not significantly increased in gastric Ca patients compared to controls. Conclusions: Low educational and socioeconomic status, consumption of smoked, salted, hot, fatty foods, overdrinking hot tea and well water, cigarette smoking, poor intake of fresh fruits and vegetables and poor hygienic conditions were probable culprit factors