Zor Entübasyon ve Videolaringoskop: Olgu Sunumu

Zor Entübasyon ve Videolaringoskop: Olgu Sunumu</p

The Effect of Obesity onBone Mineral Density in Primary Fibromyalgia Cases - Original Investigation

Fibromyalgia is a chronic musculoskeletal disease, characterized by tender points in various areas at body and widespread pain musculoskeletal system and unknown etiology, in which metabolic, immunologic and neuroendocrin abnormalities are seen. In this study, 45 female patients were enrolled according to 1990 ACR fibromyalgia criteria. They were divided to 3 groups, with 15 patients; normal, preobese and obese, depending to the body mass index. They were tested for bone mineral density of the lomber spine and femur, using dual energy x-ray absorptionmeter. The depression presence was investigated by Hamilton Depression Scale. The bone mineral density of L1-4 region of fibromyalgic normal body weight patients were normal range and there was no significant statistical difference between others groups. In contrast, femur bone mineral density vaules were found to be statistically significantly osteopenic, as compared with obese groups. There was a negative statistical correlation between depression and lomber area bone mineral density. Whereas in femur it was seen that bone mineral density was protected in preobese and obese fibromyalgia patients. The number of studies on this subject is not sufficient. Also the number of patients determined on current studies are low. Further studies, with langer patient numbers and more detailed protocols are needed. (Osteoporoz Dünyasından 2005; 4: 148-150

Romatoid Artritli Hastalarda Romatoid Faktör İzotiplerinin Hastalık Prognozuyla İlişkisi

Amaç: Bu çalışmanın amacı RA’li hastalarda hastalık aktivitesi, radyolojik eklem hasarı, fonksiyonel bozukluk veekstraartiküler tutulum ile RF izotipleri ve Siklik Sitrulin Peptit antikoru (anti-CCP) arasındaki ilişkiyi araştırmaktır.Materyal ve Metod: Çalışmaya RA tanılı 45 gönüllü hasta ile diz osteoartrit tanılı 41 gönüllü hasta dahil edildi.Çalışmaya alınan tüm olguların akut faz reaktantları, RF, RF izotipleri (RF-IgA, RF-IgG, RF-IgM) ve anti-CCPdeğerleri çalışıldı. RA’ lı hastalarda hastalık aktivitesi, radyolojik eklem hasarı, fonksiyonel bozukluk ve ekstraartiküler tutulum değerlendirildi.Bulgular: RA’lı hasta grubunda anti-CCP %71,1’lik oranla ve RF %57,8’lik oranla pozitif bulundu. RF-IgM, ensık gözlenen RF izotipi olup, RA’lı hastaların % 66,7’de pozitif bulundu. RA tanısı için RF ve anti-CCP’nin özgüllüğü %98’di ve RF izotiplerinin özgüllüğünden yüksekti. Anti-CCP’nin duyarlılığı %71’lik oranla en yüksekti. RF,RF-IgM RF-IgA ve RF-IgG’nin duyarlılıkları sırayla %58, %67, %42 ve %53’dü. RA’lı hasta grubu hastalıkaktivitesi, fonksiyonel bozukluk, radyolojik eklem hasarı ve ekstraartiküler tutulum varlığına göre gruplandırıldığında otoantikor değerleri açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (P&gt;0.05).Sonuçlar: Anti-CCP ve RF-IgM, RA tanısı için yüksek özgüllüğe sahip olsalar da, otoantikorlar hastalık prognozunu belirlemede etkili bulunmamışlardır. Bu nedenle hastalık tanısı konulduğunda otoantikor pozitifliğinigözönünde bulundurmaksızın tedavinin planlanması gerektiğini düşünmekteyiz. (FTR Bil Der 2011;14: 43-7</p

Effect of concept mapping model on critical thinking skills of family medicine residents: A randomized controlled trial

BACKGROUND: The cognitive process of critical thinking (CT) involves the examination of the existing reasons and an analysis of the information to draw conclusions and make decisions. The goal of the study was to determine how concept mapping (CM) technique affects family medicine residents' capacity for critical thought. MATERIALS AND METHODS: We conducted a randomized controlled trial among family medicine residents aged between 26 and 28 years. A total of 100 residents were involved; over the course of 3 months, 50 residents were exposed to the conventional teaching model and 50 residents to the CM model. Data was collected using California CT skills test (CCTST) modified Arabic version and a self-administered questionnaire. The primary intervention was teaching method, experimental group received CM lessons while control group had conventional lessons. First session was carried out at baseline and second session one week after baseline, whereas 3rd, 4th, and 5th sessions conducted at end of 1st, 2nd, 3rd months, respectively. Both groups were assessed at baseline and at end of 3rd month. Both groups were reassessed at end of three months. Quantitative data was presented as mean and SD, whereas frequencies and percentages used for qualitative data. Pre- and post-intervention CT scores for study groups were compared using t-test or Mann-Whitney U test, as appropriate. Groups were compared on pre- and post-intervention CT grades using Chi-square test. RESULTS: Vast majority (98%) of participants were females, nearly half were 27 year old, and belonged primarily to urban areas (76%). There was no difference in the CT scores between the groups at baseline. The post-intervention CT scores for study group were statistically significantly higher (18.36±2.68) compared to control group (15.94±1.94) (P = 0.001). CONCLUSION: The CM approach was superior to the conventional teaching approach in terms of improving CT

Differentiation of Rheumatoid Arthritis From HCV Infection: Rheumatoid Factor, Anti-Cyclic Citrullinated Peptide or Anti-Mutated Citrullinated Vimentin?

Objective: Differentiation of rheumatoid arthritis (RA) from other diseases with joint involvement such as hepatitis-C virus (HCV) infection represents a diagnostic problem. In addition to the rheumatoid factor (RF), more specific and sensitive autoantibodies are under evaluation in recent years with conflicting results. In this study, we tested the diagnostic value of rheumatoid factor, anti-cyclic citrullinated peptide (anti-CCP) and antimutated citrullinated vimentin (anti-MCV) in distinguishing RA from hepatitis C patients. Materials and Methods: Sera of 34 RA patients and 30 hepatitis C patients were tested for RF, anti-CCP anti-MCV. Disease activity was determined by disease activity score (DAS-28) 28 in RA and by modified Knodell score in hepatitis C patients. Extra-articular involvement in RA and rheumatologic involvement in hepatitis

Thigh-length compression stockings and DVT after stroke

Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease