Ultrazvučna procjena debljine bedrene hrskavice u bolesnica sa sindromom policističnih jajnika

The aim of the study was to investigate knee cartilage thickness in polycystic ovary syndrome (PCOS) patients using ultrasonography and to assess the effects of sex steroids on osteoarthritis development. A total of 90 female patients were enrolled in the study, including 47 patients diagnosed with PCOS as study group and 43 patients admitted to our hospital for any other complaints as control group. Ultrasonographic evaluation of both knees was performed in all patients. The knee cartilage thickness was measured at lateral condyle, intercondylar area and medial condyle. The measurements were averaged for each region. The mean femoral cartilage thickness was greater in the study group compared with control group in all regions, with a statistically significant difference (p<0.005). In conclusion, we found PCOS patients to have greater mean cartilage thickness, supporting the possible effects of sex steroids on osteoarthritis development.Cilj istraživanja bio je ultrazvučno procijeniti debljinu hrskavice koljena u bolesnica sa sindromom policističnih jajnika (SPCJ) i učinak spolnih hormona na razvoj osteoartritisa. U istraživanje je bilo uključeno ukupno 90 žena, tj. 47 bolesnica s dijagnozom SPCJ kao ispitna skupina i 43 bolesnice primljene na odjel zbog drugih tegoba kao kontrolna skupina. Ultrazvučna procjena obaju koljena učinjena je u svih bolesnica. Debljina hrskavice koljena mjerena je u lateralnom kondilu, interkondilarnom području i medijalnom kondilu te je izračunat prosjek mjerenja za svaku regiju. Srednja debljina koljenske hrskavice bila je veća u ispitnoj skupini u usporedbi s kontrolnom skupinom u svim regijama, a razlika je bila statistički značajna (p<0,005). Dakle, utvrđeno je da bolesnice sa SPCJ imaju veću srednju debljinu koljenske hrskavice, što govori u prilog mogućeg utjecaja spolnih hormona na razvoj osteoartritisa

Version française de la Turba Philosophorum : Paulette Duval, La Turba Philosophorum Gallica, Cahiers de Fontenay (5, rue Boucicaut, 92260 Fontenay-aux-Roses), n° 33, déc. 1983

Ardry Robert. Version française de la Turba Philosophorum : Paulette Duval, La Turba Philosophorum Gallica, Cahiers de Fontenay (5, rue Boucicaut, 92260 Fontenay-aux-Roses), n° 33, déc. 1983. In: Revue d'histoire de la pharmacie, 73ᵉ année, n°264, 1985. pp. 76-77

Clinical Manifestations in Patients with Segmental Hypoplasia of Great Saphenous Vein

Kulah, Bahadir/0000-0001-5480-2621WOS: 000404556300004Objectives: Segmental hypoplasia of the great saphenous vein (GSV) is a common condition which may cause chronic venous insufficiency. Despite the high incidence thereof, few studies have investigated GSV hypoplasia. We evaluated the presentations of patients with GSV segmental hypoplasia. Design: Prospective study Setting: Bozok Universty, School of Medicine, Yozgat, Turkey Subjects and methods: Demographic and clinical data, duplex ultrasound findings, length and location of the narrowing segments, and coexisting chronic venous insufficiency (CVI) and deep vein thrombosis (DVT), were retrospectively reviewed. Patients with segmental hypoplasia of the GSV were grouped according to the length and midpoint location of the narrow segment. The SPSS version 18.0 was used to conduct statistical tests. P-values < 0.05 were deemed to indicate statistical significance. Intervention: Ultrasound Main outcome measure: Hypoplastic GSV segments evaluation with ultrasonography Results: The study included 163 patients, 20% of whom were of an advanced age. We observed 257 extremities of the 163 patients. Varicose findings were observed in 62% of all patients. Comorbid CVI was significantly more common in the elderly than in the younger patients (P = 0.008). Skin changes occurred more frequently in male than in female (P = 0.016) and in elderly than in younger (P = 0.019) patients. The most common site of narrowing segments was below the knee. Conclusion: Segmental hypoplasia of the GSV commonly occurs in females. Male sex and advanced age are risk factors for skin changes, varicose findings, and DVT. DVT is more common in patients with hypoplastic segments longer than 5 cm

An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system

An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system

The association of body composition parameters with nonalcoholic hepatic steatosis

Objective:Nonalcoholic fatty liver disease (NAFLD) which is strongly correlated with obesity; has been a common worldwide health problem with the improvements in social status. Body composition studies are accepted as a simple follow-up tool for treatment of obesity. Since the correlation of body mass index (BMI) with the hepatosteatosis (HS) is well known; the aim of this study was to assess the usefulness of body composition parameters (BCP) to determine HS on NAFLD patients; using dual bioimpedance analyzer (BIA). Methods:A total of 253 patients with diagnosis of NAFLD were included into the study. The demographic parameters such as age, sex and BMI were collected; and the ultrasonographic (US) evolution was performed to determine the HS stages. The BCP, such as amount and the percentage of total body fat, fat free mass, and total body water were assessed with the dual bioimpedance analyzer. Results:There were strong significant correlations between BMI and HS, between BCP and HS (p0.05). Conclusion: According to our results, it can be concluded that BCP values may have a diagnostic value on diagnosis of NAFLD

The association between gallstone disease and plaque in the abdominopelvic arteries

The aim of this study was to assess the atheromatous plaque, in the abdominopelvic arteries as a marker of cardiac risk in patients with or without gallstone disease (GD). Materials and Methods: A total of 136 patients were enrolled in this cross-sectional study. Forty-eight patients had GD and the remaining 88 patients did not. The presence or absence of gallstones was noted during abdominal ultrasonography while vascular risk factors such as plaque formation, intima-media thickness, plaque calcification, mural thrombus, stenosis, aneurysm, and inflammation were recorded during an abdominopelvic computed tomography scan. In addition, percentage of the abdominopelvic aorta surface covered by atheromatous plaque was calculated. Results: The mean age of patients with GD and without GD was 50.81 +/- 16.20 and 50.40 +/- 12.43, respectively. Patients with GD were more likely to have diabetes mellitus, a higher body mass index (BMI) (P < 0.001), and higher cholesterol (P < 0.01), and low-density lipoprotein-cholesterol (P < 0.02) levels. No significant differences were found between the groups regarding other atherosclerotic risk factors. Patients with GD had significantly higher rates of the vascular risk factors as intima-media thickness, plaque formation, calcification, aneurysm, mural thrombosis, stenosis, and inflammation in all abdominal arterial segments other than aneurysm in the femoral arteries. In addition, patients with GD had severe atheromatous plaques in the abdominal aorta, common iliac, external iliac, and common femoral artery (CFA). In patients with GD, parameters of age, BMI, and systolic and diastolic blood pressure were all correlated with the severity of the atheromatous plaque in abdominal aorta, common iliac, external iliac, and CFA. Conclusion: We demonstrated a direct relationship between GD and abdominopelvic atheromatous plaque, which is a marker for increased cardiovascular risk, for the first time in the literature. Patients with GD exhibit greater abdominopelvic atherosclerosis and therefore, have a higher risk of cardiovascular disease