Effeciency of extracorporeal shock wave therapy in patients with plantar fasciitis and the relationship with subcalcaneal spur length

Objective: ESWT is widely used in the treatment of plantar fascitis. In this study, we aimed to investigate the effect of ESWT on heel pain and symptoms in the short and medium term. We also compared the subcalcaneal spur length and the heel pain severity and examined the effect of the subcalcaneal spur length on the efficiency of ESWT therapy. Methods: The efficiency of ESWT applied to 59 heel of 48 patients compared retrospectively . We used Visual Analog Scale (VAS) and Wolgin scale to evaluate the treatment outcomes. We measure the subcalcaneal spurs length of the patients with foot x-ray . Correlation between the VAS scores and the length of subcalcaneal spur were also evaluated. Results: Improvement in VAS in the first week and 3 months after ESWT treatment was statistically significant. There was no correlation between subcalcaneal spur length and the severity of pain. The number of patients in the'' medium, bad'' group decreased while the number of patients in the '' good'' group incresed according to WDS after ESWT treatment. Conclusion: As a result of this study we concluded that ESWT is effective in the treatment of plantar fasciitis in the short and medium term

The epidemiology, Clinical Manifestations, radiology, microbiology, treatment, and prognosis of echinococcosis: Results of NENEHATUN study

Aim: Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis. Methods: A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively. Results: Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 +/- 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients. Echinococcus granulosus (72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5-10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients. Conclusion: Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important

Üniversite öğrencilerinin dijital oyun bağımlılıkları ile fiziksel aktivite düzeyleri ve MET değerleri arasındaki ilişkinin betimlenmesi

<p>Bu yüzyılın başında dijitalleşen bir dünyaya doğan Z kuşağı, oldukça küçük yaşta yaygın ve yoğun bir şekilde cep telefonu, tablet ve laptop kullanmaya başlamıştır. Literatürde, bu alışkanlığın ergenlik dönemindekilerde dijital oyun bağımlılığına neden olabileceği ve hareket kabiliyetini kısıtlayabileceği yönünde bulgular bulunmaktadır. Bu çalışmanın amacı lisans öğrencilerinin dijital oyun bağımlılığı ile fiziksel aktiviteleri arasında bir ilişki olup olmadığını belirlemeye çalışmaktır. Bu bağlamda çalışmada yordayıcı ilişkisel ve nedensel karşılaştırma modeli nicel bir ölçüm aracılığıyla kullanılmıştır. Araştırmaya yönelik hazırlanan envanter aracılığıyla dijital oyun bağımlılığı ve fiziksel aktivite düzeyi arasındaki ilişki ele alınmıştır. Araştırmanın veri analizi sonucunda fiziksel aktivite düzeyi açısından cinsiyete göre anlamlı fark bulunmazken, erkek katılımcıların anlamlı şekilde dijital oyun bağımlılığı düzeyinin kadın katılımcılardan daha yüksek olduğu tespit edilmiştir. Araştırmanın bulgularına göre üniversite öğrencilerinin %90'ı dijital oyun oynamakta, ancak ailelerin yaklaşık %10'u dijital oyun oynama konusunda endişe duymakta ve çocuklarını oyun oynarken kontrol etmektedir. Spor Bilimleri öğrencileri ile diğer fakültelerin öğrencileri arasında da anlamlı şekilde fiziksel aktivite düzeyi farklılaşmaktadır. Dijital oyun oynama süresi ile dijital oyun bağımlılığı ve farklı oyun platformlarında oynama arasında da pozitif ilişki tespit edilmiştir. Oynama süresi artıkça, platform sayısı ve bağımlılık düzeyi artmaktadır. Diğer taraftan, fiziksel aktiviteyi gösteren MET değeri ile dijital oyun bağımlılığı arasında bir ilişki bulunmamıştır.</p&gt

Une pharmacie portative à Sorde-l'Abbaye

Julien Pierre. Une pharmacie portative à Sorde-l'Abbaye. In: Revue d'histoire de la pharmacie, 65ᵉ année, n°233, 1977. p. 127

Effect of Systemic Infliximab Therapy in Patients with Sjögren’s Syndrome

Objectives: To investigate the effect of systemic infliximab therapy on tear function tests and the ocular surface in patients with Sjögren’s syndrome secondary to various autoimmune diseases. Materials and Methods: This prospective study included 22 eyes of 22 patients with Sjögren’s syndrome who began treatment with systemic infliximab. Tear film break-up time (TBUT), anesthetized Schirmer’s 1 test, fluorescein staining test, and Ocular Surface Disease Index (OSDI) scores were recorded before treatment and in the 3rd and 6th months of treatment. Results: In the 3rd month of infliximab therapy, no significant changes were observed in Schirmer’s values, TBUT, fluorescein staining, or OSDI scores (p=0.260, p=0.357, p=0.190 and p=0.07, respectively). In the 6th month of infliximab therapy, no significant changes were observed in TBUT, fluorescein staining, Schirmer’s value or OSDI scores (p=0.510, p=0.320, p=0.220 and p=0.344, respectively). Conclusion: Infliximab therapy, which is commonly used in systemic autoimmune diseases such as rheumatoid arthritis, Crohn’s disease, ulcerative colitis, and ankylosing spondylitis, did not show a positive effect on ocular surface and tear function tests. (Turk J Ophthalmol 2015; 45: 138-141

Original Article Prevalence of metabolic syndrome in women with rheumatoid arthritis and effective factors

Abstract: Purpose: Metabolic syndrome (MS), which is framed by cardiovascular risk factors such as hypertension, obesity, glucose intolerance and dyslipidemia, is thought to be associated with the rheumatic diseases