Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery

Aim: To investigate the complications that occur in our patients who underwent thoracic surgery, as well as the relationship between postoperative pain and complications. Method: Of the 117 patients who underwent surgery between January 2018 and December 2018, there were 99 patients with pain and the other parameters whose data’s were complete. Medical records of the patients were investigated in terms of age, gender, smoking status and frequency, diagnosis, treatment, length of stay in the hospital, postoperative complications and visual analog scale (VAS). The postoperative complications and VAS values were compared statistically. Results: The mean age of the patients was 50.52±18.46 years, 26 (26.3%) patients were female and 73 (73.7%) were male. The average length of stay in hospital was 4.08±3.06 days and average pain severity was 3.92±2.07. The most common diagnosis in our cases was lung cancer, and the most common complication was prolonged air leakage. There was a significant relationship between the severity of pain and the presence of postoperative complications in our patients (p=0.001). However, the correlation relationship was found to be low (r=0.322). Conclusion: The results of our study revealed that optimal postoperative pain control is an important factor for preventing postoperative complications

The relationship of monocyte to high density lipoprotein-cholesterol ratio and complete blood count parameters with radiologic staging of knee osteoarthritis

Aim: To evaluate the predictive ability of bioindicators derived from complete blood count (CBC) parameters and monocyte-high density lipoprotein-cholesterol ratio (MHR) in the diagnosis of radiological stage of knee osteoarthritis (OA) in this study. Method: This cross-sectional retrospective study was carried out between November 2017 and June 2021, in our physical therapy and rehabilitation clinics.  65 patients knee x-rays and routine laboratory results were included in the study. Each knee x-rays were assigned a grade from 0 to 4 (Kellgren-Lawrence Classification System (KL). Patients were divided into two groups according to severity of the knee OA as follows. Group 1: Mild-moderate OA (KL Grade1-2), Group 2: Severe OA (KL Grade 3-4). Results: Independent T test and Mann Whitney U test were used to assess whether there was a difference in CBC parameters and their derivatives between two groups. Platelet lymphocyte ratio (PLR), red cell distribution width (RDW) to platelet ratio (RPR) and platelet (PLT) counts indicated statistically significant differences between the groups, p-values were 0.04, 0.03 and 0.04 respectively. There were no significant differences in terms of MHR score between the groups. Conclusions: We could not find a relationship between MHR and radiological degree of knee osteoarthritis. However, there is a correlation between radiological stage of knee osteoarthritis and hemogram parameters like PLT and their derivatives such as PLR and RPR

Is acupuncture effective against pain in patients with Parkinson’s disease? A randomized controlled study

Aim: To investigate the efficacy of acupuncture application in the treatment of neck pain of musculoskeletal origin in patients with Parkinson’s disease (PD). Methods: Forty-five patients were screened, of whom 40 were enrolled and 29 completed the study. The patients were divided into two groups, each consisting of 20 individuals. The acupuncture group (AG) received acupuncture therapy in addition to neck exercises, while the control group (CG) performed only neck exercises. Both groups were enrolled in an exercise program, every day of the week for five weeks. The AG also received 10 sessions of acupuncture, twice weekly.  The Hoehn and Yahr Scale, the Visual Analog Scale (VAS), the Movement Disorder Society Unified Parkinson's Disease rating Scale-I (MDS-UPDRS-I), a Health Assessment Questionnaire (HAQ), and the Neck Disability Index (NDI) were applied as data collection tools before and at the end of treatment. Results: Significant improvement was determined in both groups in post-treatment VAS, MDS-UPDRS-I, HAQ, and NDI values compared to pre-treatment (p<0.05). The improvement in VAS, MDS-UPDRS-I, HAQ, and NDI values was significantly greater in AG than in CG (p<0.05). Conclusion: With its local and systemic effects, acupuncture is a safe procedure capable of use for analgesia. However, further randomized, placebo-controlled studies will permit a more detailed evaluation of its therapeutic efficacy

Does transcutaneous electrical nerve stimulation affect pain, neuropathic pain, and sympathetic skin responses in the treatment of chronic low back pain? A randomized, placebo- controlled study

Background: The purpose of this study was to assess the effectiveness of trans cutaneous electrical nerve stimulation (TENS) in chronic low back pain and neuropathic pain

Effects of Sport on Symptoms of Attention Deficit Hyperactivity Disorder and Performance Loss Caused by Distractors: Evaluation with MOXO d-CPT

Objectives:Attention deficit hyperactivity disorder (ADHD) is the most common childhood psychiatric disorder characterized by inattention, hyperactivity, and impulsivity. Treatment modalities should include medication, psychotherapy, and psychosocial treatments. Various studies concluded that sport has a positive effect on attention. The present study evaluates if football significantly improve the possible psychopathology of ADHD and reduce the negative impact of distractors.Materials and Methods:One hundred forty-seven children from a sport school in a small city in Turkey were included in the current descriptive study. The MOXO distracted-CPT (d-CPT) (distracted-computerized continuous performance test) was applied to all children. Socio-demographic data form, behavior evaluation inventory for executive functions, and Conner’s parent rating scale were applied to the parents.Results:According to the MOXO d-CPT results, there was no significant difference between the group with possible psychopathology and the group with no possible psychopathology in terms of sport duration. But, there was a negative correlation between sport duration and attention Z score, timing Z score, and impulsivity Z score in the group that included children who showed poor performance or had possible psychopathology at the MOXO d-CPT. Further, the median value of sport duration was 6.03 months in the group with possible psychopathology severity 4, and the median value was 8.06 months in the group with possible psychopathology severity 1-2-3 at MOXO d-CPT. That is, the possible psychopathology severity decreased as sport duration increased. Also, there was a moderately negative correlation between sport duration and the score lost with visual distractor and/or auditory distractor in the MOXO d-CPT.Conclusion:In conclusion, these findings revealed that exercise in football, a group game, improves or decreases the possible psychopathology severity and reduces the negative impact of visual and/or auditory distractors on MOXO d-CPT parameters