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31.
Camli Adil Teoman Ayd?n ?zgür Ta?p?nar Huriye K?z?ltan Ali Hikmet Eri? Ilknur Turk Hocaoglu Sevde Po?ul Muge Kepekci Ebru Denizli Mustafa Güler 《Journal of Physical Therapy Science》2015,27(1):179-182
[Purpose] Diabetes mellitus is a metabolic disorder resulting from a defect in insulin
secretion, insulin action, or both. A consequence of this is chronic hyperglycemia with
disturbances in carbohydrate, fat and protein metabolism. We investigated whether there is
any difference among DM patients and a control group in terms of lumbar and femur BMD
(bone mineral density), and standard deviation scores (Z score and T score). [Subjects and
Methods] This randomized, prospective, controlled, single-blind study was conducted in the
Physical Medicine and Rehabilitation Department Faculty of Medicine, Bezm-i Alem Vakıf
University. Patients with type 2 diabetes mellitus were included in the patient groups.
Healthy individuals were included in the control group. [Results] A total of 126 patients
completed the study (63 in the study group, 63 in the control group). There was no
significant difference in the results of the laboratory examinations of the cases. The
bone mineral densities of the cases were found to be significantly low in terms of the
lumbar (L1–4) T scores in the type 2 diabetes group. [Conclusion] Although osteoporosis is
one of the potential complications of type 1 diabetes, its effect on bone mineral density
in type 2 DM is controversial. In different studies, the bone mineral density values have
increased, decreased or remained normal. With the exception of the lumbar (L1–4) T score,
similar results were obtained in this study.Key words: Type 2 diabetes mellitus, Osteoporosis, Bone mineral density 相似文献
32.
Tahir Karaman Sabiha Zelal Ulku Ali Ihsan Zengingul Sedat Guven Veysel Eratilla Ebru Sumer 《The journal of advanced prosthodontics》2015,7(3):257-263
PURPOSE
In this study, we aimed to evaluate the amount of marginal gap with two different substructure materials using identical margin preparations.MATERIALS AND METHODS
Twenty stainless steel models with a chamfer were prepared with a CNC device. Marginal gap measurements of the galvano copings on these stainless steel models and Co-Cr copings obtained by a laser-sintering method were made with a stereomicroscope device before and after the cementation process and surface properties were evaluated by scanning electron microscopy (SEM). A dependent t-test was used to compare the mean of the two groups for normally distributed data, and two-way variance analysis was used for more than two data sets. Pearson''s correlation analysis was also performed to assess relationships between variables.RESULTS
According to the results obtained, the marginal gap in the galvano copings before cementation was measured as, on average, 24.47 ± 5.82 µm before and 35.11 ± 6.52 µm after cementation; in the laser-sintered Co-Cr structure, it was, on average, 60.45 ± 8.87 µm before and 69.33 ± 9.03 µm after cementation. A highly significant difference (P<.001) was found in marginal gap measurements of galvano copings and a significant difference (P<.05) was found in marginal gap measurements of the laser-sintered Co-Cr copings. According to the SEM examination, surface properties of laser sintered Co-Cr copings showed rougher structure than galvano copings. The galvano copings showed a very smooth surface.CONCLUSION
Marginal gaps values of both groups before and after cementation were within the clinically acceptable level. The smallest marginal gaps occurred with the use of galvano copings. 相似文献33.
Ebru Aytekin Yasemin Pekin Dogan Sibel Caglar Okur Ozer Burnaz Nil Sayiner Caglar 《Journal of Physical Therapy Science》2015,27(10):3333-3335
[Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the
axillary and subclavian veins which may occur spontaneously, but is usually caused by
excessive upper limb activity. PSS is clinically similar to other upper limb
musculoskeletal disorders and soft tissue infections, and this may lead to delay in
correct diagnosis in its early stages. The aim of our case report is to discuss this rare
condition with reference to the available literature. [Subjects and Methods] Here we
report the case of a doner kebab chef who complained of swelling and pain in his right arm
around the biceps muscle. The initial diagnosis was biceps tendon rupture, for which the
patient underwent magnetic resonance imaging (MRI) of the right arm and shoulder. Since
the MRI revealed no pathological findings, right upper limb venous Doppler ultrasound
analysis was performed. Subacute thrombosis materials were detected in the subclavian,
axillary, and brachial veins. [Results] With rapid anticoagulant therapy, the patient’s
symptoms quickly improved. [Conclusion] Early diagnosis and treatment of PSS is critical
for preventing potentially fatal complications such as pulmonary embolism. Prophylaxis is
important for preventing recurrent thrombosis and for avoiding the development of
post-thrombotic syndrome. PSS should be considered a possible cause of painful swelling of
the upper limbs, especially in young, active patients who use their arms excessively.Key words: Doner kebab chef, Effort thrombosis, Paget-Schroetter syndrome 相似文献
34.
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36.
Tevfik Solakoglu Huseyin Koseoglu Roni Atalay Sevil O. Sari Oyku T. Yurekli Ebru Akin Aylin D. Bolat Semnur Buyukasik Osman Ersoy 《Saudi Journal Of Gastroenterology》2014,20(2):113-119
Background/Aims:
There are a limited number of studies including the impact of antiplatelet drugs use on hospital outcomes for nonvariceal upper gastrointestinal bleeding. The aim of this study was to determine the effect of anti-aggregant, anti-coagulant and non-steroidal anti-inflammatory drugs upon hospital outcomes in patients with peptic ulcer bleeding.Materials and Methods:
The patients under treatment with antiaggregant, anticoagulant or non-steroidal anti-inflammatory drugs were categorized as exposed group (n = 118) and the patients who were not taking any of these drugs were categorized as non-exposed group (n = 81). We analyzed the data of drug intake, comorbid disease, blood transfusion, duration of hospital stay, Blatchford/total Rockall score and diagnosis of patients.Results:
In total, 199 patients were included. Of these 59.3% (exposed group) were taking drugs. The patients in exposed group were significantly older than those in non-exposed group (62.9 ± 17.3 years; 55.5 ± 19.3 years, P = 0.005, respectively). Mean number of red blood cell units transfused (2.21 ± 1.51; 2.05 ± 1.87, P = 0.5), duration of hospital stay (3.46 ± 2.80 days; 3.20 ± 2.30 days, P = 0.532) and gastric ulcer rate (33% vs 23.4%, P = 0.172) were higher in exposed group than in non-exposed group but the differences were not statistically significant. Total Rockall and Blatchford scores of the patients were significantly higher in exposed group than in non-exposed group (3.46 ± 1.72 vs 2.94 ± 1.87, P = 0.045; 10.29 ± 3.15 vs 9.31 ± 3.40, P = 0.038).Conclusıon:
Our study has shown that anticoagulants, antiaggregants and nonsteroidal anti-inflammatory drugs do not effect duration of hospital stay, red blood cell transfusion requirement and rebleeding for peptic ulcer bleeding. 相似文献37.
Akman T Akarsu M Akpinar H Resmi H Taylan E Sezer E 《Digestive diseases and sciences》2012,57(2):458-464
Background
Oxidative stress and reduced microvascular flow are important factors in the pathogenesis of inflammatory bowel disease (IBD). The increased oxidative stress reduces the eriytrocyte deformability. However, in IBD, there are no studies in the literature which evaluate erythrocyte deformability. 相似文献38.
Dulgeroglu Deniz Umay Ebru Bal Ajda Tetik Menevse Gulsum Tatlican Semih Cakci Aytul 《Rheumatology international》2012,32(1):241-244
Tumor necrosis factor-alpha (TNF-α) antagonists are employed increasingly during recent years in patients with active rheumatoid
arthritis who do not respond to disease-modifying anti-rheumatic drugs. Contraindications such as infections, auto-antibody
formation and hypersensitive reactions can be observed during the treatment with TNF-α antagonist drugs. Our case was a 52-year-old
woman, followed by several centers for a period of 21 years with a seropositive, erosive and nodular RA diagnosis. Anti TNF-α
treatment was commenced due to the failure to control the disease. During the treatment, a serious cellulite developed, which
required hospitalization and surgical debridement as well as intravenous antibiotics treatment. Through the present case,
we aimed to draw attention to the skin infection during the use of etanercept in a patient with RA. 相似文献
39.
Uçan H Alemdaroğlu E Yoldaş TK Erdem Özdamar S Akyüz M Hatipoğlu C 《Rheumatology international》2012,32(2):525-528
Diabetic muscular infarct (DMI) is a rare condition, which begins with acute onset of extremity pain and swelling. Patients
usually have long-standing disease and poorly controlled diabetes mellitus (DM). Thigh muscle group is the most commonly involved
side, while lower leg involvement is rare. We represent herein a 22-year-old patient with type I DM who admitted to our outpatient
clinic due to painful swelling of the left leg. In physical examination, anterior left leg was painful and firm on palpation;
there was diffuse swelling extending to the knee and ankle with mild local fever and redness. T2-weighted MRI demonstrated
hyperintensity in left leg muscles. A biopsy confirmed the diagnosis of DMI. She was treated with glucose regulation, analgesics,
antiplatelet treatment and rest. At her 6 months, recurrence of DMI was observed. DMI should be considered in diabetic patients
with extremity pain and swelling. Treatment plan should include the regulation of the blood glucose and evaluation of end-organ
complications, analgesia, and bed rest. 相似文献
40.
Sukru Uguz Gulsah Seydaoglu Cem Doğan Banu Yazgan Inanc Ebru Yurdagul Rasim Somer Diler 《Acta odontologica Scandinavica》2013,71(5):266-271
Objectives. The aims of this study were to determine the frequency of dental anxiety (DA) and dental phobia (DP) in panic disorder, and to follow the changes in DA levels during antidepressant treatment of panic disorder. Methods. Fifty-three controls and 102 panic disorder patients were assessed using the Structured Clinical Interview (SCID), the Panic-Agoraphobia Scale (PAS), and the Corah Dental Anxiety Scale (DAS). Oral health status was defined by the number of decayed, missing, and filled teeth (DMFT) index. The patients were classified into three groups: (1) those without dental anxiety (WDA), (2) those with dental anxiety (DA), and (3) those with dental phobia (DP). All patients were treated with antidepressants for 3 months and the response rates were assessed. Results. At baseline, DAS was significantly higher in both the DA and the DP groups than in the control group. Ten (9.8%) of the panic disorder patients fulfilled the diagnostic criteria for DP; 31 (30.4%) had severe DA. In the control group, none of the patients was diagnosed as DP, whereas 7 (13.5%) had severe DA. Panic disorder and DA both responded to the antidepressant treatment, but DAS scores remained significantly higher in the DP group than in the DA group and the control group at the end of the third month. Conclusions. Our data suggest that both DA and DP are more frequent in panic disorder than in healthy controls. Antidepressant treatment may have been helpful in decreasing DA levels in the DA group but not in the DP group. 相似文献