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Efficiency of Axillary Bolster Use for Ultrasound-Guided Glenohumeral Joint Injection in MR Arthrography
No full textPurpose: The purpose of this study was to prospectively evaluate the accuracy of the ultrasonography (US)-guided posterior injection technique using an axillary bolster for magnetic resonance (MR) arthrography of the shoulder joint. Materials and Methods: This study included 60 patients (30 US-guided injections with an axillary bolster, 30 US-guided injections without an axillary bolster). There were 37 men and 23 women whose ages ranged from 17 to 64 years (mean, 36.87 years). All procedures were performed by two radiologists with less than 1 year of experience in arthrographic procedures. The accuracy of the two injection techniques was compared. Extraarticular contrast material leak was graded according to the MR arthrography findings. The number of injection attempts and the effect of contrast material extravasation rate on diagnostic quality were recorded. Results: There were no significant differences between US-guided punctures with and without an axillary bolster in regard to pain (p = 0.39). Injections with an axillary bolster had a higher likelihood of success on the first attempt (p = 0.0031). Complete extravasation in the US-guided posterior approach technique without an axillary bolster was significantly higher than the US-guided posterior injection technique with an axillary bolster (p < 0.0001). Conclusion: Although there is no significant difference in pain scores for both techniques, complete contrast material extravasation is seen at a higher rate in the US-guided posterior approach injection technique without the use of an axillary bolster compared to the technique used
DNA Kanıtlarında Kontaminasyonun Adli Yorum ve Hukuki Güvenilirlik Üzerindeki Etkileri: Mantıksal Değerlendirme Modelleri ve Transfer Senaryolarında Yanlış Karar Riski
No full textHesitations of mothers with asthmatic children about COVID-19 vaccine
No full textIn pediatric patients, parental beliefs and concerns also come to the fore in the administration of the vaccine. In this study, we aimed to compare the beliefs and concerns of mothers of asthmatic children with the Coronavirus Disease 2019 (COVID-19) vaccination. The study included 143 asthmatic children (7-18 years old) and their mothers who admitted to the pediatric immunology and allergy outpatient clinic between June and August 2021. Mothers' age, job, education level, COVID-19 vaccination status, and concerns for mothers and their children were collected as sources of information. Mothers were invited to fill out a questionnaire adapted from the ‘Beliefs about Medicines Prescribed to Your Child Questionnaire’ (BMQ). Among 143 mothers who participated in the study, 106 had been vaccinated and 37 had not. In our study, 49.1% of mothers who had received COVID-19 vaccination did not plan to have their children vaccinated, while 93.7% of mothers who had not received COVID-19 vaccination did not plan to have their children vaccinated. Vaccinated mothers had higher necessity scores, whereas non-vaccinated mothers had higher anxiety scores regarding the COVID-19 vaccination. Reasons for hesitancy were determined as being afraid of the side effects, waiting for a local vaccine to be developed, and concerns about infertility. When the COVID-19 information sources were evaluated, 61% were television, 28% were social media, and 5% were doctors. Parents' beliefs and concerns about necessity were associated with the vaccination rates of children. Although asthmatic children and their families are among the most at risk patient groups in terms of respiratory diseases, there was a distant stance against vaccination even among the parents of this clinical group. İt is thought that the media should be used more actively and health care professionals should be more effective as a sources of information regarding vaccination
Subakromiyal sıkışma sendromlu hastalarda omuz ve boyun mobilizasyonun duyu üzerine etkisi
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