25 research outputs found
Electrophysiological evaluation of upper extremity entrapment neuropathies in rheumatic diseases
No full textSystemic inflammation in rheumatic diseases (RDs) can affect the peripheral nervous system, leading to neuropathic and myopathic complications. This study aimed to assess the frequency of upper extremity entrapment neuropathies in patients with RDs and identify associated predictive variables. A secondary objective was to highlight the role of electroneuromyography (ENMG) in early diagnosis and awareness about these issue. In this cross-sectional study, 102 patients diagnosed with RDs were evaluated. Demographic and clinical data, including disease duration, medications, joint involvement, and comorbidities, were recorded. Laboratory parameters such as rheumatoid factor, cyclic citrullinated peptide, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were recorded. Patients were referred for nerve conduction studies performed according to the American Academy of Neurology standards. Disease activity was measured using the Disease Activity Score 28 for rheumatoid arthritis (RA), Disease Activity Score for psoriatic arthritis (PsA), and European League Against Rheumatism Sj & ouml;gren Syndrome Disease Activity Index for Sj & ouml;gren syndrome. The frequency of carpal tunnel syndrome was 50% in RA, 47.4% in PsA, and 22.2% in Sj & ouml;gren syndrome patients. Additionally, 9.5% of RA patients had cubital tunnel syndrome. Positive ENMG findings were weakly correlated with age (r = 0.234; P = .018), RD (r = 0.221; P = .026), ESR (r = 0.216; P = .029), CRP (r = 0.229; P = .02), disease activity (r = 0.354; P < .001), and comorbidities (r = 0.229; P = .02). Moderate correlations were observed with disease duration (r = 0.432; P = .037) and the side affected by the lesion (r = 0.447; P < .001). In ordinal regression analysis, age and CRP had a nonsignificant positive effect on abnormal ENMG results. Disease duration, ESR, diagnosis (RA/PsA), disease activity, and comorbidities showed a nonsignificant negative effect on the likelihood of normal ENMG findings. The affected side was significantly associated with ENMG results; compared to bilateral involvement, right-sided neuropathy had a 1.5% and left-sided 4.3% chance of normal ENMG results. In RD patients with symptoms such as wrist or elbow pain, tingling, or numbness, peripheral neuropathies should be considered. ENMG is a critical tool for early diagnosis, as it offers detailed insights into lesion localization, severity, and prognosis
Evaluation of medication adherence and medication beliefs and their relation with quality of life in osteoporotic patients with and without vertebral fractures: a path analysis
No full textAbstract Background Osteoporosis (OP) is a public health problem that causes morbidity and mortality with various complications, especially fractures, negatively affects quality of life (QoL) and creates an economic burden on society. The aim of this study was to investigate the relationships among medication adherence, medication beliefs, QoL in Turkish patients with OP. Results The Medication Adherence Report Scale (MARS) total score was 17 in those with vertebral fractures and 18 in those without vertebral fractures. The total Quality of Life Questionnaire of the European Foundation for Osteoporosis (Qualeffo-41) score was 48.7 in those with vertebral fractures and 35.1 in those without vertebral fractures. Visual analog scale (VAS) of pain scores showed a moderate correlation with every domain of the Qualeffo-41 scores (r = 0.401, r = 0.412, r = 0.391, r = 0.402, r = 0.380, r = 0.387 respectively, P = 0.05) of statistically significant. Conclusions Enhancing positive medication beliefs are a promising approach to improve medication adherence, and in turn, improved diseases self management and better QoL, in OP patients
Reliability and Validity of Short Forms of Some Scales for Used in Quality of Life in Rheumatic Diseases
No full text
Covıd-19 Pandemi Sürecinde Düzce Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı
No full textCOVID-19 is one of the extraordinary periods in Wuhan, China, which affect the whole world, and protective measures must be taken quickly. Coronavirus Disease (COVID-19) is a highly contagious disease that causes physical, psychological and widespread systemic dysfunction in patients, causing a rapid change in our social life. In this review, we aimed to explain the pandemic process in the Department of Physical Medicine and Rehabilitation
Severity of Pain, and Sensory Changes in Patients with Rheumatoid Arthritis: A New SH-Pain Scale
No full textComparison of the Effectiveness of Platelet-Rich Plasma, Corticosteroid, and Physical Therapy in Subacromial Impingement Syndrome
No full textObjectives: This study aims to investigate and compare the efficacy of platelet-rich plasma (PRP) injection, corticosteroid injection, and physical therapy in addition to exercise treatment on pain, shoulder functions, and quality of life in patients with subacromial impingement syndrome (SAIS)
Postmenopozal Kadınlarda Lipid Düzeyleri Ve Kemik Mineral Yoğunluğu Arasındaki İlişki
No full textObjective: The aim of this study is to investigate the relationship between lipid levels and bonemineral density in postmenopausal womenMethods: We studied 276 postmenopausal women aged 45- 65 years (mean 54 years) whoattended Duzce University faculty of medicine physical medicine and rehabilitation polyclinic.Bone mineral density in the lumbar spine and femur neck were measured by dual energy X-rayabsorptiometry. Serum cholesterol, lipoproteins and triglyceride were assessed on a bloodsample obtained after a 12-hour fast. All participants were given a questionnaire to answer onvarious risk factors for osteoporosis. Participants who reported the use of hormone replacementtherapy and lipid lowering therapy were excluded. Statistically significant associations werefound by SPSS 11.0 and p0,05)higher body mass index is associated with higher bone mineral density at femur neck and lumbarspine (both p valuesAmaç: Bu çalışmanın amacı postmenapozal kadınlarda lipid düzeyleri ile kemik mineral yoğunluğu arasındaki ilişkiyi araştırmaktır. Yöntem: Çalışmaya Düzce Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon AD. polikliniğine başvuran 45-65 yaşları arası (ortalama yaş 54) 276 postmenopozal kadın alındı. Lomber vertebra ve femur boynu kemik mineral yoğunlukları dual enerji X ray absorbsiyometre ile, 12 saat süren açlık sonrası alınan kan örneklerinden serum total kolesterol, lipoproteinler ve trigliserid ölçüldü Çalışmaya hormon replasman ve lipid düzeyi düşürücü tedavi alanlar dahil edilmedi. Çalışmaya alınan tüm kadınlara osteoporoz sorgulama formu dolduruldu. Bulgular: Serum lipoproteinleri, total kolesterol ve trigliserid ile femur boynu ve lomber vertebra kemik mineral yoğunlukları arasında anlamlılık bulunamadı (p gt;0,05). Yüksek vücut kitle indeksi ile femur boynu ve lomber vertebrada yüksek kemik mineral yoğunluğu istatistiksel olarak anlamlı bulundu (
Investigation of incidental findings of temporomandibular joint disorders on brain magnetic resonance imaging in three-dimensional T2-weighted SPACE sequence performed for brain imaging
No full textObjectives: The study aimed to determine the temporomandibular joint (TMJ) findings, to investigate the prevalence contribution of this sequence on cases in which cranial magnetic resonance examination was performed and three-dimensional (3D) T2-SPACE (T2-weighted sampling perfection with application-optimized contrasts using different flip-angle evolutions) sequence was used by retrospectively scanning the magnetic resonance imaging (MRI) archive of our hospital, and to reveal the advantages of the 3D-T2 SPACE sequence in patients with TMJ disorders. Patients and methods: The cross-sectional retrospective study was conducted with 499 patients (289 females, 210 males; mean age: 50.1 +/- 17.7 years; range, 8 to 92 years) who underwent brain MRI and had 3D-T2 SPACE between March 1, 2021 and March 1, 2022. Two radiologists analyzed the TMJs of the subjects included in the study in 3D-T2 SPACE sequences. Results: At least one incidental finding was detected in the TMJ in 37.1% (n=185) of the patients included in our study. In our study, the most common (13.6%) MRI findings were osteoarthritic changes and synovial cysts. Joint effusion (13.2%) and disc displacement (9%) were less frequent. When the relationship between the age of the patients and the presence of incidental findings, degeneration, effusion, disc displacement, and cyst was examined, the age of the patients with incidental findings (p=0.001) and osteoarthritic changes (p<0.001) was statistically significantly higher. Conclusion: Incidental findings, particularly osteoarthritic changes and synovial cysts, can be seen quite commonly in the TMJ in brain MRI using 3D T2-SPACE sequences in the general population. The 3D T2-SPACE sequence provides valuable information in the recognition of TMJ disorders
Moleküler hastalıkların teşhis ve tedavisi için kök hücre ve nanopartiküllerin işbirliği
No full text
