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Assessment of Extruded Root Canal Filling Materials in Single-Rooted Teeth Using Cone Beam Computed Tomography 锥形束计算机断层扫描评价单根牙挤压根管充填材料的应用
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-16 DOI: 10.58600/eurjther1720
Emre Çulha, F. Tunç
Objective: Overfilling a root canal has a negative influence on the prognosis of teeth with apical periodontitis. This study proposed to assess extruded sealer and gutta-percha in single-rooted teeth within a Turkish subpopulation using cone-beam computed tomography.Methods: The study included cone-beam computed tomography scans of 2,346 endodontically treated teeth with a single root and foramen from a private dental clinic's archive. Teeth were divided into four groups: maxillary anteriors, mandibular anteriors, mandibular premolars, and maxillary second premolars. Two endodontists analyzed the scans at all planes and recorded information pertaining to tooth number, tooth type, and presence of extrusion. To examine the data, a chi-square test with a 0.05 p-value was performed.Results: Extrusion was detected in 256 (10.91%) of the single-rooted teeth. There was significant difference among the groups (p<0.05). Extrusion was significantly higher in the maxillary anteriors than in the other tooth groups. Maxillary second premolars had lower extrusion compared to the other tooth groups. There was no statistical relationship between the maxillary anterior tooth groups and the presence of extrusion (p=0.338).Conclusion: Maxillary anteriors had higher root canal filling material extrusion than the other tooth groups, while maxillary second premolars had lower extrusion.
目的:根管充填过度对根尖牙周炎患者的预后有不良影响。本研究建议使用锥形束计算机断层扫描评估土耳其亚群中单根牙齿中的挤压密封剂和杜仲胶。方法:本研究包括2346颗来自私人牙科诊所档案的单根和单孔根管治疗牙齿的锥形束计算机断层扫描。牙齿分为上颌前牙、下颌前牙、下颌前磨牙和上颌第二前磨牙四组。两名牙髓医生分析了所有平面的扫描结果,并记录了有关牙齿数量、牙齿类型和挤压存在的信息。为检验资料,采用p值为0.05的卡方检验。结果:256颗(10.91%)单根牙出现挤压。各组间差异有统计学意义(p<0.05)。上颌前牙的挤压明显高于其他牙组。上颌第二前磨牙较其他牙组有较低的挤压。上颌前牙组与出现挤压无统计学意义(p=0.338)。结论:上颌前牙根管充填材料挤出量高于其他牙组,而上颌第二前磨牙根管充填材料挤出量低于其他牙组。
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引用次数: 0
Hyperinsulinemic Hypoglycemia in Childhood 儿童期高胰岛素性低血糖症
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-15 DOI: 10.58600/eurjther1758
Özhan Orhan, M. Özbek
Hyperinsulinemic Hypoglycemia (HH) is the most common cause of permanent hypoglycemia, especially in the neonatal period. Childhood HH is mostly related to genes encoding proteins in the insulin secretion pathways, and may also be seen in syndromes such as Beckwidth Wiedemann, Kabuki, and Turner. The majority of congenital HH cases are the result of KATP channel gene defect. Most of these cases are unresponsive to diazoxide treatment. In this review, recent genetic studies and recent updates in treatment options in childhood HH are reviewed.
高胰岛素性低血糖症(HH)是永久性低血糖最常见的原因,尤其是在新生儿时期。儿童期HH主要与胰岛素分泌通路中编码蛋白质的基因有关,也可在Beckwidth Wiedemann、Kabuki和Turner等综合征中看到。大多数先天性HH病例是由KATP通道基因缺陷所致。大多数病例对二氮唑治疗无反应。在这篇综述中,最近的遗传学研究和儿童HH治疗方案的最新进展进行了回顾。
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引用次数: 0
Morphological and Morphometric Variations of the Hyoid Bone in Anatolian Population 安纳托利亚人群舌骨形态学和形态计量学差异
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-14 DOI: 10.58600/eurjther1721
Gkionoul Nteli Chatzioglou, Elif Toklu, Elif Bayraktar, A. Ertaş, Ayşin Kale, O. Coşkun, A. Öztürk, Ö. Gayretli
Objective: The morphological and morphometric variations of the hyoid bone (os hyoideum) are known to be significant in cervical surgeries and also serve as important evidence in forensic cases involving hanging and strangulation. The aim of this study is to investigate the morphological and morphometric differences of the hyoid bone.Methods: Sixty-four adult hyoid bones of unknown age and gender were used in our study. Ethical approval for the study was obtained from the Istanbul Faculty of Medicine Clinical Research Ethics Committee (date/number: 15.12.2021/632888). The bone shape variations were classified into four main groups: D, U, B, and V types according to the morphometric measurements of the hyoid bone. Also the hyoid bones were evaluated based on their symmetry and isometry properties. Morphometric measurements were analyzed for reliability and repeatability using TEM, rTEM, and R tests, with the same person measuring twice. Measurements were calculated using the Image J program. The data were analyzed using SPSS v.21.Results: The percentages of D, U, B, and V types were found to be 53.84%, 23.07%, 15.38%, and 11.53%, respectively. Among the hyoid bones, 34 (53.12%) were found to be asymmetrical, 30 (46.88%) symmetrical, 35 (54.69%) anisometric, and 29 (45.31%) were isometric.Conclusion: Our study's results indicate that the hyoid bone of Anatolian individuals exhibits morphological differences compared to other populations. Understanding the morphological and morphometric values of the hyoid bone can contribute to clinical and forensic applications.
目的:舌骨(os hyoideum)的形态学和形态计量学变化在颈椎手术中具有重要意义,也是涉及上吊和绞杀的法医案件的重要证据。本研究的目的是探讨舌骨的形态学和形态学差异。方法:64块成人舌骨,年龄、性别不详。该研究已获得伊斯坦布尔医学院临床研究伦理委员会的伦理批准(日期/号码:15.12.2021/632888)。根据舌骨形态测量,将骨形态变化分为D、U、B、V四大类。同时根据舌骨的对称性和等距性对其进行评估。使用TEM, rTEM和R测试分析形态计量测量的可靠性和可重复性,同一个人测量两次。使用Image J程序计算测量值。数据采用SPSS v.21进行分析。结果:D型占53.84%,U型占23.07%,B型占15.38%,V型占11.53%。舌骨不对称34例(53.12%),对称30例(46.88%),不对称35例(54.69%),等距29例(45.31%)。结论:本研究结果表明,安纳托利亚人的舌骨在形态上与其他种群存在差异。了解舌骨的形态学和形态测量值有助于临床和法医应用。
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引用次数: 0
Artificial Intelligence: From Talos to da Vinci 人工智能:从塔洛斯到达芬奇
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-14 DOI: 10.58600/eurjther1775
Konstantinos Christodoulou, Gregory Tsoucalas
The mythical bronze creature Talos (Greek: Τάλως) was worshiped initially as the god of light or the sun in the Hellenic Island of Crete. He is supposed to have lived in the peak Kouloukona of the Tallaia Mountains in the Gerontospelio cave. His relation towards bronze and fire and his continuous voyage circling the island of Crete most probably introduces the concept of the change of the four seasons. The sun was considered in the area of the South-East Mediterranean nations as just judge, a guardian who monitors and judges from above all the actions of the commoners, a controller for the faithful application of laws in Crete [1]. Hesychios in his Lexicon notes that talos means sun and that the name Tallaios was initially attributed to Zeus [2]. The birth of the Olympian gods forged a new Pantheon and nomenclature forcing some of the old gods to fell into lower deities. This happened to Talos who soon became a mythical hero [1]. According to Apollodorus, the bronze creature was forged by the magnificent constructor Hephaestus as a gift to the mythical King Minoa to help him guard the island [3]. Although the verb “peritrohazo” (Greek: περιτροχαζω) was used, meaning a movement in a steady orbit (track), some depictions image him as a winged being. To protect the island, he was throwing rocks into unknown ships or in the case of a foreign landing he was burning with fire or with his flamed bronze body the intruders. He was holding copper plates with the laws of the island and his circle allowed him to pass all island sores three times daily [1,4-6]. Plato, speaks of him as a real person, suggesting he was the brother of King Rhadamanthys, thus a son of Zeus [5]. Talos may be considered as the token of the Cretan power, a symbol of technological development in the field of metalworking in prehistoric and Minoan times. An animated, programmed gigantic android to enforce its will. A primitive robot for basic actions having a power source, fire and ichor (Greek: ιχώρ) the sacred fluid in the vessels of the gods. The first manufactured being with his individual intelligence, a primary concept of artificial intelligence (AI) [7]. Homer was the first to introduce the term automata (Greek: αυτόματα), to describe ingenious machines built by the supreme blacksmith god of invention and technology, God of metal and fire, Hephaestus, manufactured devices “acting of one’s own will” as the Hellenic word indicates [8]. Eons later, the humanoid automaton the “Automa cavaliere” (English: Automaton knight) appeared in the court of the nobleman and Duke of Milan Ludovico Maria Sforza. It was the year 1495, when Leonardo da Vinci presented his robotic knight, an innovative construction operated by a series of pulleys and cables, presenting though no individual mind. Although it was manufactured by a highly intelligent polymath, it could only be operated through an outer intelligence [9]. Advancements made during the Fourth Industrial Revolution allowed modern technolo
神话中的青铜生物塔洛斯(希腊文:Τάλως)最初在希腊克里特岛被崇拜为光神或太阳神。他应该住在塔拉亚山脉的库卢科纳峰的格罗尼托斯佩利奥洞穴里。他与青铜和火的关系以及他环绕克里特岛的持续航行很可能引入了四季变化的概念。在地中海东南部国家,太阳被认为是公正的法官,是监督和评判平民行为的守护者,是克里特岛忠实执行法律的控制者。赫西俄斯在他的词典中指出,塔洛斯的意思是太阳,而塔拉伊奥斯这个名字最初被认为是宙斯的名字。奥林波斯山诸神的诞生造就了一个新的万神殿和命名法,迫使一些旧神沦为低级神。这件事发生在塔洛斯身上,他很快成为了神话中的英雄。根据阿波罗多罗斯的说法,这个青铜生物是由伟大的建造者赫菲斯托斯铸造的,作为送给神话中的米诺阿国王的礼物,帮助他守卫岛屿。虽然使用了动词“peritrohazo”(希腊语:περιτροχαζω),意思是在一个稳定的轨道(轨道)上运动,但有些描述把他描绘成一个有翅膀的人。为了保护岛屿,他向不知名的船只投掷石块,或者在外国人登陆的情况下,他用火焚烧入侵者,或者用他燃烧的青铜身体焚烧入侵者。他手里拿着刻有岛上规律的铜板,他的圆圈允许他每天三次通过所有岛上的疮疤[1,4-6]。柏拉图说他是一个真实的人,暗示他是国王Rhadamanthys的兄弟,因此是宙斯的儿子。塔洛斯可以被认为是克里特权力的象征,是史前和米诺斯时代金属加工领域技术发展的象征。一个动画的,编程的巨型机器人来执行自己的意志。一种原始的机器人,有动力来源,火和水(希腊语:ιχώρ),水是神的容器中的神圣液体。第一个拥有个人智能的人造生命,这是人工智能(AI)的基本概念。荷马是第一个引入“自动机”一词的人(希腊语:ατ ο ματα),用来描述由发明和技术的最高铁匠之神,金属和火之神赫菲斯托斯制造的巧妙的机器,制造出“按照自己的意志行动”的装置,正如希腊文[8]所表示的那样。很久以后,人形机器人“Automa cavaliere”(英语:automaton knight)出现在贵族和米兰公爵Ludovico Maria Sforza的宫廷里。1495年,列奥纳多·达·芬奇(Leonardo da Vinci)展示了他的机器人骑士,这是一种由一系列滑轮和缆绳操纵的创新建筑,虽然没有个人的思想。虽然它是由一位高智商的博学者制造的,但它只能通过外部智能bbb来操作。第四次工业革命期间取得的进步使现代技术能够制造智能机器,以辅助侵入性手术领域。其中最复杂的装置之一是达文斯手术塔。达芬奇系统是在21世纪的背景下推出的,是最常用的工具/系统之一,在机器人辅助手术领域占主导地位。有人可能会说,它实际上重塑了手术的概念,为医生提供了巨大的能力,旨在实现最佳的术后结果。瓣膜和冠状动脉旁路移植术[12,13]。达芬奇在全球范围内获得了心脏外科手术的许可,并开始流行,以实现心脏外科医生在衣柜里做手术的梦想。它给病人带来的好处和开胸手术一样。它由四个安装在吊臂上的机械臂以及一个移动平台和一个主控制台组成。后者具有可调整的眼内距离,软垫头枕,可调整的臂杆和灵活的手指环,精心设计以满足外科医生的“需求”[12]。每个机械臂都有三个自由度,与EndoWrist技术相结合,模仿外科医生手部的精细动作,获得额外的七个自由度。
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引用次数: 0
Artificial Intelligence Co-Authorship: Perspectives on Scientific Accuracy and Responsibility 人工智能合著者:科学准确性和责任的观点
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-14 DOI: 10.58600/eurjther1770
Ayşe Bahşi, Çağatay Küçükbingöz
Dear Editors,Amidst the rapid advancements in artificial intelligence tools, we have read the editorials published in your journal on the subject of “artificial intelligence and academic articles” with great interest [1, 2]. First and foremost, we would like to express our gratitude for fostering an essential platform for discourse on this current topic. Thank you for creating a significant environment for discussion.The rapid advancements emerging in artificial intelligence tools undoubtedly promise significant contributions not only in various fields but also in the realm of science. However, just as in scientific progress, it is clear that the opportunities supporting science and enabling its advancement are also evolving. For instance, had we sent this letter to your journal thirty years ago, we might have needed to send it through postal mail. Alternatively, if our writing had been published in your journal twenty years ago, we could have read it in hard copy rather than in an online environment. Similarly, had we been practising medicine hundreds of years ago, we wouldn't have had the capability to do anything for patients that we can easily treat today with the aid of ultrasound guidance in the operating room.It is highly likely that in the future, thanks to artificial intelligence tools, many tasks will become significantly more efficient and practical. From this perspective, we believe that incorporating artificial intelligence tools into the realm of science is a necessity. However, as you have also pointed out in your editorial articles [1, 2], we believe that the inclusion of artificial intelligence tools as authors in academic research is a significant topic of debate. Based on our current knowledge and perspective, we believe this situation may not be entirely appropriate.We believe that one of the most crucial points of contention regarding the inclusion of artificial intelligence tools as authors in academic research is the concept of “accuracy”. Artificial intelligence provides us with information it finds on the internet. Whether these sources are genuinely obtained from reputable journals cannot be definitively determined. This poses a significant challenge in ensuring the accuracy of such contributions. This also suggests that articles written by artificial intelligence may not be sufficiently reliable. For instance, when we input “the lumbar transforaminal injection method” into ChatGPT, it provides a lot of information on the topic. However, when asked for references, it responds with, “The information I provide is based on a vast dataset of text from a wide range of sources available on the internet, including books, websites, research papers, and more.” Indeed, it can also retrieve information from virtual and/or fake accounts. In essence, as of now, artificial intelligence lacks a truth filter similar to that of a human. While artificial intelligence facilitates rapid access to information, the uncertainty arising fro
在人工智能工具飞速发展的背景下,我们饶有兴趣地阅读了贵刊上发表的关于“人工智能与学术文章”的社论[1,2]。首先,我们要感谢为当前这一主题的讨论提供了一个重要的平台。谢谢你创造了一个重要的讨论环境。毫无疑问,人工智能工具的快速发展不仅在各个领域,而且在科学领域都有重大贡献。然而,正如科学进步一样,很明显,支持科学和推动科学进步的机会也在不断变化。例如,如果我们在30年前把这封信寄给你的杂志,我们可能需要通过邮政邮寄。或者,如果我们的文章20年前发表在你们的期刊上,我们就可以阅读纸质版,而不是在线环境。同样,如果我们在几百年前就开始行医,我们就不会有能力为病人做任何事情,而今天我们可以在手术室里借助超声波指导轻松地治疗病人。很有可能在未来,由于人工智能工具,许多任务将变得更加高效和实用。从这个角度来看,我们认为将人工智能工具纳入科学领域是必要的。然而,正如您在社论文章[1,2]中所指出的那样,我们认为将人工智能工具作为作者纳入学术研究是一个重要的争论话题。根据我们目前的知识和观点,我们认为这种情况可能并不完全合适。我们认为,关于将人工智能工具作为作者纳入学术研究的最关键的争论点之一是“准确性”的概念。人工智能为我们提供它在互联网上找到的信息。这些资料来源是否真正来自有信誉的期刊还不能确定。这对确保这些贡献的准确性构成了重大挑战。这也表明,人工智能撰写的文章可能不够可靠。例如,当我们在ChatGPT中输入“腰椎经椎间孔注射法”时,它会提供大量有关该主题的信息。然而,当被要求提供参考资料时,它会回答:“我提供的信息是基于互联网上各种来源的大量文本数据集,包括书籍、网站、研究论文等等。”事实上,它还可以从虚拟和/或虚假账户中检索信息。从本质上讲,到目前为止,人工智能缺乏类似于人类的真相过滤器。虽然人工智能有助于快速获取信息,但由于数据不可靠而产生的不确定性使人们对其提供的信息产生怀疑。此外,我们认为人工智能不能与人类作者对其提供的信息承担同等程度的责任。基于这些原因,我们认为确认人工智能应用所呈现的信息的准确性的责任完全在于人类作者,我们认为人工智能应用不应该在文章中被列为作者。你的真诚,
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引用次数: 1
Multiple Eruptive Dermatofibromas in a Patient with Primary Sjögren’s Syndrome 原发性Sjögren综合征患者多发发疹性皮肤纤维瘤
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-14 DOI: 10.58600/eurjther1745
M. Kaya, D. Tecer, S. Yılmaz
Multiple eruptive dermatofibromas (MEDF) are rare tumors and thought to be associated with the disturbances in the immune system. In our 40-year-old case, 5 nodules have developed in a 4-month period. The patient was diagnosed by a dermatologist to have MEDF, and referred to rheumatology outpatient clinic because of the symptoms such as dry mouth, and polyarthralgia. After clinical and laboratory evaluation, the diagnosis of primary Sjögren’s syndrome (SS) was made. According to the best of our knowledge, this case is the first reported association between MEDF and primary SS. Therefore, when the diagnosis of MEDF is made, SS should also been included in the comprehensive evaluation of associated diseases.
多发发疹性皮肤纤维瘤是一种罕见的肿瘤,被认为与免疫系统紊乱有关。在我们40岁的病例中,4个月内出现了5个结节。患者经皮肤科医生诊断为MEDF,因出现口干、多关节痛等症状转至风湿病门诊。经临床及实验室评估,诊断为原发性Sjögren综合征(SS)。据我们所知,该病例是MEDF与原发性SS关联的首例报道。因此,在诊断MEDF时,SS也应纳入相关疾病的综合评价。
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引用次数: 0
Follow-up of Artificial Intelligence Development and its Controlled Contribution to the Article: Step to the Authorship? 人工智能发展的后续及其对文章的受控贡献:迈向作者?
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-11 DOI: 10.58600/eurjther1733
Ekrem Solmaz
Dear Editors,I am excited to see a current discussion in this journal [1]. In another editorial article, the questions and answers directed to Chat Generative Pre-Trained Transformer (ChatGPT), an artificial intelligence (AI) product, about the authorship process contributed to my idea of conducting a similar study [2]. In addition, addressing the editorial question, the second answer partially satisfied me because it was more innovative. Although the answers of ChatGPT in this article are apparent in the text, their contribution is not included in the footnote, explanation, acknowledgment, or reference; in some studies, it is shown in the footnote [3]; in some, it is included in the acknowledgment section [4]. Such contributions or the nature of the support received should also be evaluated and clearly stated. Which section should be included for AI-enabled content such as ChatGPT? Since accessing the previous accesses is impossible, it may be better to copy them to a visual or open access place instead of giving them a reference in the sources.Although many subjects need to be read further and a detailed examination is required, a brief description of the working mechanism should be made. AI's deep learning is to experiment with a given set of inputs and outputs and make suggestions, and when it encounters a new input, it gives it an appropriate output. As I analyze the book chapters [5] that examine the success of AI programs in the process of inventing, producing art, and doing the work of different professional groups, such as lawyers or doctors in some fields, with appropriate learning algorithms, I think that they may have a promising potential for the future in terms of writing articles. In an environment without prejudice, such as the Turing test, there has been much discussion about the superiority of intelligence only when compared to the machine [5]. In addition, the fact that AI provides a contribution whose authorship cannot be detected by similarity or plagiarism programs, which are different software products, makes this situation difficult to understand.In one of the studies contributing to this editorial correspondence, various AI examples with different functions and more capabilities are given, apart from ChatGPT. In addition, while drawing attention to the trust problem, margin of error, and differences in the level of development between programs, it was emphasized that the suitability of using AI applications for general and simple service operations such as article language editing to reduce financial costs should be treated without prejudice [6]. Another article stated that the support to be received from AI after the article was written would be more reliable, controlled, and risk-free [7]. The article that questioned AI's identity on philosophical and ethical grounds was also remarkable [8]. In a different approach, it was stated that with the increase of pseudoscience authors, scientific and unethical situations may
另一项领先的研究显示,根据CRediT (Contributor Roles Taxonomy),人工智能只满足14个标准中的3个,即可视化、起草和编辑,这在作者身份标准方面很重要。作者分享了ChatGPT不能满足这些条件的原因,以及他们在使用ChatGPT查询其他条件时的答案。与该研究并行,ChatGPT-3.5模型对我的问题给出了相同的答案,并表示不被接受为作者[15]。普遍的担忧和批评集中在人工智能因为错误的信息而无法承担责任,以及在不道德的情况下没有制裁。虽然现在还没有这样的现实,但未来一段时间内,即使人工智能的贡献超过人类,被认为是被赋予责任和惩罚的作者,争论似乎也会继续。这可能取决于随着律师和软件开发人员的贡献以及根据新发展采取的法规,该过程将在何处发展。因此,目前应该由律师、专业组织、出版商、期刊编委会和伦理委员会等国际多学科领域的权威人士来关注控制和综合规划的研究。即使由于目前的条件、人工智能应用的位置和一般标准,人工智能不被接受为作者,但它很快就进入了学术研究环境,其作者身份已经浮出水面,并将进行讨论。最好的问候,
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引用次数: 1
Moderator Effect of Chronic Disease on The Relationship Between Marriage Adjustment and Satisfaction in Married Couples 慢性病对已婚夫妇婚姻适应与满意度关系的调节作用
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-10 DOI: 10.58600/eurjther1722
Feyza Inceoğlu, Esra Porgalı Zayman
Objective: The purpose of our study is to show how the relationship between marital adjustment and satisfaction will change in cases of chronic disease in either or both spouses of married couples using a multivariate statistical analysis method.Methods: Marriage adjustment ve marriage satisfaction scales were used. A structural equation modeling - multiple group analysis method was used in the study, which was designed as a relational screening model.Results: In the study, which included 898 participants, 56.6% of the participants were female and 43.4% were male. The mean age of the participants was 36.94 ± 8.72 standard deviations. First, the relationship between marital adjustment and satisfaction was analyzed using structural equation modeling, and the relationship between the scales was found to be statistically significant (p=0.001). In the model, which was significant and sufficient, the variable of chronic disease was coded on the arrow representing the regression coefficient between the scales, and multiple group analysis was applied. The relationship between marital adjustment and satisfaction was found to be weak among individuals with chronic diseases. The rate of marriage satisfaction explaining marriage adjustment was lower in individuals without chronic disease (R2=0.16) than in those without chronic disease (R2=0.10). While ego scores were not significant in individuals without chronic disease (p=0.237), they were statistically significant in individuals with chronic disease (p=0.017).Conclusion: Chronic diseases has been found to have a significant impact on the relationship between spouses. Many studies have examined the effects of chronic diseases on marriage. However, our study differs from other studies because of the analytical methods used. In the scales, it was determined whether the chronic disease showed a change in the relationship between the scales, not the scores in the chronic disease state.
目的:采用多元统计分析的方法,探讨已婚夫妻一方或双方患有慢性病时,婚姻调整与满意度之间的关系。方法:采用婚姻调整量表和婚姻满意度量表。本研究采用结构方程建模-多组分析方法,设计为关系筛选模型。结果:本研究共纳入898名参与者,其中56.6%为女性,43.4%为男性。参与者的平均年龄为36.94±8.72标准差。首先,采用结构方程模型分析婚姻调整与满意度的关系,发现各量表之间的关系具有统计学意义(p=0.001)。在模型中,慢性病变量用表示量表间回归系数的箭头进行编码,模型是显著且充分的,并采用多组分析。在慢性病患者中,婚姻调整与满意度的关系较弱。无慢性疾病个体解释婚姻调整的婚姻满意度(R2=0.16)低于无慢性疾病个体(R2=0.10)。无慢性疾病个体自我得分差异无统计学意义(p=0.237),有慢性疾病个体自我得分差异有统计学意义(p=0.017)。结论:慢性疾病对夫妻关系有显著影响。许多研究调查了慢性病对婚姻的影响。然而,由于使用的分析方法,我们的研究与其他研究不同。在量表中,确定的是慢性疾病在量表之间的关系是否发生变化,而不是慢性疾病状态下的得分。
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引用次数: 0
The Clinical Characteristics and Prognosis of Exon 2 Mutations in Familial Mediterranean Fever 家族性地中海热外显子2突变的临床特征和预后
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-10 DOI: 10.58600/eurjther1739
Begüm Avcı, Gönül Parmaksız, Feride Şahin, Aytül Noyan
Objective: It is unclear whether exon 2 mutations are variations or a mutations that causes the disease. This study aimed to evaluate the clinical features and prognosis exon 2 mutations in Familial Mediterranean Fever. Methods: The clinical features, disease severity and prognosis of all patients with at least one exon 2 mutations were evaluated retrospectively. These data were compared seperately for homozygous (Group 1), heterozygous (Group 2), compound heterozygous (Group 3), and complex alleles (Group 4), and the data were compared by grouping patients into those with and without exon 10 mutations. Results: There were a total of 119 patients with exon 2 mutations, including 11.7% in Group 1, 36.1% in Group 2, 21.8% in Group 3, and 30.2% in Group 4 were similar in terms of demographic data, clinical characteristics, and disease course. When compared patients with exon 10 mutations (+) to those with exon 10 mutations (-), the exon 10 mutations (+) group had a higher presence of chest pain (100%, p=0.02) and a significantly higher mean Pras severity score (6.66±1.87, 6.01±1.40; p=0.02). Additionally, a higher number of patients with exon 10 mutation (-) achieved remission with treatment (76 (67.9%), 36 (32.1%); p=0.03). Conclusion: Exon 2 mutations have a milder course and higher remission rates but they should be considered as Familial Mediterranean Fever disease because of their similar clinical presentation and response to colchicine treatment with exon 10 mutations. Early treatment and close follow-up should be performed.
目的:目前尚不清楚外显子2突变是变异还是导致疾病的突变。本研究旨在评价家族性地中海热外显子2突变的临床特征和预后。方法:回顾性分析所有至少有一个外显子2突变的患者的临床特征、病情严重程度及预后。分别比较纯合子(1组)、杂合子(2组)、复合杂合子(3组)和复合等位基因(4组)的数据,并将患者分为外显子10突变组和非外显子10突变组进行比较。结果:共有119例外显子2突变患者,其中1组11.7%,2组36.1%,3组21.8%,4组30.2%在人口学资料、临床特征、病程等方面相似。将外显子10突变(+)组与外显子10突变(-)组进行比较,外显子10突变(+)组胸痛发生率更高(100%,p=0.02),平均Pras严重程度评分(6.66±1.87,6.01±1.40)显著高于外显子10突变(+)组;p = 0.02)。此外,更多的外显子10突变(-)患者通过治疗获得缓解(76人(67.9%),36人(32.1%);p = 0.03)。结论:外显子2突变具有较轻的病程和较高的缓解率,但由于其临床表现和对秋水仙碱治疗的反应相似,应考虑为家族性地中海热。应进行早期治疗和密切随访。
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引用次数: 0
The Hormonal Status Comparison of Unilateral and Bilateral Adrenal Adenomas: Are They the Same? 单侧和双侧肾上腺腺瘤的激素水平比较:它们是一样的吗?
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-08-09 DOI: 10.58600/eurjther665
Burak Özbaş, A. Gökçay Canpolat, Cansu Özbaş, D. Çorapçıoğlu, M. Şahin
Objective: It is not yet clear whether unilateral/bilateral adenomas are different in terms of both functionality and etiology. We investigated whether there were differences in hormonal profiles and evaluate the cortisol secretion profiles of unilateral and bilateral adenomas.Methods: Hormonal secretory profiles and clinical features of patients with adenomas were collected. Detailed evaluation was made in terms of hypercortisolemia.Results: Of the 184 patients examined, 140 had unilateral and 44 had bilateral adenomas. 73% of the patients were female and the mean body mass index was 34±8.1kg/m2. The mean age was 57.1±9.8 years. The average size of the adrenal masses was 23.3±10.5mm. While 83% of the evaluated adenomas were nonfunctional, ACS was found in 11% (n:20), hyperaldosteronism in 4% (n:8), and pheochromocytoma (PCC) in 2% (n:3) of the patients. The prevalence of ACS in bilateral/unilateral adenomas was 20.5%/7.9%, respectively. While serum adrenocorticotropic hormone level (25.6±16.6vs19.3±15µg/dL), urinary free cortisol level (162.3±108.3vs243.3±234.2µg/day), and low-dose-dexamethasone-suppression-test results (1.6±1.9vs1.73±1.7µg/dL) were not statistically different, the only difference between unilateral and bilateral adenomas was in serum DHEA-S level (141.4±85vs77.7±73.8 µg/dL, p:0.003).Conclusion: Although there is no significant difference between the two groups in terms of clinical findings, it is clear that ACS is more prevalent in bilateral adenomas than unilateral. Because of the negative effects of long-term hypercortisolism, precise management of ACS is noteworthy. The evaluation of ACS should be done more carefully in bilateral adenomas considering that ACS is more in bilateral adenomas than unilateral. According to our findings, we also suggest that DHEA-S may be an indicator for ACS.
目的:目前尚不清楚单侧/双侧腺瘤在功能和病因方面是否不同。我们研究了单侧和双侧腺瘤的激素谱是否存在差异,并评估了皮质醇分泌谱。方法:收集腺瘤患者的激素分泌特征及临床特征。在高皮质醇血症方面进行了详细的评估。结果:184例患者中单侧腺瘤140例,双侧腺瘤44例。73%的患者为女性,平均体重指数34±8.1kg/m2。平均年龄57.1±9.8岁。肾上腺肿物平均大小23.3±10.5mm。83%的评估腺瘤无功能,11% (n:20)发现ACS, 4% (n:8)发现高醛固酮增多症,2% (n:3)发现嗜铬细胞瘤。ACS在双侧/单侧腺瘤中的患病率分别为20.5%/7.9%。血清促肾上腺皮质激素水平(25.6±16.6vs19.3±15µg/dL)、尿游离皮质醇水平(162.3±108.3vs243.3±234.2µg/d)和低剂量地塞米松抑制试验结果(1.6±1.9vs1.73±1.7µg/dL)无统计学差异,单侧和双侧腺瘤之间唯一的差异是血清DHEA-S水平(141.4±85vs77.7±73.8µg/dL, p:0.003)。结论:虽然两组在临床表现上无明显差异,但ACS在双侧腺瘤中明显多于单侧腺瘤。由于长期高皮质醇血症的负面影响,ACS的精确管理值得注意。考虑到ACS多见于双侧腺瘤而非单侧腺瘤,对双侧腺瘤ACS的评估应更加仔细。根据我们的研究结果,我们也认为DHEA-S可能是ACS的一个指标。
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引用次数: 0
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European Journal of Therapeutics
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