DOI: 10.4328/JCAM.5894 Received: 01.05.2018 Accepted: 05.06.2018 Published Online: 05.06.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 211-4 Corresponding Author: Walaa M Ragab, Neurology Department, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail: Ragab_walla@yahoo.com Abstract Aim: The ultimate goal for many stroke patients is to achieve maximum level of functional independence that enables them to return home and reintegrate into community life as fully as possible. There are variable levels of impairment in stroke patients. Detecting the suitable type of feedback (visual or auditory) is important for improvement the impairment of stroke patients. Material and Method: Sixty left chronic stroke patients were representinging the samples of the study. The patients were assigned into four equal groups; The patients in group1(G1) and group 2 (G2) were of mild impairment of upper limb function while patients in group3 (G3) and group4 (G4) were of moderate impairment of upper limb function. Each group was tested by WMFT for detecting the function and time of motor performance of upper extremity( UE) . G1 and G3 received visual feedback training while G2 and G4 received auditory feedback training. Results: There was a significant increase in the degree of motor performance in all of the four groups G1, G2, G3 and G4 P value was less than with more evidence for .05 with more evidence for G1. Also there was a significant decrease in the time of motor performance in all the four groups P value was less than .05 with more evidence for G3. Discussion: Visual and auditory feedback have an effect on improving the motor performance of UE in mild and moderate impairment stoke patients with more evidence for visual feedback.
DOI: 10.4328 / JCAM.5894收稿日期:01.05.2018收稿日期:05.06.2018出版日期:05.06.2018印刷日期:01.03.2019 J clinical Anal Med 2019;10(2): 211-4通讯作者:Walaa M Ragab，埃及开罗大学物理治疗学院神经内科。摘要目的:许多脑卒中患者的最终目标是实现最大程度的功能独立，使他们能够回家并尽可能充分地重新融入社区生活。中风患者有不同程度的损伤。检测合适的反馈类型(视觉或听觉)对于改善脑卒中患者的损伤是重要的。材料与方法:60例左慢性脑卒中患者为研究样本。患者被分为四组;1组(G1)、2组(G2)为上肢功能轻度损害，3组(G3)、4组(G4)为上肢功能中度损害。各组采用WMFT检测上肢运动功能(UE)的功能和时间。G1、G3接受视觉反馈训练，G2、G4接受听觉反馈训练。结果:G1、G2、G3、G4组大鼠运动功能程度均有显著提高，P值< 0.05，证据较多，G1组证据较多。四组大鼠运动表现时间均显著缩短，P值均小于0.05,G3组更明显。讨论:视觉和听觉反馈对轻度和中度脑损伤患者UE的运动表现有改善作用，视觉反馈的证据较多。
{"title":"The most effective type of feedback for rehabilitation in different types of impairment of upper limb function in patients with chronic stroke","authors":"W. Ragab","doi":"10.4328/JCAM.5894","DOIUrl":"https://doi.org/10.4328/JCAM.5894","url":null,"abstract":"DOI: 10.4328/JCAM.5894 Received: 01.05.2018 Accepted: 05.06.2018 Published Online: 05.06.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 211-4 Corresponding Author: Walaa M Ragab, Neurology Department, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail: Ragab_walla@yahoo.com Abstract Aim: The ultimate goal for many stroke patients is to achieve maximum level of functional independence that enables them to return home and reintegrate into community life as fully as possible. There are variable levels of impairment in stroke patients. Detecting the suitable type of feedback (visual or auditory) is important for improvement the impairment of stroke patients. Material and Method: Sixty left chronic stroke patients were representinging the samples of the study. The patients were assigned into four equal groups; The patients in group1(G1) and group 2 (G2) were of mild impairment of upper limb function while patients in group3 (G3) and group4 (G4) were of moderate impairment of upper limb function. Each group was tested by WMFT for detecting the function and time of motor performance of upper extremity( UE) . G1 and G3 received visual feedback training while G2 and G4 received auditory feedback training. Results: There was a significant increase in the degree of motor performance in all of the four groups G1, G2, G3 and G4 P value was less than with more evidence for .05 with more evidence for G1. Also there was a significant decrease in the time of motor performance in all the four groups P value was less than .05 with more evidence for G3. Discussion: Visual and auditory feedback have an effect on improving the motor performance of UE in mild and moderate impairment stoke patients with more evidence for visual feedback.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48767924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.5872 Received: 12.04.2018 Accepted: 05.05.2018 Published Online: 08.05.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 183-7 Corresponding Author: Zeliha Haytoglu, Department of Pediatrics, Cukurova University, Faculty of Medicine, Adana, Turkey. GSM: +905052540485 E-Mail: zelihahayt@yahoo.com ORCID ID: 0000-0002-8371-5137 Abstract Aim: The question of why some children are more susceptible to febrile seizures(FS) is a subject of research. Familial Mediterranean fever(FMF) and periodic fever, aphthous stomatitis, pharyngitis and adenitis(PFAPA) syndrome are the two most common autoinflammatory diseases characterized by frequent episodes with high fevers.We aimed to identifythe predictors of FS in patients with FMF andPFAPA. Material and Method: A total of 112 patients, 66 patients with PFAPA and 46 patients with FMF,whose symptoms’ onset was before six years of age,were enrolled between January 2015 and January 2018 in our tertiary hospital. Regression analysis was used to assess the risk factors. Results: Family history of recurrent febrile tonsillitis was found to be one of the predictors of FS(P = 0.038) in PFAPA syndrome and was observed in 31.8%(22/67) of patients. The risk of FS was not different between patients with and without MEFV variants in PFAPA syndrome. The frequency and recurrence rate of FS was 18.2% and 58.3% in PFAPA syndrome,and 15.2% and 57.1% in FMF. Patients with family history of recurrent fever had 3.4 times higher odds of having FS(p=0.019)(95%CI=1.2 to 9.5).Frequency of fever was not found as a predictor of FS, although duration of fever was a predictor of FS.Family history of recurrent fever was not correlated with the family history of FS. Discussion: It may be suggested that susceptibility of FS in patients with FMF and PFAPA syndrome may not be attributable solely to the characteristic features of fever.
{"title":"Beyond the febrile seizure: Pay attention to the periodic fever","authors":"Haytoglu Z Herguner Mo","doi":"10.4328/JCAM.5872","DOIUrl":"https://doi.org/10.4328/JCAM.5872","url":null,"abstract":"DOI: 10.4328/JCAM.5872 Received: 12.04.2018 Accepted: 05.05.2018 Published Online: 08.05.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 183-7 Corresponding Author: Zeliha Haytoglu, Department of Pediatrics, Cukurova University, Faculty of Medicine, Adana, Turkey. GSM: +905052540485 E-Mail: zelihahayt@yahoo.com ORCID ID: 0000-0002-8371-5137 Abstract Aim: The question of why some children are more susceptible to febrile seizures(FS) is a subject of research. Familial Mediterranean fever(FMF) and periodic fever, aphthous stomatitis, pharyngitis and adenitis(PFAPA) syndrome are the two most common autoinflammatory diseases characterized by frequent episodes with high fevers.We aimed to identifythe predictors of FS in patients with FMF andPFAPA. Material and Method: A total of 112 patients, 66 patients with PFAPA and 46 patients with FMF,whose symptoms’ onset was before six years of age,were enrolled between January 2015 and January 2018 in our tertiary hospital. Regression analysis was used to assess the risk factors. Results: Family history of recurrent febrile tonsillitis was found to be one of the predictors of FS(P = 0.038) in PFAPA syndrome and was observed in 31.8%(22/67) of patients. The risk of FS was not different between patients with and without MEFV variants in PFAPA syndrome. The frequency and recurrence rate of FS was 18.2% and 58.3% in PFAPA syndrome,and 15.2% and 57.1% in FMF. Patients with family history of recurrent fever had 3.4 times higher odds of having FS(p=0.019)(95%CI=1.2 to 9.5).Frequency of fever was not found as a predictor of FS, although duration of fever was a predictor of FS.Family history of recurrent fever was not correlated with the family history of FS. Discussion: It may be suggested that susceptibility of FS in patients with FMF and PFAPA syndrome may not be attributable solely to the characteristic features of fever.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48803420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.5881 Received: 08.06.2018 Accepted: 25.06.2018 Published Online: 02.07.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 193-7 Corresponding Author: Hatice Kaplanoglu, Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, TR-06100 Ankara, Turkiye. T.: +90 3125084443 F.: +90 31231866 E-Mail: hatice.altnkaynak@yahoo.com.tr ORCID ID: 0000-0003-1874-8167 Abstract Aim: In this study, we aim to investigate the anterior-posterior length of the lateral orbital wall, and the width and thickness of the posterior base of the sphenoid trigone using multislice computed tomography (MSCT). Material and Method: The lateral orbital distance was found by measuring the distance that starts from the axial lateral orbital rim to the point where the lateral rectus muscle contacted the bone. The lateral wall width was measured at the superior border of the lateral rectus muscle. The sphenoid trigone thickness was measured at the level passing through the superior border of the lateral rectus muscle. Results: In the right eye, orbital lateral wall length was 21.6 mm, trigone thickness was 13.0 mm, and lateral wall width was 13.0 mm, while in the left eye, the orbital lateral wall length was 20.7 mm, trigone thickness was 9.5 mm, and the lateral wall width was 13.4 mm. Discussion: In this study we measured both the mean width and length of the larger part of the sphenoid, and the trigone thickness. These measurements can be used as an anatomical guide in the deep lateral orbital decompression surgery.
{"title":"Multislice computed tomography evaluation of lateral orbital wall and sphenoid trigone in Turkey","authors":"H. Kaplanoğlu","doi":"10.4328/JCAM.5881","DOIUrl":"https://doi.org/10.4328/JCAM.5881","url":null,"abstract":"DOI: 10.4328/JCAM.5881 Received: 08.06.2018 Accepted: 25.06.2018 Published Online: 02.07.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 193-7 Corresponding Author: Hatice Kaplanoglu, Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, TR-06100 Ankara, Turkiye. T.: +90 3125084443 F.: +90 31231866 E-Mail: hatice.altnkaynak@yahoo.com.tr ORCID ID: 0000-0003-1874-8167 Abstract Aim: In this study, we aim to investigate the anterior-posterior length of the lateral orbital wall, and the width and thickness of the posterior base of the sphenoid trigone using multislice computed tomography (MSCT). Material and Method: The lateral orbital distance was found by measuring the distance that starts from the axial lateral orbital rim to the point where the lateral rectus muscle contacted the bone. The lateral wall width was measured at the superior border of the lateral rectus muscle. The sphenoid trigone thickness was measured at the level passing through the superior border of the lateral rectus muscle. Results: In the right eye, orbital lateral wall length was 21.6 mm, trigone thickness was 13.0 mm, and lateral wall width was 13.0 mm, while in the left eye, the orbital lateral wall length was 20.7 mm, trigone thickness was 9.5 mm, and the lateral wall width was 13.4 mm. Discussion: In this study we measured both the mean width and length of the larger part of the sphenoid, and the trigone thickness. These measurements can be used as an anatomical guide in the deep lateral orbital decompression surgery.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47023179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.5896 Received: 10.05.2018 Accepted: 31.05.2018 Publihed Online: 05.06.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 257-9 Corresponding Author: Timuçin Alar, Thoracic Surgery Department, Çanakkale Onsekiz Mart University Medical Faculty, Çanakkale, Turkey. E-Mail: timalar@yahoo.com ORCID ID: 0000-0002-4719-002X Abstract First described by Hamman in 1939, spontaneous pneumomediastinum (SPM) is a disease with the collection of air in the mediastinum without any underlying cause. It is usually seen in young males and its incidence is reported between 1/15000-1/25000 in different case series. We would like to present the case of a 16-year-old male patient who admitted to our hospital with the complaints of pleuritic chest pain and tenderness in the neck and was diagnosed as spontaneous pneumomediastinum. Patient spontaneously recovered without the need of an invasive procedure.
{"title":"A case of spontaneous pneumomediastinum with unknown etiology","authors":"T. Alar","doi":"10.4328/JCAM.5896","DOIUrl":"https://doi.org/10.4328/JCAM.5896","url":null,"abstract":"DOI: 10.4328/JCAM.5896 Received: 10.05.2018 Accepted: 31.05.2018 Publihed Online: 05.06.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 257-9 Corresponding Author: Timuçin Alar, Thoracic Surgery Department, Çanakkale Onsekiz Mart University Medical Faculty, Çanakkale, Turkey. E-Mail: timalar@yahoo.com ORCID ID: 0000-0002-4719-002X Abstract First described by Hamman in 1939, spontaneous pneumomediastinum (SPM) is a disease with the collection of air in the mediastinum without any underlying cause. It is usually seen in young males and its incidence is reported between 1/15000-1/25000 in different case series. We would like to present the case of a 16-year-old male patient who admitted to our hospital with the complaints of pleuritic chest pain and tenderness in the neck and was diagnosed as spontaneous pneumomediastinum. Patient spontaneously recovered without the need of an invasive procedure.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48223399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.5982 Received: 29.07.2018 Accepted: 03.09.2018 Published Online: 05.09.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 31-4 Corresponding Author: Aydin Keskinruzgar, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adıyaman University, 02000, Adiyaman, Turkey. GSM: +905416795521 E-Mail: akeskinruzgar@gmail.com ORCID ID: 0000-0001-5735-6890 Abstract Aim: The aim of this study is to evaluate the prevalence of trigeminal neuralgia (TN) in Adıyaman and its surrounding populations. Material and Method: The study population consisted of 154.969 patients admitted to the Adıyaman University, Department of Oral and Maxillofacial Surgery between 2015 and 2018. Clinical records of 41 patients diagnosed with TN were retrospectively reviewed. Demographic data and clinical characteristics of the patients were recorded. Localization, age and sex distribution and the prevalence of TN were determined. Results: Among the 41 cases with TN, 27 were female and 14 were male. The mean age of the patients was 58.59 ± 16.38 years. Thirty-nine patients (95.1%) had unilateral and 2 patients (4.9%) had bilateral TN. While the mandibular branch (V3) involvement of the trigeminal nerve was observed in 16 patients, 5 patients showed maxillary branch (V2) involvement, and 3 patients exhibited ophthalmic branch (V1) involvement. In addition, V1+V2 involvement was observed in 1 patient, V2+V3 involvement was observed in 5 patients and V1+V2+V3 involvement was described in 11 patients. Overall, the prevalence of TN was found to be approximately 0.03% (26/100.000). Discussion: TN is a rare disease, estimation of its prevalence is difficult, hence, the literature on the prevalence and of TN is limited. The prevalence rate is about 4.5-29.5 per 100.000 individuals in other studies. The present study revealed that the prevalence of TN in Adıyaman and its surroundings was 26/100.000. This study may be the first one in Turkey to investigate the prevalence of TN.
{"title":"Prevalence of trigeminal neuralgia patients in the community: A retrospective study","authors":"A. Kucuk","doi":"10.4328/jcam.5982","DOIUrl":"https://doi.org/10.4328/jcam.5982","url":null,"abstract":"DOI: 10.4328/JCAM.5982 Received: 29.07.2018 Accepted: 03.09.2018 Published Online: 05.09.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 31-4 Corresponding Author: Aydin Keskinruzgar, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adıyaman University, 02000, Adiyaman, Turkey. GSM: +905416795521 E-Mail: akeskinruzgar@gmail.com ORCID ID: 0000-0001-5735-6890 Abstract Aim: The aim of this study is to evaluate the prevalence of trigeminal neuralgia (TN) in Adıyaman and its surrounding populations. Material and Method: The study population consisted of 154.969 patients admitted to the Adıyaman University, Department of Oral and Maxillofacial Surgery between 2015 and 2018. Clinical records of 41 patients diagnosed with TN were retrospectively reviewed. Demographic data and clinical characteristics of the patients were recorded. Localization, age and sex distribution and the prevalence of TN were determined. Results: Among the 41 cases with TN, 27 were female and 14 were male. The mean age of the patients was 58.59 ± 16.38 years. Thirty-nine patients (95.1%) had unilateral and 2 patients (4.9%) had bilateral TN. While the mandibular branch (V3) involvement of the trigeminal nerve was observed in 16 patients, 5 patients showed maxillary branch (V2) involvement, and 3 patients exhibited ophthalmic branch (V1) involvement. In addition, V1+V2 involvement was observed in 1 patient, V2+V3 involvement was observed in 5 patients and V1+V2+V3 involvement was described in 11 patients. Overall, the prevalence of TN was found to be approximately 0.03% (26/100.000). Discussion: TN is a rare disease, estimation of its prevalence is difficult, hence, the literature on the prevalence and of TN is limited. The prevalence rate is about 4.5-29.5 per 100.000 individuals in other studies. The present study revealed that the prevalence of TN in Adıyaman and its surroundings was 26/100.000. This study may be the first one in Turkey to investigate the prevalence of TN.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48210669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.5844 Received: 28.03.2018 Accepted: 27.04.2018 Published Online: 28.04.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 62-6 Corresponding Author: Mehmet Serdar Dervisogullari, Ophthalmology Department, Başkent University Medical School, Adana Dr. Turgut Noyan Clinic and Research Center, Yüreğir, Adana, Turkey. T.: +90 3223272727 F.: +90 3223271274 GSM: +905327720616 E-Mail: serdarderv@hotmail.com ORCID ID: 0000-0003-2006-2906 Abstract Aim: To explore ocular changes in healthy people after exercise. Material and Method: Twenty participants underwent exercise for 15 minutes on a treadmill. Measurements of choroidal thickness, intraocular pressure (IOP), ocular pulse amplitude (OPA), and blood pressure were taken before and after exercise. Enhanced Depth, Imaging optical coherence tomography (EDI-OCT) was used to measure choroidal thickness at the fovea and at the areas 1500μm nasal and 1500μm temporal to the fovea; IOP and OPA were measured by the dynamic contour tonometer (DCT; Swiss Micro technology AG, Port, Switzerland). Blood pressure was measured concurrently with the acquisition of the scans. Results: Twenty participants (20 eyes) with a mean age of 22.65±0.98 years were measured. There was a significant increase in systolic and diastolic pressure after exercise (p<0.05). There was a significant decrease in IOP and OPA after exercise (p<0.05). There was no significant difference in the subfoveal, nasal or temporal choroidal thickness measurements after exercise (p>0.05). Discussion: In our study, there was no significant change in the thickness of the choroid after exercise. IOP and OPA significantly decreased, and systolic and diastolic blood pressure significantly increased, after exercise. This indicates an adaptation of vascular resistance due to vasoconstriction. The IOP and OPA decreases do not seem to be related with the changes in choroid thickness.
{"title":"Acute effects of exercise on choroidal thickness and ocular pulse amplitude","authors":"M. S. Dervişoğulları","doi":"10.4328/jcam.5844","DOIUrl":"https://doi.org/10.4328/jcam.5844","url":null,"abstract":"DOI: 10.4328/JCAM.5844 Received: 28.03.2018 Accepted: 27.04.2018 Published Online: 28.04.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 62-6 Corresponding Author: Mehmet Serdar Dervisogullari, Ophthalmology Department, Başkent University Medical School, Adana Dr. Turgut Noyan Clinic and Research Center, Yüreğir, Adana, Turkey. T.: +90 3223272727 F.: +90 3223271274 GSM: +905327720616 E-Mail: serdarderv@hotmail.com ORCID ID: 0000-0003-2006-2906 Abstract Aim: To explore ocular changes in healthy people after exercise. Material and Method: Twenty participants underwent exercise for 15 minutes on a treadmill. Measurements of choroidal thickness, intraocular pressure (IOP), ocular pulse amplitude (OPA), and blood pressure were taken before and after exercise. Enhanced Depth, Imaging optical coherence tomography (EDI-OCT) was used to measure choroidal thickness at the fovea and at the areas 1500μm nasal and 1500μm temporal to the fovea; IOP and OPA were measured by the dynamic contour tonometer (DCT; Swiss Micro technology AG, Port, Switzerland). Blood pressure was measured concurrently with the acquisition of the scans. Results: Twenty participants (20 eyes) with a mean age of 22.65±0.98 years were measured. There was a significant increase in systolic and diastolic pressure after exercise (p<0.05). There was a significant decrease in IOP and OPA after exercise (p<0.05). There was no significant difference in the subfoveal, nasal or temporal choroidal thickness measurements after exercise (p>0.05). Discussion: In our study, there was no significant change in the thickness of the choroid after exercise. IOP and OPA significantly decreased, and systolic and diastolic blood pressure significantly increased, after exercise. This indicates an adaptation of vascular resistance due to vasoconstriction. The IOP and OPA decreases do not seem to be related with the changes in choroid thickness.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44929672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of kinesio tape and stretching on hamstring muscles flexibility","authors":"Erdem Demir","doi":"10.4328/jcam.5829","DOIUrl":"https://doi.org/10.4328/jcam.5829","url":null,"abstract":"","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47470935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
1 Sibel Gumus1, Betil Ozhak Baysan1, Ozlem Koyuncu Ozyurt1, Hatice Yazisiz2, Gozde Ongut1, Kubra Yildirim3, Aynur Inan4, Nilgun Erkek5, Dilara Ogunc1 1Department of Microbiology, Faculty of Medicine, University of Akdeniz, 2Microbiology Laboratory, Antalya Education and Research Hospital, 3Central Laboratory, Akdeniz University Hospital, 4Medical Student, Akdeniz University, Faculty of Medicine, 5Department of Pediatri, Faculty of Medicine, University of Akdeniz, Antalya, Turkey Evaluation of performance of orient gene strep a rapid antigen test Evaluation of performance of orient gene strep a rapid antigen test in tonsillopharyngitis
{"title":"Evaluation of performance of orient gene strep a rapid antigen test in tonsillopharyngitis","authors":"Sibel Gumus","doi":"10.4328/jcam.5783","DOIUrl":"https://doi.org/10.4328/jcam.5783","url":null,"abstract":"1 Sibel Gumus1, Betil Ozhak Baysan1, Ozlem Koyuncu Ozyurt1, Hatice Yazisiz2, Gozde Ongut1, Kubra Yildirim3, Aynur Inan4, Nilgun Erkek5, Dilara Ogunc1 1Department of Microbiology, Faculty of Medicine, University of Akdeniz, 2Microbiology Laboratory, Antalya Education and Research Hospital, 3Central Laboratory, Akdeniz University Hospital, 4Medical Student, Akdeniz University, Faculty of Medicine, 5Department of Pediatri, Faculty of Medicine, University of Akdeniz, Antalya, Turkey Evaluation of performance of orient gene strep a rapid antigen test Evaluation of performance of orient gene strep a rapid antigen test in tonsillopharyngitis","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45648363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DOI: 10.4328/JCAM.6028 Received: 23.09.2018 Accepted: 25.10.2018 Published Online: 30.10.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 121-4 Corresponding Author: Engin Kolukcu, Department of Urology, Tokat State Hospital, Tokat, Turkey. GSM: +905354002385 F.: +90 3562120258 E-Mail: drenginkolukcu@gmail.com ORCID ID: 0000-0003-3387-4428 Abstract Aim: In this study, we aimed to compare the efficiency of two different local anesthetic techniques in transrectal ultrasound (TRUS) guided prostate biopsy. Material and Method: The medical records of 798 patients who underwent 12 core transrectal ultrasound guided prostate biopsy were evaluated retrospectively. The patients were divided into 2 groups to receive two different kinds of anesthesia during the procedure as follows: Group 1, rectal application of 2% lidocaine gel and Group 2 periprostatic nerve block. The perception of pain during the insertion of the probe and during the biopsy procedure was scored for each group separately by using a visual analog scale (VAS). Results: The mean age, mean total PSA level and mean prostate volume of the patients in Group 1 were 67.67 ± 8.91 years, 12.57 ± 17.67 ng/ml and 51.41 ± 22.62 ml respectively. The mean age, mean total PSA level and mean prostate volume of the patients in Group 2 were 64.64 ± 7.63 years, 13 ± 18.02 ng/ml and 53.44 ± 44.01 ml respectively. The mean VAS scores of Group 1 and Group 2 during probe insertion were 4,87 ± 1,14 and 5,19 ± 1,16 respectively (p<0.001). The mean VAS scores during biopsy were 3,56 ± 1,43 for Group 1 and 2,5 ± 0,91 for Group 2. The difference between these scores was statistically significant (p<0.001). Discussion: Using of lidocaine gel for analgesia in TRUS-guided prostate biopsy significantly decreases the perception of pain experienced during the probe insertion procedure. On the other hand, PPNB is more effective than the using of lidocaine gel in pain control when the level of pain experienced during the biopsy is examined. Analgesia is substantially ensured by using PPNB, but analgesia combined with topical anesthetic agents could provide a more comfortable biopsy procedure.
DOI: 10.4328 / JCAM.6028收稿日期:23.09.2018收稿日期:25.10.2018出版日期:30.10.2018出版日期:01.01.2019 J clinical Anal Med 2019;10(1): 121-4通讯作者:Engin Kolukcu, Tokat State Hospital泌尿外科，Tokat, Turkey。摘要目的:在本研究中，我们旨在比较两种不同的局部麻醉技术在经直肠超声(TRUS)引导下前列腺活检的效率。材料与方法:回顾性分析798例经直肠超声引导下12例核心前列腺活检患者的病历。将患者分为两组，在手术过程中分别给予2%利多卡因凝胶直肠麻醉和前列腺周围神经阻滞。使用视觉模拟量表(VAS)分别对每组患者在插入探针和活检过程中的疼痛感觉进行评分。结果:1组患者平均年龄67.67±8.91岁，平均总PSA水平12.57±17.67 ng/ml，平均前列腺体积51.41±22.62 ml。2组患者平均年龄为64.64±7.63岁，平均总PSA水平为13±18.02 ng/ml，平均前列腺体积为53.44±44.01 ml。1组和2组在插入探针时的平均VAS评分分别为4.87±1.14分和5.19±1.16分(p<0.001)。活检时VAS平均评分为:1组(3.56±1.43)分，2组(2.5±0.91)分。这些评分之间的差异有统计学意义(p<0.001)。讨论:在超声引导下的前列腺活检中使用利多卡因凝胶镇痛可显著降低探针插入过程中疼痛的感觉。另一方面，当检查活检过程中经历的疼痛水平时，PPNB比使用利多卡因凝胶更有效地控制疼痛。使用PPNB基本上保证了镇痛，但镇痛联合表面麻醉剂可以提供更舒适的活检过程。
{"title":"Comparison of two different anesthetic methods on pain perception in prostate biopsy","authors":"Engin Kolukcu","doi":"10.4328/JCAM.6028","DOIUrl":"https://doi.org/10.4328/JCAM.6028","url":null,"abstract":"DOI: 10.4328/JCAM.6028 Received: 23.09.2018 Accepted: 25.10.2018 Published Online: 30.10.2018 Printed: 01.01.2019 J Clin Anal Med 2019;10(1): 121-4 Corresponding Author: Engin Kolukcu, Department of Urology, Tokat State Hospital, Tokat, Turkey. GSM: +905354002385 F.: +90 3562120258 E-Mail: drenginkolukcu@gmail.com ORCID ID: 0000-0003-3387-4428 Abstract Aim: In this study, we aimed to compare the efficiency of two different local anesthetic techniques in transrectal ultrasound (TRUS) guided prostate biopsy. Material and Method: The medical records of 798 patients who underwent 12 core transrectal ultrasound guided prostate biopsy were evaluated retrospectively. The patients were divided into 2 groups to receive two different kinds of anesthesia during the procedure as follows: Group 1, rectal application of 2% lidocaine gel and Group 2 periprostatic nerve block. The perception of pain during the insertion of the probe and during the biopsy procedure was scored for each group separately by using a visual analog scale (VAS). Results: The mean age, mean total PSA level and mean prostate volume of the patients in Group 1 were 67.67 ± 8.91 years, 12.57 ± 17.67 ng/ml and 51.41 ± 22.62 ml respectively. The mean age, mean total PSA level and mean prostate volume of the patients in Group 2 were 64.64 ± 7.63 years, 13 ± 18.02 ng/ml and 53.44 ± 44.01 ml respectively. The mean VAS scores of Group 1 and Group 2 during probe insertion were 4,87 ± 1,14 and 5,19 ± 1,16 respectively (p<0.001). The mean VAS scores during biopsy were 3,56 ± 1,43 for Group 1 and 2,5 ± 0,91 for Group 2. The difference between these scores was statistically significant (p<0.001). Discussion: Using of lidocaine gel for analgesia in TRUS-guided prostate biopsy significantly decreases the perception of pain experienced during the probe insertion procedure. On the other hand, PPNB is more effective than the using of lidocaine gel in pain control when the level of pain experienced during the biopsy is examined. Analgesia is substantially ensured by using PPNB, but analgesia combined with topical anesthetic agents could provide a more comfortable biopsy procedure.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70550683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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