Journal of Clinical and Analytical Medicine最新文献

{"title":"Efficacy of cryo-airflow therapy on calf muscle spasticity in stroke patients: a randomized controlled trial","authors":"B. A. Elnassag","doi":"10.4328/JCAM.5773","DOIUrl":"https://doi.org/10.4328/JCAM.5773","url":null,"abstract":"DOI: 10.4328/JCAM.5773 Received: 19.02.2018 Accepted: 29.04.2018 Published Online: 02.05.2018 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 320-4 Corresponding Author: Bassam Abdelmaged Mohamed Refaat Esmail Elnassag, 177 Gisr Elswiez St., Heliopolis, Cairo, Egypt. T.: 01222784436 0097450121527 E-Mail: drbassam_2000@yahoo.com Abstract Aim: To determine the effect of cryo-airflow therapy on spasticity of calf muscle in stroke patients. Material and Method: This randomized control study, took place in the outpatient clinic of Mansoura General Hospital and Mansoura University Hospital, Mansoura, Egypt. Thirty stroke patients were divided into two groups and assigned randomly into the study group (n=15), which received cryo-airflow therapy, a conventional physical therapy program, and advised to wear a night ankle foot orthosis (AFO), or into the control group (n=15), which received the same program, but without the cryo-airflow therapy. Pre and posttreatment assessment for all patients was done by the modified Ashworth’s scale (MAS), the Hoffman reflex / Myogenic response (H/M) ratio of the soleus muscle on the affected side, and by two-dimensional (2D) motion analysis for ankle dorsiflexion range of motion (ROM) during the stance phase of gait. Results: Mann–Whitney and MANOVA tests revealed a significant improvement of MAS scores (p = 0.006) and ankle ROM scores (p = 0.005), while the difference in H/M ratios was non-significant (p = 0.063) in the comparison between study and control groups. Clinical and electrophysiological measures of spasticity were significantly correlated with each other (ρ = 0.765) and negatively with the ankle ROM (ρ = -0.635) when analyzed by Spearman correlation coefficient at (p = 0.000). Discussion: Cryo-airflow therapy is considered to be an effective method to reduce spasticity in calf muscle and to improve ankle dorsiflexion ROM of the affected limb in stroke patients.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42157929","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":"A forgotten disease: Superior mesenteric artery syndrome","authors":"A. Kefeli","doi":"10.4328/JCAM.5902","DOIUrl":"https://doi.org/10.4328/JCAM.5902","url":null,"abstract":"DOI: 10.4328/JCAM.5902 Received: 12.05.2018 Accepted: 09.06.2018 Published Online: 10.06.2018 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 334-8 Corresponding Author: Ayse Kefeli, Gastroenterology Department, Gaziosmanpaşa University, Tokat, Turkey. GSM: +905054506997 E-Mail: aysekefeli@hotmail.com ORCID ID: 0000-0002-1876-2586 Abstract Aim: Superior mesenteric artery syndrome (SMAS) is a rare cause of upper gastrointestinal obstruction. As it is encountered infrequently, there have been only a few studies on it, mostly in the form of case series or just a case presentation in the literature. In this study, we aim to investigate common clinical features and radiological measurements between patients admitted with symptoms of gastric outlet obstruction due to SMAS and those without SMAS. Material and Method: This study was conducted prospectively on individuals admitted to our clinic presenting with symptoms of gastric outlet obstruction in the previous six months and who had undergone computerized tomography. (Here, SMAS is defined by a narrow aortomesenteric angle and a short aortomesenteric distance.) Demographic features and radiological measurements were compared between patients with and without SMAS. The results of a three-month follow-up of each subject with SMAS were recorded. Results: This study includes a total of 92 subjects, 14 (15%) of whom had a diagnosis of SMAS (Group 1) and 78 (85%) of whom did not (Group 2). Group 1 had a predominance of female and significantly younger patients (mean age: 31.1 ± 10.2), compared to Group 2 (mean age: 44 ± 11.7) (p < 0.001). Abdominal subcutaneous fat tissue thickness was thinner in group 1 than in group 2 (18.1 ± 8.1 and 23.7 ± 12.2, respectively; p = 0.039). Eleven of the 14 SMAS patients (78.5%) recovered with medical treatment, but in the other three cases, surgical intervention was considered. Discussion: SMAS is an important and preventable cause of small bowel obstruction. Although it is a rare condition in the general population, accurate diagnosis of the disease leads to improvement of symptoms; simple medical management can preclude the need for surgery.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42751269","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":"Effects of sociodemographic features and accompanying systemic diseases on urinary incontinence","authors":"Serhan Çimen","doi":"10.4328/JCAM.5916","DOIUrl":"https://doi.org/10.4328/JCAM.5916","url":null,"abstract":"DOI: 10.4328/JCAM.5916 Received: 30.05.2018 Accepted: 16.06.2018 Published Online: 19.06.2018 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 354-8 Corresponding Author: Serhan Çimen, Malatya Education and Research Hospital Urology Clinic, 44280, Malatya, Turkey. GSM: +905057952994 E-Mail : drserhancimen@hotmail.com ORCID ID: 0000-0002-6612-0166 Abstract Aim: The aim of this study is to determine the urinary incontinence (UI) subtype of women who present with complaints of urinary incontinence to our clinic, to identify risk factors related with this type and to determine the effects of sociodemographic features. Material and Method: This retrospective study was approved by Clinical Trials Ethics Committee in Malatya and included 386 patients who presented to Urology Clinic of Malatya Research and Education Hospital. Classification of the UI subtypes was performed using Turkish Version of International Incontinence Questionnaire-Short Form (ICIQ-SF) which was validated by Cetinel et al. Comorbidities and other data of the patients were evaluated by asking the patients. Results: The mean age of the patients was 51.4 years (range: 18-92 years). The mean number of births was 4.1 (range 0-10) and 90.2% of the women were married. The mean BMI was 27.24 kg/m2. Stress urinary incontinence was found in 24 (6.3%) patients, urge type urinary incontinence was found in 94 (24.3%) patients and mixed type urinary incontinence was found in 268 (69.4) patients when the type of incontinence was questioned. From the comorbid diseases, diabetes mellitus was present in 74 patients (19,1%) while hypertension was present in 84 (21,8%) patients. There were statistically significant differences among UI and age and BMI. Discussion: Such diseases as diabetes mellitus, hypertension, lumbar disc hernia, and multiple sclerosis, birth trauma, past urogynecological surgery, age, BMI, and the number of births are risk factors for UI.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41532231","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 importance of active surveillance in the detection of tuberculosis patients","authors":"A. H. Solay","doi":"10.4328/JCAM.5901","DOIUrl":"https://doi.org/10.4328/JCAM.5901","url":null,"abstract":"Aslı Haykır Solay1, Filiz Ağca2, Fatma Eser3, Saadet Ünsal4, Ali Acar3, Gülnur Kul3, İrfan Şencan3, Demet Yılmazer5 1Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Uzmanı ve Sürveyans Birimi Sorumlusu, Sağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 2Ankara 3No’lu Verem Savaş Dispanseri, 3Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji, Sağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 4Bulaşıcı Hastalık Sürveyans Birimi, Sağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 5Patoloji Kliniği, Sağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ankara, Türkiye Active surveillance of tuberculosis The importance of active surveillance in the detection of tuberculosis patients","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41661136","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":"Osteochondroma of shoulder originating from glenoid: A rare cause of impingement syndrome","authors":"E. Zengin","doi":"10.4328/JCAM.5975","DOIUrl":"https://doi.org/10.4328/JCAM.5975","url":null,"abstract":"DOI: 10.4328/JCAM.5975 Received: 21.07.2018 Accepted: 30.08.2018 Publihed Online: 05.09.2018 Printed: 01.05.2019 J Clin Anal Med 2019;10(3): 414-6 Corresponding Author: Eyup Cagatay Zengin, Department of Orthopaedics and Traumatology, Izmir Katip Celebi University, Basin Sitesi 35160, Izmir, Turkey. GSM: +905052522836 E-Mail: zengincagatay@hotmail.com ORCID ID: 0000-0002-9843-790X Abstract The aim of this case report is to guide the treatment when orthopedic surgeons encountered with scapular osteochondroma. Subacromial impingement syndrome (SAIS) is one of the most frequent causes of shoulder discomfort. Osteochondroma-related subacromial impingement syndrome is rarely reported in the literature. In this case report, we describe the treatment of a 19-year-old female patient with a solitary osteochondroma who presented with pain and restricted movement in the shoulder region. Direct radiography indicated that a bone density mass had almost completely filled the subacromial region. The unique aspect of this report was the origin of the exostosis. Although osteochondromas originating from the posterior superior glenoid are uncommon, they can cause SAIS. Removal of the mechanical irritation with arthroscopic or open surgical techniques can reduce pain and facilitate recovery of shoulder function.","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48671199","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":"Ocular manifestations of molluscum contagiosum, retrospective case series and literature review","authors":"H. Soysal","doi":"10.4328/JCAM.5922","DOIUrl":"https://doi.org/10.4328/JCAM.5922","url":null,"abstract":"Hülya Gökmen Soysal1, Hatice Ergün2, Mehmet Barış Üçer3, Ahmet Fazıl Nohutcu4 1Ophthalmology Kafkas University Medical Faculty, Kars, 2Sıtkı Koçman University, Education And Research Hospital, Muğla, 3Ophthalmology Kafkas University Medical Faculty, Kars, 4Ophthalmology Kafkas University Medical Faculty, Kars, Turkey Ocular manifestations of molluscum contagiosum Ocular manifestations of molluscum contagiosum, retrospective case series and literature review","PeriodicalId":44485,"journal":{"name":"Journal of Clinical and Analytical Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41801354","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 learning curve in minimally invasive cardiac surgery procedures: a single surgeon experience","authors":"K. A. Kara","doi":"10.4328/jcam.6043","DOIUrl":"https://doi.org/10.4328/jcam.6043","url":null,"abstract":"DOI: 10.4328/JCAM.6043 Received: 06.10.2018 Accepted: 20.10.2018 Published Online: 23.10.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 142-4 Corresponding Author: Kenan Abdurrahman Kara, Yeditepe University Hospital Cardiovascular Surgery Department, Ataşehir, İstanbul, Turkey. GSM: +905300655225 F.: +9","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":"48000562","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":"Heterotopic ossification on the elbow in a hemiplegic patient: A case report","authors":"E. Batur","doi":"10.4328/jcam.5854","DOIUrl":"https://doi.org/10.4328/jcam.5854","url":null,"abstract":"DOI: 10.4328/JCAM.5854 Received: 06.04.2018 Accepted: 02.05.2018 Publihed Online: 03.05.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 247-9 Corresponding Author: Elif Balevi Batur, Dr.Arazi Medical Center, 42060, Konya, Turkey. GSM: +905386440903 F.: +90 3323538731 E-Mail: elifbalevi@hotmail.com ORCID ID: 0000-0001-8886-1144 Abstract Heterotopic ossification (HO) is characterized by a lamellar new bone formation particularly developing between muscle and joint capsule. HO mostly occurs on and around the hip joint. Shoulder and elbow are the other common-affected joints. There are three well-known etiologies of HO as of traumatic, neurogenic, and genetic. But, HO is a rare clinic entity in hemiplegic patients. HO is a condition that affects the patient’s mobility, self-care, and independence. In hemiplegic patients, especially in case of joint-related pain, local tenderness, increased temperature, and swelling HO should be considered in the differential diagnosis. The treatment options of HO are preserving the affected joint’s range of motion, pharmacological treatment (etidronate, nonsteroid anti-inflammatory drugs), radiotherapy, and surgical excision of the mature bone tissue in the advanced cases. This report presents a case with HO developed on the left elbow 2 months after the stroke due to a hemorrhagic cerebrovascular event.","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":"46928490","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":"Comparison of serum lipid parameters and serum vitamin B12 levels","authors":"Y. Sezgin","doi":"10.4328/JCAM.5882","DOIUrl":"https://doi.org/10.4328/JCAM.5882","url":null,"abstract":"DOI: 10.4328/JCAM.5882 Received: 17.04.2018 Accepted: 07.05.2018 Published Online: 08.05.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 198-201 Corresponding Author: Yılmaz Sezgin, Department of Family Medicine, University of Health Science, İstanbul Educational Research Hospital, Fatih, 34098, İstanbul, Turkey. GSM: +905383425644 E-Mail: drysezgin@gmail.com ORCID ID: 0000-0002-3626-0264 Abstract Aim: We think that vitamin B12 may affect serum lipid parameters because it is a cofactor of the enzyme that plays a role in fatty acid catabolism, and also because of its association with obesity and increased risk of myocardial infarction in its deficiency. In this study, we aimed to investigate whether vitamin B12 insufficiency, which is common and associated with many diseases, is related to serum lipid parameters. Material and Method: This is a cross-sectional retrospective study. In this retrospective study, data such as serum vitamin B12, glucose, lipid, thyroid function tests, ferritin, and demographic data such as age and gender, were obtained from records of the examinations of the patients who applied to the family medicine clinics, at the northern region in Turkey. The study included 228 patients who underwent concurrent lipid and vitamin B12 analysis and who met the inclusion criteria. Patients who met the exclusion criteria were not included in the study. Results: There was a statistically significant, low positive correlation (r = 0.278, p = 0.001, n = 228) between serum HDL and vitamin B12 levels. There was a statistically significant low negative correlation (r = 0.322, p = 0.001, n = 228) between serum triglycerides and vitamin B12 levels. Discussion: As a result, we can say that serum vitamin B12 levels affect lipid parameters. We may suggest that the risk of diabetes, obesity, and coronary artery disease may increase due to high triglyceride or low HDL levels in the absence of vitamin B12.","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":"45941312","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":"Neutrophil-to-lymphocyte ratio and red cell distribution width: potential inflammatory markers for sudden sensorineural hearing loss","authors":"A. Dinç","doi":"10.4328/JCAM.6077","DOIUrl":"https://doi.org/10.4328/JCAM.6077","url":null,"abstract":"Ayse Secil Kayalı Dinc, Melih Cayonu, Suleyman Boynuegri, Melih M. Sahin, Adil Eryilmaz Department of Otorhinolaryngology and Head Neck Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey Neutrophil-to-lymphocyte ratio and red cell distribution width in sudden sensorineural hearing loss Neutrophil-to-lymphocyte ratio and red cell distribution width: potential inflammatory markers for sudden sensorineural hearing loss","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":"70550509","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}