A 28-year-old man was admitted with slurred speech and right arm and leg weakness. His medical history revealed repetitive aphthous oral ulcerations. Brain MRI showed lesions on pons extending to bilateral middle cerebellar peduncles (figure 1). Diffusion-weighted imaging (DWI) showed hypointensity in mid-pons with high apparent diffusion coefficient (ADC) value (1.817×10−3 mm2/s; figure 2A) and hyperintensity in left pons with low ADC value (0.66×10−3 mm2/s) compared with the ADC value of lesion-free pons (0.99×10−3 mm2/s; figure 2B).
Figure 1
Brain MRI …
Amac: Diabetik polinoropatili (DPN) hastalarda karpal tunel sendromu (KTS) teshisinde el bilegi B mod ve doppler ultrasonografisinin diagnostik degerini arastirmak amaclanmistir. Materyal ve metod: Klinik muayene ve elektrofizyolojik inceleme ile DPN tanisi almis 21 hasta, KTS grubu (20 el) ve kontrol grubu (22 el) olarak iki gruba ayrildi. Median sinir kesit alani (MSA) ve duzlesme orani, karpal tunel girisi [proksimal (p)] ve bilek kivrimi [distal (d)] duzeylerden olculdu. Renkli Doppler ultrason incelemesindeher iki el notral pozisyonda iken radial ve ulnar arterler yuksek rezolusyonlu 12 MHz transduser (Logic 7)ile degerlendirildi. Bulgular: Gruplar arasi karsilastirmada KTS grubunda, kontrol grubuna gore proksimal ve distal duzeyden olculen MSAdegerleri anlamli olarak daha buyuk bulundu (Sirasiyla, p=0.006, p=0.002). Gruplar arasi karsilastirmada her iki radial ve ulnar arter akim karakteristiklerinde farklilik yoktu (p>0.05). ROC egrisi analizinde KTS tanisindaki esik deger MSA-p ≥ 12.5 mm2 (ROC egrisinin altinda kalan alan (AUC) 0.73; duyarliligi %60 ve ozgullugu %78) ve MSAd ≥ 13.5 mm2 (AUC 0.75; duyarlilik %65 ve ozgulluk %87)olarak bulundu. Sonuc: Diabetik polinoropati ile es zamanli KTS gelistigi dusunulen hastalarda el bilegi ultrasonografisi diagnostik bir modalite olabilir.
Because of the phenomenal rise in information, future forecasting systems about strategy development were needed in each area. Therefore, data mining techniques are used extensively in banking area such as many areas. In this study, conducted in banking sector, it was aimed to reduce the rate of risk in decision making to a minimum via analysis of existing personal loan customers and estimate potential customers' payment performances with k-means method is one of the clustering techniques and the decision trees method which is one of the models of classification in data mining. In the study, SPSS Clementine was used as a software of data mining and an application was done for evaluation of personal loan customers.
Myofascial pain syndrome (MPS) is a musculoskeletal disorder which is characterized by pain, muscle spasms, and muscle tenderness, as well as a limited range of motion, weakness, and rarely, autonomous dysfunction. Management includes exercise programs in particular, and many other invasive and non-invasive therapies, depending on the clinical status of the patient. The main options include medical therapies with analgesics, myorelaxants and antidepressants, hot pack therapy, exercise, stretch and spray therapy, ischemic compression, therapeutic massage, biofeedback, transcutaneous electrical nerve stimulation (TENS), ultrasound (US), interferential (IFA) current, low-energy light amplification by stimulated emission of radiation (LASER), extracorporeal shock wave therapy (ESWT), trigger point injections, dry needling, and acupuncture. There is growing evidence that trigger point injections and dry needling, as well as stretching exercises, are effective alternatives in the management of MPS. Management success is primarily based on the cooperation of the patient and the treating physician and the elimination of predisposing factors.
Journal Article An evaluation of oxidative stress and antioxidant capacity in patients with myofascial pain syndrome Get access İrfan Koca, İrfan Koca Department of Physical Therapy and Rehabilitation, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey Correspondence to: Dr. İrfan Koca, MD, Department of Physical Medicine and Rehabilitation, Gaziantep University School of Medicine, Gaziantep, Turkey. Tel: + 90-342-3606060 (76280). E-mail: drirfanftr@hotmail.com Search for other works by this author on: Oxford Academic Google Scholar Ahmet Tutoglu, Ahmet Tutoglu Department of Physical Therapy and Rehabilitation, Faculty of Medicine, Harran University, Sanlıurfa, Turkey Search for other works by this author on: Oxford Academic Google Scholar Ahmet Boyacı, Ahmet Boyacı Department of Physical Therapy and Rehabilitation, Faculty of Medicine, Harran University, Sanlıurfa, Turkey Search for other works by this author on: Oxford Academic Google Scholar Yavuz Pehlivan, Yavuz Pehlivan Department of Rheumatology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey Search for other works by this author on: Oxford Academic Google Scholar Hamit Yıldız, Hamit Yıldız Department of Internal Medicine, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey Search for other works by this author on: Oxford Academic Google Scholar Ibrahim Turkbeyler, Ibrahim Turkbeyler Department of Internal Medicine, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey Search for other works by this author on: Oxford Academic Google Scholar Edibe Sarıcicek, Edibe Sarıcicek Department of Biochemistry, Ersin Aslan State Hospital, Gaziantep, Turkey Search for other works by this author on: Oxford Academic Google Scholar Seyithan Taysi, Seyithan Taysi Department of Biochemistry, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey Search for other works by this author on: Oxford Academic Google Scholar Ahmet Mesut Onat Ahmet Mesut Onat Department of Rheumatology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey Search for other works by this author on: Oxford Academic Google Scholar Modern Rheumatology, Volume 24, Issue 6, 1 November 2014, Pages 992–996, https://doi.org/10.3109/14397595.2014.886984 Published: 01 November 2014 Article history Received: 18 October 2013 Accepted: 21 January 2014 Published: 01 November 2014
Ankylosing spondylitis (AS) is a type of chronic inflammatory arthritis resulting in ankylosis of the spine and inflammation in the tendons. After NSAIDs, the use of anti-TNF medications has provided a significant contribution to the treatment of patients with AS. The present study was a retrospective, controlled and multicenter study. A total of 105 patients followed in the outpatient clinics of the Department of Physical Therapy in Abant Izzet Baysal University and Harran University and 50 healthy controls were included in the study. The patients had been receiving anti-TNF therapy at least for 6 months. Hemogram results of the patient and control groups examined retrospectively. There was no significant difference between the groups in terms of N/L ratio; however, the P/L ratio was significantly different between the two groups. The present study found a significantly different P/L ratio in patients with AS when compared to the control group. However, the N/L ratio was not significantly different between the groups. The P/L ratio can be used as a marker to monitor disease progression and indicate subclinical inflammation in patients with AS.
[Purpose] To evaluate the oxidative stress parameters and urinary deoxypyridinoline levels in geriatric patients with osteoporosis. [Subjects and Methods] Eighty geriatric patients aged over 65 years were recruited. Patients were divided into two groups: Group 1 (n=40) consisted of patients with osteoporosis, and Group 2 (n=40) consisted of patients without osteoporosis. Bone mineral density measurements were performed for all patients using DEXA. Oxidative stress parameters were analyzed in blood samples, and deoxypyridinoline levels were analyzed in 24-hour urinary samples. [Results] Compared to Group 2, the total antioxidant status and oxidative stress index levels of Group 1 were not significantly different; however, total oxidant status and 24-hour urinary deoxypyridinoline levels were significantly higher. Pearson correlation coefficients indicated that OSI and urinary deoxypyridinoline levels were not correlated with any biochemical parameters. ROC-curve analysis revealed that urinary deoxypyridinoline levels over 30.80 mg/ml predicted osteoporosis with 67% sensitivity and 68% specificity (area under the curve = 0.734; %95 CI: 0.624-0.844). [Conclusion] Our results indicate that oxidative stress would play a role in the pathogenesis of osteoporosis, and that urinary deoxypyridinoline levels may be a useful screening test for osteoporosis.
'%3e%3cpath fill='%23012169' d='M0 0v30h60V0z'/%3e%3cpath stroke='%23fff' stroke-width='6' d='m0 0 60 30m0-30L0 30'/%3e%3cpath stroke='%23C8102E' stroke-width='4' d='m0 0 60 30m0-30L0 30' clip-path='url(%23b)'/%3e%3cpath stroke='%23fff' stroke-width='10' d='M30 0v30M0 15h60'/%3e%3cpath stroke='%23C8102E' stroke-width='6' d='M30 0v30M0 15h60'/%3e%3c/g%3e%3c/svg%3e)