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Full-Text Articles in Medicine and Health Sciences

Tertiary Care Centres Must Do More For Patients With Unknown Conditions: Lessons Learned From A Child, Guido Filler, Lana Rothfels Jul 2018

Tertiary Care Centres Must Do More For Patients With Unknown Conditions: Lessons Learned From A Child, Guido Filler, Lana Rothfels

Patient Experience Journal

Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating disease with a commonly non-uniform and unspecific presentation that makes diagnosis difficult. A twelve-year-old girl, recently diagnosed with Addison’s Disease, was referred to paediatric nephrology for Fludrocortisone-induced nocturnal hypertension. She had fallen off the growth curve for both height and weight from the 50th percentile at birth to below the 5th percentile at presentation. The severity and multitude of her symptoms, including muscle weakness, poor body control, dizziness, light headedness, persistent fatigue, excessive sweating, tachycardia, chronic constipation and recurrent infection hinted at the unusual nature of this case of Addison’s. At the …


Effects Of Load Carriage And Surface Inclination On Linear And Non-Linear Postural Variability, Rahul Soangra, Hema Bhatt, Ehsan Rashedi Apr 2018

Effects Of Load Carriage And Surface Inclination On Linear And Non-Linear Postural Variability, Rahul Soangra, Hema Bhatt, Ehsan Rashedi

Physical Therapy Faculty Articles and Research

Understanding of inclined-work-related risk of falls and developing novel practical engineering controls for reducing this risk of falls among hilly working population remains in high demand. Standing on sloped surfaces provides a unique environment for examining the biomechanics and neural control of standing. The present investigation examined the variability of postural signals when standing on inclined surfaces and with load carriages by linear and nonlinear analysis. The purpose of this study was to determine if the sloped surface deteriorated in postural stability among healthy individuals with two distinctive kinds of load carriage methods head versus posterior load carriage. We also …


The Effects Of Preadministration Of Local Anesthetic On Pulsed Radiofrequency, Tüli̇n Arici, Mustafa Kurçaloğlu, İdri̇s Şevki̇ Köken, Bora Uzuner, Can Eyi̇gör, Meltem Uyar Jan 2018

The Effects Of Preadministration Of Local Anesthetic On Pulsed Radiofrequency, Tüli̇n Arici, Mustafa Kurçaloğlu, İdri̇s Şevki̇ Köken, Bora Uzuner, Can Eyi̇gör, Meltem Uyar

Turkish Journal of Medical Sciences

Background/aim: Pulsed radiofrequency (PRF) has been reported to be a safe and reliable method for the management of a variety of chronic pain syndromes. It is not known whether the preadministration of local anesthetic increases the size of the electrical field. We revealed the effects of administering local anesthetic on PRF and investigated whether they were related to local anesthetic or fluid effects. Materials and methods: Group 1 (n = 18) received PRF to the suprascapular nerve with 1 mL of bupivacaine, group 2 (n = 20) received PRF with 1 mL of physiological saline solution, and group 3 (n …


Respiratory Muscle Training Positively Affects Vasomotor Response In Young Healthy Women, Angela Valentina Bisconti, Michela Devoto, Massimo Venturelli, Randall Bryner, Mark Olfert, Paul D. Chantler, F. Esposito Jan 2018

Respiratory Muscle Training Positively Affects Vasomotor Response In Young Healthy Women, Angela Valentina Bisconti, Michela Devoto, Massimo Venturelli, Randall Bryner, Mark Olfert, Paul D. Chantler, F. Esposito

Faculty & Staff Scholarship

Vasomotor response is related to the capacity of the vessel to maintain vascular tone within a narrow range. Two main control mechanisms are involved: the autonomic control of the sympathetic neural drive (global control) and the endothelial smooth cells capacity to respond to mechanical stress by releasing vasoactive factors (peripheral control). The aim of this study was to evaluate the effects of respiratory muscle training (RMT) on vasomotor response, assessed by flow-mediated dilation (FMD) and heart rate variability, in young healthy females. The hypothesis was that RMT could enhance the balance between sympa- thetic and parasympathetic neural drive and reduce …


Reliability And Validity Of The Turkish Version Of Pain Assessment Checklist For Seniorswith Limited Ability To Communicate (Pacslac-T), Öznur Büyükturan, Buket Büyükturan, Aysu Yeti̇ş, Mehmet İlki̇n Naharci, Nuray Kirdi Jan 2018

Reliability And Validity Of The Turkish Version Of Pain Assessment Checklist For Seniorswith Limited Ability To Communicate (Pacslac-T), Öznur Büyükturan, Buket Büyükturan, Aysu Yeti̇ş, Mehmet İlki̇n Naharci, Nuray Kirdi

Turkish Journal of Medical Sciences

Background/aim: This study aimed to assess validity and reliability of the Turkish version of Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-T). Materials and methods: The individuals who met inclusion criteria of the study were in patients of a hospital and a long-term care facility. Mini Mental Status Exam (MMSE), Cornell Dementia Depression Scale (CDDS), Global Deterioration Scale (GDS), visual analogue scale (VAS), and PACSLAC-T were administered to all subjects. The scales were repeated with an interval of two weeks for test-retest reliability. Results: A total of 112 patients with dementia were included in the study. The …


Radiological And Functional Comparison Of Single-Bundle Anterior Cruciate Ligamentreconstruction: Transtibial Versus Anteromedial Technique, Mustafa Özer, Hamza Özer, Hakan Yusuf Selek, Yaşar Gül Baltaci, Gülcan Harput, Anil Taşkesen, Mehmet Çeti̇nkaya Jan 2018

Radiological And Functional Comparison Of Single-Bundle Anterior Cruciate Ligamentreconstruction: Transtibial Versus Anteromedial Technique, Mustafa Özer, Hamza Özer, Hakan Yusuf Selek, Yaşar Gül Baltaci, Gülcan Harput, Anil Taşkesen, Mehmet Çeti̇nkaya

Turkish Journal of Medical Sciences

Background/aim: This study aimed to compare radiological and functional outcomes of patients who had single-bundle anterior cruciate ligament (ACL) reconstruction with autologous hamstring tendon grafts using transtibial (TT) versus anteromedial (AM) femoral tunnel drilling techniques. Materials and methods: Sixty patients who had been operated on between 2010 and 2013 were enrolled in this study. Tunnel positions and widenings in the femur and tibia were evaluated with radiographs, arthrometric measurements with a Rolimeter arthrometer (Aircast, Summit, NJ, USA), stability assessment with Lachman and reverse pivot shift tests, and functional assessment with the International Knee Documentation Committee and Tegner and Lysholm scoring …


Reliability And Validity Of The Turkish Version Of Thefoot Function Index In Patients With Foot Disorders, Bahar Külünkoğlu, Nesli̇han Firat, Nazim Tolgahan Yildiz, Afra Alkan Jan 2018

Reliability And Validity Of The Turkish Version Of Thefoot Function Index In Patients With Foot Disorders, Bahar Külünkoğlu, Nesli̇han Firat, Nazim Tolgahan Yildiz, Afra Alkan

Turkish Journal of Medical Sciences

Background/aim: The Foot Function Index (FFI) is a valid, reliable, and widely used self-reported questionnaire for the foot. The purpose of this study was to provide evidence for the validity and reliability of the Turkish version of the FFI (FFI-TR) among patients with foot disorders such as plantar fasciitis, hallux valgus, pes planus, and hammertoe deformities. Materials and methods: One hundred and fifty-nine patients with foot disorders were enrolled. The psychometric properties of the previously translated and adapted FFI-TR were assessed. The internal consistency and test-retest reliability were evaluated. Construct validity was examined for correlations with the Short Form-36 (SF-36) …


Hand Functions In Systemic Lupus Erythematosus: A Comparative Study With Rheumatoidarthritis Patients And Healthy Subjects, Songül Bağlan Yentür, Zeynep Tuna, Oğuzhan Mete, Ahmet Gökkurt, Nurten Gi̇zem Tore, Hami̇t Küçük, Berna Göker, Deran Oskay Jan 2018

Hand Functions In Systemic Lupus Erythematosus: A Comparative Study With Rheumatoidarthritis Patients And Healthy Subjects, Songül Bağlan Yentür, Zeynep Tuna, Oğuzhan Mete, Ahmet Gökkurt, Nurten Gi̇zem Tore, Hami̇t Küçük, Berna Göker, Deran Oskay

Turkish Journal of Medical Sciences

Background/aim: Systemic lupus erythematosus (SLE) frequently affects the small joints of the hand and may result in difficulty in activities of daily living. There are very few studies evaluating the problems encountered in the hands in patients with SLE. The aim of this study is to evaluate hand functions in patients with SLE and compare them with rheumatoid arthritis (RA) patients and healthy subjects. Materials and methods: A total 46 female patients meeting the SLE classification criteria were recruited. Similarly, 51 female RA patients and 46 healthy female subjects served as the control groups. To assess the upper extremity disability …


Muscle Synergy During A Single Leg Standing Test In Ambulatory Children With Cerebral Palsy, Brennan L. Smith Jan 2018

Muscle Synergy During A Single Leg Standing Test In Ambulatory Children With Cerebral Palsy, Brennan L. Smith

Theses and Dissertations--Kinesiology and Health Promotion

INTRODUCTION: Cerebral Palsy (CP) is a sensorimotor disorder characterized by dysfunctional motor coordination, balance problems, and loss of selective motor control. Motor coordination exhibited as co-contraction, has been subjectively quantified using gait analysis, but recent studies have begun to objectively analyze the amount of co-contraction by collecting electromyography (EMG) data. Center of pressure excursion (COPE) measurements collected during a single leg standing test (SLST) have shown to be more valid measurements of balance in populations with motor disabilities than a SLST alone. A recent study has correlated increased COPE velocity with a lower fall risk as determined by reported fall …