Evaluation of the Isokinetic Calf Muscle Strength and the Range of Motion of Joint in C₃ Chronic Venous Insufficiency

PURPOSE: The present study aimed to compare the isokinetic muscle strength and range of motion (ROM) values of the ankle between patients diagnosed with C₃ chronic venous insufficiency (group 1, n=57) and healthy individuals (group 2, n=30). MATERIALS AND METHODS: After identifying the venous refilling time (VRT) of all participants, the active ROM of the ankle joint and plantar flexion (PF) and dorsi-flexion (DF) muscle strength in the concentric/concentric mode at angular velocities of 60°/sec and 120°/sec were measured. RESULTS: No statistically significant differences were found between the demographic data of groups 1 and 2 (P>0.05). In total, 102 lower extremities were included in group 1 and 60 lower extremities in group 2. The VRT of the patients in group 1 was 15.5±5.6 seconds, the PF ROM of the ankle joint was 39.3°±9.5°, and the DF ROM of the ankle joint was 27°±8°; in group 2, the VRT, PF ROM, and DF ROM were 36±8.1 seconds, 41°±6.2°, and 27.2°±7.5°, respectively. Statistically significant differences were found between the two groups in terms of VRT (P0.05). Statistically significant difference was found in terms of all parameters of isokinetic muscle strength measurements, such as peak torque, peak torque/body weight, total work done, and ratio (DF/PF) in group 1 (P=0.001). CONCLUSION: The lower extremity muscle strength of patients with chronic venous insufficiency was low, and this weakness was prominent particularly in the direction of PF.

Acupuncture Enhances Chances of Pregnancy in Unexplained Infertile Patients Who Undergo A Blastocyst Transfer in A Fresh-Cycle / 中国结合医学杂志

OBJECTIVE@#To analyze the effects of acupuncture on in vitro fertilization patients with unexplained infertility.@*METHODS@#We retrospectively analyzed the charts of a total of 302 cycles performed in 273 patients attending Assisted Reproductive Technology (ART) Centre from August 2013 to August 2016. During the study period, embryo transfer with acupuncture (Acupuncture group, 46 cases) and without acupuncture (Control group, 42 cases) were applied. Prior to embryo transfer, the following points were used in the acupuncture group: Neiguan (CX 6), Diji (SP 8), Taichong (Liv 3), Baihui (Gv 20), and Guilai (S 29). These sessions were carried out two times before and after embryo transfer in a single day. In addition, auricular acupuncture was also performed at ear points, including ear point 55 (Shenmen), ear point 58 (Zhigong), ear point 22 (Neifenmi) and ear point 34 (Naodian). The biochemical pregnancy rate and clinical pregnancy rate after transplantation were compared between two groups.@*RESULTS@#The clinical pregnancy rate in the acupuncture group was higher than that in the control group [60.9% (28/46) vs. 33.3% (14/42), respectively, P<0.05]. Likewise, the live birth rate in the acupuncture group was also higher than that in the control group [71.7% (33/46) vs. 31.0% (12/42), P<0.01).@*CONCLUSION@#Administration of acupuncture on the day of embryo transfer dramatically improved fertility results in women who underwent in vitro fertilization/intra-cytoplasm sperm injection for reproduction.

Nutritional screening of outpatient type 2 diabetes mellitus patients

Objective: To examine the parameters affecting the existence and prevalence of malnutrition in type 2 diabetic patients at initial presentation

Design: Cross-sectional study

Setting: Department of Internal Medicine, Sakarya University Research and Education Hospital, Turkey

Subjects: Nutritional screening of 580 outpatients with the diagnosis of type 2 diabetes who presented to an outpatient clinic

Intervention: Medical treatment of diabetic patients

Main outcome measure: The parameters affecting the existence and prevalence of malnutrition in type 2 diabetic patients

Results: Mean +/- standard deviation age of the patients was 54.6 +/- 10.7 years. Of the 580 patients, 327 were women [56.4%]. Malnutrition prevalence was 11.4% with Subjective Global Assessment and 9% with Mini Nutritional Assesment and Malnutrition Universal Screening Tool. Body mass index [BMI], albumin, fat%, mid-arm circumference and calf circumference were significantly lower and glycated hemoglobin [HbA1c] was significantly higher in patients with malnutrition, compared to patients without alnutrition. Malnutrition was significantly associated with weight loss, change in dietary intake and diminished physical activity [p = 0.005]. Logistic regression model, including BMI /= 8.69 mmol/mol, fat%

Conclusion: Type 2 diabetic patients are often obese and thus higher cut-off for BMI and fat% may be necessary to detect malnutrition. Poor glucose control, decreased fat%, change in dietary intake and especially diminished physical activity are independent predictors of malnurition in this population

Neuroleptic malignant syndrome induced by concomitant use of multiple antipsychotic drugs: A Case Report

Neuroleptic malignant syndrome [NMS] is a rare but life threatening condition induced by neuroleptic medications. In severe cases, NMS can rapidly lead to death. NMS is reported less frequently since the advent of new antipsychotic We discuss a 44-year-old male diagnosed with schizoaffective disorder who presented with NMS induced by multiple antipsychotic drugsdrugs

Hypercalcemia and hypertensive pulmonary edema associated with vitamin d toxicity: a case report

Vitamin D deficiency is frequently seen all over the world and recognised as pandemic. This leads to widespread use of vitamin D supplements. Its indiscriminate use potentially may lead to enhance the incidence of vitamin D intoxication, which is considered a rare disorder. We present a case of an 82-year-old female patient diagnosed with rheumatoid arthritis, chronic renal failure, osteoporosis and hypertension controlled by single drug therapy-developed hypercalcemia and hypertensive pulmonary edema due to vitamin D overuse

Apelin Levels in Patients with Coronary Artery Ectasia

No abstract available.

Determining and Managing Fetal Radiation Dose from Diagnostic Radiology Procedures in Turkey

OBJECTIVE: We intended to calculate approximate fetal doses in pregnant women who underwent diagnostic radiology procedures and to evaluate the safety of their pregnancies. MATERIALS AND METHODS: We contacted hospitals in different cities in Turkey where requests for fetal dose calculation are usually sent. Fetal radiation exposure was calculated for 304 cases in 218 pregnant women with gestational ages ranging from 5 days to 19 weeks, 2 days. FetDose software (ver. 4.0) was used in fetal dose calculations for radiographic and computed tomography (CT) procedures. The body was divided into three zones according to distance from the fetus. The first zone consisted of the head area, the lower extremities below the knee, and the upper extremities; the second consisted of the cervicothoracic region and upper thighs; and the third consisted of the abdominopelvic area. Fetal doses from radiologic procedures between zones were compared using the Kruskal-Wallis test and a Bonferroni-corrected Mann-Whitney U-test. RESULTS: The average fetal doses from radiography and CT in the first zone were 0.05 ± 0.01 mGy and 0.81 ± 0.04 mGy, respectively; 0.21 ± 0.05 mGy and 1.77 ± 0.22 mGy, respectively, in the second zone; and 6.42 ± 0.82 mGy and 22.94 ± 1.28 mGy, respectively, in the third zone (p < 0.001). Our results showed that fetal radiation exposures in our group of pregnant women did not reach the level (50 mGy) that is known to increase risk for congenital anomalies. CONCLUSION: Fetal radiation exposure in the diagnostic radiology procedures in our study did not reach risk levels that might have indicated abortion.