Background
Swallowing function is formed by the synergistic, coordinated, and complex movements of approximately 30 muscles. However, There is no study on which one(s) of these muscles can predict ...the possibility of dyspfagia.
Objectives
The purpose of this study was to investigate whether there is a relation between dysphagia and ultrasonographic measurements of swallowing muscles mass, and to determine which muscle mass would predict the possibility of dysphagia.
Methods
This prospective and controlled study was performed on 87 older people (aged >65 years). Clinical (Eating assessment tool‐10 and The Gugging Swallowing Screen test), endoscopic, electrophysiological (dysphagia limit and swallowing intervals), and ultrasonographic (masseter MM, genioglossus GGM, geniohyoid GHM, myohyoid MH and anterior digastric muscles ADM) evaluations were performed on all patients. The relationship between ultrasound measurements and demographic/swallowing characteristics and presence of dysphagia were investigated.
Results
The muscle mass measurement which was associated with dysphagia was contracted masseter muscle. In terms of diagnostic performance, the sensitivity was the highest in GHM (92.3%) and the specificity was the highest in contracted MM thickness (90.3%). The probability of dysphagia increases from 54% to 80–89% with a decrease in contracted MM thickness, and the probability of dysphagia increased from 48% to 72% with a decrease in contracted GGM thickness. In addition, the highest AUC level was detected in contracted MM and contracted GGM muscles. Moreover, it was determined that the risk of dysphagia increased from 9.6 to 14.1 times with one unit decrease in muscle thickness in contracted MM muscles, and the risk of dysphagia increased 9.1 times with one unit decrease in contracted GGM muscles.
Conclusion
Decreased swallowing muscle mass in older adults are independent risk factors for dysphagia. Especially the decrease in the thickness of the contracted MM increases the possibility of dysphagia at high rate.
The Internet is a widely used source for obtaining health-related information. With the widespread use of the Internet, access to information has become easier. YouTube is one of the major sources ...for health-related videos globally. YouTube provides a wide range of health-related information, but there are doubts about its quality and reliability. Therefore, we aimed to assess the quality of the most viewed secukinumab videos on YouTube. This is a descriptive study. A total of 180 secukinumab videos returned by the YouTube search engine (
http://www.youtube.com
) in response to a keywords query were evaluated in the study. The Global Quality Scale (GQS) was used to assess educational quality, and three groups were created: high quality, intermediate quality, and low quality. Video parameters were compared among the quality groups. After applying the exclusion criteria, 53 videos were analyzed; 18 (34%) videos were in the high-quality group, 17 (32%) were in the intermediate-quality group, and 18 (34%) were in the low-quality group. No significant difference was detected in terms of the number of views, likes, dislikes, and comments per day between the groups (
p
> 0.05). YouTube has a mixed structure of high, intermediate, and low-quality videos. The number of views, likes, dislikes, and comments per day should not be accepted as an indicator of quality for YouTube videos. In addition, patients should consider the importance of sources when obtaining online health-related information.
Objective
The objective of the present study was to investigate the effect of the Pulmonary Rehabilitation Programme on work productivity, disease activity, functional status, quality of life, ...respiratory function tests (RFTs), physical capacity and depression in ankylosing spondylitis (AS) patients.
Method
Twenty‐five patients diagnosed with AS were included in this study. The disease severity was evaluated with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional status was evaluated with Bath Ankylosing Spondylitis Functional Index (BASFI), quality of life was evaluated with AS‐Related Quality of Life Scale (ASQOL), physical capacity was evaluated with the 6‐min walking test (6MWT), depression level was evaluated with Beck Depression Scale (BDS) and work productivity was evaluated with Spondyloartropathy Work Productivity and Activity Impairment (WPAI‐SpA) Survey. Finally, RFT was evaluated with spirometry measurement. The patients were included in the Pulmonary Rehabilitation Programme for 8 weeks.
Results
A total of 30% of the patients who were included in this study were unemployed, 35% of them were on and below the hunger limit, 25% were on and below the poverty line, and 40% were on the normal income line. No significant changes were detected in the RFTs after the exercise programme in AS patients (P > .05), but significant improvements were detected in the BASDAI, BASFI, WPAI, 6MWT, ASQOL and BDS (P < .001).
Conclusion
Pulmonary Rehabilitation Programme was found to be an effective method of improving work productivity in AS patients. Also, the Pulmonary Rehabilitation Programme has positive effects on disease activity, functional status, physical capacity, depression level, and quality of life.
Objective: This study aimed to evaluate sleep disturbance in patients with ankylosing spondylitis (AS) and to analyse the relationship between disease activity, anxiety/depression and pain level. ...Materials and Methods: Disease activity was assessed using the Bath ankylosing spondylitis disease activity index (BASDAI), sleep disturbance was evaluated by the Epworth sleepiness scale (ESS), pain level was evaluated by the visual analogue scale and emotional state was evaluated by the Beck depression inventory (BDI), state-trait anxiety inventory (STAI) I and STAI II. Data were examined using independent samples t-tests and Pearson’s correlation analysis. Results: Daytime sleepiness, depressive mood and anxiety levels were higher in patients with AS than in healthy controls. The ESS score correlated with BASDAI, BDI, STAI I and STAI II. Patients with AS had a considerably impaired sleep quality compared with the healthy controls, and a strong correlation was found between sleep and mood. A positive correlation was also noted between disease activity/pain severity and sleep quality. Conclusion: Measuring sleep quality and mood is important for the comprehensive evaluation of the health status of patients with AS, which could provide valuable evidence for improving the management of disease and treatment decisions.
Purpose: The aim of this study was to investigate the levels of anxiety, health anxiety and somatosensory amplification in patients who presented with the clinical manifestation of Carpal Tunnel ...Syndrome (CTS) without electromyography findings.
Materials and Methods: Patients who applied to the Physical Therapy and Rehabilitation outpatient clinic, respectively, and were diagnosed with CTS with clinical findings were included in the study. The patients who were determined to have no evidence of conduction loss in EMG were evaluated by using Short Health Anxiety Inventory (HAI-18), SomatoSensory Amplification Scale (SSAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Visual Analog Scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ).
Results: A total of 111 participants were included in the study, of whom 56 were patients and 55 were healthy control subjects. There was no significant difference between the patient and control groups in terms of age, gender, and body mass index (BMI). A statistically significant relationship was observed between these scales and the VAS, BCTQ symptom-severity and BCTQ function status in the positive direction.
Conclusion: In our study, it was shown that the patient group showed higher anxiety, health anxiety and somatosensory amplification characteristics, and these features were associated with the severity of the CTS clinical scales. Studies with large-scale samples are needed to be carried out to confirm the results of this study.
Amaç: Bu çalışmada Karpal Tunel Sendromu (KTS) klinik tablosu ile başvuran ve Elektromyografi (EMG) sonucunda sinir iletimi normal tespit edilen hastalarda anksiyete, sağlık anksiyesi ve somatosensoryel amplifikasyon düzeylerinin araştırılması amaçlanmıştır.
Gereç ve Yöntem: Çalışmaya Fizik Tedavi ve Rehabilitasyon polikliniğine sırasıyla başvurmuş klinik bulgular ile KTS tanısı konulan hastalar alındı. EMG’de iletim kaybı bulgusu olmayan hastalara Sağlık Anksiyetesi Ölçeği-18 (HAI-18), Bedensel Belirtileri Abartma Ölçeği (BBAÖ), Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Görsel Ağrı Skalası (VAS) ve Boston Karpal Tünel Sorgulama Anketi (BKTSA) uygulandı.
Bulgular: Çalışmamız 56 hasta, 55 kontrol olmak üzere 111 vakadan oluştu. 42 erkek olmak üzere, 69 vaka kadın cinsiyetteydi. Hasta ve kontrol grubu arasında yaş, cinsiyet, beden kitle indeksi (BKİ) açısından anlamlı bir farklılık yoktu. Uygulanan ölçekler ile VAS, BKTSA semptom şiddeti ve BKTSA fonksiyonel durum arasında pozitif yönde anlamlı ilişki gözlendi.
Sonuç: Çalışmamız ile bu hasta grubunun yüksek anksiyete, sağlık anksiyetesi ve somatosensoryal amplifikasyon özellikleri gösterdiği ve bu özelliklerin KTS klinik ölçeklerinin şiddeti ile ilişkili olduğu gösterilmiştir. Mevcut sonuçlarımızı doğrulamak için daha geniş örneklemlerde çalışmalara ihitiyaç vardır.
Purpose: The purpose of this study is to reveal the relationship between the level of Vitamin D and the development of Metabolic Syndrome (MetS) in patients with Ankylosing Spondylitis (AS).
...Materials and Methods: 67 AS patients were included in this cross-sectional descriptive study. Socio-demographic data, waist circumference and systolic blood pressure were evaluated. Fasting blood glucose, HDL cholesterol, Triglyceride and Vitamin D values were recorded. Diagnosis of MetS was made according to National Cholesterol Education Program’s Adult Treatment Panel (NCEP/ATP III). Disease activity and quality of life were assessed.
Results: In the present study, a significantly negative correlation was detected between Vitamin D levels and MetS in AS patients. HDL levels and Vitamin D levels were significantly lower in patients with MetS. Multiregression analysis showed that MetS was positively associated with BMI, Triglyceride level, fasting glucose and negatively associated with HDL cholesterol and Vitamin D.
Conclusion: This study shows that vitamin D may have a role in the development of MetS in patients with AS. However, more studies are needed to explain the relationship between vitamin D and metabolic syndrome in patients with ankylosing spondylitis.
Amaç: Bu çalışmanın amacı, Ankilozan Spondilit (AS) hastalarında D vitamin seviyesi ile Metabolik Sendrom (MetS) gelişimi arasındaki ilişkiyi ortaya koymaktır.
Gereç ve Yöntem: Kesitsel tanımlayıcı tipteki bu çalışmaya 67 AS hastası dahil edildi. Sosyo-demografik veriler, bel çevresi ve sistolik kan basıncı değerlendirildi. Açlık kan şekeri, HDL kolesterol, Trigliserid ve Vitamin D değerleri kaydedildi. MetS teşhisi, Ulusal Kolesterol Eğitim Programının Yetişkin Tedavi Paneli'ne (NCEP / ATP III) gore yapılmıştır. Hastalık aktivitesi ve yaşam kalitesi değerlendirildi.
Bulgular: Bu çalışmada AS hastalarında Vitamin D seviyeleri ile MetS arasında anlamlı negatif bir ilişki tespi tedildi. HDL seviyeleri ve Vitamin D seviyeleri MetS'li hastalarda anlamlı olarak daha düşüktü. Çoklu regresyon analizi, MetS'nin BMI, Trigliserit seviyesi, açlık glikozu ile pozitif olarak ilişkili olduğunu ve HDL kolesterol ve Vitamin D ile negatif olarak ilişkili olduğunu gösterdi.
Sonuç: Bu çalışma, AS'li hastalarda MetS gelişiminde D vitamininin rolü olabileceğini göstermektedir. Bununla birlikte, ankilozan spondilitli hastalarda D vitamin ve metabolik sendrom arasındaki ilişkiyi açıklamak için daha fazla çalışmaya ihtiyaç vardır.
Aim: Ankylosing spondylitis (AS) is an autoimmune disease caused by chronic inflammatory response. Complement system is the major component of the innate immune defence. In this study, we ...investigated the potential association between complement factor H (CFH) gene Tyr402His variant (rs1061170) with AS in a Turkish population.
Methods: Seventy-eight AS patients and 80 healthy individuals were enrolled in the present study as case and control subjects, respectively. The Tyr402His variant of CFH gene was analysed by PCR-RFLP method.
Results: There was no statistically significant difference between AS patients and healthy controls in terms of CFH Tyr402His genotype and allele frequencies. However, the visual analogue scale (VAS) daytime and the AS Quality of Life (ASQoL) were significantly different according to CFH Tyr402His genotype distribution (p=0.032 and p=0.036, respectively). VAS of daytime and ASQoL were higher in subjects carrying Tyr402His variant Tyr/Tyr + Tyr/His genotypes compared to those carrying His/His genotype.
Conclusion: This is the first study evaluating the association between CFH Tyr402His and susceptibility to AS in a Turkish population. Although CFH Tyr402His variant was not considered a candidate gene for AS susceptibility in our samples, some clinical findings seem to be associated with genotype distribution of CFH Tyr402His variant.
Background
Currently, there is no comprehensive and multidisciplinary recommendation study covering all aspects of pediatric dysphagia (PD). This study aimed to generate PD management recommendations ...with methods that can be used in clinical practice to fill this gap in our country and in the world, from the perspective of experienced multidisciplinary experts.
Methods
This recommendation paper was generated by a multidisciplinary team, using the seven-step process and a three-round modified Delphi survey via e-mail. First, ten open-ended questions were created, and then detailed recommendations including management, diagnosis, treatment, and follow-up were created with the answers from these questions. Each recommendation item was voted on by the experts as overall consensus (strong recommendation), approaching consensus (weak recommendation) and divergent consensus (not recommended).
Results
In the 1st Delphi round, a questionnaire of 414 items was prepared based on the experts’ responses to ten open-ended questions. In the 2nd Delphi round, 59.2% of these items were accepted as pre-recommendation. In the 3rd Delphi round, 62.6% of 246 items were accepted for inclusion in the proposals. The final version recommendations consisted of 154 items.
Conclusions
This study includes comprehensive and detailed answers for every problem that could be posed in clinical practice for the management of PD, and recommendations are for all pediatric patients with both oropharyngeal and esophageal dysphagia.
Introduction/objectives
The current 2019 novel coronavirus outbreak is continuing to spread rapidly despite all efforts. Patients with rheumatic disease may have higher levels of anxiety due to their ...disease characteristics and medications. The web-based platforms are widely used sources for gaining medical information. YouTube presents a wide range of medical information, but there are concerns on its quality. Therefore, we aimed to evaluate the quality of the YouTube videos about COVID-19 and rheumatic diseases link.
Method
This is a descriptive study. A total of 360 videos listed by the YouTube search engine (
www.youtube.com
) in response to six search terms were evaluated. The Global Quality Scale (GQS) was performed to evaluate video quality. Three groups were formed according to GQS scores: high quality, moderate quality, and low quality. Video parameters were compared between these groups.
Results
After the exclusion criteria, 46 videos were reviewed. Of the videos, 41.4% (
n
= 19) were of high-quality group, 21.7% (
n
= 10) were moderate-quality group, and 36.9% (
n
= 17) were of low-quality group. Significant difference was detected between the quality groups in terms of views per day (
p
= 0.004). No significant difference was detected in comments per day (
p
= 0.139) and like ratio (
p
= 0.232).
Conclusions
Besides high-quality videos, there were substantially low-quality videos that could cause misleading information to spread rapidly during the pandemic. Videos from trustworthy sources such as universities, academics, and physicians should be kept in the foreground.
Key Points
•Web-based platforms have become an important source of health-related information. One of the most important online sources is YouTube because it is easy accessible and free.
•Of the videos evaluating the link between COVID-19 and rheumatic diseases, 41.4% (n = 19) were of high quality.
•The main sources of high-quality videos were academics/universities and physicians.
•The most frequently discussed topics in videos were the place of hydroxychloroquine in the treatment of COVID-19 and whether to continue the use of existing rheumatological drugs.
Aim: The purpose of this study was to investigate the rate of traumatic experiences and the relationship between traumas and anxiety, loneliness, depression, posttraumatic growth and pain, in refugee ...university students.
Materials and Methods: This study was conducted at the Gaziantep University between September 2017 and September 2018. UCLA (University of California, Los Angeles) Loneliness Scale, Posttraumatic Growth Inventory (PTGI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Traumatic Events Checklist (T.E.C) were used for assessment purposes.
Results: A total of 71 students were included in our study. There was a positive correlation between UCLA and BDI, T.E.C and a negative correlation between UCLA and PTGE. There was a positive correlation between BDI and BAI, T.E.C. A negative correlation was determined between PTGE and BDI and also T.E.C. A significant and positive correlation was observed between duration of pain felt during a day and T.E.C, BDI, and a negative correlation between duration of pain and PTGE.
Conclusion: Excessive traumatic experiences were positively related with depression and negatively related with traumatic growth. The duration of pain felt during a day was positively related with the excess of depressive symptoms and traumatic events, however there was no relationship between the presence of pain/localization of pain and assessment scales.
Amaç: Bu çalışmanın amacı, mülteci üniversite öğrencilerinde travmatik deneyimlerin oranını ve travmalar ile anksiyete, yalnızlık, depresyon, travma sonrası gelişim ve ağrı arasındaki ilişkiyi araştırmaktır. Gereç ve
Yöntemler: Bu çalışma Eylül 2017 ve Eylül 2018 tarihleri arasında Gaziantep Üniversitesi'nde gerçekleştirilmiştir. Değerlendirme için UCLA (California Üniversitesi, Los Angeles) Yalnızlık Ölçeği, Travma Sonrası Büyüme Envanteri (TSBE), Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE), Travmatik Yaşantilar Kontrol Listesi (TYKL) kullanılmıştır.
Bulgular: Çalışmaya toplam 71 öğrenci dahil edildi. UCLA ve BDE, TYKL arasında pozitif, UCLA ve TSBE arasında negatif korelasyon vardı. BDI, BAE ve TYKL arasında pozitif korelasyon vardı. TSBE ve BDE ile TYKL arasında negatif bir korelasyon saptandı. Bir gün içinde hissedilen ortalama ağrı süresi ile TYKL, BDE arasında anlamlı ve pozitif bir korelasyon ve ağrı süresi ile TSBE arasında negatif korelasyon gözlendi.
Sonuç: Mülteci öğrencilerde travmatik yaşantıların fazla olması depresyon ile pozitif, travmatik büyüme ile negatif ilişkiliydi. Gün içinde hissedilen ortalama ağrı süresi, depresif belirtilerin fazlalığı ve travmatik olayların fazlalılığı ile pozitif ilişkilidir, ancak ağrının varlığı / ağrının lokalizasyonu ve değerlendirme ölçekleri arasında bir ilişki saptanmamıştır.
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