The immediate effect of vaginal and caesarean delivery on anal sphincter measurements

Karcaaltincaba D. | Erkaya S. | Isik H. | Haberal A.

Article | 2016 | Journal of International Medical Research44 ( 4 ) , pp.824 - 831

Objective: This study evaluated the effects of vaginal and caesarean delivery on internal and external anal sphincter muscle thickness using translabial ultrasonography (TL-US). Methods: This prospective cohort study enrolled nulliparous women who either had vaginal or caesarean deliveries. The thickness of the hypoechoic internal anal sphincter (IAS) and hyperechoic external anal sphincter (EAS) at the 12, 3, 6, and 9 o’clock positions at the distal level were measured before delivery and within 24–48 h after delivery. Results: A total 105 consecutive women were enrolled in the study: 60 in the vaginal delivery group and 45 in the . . .caesarean delivery group. The IAS muscle thickness at the 12 o’clock position in the vaginal delivery group was significantly thicker before compared with after delivery (mean ± SD: 2.31 ± 0.74 mm versus 1.81 ± 0.64 mm, respectively). The EAS muscle thickness at the 12 o’clock position in the vaginal delivery group was significantly thicker before compared with after delivery (mean ± SD: 2.42 ± 0.64 mm versus 1.97 ± 0.85, respectively). Conclusions: There was significant muscle thinning of both the IAS and EAS at the 12 o’clock position after vaginal delivery, but not after caesarean delivery. © 2016, © The Author(s) 2016 Daha fazlası Daha az

Comparative efficacy of oral and intravenous calcitriol treatment in haemodialysis patients: Effects on serum biochemistry and cytokine levels

Borazan A. | Üstün H. | Cefle A. | Sekitmez N. | Yilmaz A.

Article | 2003 | Journal of International Medical Research31 ( 6 ) , pp.489 - 496

This study compared the effects of oral and intravenous calcitriol on serum biochemistry parameters and levels of bone-resorptive cytokines in haemodialysis patients. Patients were randomized to receive oral (n = 18) on intravenous (n = 16) calcitriol treatment for 6 months. Serum levels of total calcium, ionized calcium, intact parathyroid hormone (iPTH), magnesium, alkaline phosphatase, tumour necrosis factor-? (TNF-?), interleukin (IL)-1 and IL-6 were measured at baseline and after 3 and 6 months of treatment. After treatment, serum levels of iPTH, total calcium, ionized calcium, TNF-?, IL-1 and IL-6 were not significantly differ . . .ent from baseline. The intravenous calcitriol treatment group showed significant decreases in levels of iPTH, TNF-?, IL-1 and IL-6 and a significant increase in total calcium level after 3 and 6 months. There was no significant change in serum ionized calcium levels. Significantly decreased serum alkaline phosphatase and magnesium levels were found in both treatment groups after 3 and 6 months. In conclusion, intravenous calcitriol treatment has a significant depressive effect on iPTH and bone-resorptive cytokines in patients undergoing haemodialysis Daha fazlası Daha az

The effects of haemodialysis and peritoneal dialysis on serum lipoprotein(a) and C-reactive protein levels

Borazan A. | Üstün H. | Yilmaz A.

Article | 2003 | Journal of International Medical Research31 ( 5 ) , pp.378 - 383

Elevated serum lipoprotein(a) is an independent risk factor for coronary artery disease, and C-reactive protein (CRP) is a general and cardiovascular marker in haemodialysis patients. We studied lipoprotein(a) and CRP levels in 48 haemodialysis and 24 continuous ambulatory peritoneal dialysis (CAPD) patients and 20 healthy individuals, after a 12 h fast. Serum lipoprotein(a) levels were elevated in 31.3%, 66.7% and 5% of haemodialysis and CAPD patients and control subjects, respectively. The difference between all groups was significant. Serum CRP levels were high in 43.8%, 58.4% and 5% of haemodialysis and CAPD patients, and health . . .y subjects, respectively. The mean serum CRP level was significantly different between all groups. Both protein levels were higher in CAPD patients than haemodialysis patients, suggesting that CAPD patients should be more closely monitored for coronary artery disease Daha fazlası Daha az

Photogrammetric analysis of the articular surface of the distal radius

Ege A. | Seker D.Z. | Tuncay I. | Duran Z.

Article | 2004 | Journal of International Medical Research32 ( 4 ) , pp.406 - 410

Three-dimensional measurements made using photogrammetry have recently gained popularity with the development of real-time detection facilities and up-to-date equipment. The modelling of human bones presents a particular challenge as the measurements required are difficult to obtain, especially from uneven surfaces. In this study, the articular surfaces of 12 radius bones were evaluated using photogrammetry to obtain three-dimensional coordinates of certain points. Morphometric characteristics of the digital topography of the articular surface were analysed using three-dimensional data from more than 200 points for each specimen. Th . . .e coronal plane curve, from the tip of the styloid process to the centre of the distal radioulnar articular notch, was found to be similar to the fourth degree polynomial function. A mathematical expression representing the sagittal curve passing through scapholunate border could not be found. Close-range photogrammetry is a safe and precise technique that can provide reliable, reproducible and accurate data for evaluating complex morphological surfaces Daha fazlası Daha az

The analgesic effect of dexketoprofen when added to lidocaine for intravenous regional anaesthesia: A prospective, randomized, placebocontrolled study

Yurtlu S. | Hanci V. | Kargi E. | Erdogan G. | Köksal B.G. | Gül S. | Okyay R.D.

Article | 2011 | Journal of International Medical Research39 ( 5 ) , pp.1923 - 1931

This prospective, randomized, placebocontrolled study evaluated the effects of dexketoprofen as an adjunct to lidocaine in intravenous regional anaesthesia (IVRA) or as a supplemental intravenous (i.v.) analgesic. Patients scheduled for elective hand or forearm soft-tissue surgery were randomly divided into three groups. All 45 patients received 0.5% lidocaine as IVRA. Dexketoprofen was given either i.v. or added into the IVRA solution and the control group received an equal volume of saline both i.v. and as part of the IVRA. The times of sensory and motor block onset, recovery time and postoperative analgesic consumption were recor . . .ded. Compared with controls, the addition of dexketoprofen to the IVRA solution resulted in more rapid onset of sensory and motor block, longer recovery time, decreased intra- and postoperative pain scores and decreased paracetamol use. It is concluded that coadministration of dexketoprofen with lidocaine in IVRA improves anaesthetic block and decreases postoperative analgesic requirements. © 2011 Field House Publishing LLP Daha fazlası Daha az

Effect of underground working on vitamin D levels and bone mineral densities in coal miners: A controlled study

Sarikaya S. | Özdolap Ş. | Mungan A.G. | Gümüştas Ş. | Koç Ü. | Güven B. | Begendik F.

Article | 2006 | Journal of International Medical Research34 ( 4 ) , pp.362 - 366

The aim of this study was to determine the effect of underground working on 25-hydroxyvitamin D (25-OHD) levels and bone mineral density (BMD) values in coal miners. Fifty coal miners working underground and 50 surface workers as controls, matched for age and body mass index, from Zonguldak, Turkey, were recruited to the study. Levels of 25-OHD, biochemical bone markers, and lumbar spine and femur BMD values were measured in all study participants. Lumbar spine and femur BMD values were significantly higher in underground workers compared with surface workers, but there was no significant difference in 25-OHD levels between the two . . .groups. Duration of underground working, age, 25-OHD levels, cigarette consumption and dietary calcium intake were not correlated with BMD values. Underground physical working does not seem to be a significant risk factor for low 25-OHD levels or low BMD values. Copyright © 2006 Cambridge Medical Publications Daha fazlası Daha az

Tramadol as a local anaesthetic in tendon repair surgery of the hand

Kargi E. | Babuccu O. | Altunkaya H. | Hosnuter M. | Ozer Y. | Babuccu B. | Payasli C.

Article | 2008 | Journal of International Medical Research36 ( 5 ) , pp.971 - 978

This double-blind pilot study compared the local anaesthetic effects of tramadol plus adrenaline with lidocaine plus adrenaline during surgery to repair hand tendons. Twenty patients were randomly allocated to receive either 5% tramadol plus adrenaline (n = 10) or 2% lidocaine plus adrenaline (n = 10). Injection site pain and local skin reactions were recorded. At 1-min intervals after injection of the anaesthetic agent, the degree of sensory blockade was assessed by the patient reporting the extent to which they felt a pinprick, light touch and a cold sensation. Pain felt during surgical incision was also recorded. There was no dif . . .ference in the quality of sensory blockade or the incidence of side effects between the two groups. Only patients treated with tramadol did not require additional post-operative analgesia. A combination of tramadol plus adrenaline provided a local anaesthetic effect similar to that of lidocaine plus adrenaline. Copyright © 2008 Field House Publishing LLP Daha fazlası Daha az

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