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Epidemiologic Characteristics of Patients with Cerebral Palsy

Open Journal of Therapy and Rehabilitation 2014年第3期2卷 126-132页

作者： fatma fidan Ozlem Baysal Department of Physical Medicine and Rehabilitation Yildirim Beyazit University Faculty of MedicineAnkaraTurkey Department of Physical Medicine and Rehabilitation Inonu University Faculty of MedicineMalatyaTurkey

Aim: The aim of this study was to determine the demographical and clinical features of patients with cerebral palsy (CP) attending to our outpatient or inpatient clinics. Materials and Methods: Children admitted to Inonu University Faculty of Medicine Department of Physical Medicine and Rehabilitation outpatient or inpatient clinics, Malatya, Turkey with the diagnosis of CP during the study period were included in the study. Age, sex, etiological factors, clinical classifications, and epidemiological characteristics such as socio-economic status as well as the problems associated with CP were analyzed in all patients. Results: Of the total of 130 patients with mean ages 51.05 ± 36.06 months, 51 were girls and 79 were boys. The most common etiologic risk factors were bleeding and presence of threatened miscarriage in prenatal period;asphyxia, low birth weight and prematurity in perinatal period;and neonatal convulsions and hyperbilirubinemia in the postnatal period. Consanguineous marriage was present in 24.6% of families. In clinical classification it was seen that 45 subjects were spastic quadriplegic (34.6%), 41 were spastic diplegic (31.5%), 15 were dyskynetic (11.5%), 14 were spastic hemiplegic (10.8%), 10 were mixed type (7.7%) and 5 were hypotonic/ataxic (3.8%). Conclusion: Prenatal risk factors constitute the foremost risk factors in CP etiology. CP incidence can be lowered by close follow up of the newborns who has been considered as high risk newborns due to the presence of risk factors during pregnancies or deliveries, and by increasing the number of neonatal intensive care units. Besides, it is important to raise public awareness about consanguinity marriages in our country.

关键词： Cerebral Palsy Epidemiology Etiology

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Metastatic Oesophagus Carcinoma Presented with Neck and Arm Pain:A Case Report

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Case Reports in Clinical Medicine 2014年第4期3卷 231-234页

作者： Ozlem Demircioglu Berat Meryem Alkan fatma fidan Aliye Tosun Selami Akkus PMR Clinic Atatürk Educational and Research HospitalAnkaraTurkey PMR Clinic Yildirim Beyazit UniversityAnkaraTurkey

Oesophageal carcinoma is among malignancies with poor prognosis due to the late onset symptoms related with large submucosal involvement, early lymphatic metastasis and its multicentric characteristics, majority of the patients decrease within the first year of diagnosis. However, bone metastasis is uncommon and reported to be 1% to 14% in autopsy series. Herein we report a case that was admitted to our outpatient clinics with severe neck and arm pain as presenting symptoms and diagnosed as metastatic oesophageal carcinoma afterwards.

关键词： Oesophageal Carcinoma Metastasis Bone Metastasis

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Assessment of Fatigue in Undifferentiated Spondyloarthritis (USpA)

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Open Journal of Rheumatology and Autoimmune Diseases 2014年第3期4卷 153-161页

作者： Berat Meryem Alkan fatma fidan Sevgi Atalay Sükran Erten Sinem Bozkurt Ozge Ardicoglu Ataturk Education and Research Hospital PMR ClinicAnkaraTurkey Yildirim Beyazit University PMR ClinicAnkaraTurkey

Objectives: This study aimed to evaluate the fatigue in patients with undifferentiated spondyloarthritis [USpA], and its relationship with disease-specific variables, spinal mobility measures and healthy related quality of life [HRQOL]. Methods: Eighty patients with USpA and forty healthy subjects were included in this study. The multidimensional assessment of fatigue [MAF] and the generic instrument Short Form 36 [SF 36] were used in patient and control groups to assess fatigue and [HRQOL]. Fatigue was also assessed with the Bath ankylosing spondylitis disease activity index [BASDAI] fatigue item. The evaluation included the activity of the disease [BASDAI], functional status [Bath ankylosing spondylitis functional index], and visual analog scale [VAS] of axial and joint pain. Demographics and disease-related data were obtained. Results: Patients with USpA had higher scores in MAF total and in all MAF subgroup scales than controls. All SF-36 subgroups scores were also found to be significantly lower in patients. Severe fatigue experienced 60% in patients. MAF total scores were found to be significantly correlated with morning stiffness, BASDAI, Bath ankylosing spondylitis functional index (BASFI), BASDAI fatigue, VAS-axial, and SF-36 subgroups scores in patients [p < 0.05]. Conclusions: The patients with USpA defined significantly more fatigue and lower HRQOL when compared with healthy persons. MAF was found to be related with the clinical and functional status and health-related quality of life of patients with USpA.

关键词： Undifferentiated Spondyloarthritis MAF HRQOL

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