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  • Küçük Resim Yok
    Öğe
    Evidence-based recommendations for the management of knee osteoarthritis: A consensus report of the Turkish league against rheumatism [Diz osteoartrit tedavisinde kani{dotless}ta dayali{dotless} öneriler: Türkiye romatizma araşti{dotless}rma ve savaş dernegi uzlaşi{dotless} raporu]
    (2012) Tuncer T.; Çay H.F.; Kaçar C.; Altan L.; Atik O.S.; Aydin A.T.; Figen Ayhan F.; Çorekçi Yanik B.; Durmaz B.; Eskiyurt N.; Genç H.; Gokçe Kutsal Y.; Günaydin R.; Hepgüler S.; Hizmetli S.; Kaya T.; Kurtaiş Y.; Ölmez N.; Saridogan M.; Sindel D.; Sonel Tur B.; Sütbeyaz S.; Şendur O.F.; Ugurlu H.; Ünlü Z.
    Objectives: Knee osteoarthritis (OA) is a common disease which causes pain, disability and great socioeconomic burden as a result. Turkish League Against Rheumatism (TLAR) initiated a project to prepare national, "evidence-based recommendations for the management of knee osteoarthritis" supported by expertopinion in order to assist the physicians who are interested in knee OA in their daily clinical practice. Materials and methods: The expert committee was composed of 25 academicians, 23 of whom were physical medicine and rehabilitation (PM&R) specialists (three also had rheumatology subspeciality) and two were orthopedic surgeons. At the first meeting, the previous guidelines were discussed, and 2008 Osteoarthritis Research Society International (OARSI) recommendations were decided to be taken as the fundamental template for national recommendations. Databases of the Pubmed, Embase, Cochrane, and Turkish Medical Index were used to search the literature, and this was carried out for the period between 2009-2010 for international publications since studies up to 2009 were present in the 2010 OARSI update. No limit was applied for searching of national publications. The selected relevant publications were graded according to evidence level and quality, and were sent to the members who were then asked to suggest propositions according to their experiences, knowledge, and review of the literature. After amalgamation and editing of new proposals, Delphi rounds were started. After five Delphi rounds, the propositions on which the members were in consensus, were discussed with regard to evidence and the "strength of recommendation" was determined by measuring on visual analog scale (VAS) for each proposal at the final meeting. Results: Nineteen propositions (one for general principles, nine for nonpharmacologic treatments, seven for pharmacologic treatments, and two for surgical treatments) were accepted as the "TLAR Evidence-Based Recommendations for the Management of Knee OA" in consensus as a result of Delphi rounds. Conclusion: Evidence-based recommendations for the management of knee OA were developed by TLAR for the first time in our country. The recommendations should be updated regularly according to new evidence and insights. It is expected that physicians who are interested in knee OA will benefit greatly from this report in their daily clinical practice. © 2012 Turkish League Against Rheumatism. All rights reserved.
  • Küçük Resim Yok
    Öğe
    Intramedullary cavernous angioma of the spinal cord in a pediatric case with multiple cerebral cavernomas and familial occurrence case report and review of the literature [Çoklu serebral kavernomlarla birlikte ortaya çi{dotless}kan intramedüller kavernöz anjiomali{dotless} pediatrik hasta ve hastali{dotless}gi{dotless}n ailesel geçişi; vaka sunumu ve li·teratürün]
    (2010) Tuncer T.; Ali A.; Yesim E.; Zaur A.; Yusuf E.; Saffet M.
    The review of data available in the literature has shown that there has been a gradual increase in the number of reported cases of intramedullary cavernous angioma (ImCA) since the advent of Magnetic Resonance Imagining (MRI). However, a comparison between the number of studies on adult and pediatric ImCA cases reveals that the total number of pediatric ImCA cases reported to date is only 18 - quite smaller than the former. The purpose of this study is to present an outline of ImCA in pediatric age group; its clinical presentation, course, management and outcome and to report the 19th pediatric case with an ImCA. Another important point about the present case is the three intracerebral lesions she had and the familial pattern existed. A complete removal of the lesion was accomplished as demonstrated by postoperative MRI studies. At the follow-up examination, a spine and cerebral MRI was completed and it was clear that no postoperative complication occurred after surgery.