Purpose The goal of this study is to investigate whether platelet-rich plasma (PRP) injections are effective in the management of adhesive capsulitis of the shoulder (AC). A triple-blind, randomized controlled trial was designed and conducted in a medical school hospital. Methods 32 adult patients with adhesive capsulitis (21 female, 11 male with a mean age of 57, ranging from 23 to 70) were included in this study. Patients had to have shoulder pain and restrictions in movements (at least 25% when compared to the other side, and at least in two directions) for three months minimum and nine months maximum. Patients were randomized to two groups, and one group took PRP injections for three times every two weeks, while the other group took saline injections in same frequency and volume. A standardized exercise program was also applied to all patients. Patients were evaluated with Shoulder Pain and Disability Index (SPADI), Visual Analogue Scales for pain and disability, ranges of movements, and use of analgesics in before, after, and third month after the initiation of the therapy. Results Baseline comparisons between groups showed no differences. SPADI and ranges of motion in all directions showed significant improvements with therapy, and the group which took PRP injections showed better improvements when compared to the control group (p < 0.05). Visual Analogue Scale was found to be better for the PRP group after therapy and third month, and not for the control group (0.4 ± 1.06 and 0.17 ± 0.72 vs. 2.5 ± 2.6 and 2 ± 2.2, respectively, p < 0.05). Use of analgesics was not found to be significant for both groups (p > 0.05). Conclusion PRP injections were found to be effective in both pain and disability, and showed improvements in a restricted shoulder due to adhesive capsulitis. These findings might point out PRP as a therapeutic option in the management of adhesive capsulitis.

The treatment methods used for treating breast cancer had no effect on the response to treatment of lymphedema. Weight gain during the treatment of breast cancer is important for both the development of lymphedema and the response to treatment. When treating breast cancer-related lymphedema, the relationship between activity level and postoperative weight gain may provide us guidance in clinical practice.

Bu çalışmada, dijital öykülerle desteklenmiş Sosyal Bilgiler dersinin öğrencilerin eleştirel düşünme becerileri üzerindeki etkisini araştırmak amaçlanmıştır. Araştırma, yarı-deneysel model öntest-sontest kontrol gruplu eşleştirilmiş desende tasarlanmıştır. Araştırmanın çalışma grubunu, Rize il merkezinde bulunan bir ilkokulun 4. sınıfında öğrenim gören 42 öğrenci oluşturmuştur. Ulaşılan nicel veriler, SPSS 20.0 istatistik programında çözümlenmiştir. Araştırma sonucunda dijital öykülerle desteklenmiş etkinliklere dâhil olan öğrencilerin eleştirel düşünme puanları (tümdengelim, tümevarım, gözlem, varsayımsal düşünme) diğer öğrencilere göre daha yüksek düzeyde ve anlamlı bulunmuştur. Kontrol grubu öğrencilerinde de başarı, eleştirel düşünme becerilerinde gelişim söz konusudur, ancak fark anlamlı değildir. Bu sonuca göre yürürlükte olan programın öğrencilerin eleştirel düşünmelerini geliştirmede yetersiz olduğu öne sürülmüştür.

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Submit Manuscript | http://medcraveonline.com hematoma. A week after this operation the patient who was admitted to our outpatient clinic with the complaints of weakness in the right lower extremity, difficulty in walking, pain and burning in the right groin and thigh was hospitalized.