Extremely high serum ferritin level in a patient with Hemophagocytic Syndrome and Adult-Onset Still's disease

Abstract

Hemophagocytic syndrome (HS) and Adult-onset Still's disease (AOSD) are both rarely systemic inflammatory disorders. It may be difficult to differentiate these inflammatory disorders from each other. There are some signs that may help clinicians in the diagnosis such as high ferritin levels for AOSD, and leukopenia, thrombocytopenia, hypertriglyceridemia for HS. Hemophagocytic syndrome secondary to Adult-onset Still's disease was reported rarely in literature. In this article, we aimed to report a patient of 65-year old female diagnosed with HS and AOSD with extremely high serum ferritin levels.

Socio-Cognitive Determinants of Regular Physical Activity among College Students

“…This section included 28 items which were composed under four major constructs including (a) outcome expectation towards physical activity, (b) outcome expectancies towards physical activity, and (c) self-efficacy toward physical activity. SCT constructs was designed based on a standard questionnaire (11,14). Five items were designed to measure outcome expectation (e.g., if I am active, I will be happy).…”

“…Meanwhile, SCT is one of the most common theories used for the analysis, regulation and change of many human behaviors including physical activity behavior and has a comprehensive view of the aforementioned socio-cognitive determinants (9). In terms of physical activity behavior, structures such as outcome expectation, outcome expectancies, self-efficacy, selfregulation and social support have been paid more attention (11). Comprehensive health education programs need to emphasize on psychological factors that mediate and predict health-related behaviors (12,13).…”

Investigating the Effect of Educational Intervention on Musculoskeletal Disorders in Dentists

“…Researches have indicated that optimal and correct posture can positively effect on the musculoskeletal system leading to improved performance and reduced occupational events and harm [9]. To prevent musculoskeletal harm, it is essential to be aware of role of biomechanical factors such as awkward or fixed posture, imposed force and repetitive actions in order to find controlling strategies [18][19]. Besides sufficient teaching and design of work experience and instruments, ergonomically, regular aerobic exercises and stretching between work hours are recommended to prevent musculoskeletal disorders [20].…”