This study aimed to discover a new index for disease activity by reviewing the relationship between the Systemic Immune-Inflammation Index and Systemic Inflammation Response Index in rheumatoid arthritis. A total of 109 patients with rheumatoid arthritis and 31 healthy controls were involved in the study. Based on disease activity score (DAS-28) calculated by the erythrocyte sedimentation rate, rheumatoid arthritis patients were divided into two groups: Group 1 comprised patients in remission (DAS-282.6). The Systemic Immune Inflammation Index and the Systemic Inflammation Response Index compared between the groups. The Systemic Immune-Inflammation Index is 666.415±33.00 in the patient group and 596.71±57.64 in the control group, and the difference between the groups is statistically significant (p=0.002). The Systemic Immune-Inflammation Index was 574.69±34.72 in group 1 and 702.25±39.56 in group 2. There was a significant statistical difference between the active and remission patients (p=0.030). The Systemic Inflammation Response Index was not statistically significant between the groups. Different cut-off points were compared to detect the optimal cut-off value for SII. Based on the ROC curve analysis, SII cut-off point of 574.20 showed 56.3% sensitivity and 45.5% specificity and with the Area Under Curve (AUC) 95% was the optimal cut-off point for active RA. This is the first study to review the Systemic Immune-Inflammation Index in rheumatoid arthritis. The obtained conclusion verified that the Systemic Immune-Inflammation Index could be used as a new tool, showing disease activity.

Summary: The peroneal nerve can be injured due to direct trauma or non-traumatic causes, with the injury mostly occurring between the fibular head and neck and mostly unilateral. This injury mostly results from prolonged squatting, cross-legged sitting or sitting with one foot tucked under the other leg. In this report, we present three agricultural workers with a history of prolonged squatting who developed bilateral foot drop due to bilateral peroneal nerve injury, two of whom recovered almost completely after physical therapy, and one remained disabled. Agricultural workers should be advised to avoid prolonged squatting for more than 2 h, to extend the knee and to strengthen the muscles around the knee in order to prevent neuropathy.

Amaç: Bu çalışmada, inme nedeniyle hemipleji gelişen hastaların rehabilitasyon sonuçları ile maliyet arasındaki ilişkinin değerlendirilmesi amaçlandı.Materyal ve Metod: Harran Üniversitesi Araştırma ve Uygulama Hastanesi Fizik Tedavi ve Rehabilitasyon (FTR) Kliniğinde, Nisan 2016 ila Şubat 2019 tarihleri arasında yatarak rehabilitasyon tedavisi uygulanmış inme hastaların dosyaları retrospektif olarak tarandı. İlk defa inme geçirip hemipleji sekeli olan, inme sonrası 4 ay içinde yatarak rehabilitasyon tedavisine başlanan hastalar dahil edildi. Hastaların demografik ve klinik özellikleri yanı sıra hastane faturaları incelendi.Bulgular: Yaş ortalaması 60.8±11.3 yıl olan 28 (13 kadın, 15 erkek) hasta dahil edildi. Hastaların %82.1’inde etiyoloji iskemik nedenli iken, %17.9’unda hemorajikti. Hipertansiyon (HT) en sık (%82.1) eşlik eden komorbidite olup, bunu diabetes mellitus (%46.4) takip etmekteydi. Kadın hastaların hepsinde HT varken erkeklerde bu oran %61.5 idi (p=0.0013). Hastaların sadece %10.7’sinde ek hiçbir sistemik hastalık yoktu. Bir hasta dışında tüm hastalara farklı branşlara konsültasyon istenirken, %71.4 ile Dahiliye bunlar arasında en sıktı. 65 yaş ve üzeri hastaların %80’inde Psikiyatri konsültasyonu istenirken, bu oran 65 yaş altındakilerde %16.7 idi (p=0.001). Omuz ağrısı en sık komplikasyondu (%35.7). 65 yaş ve üzeri hastaların %50’sinde omuz ağrısı varken 65 yaş altında bu oran %10 idi (p=0.034). FTR kliniğinde ortalama yatış süresi 59.9±31.4 gün ve fatura ortalaması 10.660±6130.8 TL idi. Rehabilitasyon programı sonunda hastaların %82.1’inde fonksiyonel ambulasyon skalasında ilerleme kaydedildi. Sonuç: İnme rehabilitasyonu ile hastaların fonksiyonel durumlarında gelişme sağlanmakla beraber ciddi bir ekonomik yük meydana getirmektedir. Bu maliyeti azaltmak için başta HT olmak üzere inmeye yol açabilecek sistemik hastalıkların tanı ve tedavisinin uygun şekilde yapılması bu mali yükün azalmasına neden olabilir.

This study was designed to identify the amount of time and number of repetitions needed to explain a home exercise program recommended for most of our patients, as well as to gauge how many items patients managed to remember at their 15-day follow-up. We also considered whether the learning method had any effect on these results. Sixty-two patients with mechanical knee pain who were admitted to our clinic were included in this study. Patients were categorized into the following three groups: group 1 with a dominant physical learning style, group 2 with a dominant auditory learning style, and group 3 with a dominant visual learning style. Heel slide, quadriceps isometric, quadriceps stretching, adductor isometric, abductor isometric, and quadriceps isotonic exercises were explained and demonstrated to all patients by the same physiotherapist, and the required time (in seconds) and repeats of exercises until the patients learned them were recorded. Remembered/forgotten exercises at the follow-up, which occurred 15 days later, were identified. A statistically significant difference was observed between groups in terms of how many seconds were needed for learning the quadriceps isometric exercises (p: 0.042). In the inter-group comparison, the difference was significant when groups 2 and 3 were compared (p: 0.046). There was a significant difference between groups in terms of how many repeats were needed for learning heel sliding (p: 0.000). Moreover, there was a significant difference between group 3 and groups 1 and 2 in the inter-group comparison (p: 0.000, p: 0.000). There was also a significant difference between groups in terms of recalling the adductor isometric exercises. Patients in group 2 were able to fully recall all these exercises. It was found that the quadriceps isometric, heel slide, and adductor isometric exercises were more quickly learned, while the quadriceps stretching exercise was forgotten. We concluded that learning style is not highly important in exercise learning or recall.