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Electromagnetic field versus diclofenac drugs on primary dysmenorrhea: A single-blind randomized controlled trial

Aim: Primary dysmenorrhea is one of the most common complaints of women and is also the most common gynecological problem worldwide. The cramps of

dysmenorrhea are recurrent and 90% of adolescent girls and about 50% of women suffer from it. This study was aimed to determine which is more effective

in alleviating primary dysmenorrhea: pulsed electromagnetic field (PEMF) or diclofenac drugs. Material and Method: Fifty adult females with regular menstrual

cycle 21-35 days lasting 3-7 days and having the same ordinary daily living activities participated in this study. They were recruited from the students of the

Faculty of Physical Therapy, Cairo University, Egypt, and the study was conducted in the Outpatient Clinic of the Faculty of Physical Therapy. Group A received

PEMF applied on the pelvic region, 3 times per cycle for 3 consecutive cycles, 20 minutes per day. Group B received diclofenac tablets, 50 mg, only with onset

of menstrual pain for 3 consecutive cycles. All subjects in both groups were assessed through measuring the progesterone level in the blood, pain using

the Visual Analogue Scale, and physical as well as psychological symptoms using a menstrual symptom questionnaire. Results: The present study revealed a

statistically significant improvement (P<0.05) in pain, physical, and psychological symptoms associated with dysmenorrhea and progesterone blood level in

Group A compared to Group B. Discussion: PEMF was more effective than diclofenac drugs in relieving pain and associated symptoms with dysmenorrhea.

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Neutrophil-to-lymphocyte ratio and red cell distribution width: potential inflammatory markers for sudden sensorineural hearing loss

Aim: In this study, we aimed to evaluate whether the neutrophil-to- lymphocyte (NLR) ratio and red cell distribution width (RDW) value, which are accepted as

novel indicators of inflammation, can be indicators for the evaluation of inflammation in Sudden Sensorineural Hearing Loss (SSHL) disease or not. Material

and Method: The patient group was diagnosed as SSHL in our clinic between January 2012 and September 2018. Control group was constituted from the

participants who had normal audiometry findings. Hematologic parameters were recorded. NLR was calculated for the statistical analysis. Results: This study

was carried out with 169 volunteers, between the age of 18 - 87 years. The mean age of the patients was 49.4 ± 15 years. There was no difference between

the groups in terms of age. RDW was found significantly higher in the study group than the control group. Also, we found that NLR was significantly higher in

the patients with SSHL when compared to the control group. Discussion: The high level of NLR and RDW in this disease, which is thought to play a role in the

etiology of many diseases, may be interpreted as a sign of inflammation on the basis of the disease. Considering the treatment for etiology, the importance

of anti-inflammatory treatment is appreciated.

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The effect of vitamin d levels on the mood disorders of the operating room and intensive care unit staff

Aim: Operating rooms and intensive care units are stressful working environments, therefore mood disorders suchas anxiety and depression ratio are frequent

in workers. Additionally increased frequency of vitamin D insufficiency in health workers is demonstrated in other studies. We examined if there is a relationship

between vitamin D levels and levels of anxiety -depression in our volunteers working in our operating rooms and intensive care units. Material and Method:

The study is carried out over 96 volunteers working in our hospital’s operating room and intensive care units. Attendants were asked to answer the Hospital

Anxiety and Depression Scale (HADS) questionnaire which was validated in Turkey for assessment of anxiety and depression status of participants and containing

demographic data. Although vitamin D levels were studied. Results: The average vitamin D levels of attendants was 19.43 ± 7.95. Mean vitamin D levels

of intensive care unit workers (16.98 ± 1.04) were significantly lower than of operating room workers (20.90 ± 1.10). The average of HADS-A of workers was

7.43 ± 3.31 and HADS-D average was 5.58 ± 3.32. Improvement in HADS-D scores with aging (senescence) and significantly positive relationship in between

HADS-A and HADS-D was found in our study. Also, as vitamin D levels decreasing, increasing in HADS-A and HADS -D scores were deserved and negative

relationship between 2,5 % - 5.4 % is identified. Discussion: Our study shows that vitamin D deficiency negatively affects anxiety and depression levels in the

personnel working at a closed environment like operating rooms and intensive care units.

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