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Ivan Simic, Vladimir Zdravkovic, Rada Vucic, Violeta Iric-Cupic, Goran Davidovic, Vladimir Ignjatovic and Dragic Bankovic
Background: Coronary artery disease is the most common cause of death in a modern world. This dictates the development a network of Catheterization laboratories without cardiosurgical capabilities.
Aim: We postulate that the most valuable tool in the decision process on myocardial revascularization is fractional flow reserve (FFR), especially when we deal with borderline coronary lesions.
Material and Methods: A total of 72 patients with 94 intermediate coronary stenosis (30%-70% diameter reduction) were included in this study. We tested FFR and angiography based decision model on myocardial revascularization.
Results: Mean FFR value on left anterior descending coronary artery (LAD) was lower than in others two arteries (p=0.017). FFR after percutaneous coronary intervention (PCI) was significantly better (p<0.0001). The decision for PCI predominates before FFR diagnostics, but after FFR the decision is quite opposite. There is a weak negative correlation between FFR and diameter of stenosis assessed by angiography (r= - 0.245 p=0.038) and positive correlation between diameter of stenosis assessed by angiography and by quantitative coronary angiography (QCA) (r=0.406 p<0.0005).
Conclusion: Our results strongly suggest that FFR is necessary tool in centers without possibilities of heart team onsite consultation and that prevents numerous unnecessary PCI.
Jordan Minov, Jovanka Bislimovska-Karadzhinska, Tatjana Petrova, Kristin Vasilevska, Snezana Risteska-Kuc, Saso Stoleski and Dragan Mijakoski
Asthma Control Test™ in Assessment of Clinical Asthma Control
Background. The goal of asthma treatment is to achieve and maintain control of the disease.
Objective. To assess validity and reliability of Asthma Control Test™ (ACT) as a patient-based tool for quantifying the control of the disease in the subjects with persistent asthma.
Methods. A cross-sectional study including 396 subjects with persistent asthma drown from a population of treated patients was performed. Evaluation of the examined subjects included completion of the ACT, spirometry, and asthma specialist rating of control.
Results. The mean derived ACT score in all study subjects was 19.2±3.3. Prevalence of the study subjects with totally controlled (TC), well-controlled (WC) and not well-controlled (NWC) asthma by derived ACT score was 9.1%, 43.2% and 47.7%, respectively. Results from the spirometry showed that in 45% of the study subjects FEV1 value was less than 80%. Prevalence of the study subjects with TC, WC and NWC asthma by asthma specialist rating was 8.1%, 41.1% and 50.7%, respectively. A strong correlation between the derived ACT scores and asthma specialist rating of control was observed (r = 0.51, P = 0.000).
Conclusion. Our data confirm the usefulness of the ACT as a valid and reliable screening tool for asthma control.
Alexandra Martu, C. Popa, I.A. Luchian, Ioana Martu, Cornelia Oanta and Silvia Martu
Background: The periodontal probing has an important role in clinical examination of the periodontal status; different types of periodontal probes have been described. The aim of this investigation was to evaluate comparatively the efficiency of periodontal probing with conventional periodontal probe and electronic periodontal probe.
Material and Methods: We examined 57 patients, each patient being subjected to conventional and electronic probing. We assessed the tolerance degree for each probing type and also the time consumed by probing and periodontal charting.
Results: The periodontal probing with the electronic probe revealed superior results regarding the accuracy of the measurements, the tolerance level and the time consumed.
Conclusions: The electronic periodontal probing is an exceptionally accurate method in establishing diagnosis and assessing treatment results. The electronic periodontal probe represents an efficient and useful tool for measurements of the gingival sulcus and periodontal pockets, and also for determination of the periodontal risk.
Douaa M. Mosalem, Abeer M. El Shabrawy, Aziz Alfeeli, Ayyoub B. Baqer and Mohieldin M. Ahmed
BACKGROUND: Posture and gait instability may cause of morbidity in individuals with progressive supranuclear palsy (PSP).
OBJECTIVE: To quantitatively measure balance control by using computerized dynamic posturography (CDP) and to assess gait analysis in early PSP.
CASEREPORT: She was evaluated for Berge balance scale, Functional Independence Measure (FIM) and postural stability using CDP device in early PSP with still able to walk or stand unassisted. Also, Gait analysis was conducted using an 8 M-camera Vicon 612 data capturing system set. Berge balance scale improved from 41/56 to 48/56. The score of FIM improved from 71/126 points to 95/126 points in early PSP. In CDP analysis, there was a decrease of composite equilibrium score (38 %). There was an increase of composite equilibrium score (59%) after three months of treatment. In gait analysis, there was no difference of gait parameters after three months of treatment in early PSP.
CONCLUSIONS: Both CDP and gait analysis are important quantitative tools in the assessment of posture and gait instability as well as allow for early disclosure of the failure of the postural control system in early PSP.
Mohieldin M. Ahmed, Douaa M. Mosalem, Wafaa A. Tarshouby, Aziz K. Alfeeli, Ayyoub B. Baqer and Mohamed H. Mohamed
BACKGROUND: Diabetic peripheral neuropathy (DPN) often has reduced stability during standing conditions.
AIM: To compare balance control in diabetic patients and normal subjects using computerized dynamic posturography and to assess effect of visual feedback-based balance training in DPN.
MATERIALS AND METHODS: A total of 57 patients of type 2 diabetes mellitus and 30 agematched normal control subjects were recruited. The sensory organization test was done before and after the training program. RESULTS: There was a significant decrease of mean (± SD) of composite equilibrium score and somatosensory ratio score between subgroups of DPN and control healthy group (p < 0.05). There was a significant increase of mean (± SD) of composite equilibrium score and the somatosensory ratio score after treatment as compared to results before training (p < 0.05) in mild DPN. Moreover, there were a significant correlation between composite equilibrium score and disease duration before training in the severe DPN (r = 0.368, p < 0.05).
CONCLUSIONS: Computerized dynamic posturography is an important quantitative tool in the assessment of posture instability and allows for early disclosure of the failure of the postural control system. Visual feedback-based balance training was shown to be a promising method for fall prevention among early diabetes mellitus with peripheral neuropathy.