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"الجهاز العضلي"
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Musculoskeletal manifestations in end-stage renal disease patients on hemodialysis and relation to parathyroid dysfunction
End-stage renal disease (ESRD) is associated with chronic kidney disease-mineral
and bone disorder (CKD-MBD); including renal osteodystrophy, and biochemical changes
reflecting mineral and hormonal abnormalities. CKD-MBD can lead to serious musculoskeletal
manifestations with an impact on the functional status of patients. The objective is to find the
frequency of the musculoskeletal manifestations in dialysis patients, to determine the impact on
the functional ability of patients, and to detect the relation between parathyroid hormone (PTH)
level and musculoskeletal manifestations. The sample size included 53 adult patients on
hemodialysis (HD), three times weekly, divided into two groups as follows; (Group A) included
15 patients (10 males and 5 females) on HD for a year or <1 year and (Group B) included 38
patients (24 males and 14 females) on HD for >1 year. All patients were subjected to a full history
and physical examination plus a comprehensive assessment of patient’s disability was done with a
health assessment questionnaire (HAQ)-disability index. The most common neurological
manifestations are uremic polyneuropathy (43.4%) and carpal tunnel syndrome. Arthralgia is the
most common musculoskeletal manifestation (83%).The most common radiological signs of
SHPT is the subperiosteal resorption of the terminal phalanges (67.9%). The most common
MSUS abnormalities are Achilles tendinopathy (67.9%). Osteoporosis is detected in 24.5% of
patient. There are highly positive significant correlations between HAQ score and age, HD
duration, serum PTH, T-score, and X-ray findings. Musculoskeletal system involvement remains
a common problem which decreases the physical function of patients with ESRD.
Journal Article
The effect of a single intramuscular injection of cholecalciferol on the serum levels of vitamin D, adiponectin, insulin resistance, and liver function in women with non-alcoholic fatty liver disease (NAFLD) : a randomized, controlled clinical trial
Background: Due to the fact that there is evidence indicating the role of Vitamin D in non-alcoholic fatty liver disease (NAFLD) as
well as insulin resistance (IR) and adipokines production, studies examining Vitamin D on the metabolic factors involving NAFLD is
required.
Objectives: Therefore, we aimed to investigate the effect of single intramuscular injection of cholecalciferol on serum levels of
Vitamin D, biochemical factors, and liver function status of women with NAFLD.
Methods: This randomized controlled clinical trial was conducted on 82 NAFLD patients with Vitamin D deficiency (<
Journal Article
علم الحركة الوصفي الوظيفي
يتحدث الكتاب عن أبجديات علوم الحركة، الإنسان وحدة متكاملة وعلي الرغم من أهمية الفصل بين العلوم التي تتناول جزئيات من هذا التكامل إلا أنني قد لا حظت أن هذا الفصل في كثير من الأحيان هو فصل تعسفي قد يفقد دراسة الإنسان من حيث حركته وتطورها وأسبابها وكيفية الأرتقاء بها سواء كانت تلك الحركة تلقائية أو محسوبة في ضوء ما تفرضه قوانين البيئة المحيطة أو قوانين الرياضات المختلفة.
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