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    Ultrasonographic evaluation of gastrointestinal system involvement in chronic inflammatory rheumatic diseases
    (2020) Kucukakkas, Okan; Aydin, Teoman; Gultekin, Mehmet Ali
    Aim: Although chronic inflammatory rheumatic diseases (CIRDs) primarily affect the joints due to arthritis; involvement of other systems and organs is not rare. Ultrasound evaluations are particularly useful in the detection of pathologies observed in the gastrointestinal tract. The aim of this study was to investigate and compare the results of abdominal ultrasonography in gastrointestinal system of some common chronic inflammatory rheumatic diseases.Material and Methods: 96 patients with rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis were included in the study. The data of patients were retrospectively reviewed from patient files and hospital database. Patients with abdominal ultrasound performed for the check-up indication in the last 6 months and updated laboratory tests in the last 1 month were included in the study. The patients were divided into three groups according to the diagnosis and the results were compared.Results: No gastrointestinal system involvement was observed in the patients except liver and gallbladder pathologies. The most frequent liver pathologies were hepatosteatosis (49.0%) and hepatomegaly (41.7%), respectively. The rate of patients with cholecystectomy was 8.3% and 6.3% of the patients had gallstones. When the results were compared between the groups, it was seen that only the incidence of gallstones was significantly higher in the psoriatic arthritis group than in other groups.Conclusion: In the course of chronic inflammatory rheumatic diseases, many organ and system involvement may be observed. Abdominal ultrasound imaging, especially in patients with additional risk factors, may be useful for early detection of many intra-abdominal organ pathologies, especially the gastrointestinal tract.
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    YouTube as an information source for intra-articuler knee injection
    (2019) Kucukakkas, Okan; Atar, Emel; Berberoglu, Arife Hilal; Arifoglu Karaman, Cigdem; Korkmaz, Merve Bergin
    Aim: Intra-articular knee injections are frequently applied interventions in clinical practice. YouTube is the most popular videosharing Web site that can be accessed as an information source. In this study, we aim to examine the educational value of the videos about intra-articular knee injections on YouTube. Material and Methods: The YouTube database was searched using the “intra-articular knee injection” keyword. A total of 55 videos having the inclusion criteria, were analyzed. Four independent reviewers assessed videos for procedural technique and educational quality using a 5-point Global Quality Scale (GQS). To evaluate the reliability the 5-point Discern scale was used. Results: The mean duration of the videos was 3.9 (± 3.8) minutes. Approximately 236.2 (± 231.3) people watched each video. The mean number of daily views was 58.6 (± 130.5). The most common indication was osteoarthritis (43.6%) and the most common injection material were corticosteroids (40%). The most populer approaches were superolateral (27.3%) and anterolateral (25.5%). 43.6% of the patients underwent complete sterile injection. The mean reliability score was 1.58 (± 1.1) and the mean GQS score was 2.47 (± 1.0). Conclusions: Web-based learning applications related to intra-articular knee injections are becoming increasingly common. Unfortunately, we thought that YouTube content had an insufficient and inconsistent educational quality even though when it was published by healthcare professionals. Therefore, it is very important to examine these videos in terms of reliability and GQS before using them for educational purposes. Creating high-quality videos that meet these criteria seems to be a necessity of modern medical education