jurnal saraf_english_serum triglyceride level in type 2 diabetes mellitus patientswith or without...
TRANSCRIPT
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DIAN WIDYAHANDAYANI
01.209.5868
DEPARTMENT OF NEUROLOGY KUDUS HOSPITAL GOVERNMENT
2014
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IDENTITY OF JOURNAL
Title : Serum triglyceride level in type 2 diabetes
mellitus patients with or without Frozen
shoulder
Author: AKM Salek, MAA Mamun, MA Haque, M Mannan,E Ali, S Islam, AN Rizvi, AZ Chowdhury, J Islam,
MH Rahman, C Ferdous
Years of issue : 2010
Published by : Bangladesh Insitute of Health Science,
Dhaka
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BACKGROUND
Frozen Shoulder sixth decade- insidious onset
- painful shoulder- Stiffness- difficulty of sleeping on the
affected side
DMFrozen Shoulder 2-4xhigher than that in the
normal population
EarlyTreatment
LateTreatment
Good result Poorly result
demonstrateaccelerated loss of
skeletal musclemass and strength and
have considerablefunctionalimpairment associatedwith reduced health
status.
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MASALAH
Is there any differences of the serumtriglyceride level among diabetic patientspresented with, and withoutfrozenshoulder
to compare the serum triglyceride level
among diabetic patients presented with,and withoutfrozen shoulder
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Exclusion : 2nd FS Soft tissue trauma FractureArthritis Hemiplegia or any other known
causes
Januari 2008 - Desember2009
Dept. of PhysicalMedicine andRehabilitation,
(BSMMU)
POPULATION
30 diabetic patients with frozenshoulder
30 diabetic patients without frozenshoulder.
patients were fasted overnight for 12 hoursTG, blood sugar (fasting), HbA1c tested
2 hours after breakfast
blood sugar (fasting)
Methodology
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DATA ANALYSIS
Continuous variables are expressed as mean byStudents t test
Categorical variables are presented by the chi-squaretest
The statistical tests were performed using SPSS version
12 (version 12.0; SPSS Inc,Chicago, IL, USA).
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RESULTS
Continued.
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DISCUSSION Most of the patients with frozen shoulder are complaints of
stiffness and pain in their shoulder joint
Diabetes a known risk factor for frozen shoulder
In this study. both groups had fairly controlled diabetesmellitus, but blood sugar levels, both fasting and 2 hoursafter breakfast, were significantly higher in frozen shouldergroup.
Glycated haemoglobin (HbA1c) level was also significantlyhigher in cases.
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DISCUSSION cont... Lequesne et al found an abnormal glucose tolerance
test in 28% patients with frozen shoulder comparedwith 12% in control patients.
Bridgmanfound more patients of frozen shoulder indiabetic group than non diabetic group
Pal et al reported incidences of 19% in diabetics and 5%
in non diabetics.
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DISCUSSION cont...
In this study, positive correlationwas observedbetween incidence of frozen shoulder and blood sugarlevels (fasting) [r=0.322, p=0.012],
2 hours after breakfast [r=0.349, p=0.006]
and HbA1c [r=0.284, p=0.028])
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CONCLUSION
Diabetic type 2 patients presented with
frozen shoulder had higher serum
triglyceride level compare to the diabetic
type 2 patients withoutfrozen shoulder.
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CRITICAL APPRAISAL
Title:Serum triglyceride level in type 2 diabetesmellitus patients with or without Frozenshoulder
Appropriate
Title < 20 words, not too long and not to0 short
There is no abbreviation sentences
All sentences has been represent the contents ofresearch
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ABSTRAK Abstract is < 250 words
and it has beendescribed the contents of
journal
Its consist of 4paragraph, involve: Background
Methods
Results
Conclusion
Its not include thekeyword
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METHODOLOGY and SAMPLING
Sampling
30 diabetic patients withfrozen shoulder
30 diabetic patientswithout frozen shoulder.
MethodologyCase control
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RESULTS
This research has a
significant results( P < 0,05)
It can be applied ingeneral medical practice
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~~ THANK YOU ~~