The way to a patient's heart is through their esophagus: A case of esophago-pericardial fistula.

Here in we present a 74-year-old case of esophago-pericardial fistula with pericardial effusion and pneumopericardium. Bone-related esophageal trauma was the cause of the esophago-pericardial fistula. The esophago-pericardial fistula was diagnosed with echocardiography, computerized tomography (CT) and endoscopy.

Relationship between health literacy and quality of colonoscopy bowel preparation.

Background/aims: There are a variety of factors that affect the quality of colonoscopy bowel preparations, although the relationship between the level of health literacy (HL) and the quality of bowel preparations has yet to be clarified. The present study evaluated the effect of HL on the quality of bowel preparation prior to a colonoscopy.

Materials And Methods: The data of 150 patients who underwent a colonoscopy for colorectal cancer screening and in whom the quality of bowel preparation was scored during the colonoscopy were recorded prospectively.

Malignant glomus tumor with oncocytic features: an unusual presentation of dysphagia.

Glomus tumors in the gastrointestinal tract are unusual, as the previous series in the literature have been mainly limited to the stomach. Less than 10 cases of esophageal glomus tumors have been described in the literature. Oncocytic glomus tumors are a recently identified, rare variant of the glomus tumor.

Quality of life in type II diabetic patients in primary health care.

Introduction: This study evaluated the quality of life of patients with type II diabetes in primary health care with the Turkish version of the Audit of Diabetes Dependent Quality of Life (ADDQoL) instrument.

Material And Methods: A total of 180 patients diagnosed with type II diabetes and registered at an urban primary health care unit in Turkey were included to this study.

Results: The ADDQoL instrument showed good internal consistency and factor structure.

The predictive role of HbA₁(c) and previous medications in initiation of insulin treatment.

Introduction: Subjects (n = 46) with type 2 diabetes who responded inadequately to two and three oral medications (HbA₁(C) > 8.0%) were consecutively recruited for treatment with premixed insulin 30/70 two times a day in order to investigate whether previous oral therapies may predict insulin requirements.

Material And Methods: In this prospective study, men and women were eligible to participate if they were aged between 30 and 65 years, had had a diagnosis of type 2 diabetes mellitus for at least 12 months, were insulin-naive and had been treated unsuccessfully with either two or three oral antidiabetic drugs for a minimum of three months.

Determination of equivalent amounts of kinetic energy, work, and heat energy in the human body.

The goal of this study is determine the mechanical equivalent of heat and the functional capacity of metabolism of walking at a slow pace (velocity = 4022m/hour, length of a step=75cm, energy utilization of a 70 kg person is 200kcal/hour). 50 healthy physicians were chosen randomly, and up and down motion of the body were determined as 6cm while stepping. Based on these, the heat equivalent is 37.