Tehran University of Medical Sciences
Office of Vice-Chancellor for Global Strategies & International Affairs
International Human Capacity Development (IHCD)
Code : 9345-331815      Publish Date : Tuesday, November 5, 2013 Visit : 2963

Intl. Congress form | International Congress Report | International Congress Report For Faculty | APLAR 2013 symposium

APLAR 2013 symposium
The Report of APLAR 2013 symposium by Dr. Mozhdeh Zabihiyeganeh
Application Code :
306-0213-0014
 
Created Date : Saturday, September 07, 2013Update Date : Thursday, September 19, 2013IP Address :194.225.48.210
Submit Date : Thursday, September 19, 2013Email : mozhdehzabihi@gmail.com
Personal Information
Name : mozhdeh
Surname : Zabihiyeganeh
School/Research center : School of medicine
Possition : Assistant professor
Tel : +98-21-82141301
E-mail : mozhdehzabihi@gmail.com
Information of Congress
Title of the Congress : APLAR 2013 symposium
Title of your Abstract : Upper limb musckuloskeletal abnormalities and relation with metabolic control in type 2 diabetes
Venue : Bali,Indonesia
From : Thursday, August 29, 2013
To : Sunday, September 01, 2013
Abstract(Please copy/paste the abstract send to the congress) : Upper limb abnormalities and relation with metabolic control in type 2 Diabetes.
Authors: Mozhdeh Zabihiyeganeh1 Sara Ghorbanpoor1,,Adel Jahed2 
1 Department of Rheumatology, Tehran university of medical sciences,Tehran,Iran
2 Department of Internal medicine ,Boali hospital, Islamic Azad university,Tehran medical branch

Abstract
Introduction: An increased prevalence of musculoskeletal disease is recognized in diabetes and is a common source of disability. It is known to predominantly affect the upper limbs especially the hand and shoulder. The relationship with other complications of diabetes and glycaemic control is uncertain. We designed this study to clarify these relationships.
Methods: We identified a group of 188 people with established type 2 diabetes attending the diabetes clinic in Firouzgar hospital .After an interview a complete rheumatologic examination was done for all patients for the presence of musculoskeletal disease focusing on the upper limbs. We recorded the mean HbA1c and the presence of diabetic neuropathy and retinopathy. We explored
correlations between musculoskeletal disease and these variables using logistic regression. 
Results: upper limb musculoskeletal disease was present in 48.4% of diabetics. This prevalence was significantly higher in females than males (OR=2/27, 95% CI: 1.22-4.22).
Dupuytren contracture (20.2%) ,trigger finger( 18%), limited joint mobility(LJM) (18.6%) carpal tunnel syndrome (10%), rotator cuff tendinitis (8%), Shoulder capsulitis (6%) were the most frequent findings and were much commoner in longstanding diseases. we couldn’t find any relation between mean HBA1c of one year and frequency of rheumatologic complications, also there was no significant difference between patients with yearly mean HBA1c more than 8.5 in frequency of rheumatologic complications with patients with better DM control.
In bivariant regression analysis presence of musculoskeletal involvement is risk factor for diabetic retinopathy(OR=2.87 ,95% CI :1.48-5.57 )
LJM usually coexisted with nephropathy (OR=3.44, 95% CI: 1.60-7.36). And best predicted the presence of nephropathy.
Patients were unaware of their rheumatologic problem in more than 70% of cases. And only 6% was aware about musculoskeletal complication of DM generally.
Conclusion: Thorough rheumatologic examination should be included as an integral part of care in Type 2DM patients. Diabetic patients and physicians need more education and attention respectively to this disabling complication of DM .Although we couldn’t find relation between glycaemic control and musculoskeletal involvement but in some other studies have been shown that better control of glucose level may be useful.
Keywords of your Abstract : Diabetes,musckuloskeletal,metabolic control
Acceptance Letter :
The presentation : Poster
The Cover of Abstract book :
Published abstract in the abstract book with the related code :
Where has your abstract been indexed? : ISI
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : 1300 volnteers
Delegates from which countries presented in the congress? : From all the word, mostly Asian countries
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : APLAR committee
What were the responses to your talking points? Were specific questions or concerns raised? : Up dates of biologic therapy in rheumatic diseases.updates of Lupus treatment ,osteoporosis and metabolic bone diseases ,sjogren diseases. Area in biosimillars
If you met staff members, please list their full names & positions. : Professor Davatchi:TUMS
Professor honda: President of Aplar
Professor H.Kalim:president of indonisian rheumatology assosiation
Please inform us if there are any follow up actions we need to talk with the members of the congress : . Please make facilities for registration, booking hotel, announcement of congress.
We need our university support for international relation, we should ask our families who are living in abroad to support us.
We wish the international diplomacy get better soon, or you can contact the congress committee to accept onsite registration from Iranians. They did not accept include our abstracts in the program before paying registration fee. Thanks in advance.
Your experiences about the travel processes(Providing ticket, accommodation,...) : Very hard situation,we did not have any debit card so all mention questions were difficult
Please give a briefing of your own observations and outcomes of the congress: : They was very kind and well at hospitality
very high level in magement and scientific points and news
specialy focus on Asia pacific regein .
The APLAR Symposium 2013 was successfully held from August 29th – September 1st. Close to 1,300 participants from 54 countries including delegates, faculty members, exhibitors, sponsors, and members of the press attended the symposium. 

The conference featured plenary lectures, symposia, USG and review courses, oral presentations and poster presentations with over 50 faculty members.no follow up neededThey was very kind and well at hospitality
very high level in magement and scientific points and news
specialy focus on Asia pacific regein .
The APLAR Symposium 2013 was successfully held from August 29th – September 1st. Close to 1,300 participants from 54 countries including delegates, faculty members, exhibitors, sponsors, and members of the press attended the symposium. 

The conference featured plenary lectures, symposia, USG and review courses, oral presentations and poster presentations with over 50 faculty members.no follow up needed