Aim: Restless Legs Syndrome (RLS) and Temporomandibular Disorders (TMD) are conditions associated with central sensitization, stress, anxiety, and sleep disturbances, and may therefore share a common etiopathogenetic basis. The aim of this study was to determine the prevalence of TMD in patients diagnosed with RLS and to evaluate the relationship between the presence of TMD and disease activity.Methods: This study was conducted at the Neurology and Physical Medicine and Rehabilitation Clinics of Düzce University Faculty of Medicine Research and Application Hospital. A total of 83 patients aged 18–65 years, diagnosed with RLS by a neurologist based on the four essential diagnostic criteria of the International Restless Legs Syndrome Study Group (IRLSSG), were included in the study. The Fonseca Anamnestic Index (FA) was used for TMD assessment, while the severity of RLS was measured using the Restless Legs Syndrome Severity Scale (RLSSS).Results: Of the participants, 73.5% (n=61) were female and 26.5% (n=22) were male, with a mean age of 58.55±13.32 years. Complaints related to bruxism were identified in 36.1% of patients with RLS. According to FA results, 49.4% (n=41) of patients were found to be at risk for TMD. Statistical analysis revealed no significant difference between RLSSS scores and the presence of TMD (p=0.130). However, a moderate, positive, and statistically significant correlation was found between RLSSS and FA scores (r=0.328; p=0.002).Conclusion: Approximately half of the patients diagnosed with RLS are at risk for TMD. The FA can be used as a practical and effective screening tool for evaluating TMD in RLS patients. Nevertheless, larger-scale studies incorporating comprehensive clinical examinations and advanced diagnostic methods are needed to confirm TMD diagnosis.
Aim: To investigate the relationships among nursing students’ perceived support and stress levels during clinical practice and the patience levels of clinical nurses.Method: A cross-sectional research design was used. This study was conducted between May and June 2024 with nursing students from the Faculty of Health Sciences at a university in Kayseri, in the Central Anatolia Region of Türkiye. The study population consisted of 258 undergraduate nursing students in the Faculty of Health Sciences, Department of Nursing, and 74 clinical nurses responsible for mentoring students during clinical practice. The sample included 213 nursing students and 61 clinical nurses who agreed to participate. As outcome measures, students’ stress level, the level of support they perceived from nurses, and nurses’ patience level were measured. Data were collected using structured questionnaires administered face-to-face. The data were evaluated using descriptive statistical methods, parametric and nonparametric tests to assess differences between groups, the Pearson Correlation analysis, and structural equation modelling.Results: It was determined that nurses’ patience level significantly affected the level of support perceived by nursing students from nurses. In addition, it was revealed that the level of support perceived from nurses substantially affects the level of clinical stressor perception of students. The model explained 48.4% of the changes in the level of support perceived from nurses and 32.4% of the changes in the level of clinical stressor perception. Conclusion: This study revealed that the levels of support and stress perceived by nursing students in clinical practice processes were significantly related to the patience levels of nurses; it emphasized that selecting patience nurses as mentors in nursing education is a critical step.
Aim: This study aimed to evaluate the performance of large language models (LLMs)—ChatGPT-4.o, Google Gemini Advanced 2.0, and DeepSeek—in answering Turkish-language ophthalmology questions from the Turkish Medical Specialty Examination (TUS), and to compare their accuracy rates with those of ophthalmology trainees.Methods: In this cross-sectional study, 70 multiple-choice ophthalmology questions from TUS (1987–2021) were selected and categorized into six main topics: cornea-ocular surface, lens, retina, glaucoma, neuro-ophthalmology, and general ophthalmology. A total of 19 ophthalmology research assistants were grouped by their residency year. The same questions were presented to the trainees and to the three LLMs. Accuracy rates were calculated and compared using the chi-square test.Results: Among the trainees, the highest accuracy rate was observed in the third-year group, with 97.1%, while Gemini and DeepSeek stood out with 92.9% accuracy among the LLMs, ChatGPT-4.o achieved 85.7% accuracy. In the lens diseases group, the LLMs performed the lowest, whereas in retina diseases, the trainees showed the lowest performance. All LLMs achieved an overall accuracy rate of above 85%, with no significant difference between them (p>0.05).Conclusion: LLMs can achieve high accuracy rates in ophthalmology exam questions and provide results close to human performance. These findings suggest that these models could be used as helpful tools in medical education and evaluation processes. However, to ensure the safe use of these models in clinical settings, their accuracy needs to be tested in studies with larger participation, and they must be specifically developed for each specialty.
Amaç: Fibula’nın proksimal, corpus ve distal segmentlerindeki yapıları kapsamlı bir şekilde incelemek, klinik açıdan anlamlı boyutlarını değerlendirmektir.Yöntemler: Araştırma 23 fibula (13 sol, 10 sağ) üzerinde gerçekleştirilmiştir. Morfometrik parametreler gonyometre, dijital kumpas ve mezura kullanılarak ölçülmüştür. Morfolojik parametreler, iki araştırmacı tarafından bağımsız olarak yapılan gözlemlerin karşılaştırılmasıyla değerlendirilmiştir.Bulgular: Ortalama fibula uzunluğu 340,49±22,06 mm ve ortalama foramen nutricium mesafesi 165,53± 33,04 mm bulundu. Facies articularis capitis fibulae şekli, en sık oval formunda (%34,8); fossa malleoli lateralis şekli ise en sık konkav formunda (%91,3) gözlendi. Toplam 25 adet foramen nutricium (19 tek, 3 çift) bulundu, bunların tümünün fibula’nın 1/3 orta bölümünde konumlandığı saptandı. Foramen nutricium’un gözlendiği fibula yüzleri ve kenar bilgilerine bakıldığında en sık facies posterior üzerinde olduğu görüldü. Örneklerin %26,1’inde crista medialis’in facies posterior’da bulunmadığı gözlendi. Foramen nutricium yönünün en fazla oranda yukarı yönelimli (%72) olduğu gözlendi.Sonuç: Tüm fibula segmentlerindeki yapılar, önceki çalışmalara kıyasla daha geniş bir parametre yelpazesi kullanılarak toplu ve eş zamanlı olarak incelenmiştir. Fibula’ya dair veriler, yaralanma mekanizmasını, kemik parçası analizlerini, fibula rekonstrüksiyonunu ve foramen nutricium’a zarar gelmesini önleyen cerrahi prosedürleri belirlemek için kullanılabilir.
Aim: Depression and quality of life are important issues to focus on in caregivers due to the daily needs (such as nutrition, personal hygiene) and concerns about functional independence levels of the children with cerebral palsy (CP) they care for, the management of motor impairments, and psychological stress they are exposed to. The aim of this study was to determine the relationship between oral-motor functions, functional independence, and sleep quality in children with CP and depression and quality of life in caregivers.Methods: Twenty-three children (mean age was 10.9±6.9 years) who were being followed up with a diagnosis of CP and their caregivers whose mean age was 45.9±11.2 (23 individuals) were enrolled into this cross-sectional study. Oral motor functions, functional independence level and sleep quality of children with CP were evaluated using the Karaduman Chewing Performance Scale, Pediatric Eating Assessment Tool-10 (PEDI-EAT-10), Pediatric Functional Independence Measure (WeeFIM) and Pittsburgh Sleep Quality Index, respectively. Caregivers’ depression and quality of life level were assessed by Beck Depression Inventory and EuroQol scale (EQ-5D-3L). Results: A positive, moderate, statistically significant relationship was found between the quality of life level of the caregivers and the functional independence level of the children with CP (r=.515, p=0.024), while there was no other significant relationship between other variables of children with CP and their caregivers. On the other hand, the swallowing function of children was correlated with the sleep quality of caregivers (r=.514, p=0.012).Conclusion: The findings of the study revealed that the quality of life in caregivers was related to the functional independence level of children with CP. From this perspective, it was concluded that the necessary assessment, treatment, and clinical follow-up should be carried out carefully in order to improve the quality of life and sleep in caregivers and to increase swallowing and functional independence in children with CP.
Aim: This study aimed to evaluate fertility outcomes in patients managed with medical treatment, surgical treatment, or expectant management for ectopic pregnancy.Methods: Patients aged 18–45 years who were diagnosed with ectopic pregnancy at the Obstetrics and Gynecology outpatient clinics of Ondokuz Mayıs University between January 2015 and December 2020 were retrospectively evaluated. Patients were categorized into three groups based on treatment modality: medical, surgical, or expectant management. Demographic characteristics, risk factors for ectopic pregnancy, baseline β-hCG levels, treatment success, recurrence rates, and subsequent spontaneous intrauterine pregnancy outcomes were collected and statistically analyzed.Results: A total of 314 patients were included in the study. There was no statistically significant difference among treatment groups regarding age, previous pregnancy history, or ectopic pregnancy risk factors (all p > 0.05). Treatment success rates differed significantly among groups, with the highest in the surgical group (98.6%), followed by the expectant management (94.1%) and medical treatment (72.5%) groups (p < 0.001). Recurrent ectopic pregnancy rates were comparable among groups without a statistically significant difference (p=0.28). Spontaneous intrauterine pregnancy rates during follow-up differed significantly among treatment groups (40.0% in the medical group, 27.6% in the surgical group, and 52.9% in the expectant group; p = 0.02). Baseline β-hCG levels were not significantly associated with treatment success in any treatment modality.Conclusion: Spontaneous intrauterine pregnancy outcomes differed among treatment modalities in patients with ectopic pregnancy, with lower rates observed following surgical management. These findings suggest an association between treatment modality and subsequent fertility outcomes; however, prospective controlled studies are required to establish causal relationships.
Amaç: Bu çalışmanın amacı, gürültü düzeyleri farklı doğum ortamlarında gerçekleşen doğumları; maternal etkiler ve yenidoğan sonuçları açısından değerlendirmek ve doğum ortamlarının tasarımının iyileştirilmesine yönelik kanıta dayalı bir bakış açısı sunmaktır. Yöntem: Bu çalışma, aynı hastane bünyesinde gürültü maruziyet düzeyleri farklı olan iki doğum odasında gerçekleşen doğumların karşılaştırıldığı, prospektif, randomize, kontrollü ve yarı deneysel bir çalışma olarak yürütülmüştür. Gebeler, doğum sırasında hastanenin rutin işleyişi doğrultusunda rastgele olarak doğum odalarına dağıtılmıştır. Gürültü azaltımına yönelik davranışsal düzenlemelerin uygulanmadığı odada doğum yapan gebeler kontrol grubunu, bu düzenlemelerin uygulandığı odada doğum yapan gebeler ise müdahale grubunu oluşturmuştur. Her iki grupta da doğum süreci boyunca kesintisiz destek sağlanmış, doğum sonrası dönemde yenidoğanlar hemen anne yanına verilmiş ve emzirme desteği sunulmuştur. Maternal anksiyete, doğum memnuniyeti, anne–bebek bağlanması ile yenidoğana ait klinik ve biyokimyasal ölçütler değerlendirilmiş; doğum ortamındaki gürültü düzeyleri desibel cinsinden ölçülmüştür. Bulgular: İki doğum odası arasında ölçülen gürültü düzeyleri açısından istatistiksel olarak anlamlı fark saptanmıştır. Buna karşın maternal anksiyete, doğum memnuniyeti, anne–bebek bağlanması ile yenidoğan kordon kan gazları ve kortizol düzeyleri açısından gruplar arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. Sonuç: Doğum ortamında gürültü düzeyleri farklılık göstermekle birlikte, kesintisiz ebe desteği, erken anne–bebek teması ve emzirme desteğinin sağlandığı koşullarda maternal, obstetrik ve yenidoğan sonuçları üzerinde olumsuz bir etki saptanmamıştır. Bulgular, doğum ortamlarının iyileştirilmesine yönelik girişimlerin bakımın niteliği ve sürekliliği ile birlikte ele alınması gerektiğini düşündürmektedir.
Aim: This descriptive cross-sectional study was planned and conducted to evaluate the effect of self-esteem on self-care agency in patients undergoing hemodialysis.Methods: The study included 116 patients receiving hemodialysis treatment. Data were collected using the Patient Information Form, the Self-Esteem Scale (CSS), and the Self-Care Agency Scale. The data were obtained from patients treated in the dialysis units of a private hospital between October 2022 and October 2023.Results: The mean score of the Self-Esteem Scale was 77.61±14.45, and the mean score of the Self-Care Agency Scale was 97.80±18.89. A high-level positive correlation was found between self-care agency and self-esteem (r=0.75, p
Amaç: Son zamanlarda akıllı telefon sorunlu kullanımının ayrı bir tanı olup olmadığı daha çok sorgulanmaktadır. Çalışmamızın amacı Akıllı Telefon Bağımlılığı Ölçeği ve diğer yardımcı ölçekleri kullanarak, akıllı telefon bağımlılık düzeyinin; sosyodemografik özellikler, internet bağımlılığı, depresyon, anksiyete, benlik saygısı ve akıllı telefon kullanm amaçları ile olan ilişkisini belirlemektir.Yöntemler: Çalışmamıza 348 tıp fakültesi öğrencisi katılmıştır. Katılımcılara Akıllı Telefon Bağımlılığı Ölçeği (SAS) ile birlikte demografik veriler anketi, İnternet Bağımlılığı Ölçeği, Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği de uygulanmıştır; akıllı telefon kullanım düzeyi ile demografik verilerin, depresyonun, anksiyetenin ilişkisi değerlendirilmek istenmiştir. Çalışmada ayrıca katılımcıların öz değerlendirme yapmaları amacıyla kendilerini akıllı telefon bağımlısı olarak görüp görmedikleri de sorulmuştur.Bulgular: Akıllı Telefon Bağımlılığı Ölçeği ile İnternet Bağımlılık Ölçeği arasında orta düzeyde anlamlı korelasyon tespit edilmiştir. Bunun yanında Beck Anksiyete Ölçeği puanlarının da anlamlı ve pozitif yönde bir yordayıcı olduğu tespit edilmiştir (β=0,182, p
Aim: To evaluate the early glycemic, weight, and metabolic effects of the fixed-ratio combination of insulin glargine/lixisenatide (iGlarLixi) in patients with uncontrolled type 2 diabetes mellitus (T2DM) despite treatment with oral antidiabetic agents (OADs) and/or single or multiple insulin regimens, and to generate real-world evidence regarding its clinical effectiveness.Methods: This retrospective single-center study included adults with T2DM who initiated iGlarLixi at Burdur State Hospital between June 2024 and January 2025 and used it for at least three months. Patients aged ≥ 18 years with body mass index (BMI) > 35 kg/m² and hemoglobin A1c (HbA1c) ≥ 7% were included. iGlarLixi was administered once daily (100/33 or 100/50) with dose titration to fasting glucose targets. Baseline and 3-month measurements of weight, BMI, HbA1c, fasting glucose, lipid profile, and routine laboratory parameters were compared.Results: Among the 65 individuals enrolled, 62 were able to complete the 3-month course of iGlarLixi therapy. During follow-up, we noted reductions in body weight, BMI, HbA1c, fasting plasma glucose, and triglycerides, whereas high-density lipoprotein cholesterol showed a significant rise. Overall, 71% of patients showed a reduction in HbA1c and 29% achieved HbA1c
Aim: The aim of this study was to evaluate the working conditions and organisational stress levels of resident doctors in Kocaeli province and to determine stress-related factors.Methods: This cross-sectional study was conducted between June 1, 2017, and September 30, 2017, and aimed to reach all resident doctors (n=350) in the province. Sociodemographic characteristics, sleep duration, working life parameters, and needle stick injury experience were collected with a questionnaire. Organisational stress levels were evaluated using the Doetinchem Organisational Stress Questionnaire, which consists of four main headings and 15 subscales. It consists of 15 subscales. The relationships between independent variables and stress levels were analysed. p
Aim: Previous studies have primarily focused on the relationship between fatigue and neuropsychiatric manifestations such as stress, depression, and anxiety in patients with coronavirus disease 2019 (COVID-19). However, evidence regarding the association between fatigue and objective, quantifiable neuromuscular parameters—including balance, fall risk, and physical performance—remains limited in patients with acute COVID-19. Therefore, this observational study aimed to evaluate the relationship between fatigue and neuromuscular function in patients with acute COVID-19.Methods: Among 116 patients with COVID-19 admitted to pandemic wards, aged 50–70 years, and with positive Polymerase chain reaction (PCR) and thoracic computerized tomography (CT) findings, 98 volunteered to participate. Of these, 74 patients who met the inclusion criteria completed the study. Two researchers, blinded to each other’s assessments, conducted the evaluations. One researcher recorded demographic data, Visual Analog Scale (VAS), and Fatigue Severity Scale (FSS) scores, while the other administered objective field tests in the same sequence, including the Five Times Sit-to-Stand Test (5xSTS), Timed Up and Go test (TUG), Tandem Stance Test (TST), and Single-Leg Stance Test (SLST).Results: Based on FSS scores, Group 1 (non-fatigue) included 55 patients with scores 0.05). Although no statistically significant differences were found in static balance tests (TST and SLST), Group 2 demonstrated both clinically and statistically significantly poorer performance in the 5xSTS and TUG tests.Conclusion: In patients with acute COVID-19, fatigue was associated with impaired dynamic balance, mobility, and physical performance, but not static balance. Objective performance-based tests such as the 5xSTS and TUG may be useful in the early stages of systemic viral infections, including COVID-19, for evaluating fatigue-related functional impairment.
Amaç: Bu çalışmanın amacı, 2023 Kahramanmaraş depremleri sonrasında Malatya’daki konteynerlerde yaşayan bireylerde solunum fonksiyonlarını, dispne algısını ve sağlıkla ilişkili yaşam kalitesini değerlendirmek ve bu parametrelerin uyku kalitesi, kas gücü ve sosyodemografik faktörlere göre farklılaşıp farklılaşmadığını incelemektir.Yöntemler: Kesitsel tasarıma sahip bu saha çalışması, Malatya’daki Afet ve Acil Durum Yönetimi Başkanlığı (AFAD) Teknokent ve Rönesans konteynerlerinde yaşayan 25–55 yaş arası 360 bireyle yürütülmüştür. Solunum fonksiyonları portatif spirometre, dispne Modified Medical Research Council (mMRC), uyku kalitesi Pıttsburg Uyku Kalitesi İndeksi (PUKİ), yaşam kalitesi Sağlık Durumu Anketi Short Form (SF-36) ile değerlendirilmiştir. Kas gücü, el kavrama dinamometresi ile ölçülmüştür. Korelasyon ve çoklu doğrusal regresyon analizleri kullanılmıştır.Bulgular: FEV₁/FVC oranları genel olarak normal sınırlarda bulunurken, Zorlu Vital Kapasite (FVC) ve Fonksiyonel Ekspiratuar 1. Saniye Volümü (FEV₁) değerlerinde çeyrekler arası aralıkta geniş bir dağılım saptanmıştır. Cinsiyet ve çalışma durumuna göre solunum fonksiyonlarında büyük etki büyüklükleri saptanmıştır. El kavrama kuvveti ve SF-36 fiziksel alt boyutları ile FVC ve FEV₁ arasında orta–yüksek düzeyde pozitif korelasyonlar bulunmuştur. Çoklu regresyonda yaş, cinsiyet, vücut kitle indeksi, kas gücü ve çalışma durumu FVC’nin bağımsız belirleyicileri olarak belirlenmiştir.Sonuç: Konteynerde yaşayan bireylerde solunum sağlığı etkilenimi obstrüksiyondan ziyade fonksiyonel kapasite azalması şeklindedir ve afet sonrası izlemde fonksiyonel değerlendirmelerin önemini göstermektedir.
Aim: Chronic low back pain (CLBP) is a prevalent health problem with major clinical and socioeconomic consequences. This study aimed to evaluate the frequency of lumbar vertebral magnetic resonance imaging (LVMRI) findings in CLBP patients and to analyze their associations with age and sex.Methods: This retrospective study included 750 adults presenting with CLBP (≥3 months) to a tertiary university hospital between June and December 2024. LVMRI reports were reviewed for degenerative changes, disc herniation subtypes (bulging, protrusion, extrusion, sequestration), and nerve root compression. Findings were compared across age groups (18–40, 41–60, ≥61 years) and by sex.Results: The patient population consisted of 69.6% females, with a median age of 45 years (IQR 34–54). Disc herniation was the most common finding (88.5%), while sequestration was the least frequent (0.7%). Degenerative changes and disc herniation significantly increased with age (p
Amaç: Bu çalışmanın amacı; regmatojen retina dekolmanı (RRD) ve diyabetik traksiyonel retina dekolmanı (TRD) hastalarında sistemik hematolojik inflamasyon belirteçlerinin düzeylerini karşılaştırmak ve bu parametrelerin tanısal ya da prognostik potansiyelini değerlendirmektir. Yöntemler: Retrospektif olarak planlanan çalışmada; 50 RRD hastası; 50 TRD hastası ve 50 sağlıklı kontrol bireyinine ait tam kan sayımı verileri analiz edildi. Lökosit; nötrofil; lenfosit sayıları; hemoglobin düzeyi; ortalama trombosit hacmi (OTH); immatür granülosit ve immatür granülositlerin nötrofil sayısına oranı karşılaştırıldı. İstatistiksel analizler veri dağılımına uygun testlerle gerçekleştirildi. Bulgular: TRD grubunda OTH (11.03±1.21 fL; p=0.005); lökosit (8555±2250/mm³; p=0.008) ve nötrofil (5293±1847/mm³; p=0.012) düzeyleri diğer gruplara kıyasla anlamlı olarak yüksek bulundu. RRD grubu ile kontrol grubu arasında bu parametreler açısından anlamlı fark izlenmedi. Hemoglobin düzeyi ise TRD grubunda belirgin olarak daha düşüktü (13;10±1;85 g/dL; p=0.025; p=0.001). İmmatür granülosit sayısı ve immatür granülosit/nötrofil oranları da TRD grubunda daha yüksekti (sırasıyla p=0.128; p=0.312). Sonuçlar: TRD hastalarında gözlenen yüksek inflamatuar parametreler; bu olgularda sistemik inflamatuar yükünün daha fazla olabileceğini göstermektedir. Hematolojik inflamasyon belirteçleri; retina dekolmanlarının ayırıcı tanısı ve klinik seyri açısından potansiyel biyobelirteçler olabilir.
Amaç: Bu çalışmanın amacı; birinci basamak sağlık hizmetlerinde hasta ve sağlık personeli arasındaki iletişimde karşılaşılan sorunların ve iletişimin alt boyutları olan etkili iletişim; sosyal iletişim ve iletişim engellerinin analiz edilmesidir. Bu sorunların; çeşitli demografik ve klinik değişkenlerle; cinsiyet; yaş; eğitim seviyesi; meslek durumu; kronik hastalık varlığı ve hastaneye başvuru sıklığı ile olan ilişkisini değerlendirmektir. Yöntemler: Araştırma; tanımlayıcı ve ilişkisel bir tasarımla; 18 Şubat 2024-18 Nisan 2024 tarihleri arasında Amasya ili merkez aile sağlığı merkezlerinde gerçekleştirilmiştir. Çalışmaya; 18-70 yaş aralığında olan;poliklinik hizmeti alan ve çalışmaya katılmayı kabul eden toplam 235 hasta katılmıştır. Veriler; Sağlık İletişimi Sorunları Ölçeği aracılığıyla toplanmış ve istatistiksel analizler yapılmıştır. Bulgular: Kadın katılımcılar; etkili iletişim (ortalama 1;76±0;76) ve sosyal iletişim (ortalama 7;7±2;8) alt boyutlarında erkeklere kıyasla daha fazla sorun yaşamıştır. Genç bireyler (18-30 yaş) özellikle etkili iletişim alanında (ortalama 1;81±0;19) daha yüksek sorun algısı ifade ederken; daha yaşlı bireyler (46-70 yaş) ise sorun bildirimlerini daha düşük düzeyde rapor etmiştir (ortalama 13;58±5;76). Kronik hastalığı olan bireyler; etkili iletişim (ortalama 13;57±5;05) ve sosyal iletişim (ortalama 6;83±3;3 ) alanlarında daha düşük puan almış ve bu grupta empati ile bilgilendirme beklentisinin arttığı gözlemlenmiştir. Ayrıca; hastaneye sık başvuran bireyler; iletişim engelleri alanında daha düşük puanlar almış ve iletişim sorunlarını daha yoğun hissettiklerini belirtmişlerdir. En önemli iletişim engeli doktorların aceleci davranması olarak tespit edilmiştir. Sonuç: Hasta-hekim iletişiminde cinsiyet; yaş; kronik hastalık durumu ve başvuru sıklığı gibi bireysel farklılıkların dikkate alınması gerektiği anlaşılmaktadır Bu çalışmanın bulguları; aile hekimliği uygulamalarında iletişim eksikliklerinin büyük ölçüde sağlık profesyonellerinin zaman baskısı ve iş yükünden kaynaklandığını göstermektedir. Bu durum; birinci basamak sağlık hizmetlerinde iletişim becerilerinin geliştirilmesine yönelik eğitimlerin önemini vurgulamaktadır.
Aim: The aim of this study was to evaluate the nutritional status and quality of life of individuals over 65 years of age diagnosed with coronary artery disease. Methods: A total of 187 individuals (100 women and 87 men) diagnosed with coronary artery disease; hospitalised in the cardiology service of the Bursa Yüksek Ihtisas Training and Research Hospital; University of Health Sciences were included in the study. A questionnaire including the Nutritional Assessment Short Form (MNA-SF) and the World Health Organization Quality of Life Elderly Module (WHOQOL-OLD) was administered to the individuals. Height and body weight measurements were taken; and body mass index (BMI) was calculated using formulas. Results: When the age distribution of the individuals was analysed; it was determined that 75.4% (n=141) were 65-74 years old and 24.6% (n=46) were 75 and older. It was determined that 46% of the individuals had normal nutritional status; 38.5% were at risk of malnutrition; and 15.5% were malnourished. When the scores obtained from the quality of life subscales were examined; it was determined that the group had high mean scores for intimacy (16.55±3.04) and autonomy (15.33±2.63); and medium mean scores for sensory functions (14.02±4.20); past; present; and future activities (14.49±2.98); social participation (13.67±3.43); and death and dying (13.90±4.88). The mean of the general scale of quality of life was found to be high (87.99±12.96). When the scores obtained from the MNA-SF test were analysed; it was found that the group mean was 10.65±2.86. This indicates that these individuals are at risk of malnutrition. When the relationships between quality of life subscales and MNA-SF were examined; it was seen that the highest relationships were found with social participation and quality of life general scale scores. Conclusion: The study found that 38.5% of individuals were at risk of malnutrition and 15.5% were malnourished; as indicated by MNA-SF scores. Higher nutritional status was significantly associated with better scores in quality of life; particularly in the domains of social participation and overall well-being. These findings emphasize the need for routine nutritional screening and targeted interventions in elderly inpatients with coronary artery disease.
Aim: We aimed to identify predictors of mortality and re-admission for worsening heart failure (HF) in patients hospitalized for acute decompensated HF with reduced EF who survived until discharge. Methods: A total of 767 chronic HF patients with LVEF ≤ 0.40 who were admitted to the hospital for acute decompensation between 2009-2016 and survived until discharge after treatment were enrolled and followed for up to 5 years. The primary end points of the study included cardiovascular death after index hospitalization and re-admission to the hospital for worsening HF. Results: Primary end points of the study were reached in 40% of cases in the form of cardiovascular death and 71% of cases were re-hospitalized for worsening HF during 5-years follow-up after index hospitalization. After multivariate analysis in cox-regression analysis; NYHA (New York Heart Association) class (p
Primary Progressive Aphasia (PPA) is defined by three different variants: non-fluent/agrammatic variant; semantic variant and logopenic variant. Each variant leads to the emergence of different characteristic language and speech features. This narrative review aims to present speech and language assessment methods and evidence-based intervention methods used in individuals with PPA. The narrative review method was used in this study. A literature review was conducted on speech and language assessment and interventions in individuals with PPA. In the evaluation of PPA; history taking; language assessment; use of differential diagnostic tools; cognitive-linguistic assessment; assessment of single word comprehension and person/object knowledge; assessment of motor speech and fluency; syntax; written language and cognitive communication skills are important. Interventions include speech and language therapy; pharmacological interventions; cognitive rehabilitation; and supportive care. The speech and language therapy process is very important for PPA and may include restorative and compensatory therapy approaches for the identified disorders. In addition; alternative and supportive communication methods and Communication Partner Training approaches are used to support existing skills. This review shows that there are insufficient assessment and therapy batteries for PPA in Turkey. In order to increase the effectiveness of intervention and ensure access to services for individuals with PPA; it is thought that it would be effective to raise awareness about the potential benefits of speech and language therapy for PPA and to develop evidence-based test batteries and intervention methods for the assessment and intervention of PPA.
Aim: Anticholinergic burden and polypharmacy are significant concerns in elderly Chronic obstructive pulmonary disease (COPD) patients; potentially affecting their nutritional status and clinical outcomes. This study aimed to investigate the relationship between anticholinergic burden and nutritional status in elderly COPD patients. Methods: This cross-sectional study included 195 COPD patients aged ≥38 years. Anticholinergic burden was assessed using the Anticholinergic Cognitive Burden Scale; and nutritional status was evaluated using the Mini Nutritional Assessment (MNA). COPD severity was classified according to the Global Initiative for Obstructive Lung Disease (GOLD) criteria. Multiple logistic regression analysis was used to examine the association between anticholinergic burden and nutritional status; adjusting for potential confounders. Results: The mean age of participants was 65.8±10.2 years. Clinically significant anticholinergic burden (score ≥3) was present in 35.7% of patients; and polypharmacy was observed in 42.3%. Higher anticholinergic burden was significantly associated with lower MNA scores (p
