MCBÜ Açıkerişim Sistemi :: Browsing by Author "Elbi H."

Browsing by Author "Elbi H."

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The frequency of sexual-physical abuse history in irritabl bowel syndrome patients and diagnostic relation with major depressive disorder history; [İrritabl barsak sendromu hastalarinda cinsel-fiziksel istismar sikliǧi ve majör depresif bozukluk öyküsü tani ilişkisi]
(2010) Eker M.Ç.; Kasap E.; Elbi H.; Bor S.
Objective: IBS is a functional disorder which is one of the most common causes of gastroentrology doctor visits. Besides multiple factors suggested for the etiology of IBS, the co-morbidity of psychiatric illnesses, of which MDD is most the frequent, is also noted. Being exposed to sexual or physical abuse is also considered as a risk factor for the development of IBS. Methods: In this study the differences between IBS patients and non-IBS control cases are evaluated regarding the history of major depressive disorder and sexual or physical abuse. Fiftyfour IBS and thirty control cases (mean age for IBS patients 41±11; for control group 34±12 years; p<0.05) were recruited for the study. Results: IBS patients had a history of MDD more frequently than the control cases (69% for the IBS group, n=37; 30% for the control group, n=9; p<0.001]. However, two groups did not differ regarding the history of sexual abuse (20% for the IBS group, n=11; (13% for the control group, n=4; p>0.05) or physical abuse (19% for the IBS group, n=10; 13% for the control group, n=4; p>0.05). Discussion: IBS and MDD are frequently co-morbid and this co-morbidity suggests a possible common point for the etiopathogenesis for both disorders. Nevertheless, the contribution of sexual or physical abuse to the co-morbidity of these disorders seems to be inconclusive. It can be suggested that sexual and physical abuse history do not have fundemental importance for the development of IBS in our patients.
The impact of physical and psychological comorbid conditions on the quality of life of patients with acute myocardial infarction: A multi-center, cross-sectional observational study from Turkey
(2013) Sertoz O.; Aydemir O.; Gulpek D.; Elbi H.; Ozenli Y.; Yilmaz A.; Ozan E.; Atesci F.; Abay E.; Semiz M.; Direk N.; Hocaoglu C.; Elyas Z.; Ozmen M.; Ozen S.; Konuk N.
Objective: Acute myocardial infarction (MI) has significant and detrimental effects on the lifestyles of the patients. It has been shown that quality of life (QoL) in patients with MI is impaired in every aspect. This study aims to evaluate the impact of depression and physical comorbidity on QoL in Turkish patients with acute first MI. Method: This multi-center cross-sectional study was carried out in 15 centers with 998 patients hospitalized for acute first MI. For detection of depression, Beck Depression Inventory (BDI) was used. For evaluation of QoL, World Health Organization Quality of Life Questionnaire (WHOQOL) was applied. Results: The mean age of the patients was 57.5 ± 10.1 years and 79.2 % (n = 792) of the patients were men. Patients with comorbid depression (BDI ≥ 10) and comorbid medical conditions, and female patients had significantly lower scores in every domain of WHOQOL. In the regression analysis model, female gender, low education, comorbid medical conditions, especially comorbid hypertension, and BDI score were found to have a significant effect on the domains of WHOQOL. Conclusions: Female patients are more prone to impairment in quality of life after myocardial infarction. Both comorbid medical conditions and depression have a significant impact on the impairment of QoL in Turkish patients with acute MI. In order to improve the subjective wellbeing of post MI patients, both psychiatric and physical comorbidities must be detected and managed even in the short term. © 2013, Baywood Publishing Co., Inc.
Association between hematologic parameters and in-hospital mortality in patients with infective endocarditis
(Elsevier (Singapore) Pte Ltd, 2015) Zencir C.; Akpek M.; Senol S.; Selvi M.; Onay S.; Cetin M.; Akgullu C.; Elbi H.; Gungor H.
Early and accurate risk prediction is an important clinical demand in patients with infective endocarditis (IE). The platelet-to-lymphocyte ratio (PLR) is an independent predictor of worse prognosis in various cardiovascular diseases. The aim of this study was to determine the value of PLR in the prediction of in-hospital mortality among IE patients. We retrospectively analyzed the clinical, laboratory, and echocardiographic data of 59 adult patients with definite IE and in 40 adult controls. In-hospital mortality occurred in 16 (27%) patients. Vegetation size, levels of high-sensitive C-reactive protein and procalcitonin, neutrophil-to-lymphocyte ratio, and PLR were significantly higher in the in-hospital-mortality-positive group than in the in-hospital-mortality-negative group (p = 0.004, p = 0.009, p = 0.030, p = 0.001, and p = 0.008, respectively). Lymphocyte count was, however, significantly lower in the in-hospital-mortality-positive group (p = 0.004). In the receiver-operating characteristic analysis, PLRs over 191.01 predicted in-hospital mortality with 56.3% sensitivity and 81.4% specificity [area under the curve 0.725, 95% confidence interval (CI) 0.594-0.833; p = 0.0027]. In the multivariate analysis, PLR was found to be an independent predictor of in-hospital mortality in patients with IE (odds ratio 1.022, 95% CI 1.003-1.042; p = 0.021). In conclusion, higher PLR may predict in-hospital mortality in patients with IE. © 2015, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.
The attitudes of medical students toward the elderly; [Tip fakültesi öğrencilerinin yaşlilara karşi tutumlari]
(Geriatrics Society, 2015) Elbi H.; Altan S.; Rahman S.; Cengiz Özyurt B.; Şahin S.; Çam F.S.
Introduction: Health workers must be prepared for the changes and developments due to the ever-increasing proportion of elderly individuals within the general population. This study aimed to identify the general attitudes of students of the Faculty of Medicine of Celal Bayar University (CBU) toward senility and evaluate differences in the attitudes of students at different stages of medical education. Materials and Method: This study was conducted between October and December 2014 and included a total of 406 students attending the Faculty of Medicine of the CBU. A questionnaire form composed of three sections was used to collect data. Results: The age range of study participants was 18-27 years (average age, 21.04 years) 60.8% were females, and 91.4% had a nuclear family structure. When assessing overall UCLA scores according to the stage of medical education, the average scores of first-year students were found to be higher than other year groups. The results of the UCLA questionnaire demonstrated significantly higher overall scores concerning attitudes toward older persons in female students compared with male students. No significant differences in KOGAN questionnaire scores concerning attitudes toward older people were observed between male and female students. Conclusion: The findings of the present study indicate that attitudes toward the elderly change negatively as students progress through medical education. In addition, female students had more positive attitudes toward elderly patients than male students. Considering the expectations from the healthcare providers of the elderly population, who are more fragile compared to normal individuals, it should be envisaged that the responsibilities of physicians have increased. © 2015, Geriatrics Society. All rights reserved.
Predictors of new-onset atrial fibrillation after st-segment elevation myocardial infarction in the elderly; [Yaşli Hastalarda St Segment Yükselmeli Miyokard Infarktüsü Sonrasi Yeni Gelişen Atriyal Fibrilasyonun Gelişimini Öngördürücü Etkenler]
(Nobelmedicus, 2015) Kartal E.; Elbi H.; Alp A.; Şahin S.; Özbakkaloğlu M.; Özdoğan Ö.
Objective: The predictors and outcomes of new-onset atrial fibrillation (AF) were evaluated among elderly patients with acute ST elevation myocardial infarction (STEMI). Material and Method: Patients with STEMI who are older than 65 years were evaluated for new-onset AF and its complications. Patients with a previous history of AF and those found in AF at the time of admission were excluded. Results: Of the 102 patients with STEMI, AF was not observed in 74 patients (Group I) and was observed in 28 patients (Group II) during hospitalization. Those 28 patients with AF were further divided into two subgroups according to the onset time of AF (early <24 hours and late >24 hours). Anterior MI was observed in 49% of patients in Group I and 71.4% of patients in Group II (p<0.05). In late onset AF group; pulse rate, systolic and diastolic blood pressure were significantly higher than Group I at admission to the hospital (p<0.05). All patients in Group II had higher Killip class and TIMI risk scores than Group I patients (p<0.05). Left ventricular ejection fraction was 30.4±4.0% in the late onset group and 44.4±8.8% in Group I (p<0.05). There was a significant difference in mortality rate among groups during hospitalization period; 36% in Group II, 9% in Group I (p<0.05). Conclusion: AF is especially seen in elderly female patients with anterior MI and higher Killip Class. It is associated with higher rates of in-hospital mortality. Particularly, lateonset AFs are associated with lower LVEFs in older patients with STEMI and could be predictors of in hospital mortality. © Nobel İlaç AŞ.
Removal of the broken part of implantable cardioverter-defibrillator's electrode causing pulmonary embolism via femoral vein
(Elsevier B.V., 2015) Zencir C.; Selvi M.; Elbi H.; Cetin M.; Gungor H.; Akgullu C.; Badak M.I.
A 66-year-old patient with idiopathic dilated cardiomyopathy underwent transvenous extraction of an implantable cardioverter-defibrillator. The distal part of the electrode was broken during manual traction through the left subclavian vein. In the present case, we showed a rare complication of transvenous lead extraction and its management. © 2015 Cardiological Society of India.
Predicting the 28-day mortality rate in elderly patients with community acquired pneumonia: Evaluation of 11 risk prediction scores; [Toplum kökenli pnömonili yaşli hastalarda 28 günlük mortalite oraninin öngörülmesi: 11 risk tahmin skorunun değerlendirmesi]
(Geriatrics Society, 2017) Elbi H.; Bilge A.; Dayangaç H.İ.; Dikmen O.
Introduction: Community-acquired pneumonia frequently causes infectious diseaserelated morbidity and mortality among patients. Elderly patients are at a higher risk of developing severe Community-acquired pneumonia due to underlying diseases and changes in health status. We evaluated the performance of existing risk scores for predicting the 28-day mortality rate in elderly patients presenting with Community-acquired pneumonia to Emergency Department. Materials and Method: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Results: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Conclusion: Of the existing scores, 4 had good discriminatory power to predict the 28-day mortality rate. The best discrimination was demonstrated by CURB-age, a score designed for elderly patients with Community-acquired pneumonia. Additional research is necessary to determine the best risk score for predicting early mortality rates in elderly patients with Community-acquired pneumonia. © 2017, Geriatrics Society. All rights reserved.
Prevalence of depression in the elderly population of manİsa and related risk factors; [Manisa’da yaşlilarda depresif belirti prevalansi ve ilişkili risk faktörleri]
(Geriatrics Society, 2018) Cengiz Özyurt B.; Elbi H.; Serifhan M.
Introduction: The present study aimed to determine the prevalence of depressive symptoms in elderly people living in Manisa and to reveal the possible risk factors. Materials and Method: The population of this cross-sectional study included 17760 elderly people living in the Manisa Celal Bayar University Health Education and Research District in 2017. The sample size of the study was calculated as 546 using Epi Info 7.0 software. Sample selection was performed by a simple random sampling method of the records of Manisa Provincial Public Health Directorate. The data were collected by authors, and the participation ratio was 97.8% (n=534). The Katz Index of Independence in Activities of Daily Living and Geriatric Depression Scale were used as data collection tools, in addition to a sociodemographic form. The data were analyzed by using descriptive statistics, univariate and multivariate Odds ratios (with logistic regression analysis). Results: The mean age of the participants was 72.70±6.35 years. Of note, 56.3% of the elderly participants were women, 44.3% were primary school graduates and 19.6% were living alone. Moreover, 78.6% of them had at least one chronic disease requiring continuous medication. The prevalence of depressive symptoms was 32.8%. Conclusion: Multivariate analyses indicated that the prevalence of depressive symptoms is more likely higher in individuals living alone and in those who are dependent on others for daily life activities. Additionally, negative expenditure income balance, perceived annual change in health status, history of previous psychiatric disease and history of abuse significantly increase the prevalence of depressive symptoms. © 2018, Geriatrics Society. All rights reserved.
The reflections of final year medical students about nursing home: “loneliness and abandonment”
(Korean Geriatrics Society, 2019) Elbi H.; Altan S.; Cetinkaya A.C.; Rahman S.
Background: Population aging is a global phenomenon with opportunities and challenges. The numbers and proportions of older people are increasing in almost every country. This study aimed to evaluate the perceptions of nursing homes among final-year medical students. Methods: This qualitative study used the word association test as a data collection tool to obtain the reflections regarding nursing homes among final-year students, and the concept of “nursing homes” was defined in face-to-face interviews of the volunteer students. Results: Analysis of data collected from 51 students regarding nursing homes resulted in five main categories (old age [frequency, f=74], positive affect emotions [f=66], negative affect emotions [f=165], loneliness [f=75], and abandonment [f=46]) based on the reflections that the term “nursing home” evoked among the students. In the present study, the final-year students primarily used more negative expressions. Conclusion: Qualitative studies with students, such as those included in the present study, can provide important clues for the development of educational curriculum and social health policies. © 2019 by The Korean Geriatrics Society.
Vascular calcification and growth arrest specific protein 6 levels in chronic renal disease; [Calcificación vascular y niveles de la proteína específica del gen 6 de la detención del crecimiento en la enfermedad renal crónica]
(Asociacion Regional de Dialisi y Transplantes Renales de Capital Federal y Provincia de Buenos Aires, 2019) Toraman A.; Cetintepe L.; Elbi H.; Taneli F.; Yildiz R.; Duzgun F.; Pabuscu Y.; Horasan G.D.; Kürşat S.
Introduction: Cardiovascular disease is the main cause of mortality and morbidity in chronic renal failure. It’s known that vascular calcification (VC) and carotid intima media thickness (CIMT) are strongly associated with cardiovascular diseases. Growth arrest specific protein 6 (Gas6) is a vitamin K-dependent protein and regulates various processes such as proliferation, cell survival, migration and inflammation. Gas6 is known to protect endothelial cells and vascular smooth muscle cells against apoptosis by inhibiting Bcl-2 induced Caspase 3 activation. The relationship between Gas6 and cardiovascular diseases has been demonstrated in many mouse models and cell cultures. However, there are conflicting reports whether Gas6 levels are increasing or decreasing in human studies of diabetic and/or chronic renal failure. In present study the aim was to examine plasma Gas6 levels and its relation with CIMT and coronary artery calcification score (CACS) in chronic kidney disease (CKD) patients. Methods: Total of 137 patients of which 32 chronic hemodialysis and 105 predialysis patients as well as 73 healthy controls were enrolled in the study. Human Gas6 levels in serum samples were studied by ELISA method. CIMT was measured by ultrasonography. CACS was measured by multislice computed tomography. Results: The mean age was 54.37±16.61 years in dialysis group, 55.20±14.80 years in predialysis group and 53.26±9.04 years in control group. Serum creatinine was 0.78±0.16 mg/dl in the control group and 1.96±1.64 mg/dl in the predialysis and 5.94±1.55 mg/dl in the dialysis group. 24 hours urine protein levels were significally higher in the dialysis group than the predialysis and the control group. CIMT values were similar in predialysis and dialysis groups. These values were significantly higher than control group. Although CACS was higher in dialysis group than predialysis and control group, the results were not statistically significant since the distribution range was very wide. Gas6 was 98.84±53.32 ng/mL in the control group and statistically higher than dialysis (63.85±38.92 ng/mL) and predialysis groups (54.96±38.49 ng/mL) (p=0.001). Gas6 levels were lower in diabetic patients than non-diabetics (53.69±35.26 ng/mL, 69.26±47.50 ng/mL, p=0.023, respectively). Negative correlation was detected between Gas6 and age, BMI, CACS, carotid IMT and proteinuria. In the logistic regression analysis, Gas6 remained significantly associated with BMI, CIMT and proteinuria. Conclusion: In our study, a negative correlation of Gas6 with BMI, CACS, CIMT and proteinuria and lower Gas6 levels in diabetic patients support that decreased Gas6 levels in chronic renal failure may have a role in vascular calcification through altered glucose tolerance, chronic inflammation, endothelial dysfunction and increased apoptosis. Our study has an importance because it is the first study showing a relation between Gas6 and proteinuria, CACS and carotid IMT in patients with chronic renal failure. © 2019, Asociacion Regional de Dialisi y Transplantes Renales de Capital Federal y Provincia de Buenos Aires. All rights reserved.
Investigation of knowledge levels of neonatal screening programs in medical faculty staff
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Ay F.; Elbi H.; Özcan F.
Newborn screening tests are an important preventive public health program that provides early detection of the treatable dise ases of infants. This study was carried out to investigate the knowledge levels of health workers and administrative staff on neonatal screening programs. Our research is a descriptive study. The sample wasn’t selected, and a questionnaire was conducted to 365 people in a period of about 2 months. The questionnaire used in the research consists of 20 questions prepared by searching the literature to measure the information of participants about neonatal screening programs. 89.04% and 10.95% of the employees participating in our study are health staff and administrative sta ff, respectively. 69% of the participants were female, and the average age was 33,13. 66% of the participants in the study had service years of 10 years o r less while 44% had service years of 11 years and longer. The largest group of the participants in the study is research assistants (28.4%) and the second largest group is nurses (22.1%). The total of General Administrative services, technical services and auxiliary servic es is 10,94%. It was seen that 98.4% of the participants were aware of the newborn screening tests. It can be concluded that both physicians and assistant health staff have high knowledge about subjects and applications related to newborn screening tests. However, it is noteworthy that some non-health staff members have inaccurate knowledge and thoughts about some applications related to newborn screening tests. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Attitudes of family physicians towards the elderly
(Geriatrics Society, 2020) Elbi H.; Özcan F.; Cengiz Özyurt B.; Yayla M.E.
Introduction: It is stated that negative attitudes towards the elderly affect the diagnosis and treatment processes negatively. Nevertheless, there are not enough recent studies examining the attitudes of family physicians who provide widespread healthcare to the elderly. The aim of this study was to evaluate the attitudes of family physicians towards the elderly. Material and Methods: Participants of this descriptive study are family physicians working actively in primary care. Data were collected through the software program, between January and June 2018. The link to the questionnaire was sent to the participants via e-mail. The questionnaire consisted of two parts: the sociodemographic data and University of California at Los Angeles Geriatrics Attitude (UCLA-GA) scale. Results: A total of 401 family physicians, 216 of whom (53.9%) were women, participated in the study. The mean age of the participants was 41.19 ± 8.51 years. On evaluation of both the mean total score (42.36 ± 3.42) and mean subscale score (3.02 ± 0.24), it was observed that female participants scored significantly higher (p = 0.001). Moreover, the UCLA-GA medical care subscale score raised with increased working time at family medicine (r = 0.151, p = 0.002) or being a medical doctor (r = 0.14, p = 0.005) and with growing age (r = 0.15, p = 0.003). Conclusion: The results of our study showed that those with longer professional experience, being older age, and women are associated with positive attitude towards the elderly. However, intervention studies are required to improve family physicians’ attitudes towards the elderly. © 2020, Geriatrics Society. All rights reserved.
Adaptation of the dementia attitudes scale into turkish
(Turkish Neuropsychiatric Society, 2020) Çetinkaya A.; Elbi H.; Altan S.; Rahman S.; Aydemir Ö.
Introduction: The aim of this study was to assess psychometric properties of the Turkish version of the Dementia Attitudes Scale which is developed to determine attitudes towards dementia. Methods: 326 volunteered students between the age of 20–44 years, studying in Manisa Celal Bayar University Faculty of Medicine and Faculty of Health Sciences are included in this methodological study. Data of the study were collected with “Demographic Data Form”, “Dementia Attitudes Scale” and “UCLA-Geriatrics Attitudes Scale”. For the analysis of the data, the SPSS and Lisrel software were used. Results: The Cronbach’s alpha coefficient of the Dementia Attitudes Scale is 0.84 which is quite high. Confirmatory factor analysis has supported three factor-structure of the scale: “Supporting attitude”, “Accepting attitude” and “Exclusionary attitude”. Confirmatory factor analysis revealed goodness of fit coefficients as 0.076 for RMSEA, 2.86 for the chi-square/sd, and 0.93 for CFI. The analysis showed that the adapted scale fits the model very well. The scale can discriminate between demographic characteristics and attitudes to dementia. The scale significantly correlates with UCLA-Geriatric Attitudes Scale measuring attitude towards the elderly. Conclusion: Dementia Attitude Scale is a valid and reliable scale that can be used in studies evaluating the attitude towards dementia. © 2019 by Turkish Association of Neuropsychiatry.
Factors that predict the perception of spirituality and spiritual care of nurses working in high-risk units and the effect of death anxiety
(Blackwell Publishing Inc., 2021) Rahman S.; Elbi H.; Cakmakci Cetinkaya A.; Altan S.; Ozan E.; Pirincci E.
Purpose: Spirituality contributes to the health and well-being of individuals. This study investigates the factors that predict the spirituality perceptions and the effect of death anxiety of nurses. Design and Methods: This was a cross-sectional study, 382 nurses working in four public hospitals intensive care and emergency departments setting in two different cities in Turkey. Findings: Variables predicting the total and subscale scores of the Spirituality and Spiritual Care Rating Scale of nurses were determined by linear multiple regression analysis. Except for the religiousness subscale, the satisfaction level of nurses was found to be a significant predictor in total of Spirituality and Spiritual Care Scale. Practice Implications: Nurses working in high-risk units are unclear about their perception of spirituality and spiritual care. © 2020 Wiley Periodicals LLC
HOW AWARE ARE FAMILY PHYSICIANS OF THE SOCIAL LIFE AND LONELINESS OF OLDER PEOPLE?
(Geriatrics Society, 2022) Üstündağ Ö.; Elbi H.; Ozan E.; Özcan F.
Introduction: The consequences of social isolation and loneliness on health and well-being in old age are increasingly being acknowledged. In this study, we examined how older patients perceive their social relationships and loneliness and explored family physicians’ awareness of these issues. Materials and Methods: This descriptive study evaluated social relations and the loneliness of older patients using the UCLA loneliness scale (UCLA-LS), the Nottingham Health Profile Social Isolation (NHP-SI) subscale, and a social relations questionnaire. The responses of these patients to loneliness and being socially active were compared with the reactions of family physicians to the same topics. Results: Five family physicians and 200 older patients participated in this study. According to the patients’ education levels and economic status, both scales exhibited significant differences. A significant correlation was found between chronic disease and UCLA loneliness on the scale, while a significant difference was found in the social isolation subscale according to those who lived with. Moreover, the family physicians clearly understood the relationship between living alone and their economic status. Conclusion: This study revealed that the social isolation of older patients was affected by their education level, economic status, and who they lived with. It was also found that loneliness was affected by education level, financial situation, chronic disease, and disability. © 2022, Geriatrics Society. All rights reserved.
FRAILTY AND RELATED FACTORS IN ELDERLY PATIENTS WITH CHRONIC KIDNEY DISEASE
(Turkish Geriatrics Society, 2023) Alp A.; Elbi H.; Toraman A.
Introduction: Chronic kidney disease and frailty are two crucial clinical conditions increasing in prevalence globally. Both lead to severe complications that increase mortality and morbidity in patients. Conditions that may potentiate frailty in chronic kidney disease patients may complicate the follow-up of chronic disease and complicate long-term survival in this patient group. In this study, we aimed to evaluate frailty and related factors in chronic kidney disease patients over 65 years of age who were on dialysis and who were not. Materials and Methods: This cross-sectional study was carried out in geriatric chronic kidney disease patients followed in nephrology outpatient clinics or undergoing routine hemodialysis. Frailty was assessed using a scoring scale. Laboratory findings and their relationship with demographic and epidemiological data were investigated. Results: One hundred eighty-eight patients aged 65 and over were included in our study. Of the patients, 92 were female, and 96 were male. The mean age was 72.86 years. We found frailty in 82 patients (43.6%). Female gender, over 75 years old, under dialysis treatment, low-income status, and low education level were parameters significantly associated with frailty. In the regression analysis, we found that economic status and dialysis were variables that independently affected frailty in chronic kidney disease patients. Conclusions: In our study, the frequency of frailty was found to be high. Practical management and early assessment of frailty seem rational with the basic nephrological approach in patients with chronic kidney disease. Considering the high mortality rate among frail patients, we think these patients should be followed up more closely. © 2023, Turkish Geriatrics Society. All rights reserved.
The linguistic validation of the gut feelings questionnaire in Turkish
(Taylor and Francis Ltd., 2023) Elbi H.; Tan M.N.; Yokus S.E.; Ozcan F.; Mevsim V.; Stolper E.
Background: ‘Gut feelings’ are frequently used by general practitioners in the clinical decision-making process, especially in situations of uncertainty. The Gut Feelings Questionnaire (GFQ) has been developed in the Netherlands and is now available in English, French, German, Polish, Spanish, and Catalan, enabling cross-border studies on the subject. However, a Turkish version of the GFQ is lacking. Objectives: A Turkish version of the GFQ. Methods: A linguistic validation procedure was conducted, which took place in six phases: forward translation (step 1), backward translation (step 2), first consensus (step 3), cultural validation (step 4), second consensus (step 5), and final version (step 6). Results: The absence of literal equivalent of the term ‘gut feelings’ in Turkish was determined. The word ‘intuition’ was chosen as the Turkish literal equivalent of ‘gut feelings’. There were also some challenges in finding the exact meanings of words and expressions in Turkish literature. However, we succeeded in finding adequate and responsible solutions. A Turkish version of the GFQ is available now. Conclusion: With these validated GFQs, Turkish GPs can facilitate studies of the role of ‘gut feelings’ in clinical reasoning. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
THE ROLE OF ENDOSCOPY-INDEPENDENT GASTROINTESTINAL BLEEDING SCORES IN PREDICTING 30-DAY MORTALITY IN AGED OVER 65
(Turkish Geriatrics Society, 2024) Elbi H.; Vatansever Balcan M.; Buran T.; Kasap E.
Introduction: The aim of this study was to assess the power of clinical findings and scoring systems to predict mortality in patients over 65 years of age with non-variceal upper gastrointestinal bleeding. Materials and Method: Data on demographic profiles and risk estimation scores were retrospectively extracted from electronic hospital medical records and other electronic databases using a standard data extraction form. The AIMS65, pre-Rockall, modified Glasgow-Blatchford, T, and Baylor bleeding scores were calculated to estimate the 30-day mortality risk. The inclusion criteria were patients aged 65 and over who presented with active bleeding symptoms and had been diagnosed with acute upper gastrointestinal bleeding by the gastroenterology department. Results: The mean age was 75.23 years, and 23.6% of the patients died within 30 days. The 30-day mortality was associated with albumin levels, malignancy, and intensive care unit hospitalization. An inverse relationship was found between the albumin level and mortality, whereas the presence of cancer and the need for intensive care were associated with 2.8-fold and 2.2-fold increases in the risk of death, respectively. The AIMS65 score (AUC: 0.794) had the highest discriminative ability to predict 30-day mortality among all risk scores. Conclusion: Albumin levels, malignancy presence, and ICU admission were indicators of mortality risk in elderly patients with upper gastrointestinal bleeding. Calculating all the scores, excluding the Baylor Bleeding score, is beneficial for assessing the risk of mortality associated with upper gastrointestinal bleeding. The AIMS65 score demonstrates the highest discriminative ability. However, using these risk-scoring systems necessitates additional data. © 2024, Turkish Geriatrics Society. All rights reserved.
Adaptation into Turkish and Psychometric Properties of Athens Insomnia Scale; [Atina İnsomnia Ölçeğinin Türkçeye Uyarlanması ve Psikometrik Özellikleri]
(Turkish Neuropsychiatric Society, 2024) Elbi H.; Batum M.; Öztürk E.Ö.; Vatansever Balcan M.; Kisabay Ak A.; Yilmaz H.; Aydemir Ö.
Introduction: The study aimed to adapt the “Athens Insomnia Scale” developed by Soldatos et al. into Turkish and to conduct validity and reliability analysis. Methods: This research was conducted on 215 patients with insomnia complaints and applied to Family Medicine, Neurology (Sleep Polyclinic), and Psychiatry outpatient clinics. Introductory Information Form, 8-item Athens Insomnia Scale, and Pittsburg Sleep Quality Index were administered to the participants. After the language adaptation of the scale, Cronbach’s alpha value was used as the consistency coefficient for reliability analysis. Exploratory factor analysis was examined for structural validity, and correlation coefficients between the Athens Insomnia Scale and its subscales and the Pittsburg Sleep Quality Index were examined for concurrent validity. Results: Cronbach’s alpha coefficient was calculated as 0.87. “Kaiser-Meyer-Olkin value was calculated for factor analysis.” In the Exploratory Factor Analysis, a two-factor structure with eigenvalues >1.0 and explaining 73.4% of the variance was obtained. According to the Exploratory Factor Analysis results for the Atina Insomnia Scale, the absolute value of the factor loadings of the eight items ranged between 0.650 and 0.865. The correlation coefficients between the total score and sub-dimensions of the Athens Insomnia Scale and the Pittsburg Sleep Quality Index-a scale assessing sleep quality were between 0.489–0.725 (p<0,01). For discriminant validity, Athens Insomnia Scale discriminated well between patients and healthy volunteers (Z=2.630, p=0,009). Conclusion: The Athens Insomnia Scale has been shown to have adequate reliability and validity in Turkish. © 2023 by Turkish Association of Neuropsychiatry-Available online at www.noropskiyatriarsivi.com.

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