Browsing by Author "Eser, E"

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    Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale
    Tasci, O; Soylu, ÖB; Tasci, EK; Eser, E; Oruçoglu, B; Günay, I
    Background/Aims: We aimed to perform the validity and reliability analysis of the Turkish version of the Pediatric Nutritional Risk Score (PNRS). Materials and Methods: The study group consisted of 149 patients aged between 1 month and 18 years who were admitted to the hospital for at least 48 h. The patients' age, gender, anthropometric measurements, length of stay, admission diagnosis, daily body weights, food consumption, and pain status were recorded. Backward and forward translations into Turkish were done. PNRS was performed by two different physicians. The consistency of the PNRS results was evaluated to determine the validity of PNRS. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Results: Of all patients, 69 (46.3%) were female and 80 (53.7%) were male. The mean length of the stay was 7.3 +/- 4.0 days. The mean age of the patients was 51.9 +/- 63.6 months. The Kappa coefficient between the two physicians was 0.66. Weight loss was observed in 65.2% of the patients in the high-risk group and 25.4% in the low-risk group. The hospital malnutrition rate was 31.5%. A higher risk was identified in those with <50% food intake and more severe disease. The specificity, sensitivity, NPV, and PPV of PNRS were 82.1%, 77.8%, 92.0%, and 58.3%, respectively. Conclusion: A good consistency suggests that the Turkish validation was achieved successfully. The power of PNRS to discriminate the patients with moderate-low risk of developing malnutrition is higher than the patients with high risk. PNRS is considered a valid and reliable tool to establish the risk of malnutrition in the hospitalized patients.
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    TESTING THE PSYCHOMETRIC PROPERTIES OF THE TURKISH VERSION OF THE KINDL-R GENERIC HRQOL MEASURE FOR CHILDREN
    Eser, E; Yuksel, H; Baydur, H; Erhart, M; Saatli, G; Ozyurt, BC; Ravens-Sieberer, U
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    Comparing the Quality of Life of Patients With Hemophilia and Juvenile Idiopathic Arthritis in Which Chronic Arthropathy Is a Common Complication
    Oymak, Y; Kaygusuz, A; Turedi, A; Yaman, Y; Eser, E; Cubukcu, D; Vergin, C
    Introduction: Hemophilia is a genetic disorder in which recurrent joint bleeding causes arthropathy. Inflammation and degeneration play roles in the pathogenesis of hemophilic arthropathy. Patients with juvenile idiopathic arthritis (JIA) experience a similar inflammatory degenerative joint disease. A comparison of different patients with common pathogenetic features may identify unique features helpful in terms of the follow-up. Aim: We compared the quality of life (QoL) of patients with hemophilia and JIA, and healthy controls, using a generic QoL scale, Kidscreen and Disabkids Questionnaires (KINDL). Differences among groups were evaluated in terms of sociodemographic characteristics and clinical parameters affecting the QoL. Methods: We included 33 hemophilia patients, 19 JIA patients, and 32 healthy individuals aged 4 to 18 years. Sociodemographic characteristics (the age, the maternal educational status, the place of residence, the size of the household, the household income, divorced parents) were noted, and the KINDL was administered to all participants. Clinical parameters associated with arthropathy (the functional independence score [FISH], the hemophilia joint health score [HJHS], the arthropathic joint count, and the painful joint count) were documented. Differences in frequencies and medians among the groups were evaluated using the (2), the Mann-Whitney U, and the Kruskal-Wallis tests. Results: All KINDL dimensions were above 50, reflecting good conditions in the 2 patient groups. No difference between patients with hemophilia and JIA was evident in terms of the clinical parameters of FISH, the HJHS, or the arthropathic or painful joint counts (P>0.05). Sociodemographically, only the frequency of literate mothers was lower in patients with hemophilia than in those with JIA and healthy controls (P=0.03). Patients with JIA scored more higher on the KINDL dimension of chronic illness than those with hemophilia (P=0.02). The FISH score correlated with the total QoL score in both patients with hemophilia and JIA (r=0.39, P=0.03 and r=0.48, P=0.04, respectively). Conclusions: Although no difference was evident between the patient groups in terms of clinical parameters associated with arthropathy, JIA patients coped better with illness than those with hemophilia. JIA patients had a higher proportion of literate mothers than hemophilia patients; this may affect a patient's ability to cope with issues relating to chronic illness. Implementation of an educational program for mothers of hemophilia patients, during follow-up, may improve the patient's QoL. Also, hemophilia patients should be assisted to improve their QoL in the dimensions of self-esteem and schooling. Lastly, the evaluation of functional disability by FISH in hemophilia patients is important because the FISH score correlated with the total QoL score, as revealed by KINDL. In JIA patients also, functional disabilities caused by arthropathy affected the QoL.
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    The Turkish Validity and Reliability of the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms Scales
    Kutlu, A; Yilmaz, E; Çeçen, D; Eser, E; Özbakkaloglu, A
    The aim of the study was to test Turkish validity and reliability of Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) in patients with chronic venous insufficiency (CVI). A total of 118 patients with CVI hospitalized in 3 different hospitals were enrolled in this study. VEINES-QoL/Sym, translated to Turkish with a standard methodology, was applied to the patients and was evaluated for acceptability, reliability, validity, and responsiveness. Cronbach alpha (including if item deleted) values were used for the reliability analysis. Construct and criterion validity approaches were used for validity analysis. Cronbach alpha values are .86 for the VEINES-QOL and .81 for the VEINES-Sym. No problematic items were observed for the scale. The VEINES-QoL/Sym was significantly sensitive to clinical, etiology, anatomy, and pathophysiology (CEAP) classification, indicating good criterion validity. Significant correlation was found between scores of SF-36 and VEINES-QoL (r = .43-.66). Turkish version of the VEINES-QOL/Sym was found reliable and valid for Turkish patients with CVI.
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    Monitoring the Quality of Life in Dyspeptic Children with KINDL Scale
    Tasci, EK; Soylu, ÖB; Tasci, O; Günay, I; Eser, E
    Aim: We aimed to evaluate quality of life in functional and organic dyspepsia and its change during follow-up. Materials and Methods: Children between 4-17 years of age with dyspeptic complaints were enrolled into this study. Organic and functional dyspepsia were differentiated based on clinical findings and the findings of upper gastrointestinal endoscopy, if performed. The Kinder Lebensqualitat Fragebogen (KINDL) questionnaire was conducted when the patients were referred to hospital and at their 1st and 3rd month visits, prospectively. Both groups were compared with regard to their demographic data, symptoms and quality of life scores. Factors which affected the KINDL results and any changes in the KINDL scores during follow-up were evaluated. Results: The study group consisted of 71 functional dyspepsia and 65 organic dyspepsia patients. The mean quality of life scores in the physical wellness and school subscales were higher among the functional dyspepsia patients. The total score of the functional dyspepsia group was higher. There was no relation between the individual's gender, their number of symptoms and their KINDL scores. At the first month visit, the total scores and mean scores of the self-esteem, family, school and friends subscales were higher in the functional dyspepsia group. At the third month visit, the mean self-esteem score was higher in the functional dyspepsia group. Total scores increased significantly during follow-up in both the organic dyspepsia and functional dyspepsia groups. This increase was higher in the organic dyspepsia group. Conclusion: Quality of life in both functional dyspepsia and organic dyspepsia patients is affected; applying recommendations and treatment increased the quality of life of both groups. A quality of life scale can be used to monitor response to treatment.
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    The Psychometric Properties of the New Turkish Generic Health-Related Quality of Life Questionnaire for Children (Kid-KINDL)
    Eser, E; Yüksel, H; Baydur, H; Erhart, M; Saatli, G; Özyurt, BC; Özcan, C; Ravens-Sieberer, U
    Objective: There are few health-related quality of life (HRQOL) instruments available that have been validated for use with Turkish children, The Kid-KINDL is a generic measure of children's (8-12 years) HRQOL, which contains 24 categorical items that assess 6 dimensions (physical well-being, emotional well-being, self-esteem, family, friends, and school). The Kid-KINDL is available in many languages. Following on elaborate translation procedure and cognitive focus group interviews, the Kid-KINDL was adopted into Turkish. This paper describes the psychometric properties of the new Turkish Kid-KINDL. Methods: In total, 1918 children aged 8-12 years at a school in Manisa completed the Kid-KINDL. A confirmatory approach was used for validity and reliability analysis. Using the Multi-trait/Multi-item analysis program (MAP) item-internal consistency and item-discriminant validity were calculated to confirm the instrument's structure. Likert scaling assumptions were tested and confirmatory factor analysis (CIA) was applied as well. After modification of 2 unsatisfactory items the Kid-KINDL was administered to a different group of 84 randomly selected children and the analyses were repeated. Results: Cronbach's alpha was 0.35-0.78 before and 0.54-0.78 after the scales was modified. MAP-scaling success was 60%-100% before and 90%-100% after the modification. CIA confirmed the Kid-KINDL structure for the original version (RMSEA = 0.077) was less than the modified version (RMSEA = 0.059), although for the latter the sample was rather small, Floor effects were negligible, and ceiling effects reached 19%. Conclusion: The results indicate that the Turkish Kid-KINDL was a reliable and factorially valid assessment of the children's HRQOL. The modifications mode to the 2 unsatisfactory items increased the psychometric quality of the scale.
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    Reliability and validity of the Turkish version of the Chronic Heart Failure Questionnaire
    Yilmaz, E; Eser, E; Gürgün, C; Kültürsay, H
    Objective: Any disease specific Health Related Quality of Life Instrument for Chronic Heart Failure (CHF) is lacking in Turkey. The aim of this study is to adapt the Chronic Heart Failure Questionnaire (CHQ) into Turkish and probe the reliability and validity of this questionnaire. Methods: There are four dimensions of this 20 items scale. These dimensions are: dyspnea (5 items), fatigue (4 items), emotional status (7 items) and mastery (4 items). Response options were evaluated using a 7 -point Liken type scale. Quality of life (QOL) improves as the score increases. A total of 205 CHF patients hospitalized in the Department of Cardiology of Ege University hospital were enrolled in this study. The CHQ was applied to the patients twice with a wash-out period of 15 days. Confirmatory approach was used during the reliability and validity analysis. Cronbach alpha test was used for the reliability analysis. Confirmatory factor analysis (CFA) was used for the construct validity testing. NYHA classification for testing the criterion validity; SF-36 and WHOQOL-100 General Health and QOL facet for convergent validity testing of the Turkish version of the CHQ were used. Responsiveness to change was evaluated by Effect Size analysis by using test-retest data. Results: The range of Cronbach alpha values is 0.72-0.94. A considerable ceiling and floor effects were observed for the dyspnea dimension of the scale but no problematic items were observed for the entire scale. The CFA results supported the original four factors scale structure. Criterion and construct validity rebuts were satisfactory. Effect sizes obtained among dimensions of the CHQ were between 0.13 and 0.56. Conclusion: Overall results revealed that Turkish version of the CHQ is a reliable and valid instrument to be used for the evaluation of CHF patients. (Anadolu Kardiyol Derg 2010; 10: 526-38)
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    Validity and reliability of the Turkish version of the knowledge about childhood autism among health workers questionnaire
    Özgür, BG; Aksu, H; Eser, E
    Objective: The aim of this study is to present the psychometric properties of the Turkish version of the knowledge about childhood autism among health workers (KCAHW) questionnaire. Methods: Three hundred fifteen primary health care facility workers and 28 child and adolescent mental health professionals were enrolled in this study. Participants filled out socio-demographic data forms and the KCAHW. Reliability analyses consisted of internal consistency and test-retest reliability. For validity analysis, construct validity (confirmatory factor analysis -CFA) and criterion validity were used. Results: The mean KCAHW questionnaire score was 13.83 +/- 2.55. The floor effects in all domains were below 15%, the ceiling effects were over 15% in overall score and in Domain 4. Intraclass correlation coefficient and the Kuder Richardson 21 values were 0.83 and 0.683, respectively; All goodness of fit indices generated by CFA were found satisfactory (Comparative fit index = 0.79; Root mean square error of approximation = 0.056, and chi-square/degree of freedom = 1.91). Being a physician, being a CAMH specialist, having mental health clinic experience, having done a child psychiatry internship, knowing someone diagnosed with autism, follow-up experience of a patient with autism, having previous autism training, and the perception of adequate knowledge about autism, significantly increased the KCAHW scores (p < 0.001). Conclusion: The Turkish version of the KCAHW questionnaire is reliable (in terms of test-retest and internal consistency) and valid (sensitive some known/expected external criteria). Due to the insufficient internal consistency in Domain 4, the scores received from Domain 4 should be evaluated with caution.
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    CAN URINARY BIOMARKERS SUCCEED DIAGNOSTIC VALUE OF RENAL SCINTIGRAPHY IN PATIENTS WITH URETEROPELVIC JUNCTION DISRUPTION?
    Gürer, DE; Yilmaz, Ö; Ertan, P; Eser, E; Taneli, F; Aras, F; Oran, A; Genç, A; Günsar, C; Sencan, A; Gürer, E; Taneli, C
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    The Reliability and Validity of the Turkish Version of the Constipation Risk Assessment Scale
    Kutlu, AK; Yilmaz, E; Çeçen, D; Eser, E
    The aim of this study is to translate into the Turkish language, and test the reliability and validity, of the Turkish version of the Constipation Risk Assessment Scale (CRAS). This study consisted of 245 adult in-patients who were hospitalized in the medical and surgical clinics of Celal Bayar University Hospital in January through May 2007. The patients were categorized into two groups (constipated and not constipated) according to Rome II criteria. All participants were assessed with the CRAS. The CRAS was retested on 32 patients selected randomly from among the initial constipated group (n = 152). The statistical analysis consisted of reliability and validity analyses. Test-retest comparison and internal consistency were used to assess the reliability of the instrument. Divergence and known groups approaches were used to test for construct validity. Correlation analysis using the Pearson's coefficient was conducted to assess the test-retest. For testing of the criteria and known groups, Student's t test and Mann-Whitney U test were used. Cronbach's alpha value for the constipated respondents was r = 61.9. According to the effect size comparisons, the most effective variable on the CRAS score was perception of constipation risk requirement. The overall score and subsection score correlations were also found acceptable (r = 0.47-0.57).
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    Psychometric Properties of the Turkish Version of the Epilepsy Module of the KINDL Quality of Life Scale
    Ergin, D; Demirbag, S; Eser, E; Polat, M; Baydur, H
    Introduction: This study aims to present the psychometric properties of the Turkish version of the KINDLE quality of life scale, epilepsy module. Method: The psychometric properties of the KINDL Epilepsy module were evaluated from the aspect of internal consistency, reliability, and construct validity on an inpatient sample of 159 Turkish children (mean age 10.84 +/- 2.77 years) who had epilepsy. Results: The KINDL Epilepsy module (36 items) showed acceptable a coefficients ranging from 0.80 (social well-being) to 0.55 (treatment) for each domain. EFA suggested three sub-dimensions that we named as Physical, Mental and Social Well-being sub-dimensions. Root Mean Square Error of Approximation was found as 0.053, and Comparative Fit Index was 0.95. Good known groups results supported the construct validity of the instrument. Correlations between the income perception, family support and Duration of Epilepsy and the domains of its Epilepsy module were significantly high, indicating a satisfactory convergent validity. Conclusion: The Turkish version of the KINDL Epilepsy module showed module is a promising tool in this study. However, further research on the versions of the module in other languages is needed for its global use.
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    The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity
    Dinç, G; Eser, E; Saatli, G; Cihan, ÜA; Oral, A; Baydur, H; Özcan, C
    The purpose of this study was to demonstrate the relationship between body weight and HRQOL in a representative sample of nonpregnant women in reproductive age period. The data of this cross-sectional study was extracted from a survey: Manisa Demographic and Health Survey (MDHS) conducted in Manisa city in 2000. The study population of MDHS is a representative sample of 1602 reproductive (15-49) age women. World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF), which was composed of four domain factors (physical, psychological, social relations and the environment), was used to assess HRQOL. Each of four domains had a possible score ranged between 0 (poor HRQOL) and 20 (excellent HRQOL). The mean age of the women was 35.29 +/- 8.19 years. Among them, 35.8 % had normal weight (BMI 18.5 to 24.9), 32.3 % were overweight (BMI 25.0 to 29.9) while 31.9 % were moderate and 3.4% were morbidly obese. After adjusting for age, level of education and co-morbid illnesses, subjects with a BMI higher than normal value, had significantly lower HRQOL scores, compared to normal-weight individuals on each of the domains, except for the environmental domain. Our results suggested that the body weight alone could negatively affect HRQOL. In other words, obesity not only increased the risk of morbidity and mortality, but also affected the perceived health and life quality negatively. In conclusion, in addition to age, socioeconomic status and co-morbid illnesses, body weight should also be controlled in studies examining HRQOL.
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    NORMATIVE AND PSYCHOMETRIC PROPERTIES OF THE WHOQOL OLDER ADULTS MODULE (WHOQOL-OLD) IN THE NATIONAL REPOSITORY
    Eser, E; Sahin, BB; Eser, S
    Introduction: The main objectives of this study were to present population norms and the construct validity of the WHOQOL-OLD using classical and modern (Rasch) psychometric analyses.Methods: This study was conducted on the pooled data of 29 studies, 16 of which were representative of the population (n=6951). The psychometric properties of the WHOQOL-OLD were evaluated with classical (confirmatory factor analysis and multivariate regression model) and probabilistic test theory (Rasch and DIF) analyses. Results: The mean age of the Turkish WHOQOL-OLD data pool was 73.2 +/- 6.8. The mean overall scale score was 81.27 +/- 13.57 and the range of the mean dimension scores was between 12.34 (social participation) and 14.59 (intimacy). The elderly (advanced age) and women are more sensitive to the decrease in quality-of-life (QoL) scores. Both Cronbach's alpha values and item analyses indicated good internal consistency for all dimensions. Exploratory factor analyses (EFA) generated five factors instead of a six-factor original scale structure. Past, present, and future activities and social participation were combined in a single dimension in the EFA. Confirmatory factor analyses resulted in acceptable goodness of fit indices, such as Confirmation Fit Index (CFI)=0.951 and Root Mean Square Error of Approximation (RMSEA)=0.055. Turkish elders perceive the death and dying dimension as culturally closer to the culture of developing countries than developed Western cultures. Conclusion: Turkish older adults' QoL scores were more or less like those of other older adults in developing countries. This study's results confirm that the acceptable psychometric properties of the WHOQOL-OLD-TR with some items (items 9 and 20) need to be worked on further.
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    The validity and reliability of the Turkish version of Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) in patients with mild and moderate Alzheimer's disease and normal subjects
    Mavioglu, H; Gedizlioglu, M; Akyel, S; Aslaner, T; Eser, E
    Objectives The cognitive subscale of the Alzheimer's Disease Assesment Scale (ADAS-Cog) is the most widely used test in clinical trials dealing with Alzheimer's disease (AD). The aim of this study was to investigate the validity and reliability of the Turkish version of ADAS-Cog. Methods Twenty-nine patients with AD, fullfilling NINCDS-ADRDA criteria of probable AD, who were in stage 3-5 according to the Global Deterioration Scale (GDS), and 27 non-demented control subjects with similar age, gender and educational status were recruited for the study. The Turkish version of ADAS-Cog, Standardized Mini Mental Status Examination (MMSE) and Short Orientation-Memory-Concentration Test (SOMCT) were applied to both of the groups. Inter-rater reliability, internal consistency, test-retest reliability; face validity, differential validity and convergent validity were statistically analyzed. Results Both MMSE and ADAS-Cog have significantly differentiated patients with AD and control subjects (p < 0.001). A significant correlation was established between MMSE and ADAS-Cog scores in AD group (r: -0.739). ADAS-Cog was also highly significantly correlated with GDS (r: 0.720) and SOMCT (r: 0.738). For the group with AD, control and whole cohort coefficients of internal consistency, Cronbach's alpha: 0.800, 0.515, 0.873 were found respectively. Inter-rater reliability for total ADAS-Cog score was found as ICC: 0.99 and 0.98 and test-retest reliability was found as ICC: 0.91 and 0.95 for demented and nondemented subjects, respectively. Conclusion The Turkish version of ADAS-Cog has been found to be highly reliable and valid in differentiating patients with mild and moderate AD from nondemented subjects. Copyright (c) 2006 John Wiley & Sons, Ltd.
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    Validation and Reliability of The Frontal Assesment Battery (FAB) in Turkish
    Tunçay, N; Kayserili, G; Eser, E; Zorlu, Y; Akdede, BB; Yener, G
    Scientific background: The Frontal Assessment Battery (FAB) test is a short test aiming to assess frontal lobe functions. It is composed of 6 items that give a total possible score between 0 and 18. The items include assessing the ability to find similarities between objects, categorical verbal fluency, resistance to interference, a simple go-no go paradigm, and peripheral autonomy. A higher score denotes better performance. Purpose: To determine the validity and reliability of the psychometric properties of the Turkish version of the Frontal Assessment Battery Method: The Turkish FAB was evaluated in 94 cases with diverse neuro-psychological conditions and in 92 healthy controls. Translation and back-translations of Turkish were done. In addition to FAB, the respondents completed a Standardized Mini Mental assessment scale, Stroop scale and a brief sociodemographic questionnaire. Reliability analysis involved test-retest reliability and internal consistency (alpha), whereas validity analysis involved factor analysis, convergent validity approach, known groups and criterion validity tests, and sensitivity analysis. Parametric and non-parametric correlations, T tests and ANOVA were used during these analyses. Findings: The alpha value was sufficient (alpha=0.73) for FAB but the alpha value decreased when the 6th item was deleted, indicating a problem with this item, as also confirmed by the factor solution. The fewer the years of education, the worse the FAB scale scores (p<0.001); men scored higher than women in a few items (mental flexibility, sensitivity to interference, and inhibitory control). The relationship between FAB and the Standardized Mini Mental Test (0.765, p<0.000) and Stroop scores indicated.
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    Quality of Life and Associated Risk Factors in Caregivers of Patients with Obsessive Compulsive Disorder
    Dikici, DS; Eser, E; Çökmüs, FP; Demet, MM
    INTRODUCTION: Obsessive compulsive disorder (OCD) is a chronic disease that affects social relationships, and occupational and academic performance of patients and their relatives due to cognitive, emotional, and behavioural aspects of the disease. Quality of life (QoL) in relatives of patients with OCD has previously been reported and compared with caregivers of patients with other psychiatric conditions. However, there are few studies available in the literature regarding the causality of QoL in caregivers of patients with OCD. OBJECTIVE: The aim of this study was to evaluate QoL of caregivers of patients with OCD and predictors of QoL of the family caregivers. METHODS: The study population comprised of 68 patients with OCD and their caregivers. The dependent variable of this study is QoL of caregivers as assessed by the short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF-TR). The Structured Clinical Interview for DSM-IV/Clinical Version (SCID-I/CV), Yale-Brown obsessive-compulsive scale (Y-BOCS), Y-BOCS symptom checklist, Hamilton Depression Rating Scale (HAM-D), and WHOQOL-BREF-TR were completed by the patients, whereas the SCID-I/CV, WHOQOL-BREF-TR, and Burden Assessment Scale (BAS) were completed by the caregivers. Student's t-test, MWU, ANOVA, Kruskal-Wallis ANOVA, and Spearman's correlations were used in univariate analyses, and multiple linear regression tests were run in multivariate analyses. Critical VIF values were taken as 5.0 for detecting collinearity among independent variables in the regression analyses. Type 1 error was taken as 0.05 in the analyses. RESULTS: Linear regression analysis showed that caregivers' sex, education level, occupational status, disease burden, and patients' sex, physical QoL, and disease severity were predictors of caregivers' QoL. Moreover, disease burden was the only common predictor that affected all four dimensions (physical, psychological, social relations, environmental) of the caregiver's QoL, and as the perceived disease burden increased, the caregiver's QoL deteriorated.
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    Psychometric Properties of the Turkish Version of the World Health Organization Quality of Life Instrument for People with Intellectual and Physical Disabilities (WHOQOL-DIS-TR)
    Eser, E; Aydemir, Ö; Cengiz Özyurt, B; Akar, A; Deveci, S; Eser, S; Ayik, C
    Objective: The aim of this paper is to present the validity and reliability of the Turkish version of the add-on module for the WHOQOL measures of quality of life for use with adults having physical or intellectual disabilities known as the WHOQOL-DIS. Methods: Data were collected from 150 Intellectual Disabled (ID) and 157 Physically Disabled (PD) persons in Turkey (Izmir) participating center of the global WHOQOL-DIS project. WHOQOL-DIS module is consisted of 12 disability specific items in addition to 26 generic items of WHOQOL-Bref. The proposed factorial structure (3 factors) of WHOQOL-DIS global study used in the psychometric analyses of the Turkish versions of WHOQOL-DIS. Reliability analyses and construct validity was tested via CFA analyses and convergent and discriminant validity analyses were assessed in relation to SWLS and WHODAS-II respectively. Results: Cronbach alpha values of the WHOQOL-DIS factors were as follows for ID and PD samples respectively: Factor 1 (Discrimination and support)= 0.54 and 0.64; Factor 2 (Independence)= 0.78 and 0.79; Factor 3 (Community participation)= 0.88 and 0.83. CFI and RMSEA values were 0.98 and 0.065 for ID sample and 0.98 ve 0.064 for PD sample respectively. Convergent-discriminant validities were satisfactory for all factors in PD group (r= 0.27 -0.62) whereas Factor 1 was not found discriminative in the ID group (r= 0.09 -0.10). Conclusion: Psychometric properties provided satisfactory evidence of reliability and validity of the Turkish version of WHOQOL-DIS. Nevertheless the results of Factor 1 (Discrimination and support) in ID persons should be interpreted with caution.
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    The Effect of Hyperbaric Oxygen Therapy on Erectile Functions: A Prospective Clinical Study
    Sahin, MO; Sen, V; Eser, E; Koc, E; Gumus, U; Karakuzu, C; Ucer, O
    Introduction: We aimed to evaluate the effects of hyperbaric oxygen therapy (HBOT) on erectile function in patients who had no cavernosal or urethral injury by using International Index of Erectile Function (IIEF) questionnaire. Materials and Methods: The male patients who were treated by HBOT for several diseases between July 2017 and September 2017 were examined. All patients filled the IIEF questionnaire form before the first day and after the last day of HBOT and a questionnaire including demographic characteristics and medical history. The effects of demographic characteristics and risk factors on erectile function were evaluated, and the IIEF domain scores of patients in first day and last day of HBOT were compared. Results: Totally, 50 patients were included in the study between July 2017 and September 2017 and the mean age was 59.38 +/- 13.77. The mean post-HBOT IIEF-EF score of patients was significantly higher than the mean pre-HBOT IIEF-EF score of patients (15.74 +/- 10.52 vs. 19.50 +/- 10.91; p < 0.001). The mean post-HBOT IIEF scores of other domains including intercourse satisfaction, orgasmic function, sexual desire, and overall satisfaction were also significantly higher than pre-HBOT scores. Conclusions: HBOT may be a good alternative treatment or adjunctive treatment for erectile dysfunction. (C) 2018 S. Karger AG, Basel