Browsing by Author "Ince, A"

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    Effect of CPAP therapy on catathrenia and OSA: a case report and review of the literature
    Songu, M; Yilmaz, H; Yuceturk, AV; Gunhan, K; Ince, A; Bayturan, O
    Introduction Catathrenia is a rare, idiopathic, sleep-related respiratory condition characterized by irregular groans, which occur during prolonged expiration in sleep. The origins of catathrenia remain inexplicable, the long-term prognosis unexplained. Moreover, empirical treatment with neither pharmacological nor non-pharmacological approaches was satisfactory. Case report We report a case of catathrenia with concurrent obstructive sleep apnea complicated with pulmonary hypertension and reviewed the literature. Discussion Treatment with nasal continuous positive airway pressure resulted in marked improvement of catathrenia, obstructive sleep apnea, daytime dyspnea, and pulmonary hypertension for our patient. We think that nasal continuous positive airway pressure can be an option for the treatment of this infrequent but sometimes very disturbing sleep disorder.
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    Adaptation to Turkish Community and Reliability-Validity of ADCS-ADL Scale
    Ince, A; Mavioglu, H; Eser, E
    Objectives: The aim of the present study is to assess the validity and reliability of Turkish adaptation of the Alzheimer Disease Cooperative Study-Activities of Daily Living (ADCS-ADL) scale and to enable the use of this scale in Turkey in Alzheimer Disease(AD) related studies. Material and Method: Thirty-two patients with AD, 10 suspicious demented patients (mild cognitive impairment) and 31 non-demented control subjects with similar age, gender and educational status were enrolled to the study. ADCS-ADL, Modified Older Americans Resources and Services Procedures Instrument(MOARSI), Mini Mental State Examination(MMSE), Clinical Dementia Rating (CDR) and Global Deterioration Scale(GDS) were applied to all subjects. Alzheimer Disease Assessment Scale-Cognitive Scale(ADAS-Cog) was also applied to the demented and suspicious demented subjects. Internal consistency, test-retest reliability, differential validity and concurrent validity were statistically analyzed. Findings: ADCS-ADL differentiated AD group from normal and suspicious demented groups significantly (p: 0.0001). Additionally, the scale was found sensitive to dementia stages (p: 0.01). A significant correlation between the ADCS-ADL scores of AD group and MMSE(r:0.736), CDR (r:0.758), CDR Total (r:0.828), GDS (r:0.743), basic section of MOARSI (r:0.826) and instrumental section of MOARSI (r: 0.826) groups were detected. The correlation with ADAS-Cog was weak (r:0.191). Internal consistency values were measured as alpha: 0.937, 0.719 and 0.758 for AH, suspicious demented and control groups respectively. Test-retest reliability was quite high (ICC: 0.998). Conclusion: The study showed that Turkish adaptation of ADCS-ADL is valid and reliable scale in assessing and monitoring the AD patients in Turkish society.
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