Browsing by Publisher "Nobelmedicus"

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    Transcutaneous electrical nerve stimulation therapy in the children with nocturnal enuresis; [Enüresis nokturnali çocuklarda transkütan elektri̇ksel si̇ni̇r sti̇mülasyonu (TENS) tedavi̇si̇]
    (Nobelmedicus, 2005) Ünlü Z.; Tüzün Ç.; Taneli C.; Firat A.
    We evaluated the efficacy of transcutaneous nerve stimulation (TENS) therapy on wetting behaviors, social functioning and bladder storage capacities in children with enuresis nocturna. A total of 8 enuretic children aged 8-16 years old were selected for study on basis of poor outcome despite extensive trials of conventional treatments. 15 seances of TENS therapy applied on the suprapubic region. Changes in wetting behaviors and social functioning before and after the therapy were assessed with a 7-point scale. Patients were asked to record their urine output using a frequency/volume chart for two consecutive days before and after the therapy. Two of the children became dry two months after the therapy. The total scores of wetting behaviors and social status were increased in two patients at two months after the therapy. Maximum functional bladder capacity, mean day-time bladder capacity, maximum nocturnal bladder capacity were increased only in two patients after the treatment. Number of daytime voids were decreased in these patients. According to our preliminary results, it seems that TENS therapy in the children with nocturnal enuresis showed improvement in some degree. Further studies are needed which are performed in larger series.
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    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.
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    Perception of privacy of nursing home workers with regard to the services provided to the elderly; [Huzurevi çalişanlarinda yaşlilara sunulan hizmette mahremiyet algisi]
    (Nobelmedicus, 2017) Üstün Ç.; Türkmen S.; Tavşanlı N.G.
    Objective: This study aimed at revealing the opinions of nursing homes employees regarding ethical evaluation of the privacy of older people. Material and Method: The study was conducted between December 2015 and January 2016 with 45 employees working at Manisa Municipal Nursing Home and Manisa Private Foundation Nursing Home. A questionnaire consisting of 10 questions about age, gender, marital status, etc. and the Service Provider Quantitative Survey for Perception and Assessment of Privacy in Services Rendered to the Elderly were used as data collection tools. Results: The mean age of the caregivers working at the nursing homes was 38.04±10.33 (19 – 64) years. 48.9% of the caregivers were female and 51.1% were male. 28.9% of the caregivers were graduates of high school, 62.2% of them were married, 60.0% had less income than their expenses, 24.4% were nurses/healthcare servants, 22.2% patient caregivers and 16.0% cleaning personnel, 75.6% of them lived in provinces most of their time and 77.8% had nobody in need of care in their families. Stating that privacy should not be neglected, all groups in the study had opinions close to each other. However, this belief can also be considered as moderate. No significant correlation was found between the socio-demographic characteristics of the caregivers working at the nursing homes and the mean scores of Necessity of Privacy and Privacy Can Be Neglected sub-domains of the privacy scale or the mean Overall Privacy Scale score (p>0.05). Conclusion: Protection of the privacy of these seniors in a common location in these institutions becomes an important problem. The elderly and the staff working there should come to an agreement concerning their perception of privacy in nursing homes. © 2017, Nobelmedicus. All rights reserved.
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    Importance of Berlin, stop, and stop-bang questionnaires in evaluating obstructive sleep apnea syndrome in the bus drivers; [Otobüs şöförlerinde obstruktif uyku apne sendromunu değerlendirmede Berlin, stop, stop bang anketlerinin önemi]
    (Nobelmedicus, 2020) Eşrefoğlu N.; Ak A.K.; Göktalay T.; Batum M.; Yılmaz H.
    Objective: To investigate the prevalence of obstructive sleep apnea syndrome (OSAS) symptoms in public transportation drivers, and the importance of the Berlin questionnaire (BQ), STOP questionnaire (SQ), and STOP-BANG questionnaire (SBQ) in OSAS screening, and the to evaluate correlations among these tests. Material and Method: This cross-sectional study was conducted after obtaining ethics committee approval. Demographic data and risk factors were categorized as high-risk and low-risk for snoring and OSAS. Results: All the drivers (n:392) were men and their mean age was 37.8±6.3(27-58). Even in the presence of any of the individual parameters of snoring, witnessed apnea, and increased daytime sleepiness in 392 drivers, a high risk was found in all for questionnaires developing OSAS (p<0.001). Body mass index ≥30 kg/m² and neck circumference ≥40 cm were associated with snoring (p<0.05) but not with age (p>0,05). The highest agreement was found between SQ and SBQ (p<0.001, kappa: 0.609, McNemar Test), a moderate agreement was present between BQ and ST (p=0.05, kappa: 0.607), and the weak correlation was found between BQ and SBQ questionnaires (p<0.001, kappa: 0.472, McNemar). Conclusion: It will be possible to eliminate a preventable cause of traffic accidents by evaluating OSAS risks in vehicle drivers with valid and easily-applicable tests such as the SBQ and SQ, and to direct drivers to appropriate units for polysomnography. © 2020, Nobelmedicus. All rights reserved.