Cingi Steps for preoperative computer-assisted image editing before reduction rhinoplasty

WOS: 000333542600012PubMed: 24415561Background The aim of this work is to provide a stepwise systematic guide for a preoperative photo-editing procedure for rhinoplasty cases involving the cooperation of a graphic artist and a surgeon. Methods One hundred female subjects who planned to undergo a reduction rhinoplasty operation were included in this study. The Cingi Steps for Preoperative Computer Imaging (CS-PCI) program, a stepwise systematic guide for image editing using Adobe PhotoShop's "liquify" effect, was applied to the rhinoplasty candidates. The stages of CS-PCI are as follows: (1) lowering the hump; (2) shortening the nose; (3) adjusting the tip projection, (4) perfecting the nasal dorsum, (5) creating a supratip break, and (6) exaggerating the tip projection and/or dorsal slope. Results Performing the Cingi Steps allows the patient to see what will happen during the operation and observe the final appearance of his or her nose. After the application of described steps, 71 patients (71%) accepted step 4, and 21 (21%) of them accepted step 5. Only 10 patients (10%) wanted to make additional changes to their operation plans. Conclusion The main benefits of using this method is that it decreases the time needed by the surgeon to perform a graphic analysis, and it reduces the time required for the patient to reach a decision about the procedure. It is an easy and reliable method that will provide improved physician-patient communication, increased patient confidence, and enhanced surgical planning while limiting the time needed for planning

Does allergic rhinitis affect communication skills in young adults?

WOS: 000368990600016PubMed: 25647472Allergic rhinitis (AR) is a chronic disorder with a high prevalence in the general population. The symptoms of AR can impair the cognitive capabilities of the affected people. The study of communication skills and AR interaction has not been adequately discussed. We aimed to analyze Social Communication Skills of university students with AR. Fifty patients suffering from AR and 50 healthy subjects were studied. All participants completed two questionnaires [Social Communication Skills Rating Scale (SCSRS) and Communication Questionnaire] for the assessment of social communication skills. Total scores of both SCSRS and Communication Questionnaire were higher in participants with AR than controls. When the questions of SCSRS were compared between the groups one by one, significant difference was observed between the groups for questions numbered 1- 9 and 11, 12 (p < 0.05). Also, significant differences were observed between the groups for questions numbered 4, 5, 6, 7 and 8 of Communication Questionnaire (p < 0.05). Results of our study indicate that AR could negatively affect the social communication skills of the patients with AR. More research is however needed to validate this hypothesis

The "physician on call patient engagement trial" (POPET): measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients

yorgancioglu, arzu/0000-0002-4032-0944WOS: 000355860600005PubMed: 25856270BackgroundIn this prospective, multicenter, randomized, controlled, double-blind study, we investigated the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis (AR) and asthma patients. MethodsIn total, 327 patients with diagnoses of persistent AR or mild-to-severe persistent asthma were randomized into 2 intervention groups and 2 control groups upon their admission at outpatient clinics. The intervention groups (POPET-AR and POPET-Asthma) received a mobile phone application (physician on call patient engagement trial [POPET]), enabling them to communicate with their physician, and record their health status and medication compliance. The AR groups completed the Rhinitis Quality of Life Questionnaire (RQLQ) at initiation and at the first month of the study. The asthma groups completed the Asthma Control Test (ACT) at initiation and at the third month of the study. ResultsThe POPET-AR group showed better clinical improvement than the control group in terms of the overall RQLQ score as well in measures of general problems, activity, symptoms other than nose/eye, and emotion domains (p 19) compared with the control group (27%); this was statistically significant (p < 0.05). ConclusionUse of a mobile engagement platform, such as POPET, can have a significant impact on health outcomes and quality of life in both AR and asthma, potentially decreasing the number of hospital admissions, repeat doctor visits, and losses in productivity. Improvements were seen in domains related to activity, productivity, perception of disease, and emotion. (C) 2015 ARS-AAOA, LLCContinuous Education and Scientific Research AssociationWith exception of data collection, preparation of this paper including design and planning was supported by Continuous Education and Scientific Research Association. There was no funding source. There was only scientific support

Yaşlilarda Iletişim Bozukluklari

İletişim, sözel ve sözel olmayan şekillerde olabilir. Yaşlı insanlarda, iletişim değişiklikleri bildirilmiştir. Tipik yaşlanma ile, fiziksel sağlık, depresyon ve bilişsel problemler nedeniyle iletişim becerileri değişiklik göstermektedir. Bu derleme yazıda, yaşlı kişilerdeki iletişim sorunları sunulmuştur. Yaşlı grubunda, birçok sağlık problemleri vardır ve bunlar iletişimi etkilemiştir: Serebral palsi, multiplskleroz, işitme ve görme kaybı, afazi ve nörodejeneratif hastalıklar gibi. Yaşlılarda iletişimi arttırmak için, basit stratejiler izlenebilir: "Normal konuşma hızı ile konuşun. Çok hızlı veya çok yavaşkonuşmaktan kaçının" ve "Önemli noktaların vurgulayın ve tekrar edin." İletişim bozuklukları, yaşlılarda görülmektedir. Etiyolojik faktörler genel sağlık problemleri ile ilgili olabilmektedir, ki bunlarnörolojik problemler, işitme ve görme kaybı, sosyal sorunlardır (emeklilik ve sosyal yalnızlık). İletişim bozuklukları olan yaşlılarda, toplumun ve sağlık çalışanlarının bu sorunun farkında olmaları;ve basit önlemlerle iletişim sorunlarını iyileştirmeye çalışmaları gereklidir. Bu yazıda, yaşlı kişilerdeki iletişim problemleri konusu ele alınacaktırCommunication may be verbal and nonverbal. Communication changes are commonly reported in older people. In the typical process of aging, communication skills change due to health issues such as depression and cognitive problems. In this review manuscript, communication problems in elderly people are presented. There are health problems found in individuals ofolder age groups that may affect communication. Examples of these are as follows: cerebralpalsy, multiple sclerosis, hearing and visual loss, aphasia, and neurodegenerative diseases. To improve communication with older adults, some measures should be followed, such as "Speak ata normal conversational pace. Avoid speaking very quickly or very slowly" and "Repeat and elaborate on important points." Communication disorders are experienced in older adults. Etiologicfactors may be related to general health problems such as neurological problems, hearing andvisual loss, and social problems (such as retirement or social isolation). In older adults with communication disorders, everyone throughout society, and especially health care specialists, shouldbe aware of the problem and should use the simple measures to improve communication problems. In this paper, the issue of communication problems in elderly people will be evaluate

COMMUNICATION DISORDERS IN ELDERLY PEOPLE

WOS: 000358378200011Communication may be verbal and nonverbal. Communication changes are commonly reported in older people. In the typical process of aging, communication skills change due to health issues such as depression and cognitive problems. In this review manuscript, communication problems in elderly people are presented. There are health problems found in individuals of older age groups that may affect communication. Examples of these are as follows: cerebral palsy, multiple sclerosis, hearing and visual loss, aphasia, and neurodegenerative diseases. To improve communication with older adults, some measures should be followed, such as "Speak at a normal conversational pace. Avoid speaking very quickly or very slowly" and "Repeat and elaborate on important points." Communication disorders are experienced in older adults. Etiologic factors may be related to general health problems such as neurological problems, hearing and visual loss, and social problems (such as retirement or social isolation). In older adults with communication disorders, everyone throughout society, and especially health care specialists, should be aware of the problem and should use the simple measures to improve communication problems. In this paper, the issue of communication problems in elderly people will be evaluated

Turkish Guideline for Diagnosis and Treatment of Allergic Rhinitis (ART)

Object: To prepare a national guideline for Oto-rhinolaryngologist who treat allergic rhinitis patient

The Score for Allergic Rhinitis study in Turkey, 2020

International audienceObjective: This study aimed to determine how prevalent allergic rhinitis (AR) is in Turkey and to compare the current prevalence with the figures obtained 10 years earlier.Methods: This study included 9,017 participants. The minimum number of participants required from each center was determined via a stratified sampling technique according to regional demographic characteristics as ascertained from the last census. For each region, both men and women were administered the score for allergic rhinitis (SFAR) questionnaire and a score for each participant was calculated based on the responses supplied.Results: A total of 9,017 individuals (55.3% men and 44.7% women) took part in this study. Of these, 94.4% were urban residents and 5.6% lived in a rural setting. Of the men, 38.5% self-reported as suffering from AR. The corresponding figure in women was 40.5%. The overall prevalence of AR, as deduced on the basis of the SFAR, was found to be 36.7%. Comparing the prevalence in different regions, we found that AR was the least prevalent in the Black Sea region with a frequency of 35.8%. The highest prevalence was in the Mediterranean region, where the prevalence was 37.7%. There was no statistical significance in the apparent differences in prevalence between different geographical regions. Despite this, however, there was a clear increase in the frequency of AR over the preceding decade. This increase was most pronounced in the South-Eastern Anatolian region, where the frequency rose from 21.0% to 36.9%.Conclusion: Our results indicate that there has been a marked increase in the prevalence of AR in every region in Turkey over the last 10 years. This could be related to living conditions in urban environments. Alterations in lifestyle, urban living, air pollution causing impairments in immune defense mechanisms, and other aspects of modern lifestyles may account for the increase in AR in Turkey