The effect of perceived social support levels on coping methods for urinary incontinence in elderly men

MakaleWOS:000954033500001PubMed ID: 36921201OBJECTIVE: This study aimed to determine the effect of the perceived social support level on coping methods for urinary incontinence among men aged 65 years and over with urinary incontinence. METHODS: A total of 92 male patients over the age of 65 years with urinary incontinence and adequate cognitive levels were included in the study. The coping methods, the environmental support, and the Multidimensional Scale of Perceived Social Support were used to collect data. RESULTS: The most common method of coping was changing clothes (64 [69.6%]). The Multidimensional Scale of Perceived Social Support total mean score was 55.83+/-14.8, which was considered above the medium-level support. The perception level of social support caused significant differences in coping methods in individuals with urinary incontinence. CONCLUSION: The view that urinary incontinence is a problem related to aging is regarded as an obstacle to seeking healthcare. Society should be made aware that urinary incontinence is not a normal condition related to aging and that it is not an insoluble problem that the elderly must endure

Comparison of short-term results of open and laparoscopic surgery in gastric cancer at a new regional hospital: A single surgeon experience

Aim: To compare the short-term results of open and laparoscopic gastrectomy in gastric cancer surgery. Material and Method: From 15 May 2018 to 28 June 2021, patients who underwent open and laparoscopic gastrectomy for gastric cancer by a single surgeon between were retrospectively analyzed from a prospectively maintained database. Patients were compared in terms of early intraoperative and postoperative outcomes. Both surgical methods were compared in terms of early intraoperative and postoperative outcomes. Results: A total of 34 patients (open n=23, laparoscopic n=11) were included in the study. While the mean number of lymph nodes was similar between the groups, more metastatic lymph nodes and more advanced disease were detected in the open group (p=0.007, p=0.002, respectively). According to tumor location, patients who underwent laparoscopic gastrectomy were more distally located (p=0.01). The mean operative time was shorter in the open group (171.5 min and 206 min, p=0.006, respectively), while the estimated blood loss was less in the laparoscopic group (158.2 mL vs 186.7 mL, p=0.003). Four patients (17.4%) in the open group and two patients (18%) in the laparoscopic group had at least Clavien-Dindo grade III complications (p=0.96). Earlier gas output was seen in the laparoscopic group (p=0.002), while other postoperative outcomes were similar between the groups. Mean follow-up time was longer in the open group (13.4 months and 7.6 months, respectively, p=0.004). Conclusion: Until sufficient experience is reached in laparoscopic gastrectomy, choosing earlier stage and distally located tumors is a safe method with postoperative results similar to open gastrectomy

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Türk sivil hava taşımacılığı endüstrisinin mikro ekonomik bir analizi

ÖZETİkinci dünya savaşından sonraki yıllarda ICAO ve IATA gibi kuruluşların kurulması ile sivil hava taşıma endüstrileri uluslar arası bir nitelik kazanmış, belirli bir düzene kavuşarak dünya tüketicileri için yeni olanaklar yaratmıştır. ABD hava taşıma şirketlerinin IATA organizasyonuna katılabilmesi için, bu ülkede geçerli olan anti tröst yasalarından geçici muafiyet alınmıştır. Bu durum otuz beş yıl sürdükten sonra 1978 yılında ABD hükümeti konu muafiyeti kaldırmıştır. Bunun sonucunda, önce ABD’de, daha sonraki yıllarda dünyanın birçok diğer ülkesinde sivil hava taşımacılığı piyasalarında çok radikal değişiklikler olmuş, piyasalar rekabete açılmıştır. Ülkemiz de, 1983 yılında çıkarılan yeni yasayla rekabet ortamına geçmeye karar vermiştir. Günümüzde Türk sivil hava taşımacılığı piyasası yeni kurallara göre yeniden şekillenmiş ve belirli bir olgunluğa erişmiştir.ABSTRACTIn the years following the World War II, as a result of the establishment of entities like ICAO and IATA, the civil air transportation markets have acquired an international character and have created new possibilities for the consumers of the world. In order that the carriers of the USA could take part in the IATA organization, a provisional exemption was granted to them. After thirty-five years of activity, the USA government decided to cancel this exemption in 1978. Consequently, many radical changes have occurred, initially in the USA and thereafter in many of the states of the world. Markets have been opened to competition. Our country has also decided, through a new law in 1983, to transform its market into a contestable one. Today, the Turkish air transportation market has been transformed pursuant to the new conditions and has reached a certain stage of maturity

Türk sivil hava taşımacılığı endüstrisinin mikro ekonomik bir analizi

İkinci dünya savaşından sonraki yıllarda ICAO ve IATA gibi kuruluşların kurulması ile sivil hava taşıma endüstrileri uluslar arası bir nitelik kazanmış, belirli bir düzene kavuşarak dünya tüketicileri için yeni olanaklar yaratmıştır. ABD hava taşıma şirketlerinin IATA organizasyonuna katılabilmesi için, bu ülkede geçerli olan anti tröst yasalarından geçici muafiyet alınmıştır. Bu durum otuz beş yıl sürdükten sonra 1978 yılında ABD hükümeti konu muafiyeti kaldırmıştır. Bunun sonucunda, önce ABD’de, daha sonraki yıllarda dünyanın birçok diğer ülkesinde sivil hava taşımacılığı piyasalarında çok radikal değişiklikler olmuş, piyasalar rekabete açılmıştır. Ülkemiz de, 1983 yılında çıkarılan yeni yasayla rekabet ortamına geçmeye karar vermiştir. Günümüzde Türk sivil hava taşımacılığı piyasası yeni kurallara göre yeniden şekillenmiş ve belirli bir olgunluğa erişmiştir. ABSTRACT In the years following the World War II, as a result of the establishment of entities like ICAO and IATA, the civil air transportation markets have acquired an international character and have created new possibilities for the consumers of the world. In order that the carriers of the USA could take part in the IATA organization, a provisional exemption was granted to them. After thirty-five years of activity, the USA government decided to cancel this exemption in 1978. Consequently, many radical changes have occurred, initially in the USA and thereafter in many of the states of the world. Markets have been opened to competition. Our country has also decided, through a new law in 1983, to transform its market into a contestable one. Today, the Turkish air transportation market has been transformed pursuant to the new conditions and has reached a certain stage of maturity

Factors affecting cecal intubation tinae in colonoscopy: Impact of obesity

Objective This study aims to determine the factors that prolong cecal intubation time (CIT) and determine the effect of obesity on CIT measured using multiple indexes. Methods Patients who underwent elective colonoscopy between July 10, 2020, and January 20, 2021, were evaluated in this prospective observational study. Age, gender, constipation, bowel preparation, presence of diverticulosis, previous surgery history, auxiliary maneuver and additional analgesic requirement, cecum intubation length (CL) and obesity indices [body mass index (BMI), waist circumference (WC), waist-toheight ratio (WHIR)] were analyzed. Factors affecting CIT were assessed by both univariate and multivariate logistic regression (LR) analyses. Results A total of 512 patients were analyzed. Mean CIT was 5.6 +/- 1.6 min, and median CIT was 5.17 min. The CIT median was 5.17 min in 248 (48.5%). In the univariate LR results, young age, constipation, poor bowel preparation, increased CL, additional analgesic requirement, low WHtR, and low BMI (0.5 and BMI >30 kg/m2 were found to be independent factors that decrease CIT [OR: 0.01 (0.01 0.03) p 0.5) and BMI (>30 kg/m2) were the best predictors of decreased CIT

The learning curve of laparoscopic inguinal hernia repair: A comparison of three inexperienced surgeons

Introduction: Studies with inexperienced surgeons in terms of the learning curve for laparoscopic totally extraperitoneal (TEP) inguinal hernia repair are limited. Aim: To compare three inexperienced surgeons in terms of the learning curve without supervision. Material and methods: Patients' data, which were from consecutive laparoscopic TEP hernioplasties between December 2017 and February 2020, were analysed retrospectively. The primary outcome was to compare the learning curve of three surgeons (Surgeon A, B, and C) in terms of complications, conversion, and duration of surgery. Secondary outcomes were recurrence rates. Results: A total of 299 patients were included in the study. Conversion and intraoperative complication rates decreased after the first 60 cases (from 10% to 2.5%, p = 0.013 and from 9% to 2.5%, p = 0.027, respectively). The mean operative time reached a plateau of less than 40 min after 51-81 cases (Surgeon A 51, B 71, and C 81 cases). Ageing was a risk factor for intraoperative complications and recurrence (p < 0.001, p = 0.008, respectively), and higher body mass index (BMI) was a risk factor for conversion (p = 0.004). Age = 60 years compared to age < 60 years increased intraoperative complications five-fold and recurrence six-fold (p = 0.001). On the other hand, BMI = 30 kg/m(2) increased the possibility of conversion to open surgery nine-fold (p < 0.001). In addition, a positive correlation was found between the operative time and the BMI and VAS score (p = 0.004, p = 0.015, respectively). Conclusions: In order to reach the plateau in the operative time during the TEP learning curve period, more than 50 cases should be experienced, whereas more than 60 cases are needed for conversion, intraoperative complications, and recurrence

Laparoscopic inguinal hernia repair-TAPP versus TEP: Results of 301 consecutive patients

Introduction: Transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) hernia repair are the two most commonly used techniques in laparoscopic inguinal hernia repair, and the results of comparative studies are conflicting. The objective of this study is to compare the two methods in unilateral inguinal hernia repair. Materials and methods: The data of consecutive patients who underwent TEP and TAPP due to unilateral inguinal hernia between December 7, 2017, and March 15, 2020, were analyzed retrospectively. The primary outcome was to compare the clinical outcomes of the two techniques in terms of complications, conversion, pain, and operative time. The secondary outcome was recurrence rates. Results: A total of 301 (TEP n=234, TAPP n=67) patients were included in the study. The mean age was 43 years, and the follow-up period was two years. The groups were similar in terms of demographic characteristics and hernia type. The mean operative time was longer in the TAPP group than in the TEP group (67 min and 58 min, p=0.007). The recurrence rate was 4.3% in the TEP group and 5.9% in the TAPP group (p>0.05). The conversion rate was 6% in both groups. In total, 19 (6.3%) patients had intraoperative complications (TEP n=16, TAPP n=3), and 23 (7.6%) patients had postoperative complications (TEP n=16, TAPP n=7). Both intraoperative and postoperative complication rates were similar between the groups (p=0.31 and p=0.051, respectively). The early postoperative pain was less in the TEP group (p=0.004). Conclusion: Less early postoperative pain and shorter operative time were detected in patients who underwent TEP

Learning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital: A single-surgeon experience of 106 consecutive cases without supervision

Background: Laparoscopic surgery for colorectal cancer is mostly performed in university hospitals or experienced centers. This study aimed at determining the learning curve of laparoscopic surgery for col-orectal cancer at a new regional state hospital. Patients and Methods: Clinico-pathological data of 106 consecutive patients who underwent laparoscopic surgery for colorectal cancer at a new regional state hospital between August 2018 and September 2021 were prospectively recorded and analyzed. All surgeries were performed by a single inexperienced surgeon without supervision. The primary outcome of the study was the operative time, which was used for a Cumulative Sum (CUSUM) analysis of the learning curve. The secondary outcomes included a comparison of preoperative, intraoperative, and postoperative outcomes during the learning curve period. Results: According to the CUSUM analysis, the learning curve consisted of three unique phases: phase 1 [the initial learning period (cases 1-53)], phase 2 [the consolidation period (cases 54-68)], and phase 3 [the experienced period (cases 69-106)]. Of the intraoperative outcomes, operative time and estimated blood loss were significantly reduced from phase 1 to phase 3 (p<0.001). Of the postoperative outcomes, time to pass stool (p<0.05), time to oral feeding (p=0.001), drain removal time (p<0.001), and length of hospital stay (p=0.042) were shorter in phase 3 compared to phases 1 and 2. Of the histopathological results, the specimen length and the number of harvested lymph nodes increased with experience (p=0.001). Conclusions: The present results suggest that a surgeon at a new regional state hospital must experience 53-68 cases to achieve competence in laparoscopic colorectal cancer surgery