The frequency of restless legs syndrome in health care workers

Giriş: Bu çalışmanın amacı sağlık çalışanlarında Huzursuz Bacak Sendromu (HBS) sıklığının saptanması ve etkili faktörlerle ilişkisinin araştırılmasıdır. Materyal ve metod: Kesitsel tipte olan bu araştırmaya toplam 266 doktor, hemşire ve ebe alındı. Araştırma grubundan 213 kişiye ulaşıldı. Olguların demografik verilerini, sosyoekonomik faktörlerini, sigara ve alkol kullanma durumlarını, eşlik eden hastalıklarını, uyku davranışlarını belirlemeye, ayrıca HBS tanı kriterlerinin, şiddetinin ve obstrüktif uyku apne sendromunun (OUAS) riskinin belirlenmesine yönelik soruları içeren anket formu karşılıklı görüşme yoluyla uygulandı. Bulgular: Olguların 49’u erkek, 164’ü kadın idi. Elli bir olgu doktor, 162’si ise hemşire ve ebe olarak görev yapmaktaydı. Sağlık çalışanlarında HBS sıklığı %18.3 (n=39) idi. HBS sıklığı açısından kadın ve erkekler arasında istatistiksel fark saptanmadı. HBS saptanan 39 kişinin 23’ünde (%59) aile öyküsü mevcuttu. HBS saptananlarda HBS saptanmayanlara göre işe geç kalma oranı daha yüksek, ortalama uyku süresi daha kısa ve uykuya dalma süresi daha yüksek bulundu. OUAS için yüksek riskli olanların oranı HBS saptananlarda HBS saptanmayanlara göre istatistiksel olarak yüksekti. Lojistik regresyon analizi sonuçlarına göre OUAS açısından yüksek riske sahip olmanın ve eşlik eden hastalık varlığının HBS için bağımsız risk faktörü olduğu saptandı. Sonuç: Genellikle semptomları anksiyete veya strese bağlanan HBS, sorgulandığında sağlık çalışanlarında yüksek oranda tespit edilmiştir. OUAS açısından yüksek riske sahip olmanın HBS için risk faktörü olabilmesi nedeni ile özellikle eşlik eden hastalık varlığında sağlık çalışanlarının başta HBS ve OUAS olmak üzere uyku bozuklukları açısından taranması ve bilinçlendirilmesi gerektiği düşünüldü.Introduction: To investigate the frequency of restless Leg Syndrome (RLS) in healthcare workers and the relation between the effective factors. Material and Method: Totally 266 doctors, nurses, and midwives were included into this cross-sectional study. Two hundred thirteen of study group were reached. The questionnaires about demographic data, socioeconomic factors, smoking, and alcohol status, co-morbidities, sleep behaviours, and diagnostic criteria, and severity of RLS, and the risk of obstructive sleep apnea syndrome (OSAS) were applied by face to face interview. Results: Forty nine of the cases were male, and 164 were female. Fifty one of cases were doctors, 162 were nurses, and midwives. The frequency of RLS was 18.3% in health care workers. The frequency of RLS was not statistically different between genders. Twenty three of 39 cases diagnosed RLS had family history. The rate of being late for work was high, median sleep time was short, and sleep latency was high in RLS diagnosed cases. The ratio of high risk for OSAS was high in RLS diagnosed cases. The results of logistic regression analysis showed that having high risk for OSAS, and presence of co-morbidities were independent risk factors for RLS. Conclusion: The rate of RLS was determined high in health care workers. It is thought that because having high risk for OSAS may be a risk factor for RLS, especially in the presence of co-morbidities, health care workers must query for sleep disorders as RLS and OSAS, and they must be aware of these conditions

The maximum standardized FDG uptake on PET-CT in patients with non-small cell lung cancer

WOS: 000330181700001PubMed ID: 24148271Background: Non-small cell lung cancer (NSCLC) accounts for approximately 80% of new diagnoses of pulmonary carcinoma. This study investigated the correlation between 18 F-fluorodeoxyglucose uptake in computerized tomography integrated positron emission tomography and tumor size, lymph node metastasis, and distant metastasis in patients with NSCLC. Methods: The records of 151 NSCLC patients (139 male, 12 female; mean age 59.60 years) were evaluated retrospectively. Results: Forty-one cases were adenocarcinomas; 45 squamous cell carcinomas; and 65 unspecified NSCLC. When the cases were categorized according to tumor size (group 1, 3 and >= 5 cm; group 3, > 5 cm), the maximum standardized uptake value (SUVmax) was significantly lower in groups 1 and 2 compared with group 3 (p = 0.006 for each). Considering all cases, tumor SUVmax was not correlated with age, gender, or histopathological type. Lymph node metastases were pathologically proven in 24 cases: 24% of these were adenocarcinomas, 6% squamous cell carcinomas, and 16% unspecified NSCLC. Neither lymph node involvement nor distant metastases were correlated with tumor SUVmax, although lymph node size was positively correlated with lymph node SUVmax (r = 0.775; p < 0.001). Conclusions: SUVmax was significantly associated with tumor size, but not with distant metastases or lymph node involvement. Therefore, SUVmax on positron emission tomography is not predictive of the presence of metastases

Is the Perioperative Period No Longer a Problem for Adult Asthmatics under Control?-OPERA Study

OBJECTIVES: Asthma is a global problem and chronic condition that persists through patient’s entire life, during which the possibility of a surgical procedure is common. An accurate clinical and functional evaluation of respiratory functions and asthma control is needed in patients undergoing surgical procedures and requiring general anesthesia. the aim of this study was to disclose any possible relation between postoperative complications and some pre- and postoperative factors. MATERIALS AND METHODS: in this prospective cross-sectional study, randomly selected 111 asthmatic patients who presented to 10 different tertiary centers were included. the patients were evaluated at three different periods; any day between 1-7 days before surgery, and postoperative third and seventh to tenth days. RESULTS: Among the patients included in the study, 86 (77.5%) were women and mean age was 52.2±13.8 years. General anesthesia was the most common anesthesia type (89.2%), and 33.3% of patients had had a thoracoabdominal surgery. There was a statistically significant difference between pre- and postoperative third-day values, including ACT scores (22.2±3.16 and 21.59±3.84, respectively; p<0.001); forced expiratory volume during the first second (84.92±19.12 and 78.26±18.47, respectively; p<0.001); peak flow rate (79.51±21.12 and 70.01±19.72, respectively; p<0.001); and SaO2 (96.95±1.82 and 95.8±3.32, respectively; p<0.001). Bronchospasm and pain were the most common complications during the postoperative period. CONCLUSION: Controlled asthma under treatment steps 1-2-3 does not cause any serious postoperative pulmonary complications (PPCs). Therefore, achieving an optimal control level of asthma during the preoperative period must be considered the “gold standard” to reduce the risk of PPCs in asthmatic patients

Türkiye’de akciğer kanseri hastalarında uyku bozuklukları

WOS:000455820300004PubMed ID: 30683024Introduction: Sleep quality is known to be associated with the distressing symptoms of cancer. The purpose of this study was toanalyze the impact of cancer symptoms on insomnia and the prevalence of sleep-related problems reported by the patients with lung cancer in Turkey. Materials and Methods: Assesment of Palliative Care in Lung Cancer in Turkey (ASPECT) study, a prospective multicenter study conducted in Turkey with the participation of 26 centers and included all patients with lung cancer, was re-evaluated in terms of sleep problems, insomnia and possible association with the cancer symptoms. Demographic characteristics of patients and information about disease were recorded for each patient by physicians via face-to-face interviews, and using hospital records. Patients who have difficulty initiating or maintaining sleep (DIMS) is associated with daytime sleepiness/fatigue were diagnosed as having insomnia. Daytime sleepiness, fatigue and lung cancer symptoms were recorded and graded using the Edmonton Symptom Assessment Scale. Results: Among 1245 cases, 48.4% reported DIMS, 60.8% reported daytime sleepiness and 82.1% reported fatigue. The prevalence of insomnia was 44.7%. Female gender, patients with stage 3-4 disease, patients with metastases, with comorbidities, and with weight loss 5 kg had higher rates of insomnia. Also, patients with insomnia had significantly higher rates of pain, nausea, dyspnea, and anxiety. Multivariate logistic regression analysis showed that patients with moderate to severe pain and dyspnea and severe anxiety had 2-3 times higher rates of insomnia. Conclusion: In conclusion, our results showed a clear association between sleep disturbances and cancer symptoms. Because of that, adequate symptom control is essential to maintain sleep quality in patients with lung cancer.Giriş: Uyku kalitesinin, kanser semptomlarının şiddetiyle ilişkili olduğu bilinmektedir. Bu çalışmada, Türkiye’de akciğer kanseri hastalarında uyku ile ilişkili sorunların prevalansı ve kanser semptomlarının insomnia üzerine etkisinin araştırılması amaçlandı. Materyal ve Metod: Türkiye’de 26 merkezin katılımıyla gerçekleştirilen, akciğer kanserli olguların dahil edildiği çok merkezli bir çalışma olan ASPECT çalışması verileri, bu hastalarda görülen uyku sorunları, insomni ve bunların kanser semptomları ile ilişkisi yönüyle yeniden değerlendirildi. Hastaların demografik özellikleri ve hastalıkları hakkında bilgi, hasta ile yüz yüze görüşülerek ve hastane kayıtları aracılığıyla derlendi. Uykuyu başlatma ve sürdürme zorluğu (DIMS) ile gündüz artmış uyku hali veya yorgunluk tanımlayan olgular insomni olarak değerlendirildi. Gündüz uyku hali, yorgunluk ve akciğer kanseri semptomları Edmonton Semptom Değerlendirme Skalası kullanılarak kaydedildi. Bulgular: Katılan 1245 olgunun, %48.4’ünde DIMS, %60.8’inde gündüz uyku hali ve %82.1’inde yorgunluk mevcuttu. Insomni prevalansı %44.7 olarak bulundu. Kadın cinsiyet, evre 3-4 hastalık, metastatik hastalık, komorbid hastalıklar ve kilo kaybı 5 kg olan olgularda insomnia oranı anlamlı olarak daha yüksekti. Diğer yandan insomnisi olan hastalarda ağrı, bulantı, dispne ve anksiyete semptomları anlamlı düzeyde yüksek bulundu. Multivariate lojistik regresyon analizi, orta ileri şiddetli ağrısı ve dispnesi olan, ayrıca ciddi anksiyetesi olan hastalarda insomni sıklığının 2-3 kat fazla olduğunu ortaya koydu. Sonuç: Çalışmamız, kanser semptomları ile uyku kalitesi arasında yakın bir ilişki olduğunu ortaya koymuştur. Bu nedenle, akciğer kanserli hastalarda kaliteli bir uyku için, kanser semptomların yeterince kontrol edilmesi gereklidir