The prevalence of probable migraine and sleep quality among women aged 20-49 living in a semi-rural area in western Turkey

Background: We aimed to evaluate the prevalence of probable migraine, to examine the factors associated with probable migraine and to assess the level of sleep quality among women aged 20-45 who were living in the county town named Mahmudiye, in Eskisehir, in Turkey.Methods: The study was carried out in all women aged 20-45 years in Mahmudiye. 69.2% of women (n=570) comprised the study group. Questionnaire consisted of three parts: The first part included several socio-demographic, nutritional and health characteristics. The second part included questions about the headache type and third part included Pittsburgh Sleep Quality Index (PSQI). Migraine type headache was scanned via the International Headache Society (IHS) criteria for migraine. There were eight criteria which were defined by IHS. Individuals who possessed the six of the eight criteria were defined as “probable migraine”.Results: The mean age of the participants was 32.8±7.3 years. Prevalence of probable migraine was 13.3% (n=60) and it was significantly higher in women who have been smoking and who had a physician diagnosed chronic diseases. Of the women, 45.1% had poor sleep quality based on the PSQI. The sleep quality of probable migraineurs was found significantly lower than healthy women.Conclusions: To control the probable migraine symptoms and attacks, we suggest to giving regular treatment to women with chronic diseases and reducing the smoking.

Eating disorders and anxiety among high school students in Western area of Turkey

Background Eating disorders (ED) are the one of the most common chronic illness among adolescents. The aim of the present study was to investigate eating disorders and it's associations between anxiety among high school students in Sivrihisar in Eskisehir, Turkey.Methods: This cross-sectional study was carried out in the high school students of center of Sivrihisar between 01 January 2014 and 28 February 2014. The questionnaire prepared according to literature, consisting of 3 parts (socio-demographic characteristics, eating attitude test (EAT-40) and beck anxiety inventory (BAI)). The students completed questionnaire in the presence of a member of the research team. The data collected were self-reported by the students.Results: Of the study group 64.4% (n=625) were females and 35.6% (n=345) were males. The prevalence of eating disorder was 13.0% (n=126). The mean and standard deviation of students' total score of EAT-40 were 18.80±9.88 (ranged 3 to 95).  The mean and standard deviation of students' total score of BAI were 20.32±12.32 (ranged 0 to 63). The positive weak correlation was found between the total scores of EAT-40 and BAI (r=0.178; p=0.001).Conclusions: ED is an important health problem for adolescents. On the studies upon epidemiology of ED towards high school students, socio-economic factors should be assessed in more detailed and more comprehensive perspective.

The prevalence of vertigo among high school students and an evaluation of quality of life

Background: The purpose of the study is to determine the prevalence of vertigo among secondary and high school students, to examine the variables thought to be related and to evaluate the quality of life.Methods: This study was carried out between 1st November-30th December 2016 on secondary and high school students in Beylikova and Sivrihisar counties which is located at the research area of the Department of Public Health Eskisehir Osmangazi University. Those who had dizziness within the last three months have been assumed as having vertigo. Visual Analog Scale has been used in order to evaluate the severity of vertigo. The life quality of children has been evaluated through Quality of Life Scale (QoL) for Children.Results: The study group has been composed of 911 males (46.5%) and 1.047 females (53.5%). The prevalence of vertigo has been determined as 30.8%. The most common concomitant symptoms of students are headache (22.6%), staggering while walking (15.8%), and tinnitus (10.3%).It has been found that the QoL of students having complaints of vertigo is lower than that of those not having complaints of vertigo. The most common type of vertigo within the study group has been Orthostatic Dizziness (70.0%). There has been no correlation between types of vertigo and QoL; however, when the severity of vertigo is considered, it has been found within our study group that the QoL of the students having mild vertigo is higher than that of those having moderate or higher severity of vertigo(p<0.05.Conclusions: Vertigo is one of the most common symptoms among children and adolescents and may result from many factors. It may be useful to carry out screening with the purpose of early diagnosis and treatment parentheses, direct diagnosed cases to specialist physicians and organize events to create awareness. More comprehensive studies are needed to reveal the relationship between vertigo and QoL

Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, and laparoscopic pectopexy for apical prolapse

WOS: 000446097700020PubMed ID: 30044591Objective: To investigate differences in perioperative complications and short-term outcomes of patients who underwent abdominal sacrocolpopexy sacrohysteropexy, laparoscopic sacrocolpopexy / sacrohysteropexy, or laparoscopic pectopexy due to apical prolapse. Materials and Methods: A retrospective cohort study was performed on 110 patients who underwent apical prolapse surgery between January 1, 2011, and July 31, 2017. Only symptomatic uterine or vaginal vault prolapse patients with stage 2-4, according to the pelvic organ prolapse quantification system, were included. Baseline and intraoperative variables of groups; perioperative complications, including hemorrhage, urinary, and wound complications, blood transfusion, ileus, and short-term outcomes were compared. Results: A total of 68 abdominal sacrocolpopexies (44 sacrocolpopexies and 24 sacrohysteropexies), 14 laparoscopic sacrocolpopexies (10 sacrocolpopexies and 4 sacrohysteropexies), and 28 laparoscopic pectopexies (16 pectopexies and 12 pectohysteropexies) were analyzed. Baseline characteristics and intraoperative variables were similar. However, the mean operating time was significantly shorter in the laparoscopic pectopexy group (74.9 min) when compared with that of the other groups (p < 0.01). During the six-month follow-up period, no prolapse recurrence and mesh erosion / exposure were observed in any group. De-novo stress urinary incontinence, urgency, and defecation problems, as well as perioperative complication rates, were not statistically significantly different between the groups. Conclusions: Although the complication rates and short-term outcomes were not significantly different between the groups, minimally invasive approaches were associated with reduced procedural-related morbidity. Laparoscopic pectopexy is a promising endoscopic prolapse surgery and can be an alternative technique to sacrocolpopexy

Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, and laparoscopic pectopexy for apical prolapse

ABSTRACT Objective: To investigate differences in perioperative complications and short-term outcomes of patients who underwent abdominal sacrocolpopexy / sacrohysteropexy, laparoscopic sacrocolpopexy / sacrohysteropexy, or laparoscopic pectopexy due to apical prolapse. Materials and Methods: A retrospective cohort study was performed on 110 patients who underwent apical prolapse surgery between January 1, 2011, and July 31, 2017. Only symptomatic uterine or vaginal vault prolapse patients with stage 2-4, according to the pelvic organ prolapse quantification system, were included. Baseline and intraoperative variables of groups; perioperative complications, including hemorrhage, urinary, and wound complications, blood transfusion, ileus, and short-term outcomes were compared. Results: A total of 68 abdominal sacrocolpopexies (44 sacrocolpopexies and 24 sacrohysteropexies), 14 laparoscopic sacrocolpopexies (10 sacrocolpopexies and 4 sacrohysteropexies), and 28 laparoscopic pectopexies (16 pectopexies and 12 pectohysteropexies) were analyzed. Baseline characteristics and intraoperative variables were similar. However, the mean operating time was significantly shorter in the laparoscopic pectopexy group (74.9 min) when compared with that of the other groups (p < 0.01). During the six-month follow-up period, no prolapse recurrence and mesh erosion / exposure were observed in any group. De-novo stress urinary incontinence, urgency, and defecation problems, as well as perioperative complication rates, were not statistically significantly different between the groups. Conclusions: Although the complication rates and short-term outcomes were not significantly different between the groups, minimally invasive approaches were associated with reduced procedural-related morbidity. Laparoscopic pectopexy is a promising endoscopic prolapse surgery and can be an alternative technique to sacrocolpopexy

An observational, multicenter, registry-based cohort study of Turkish Neonatal Society in neonates with Hypoxic ischemic encephalopathy

BACKGROUND: Hypoxic ischemic encephalopathy (HIE) is a significant cause of mortality and short- and long-term morbidities. Therapeutic hypothermia (TH) has been shown to be the standard care for HIE of infants ≥36 weeks gestational age (GA), as it has been demonstrated to reduce the rates of mortality, and adverse neurodevelopmental outcomes. This study aims to determine the incidence of HIE in our country, to assess the TH management in infants with HIE, and present short-term outcomes of these infants. METHODS: The Turkish Hypoxic Ischemic Encephalopathy Online Registry database was established for this multicenter, prospective, observational, nationally-based cohort study to evaluate the data of infants born at ≥34 weeks GA who displayed evidence of neonatal encephalopathy (NE) between March, 2020 and April 2022. RESULTS: The incidence of HIE among infants born at ≥36 weeks GA (n = 965) was 2.13 per 1000 live births (517:242440), and accounting for 1.55% (965:62062) of all neonatal intensive care unit admissions. The rates of mild, moderate and severe HİE were 25.5% (n = 246), 58.9% (n = 568), and 15.6% (n = 151), respectively. Infants with severe HIE had higher rates of abnormal magnetic resonance imaging (MRI) findings, and mortality (p6 h) (p>0.05). TH was administered to 85 (34.5%) infants with mild HIE, and of those born of 34-35 weeks of GA, 67.4% (n = 31) received TH. A total of 58 (6%) deaths were reported with a higher mortality rate in infants born at 34-35 weeks of GA (OR 3.941, 95% Cl 1.446-10.7422, p = 0.007). CONCLUSION: The incidence of HIE remained similar over time with a reduction in mortality rate. The timing of TH initiation, whether <3 or 3-6 h, did not result in lower occurrences of brain lesions on MRI or mortality. An increasing number of infants with mild HIE and late preterm infants with HIE are receiving TH; however, the indications for TH require further clarification. Longer follow-up studies are necessary for this vulnerable population