Electrophysiological Correlation and Gradation of Patients Prediagnosed With Carpal Tunnel Syndrome

DergiPark: 378999tmsjAims: In this study, it is aimed to detect electrophysiological correlation of patients who were referred to TrakyaUniversity Medical Research Center Neurology Clinics Electromyography (EMG) lab in 2014 with Carpal Tunnel Syndrome (CTS) pre-diagnosis and grade them based on electrophysiological features.Methods: Electromyography (EMG) records of 174 patients who were sent to electromyography lab in 2014 withCarpal Tunnel Syndrome (CTS) pre diagnosis were scanned retrospectively. Patients were recorded with the data of gender and age. Correlation between pre diagnosis and electrophysiological diagnosis were reported statistically by using Kappa and McNemar tests. Patients were classified based on sex using Chi-square test. Number and percentages, arithmetic mean± standard deviation, median (minimum-maximum) were used as descriptive analysis. Results: Out of all electrophysiological diagnosis, 62 patients (35.6%) were consistent with pre diagnosis when 112(64.4%) were inconsistent. Out of patients who were diagnosed with Carpal Tunnel Syndrome (CTS) according to their electromyography (EMG) findings, 31 patients (48.4%) had mild syndrome.Conclusion: A big inconsistency between pre diagnosis and electromyography (EMG) results was detected. It isimportant to make a more careful and detailed examination to fix this proble

Evaluation of self-esteem and dermatological quality of life in adolescents with atopic dermatitis

Background and Design: Atopic dermatitis is a chronic, inflammatory skin disease characterized by itchy skin lesions. Since adolescents are intensely interested in their physical appearance, chronic skin diseases in this period can adversely affect the development of self esteem. Atopic dermatitis is a skin disease that affects the appearance and there is an heightened attention to the body image in adolescence which is an important period of time in the development of self-esteem. Therefore, we aimed to investigate self-esteem and dermatological quality of life in adolescents with atopic dermatitis. Materials and Methods: Thirty-three patients with atopic dermatitis and 33 healthy controls were included in the study. The Piers-Harris Children’s Self-Concept Scale and the Children’s Dermatology Life Quality Index (CDLQI) were used for determining self-esteem and quality of life. The Scoring of Atopic Dermatitis (SCORAD) Index was used to assess the severity of atopic dermatitis. Results: It was found that patient group had lower self-esteem than healthy controls according to the Piers-Harris Children’s Self-Concept Scale. A statistically significant difference was observed in happiness/satisfaction and anxiety subscale scores between the patients and healthy controls while there was no significant difference between the other sub-scale scores. Mean value of dermatological quality of life in patients with atopic dermatitis was significantly lower than in healthy controls. A moderate negative correlation was found between self-esteem and CDLQI scores among adolescents with atopic dermatitis. Discussion: This study results have shown that self-esteem and dermatological quality of life were adversely affected in adolescents with atopic dermatitis irrespective of gender. These patients should be examined psychiatrically besides dermatological examination and treatment. We suggest that improvement will be observed in self-esteem and quality of life of adolescents with atopic dermatitis by providing the necessary psychosocial support

QUALITY OF LIFE AND THE FACTORS AFFECTING IT AMONG PEOPLE AGED 75 YEARS AND OVER LIVING IN A HEALTH CENTER REGION IN IZMIR

Esentepe Sağlık Ocağı Bölgesi\'nde yaşayan 75 yaş ve üzerindeki yaşlıların yaşamkalitesini ve etkileyen etmenleri belirlemektir.Gereç ve yöntem: Kesitsel tipteki çalışma Ekim 2006-Mayıs 2007 tarihleri arasındaİzmir Esentepe Sağlık Ocağı Bölgesi\'nde gerçekleştirildi. Araştırma evreni bu bölgedeyaşayan 75 yaş ve üzeri 851 kişiydi. Standart sapma 46, ± 5 hata, %95 güvendüzeyinde 235 kişi, sistematik örneklemeyle belirlendi. Araştırmanın bağımlı değişkeniyaşam kalitesi, bağımsız değişkenleri sosyo-demografik özellikler, sosyal destek, depresyon,günlük yaşam etkinlikleri bağımlılık durumuydu. Yaşam kalitesi için SF 12,günlük yaşam etkinlikleri için Barthel İndeksi, depresyon için Geriatrik DepresyonÖlçeğinin kısa formu kullanıldı. Veri yüz-yüze görüşme tekniğiyle toplandı, bağımsızgruplarda t testi, Mann-Whitney U Testi ve çoklu regresyon ile çözümlendi.Bulgular: Araştırma grubunun yaş ortalaması 79,1 ± 4,3 (75-98), %58,9\'u kadın, %51,4\'ü evli, %45,9\'u ilkokul mezunuydu. %92,5\'inin sağlık güvencesi vardı. Yaşlıların %24,7\'sinin GYE\'de bağımlı olduğu ve %24,0\'ında depresyon varlığı saptandı.İki değişkenli analizlerde Fiziksel Bileşen Özet Skor (FBÖS) ve Ussal Bileşen ÖzetSkor (UBÖS) kadınlarda anlamlı olarak daha düşükken ortaokul veya üstü eğitimlilerde,geliri giderine eşit veya fazla olanlarda anlamlı olarak daha yüksekti. Bastonkullananlarda hem FBÖS hem de UBÖS daha düşüktü (p<0,05). FBÖS evlilerde vesağlık güvencesi olanlarda daha yüksekken kronik hastalığı olanlarda daha düşüktü(p<0,05). FBÖS ve UBÖS, depresyon ve GYE\'de bağımlılık saptananlarda anlamlıolarak daha düşüktü. Çoklu regresyon analizi sonucunda cinsiyet, baston kullanımı,bağımlılık puanı ve kronik hastalık sayısı ile FBÖS, bağımlılık ve depresyon puanı ileUBÖS arasında anlamlı ilişki olduğu saptandı.Sonuç: Yaşlılarda bağımlılık, kronik hastalık, depresyon varlığı, baston kullanımı vecinsiyet yaşam kalitesi için önemli risk etmenleri olarak bulunmuştur. Risk grupları gözönünde bulundurularak yaşlı nüfusun YK\'lerini arttırmak önemli sağlık hedeflerindenolmalıdır.Objective: The aim of the study is to define the quality of life (QoL) and the factorsaffecting it in elderly people over 75 years living in Izmir Esentepe Health CenterRegion.Material and method: The cross-sectional study was conducted during October2006 and May 2007 in Izmir Esentepe Health Center Region. The study population ofthe research consisted of 851 elderly people of 75 years of age or over living in thisregion. Twohundredthirtyfive people were determined by systematic sampling, with astandard deviation of 46, ±5 error, and 95% confidence level. The dependent variableof the study was QoL, the independent variables were socio-demographic characteristics,social support, depression, and dependency on activity of daily living (ADL). TheSF-12 was used for QoL assessment, Barthel Index for ADL, and the short form ofGeriatric Depression Scale for depression assessment. The data were collected byface to face interviews and analyzed by t test, Mann-Whitney U test and multipleregression analysis.Results: The average age was 79.1 ± 4.3 (75-98), with a female proportion of 58.9%,51.4% of the study population were married, 45.9% of them primary school graduates,and 92.5% had health insurance. It was determined that 24.7% of the elderly peoplewere dependent on GYE and 24.0% of them had depression.In univariate analyses, Mental Component Summary Score (MCSS) and PhysicalComponent Summary Score (PCSS) were significantly lower in women, althoughMCSS and PCSS were significantly higher in elderly people with middle school orhigher education, in those with spending equal to income or more income thanspending. In the elderly people using the stick, both MCSS and PCSS were lower(p<0.05). MCSS were higher in married people and in the ones with health insurancealthough in the ones with a chronic disease were lower (p<0.05). MCSS and PCSSwere significantly lower in those with depression or dependency to ADL. At the end ofmultiple regression analysis, significant relations were found between sex, dependencyscore, number of chronic diseases and using stick and MCSS and betweendependency, depression score and PCSS.Conclusion: The presence of dependency, chronic disease, and depression, usingstick and gender were found as significant risk factors for QoL. Taking risk groups intoconsideration, improving the QoL\'s of the elderly population should be one of theimportant health goals

İzmir İlinde 2004 Yılında Adli Otopsisi Yapılan Olguların Değerlendirilmesi

Adli yönden araştırma konusu olan ölümlerde, ölümün mekanizmasına, ölüm nedenine, ölümde rolü olabilecek etkenlere ışık tutabilecek bulguları araştırmak amacıyla çeşitli incelemeler yapılmaktadır. Bu amaçla bölgemizde yapılan sınırlı sayıdaki çalışmada otopsisi yapılan olguların genelde ölüm nedenleri ve orijinleri yönünden incelendiği gözlenmektedir. Çalışmamızda, otopsileri yapılan adli olguların; yaş, cinsiyet, olayın gerçekleştiği yer, ölüm nedenleri, ölüm orijinleri ve toksikolo-jik araştırma sonuçlan yönünden incelenmesi amaçlanmıştır. Adli Tıp Kurumu İzmir Grup Başkanlığı Morg ihtisas Dairesinde 2004 yılında adli otopsisi yapılan ve karara bağlanan 1051 otopsi raporu retrospektif olarak taranarak belirlenen parametreler kapsamında incelendi. Bu olguların yaş ortalaması 40,12 + 19.55 olup, %79.5'i erkektir. Olguların büyük bölümünde ölüm orijini doğaldı. Ölüm nedenleri sıralandığında, %35,1'inin kardiovasküler sistem hastalıkları, kanserler ve in-feksiyöz nedenler, %18,5'inin mekanik asfiksi, %17,2'sinin ateşli silah yaralanmaları ve %9,8'inin kesici delici alet yaralanmalarına bağlı olduğu belirlenmiştir. Doğal nedenlere bağlı ölümlerin çocuklarda erişkinlere göre, kadınlarda erkeklere göre ve asfiksilere bağlı ölümlerin de, çocuk ve kadınlarda anlamlı olarak daha fazla olduğu görülmüştür. Çalışmamızda elde ettiğimiz bulgular; yaş grupları, cinsiyet, bölge ve mevsim gibi değişkenlerin olguların ölüm orijinleri, ölüm nedenleri ve intoksikasyon durumunu etkilediğini ortaya koymuştur? Anahtar kelimeler: Adli otopsi, ölüm nedeni, ölüm orijin

Home accidents and influencing factors Ev kazalari ve etkileyen faktörler

Home accidents are not registered and evaluated sufficiently and regularly in Turkey but it is known that it is probably the most common type of accident for Turkey. The aim of this study was to define home accidents that occurred in last six months and influencing factors in Izmir, Turkey. This cross sectional study was carried out in a slum settlement area, Inonu District, Izmir. The population was 10.207 in 2003 and there were 1.765 households. Sample size was 331 households. The data was collected from 5 strata on sub districts and interviews were conducted face to face. In this research 1.332 people living in 326 houses, which were apartments (47.2%) and slum settlements (52.8%), were reached. The prevalence of home accidents in the last 6 months was 10.9% (145 cases) among the participants. The most frequent type of home accidents were falls (30.3%), including falling from high (8 cases) and cuts (29.7%). There were also severe accidents such as electrical shock (4 cases) and fire (3 cases). Only 30% of the cases applied to a health institution and 3 of them (2.1%) were hospitalized. Nine cases resulted in disability, which gives a rate of 7 per thousand, and there was no fatality. Affecting factors for home accidents were more common in women (14.5%) compared to men (7.3%, p:0.001). There were more home accidents in people under age 5 (28.8%) compared to the other ages (9.2%) (p:0.000). Age also influenced, the type of the accident; 0-4 age group has more falls and hits (71.9%) than other injuries than group of age 15 and above (39.8%) (p:0.003). In logistic regression analyses age, gender, and house type remained independent risk factors for home accidents. OR of being under 5 years old was 4.2 (95% CI 2.6-6.7); OR of being female was 2.2 (95% CI 1.5-3.1) and OR for living in an apartment was 1.5 (95% CI 1.04-2.2) for home accidents. Home accidents are very common for women and children. There should be relevant measures taken regarding the risk factors by the primary care workers by visiting the houses. Surveillance system should be set up to detect these accidents within the framework of environmental health care