15 research outputs found
Elder neglect in patients with frequent emergency department admissions: a cross-sectional study
No full textBackground: Abuse and neglect, including self-neglect, are frequent among geriatric patients and can lead to serious medical consequences. Unfortunately, these issues are often overlooked. The aim of our study was to assess the impact of elder neglect on emergency department admissions among elderly individuals who frequently present to the emergency department. Methods: Elderly patients aged 65 and above who visited the emergency department at least twice within one year were included in this study. We used the Elderly Self-Neglect Scale for assessment of elder neglect, a valid and reliable tool in Turkish. Physicians recorded each patient's sociodemographic characteristics, including gender, age, marital status, number of children, cohabitation status, chronic disease and living arrangements, to evaluate their association with neglect. Results: Self-neglect was associated with marital status (F = 9.04; p < 0.05), number of children (F = 5.78; p < 0.05) and cohabitation status (F = 7.86; p < 0.05) but not with living arrangements. Conclusions: Given the increasing geriatric population, emergency physicians have an ethical duty to diagnose, treat, appropriately refer and report suspected cases of neglect. It is important to consider neglect in elderly patients who frequently present to the emergency department. Among geriatric patients, factors such as abuse, neglect, affective disorders, caregiver stress and cognitive disorders should be evaluated. Physicians involved in geriatric rehabilitation must be aware of the signs and implications of elder self-neglect
Evaluation of elderly patients in adult suicide cases admitted to the emergency department
No full textThe proportion of elderly people in the general population has been increasing in our country. The suicide rate increases by a person's age, and old age appears as one of the life periods with a high suicide incidence. We aimed at investigating the causes and risk factors of suicide attempts and to analyze the sociodemographic and clinical features of the elderly individuals presenting to the emergency department after suicide attempt. Crosssectional retrospective study was performed.1403 patients were enrolled. The patients were categorized into two age groups of 18-64 years and 65 years or older. The male gender had a greater proportion in both groups. The young group contained more subjects having an educational level of primary school while the illiterate ones in the older group had a greater suicide tendency. The married subjects had a greater suicide tendency in the younger group while widowed/divorced subjects had a greater suicide tendency in the older group. Subjects without any comorbidity or medication use had a greater suicide tendency in the younger group whereas those who had comorbidities or medication use greater suicide tendency. Mood disorders were the most common psychiatric disorder in both groups. Medication intake was the most common method of suicide in both groups; suicide attempts were more common in summer and between 16:00-24:00. Domestic problems as the cause of suicide were more common in the younger group, while communication problems were more common in the older group. Male gender, divorced/widowed, low education and sociocultural level, presence of depression, communication problems have been identified as risk factors for older group
Evaluation of patients with rheumatic diseases admitted at emergency department: 5-year analysis in a single centre
No full textBackground Chronic inflammatory diseases can lead to emergency admissions with various acute complications. Unfortunately, there is limited data on emergency admissions because of rheumatological diseases. Objectives To evaluate the patients with rheumatic diseases presenting to the emergency department (ED). Methods A total of 1788 patients with a diagnosis of inflammatory rheumatic disease admitted to the ED of a tertiary university hospital between March 2016 and March 2021 were included. The patients' socio-demographic and clinical characteristics, diagnosis and treatments in the ED were recorded. Patients' complaints were classified as rheumatological or non-rheumatological. Results Over 5 years, 1788 patients with an inflammatory rheumatic disease presented to the ED. The mean duration of rheumatological disease was 7 +/- 3.4 years, and the mean number of emergency admissions was 4.4 +/- 5. The four most common groups attending the ED were patients with rheumatoid arthritis, ankylosing spondylitis, familial Mediterranean fever and vasculitis. Of the complaints of the 1788 ED visitors, 1106 (61.9%) were rheumatological, 681 (38.1%) were non-rheumatological and other acute or chronic conditions. Twenty-three patients (1.3%) had the rheumatic disease and died after admission to the ED. When the univariable model results are examined, the risk of hospitalisation increases 1.024 times with increasing age. The risk of hospitalisation is 2.318 times higher in those with ankylosing spondylitis and 2.722 times in those with rheumatoid arthritis compared with those with a diagnosis of vasculitis. The risk of hospitalisation in patients with comorbid diseases is 1.807 times higher than those without. When the results of the multivariable model are examined, the risk of hospitalisation is 2.227 times higher in those with ankylosing spondylitis and 2.615 times in those with rheumatoid arthritis compared to those with vasculitis. Other risk factors were not statistically significant (P > .050). Conclusion Patients with the rheumatic disease most frequently presented to the ED with musculoskeletal complaints and were discharged from the ED. True rheumatological emergencies are rare, but ED physicians should be aware of serious and life-threatening conditions
Estimation and sourcing hadith of in the book of Hasan Husnu Erdem Godly Hadiths
No full textXX. asrın Türkiye'sinde yetişen, Diyanet şleri Başkanlığı vazifesiyle de üst düzey kadrolarda hizmet vermiş önemli simalardan biri de hiç şüphesiz Hasan Hüsnü Erdem'dir. Klasik Osmanlı medreselerinde geçen tahsil hayatının yanı sıra; modern tarzda da eğitim görmüş ve ilmin verilerinden istifade etme metodundaki her iki anlayışı mezcedebilme becerisi, onu ilmû bir şahsiyet olarak öne çıkarmıştır. Çalışma hayatı boyunca, pratik yönünü gözettiği, tercüme ve derleme şeklinde, ayrıca müstakillen kaleme aldığı pek çok eser telif etmiştir. Bunlardan, doksan iki adet kudsû hadisi ihtiva eden lâhû hadisler adlı eserini rivayet tekniği açısından tanımaya yönelik bu çalışma kapsamına, eserde müellif tarafından belirtilen ve ayrıca araştırma neticesinde tespit ettiğimiz Sahûhayn hadisleri dışındaki altmış dokuz rivayet dahildir. Bu altmış dokuz rivayetle ilgili, yazarın işaret ettiği kaynakların büyük bir kısmına ulaşılmıştır. Söz konusu rivayetler için kaynak olarak, hadis külliyatının ikinci tabakasına, genellikle de, içlerinde zayıf hatta uydurma rivayetler de bulunan, üçüncü ve dördüncü tabakasına dahil eserlerin kullanıldığı görülmektedir. Buna göre çalışmanın mahiyeti şöyle özetlenebilir: Birinci bölüm, Hasan Hüsnü Erdem'in hayatı, eserleri, ve kudsû hadis kavramını konu edinmektedir. kinci bölümde ise Erde' in söz konusu eseri tanıtılıp hadislerin tahrici yapılmıştır. Sonuç bölümünde ise, tahriç edilen rivayetlerin, kaynakları, nitelikleri ve sahabe ravileri açısından bir değerlendirilmesi sunulmuştur.He has been able to get education and benefit the data of science in both understanding as night school at Classical Ottoman Moslem seminary and education in modern style. This put forward him as a scientific personality. During his working life, he has compiled many books in translation and compilation that he considered their practice side also he wrote himself many books. ?Qudsi Hadiths/traditions? which composes 92 Qudsi Hadiths/traditions and this is a work which is intended to be known in narrative technique also there are sixty nine narrative which were determine by author and also we have determined at the end of research except ?sahihayn/actually Hadiths?. Regarding these sixty nine narratives, it has been reached to many of sources which are pointed by author. As the source for mentioned narratives, the works in second, third and fourth stage of Hadiths Corpus there are usually weak even untruth narratives, have been used. According to those explanations, the content of this study can be summarized as follows: The Life and Works of Hasan Hüsnü Erdem and Qudsi Hadiths/tradition concept have been subject at the first section. The mentioned works of Erdem have been introduced and the abovementioned work has been introduced and the Hadiths which were pointed at have been evaluated at the second section At the conclusion section, an evaluation have been submitted about the sources, the qualifications and narrator friends of our Prophet of analyzed narratives
Electrophysiological evaluation of upper extremity entrapment neuropathies in rheumatic diseases
No full textSystemic inflammation in rheumatic diseases (RDs) can affect the peripheral nervous system, leading to neuropathic and myopathic complications. This study aimed to assess the frequency of upper extremity entrapment neuropathies in patients with RDs and identify associated predictive variables. A secondary objective was to highlight the role of electroneuromyography (ENMG) in early diagnosis and awareness about these issue. In this cross-sectional study, 102 patients diagnosed with RDs were evaluated. Demographic and clinical data, including disease duration, medications, joint involvement, and comorbidities, were recorded. Laboratory parameters such as rheumatoid factor, cyclic citrullinated peptide, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were recorded. Patients were referred for nerve conduction studies performed according to the American Academy of Neurology standards. Disease activity was measured using the Disease Activity Score 28 for rheumatoid arthritis (RA), Disease Activity Score for psoriatic arthritis (PsA), and European League Against Rheumatism Sj & ouml;gren Syndrome Disease Activity Index for Sj & ouml;gren syndrome. The frequency of carpal tunnel syndrome was 50% in RA, 47.4% in PsA, and 22.2% in Sj & ouml;gren syndrome patients. Additionally, 9.5% of RA patients had cubital tunnel syndrome. Positive ENMG findings were weakly correlated with age (r = 0.234; P = .018), RD (r = 0.221; P = .026), ESR (r = 0.216; P = .029), CRP (r = 0.229; P = .02), disease activity (r = 0.354; P < .001), and comorbidities (r = 0.229; P = .02). Moderate correlations were observed with disease duration (r = 0.432; P = .037) and the side affected by the lesion (r = 0.447; P < .001). In ordinal regression analysis, age and CRP had a nonsignificant positive effect on abnormal ENMG results. Disease duration, ESR, diagnosis (RA/PsA), disease activity, and comorbidities showed a nonsignificant negative effect on the likelihood of normal ENMG findings. The affected side was significantly associated with ENMG results; compared to bilateral involvement, right-sided neuropathy had a 1.5% and left-sided 4.3% chance of normal ENMG results. In RD patients with symptoms such as wrist or elbow pain, tingling, or numbness, peripheral neuropathies should be considered. ENMG is a critical tool for early diagnosis, as it offers detailed insights into lesion localization, severity, and prognosis
Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis
No full textIntroduction: To compare the effects of extracorporeal shock wave therapy and kinesiotaping, performed as the first-step treatments added to physiotherapy, on pain, functionality, and quality of life among newly diagnosed lateral epicondylitis patients. Patients and Methods: Our study was retrospectively performed. The medical records of 62 patients whose treatment was designed for clinically-diagnosed unilateral lateral epicondylitis were reviewed, they were categorized into two groups each containing 31 patients. The demographic properties, profession, body mass index, dominant hand, symptom duration, and the side of the affected elbow were recorded. Patients were assessed twice; prior to treatment onset and at 1stmonth after the treatment. Pain intensity was recorded with Visual Analog Scale at rest, at night, during activity (repeated elbow motions). Patients completed quick disabilities of the arm, shoulder, and hand questionnaire for a functional evaluation. Quality of life was assessed by Short Form-36. Results: There was no statistically significant difference between the two groups in terms of demographic characteristics. When the patients were evaluated at the fourth week after the treatment; the visual analogue scale showing pain severity at rest, at night and during activity, the Q-DASH, and all sub-parameters of Short Form 36 was found significantly difference. There was no statistically significant difference between the two groups in terms of evaluation parameters. Conclusions: We reported that treatment effect of kinesiotaping to lateral epicondylitis is similar to that of ESWT. Both treatments significantly improved pain score, functional status and patient satisfaction
Evaluation of medication adherence and medication beliefs and their relation with quality of life in osteoporotic patients with and without vertebral fractures: a path analysis
No full textAbstract Background Osteoporosis (OP) is a public health problem that causes morbidity and mortality with various complications, especially fractures, negatively affects quality of life (QoL) and creates an economic burden on society. The aim of this study was to investigate the relationships among medication adherence, medication beliefs, QoL in Turkish patients with OP. Results The Medication Adherence Report Scale (MARS) total score was 17 in those with vertebral fractures and 18 in those without vertebral fractures. The total Quality of Life Questionnaire of the European Foundation for Osteoporosis (Qualeffo-41) score was 48.7 in those with vertebral fractures and 35.1 in those without vertebral fractures. Visual analog scale (VAS) of pain scores showed a moderate correlation with every domain of the Qualeffo-41 scores (r = 0.401, r = 0.412, r = 0.391, r = 0.402, r = 0.380, r = 0.387 respectively, P = 0.05) of statistically significant. Conclusions Enhancing positive medication beliefs are a promising approach to improve medication adherence, and in turn, improved diseases self management and better QoL, in OP patients
Covıd-19 Pandemi Sürecinde Düzce Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı
No full textCOVID-19 is one of the extraordinary periods in Wuhan, China, which affect the whole world, and protective measures must be taken quickly. Coronavirus Disease (COVID-19) is a highly contagious disease that causes physical, psychological and widespread systemic dysfunction in patients, causing a rapid change in our social life. In this review, we aimed to explain the pandemic process in the Department of Physical Medicine and Rehabilitation
Three Different Involvements in a Case of Ulcerative Colitis: Bilateral Femoral Head Avascular Necrosis, Spondylodiscitis and Spondyloarthropathy
No full textAvascular necrosis (AVN) is a serious condition that develops as a result of inadequate blood supply to bone tissue. This condition is usually associated with trauma, long-term steroid use, or systemic diseases. Spondylodiscitis is a serious infection affecting the spinal discs and vertebral bodies and is usually of bacterial origin. The association of spondylodiscitis and avascular necrosis is rare. In this case report, bilateral femoral head avascular necrosis and spondylodiscitis coexistence in a 53-year-old female patient diagnosed with ulcerative colitis is discussed. This case aims to emphasize the risk of developing AVN and spondylodiscitis in patients with chronic inflammatory disease who receive longterm corticosteroid treatment
AWARENESS AND APPROACHES OF FAMILY PHYSICIANS ABOUT CHRONIC PAIN
No full textPurpose: We aimed to investigate family physicians' awareness and approaches to chronic pain in its management. Methods: This study was planned as a descriptive, crosssectional study to investigate family physicians' awareness and approaches to chronic pain between September and November 2020.A questionnaire were used as data collection tools.The physicians sociodemographic characteristics, the number of registered patients, the percentage of patients with chronic pain, the status of participation in training activities on pain management, the most common cause of chronic pain, initial approach to chronic pain management were recorded. They were also questioned about the medical treatment option that they preferred for the treatment of patients with chronic pain, the most commonly demanded medication group by their patients and their practice of prescribing those medications, their views on traditional and complementary medicine, and the most effective treatment option for chronic pain. Results: 81 family physicians participated in the study. The mean age was 34.2 +/- 7.3.58% of the participants are women;42% of them were male.Half of the family physicians participating reported that low back pain was the most common cause of chronic pain. In our country, the responses given to the question about the most common causes of chronic pain were psychiatric problems and low back pain. Initial approach to a patient presenting with chronic pain, the most the physicians responsed 'I treat the patient'.66.7% of the physicians agreed with multidisciplinary approach. Conclusion: Developing algorithms for chronic pain management, structuring specialist training and planning continuous training after graduation will contribute significantly to increasing awareness of chronic pain
