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Comorbid diseases and drug usage among geriatric patients presenting with neurological problems at the emergency department [Acİl Servİse Başvuran Nörolojİk Hastalik Tanisi Alan Gerİatrİk Populasyonda Eşlİk Eden Hastaliklar ve İlaç Kullanimi]

Demir Akca A.S. | Emre U. | Ünal A. | Aciman E. | Akca F.

Article | 2012 | Turk Geriatri Dergisi15 ( 2 ) , pp.151 - 155

Introduction: Our objective in this study is to determine the presenting complaints, identify the comorbid diseases and the rate of drug usage among geriatric patients admitted to the emergency service and received a diagnosis of a neurological disorder. Materials and Method: A descriptive, and retrospective study was planned. Demographic characteristics, present diseases, use of medications, neurological diagnoses were recorded from the patients' files. Results: Geriatric patient group constituted 58.78% of the cases. Emergency department Of the 439 patients transferred to the neurology ward 239 (54.4 %) were female and 200 (45.6%) . . . were male. The rates of comorbid diseases were found to be as follows; hypertension 315 (71.8%), coronary artery disease 127 (28.9 %), diabetes mellitus 102 (23.2 %), history of stroke 111 (25.3%), dyslipidemia 37 (8.4%) and chronic obstructive pulmonary disease 35 (8.0%). 352 (80.2%) of the cases were using drug regularly. Conclusion: Chronic diseases and associated complications drug usage and adverse effects increase by aging. Awareness of these features in the geriatric population will increase the success in the treatment and follow-up. In addition, treatment costs will be reduced Daha fazlası Daha az

The relationship of Charlson comorbidity index with stent restenosis and extent of coronary artery disease

Altuntaş E. | Kalayci B. | Sahin B. | Somuncu M.U. | Cakir M.O. | Karabag T.

Article | 2018 | Interventional Medicine and Applied Science10 ( 2 ) , pp.70 - 75

Objectives: The objective of this study is to investigate the effect of comorbid conditions [Charlson comorbidity index (CCI)] on stent restenosis who underwent coronary angioplasty earlier. Methods: Patients were divided into two groups; patients with critical restenosis [recurrent diameter stenosis >50% at the stent segment or its edges (5-mm segments adjacent to the stent) (Group 1; n = 53, mean age: 63.8 ± 9.9 years)] and patients with no critical restenosis [

COMORBID DISEASES AND DRUG USAGE AMONG GERIATRIC PATIENTS PRESENTING WITH NEUROLOGICAL PROBLEMS AT THE EMERGENCY DEPARTMENT

Akca, Aye Semra Demir | Emre, Ufuk | Unal, Aysun | Aciman, Esra | Akca, Fatih

Article | 2012 | TURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISI15 ( 2 ) , pp.151 - 155

Introduction: Our objective in this study is to determine the presenting complaints, identify the comorbid diseases and the rate of drug usage among geriatric patients admitted to the emergency service and received a diagnosis of a neurological disorder. Materials and Method: A descriptive, and retrospective study was planned. Demographic characteristics, present diseases, use of medications, neurological diagnoses were recorded from the patients files. Results: Geriatric patient group constituted 58.78% of the cases. Emergency department Of the 439 patients transferred to the neurology ward 239 (54.4 %) were female and 200 (45.6%) . . .were male. The rates of comorbid diseases were found to be as follows; hypertension 315 (71.8%), coronary artery disease 127 (28.9 %), diabetes mellitus 102 (23.2 %), history of stroke 111(25.3%), dyslipidemia 37 (8.4%) and chronic obstructive pulmonary disease 35 (8.0%). 352 (80.2%) of the cases were using drug regularly. Conclusion: Chronic diseases and associated complications drug usage and adverse effects increase by aging. Awareness of these features in the geriatric population will increase the success in the treatment and follow-up. In addition, treatment costs will be reduced Daha fazlası Daha az

Substance use effects on the characteristics of crime and violence in schizophrenia [Şizofreni hastalarında madde kullanımının suç ve şiddet özelliklerine etkisi]

Çİnİk E. | Güçlü O. | Şenormanci Ö. | Aydin E. | Erkiran M. | Erkmen H.

Article | 2015 | Anadolu Psikiyatri Dergisi16 ( 2 ) , pp.104 - 112

Objective: The aim of our study is to examine the effects of the substance abuse on criminal and violent behaviors, clinical features of the disease in criminal male with schizophrenia.Methods: Male inpatients with schizophrenia diagnosed according to the DSM-IV criteria who had been hospitalized for observation or mandatory treatment in Bakırköy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery forensic psychiatry unit were participated in the study. Patients with substance use disorders according to the DSM-IV criteria at any time of their life and/or at that time were assessed, two groups as patients with . . .(n=50) and without comorbidity were evaluated using the questionnaire for demographic and clinical characteristics, Positive and Negative Syndrome Scale (PANNS), Schedule for Assessing the Three Components of Insight and Taylor’s Violence Rating Scale.Results: In our study 90% of schizophrenia patients with substance abuse comorbidity were paranoid subtype. In case of comorbidity, number of committed crimes were higher, involved serious violence included homicide and attempted homicide using frequently knives and fire guns. Eighty-eight percent of the patients with substance abuse comorbidity stated that they used cannabinoid and several substances during these crimes. Their PANSS scores were higher. It had been found that they had experienced more physical violence at childhood, more suicidal attempts and self-injury behaviors.Conclusions: Substance abuse co-morbidity in schizophrenia markedly affects the psychopathology, violent behaviors, criminal behaviors and compliance with the treatment. Studies investigating the causal relationship between substance and crime in schizophrenia can be helpful in the development of methods targeting protection. © 2015, Cukurova University, Faculty of Medicine. All rights reserved Daha fazlası Daha az

Co-morbidity of panic disorder with or without agoraphobia

Yalug I. | Tural U. | Atasoy N. | Konuk N. | Erdogan A. | Özten E. | Tufan A.E.

Article | 2007 | Neurology Psychiatry and Brain Research14 ( 2 ) , pp.59 - 64

Objective: This study evaluated the clinical and sociodemographic features associated with concurrent Axis I psychiatric disorders among adult psychiatric outpatients with panic disorder (PD) with or without agoraphobia (AG). Method: This was a retrospective chart review study of 12.980 patients treated for any psychiatric disorders in psychiatric outpatient clinics. Diagnoses of comorbid disorders were determined in a sample of 478 patients with panic disorder as defined in DSM-IV. The subjects were divided into two groups: patients panic disorder with AG (n=221) and panic disorder without AG (n=254). Sociodemographic variables, il . . .lness characteristics such as symptoms, duration of illnes and family history of psychiatric disorders were evaluated. Results: Panic disorder was prevalent among 3.7 % of the sample. The most common Axis I psychiatric disorders among groups were major depressive disorder (21.7 %) and generalized anxiety disorder (8.9 %). The prevalence of other psychiatric disorders in present study was as follows: social phobia 7.3 %; obsessive-compulsive disorder 4.6 %; posttraumatic stress disorder 4.6 %; eating disorders 1.46 %; alcohol abuse/dependence 4.6 %; somatoform disorders 0.85 %; bipolar disorder 0.6 %; dysthymic disorder 2.3 % and impulse control disorder 0.4 %. Female subjects have higher comorbid conditions compared to males. Those with more concurrent Axis I conditions had longer histories of PD and younger age of onset. © Universitätsverlag Ulm GmbH 2007 Daha fazlası Daha az

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