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An unusual case of neuro-Behçet's disease presenting with co-occurence of cerebral venous sinus thrombosis with basilar artery occlusion

Tascilar N.F. | Akman-Demir G. | Demiryurek B.E. | Tokgoz O. | Akgun N. | Ozen Barut B.

Article | 2013 | Neurological Sciences34 ( 5 ) , pp.785 - 788

Non-parenchymal neuro-Behçet disease generally affects cerebral venous sinuses, whereas intracranial intracerebral arterial involvement has been rarely reported. But co-involvement of both intracranial intracerebral artery and venous vascular systems in a patient at the same time has not been mentioned before. To the best of our knowledge, this case involving a 25-year-old male with a 7-year history of Behçet disease is the first reported of this type of involvement. He developed occlusion of the basilar artery together with thrombosis of the left sigmoid sinus, distal internal jugular vein, and straight sinus. He was successfully t . . .reated with a combination of high-dose steroid and cyclophosphamide. Cranial magnetic resonance angiography demonstrated the resolution of these abnormalities. © 2012 Springer-Verlag Daha fazlası Daha az

Sleep disturbances in essential tremor and Parkinson disease: A polysomnographic study

Barut B.O. | Tascilar N. | Varo A.

Article | 2015 | Journal of Clinical Sleep Medicine11 ( 6 ) , pp.655 - 662

Objective: Sleep problems are a common non-motor complication of Parkinson disease (PD), and patients with essential tremor (ET) share a number of motor and non-motor features of PD. To clarify the relationship between these disorders, we evaluated the sleep problems in patients with ET and PD using assessment scales and objective polysomnographic (PSG) testing. Method: Twenty-one consecutive patients with PD, 16 with ET, and 14 healthy subjects participated in this study and were compared in terms of sleep related complaints, final sleep related diagnosis, and polysomnographic features. Results: The results of our study have shown . . .that patients with PD were more likely than were those with ET to have a history of REM sleep behavior disorders (RBD) (p = 0.001) and excessive daytime sleepiness (p ? 0.05). Additionally, PSG data revealed that ET patients had lower mean SpO2values (p ? 0.05) and REM without atonia (RWA) (p = 0.032) than did patients with PD. Conclusion: This is the first study to use PSG to evaluate sleep problems both in ET and PD patients. The results point out different sleep problems in these two common movement disorders which should be investigated in further studies. © 2015, American Academy of Sleep Medicine. All rights reserved Daha fazlası Daha az

An unusual case of neuro-Behcet's disease presenting with co-occurence of cerebral venous sinus thrombosis with basilar artery occlusion

Tascilar, Nida Fatma | Akman-Demir, Gulsen | Demiryurek, Bekir Enes | Tokgoz, Ozlem | Akgun, Nergis | Barut, Banu Ozen

Letter | 2013 | NEUROLOGICAL SCIENCES34 ( 5 ) , pp.785 - 788

Non-parenchymal neuro-Behcet disease generally affects cerebral venous sinuses, whereas intracranial intracerebral arterial involvement has been rarely reported. But co-involvement of both intracranial intracerebral artery and venous vascular systems in a patient at the same time has not been mentioned before. To the best of our knowledge, this case involving a 25-year-old male with a 7-year history of Behcet disease is the first reported of this type of involvement. He developed occlusion of the basilar artery together with thrombosis of the left sigmoid sinus, distal internal jugular vein, and straight sinus. He was successfully t . . .reated with a combination of high-dose steroid and cyclophosphamide. Cranial magnetic resonance angiography demonstrated the resolution of these abnormalities Daha fazlası Daha az

Fatigue in intensive care nurses and related factors

Çelik S. | Taşdemir N. | Kurt A. | İlgezdi E. | Kubalas Ö.

Article | 2017 | International Journal of Occupational and Environmental Medicine8 ( 4 ) , pp.199 - 206

Background: Fatigue negatively affects the performance of intensive care nurses. Factors contributing to the fatigue experienced by nurses include lifestyle, psychological status, work organization and sleep problems. Objective: To determine the level of fatigue among nurses working in intensive care units and the related factors. Methods: This descriptive study was conducted with 102 nurses working in intensive care units in the West Black Sea Region of Turkey. Data were collected between February and May 2014 using a personal information form, the Visual Analogue Scale for Fatigue (VAS-F), the Hospital Anxiety and Depression Scale . . . and the Pittsburg Sleep Quality Index. Results: The intensive care nurses in the study were found to be experiencing fatigue. Significant correlations were observed between scores on the VAS-F Fatigue and anxiety (p=0.01), depression (p=0.002), and sleep quality ( Daha fazlası Daha az

Is sexual dysfunction in women with obstructive sleep apnea-hypopnea syndrome associated with the severity of the disease? A pilot study

Onem K. | Erol B. | Sanli O. | Kadioglu P. | Yalin A.S. | Canik U. | Cuhadaroglu C.

Article | 2008 | Journal of Sexual Medicine5 ( 11 ) , pp.2600 - 2609

Introduction. Obstructive sleep apnea-hypopnea syndrome (OSAHS) may have a significant negative effect on sexual function. Aim. To evaluate female sexual function in women with OSAHS. Methods. Twenty-six patients with OSAHS were evaluated in two groups according to apnea-hypopnea index as mild (5-15, Group I, N=16) or moderate-severe (?15, Group II, N=10). A third group (N=10) of patients suspected of sleeping disorders other than OSAHS who also underwent polysomnographic studies served as the control group. All women were evaluated with a detailed sexual history including Female Sexual Function Index (FSFI) questionnaire and Beck D . . .epression Inventory (BDI). Meanwhile, serum levels of estradiol, prolactin, total and free testosterone and dihydroepiandrostenedione-S were determined. Main Outcome Measures. FSFI, BDI, and serum hormonal levels. Results. The mean ages and total FSFI scores of Group I, Group II and the control group were 46 ± 7.1, 45 ± 3.8, and 41 ± 5.4 (P >0.05); 24.7 ± 5.3, 24. 5± 6.3, and 30.0 ± 2.5 (P < 0.05), respectively. The mean FSFI domain scores were not statistically different between Groups I and II (P > 0.05) (desire, 3.18 ± 1.2 vs. 2.92 ± 1.6; arousal, 3.96 ± 1.1 vs. 3.67 ± 1.2; lubrication, 4.83 ± 1.0 vs. 4.12 ± 1.1; orgasm 4.0 ± 1.1 vs. 5.15 ± 2.9; satisfaction 3.96±1.1 vs. 4.05 ± 1.4 pain; 4.84±1.2 vs. 4.65 ± 1.3). However, the mean scores of desire (3.18 ± 1.2 vs. 3.96 ± 0.7), orgasm (4.0 ± 1.1 vs. 5.0 ± 1.1), and satisfaction (3.96 ± 1.1 vs. 4.76 ± 1.0) domains of Group I were significantly lower than the control group. Meanwhile, the mean scores of desire (2.92 ± 1.6 vs. 3.96 ± 0.7) and lubrication (4.12 ± 1.1 vs. 5.22 ± 0.9) domains were statistically different between Group II and the control group. The mean BDI scores of patients in Group I, Group II and the control group were 19.3 ± 6.3, 20.2 ± 6.6, and 11.0 ± 7.1, respectively (P0.05). Conclusions. OSAHS is associated with a significant decrease in female sexual function. However, severity of OSAHS is not related with the degree of female sexual dysfunction (FSD). This situation reveals that both organic and psychogenic issues are being involved in FSD related with OSAHS. Onem K, Erol B, Sanli O, Kadioglu P, Yalin AS, Canik U, Cuhadaroglu C, and Kadioglu A. Is sexual dysfunction in women with obstructive sleep apnea-hypopnea syndrome associated with the severity of the disease? A pilot study. © 2008 International Society for Sexual Medicine Daha fazlası Daha az

Sleep disturbance in patients with lichen simplex chronicus and its relationship to nocturnal scratching: A case control study

Koca R. | Altin R. | Konuk N. | Altinyazar H.C. | Kart L.

Article | 2006 | Southern Medical Journal99 ( 5 ) , pp.482 - 485

BACKGROUND: Lichen simplex chronicus (LSC) is a common pruritic disorder resulting from repeated rubbing and scratching. Nighttime pruritus is a common feature in LSC and may disrupt the sleep pattern. The aim of this study is to determine whether there are sleep abnormalities in patients with LSC. PATIENTS AND METHODS: Fifteen patients with LSC and 15 age-, sex- and body mass index-matched control subjects were enrolled in the study. No participant had any other medical or psychiatric illness. All subjects were evaluated by overnight polysomnography, scratch electrodes, Epworth sleepiness scale and a general questionnaire for demog . . .raphic data and sleep problems. RESULTS: There were no significant differences in the groups for total sleep time, sleep efficiency, sleep latency, rapid eye movement (REM) latency, percentage of stage 1 non-REM sleep and REM sleep. The percentage of stage 2 non-REM sleep was higher (P < 0.05) and the percentage of slow wave sleep (stages 3 and 4) was lower in the study group (P < 0.05) than in the controls. The patient group had a mean of 15.9 ± 7.5 arousal index and 22.8 ± 14.1 awakenings compared with 9.5 ± 3.1 and 10.4 ± 3.9, respectively, in the controls (P < 0.05, P < 0.01, respectively). Arousals of patients were mainly observed in non-REM sleep. The number of scratching bouts ranged from 6 to 20 per night. Scratching episodes were observed frequently during stage 2 non-REM sleep. CONCLUSION: Polysomnographic findings of patients with LSC demonstrated that sleep structure is disturbed by arousals and awakenings related to scratching bouts during sleep. Copyright © 2006 by The Southern Medical Association Daha fazlası Daha az

Hastaların meme ameliyatı sonrası ilk 24 saat uyku özelliklerinin aktigrafi yöntemi ile değerlendirilmesi

Zor, Sercan

Master Thesis | 2017 | Bülent Ecevit Üniversitesi, Sağlık Bilimleri Enstitüsü, Hemşirelik Ana Bilim Dalı Cerrahi Hastalıkları Hemşireliği Programı

Bu araştırma, hastaların meme ameliyatı sonrası ilk 24 saat uyku özelliklerinin aktigrafi yöntemi ile değerlendirilmesi amacıyla yürütüldü. Araştırma tanımlayıcı olarak, Mayıs 2016- Mayıs 2017 tarihleri arasında Bülent Ecevit Üniversitesi Sağlık Uyulama Araştırma Merkezi genel cerrahi kliniğinde yürütüldü. Araştırmanın örneklemini, araştırmaya katılmayı kabul eden, ilk defa meme ameliyatı geçiren ve olasılıksız rastlantısal örnekleme yöntemi ile seçilen 35 hasta oluşturdu. Bülent Ecevit Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan ve Bülent Ecevit Üniversitesi Sağlık Uyulama Araştırma Merkezi Müdürlüğünden yazılı izin alındı. V . . .eriler Veri Toplama Formu, Pittsburg Uyku Kalitesi İndeksi ve Uyku Düzenini Etkileyen Etmenler Formu kullanılarak yüz yüze görüşme yöntemiyle toplandı. Ameliyat sonrası uykuya ilişkin veriler ise aktigrafi yöntemi ile toplandı. Verilerin değerlendirilmesinde kategorik değişkenlere ait tanımlayıcı istatistikler frekans ve yüzde, sürekli değişkenler ortalama ve standart sapma ile verilmiştir. Normal dağılım göstermeyen sürekli değişkenler arası ilişki Spearman korelasyon ve kısmi korelasyon analizi ile incelenmiştir. Hastaların Pittsburg Uyku Kalitesi İndeksi toplam puan ortalaması 3.82±1.74 olduğu, gece uyku etkinliğinin (%) ortalama 88.59±3.84, yatakta kalma sürelerinin 201.60±80.71 dakika, uyku sürelerinin ise 183.00±70.43 dakika olduğu saptandı. Hastaların Uyku Düzenini Etkileyen Etmenler Formundan en az 77 en fazla 119 puan aldıkları ve ortalama puanın 88.74±7.81 olduğu belirlendi. Sonuç olarak meme ameliyatı sonrası hastaların uyku özelliklerinin etkilendiği ve uyku sürelerinin azaldığı saptandı. This research was conducted with the aim of evaluate patients’ sleep features with actigraphy method in first 24 hours after breast surgery. The research was carried out between May 2016 and May 2017 at Bulent Ecevit University Health Research and Application Centre general surgery clinic. The sample, it comprised randomly selected 30 patients who had been having breast surgey, who could maintain communication and who agreed to participate to the study. Prior to the implementation, written consent of Bulent Ecevit University Clinic Research Ethics Committee and Bulent Ecevit University Health Research and Application Centre’s Management was obtained. The data were collected via face-to-face interviews and by means of Data Collection Form Pittsburgh Sleep Quality Index and Form of Factors Affecting Sleep Pattern. Data related to postoperative sleep colected by actigraphy method. Evaluation of the data is presented frequencies and percentages, continuous variables with mean and standard deviation in descriptive statistics for categorical variables. The relationship between continuous variables with not normal distribution examined, partial correlation analysis and Spearman Correlation analysis. The patients' Pittsburgh Sleep Quality Index mean score was found 3.82±1.74, and postoperative sleep efficiency (%) average was found 88.59±3.84, bed time average was found 201.60±80.71 minutes, sleep time average was found 183.00±70.43 minutes. Patients had 88.74±7.81mean score from the Form of Factors Affecting Sleep Pattern, the lower score was 77 and the highest score was 119. As a result, it was found that patients sleep characteristics was affected and sleep time decrase after breast surgery Daha fazlası Daha az

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