Related Factors In Patients Research Articles

Falls, fear of falling, and related factors in patients with diabetic foot disease

BackgroundFalls and fear of falling (FOF) are common in patients with diabetic foot disease (DFD). PurposeTo understand the relationship between falls, FOF, and related factors in patients with DFD. MethodWe recruited 70 patients being treated for DFD at two hospitals in Korea. A structured questionnaire was used in investigating fall experience, FOF, and related factors. ResultsAmong the participants, 42.8 % fell in the past year, and FOF was reported in 57.1 %. Rates of “no caregiver,” “DFD duration (>1 year),” and “burning pain” were higher in fallers than non-fallers. The rates of “older adults (≥65 years of age),” “unemployed,” “not using assistive devices,” “visual impairment,” and “hearing impairment” were higher in patients with FOF than in those without FOF. However, the level of balance confidence was lower in patients with FOF. ConclusionsThe fall experience of patients with DFD was associated with the presence of their caregiver, disease-related factors, and foot pain symptoms, while FOF was related to age and fall-related factors.

Factors affecting unmet medical needs of patients with diabetes: A population-based study.

The purpose of this study was to identify unmet medical needs and related factors in patients with diabetes. A cross-sectional study. Participants included 2269 diabetes patients aged >19 years by using data from the National Health and Nutrition Examination Surveys. A complex sample design multiple logistic regression analysis was performed. The study found that 8.7% of diabetes patients experienced unmet medical needs, and it was found to be higher for those who thought their self-assessed health status was unhealthy and often felt stressed in their daily life. Gender and education level had a moderating effect on income level on unmet medical needs experience. These findings have important implications for nursing practice in the management of diabetes. Nurses can develop targeted interventions that address the specific needs of patients who are at risk for unmet medical needs, particularly those from low-income backgrounds. By considering the factors that contribute to unmet medical needs and the moderating effect of income level, nurses can improve patient outcomes and reduce the burden of diabetes.

Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta-analysis.

The goal of this systematic review and meta-analysis is to provide an overview of the prevalence of surgical wound infection and related factors in patients after long bone surgery. A comprehensive, systematic search was conducted in different international electronic databases, such as Scopus, PubMed, Web of Science and Persian electronic databases such as Iranmedex and Scientific Information Database using keywords extracted from Medical Subject Headings such as "Prevalence", "Surgical wound infection", "Surgical site infection" and "Orthopedics" from the earliest to the May 1, 2023. The appraisal tool for cross-sectional studies (AXIS tool) evaluates the quality of the included studies. A total of 71 854 patients undergoing long bone surgery participated in 12 studies. The pooled prevalence of surgical wound infection in patients who underwent long bone surgery reported in the 12 studies was 3.3% (95% CI: 1.5%-7.2%; I2 = 99.39%; p < 0.001). The pooled prevalence of surgical wound infection in male and female patients who underwent long bone surgery was 4.6% (95% CI: 1.7%-11.7%; p < 0.001; I2 = 99.34%) and 2.6% (95% CI: 1.0%-6.3%; I2 = 98.84%; p < 0.001), respectively. The pooled prevalence of surgical wound infection in patients with femur surgery sites reported in nine studies was 3.7% (95% CI: 2.1-6.4%; I2 = 93.43%; p < 0.001). The pooled prevalence of surgical wound infection in open and close fractures was 16.4% (95% CI: 8.2%-30.2%; I2 = 95.83%; p < 0.001) and 2.9% (95% CI: 1.5%-5.5%; I2 = 96.40%; p < 0.001), respectively. The pooled prevalence of surgical wound infection in patients with diabetes mellitus (DM), hypertension (HTN) and cardiovascular disease (CVD) was 4.6% (95% CI: 2.3%-8.9%; I2 = 81.50%; p < 0.001), 2.7% (95% CI: 1.2%-6.0%; I2 = 83.82%; p < 0.001) and 3.0% (95% CI: 1.4%-6.4%; I2 = 69.12%; p = 0.006), respectively. In general, the different prevalence of surgical wound infection in patients undergoing surgical treatment after long bone fracture may be caused by underlying factors (gender and co-morbidity) and fracture-related factors (surgery site and type of fracture).

#4268 RELATIONSHIP BETWEEN MEASURED SLEEP QUALITY AND CLINICAL PARAMETERS IN DIALYSIS PATIENTS

Abstract Background and Aims Poor sleep quality in dialysis patients has been well reported and has deleterious effects on quality of life. Factors affecting the sleep quality in these patients have not been very well explored. Actigraphy using wearable devices with 3D accelerometers is a well-recognised method of analysing the sleep quality. We set out to determine the relationship of sleep quality parameters measured using actigraphy with dialysis related factors in patients on dialysis. Method We conducted a prospective analysis of 95 patients, involving 75 In Centre Haemodialysis (ICHD), 15 Home Haemodialysis (HHD) and 8 Peritoneal dialysis (PD) patients. Sleep data was collected using Actigraph wrist device. Participants were instructed to wear the device 24 hours a day for consecutive 7 days. Sleep data analysis was conducted with Actilife software using Cole-Kripke sleep-wake algorithm. Sleep quality parameters used for assessment included Sleep Efficiency, Average Total sleep time (TST), Wake after sleep onset (WASO), Number of Awakenings, Sleep Fragmentation index. All of these are well recognised sleep quality parameters. Demographic and clinical information was collected prospectively from medical records. Results Our study cohort was well representative of general dialysis population. Median Age was 65 years, with 65.6% Males and 34.4% Females. All sleep quality parameters were considerably poor compared to age matched general population. Mean Sleep Efficiency was 77.5% (Normal for age matched general population is 83.2%), Mean TST was 318 minutes (Normal 372 minutes), Mean WASO was 83 minutes (Normal 64 minutes), Mean Sleep Fragmentation index was 43. None of the sleep quality parameters had significant difference in different dialysis modalities in our study. Amongst the predictors of sleep quality, serum phosphate had significant association with increased WASO (p = 0.002). Mean WASO was 99 minutes for patients with serum Phosphate &amp;gt; 1.8 mmol/L compared to 74 minutes for those with serum phosphate of &amp;lt; 1.8 mmol/L. Serum phosphate had a borderline significant positive correlation with Number of Awakenings (p = 0.06) and borderline significant negative correlation with Sleep Efficiency (p = 0.06). Renal urea clearance (KRU) had statistically significant positive correlation with sleep efficiency (p = 0.013) but didn’t reach statistical significance in relation to the other sleep quality parameters. Urine volume also had positive correlation with sleep efficiency nearly reaching statistical significance (p = 0.055). Other factors analysed during the study didn’t appear to have any significant associations with sleep quality. Conclusion Actigraphy is non-invasive, less cumbersome, and reliable method of sleep assessment in dialysis patients. Compared to the age matched general population, dialysis patients have objectively measured poor sleep quality. Serum phosphate has significant negative impact on sleep quality possibly secondary to hyperphosphatemia-related side effects. Residual kidney function has positive association with sleep efficiency. This study highlights the potential importance of preserving residual kidney functions and treating hyperphosphatemia in dialysis patients which warrants further research.

Abuse and addiction in gabapentinoid drug users for neuropathic pain.

Gabapentinoids are gamma-aminobutyric acid analogue agents used in the treatment of neuropathic pain. They are increasingly being abused to achieve euphoric and dissociative effects. This study aimed to determine drug misuse/abuse and related factors in patients who used gabapentinoids for neuropathic pain. This study included 140 patients over the age of 18. Patients were excluded from the study if they had aphasia, dementia, or diseases that led to aphasia or cooperative and cognitive dysfunction. They were also excluded if they lacked sufficient information about how long or at what dosage they had been using the drug. The Beck Depression Inventory and Beck Anxiety Inventory were used to evaluate depression and anxiety states. The patients' levels of drug abuse were determined according to the definitions provided in the terminology for misuse, abuse, and related events. The mean age of the patients was 56.78 ± 14.45 years, and 52.1% of them were females. While 57.9% of the patients used pregabalin, 42.1% of the patients used gabapentin. For the median (min-max) of the dataset, the pregabalin dose was 300 (50-600) mg/day, and the gabapentin dose was 900 (300-2,400) mg/day. Abuse was present in 17.9% of the patients. Risk factors for gabapentinoid abuse were smoking, alcohol, and antidepressant use, anxiety and depression, living alone, and drug dose and duration of use. Before prescribing drugs and managing the treatment process in a controlled manner, questioning patients about their risk factors can reduce the rate of abuse.

Factors Related to Oral Problems in Patients with Prolonged Disorders of Consciousness in Long-Term Care: A Cross-Sectional Study.

Factors influencing oral problems, such as malocclusion and oral motor dysfunction, in patients with prolonged disorders of consciousness (DOC) remain unclear. This study aimed to clarify the relationship between oral problems and physical function, communication, respiration, and oral intake status, as well as related factors in patients with DOC receiving long-term care at home. A cross-sectional study was conducted in October 2018; 127 patients who developed DOC > 5 years ago were analyzed. The differences between patients with and without oral problems were examined, and a binomial logistic regression analysis was performed to examine factors associated with oral problems, with the presence of oral problems as the dependent variable, and age, the number of years since onset, drooling, oral intake status, and the presence of a family dentist as explanatory variables. A post hoc power analysis of the binomial logistic regression analysis for oral problems (odds ratio: 2.05, alpha value: 0.05, incidence of oral problems: 0.80, and total sample size: 127) demonstrated an observed power of 93.09%. Oral intake status (p = 0.010) and the number of years since onset (p = 0.046) were significantly related to oral problems. Preventive oral management and rehabilitation from the early stage after onset may be effective for oral problems in patients with DOC.

Survival for patients of stage III non-small cell lung cancer after radiotherapy in different periods.

e20611 Background: Concurrent chemoradiotherapy (CCRT) is the main treatment for patients of unresectable stage Ⅲ non-small cell lung cancer (NSCLC).To retrospectively analyze prognosis and its related factors for patients of unresectable stage III NSCLC after radiotherapy in different periods. Methods: From 2000 to 2010 and from 2015 to 2019, patients of stage III NSCLC which received radiotherapy in the Fourth Hospital of Hebei Medical University were enrolled. Statistical analysis was used with the SPSS 21.0 software.The Kaplan-Meier method, log-rank test and Cox model were used for survival analysis, univariate analysis, and multivariate analysis, respectively. Results: A total of 808 patients of stage III NSCLC were enrolled. There were 674 males and 134 females. The median age was 63 years old( 29-86 years old ) . Radiotherapy (RT) were performed in 474 patients between 2000 to 2010 and in 334 patients between 2015 to 2019. There were 240 cases received with RT alone, 449 cases with sequential chemoradiotherapy (Seq-CRT) and 119 cases with CCRT. 55 were treated with 3-dimensional radiotherapy (2DRT) plus 3-dimensional conformal radiotherapy (3DCRT)，386 with 3DCRT，and 367 with intensity-modulated radiotherapy（IMRT)， respectively. The median doses was 60 Gy (range 36-77Gy). The median overall survival (OS) was 21.0 months (19.4-22.6 months), and the 1-, 3- and 5-year OS rates were 69.8%, 30.7% and 21.3%, respectively. Under univariate analysis, gender, age, radiotherapy technology，period of treatment and whether combined chemotherapy were significantly associated with OS ( P&lt; 0.05). The median OS was 18.0 months in group of 2000-2010 and 26.1 months in group of 2015-2019, respectively. The median OS for groups of2DRT+3DCRT, 3DCRT and IMRT were 10.0, 21.0, 23.4 months, respectively. The median OS for RT alone, Seq-CRT and CCRT was 17.0, 21.0, 30.3 months, respectively. Under multivariate analysis, sex, age, times of RT and combined chemotherapy were independent prognostic factors for OS ( P&lt; 0.05). Conclusions: From 2DRT to 3DCRT or IMRT, the OS in patients of stage Ⅲ NSCLC was gradually increased; the OS was more higher in patients treated between 2015-2019 also. In addition, the OS was significantly longer in patients with CCRT than with Seq-CRT or RT alone.

Dynamics of neutralizing antibodies against severe fever with thrombocytopenia syndrome virus

ObjectivesSevere fever with thrombocytopenia syndrome (SFTS) virus (SFTSV) is an emerging tick-borne bunyavirus with a high pathogenicity. Little is known about the longitudinal dynamics of the SFTSV-specific neutralizing antibody (NAb) and the related factors in patients with SFTS. MethodsA prospective cohort study of patients with laboratory-confirmed SFTS were conducted. Antiglomerulonephritis-immunoglobulin G (anti-Gn-IgG) and NAb titers were examined in serially collected serum samples, and their dynamic features were analyzed. ResultsNAb was initially detected at 15 days after symptom onset in surviving patients with SFTS, with positive rates of 37.21% (16/43), whereas neither anti-Gn-IgG antibody nor NAb was detected in patients with fatal SFTS during their hospitalization. The NAb levels reached the peak at 2 months after symptom onset, and then gradually declined, with a rapid downward trend from 6 months to 4 years and a relatively slow downward trend from 5 to 10 years. There was a positive correlation between NAb and anti-Gn-IgG titers in surviving patients with SFTS (r = 0.699, P <0.001). Patients with a mild illness or low viral load experienced early NAb seroconversion. Six different dynamic patterns of NAb were noted in surviving patients. ConclusionThese data provide useful information regarding the dynamic changes in NAb in patients with SFTS during the acute and convalescent phases and the follow-up period.

Causality relationship between Hounsfield Unit in epidural hematoma and subdural hematoma and hematoma expansion

Background: Traumatic brain injury (TBI) is damage to the head caused by an external physical attack/impact. Deaths that occur from brain injury are 14-30 out of 100,000 population each year. TBI is diagnosed using Computed Tomography (CT) as the gold standard. Different densities of the pathological feature on CT can be measured by Hounsfield Unit (HU) to define its pathology. We try to asses if the HU can predict the hematoma expansion in TBI. Methods: This research is an observational study. The data is taken from the radiology installation data of the emergency care installation at the Dr. Soetomo Regional General Hospital regarding factors that play a role in hematoma expansion with related factors in patients with subdural and epidural bleeding. Data were taken from January 2021 to December 2021. The factors analyzed were Hounsfield Unit, age, and hemostasis factors. Results: In this study, there were 30 patients. This study was dominated by men (73.00%) and the age group of 16-20 years (26.6%). The mean PTT value in this study's subjects was 13.3±3.27. The mean value of APTT is 29.8±2.82. The average Hounsfield Unit is 43.60±5.82. No significant relationship was found between Houndsfield Unit, Age, APTT level, and age with hematoma expansion. A significant relationship was found between PTT and hematoma expansion. Simultaneously Hounsfield Unit, PTT, APTT, and age had a significant relationship with hematoma expansion. Conclusion: There was no statistically significant relationship between Hounsfield Unit and hematoma expansion. There is a statistically significant relationship between PTT and hematoma expansion. Simultaneously found a significant relationship between Hounsfield Unit, PTT, APTT, age, and bleeding activity.

Cardiovascular Risk, Risk Knowledge, and Related Factors in Patients

Objective: The aim of this study was to investigate cardiovascular risk, risk knowledge, and related factors in patients. Method: The descriptive and corelational study was carried out with 340 patients who applied to the state hospital between November 2018 and March 2019 and agreed to participate in the study. Data was collected through face-to-face interviews with the scale of the Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) and Systematic Coronary Risk Evaluation (SCORE) Calculator. Results: In the study, it was found that patients were in the middle risk group in terms of cardiovascular risk, and their risk information level was slightly higher than the average. There was no statistically significant relationship between the level of knowledge of patients and the level of cardiovascular risk (r= -.062, p=.256). Conclusion: The study emphasises that initiatives should be developed to increase awareness of cardiovascular disease risks in Turkey and to increase the level of cardiovascular disease risk information available in order to prevent diseases. Preventative strategies can reduce the risk of cardiovascular disease and improve outcomes. Nurses should assess risk knowledge in patients to ensure best outcomes.

Evaluation of Temporomandibular Joint Dysfunction in Traumatic Brain Injury Patients.

The aim of this study was to evaluate the frequency of temporomandibular joint dysfunction and related factors in patients with traumatic brain injury. A total of 60 participants, 30 patients with traumatic brain injury and 30 healthy volunteers of similar age, have been included in this study, which was designed as a hospital-based cross sectional study. Fonseca questionnaire was used to evaluate and classify the temporomandibular joint dysfunction. Temporomandibular joint range of motion was evaluated with a digital caliper, and masticatory muscles pressure pain threshold was evaluated with an algometer. Labial commissure angle measurement was used to evaluate the severity of facial paralysis. Complications related to traumatic brain injury were recorded in patients with traumatic brain injury. According to Fonseca questionnaire score, 80% of traumatic brain injury patients and 16.7% of the control group had temporomandibular dysfunction (p < 0.001). In the intergroup comparison, a significant decrease was found in all temporomandibular range of motion and masticatory muscles pressure pain threshold parameters in favor of the traumatic brain injury group (p < 0.001). Labial commissure angle and Fonseca questionnaire scores were higher in the traumatic brain injury group (p < 0.001). The frequency of temporomandibular dysfunction was more common in traumatic brain injury patients with headache than in those without headache, as shown by the results of the Fonseca questionnaire (p=0.044). Compared to healthy controls, patients with traumatic brain injury experienced issues with the temporomandibular joint more frequently. Additionally, TBI patients with headaches had a greater frequency of temporomandibular joint dysfunction. Therefore, it is advised to check for temporomandibular joint dysfunction in traumatic brain injury patients during follow-up. In addition, the presence of headache in traumatic brain injury patients may be a stimulant for temporomandibular joint dysfunction.

Potentially inappropriate medication use based on two deprescribing criteria and related factors in patients with terminal cancer: A cross-sectional study

IntroductionWe aimed to estimate the nationwide prevalence of potentially inappropriate medication (PIM) use in patients with terminal cancer according to two deprescribing criteria for patients with a limited lifespan. Materials and MethodsThis cross-sectional study evaluated the prevalence of PIM use using two datasets: national claims data and single-tertiary hospital data. In the claims data, patients with terminal cancer were defined as patients with cancers who died between April and June 2018 and were prescribed opioid analgesics or megestrol or were hospitalized for >90 days before the date of death. Using hospital data, patients who were enrolled in hospice care in 2019 were identified. PIM was defined according to the adjusted criteria from the Screening Tool for Older Persons' Prescriptions in frail adults with limited life expectancy (STOPPFrail) versions 1 and 2 and oncological palliative care deprescribing guidelines (OncPal) guidelines. ResultsFrom the national claims data and single-tertiary hospital data, 1,558 patients and 1,243 patients were included in the analysis, respectively. In both datasets, over 60% of patients used five or more medications (claims data: 67.7%; hospital data: 63.9%), and approximately half of them used at least one PIM (claims data: 51.5%; hospital data: 43.2%). Lipid-lowering agents, acid suppressors, and hypoglycemics were common PIMs. Polypharmacy, age, and comorbid conditions, including diabetes, were associated with PIM use. DiscussionApproximately two-thirds and half of the patients with terminal cancer were exposed to polypharmacy and at least one PIM based on the STOPPFrail and OncPal criteria, respectively; therefore, deprescribing PIM in patients with terminal cancer is an urgent issue.

Tuân thủ điều trị và một số yếu tố liên quan ở người bệnh điều trị methadone tại trung tâm kiểm soát bệnh tật tỉnh gia lai năm 2022

Describe the status of adherence to treatment for opiate addiction with Methadone, and Analyze/Describe some factors related to Methadone adherence. The study applied a cross-sectional design. Information was collected through interviewing 77 patients with full sampling, using structured questionnaires and collecting secondary data on Methadone adherence from medical records. Data entry using Epidata 3.1 software, data analysis using SPSS 20.0 software with statistical algorithms using parameters such as frequency, ratio. Univariate and multivariate logistic regression analysis to find related factors in patients treated with Methadone. The rate of patients' overall adherence was 85.7%, of which: adherence to medication was 90.9%, adherence to random testing was 100%, adherence to no re-use of drugs opium is 94.8%. There were 14.3% non-adherence to treatment, of which 9.1% did not adhere to medication and 5.2% used opiates in the past 1 month. Some related factors in patients' adherence to Methadone treatment include: Patients with treatment duration of more than 12 months are less likely to be non-adherent than 3% of patients with treatment duration, less than 12 months (OR=0.03; 95%CI: 0.002-0.3) with the same age, same distance to treatment facility and same family dependency status. Patients with a distance of more than 10 km from a treatment facility were 31.2 times more likely to be non-adherent than patients with a distance of less than 10 km (OR=31.2; 95%CI: 2.8-349.3) when having the same age group, the same duration of treatment and similar familial dependence characteristics. Patients who are not dependent on family economy are 17.2 times more likely to be non-adherent to treatment than those who are dependent on family (OR=17.2; 95%CI: 1.0-287.7) ) when other characteristics such as age, duration of treatment and distance to treatment facility are the same. Recommendation: Treatment facilities need to strengthen counseling to improve knowledge and attitude to treatment adherence. Recommend dispensing long-term medicine to patients whose distance to the treatment facility is more than 10 km. Keywords: Methadone treatment, treatment adherence, Gia Lai province CDC.

Effects of different frequencies of pricking-bloodletting at auricular points plus auricular point sticking therapy on the serum levels of related factors in patients with acne vulgaris

Effects of different frequencies of pricking-bloodletting at auricular points plus auricular point sticking therapy on the serum levels of related factors in patients with acne vulgaris

Perceived participation and autonomy structural relationships among related factors in patients with stroke and hypertension in China: A ISM model approach.

To explore the structural relationship between perceived participation and autonomy among older adults with stroke and hypertension in home and community-based services (HCBSs) in the eastern coastal region of China. An explorative cross-sectional study. From July to September 2021, a total of 714 respondents were reported to have stroke and hypertension, and their information was used in the analysis of this study. A multiple linear regression analysis was used to explore the factors influencing factors older adults' perceived participation and autonomy. Using the ISM model, we analyzed the factors affecting social participation in patients with stroke and hypertension and explained the logical relationships and hierarchy among the factors. The mean score of perceived participation was 58.34 ± 27.57. Age, marital status, health insurance, living status, number of children, chronic diseases, sleep time, frequency of outings, and health utility value were significant factors affecting perceived participation and autonomy with stroke and hypertension patients. Among them, health insurance is the direct factor on the surface, age, number of children, chronic diseases, sleep time, frequency of outings, and health utility value are the intermediate indirect factors, and marital status and living status are the deep-rooted factors. By the study that the hierarchical structure provides a visualization of interrelationships and interdependences among the influencing factors of perceived participation and autonomy. It also may be a significant complement to traditional variable-entered approaches and construct an optimized multidimensional perspective of participation and autonomy. Future research should focus on optimizing the living environment of older adults with stroke and hypertension to explore the model of rehabilitative intervention and help patients successfully reintegrate into their families/societies.

Psychological Adjustment and Related Factors in Patients with Recurrence/Metastatic Lung Cancer after Curative Surgery

The purpose of study was to clarify the psychological adjustment and related factors in lung cancer patients with recurrence/metastasis after curative surgery. Forty-one with lung cancer who were informed of a recurrence/metastasis after curative surgery completed a questionnaire comprised of the Mental Adjustment to Cancer Scale (MAC), Psychological Adjustment scale for Cancer Survivors (PACS), and information pertaining to demographic variables. When healthcare providers intervene in patients with lung cancer that has recurred/metastasized after curative surgery, it is necessary to assess patients' psychological adjustment based on demographic information, such as age, sex, marital status, and employment status, and to provide effective support promptly. Factors associated with psychological adjustment with recurrent/metastatic lung cancer after curative surgery were 1) female, 2) having a job, 3) over 65 years of age, 4) having a spouse, and 5) advanced-stage cancer. There was no difference in psychological adjustment between treatment and the period from cancer incidence to recurrence/metastatic. J. Med. Invest. 70 : 200-207, February, 2023.

Internalized Stigma and Associated Factors in Patients Applying to Psychiatry Outpatient Clinics, A Descriptive Study

This study was conducted to investigate internalized stigma and related factors in patients applying to psychiatry outpatient clinics. The descriptive-cross-sectional study was conducted with 187 patients. In the survey included in the study, socio-demographic data, data on previous clinical/disease and Internalized Stigma of Mental Illness (ISMI) Scale were used. It was determined that 16.6% of the patients were hospitalized due to mental illness and 10.7% of them were dismissed due to mental disorders. The total mean score of the participants in ISMI was found to be 56.2±11.3. The scale total score of the patients whose education level was university or higher was found to be lower than the other groups (P = 0.012). The mean scores of the patients with children were significantly lower than those without children (P = 0.012) and the patients living in the village compared to the patients living in the city center (P = 0.002). The total ISMI score was found to be higher in patients who were previously hospitalized due to mental illness and patients who were dismissed due to mental disorders (P = 0.016, P = 0.006, respectively). It was determined that there was a positive and low-level significant relationship between disease duration and ISMI total score (r= 0.152; P = 0.038). Educational status, place of residence, hospitalization due to mental illness, dismissal status due to mental disorders and duration of illness were determined as variables affecting the level of internalized stigma in individuals with mental disorders.

Which Patients with Carpal Tunnel Syndrome are More Associated with Fibromyalgia Syndrome?

Objective: In this study, it was aimed to detect the presence of Fibromyalgia Syndrome (FMS) and related factors in patients diagnosed by Carpal Tunnel Syndrome (CTS). Materials and Methods: Demographic data and the features of CTS were noted by applying face-to-face questionnaire method. The existence of FMS in patients with CTS was investigated using the 2016 American College of Rheumatology (ACR) Fibromyalgia Diagnostic criteria. The Fibromyalgia Impact Questionnaire (FIQ) was introduced to patients diagnosed with FMS. Then, the correlations between the incidence of FMS in CTS patients, the presence of FMS and the hand with CTS, the severity of CTS and the existence of FMS, the presence of FMS and the duration of CTS symptoms, and finally CTS severity and FIQ were concurrently examined. Results: 151 patients included in the study. Bilateral CTS was detected in 89 (58.9%) patients. CTS was mild in 55 (36.4%), moderate in 87 (57.6%), and severe in 9 (6.0%) patients. Concomitant FMS was detected in 73 (48.3%) of all CTS patients. FMS rate is higher in patients with bilateral CTS (p=0.001). No significant relevance was observed between the severity of CTS and the presence of FMS (p = 0.864). The median duration of CTS symptoms with FMS patients was 24 (1-240) months; this period was found to be 12 (1-120) months in those without FMS. No significant relations between the presence of FMS and the duration of CTS symptoms were encountered (p = 0.073). The severity of CTS and FIQ demonstrated no significant difference (p=0.955). Conclusion: The case of FMS is high in specially bilaterally CTS patients. The fact that there may be common points in the pathogenesis of these two diseases suggests that it should be considered for diagnosis and treatment.

Incidence of bactibilia and related factors in patients who undergo cholecystectomy.

In general, bile is normally sterile. However, there are reports bactibilia may occur in certain instances, though the causal factors are unclear. We analyzed possible preoperative predictors of bactibilia upon cholecystectomy. Bile samples were collected during cholecystectomies from November 2018 to November 2019. A total of 428 open or laparoscopic cholecystectomies were performed. Preoperative, intraoperative, and postoperative variables were compared between the culture-positive and culture-negative groups. One hundred fifty-seven patients (36.7%) were culture-positive. Gram-negative bacteria (95 [61.0%]) were more common. Escherichia coli (38 [40.0%]) and Enterobacter (22 [23.2%]) were the most common species. In univariate analysis, age of ≥70 years (P < 0.001), male sex (P < 0.001), high American Society of Anesthesiologists physical status grades (P = 0.001), diabetes mellitus (P = 0.002), jaundice (P = 0.007), high Tokyo Guideline grades (P = 0.008), percutaneous transhepatic gallbladder drainage (PTGBD; P < 0.001), endoscopic retrograde cholangiopancreatography (ERCP; P < 0.001) were identified as a risk factors for bactibilia. In multivariate analysis, age of ≥70 years (hazard ratio [HR], 2.874; 95% confidence interval [CI], 1.769-4.670; P = 0.001), ERCP (HR, 9.001; 95% CI, 4.833-16.75; P < 0.001), and PTGBD (HR, 2.866; 95% CI, 1.440-4.901; P = 0.002) were independent risk factors for bactibilia. Among patients who underwent cholecystectomy, those who were elderly, symptomatic, and underwent preoperative drainage were more likely to have bactibilia. In such cases, surgeons should take care to prevent bile leakage during surgery and consider administering appropriate antibiotics.

Description of the disease patterns, treatment results and some related factors of patients at the Department of Neurology, Military Central Hospital 108 from 2017 to 2021

This study aimed to describe the disease patterns, treatment results and some related factors of patients at the Department of Neurology, Central Military Hospital 108 in 05 years from 2017 to 2021. The descriptive cross-sectional method was used to study 9,401 patients. Results showed the rate of patients entering treatment was classified into 3 age groups, in which 2 groups had a high rate of 16-59 and over 60 years old. However, it is mainly in the age group from over 60 years old, whose rates from 2017 to 2021 are &gt;50, respectively. The incidence in men over the years is higher than in women and accounts for over 50%. The percentage of patients using health insurance cards tends to increase gradually over the years, all &gt;90%, especially in 2020, reaching 96.61%. The percentage of patients in the group with indications for internal medicine treatment accounted for the main percentage (&gt;95%). The average treatment day in the group &gt;10 days tended to decrease over the years. The percentage of patients admitted to hospital for treatment is mainly in the age group over 60 years old. The rate of cure and reduction when indicated for hospital discharge in 5 years reached &gt;97% and the mortality rate ≤0.5%.