Dependence Level and Quality of Life of Older Adults Living in Nursing Home
Semra Gundogdu, Fatma Arikan and Gokhan Keser
Article Type: Research Article | First Published: November 01, 2019
The older adults, in particular, care more about quality of life than longevity. Therefore, initiatives for the elderly should focus on increasing the quality of their life. Many factors affect the older adults' quality of life, but their dependence level is the most important. This study examined the effect of dependence level on quality of life for older adults living in nursing homes. The sample of this descriptive, cross-sectional study included 109 older adults who lived in nursing homes. Data were collected using the Older Adult Information Form, World Health Organization Quality of Life...
Worsening Physical Function during Hospitalization is Associated with Poor Outcome in Patients with Acute Decompensated Heart Failure
Satoru Sakuragi, Nobuhisa Kodera, Toshihiro Iida, Takashi Yamada, Mitsutaka Nakashima, Atsushi Mori, Yuji Koide, Tadashi Wada, Kenji Kawamoto, Machiko Tanakaya and Yusuke Katayama
Article Type: Research Article | First Published: November 01, 2019
Recent reports have indicated a marked impairment of physical function in patients with acute cardiac disease. In addition, further deterioration in physical activity has been found during hospitalization especially in elderly patients, which may be associated with poor outcome after discharge. In this study, we repeatedly measured gait speed (GS) during hospitalization and evaluated the association of change in GS with mortality after discharge. From January 2015 to October 2017, we enrolled 445 consecutive patients admitted to our hospital with congestive heart failure and undergoing exercis...
The Relationship between Foot Care Behaviors and Metabolic Control Criterıa of the Elderly wıth Diabetes
Sumeyra Mihrap ILTER, Ozlem OVAYOLU and Nimet OVAYOLU
Article Type: Research Article | First Published: October 26, 2019
The aim of this study is to investigate the relationship between foot care behaviors and metabolic control parameters of the elderly individuals diagnosed with diabetes. The study was carried out as a descriptive study in a training and research hospital between February and July 2017. The study was conducted with patients diagnosed with diabetes. Data of the research; the questionary form was obtained with some laboratory results from the foot care scale (FCS) and patient records. In this study, it was found that there was a relation between the metabolic control criteria of the elderly indiv...
Chronic Kidney Disease in Sickle Cell Disease: Prevalence and Associated Factors in Cameroon
Hermine Danielle Fouda Menye, Gilles Wandji, Francois F Kaze, Denis G Teuwafeu, Yaya Kane, Marie Patrice Halle, Maimouna Mahamat, Hilaire Djantio and Gloria Ashuntantang
Article Type: Original Article | First Published: October 31, 2019
Studies in Cameroon reported high prevalence of urinary abnormalities in sickle cell anemia (SCA). There is a lack of data in this setting on the prevalence of chronic kidney disease (CKD) in SCA and Sickle cell trait (SCT). This was a cross-sectional study of six months durations (April-September 2017) involving SCA (HB SS) and SCT (HBAS) subjects at Douala Laquintinie hospital. CKD was diagnosed and classified according to 2012 Kidney Disease Improving Global Outcomes (KDIGO) criteria. Only patients with persistent urinary anomalies or decreased eGFR at 3 months were considered to have CKD. ...
Validity of Two High-Incline VO2max Protocols for College- Aged Population
DE Lankford, FACSM, Jake T Bartschi, Keegan Huntsman, Lex Gidley, Tyler Hook and Yilin Wu
Article Type: Research Article | First Published: November 04, 2019
The aim of the study is to validate two high-incline Graded Exercise Tests (GXT) that could be used as alternatives to the Bruce protocol to obtain VO2max values for college-aged individuals who may not be accustomed to running on a treadmill. Maximal oxygen uptake (VO2max) assesses the upper limit of an individual's ability to consume and utilize oxygen during intense, or maximal exercise, commonly accepted as a reliable indicator of cardiorespiratory health. Among all the existing protocols, Graded Exercise Tests (GXT) that require direct measures of oxygen uptake through continuous gas anal...
Age and Incidence of Pharyngeal Candidiasis in Patients Undergoing Bronchoscopy
Victor Omiwole, Sardar Ali and Junaid Ali
Article Type: Original Article | First Published: November 09, 2019
Candidiasis is a type of fungal infection that often spreads to the skin, mouth, throat, esophagus, and vagina. It is caused by the build-up of yeast called Candida. There are multiple types of Candida that can be infective agents, with C. albicans being the most prevalent. When it spreads to the mouth and throat, it is called thrush or otherwise known as Oropharyngeal Candidiasis. In this retrospective study, the frequency of candidiasis in the throat (pharyngeal), was examined exclusively in 1255 patients who underwent bronchoscopy. Most of the findings of pharyngeal candidiasis were inciden...
Steroid Induced Psychosis in a Rare Case of Bronchiolitis Obliterans Organizing Pneumonia
Bryn Dhir and Rachit Kumar
Article Type: Case Report | First Published: November 07, 2019
We report a case of an 84-year-old female with altered mental status and known Bronchiolitis Obliterans Organizing Pneumonia suspected from high dose steroid who presented for medical management of acute psychosis. This case centers on the inpatient management of older patients in the setting of steroid use with consideration given to dosing, supportive care and therapy during management. Iatrogenic psychiatric conditions due to therapeutic medical management of pulmonary diseases can be complicated when options for medical management is limited. This may be further complicated with increased ...
A Rare Cause of Respiratory Distress in Infants: Double Aortic Arch
Tolga Bacak, Sebnem Ozdogan, Seda Geylani Gulec and Evrim Ozmen
Article Type: Case Report | First Published: October 21, 2019
Vascular ring, which is a rare cause of respiratory distress in infants, results in respiratory and gastrointestinal findings due to tracheal and/or esophageal compression, but the diagnosis may be delayed because of the nonspecific symptoms. Double aortic arch is the most common vascular ring anomaly. A case of double aortic arch presented with respiratory distress, stridor, and feeding intolerance during infancy is discussed. Vascular ring is seen with an incidence of 1% in all congenital cardiovascular anomalies. Double aortic arch is the most common anomaly among vascular ring pathologies ...
Correlation of Pathologic and Radiologic Complete Response in the Axilla after Neoadjuvant Chemotherapy for Breast Cancer
Jessica C Gooch, MD, Timothy Borjas, MD, Jennifer Chun, MPH, Elianna Kaplowitz, MPH, Amber Guth, MD, Deborah Axelrod, MD, Richard Shapiro, MD, Linda Moy, MD and Freya Schnabel, MD
Article Type: Original Article | First Published: November 08, 2019
Accurate assessment of locoregional response to neoadjuvant chemotherapy (NAC) is important for surgical planning, particularly in regard to management of the axilla. We evaluated the correlation between radiologic complete response (rCR) in the axilla on magnetic resonance imaging (MRI) and the likelihood of pathologic complete response (pCR) at the time of breast cancer surgery following NAC. Our institutional database was queried for patients who underwent NAC from 2010-2016 and had a preand post-NAC MRI performed. Clinicopathologic characteristics and MRI findings were recorded and correla...
Study on the Variations of Image Density Index of MDCT for Healthy Lungs
Won-Bin Cha, Sok-Chan Yun, Chan-Ung Ri and Chol-Ho Chang
Article Type: Original Article | First Published: October 21, 2019
We selected several image density indices to establish CAD for prediction of biopsy in lung diseases. Our results suggested that significant difference was not observed in the image density indices between bilateral lungs at each slice level. Our own designed image indices may be reliable parameters in the establishment of CAD system and pathologic diagnosis for lung disease. There has been a rapid progress in the modality of CT since it was developed by Mr. Hounsfield. The earlier CT had been upgraded to the helical CT and for the time being the MDCT is widely used in the radiology practice. ...