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Aim: Tinnitus occurs when a sound is detected in the ear in the absence of external auditory stimuli. It can impact daily activities, leading to issues with concentration, emotional distress, and sleep disturbances. The objective of this study is to examine the state of sleep quality in patients with tinnitus. Materials and Methods: A total of 81 patients (42 females, 39 males) who presented to the clinic within the past six months and had experienced subjective tinnitus for at least six months were included in the study. The Tinnitus Handicap Index (THI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI) questionnaires were utilized. Results: There was a moderate statistically correlation between THI and both PSQI (r=0.411; p=<0.001) and ISI (r=0.436; p=0.003). Higher THI scores were associated with higher PSQI and ISI scores. Conclusion: Assessing sleep quality is essential in the management of tinnitus, as it plays a role in managing tinnitus and improving the quality of life of those affected. [ABSTRACT FROM AUTHOR]

Aim: The goal of this study was to find out how common sleep disorders are among university students and to see how they relate to depression, anxiety, stress levels, personality factors, and overall quality of life. Materials and Methods: This study comprised a total of 856 students. Initially, Pittsburg Sleep Quality Index (PSQI) and a Sociodemographic Data Form were applied. Those with a PSQI score of ≥6 were scheduled for a second interview and a psychiatric interview was conducted. The participants were divided into two groups as those diagnosed with insomnia (n=104) and control group (n=95). Both groups were applied Insomnia Severity Index (ISI), Depression Anxiety Stress Scale (DASS), Eysenck Personality Questionnaire-Revised/Abbreviated Form (EPQR-S), and Short Form-36 (SF-36). Results: Point prevalence of insomnia among study participants was 12.1%. Insomnia was more common in those who have just started university, were staying in dormitories, had a physical disorder, were smoking, had no regular breakfast habits, and were using electronic media more frequently. When compared to the control group, the ISI scores, DASS depression, anxiety, and stress scores, and EPQR-S neuroticism scores were statistically substantially higher in the insomnia group. Physical function, role limitation (physical), pain, general health, vitality (energy), social function, role limitation (emotional), and mental health were statistically substantially lower in the insomnia group than in the control group on the SF-36 subscales. Conclusion: Insomnia is a prevalent affliction among college students. In students with insomnia, depression and anxiety disorders are more common. Insomnia is also linked to a low quality of life and certain personality features. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to compare high sensitive Troponin T (hs-TnT), total antioxidant capacity (TAC), total oxidant capacity (TOC), oxidative stress index (OSI), ischemia-modified albumin (IMA) levels and IMA/albumin ratios (IMAR) with the results of coronary angiography (CAG) in patients diagnosed with ACS at the emergency department. Materials and Methods: Over a period of nine months, patients that were diagnosed with ACS at the emergency department, admitted to the cardiac intensive care unit, subjected to percutaneous CAG and over the age of 18 were included in the study. Results: One hundred twenty five patients with suspected ACS and 52 healthy volunteers were included in the study. When the patients were evaluated with regards to the length of time between symptoms and arrival, TAC levels were found to decrease especially after the 6th hour. There was no significant difference between TOC, OSI, IMA and IMAR values in this regard. Conclusion: In early-phase ACS, levels of TOC, OSI, IMA and IMAR rise from the 0th hour onwards. TAC levels gradually decrease after the early phase of ischemia. Therefore, oxidants and antioxidants can be used for early diagnosis of ischemia in ACS, as well as for estimating time of ischemia onset. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to compare computed tomography (CT) and radiography (XR) images of patients presented to the emergency department with ankle trauma and undergone CT imaging, and to describe the fractures for which XR is insufficient and the characteristics of these fractures. Material and Methods: This retrospectively designed study included patients presented to the emergency department with ankle trauma between January 2016 and December 2017. Patients who had ankle trauma, who performed XR and CT imaging were included in the study. The XR and CT images were reinterpreted by a radiologist. Results: Three hundred and sixteen patients were enrolled in the study. Of the patients, 137 (43.4%) had fracture on XR and 168 (53.2%) had fracture on CT. The most common bone fractures were detected lateral malleolus and distal tibia fractures. The sensitivity and specificity of XR in detecting fracture compared to CT were 75% and 93%, respectively. Sixty-three (20%) of the patients had two simultaneous fractures. The sensitivity and specificity of XR in detecting two simultaneous fractures were 56% and 94%, respectively. Twelve (3.8%) of the patients had distal tibial, medial malleolus and lateral malleolus fractures (trimalleolar fracture). The sensitivity and specificity of XR in detecting trimalleolar fracture were 17% and 100%, respectively. Conclusion: XR has a low sensitivity in identifying ankle fractures. The sensitivity is much lower in cases of two simultaneous fractures and trimalleolar fractures. Therefore, CT imaging should be preferred in patients with complex ankle injuries. [ABSTRACT FROM AUTHOR]