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Objective: The clinical course in COVID-19 patients can vary from asymptomatic cases to acute respiratory distress syndrome (ARDS), multi-organ dysfunction and respiratory failure. Clinical progression is thought to be mainly due to the release of proinflammatory cytokines. The most common symptoms are shortness of breath, fever, malaise, and cough. Montelukast, which is used in the treatment of seasonal allergic rhinitis and asthma, started to be used in Covid-19 infection due to its anti-inflammatory and cytokine release-reducing effect. There are studies in the literature showing that montelukast treatment is beneficial in the treatment of COVID-19. However, there are not enough studies evaluating the efficacy of montelukast treatment in elderly patients. The aim of our study is to evaluate the clinical and laboratory efficacy of montelukast treatment in patients aged 60 and over in COVID-19 disease, and to indicate the differences from the studies in the literature. Method: Our research was planned as a retrospective, single-center, observational study. The medical records of 75 COVID-19 patients aged 60 and over who were hospitalized in the internal medicine clinic of Ankara Bilkent City Hospital between September 2021 and December 2022 were included. Results: Clinical findings and results were compared between the patients who received montelukast and the control group. There was no statistically significant difference between two groups in terms of cough, dyspnea, gastroenteritis and oxygen theraphy requirement. There wa no significant difference between the groups in terms of the need for intensive care unit admission and mortality. The length of hospital stay was compared in both groups, it was 10.88±7.24 days in the control group and 10.51±5.44 days in the montelukast group, and there was no statistically significant difference between the groups. The laboratory parameters of the patients in both groups were compared. The neutrophil count and leukocyte count measured before hospitalization were found significantly lower in the patient group receiving montelukast (p<0.05). No significant difference was found in other laboratory parameters. Conclusion: Although montelukast treatment has positive effects on prognosis in COVID 19 disease in the literature, a similar effect was not observed in the population aged 60 and over in our study. We did not find a beneficial effect of short-term montelukast use on prognosis in COVID-19 patients aged 60 and over. We thought that this was due to the low efficacy of montelukast in the elderly population. Our study is a rare study in that it examines montelukast treatment in the geriatric population with COVID-19. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: It is crucial to correctly and promptly diagnose pulmonary diseases and to initiate treatment in elderly patients diagnosed with respiratory failure who are on mechanical ventilator support. The aim of this study is to investigate the effect of lung ultrasound (USG) on prognosis and mortality in geriatric patients we follow up in the intensive care unit, by scoring. Methods: Patients who were followed up in the intensive care unit were grouped as AUSG group (n=48), those who underwent lung USG and NAUSG group (n=74) who underwent chest radiography, computed tomography (CT), magnetic resonance imaging (MRI) or bronchoscopy. The hospital information management system was used to compare the two groups in terms of diagnosis time, number of additional consultations, treatment and discharge time, hospital stay, mortality, and scores. The arterial blood gas analysis, complete blood count, biochemistry, procalcitonin, C-reactive protein, and endotracheal aspirate culture results of the patients were recorded. The clinical pulmonary infection score, pneumonia severity index-65, pulmonary severity index, and acute physiology and chronic health evaluation 2 scores of the groups were compared. Results: The diagnosis time in Group AUSG was 1 ± 0.64 day, the treatment time was 10 ± 4.62 day, and the number of required consultations was 1 ± 0.68, which was significantly lower than in Group NAUSG (p<0.05). The mortality rate was 14 (29.2%) patients in Group AUSG and 25 (33.8%) patients in Group NAUSG (p>0.05). When comparing the scores of the patients, the clinical pulmonary infection score, pneumonia severity index-65 (4 ± 0.79), and pulmonary severity index (3 ± 0.87) were significantly lower in Group AUSG (p<0.05). There was no significant difference in acute physiology and chronic health evaluation 2 scores. Conclusion: Performing lung USG for the diagnosis and treatment of critically ill elderly patients can lead to earlier detection and treatment of lung pathologies, reducing mortality rates, unnecessary imaging and consultations. Its advantages include easy and rapid bedside application and simultaneous results. [ABSTRACT FROM AUTHOR]

Objective: The aim of the study was to investigate the effects of age-related imbalance (presbiastasis) on adaptation score, fall risk and quality of life in elderly individuals. Material and Methods: This is a retrospective study. 454 individuals (60 years and older) with videonystagmography, Video Head Impulse Test and vestibular evoked myogenic potentials test results were analyzed and those with central pathology and peripheral vestibular pathology were excluded. Forty-five individuals who met the criteria were included. Eleven were male and 34 were female (male/female ratio 1/3). The mean age was 63.67±7.21 years. The participants were divided into two groups: Group 1 with a history of falls (n=27 individuals) and Group 2 without a history of falls (n=18 individuals). Computerized Dynamic Posturography results were also evaluated and used as a sub-parameter of the adaptation test. Fall Efficacy Scale (FES) and Visual Analog Scale (VAS-fear of falling) were used to assess falls and fear of falling. World Health Organization Quality of Life Scale-Elderly (WHOQOL-elderly) scores were examined and compared to assess quality of life. Results: When the results of the FES (p=0.003) and VAS (fear of falling) (p=0.001) for falls and balance between Group 1 and Group 2 were analyzed, it was determined that there were significant differences between the groups. In addition, significant differences were found between Group 1 and Group 2 in the sub-parameters of the WHOQOL-Elderly scale to assess quality of life, including emotionality (p=0.004), functionality (p=0.002), autonomy (p=0.004), past, present, future activities (p=0.004) and social participation (p=0.05) scores. As a result of the comparison of adaptation test scores, a statistically significant relationship was found between the two groups (p<0.05). In addition, in the correlation analysis performed between adaptation test scores and the scores of FES and VAS (fear of falling), it was determined that there was a significant positive correlation with FES scores and a significant negative correlation with VAS (fear of falling) scores (p<0.05). Conclusion: It has been demonstrated that the adaptation test is a valuable parameter for assessing the risk of falls in elderly individuals with presbyastasia. Furthermore, the scores of FES and VAS (fear of falling) were found to be highly effective in identifying the risk of falls. These findings underscore the significance of utilizing adaptation testing to assess fall risk and evaluate balance functions in elderly individuals experiencing age-related imbalance complaints. Moreover, it is believed that these tests can serve as valuable tools in designing rehabilitation programs for elderly individuals with imbalance complaints. Consequently, incorporating assessment parameters such as FES, VAS, and adaptation score may enhance the efficacy of balance-focused rehabilitation programs for elderly individuals. [ABSTRACT FROM AUTHOR]

Objective: This study compared the differences in functionality and depression between younger and older patients with chronic low back pain (CLBP). Materials and Methods: This multi-center cross-sectional survey enrolled subjects with CLBP who visited physical medicine and rehabilitation clinics in seven different regions of Turkey. Sociodemographic data were collected via questionnaires. Functional status was evaluated with Roland-Morris Disability index (RMDI), and psychological health was evaluated with Beck Depression inventory (BDI). Results: The sample included 106 younger [mean age: 24.3 (range: 18-30) years] and 104 older [mean age: 70.5 (range: 65-108) years] subjects. No significant difference was found in the gender distribution between the younger (38 males, 68 females) and older (38 males, 66 females) groups (p=0.917). The BDI was 11.90±10.6 in the younger subjects and 16.17±10.72 in the older subjects (p=0.002), whereas the mean RMDIs were 10.31±6.36 and 16.04±5.36, respectively (p=0.001). Conclusion: The loss of functional capacity and depression resulting from CLBP are serious threats to public health and are predictive of chronic disability. The development of social programs that address risk factors will reduce the risk of CLBP, improve quality of life, reduce workforce losses and contribute significantly to public health. [ABSTRACT FROM AUTHOR]

Copyright of Acibadem Saglik Bilimleri Dergisi is the property of Acibadem University Medical School and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Amaç: Bu çalışma, geriatrik bireylerde reaksiyon zaman (RZ) egzersizlerinin fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ ve yaşam kalitesi üzerindeki etkilerini araştırmak amacıyla yapılmıştır. Yöntemler: Çalışmaya, 65-77 yaş aralığında 40 geriatrik birey dahil edildi. Geriatrik bireylerin sosyodemografik özellikleri kaydedildikten sonra fonksiyonel bağımsızlıkları, Fonksiyonel Bağımsızlık Ölçeği ile, statik dengeleri Tek Ayak Üzerinde Durma Testi ile, düşme riskleri Morse Düşme Ölçeği ile, alt ve üst ekstremite RZ'ler, Light Trainer Flash Light Exercise System (Model LTV2, Türkiye, 2017) ile yaşam kaliteleri Kısa Form-36 ile değerlendirildi. Bireylere altı hafta süreyle, haftada üç gün Light Trainer Flash Light Exercise System ile RZ egzersizleri yaptrıldı ve 6 hafta sound değerlendirme parametreleri bakımından ölçümler tekrarlandı. Bulgular: Geriartrik bireylerde, altı haftalık RZ egzersiz ve sonrası sonuçları arasında fonksiyonel bağımsızlık, statik denge, düşme riski, bilişsel beceri, üst ve alt ekstremite RZ ve yaşam kalitesi bakımından anlamlı fark olduğu görüldü (p<0,05). Sonuç: Çalışma, 6 haftalık RZ egzersiz programının yaşlı yetişkinlerde fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ'si ve yaşam kalitesi üzerinde olumlu etkileri olduğunu gösterdi. Sonuçlar, RZ egzersizlerinin yaşlı yetişkinler için rehabilitasyon protokollerine eklenebileceğini ve klinik ortamlarda kullanılabileceğini gösterdi. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Ege University Nursing Faculty (JEUNF) is the property of Journal of Ege University Nursing Faculty (JEUNF) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Hip fracture is a condition frequently encountered in geriatric patients and is correlated with high postoperative mortality and morbidity. Numerous factors may impact mortality, but recent studies have focused on its correlation with inflammation. The neutrophil-to-platelet ratio has been evaluated as a systemic inflammation marker. The aim of our study was to examine the correlation between preoperative neutrophil-to-platelet ratio (NPR) values and postoperative one-year mortality in geriatric patients with hip fractures. Material and Method: In our retrospective, multicenter study, 50 patients over 65 years of age who had undergone hip fracture surgery under spinal anesthesia were examined. Patients’ preoperative neutrophil-to-platelet ratio values at the time of hospitalization, age, gender, American Society of Anesthesiologists scores, fracture types, comorbidities, durations of surgery, lengths of hospital stay, and survival in the postoperative one-year period were checked. Results: The mean age of all the patients was 85.44 ± 6.93 years. Of the patients, 60% were female (n = 30), and 40% were male (n = 20). The optimal cut-off value for preoperative neutrophil-to-platelet ratio was specified as 38.286. The length of hospital stay was 8.94 ± 3.05 in the deceased patients and 6.94 ± 2.63 days (p = 0.02) in the surviving group. The mortality rate was higher in men than in women (p = 0.01). Conclusion: A preoperative neutrophil-to-platelet ratio value over 38.286 is an indicator of postoperative one-year mortality in elderly hip fracture patients. Additionally, length of hospital stay and the male gender were revealed to be correlated with mortality.

Seiring dengan bertambahnya usia maka semakin banyak mengalami keluhan kesehatan termasuk masalah gizi pada lansia. Permasalahan gizi pada lansia menimbulkan malnutrisi ataupun obesitas. Lansia obese memiliki risiko tinggi terhadap penyakit metabolik. Berbagai masalah gizi tersebut memerlukan pencegahan melalui program edukasi yang dilakukan di Panti Wreda sebagai bentuk pengabdian masyarakat dosen S1 Kedokteran Universitas Muhammdiyah Semarang. Kegiatan pengabdian masyarakat ini dilaksanakan pada hari Sabtu, 28 Mei 2022. Khalayak sasaran dalam kegiatan ini adalah Komunitas Geriatri di Panti Wreda Pengayoman, Kota Semarang dan pengelola Panti. Materi edukasi adalah seputar gizi seimbang, masalah gizi, bahaya dan pencegahannya. Kegiatan ini dihadiri oleh 16 lansia yang menjalani pretes dan postes selama pelaksanaan kegiatan. Berdasarkan hasil analisis pretes dan posttest peserta didapatkan adanya kenaikan pengetahuan peserta pada sebagian besar pertanyaan. Upaya edukasi ini berjalan lancar dan berhasil dengan terlihat dari tingginya antusiasme peserta dan banyaknya pertanyaan yang diajukan peserta lansia. Selanjutnya dapat diikuti dengan penimbangan berat badan dan pengukuran indeks massa tubuh (IMT) ataupun pelatihan perencanaan menu oleh pengelola panti.

Background/Aims : Urinary tract infections are an important cause of mortality, especially in geriatric patients. The effectiveness of urine culture and appropriate antibiotic use in geriatric patients followed in primary care is unknown. We aimed to compare the urine cultures and antibiotic susceptibility of patients over the age of 65 who were treated at home by the Home Health Services (ESH) and inpatients in the Palliative Care Service (PBS). Methods: Our study retrospectively compared the culture-antibiogram results of urine samples of patients aged 65 years and older with urinary infection complaints and followed and treated by PBS and ESH between January 1, 2019 and January 1, 2020. Results: Of the 60 patients included in the study, 30 had PBS, 30 ES Services patients had a mean age of 78.0±12.7 years, and PBS patients had a mean age of 80.7±9.8 years. According to the culture-antibiogram results of the urine samples of the patients, E.coli was the most common microorganism in both groups (p=0.003). When we look at the antibiotic sensitivity of the patients in the ESH group, Amikacin (96.7%), Cefoxitin (83.3%), Fosfomycin (73.3%), Nitrofurantoin (70%) sensitive and Ampicillin (76.7%) Cefuroxime (36%) ,7) Ceftazidime(40%) was found resistant to Ciprofloxacin(33%). PBS group is sensitive to Amikacin(60%), Cefoxitin(23.3), Fosfomycin(23.3%), Nitrofurantoin(16.6%) and Ampicillin(40%), Cefuroxime(26.7%), Ceftazidime( 33.3% were found to be resistant to Ciprofloxacin(53.3%). In both groups, the highest resistance rates were found in Ampicillin, 76.7% in ESH patients and 40% in PBS patients, and the highest sensitivity rates were in Amikacin, 96.7% in ESR and 60% in PBS. Conclusion: In this study conducted over the age of 65, empirically in ESR in urinary system infections; on the other hand, it would be rational to use oral Fosfomycin or Nitrofurantoin or Amikacin; It is thought that due to high antibiotic resistance in PBS, caution should be exercised.

Objective: Hip fracture is a condition frequently encountered in geriatric patients and is correlated with high postoperative mortality and morbidity. Numerous factors may impact mortality, but recent studies have focused on its correlation with inflammation. The neutrophilto-platelet ratio has been evaluated as a systemic inflammation marker. The aim of our study was to examine the correlation between preoperative neutrophil-to-platelet ratio (NPR) values and postoperative one-year mortality in geriatric patients with hip fractures. Material and Method: In our retrospective, multicenter study, 50 patients over 65 years of age who had undergone hip fracture surgery under spinal anesthesia were examined. Patients’ preoperative neutrophil-to-platelet ratio values at the time of hospitalization, age, gender, American Society of Anesthesiologists scores, fracture types, comorbidities, durations of surgery, lengths of hospital stay, and survival in the postoperative one-year period were checked. Results: The mean age of all the patients was 85.44 ± 6.93 years. Of the patients, 60% were female (n = 30), and 40% were male (n = 20). The optimal cut-off value for preoperative neutrophil-to-platelet ratio was specified as 38.286. The length of hospital stay was 8.94 ± 3.05 in the deceased patients and 6.94 ± 2.63 days (p = 0.02) in the surviving group. The mortality rate was higher in men than in women (p = 0.01). Conclusion: A preoperative neutrophil-to-platelet ratio value over 38.286 is an indicator of postoperative one-year mortality in elderly hip fracture patients. Additionally, length of hospital stay and the male gender were revealed to be correlated with mortality. [ABSTRACT FROM AUTHOR]

Objective: Although surgical treatment of hip fracture provides favourable outcomes, comorbidities and preoperative optimization determine the recovery and rehabilitation period in elderly population. This study evaluated the role of anesthesiologic management for appropriate timing of surgery, and other patient-specific factors for surgical intervention. Methods: The study group comprised of 240 geriatric patients with acute hip fractures, who underwent surgery at an academic tertiary care unit. Preoperative, intraoperative and postoperative variables associated with anesthesiologic management were retrospectively evaluated. A 30-day mortality and morbidity were the primary and secondary outcomes. Results: The median time between the patient’s admission to the hospital and the time of surgery was 1 day. Approximately 29% patients stayed in intensive care unit postoperatively. The median length of hospitalization was 5 days, while the 30-day mortality rate was 1.3%. The American Society of Anesthesiologists (ASA) physical status was identified as the most common factor that significantly affected the 30-day mortality. Conclusion: To date, no consensus has been reached on the appropriate delay period for surgery of acute hip fractures. Our study demonstrates that the main factors determining the patient prognosis are ASA physical status score, and the functional status of the patients. Therefore, perioperative anesthesiologic management should be prioritized to provide optimization of these patients. [ABSTRACT FROM AUTHOR]

Objective: Pain is the most common reason for the emergency department (ED) visits of geriatric patients. Pain management might be challenging in this age group of patients which may spur delays in pain treatment and oligoanalgesia. In addition, failure to provide effective pain control in geriatric patients can lead to delirium, depression, and prolonged hospital stay. The aim of the study was to compare the changes in pain scores of geriatric and non-geriatric patients in the first 60 min who applied to the ED with acute pain. Methods: This prospective study was conducted between January 2022 and March 2022 in an academic ED. All patients older than 18 years old who presented with acute pain were enrolled in the study. The primary outcome measure of the study was determined as the alteration in pain levels between geriatric and non-geriatric groups at the visual analog scale (VAS) at 0-60th min. The secondary outcome measures of the study were to determine the opioid doses between the two groups and the alteration in pain levels between the two groups at the VAS at 0-20th min and 0-40th min. Results: The change in pain levels did not differ significantly between the groups at 0-60th, 0-20th, and 0-40th min. Opioid doses were also not significantly different among the two groups. Conclusion: The findings of this study indicate that oligoanagesia is not a significant risk neither for geriatric nor for non-geriatric patients in the ED population. [ABSTRACT FROM AUTHOR]

Background: COVID-19 patients with comorbidities have the highest mortality risk in Indonesia during the pandemic. Purpose: This study purposed to determine the prevalence of comorbidities on mortality of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan. Methods: This study used a case-control design with 560 samples collected from January until December 2021. The samples consisted of 140 COVID-19 patients who were treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 and declared dead as a case group, as well as 420 COVID-19 patients treated at RSUD dr. Raden Soedarsono, Pasuruan, in 2021 but did not die as a control group. The data were then analyzed using a logistic regression test with SPSS 22.0. Results: The results show that almost all COVID-19 patients did not have comorbidities of diabetes mellitus (85.50%), autoimmune (98.60%), kidney disease (98.20%), gastrointestinal diseases (92.10%), thrombosis and coagulation disorders (93.60%), myocardial injury (99.30%), heart failure (94.30%), hypertension (95.20%), and tuberculosis (5.70%). Also, almost all COVID-19 patients did not have comorbidities of geriatrics (71.60%), COPD (64.10%), and mortality status (25.00%). The results of the logistic regression test show that comorbidities of diabetes mellitus (P-value 0.01; OR 1.99) and geriatrics (P-value 0.00; OR 2.82) affect mortality in COVID-19 patients. Whereas comorbidities of autoimmune (P-value 0.84), kidney disease (P-value 0.37), gastrointestinal diseases (P-value 0.73), thrombosis and coagulation disorders (P-value 0.24), myocardial injury (P-value 0.84), heart failure (P-value 0.43), hypertension (P-value 0.93), COPD (P-value 0.86), and tuberculosis (Pvalue 0.15) do not affect mortality inCOVID-19 patients. Conclusion: Diabetes Mellitus and geriatrics are the most significant comorbidities in causing the death of COVID-19 patients at RSUD dr. Raden Soedarsono, Pasuruan. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to compare clinicopatolojic risk factors and postoperative morbidity of primary cytoreductive surgery and neoadjuvant chemotherapy followed by interval cytoreductive surgery. Study Design: Between January 2019 and January 2023,103 cases whohadova-rian cancer with patients evaluated retrospectively in two groups as primary cytoreductive surgery and neoadjuvant chemotherapy followed by interval cytoreductive surgery. The cases in two groups were compared for comorbidities, CA-125 levels, hemoglobin levels, types of surgery histopathological results, length of hospital stay and postoperative complications. Results: Of the 108 patients, 49 (47.6.5%) underwent primary cytoreductive surgery, and 54 (52.4%) had neoadjuvant chemotherapy followed by interval cytoreductive surgery. Compared with primary cytoreductive group, neoadjuvant group was associated with significantly more serous histology (p=0.04), advanced stage (p=0.002), lymph node dissection operation (p=0.002), and increased CA-125 (< 0.001). 98.1% of the patients underwent maximal cytoreduction and 1.9% suboptimal surgery. There was no statistically significant difference between the neoadjuvant group and the primary cytoreduction group in terms of operation type, length of hospital stay, comorbidity and wound complications. Conclusion: The rates of maximal cytoreduction were high in ovarian cancer patients in the geriatric age group. There was no difference between neoadjuvant chemotherapy followed by interval surgery group and received primary cytoreductive surgery groups in terms of maximal cytoreduction and postoperative complications. In order to minimize surgical outcomes and postoperative morbidity, it may be important to examine and treat patients in centers specialized in gynecology oncology in tertiary centers. [ABSTRACT FROM AUTHOR]

Copyright of Izmir Katip Celebi University Faculty of Health Sciences Journal / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi is the property of Izmir Katip Celebi University, Faculty of Health Sciene Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Sport & Exercise / Türk Spor ve Egzersiz Dergisi is the property of Turkish Journal of Sport & Exercise and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Ege University School of Dentistry / Ege Üniversitesi Dis Hekimligi Fakültesi Dergisi is the property of Ege University Faculty of Dentistry and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ege Journal of Medicine is the property of Ege University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: This study was planned to investigate the relationship between the fear of coronavirus and life satisfaction in geriatric individuals. Materials and Methods: Demographic information form, Coronavirus Fear scale (CFS), and Life Satisfaction scale (LSS) were used as data collection tools. Seventy-nine people over the age of 65 were included in the study. Results: As a result of the study, there was a low level of positive correlation between life satisfaction and fear of coronavirus (p<0.05). The 7% effect of CFS on LSS was statistically significant (F5,504 p=0.022). A one-unit increase in the LSS significantly increased the CFS by 0.210 units statistically significantly (p<0.05). Conclusion: This study conducted at the end of the pandemic shows that the presence of geriatric individuals in life and being physically active in daily life positively affects life satisfaction. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health Sciences / Sağlık Bilimleri Dergisi is the property of Erciyes Universitesi Saglik Bilimleri Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bulletin of Legal Medicine / Adli Tıp Bülteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Community-acquired Pneumonia (CAP) is an acute infectious disease that affects the tissues (lungs) precisely in the alveoli acquired outside the hospital. The incidence of pneumonia increases with age due to changes in physiologic and immunological status associated with aging and the presence of comorbidities in old age. Pneumonia is the biggest infectious disease in Mardi Rahayu Hospital from 2020 to 2022. Inappropriate selection of empiric antibiotics causes antibiotic resistance and their prolonged use can increase the length of stay so that the cost of treatment increases. Rationale analysis of the use of specific empiric antibiotics in geriatric patients with CAP at Mardi Rahayu Hospital has never been carried out. This study aims to determine the rationality of empirical antibiotic therapy in geriatric patients with CAP. This study used a descriptive and analytic observational design with a cross-sectional method. Analysis of the rationality of empirical antibiotic therapy using the Gyssens method. The results showed that the number of geriatric patients diagnosed with CAP who were hospitalized at Mardi Rahayu Hospital from January to December 2022 who met the inclusion criteria was 139 patients with a total of 158 antibiotic regimens. The results of the rationality analysis showed that as many as 95 antibiotic regimens (60.1%) were included in the 0 (zero) category, which means rational use of antibiotics. Irrational use of antibiotics occurred in 63 regimens in category IV-A as 40 cases (25.3%), IV-B as 9 cases (5.7%), IV-C as 2 cases (1.2%), III- A as 9 cases (5.7%), III-B as 20 cases (12.6%) and II-A as 2 cases (1.2%).

Introduction: Physiological changes are seen in many systems in the body related to aging. Treatment modalities and drug prescribing processes need to be re-evaluated in the geriatric population. To elaborate on polypharmacy, the number of drugs the individual should use must also be defined effectively. Various criteria have been developed for prescribing and using drugs for elderly individuals. The most used of these criteria is called the Beers criteria. STOPP and START criteria are other criteria used. Material and Method: Our study aimed to retrospectively evaluate the prevalence of inappropriate drug use in patients aged 65 and over who were hospitalized in the Internal Medicine and Neurology Intensive Care Units of Ankara Atatürk Training and Research Hospital in terms of STOPP-START criteria. Results: Study group consists of 168 (58,3%) female and 120 (41,7%) male. A total of 727 diseases were diagnosed in 288 patients. 201 of these were "Cerebrovascular Diseases," 153 were "Hypertension." While the most common STOPP criterion main group and single criterion were antiplatelet anticoagulant agent group (35,7%), "Presence of a drug class causing duplication (Aiming optimum level with a single drug before adding a new agent) (23,2%)", respectively. At the same time, the most common START criterion main group and single criterion were cardiovascular system group (94,5%), and "Statin therapy in patients who are near the end of life or who are not older than 85 years of age, with a history of coronary, cerebral or peripheral vascular disease", respectively (70,2%). Conclusion: It is seen that the study results are generally similar to the national literature. There are partisan differences between the study results and the international literature. It is anticipated that these differences can be attributed to the diagnostic criteria used, study group selection, and study design differences. [ABSTRACT FROM AUTHOR]

Many health problems are seen due to aging. One of these is problems in the reproductive system. Reproductive system problems are caused by lower urinary system symptoms, prostate diseases, low fertility, testicular dysfunction. The aim of this study was to compare reproductive parameters of geriatric (3 years old) and young (3 months old) rats. A 3-year-old rat is equivalent to an average 90-95-year-old human. For this purpose, sperm analysis, testicular and prostate histopathology, testicular oxidative stress parameters were examined in geriatric (3 years old) and young (3 months old) rats. In the analysis results, it was determined that sperm motility ratio decreased (p<0.001), abnormal sperm ratio increased (p<0.001) and sperm density decreased (p<0.001) in the geriatric group. Statistically, oxidative stress parameters MDA, AOPP, T-SH levels increased (p<0.05) and CAT level decreased (p<0.05) in geriatric group. Histopathologically, degeneration, necrosis and irregular alignments were observed in the tubulus seminiferous contortus in the geriatric group. Hyperplasia and dilatation of the prostate gland were detected in the geriatric group. As a result of this study, it is thought that reproductive performance in geriatric male rats is very low, and the probability of reproduction is very difficult. [ABSTRACT FROM AUTHOR]

Copyright of Izmir Katip Celebi University Faculty of Health Sciences Journal / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi is the property of Izmir Katip Celebi University, Faculty of Health Sciene Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medical Journal of Ankara Training & Research Hospital is the property of Medical Journal of Ankara Training & Research Hospital and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: The late elderly, are the leading group of non-survivors infected with the coronavirus disease 2019 (COVID-19). Computed tomography (CT) imaging has been recognized as an important diagnostic method for COVID-19. This study aimed to determine the prognostic performance of CT imaging in patients above 75 years old. Material and Methods: After meeting the inclusion and exclusion criteria 56 elderly patients, 28 male, and 28 female were included in the study. Two radiologists interpreted CT imaging and a third experienced radiologist was in charge of reviewing the data and imaging findings in the controversial and disagreement cases. The lung score was determined for each patient, and radiologic signs were also examined. Results: The mean age of the patients was 81.4±5.0 years. Thirty-six patients survived, and 20 did not. 28 (50.0%) patients had central involvement, while 25 (44.6%) patients had diffuse involvement. Radiologic signs such as consolidation and air bronchogram were more common among non-survivors than survivors (both p=0.001). The mean lung score for the survivors was 8.75±6.21 and 13.45±6.41 for non-survivors, and the difference between the two groups was statistically significant (p=0.010). The area under the receiver operating characteristic curve for a cut-off score of 12 was 0.714 (95% CI, 0.577 to 0.827, p=0.003). Conclusion: It seems that using lung scores can play a very important role in predicting the condition of hospitalized patients over 75 years old.

Determining and controlling the factors affecting the occurrence and progression of dental/periodontal diseases in elderly individuals will have a significant impact on increasing the quality of life of elderly. The aim of this study is to investigate the relationship between physical activity, nutrition, oral health-related quality of life and periodontal health/disease status in an elderly population. 33 volunteers aged between 65 and 74 who applied to our clinic between 2021 and 2022 participated in the study. Clinical periodontal parameter recordings, sociodemographic and anthropometric characteristics of the participants were recorded and Oral Health Impact Profile Scale (OHIP-14), Oral and Dental Health-Related Quality of Life-UK (OHRQoL-UK), Geriatric Oral Health Assessment Index (GOHAI), Physical Activity Scale for Elderly (PASE), Mini Nutritional Assessment (MNA) indices were obtained using questionnaires. Normal distribution and homogeneity of variances were analyzed by Shapiro-Wilk and Levene tests, comparisons between groups were analyzed by Mann-Whitney U test and correlations were analyzed by Spearman correlation test (p<0.05). In the study population, PASE scores were higher in males than females (p<0.05). There was no significant difference in periodontal status test scores (p>0.05). PASE scores increased as monthly income increased (p<0.000), OHQoL-UK scores increased in the presence of systemic disease and tooth loss increased (p=0.025, p=0.026), OHIP-14 scores differed significantly between BMI subgroups (p=0.002). Periodontal status didn't have a significant effect on test scores related to lifestyle and quality of life in the geriatric population studied. The findings of this study conducted during the COVID-19 era may differ in larger elderly populations. [ABSTRACT FROM AUTHOR]

Objective: This study was carried out to examine the methods used in the evaluation of pain in geriatric surgery patients. Methods: For this systematic review, Turkish and English research articles published in Pubmed, ScienceDirect, Google Scholar and Ulakbim between 2018 and 2022 using the keywords "Geriatrics", "Post-Operative", "Pain Assessment" were reviewed. Among the criteria for inclusion in the systematic review are; Covering the methods used in the evaluation of pain after geriatric surgery, published between 2018-2022, made in Turkey and abroad; As a result of the review, 15 articles that met the review scope criteria were included in the study. Results: As a result of the literature review, 15 articles that received the study criteria were included in the study. It was determined that the most (40%) of the studies examined in the study were published in 2020, and 53.3% (n=8) of the research design had a full experimental study design. It was determined that Visual Analogue Scale (VAS) was used the most (43.8%) as the method of pain assessment. Conclusion: In this systematic review, It was determined that geriatric patients should be considered as a disadvantaged group in experiencing pain because of their potential to have physiological and cognitive impairments, but pain assessments were made with inadequate and inappropriate tools. We recommend that more randomized controlled clinical studies be conducted to increase the evidence-based information examining the pain assessment methods of geriatric surgery patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Tepecik Education & Research Hospital / İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi is the property of Logos Medical Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Health Sciences / Türkiye Klinikleri Sağlık Bilimleri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: We aimed to analyze imaging tests and findings in a series of geriatric trauma patients admitted to emergency department (ED) at different time intervals. Materials and Methods: Two groups of 300 randomly selected patients over consecutive five-year periods were compared. Patients admitted in the first and second five-year periods were recorded as group I and II, respectively. A comprehensive comparison was carried out between two groups regarding the age, sex, reason for admission, comorbidities, Revised Trauma Score (RTS), Glasgow Coma Scale (GCS), radiological findings and number of radiological examinations, dose length product (DLP) values and duration of hospital stay. Results: The number of patients who underwent X-ray and CT examinations and total number of X-rays and CT scans in group II was higher than those in group I. CT scans were negative for a trauma-related finding in 49% of patients in group I and 55% of patients in group II. In patients with radiological evidence of trauma, no significant difference was observed between two groups regarding the major trauma related change. However, the trauma-related minor findings on CT were more common in group II than in group I. Conclusion: Despite the increasing use of imaging tests, there was no difference in imaging findings suggesting major trauma or requiring a longer inpatient stay. This may be related to the increasing use of radiological examinations over the years as a result of the orientation towards defensive medicine.

Pasien geriatri dapat meningkatkan angka kejadian morbiditas dan mortalitas saat mendapat tindakan anestesi dan pembedahan. Tujuan penelitian adalah mengetahui profil morbiditas dan mortalitas layanan anestesi dan pembedahan pasien geriatri di RSUP Dr. Hasan Sadikin periode Februari–April tahun 2021. Penelitian ini merupakan penelitian deskriptif observasional secara retrospektif terhadap rekam medis pasien yang mendapat tindakan anestesi di kamar operasi RSUP Dr. Hasan Sadikin Bandung pada bulan Februari–April tahun 2021. Hasil penelitian didapatkan karakteristik pasien dengan rerata usia 66 tahun, jenis kelamin laki-laki 51,0 %, IMT normal sebanyak 51,7%, status non covid 100%, komorbiditas hipertensi 30,2%, operasi elektif sebanyak 86,5%. Jenis tindakan operasi terbanyak dari bagian bedah digestif sebanyak 28,9%, status ASA 2 sebanyak 79,2%, dan tindakan anestesi umum sebanyak 69,8%. Simpulan, angka kejadian morbiditas dan mortalitas layanan anestesi dan pembedahan pasien geriatri di RSUP Dr. Hasan Sadikin bulan Februari sampai April 2021 didapatkan morbiditas sebanyak 105 pasien (70,4%) dan mortalitas sebanyak 10 pasien (6,7%). Morbiditas dan mortalitas terbanyak ditemukan pada wanita, 18,5–24,9 kg/m2 komorbid hipertensi, operasi emergensi, ASA ≥3, dan anestesi umum.

Objective: In this study, we aimed to investigate the relationship between vitamin D, frailty and postoperative outcomes in geriatric patients undergoing elective surgery. Methods: In this prospective observational study, a total of 90 elderly patients who had undergone non-cardiac surgery were included. The patients were classified according to the frailty index (FI) score as “Non-frail (FI 0), Pre-frail (FI 1–2) and Frail (FI ≥3)”. In addition, patients were divided into two groups according to serum vitamin D concentration: vitamin D insufficiency group (n=41) and vitamin D sufficiency group (n=49). Clinical characteristics and postoperative outcomes of the patients were compared between the groups. Results: The mean age of the patients was 75.7 ± 7.6 years, the admission rate to Intensive Care Unit (ICU) was 43.3%, and the 30- day mortality rate after surgery was 21.1%. The ICU admission was significantly higher in the “vitamin D insufficiency” group (n=24 versus n=15, p=0.014). In addition, fragility status patients were significantly higher in the “vitamin D insufficiency” group (n=19 versus n=7, p=0.004). Most of the non-frail patients were in the “vitamin D sufficiency” group (n=18 versus n=9). Conclusion: In our study, we observed higher frailty in vitamin D insufficiency patients. In addition, admission to the postoperative ICU was higher in vitamin D insufficiency and frail patients. Our findings show that frailty and vitamin D insufficiency play an important role in postoperative outcomes. [ABSTRACT FROM AUTHOR]

Objectives: Vitals are the most important parameters for assessing a patient's status and the National Early Warning Score helps to assess vitals to predict how urgent a patient's condition is. The perfusion index is the ratio of the pulsatile blood flow to the non-pulsatile/static blood flow in a patient's peripheral tissue. We aimed to investigate the relationship between National Early Warning Score and perfusion index in the courses and evaluate whether NEWS and PI are useful in predicting outcomes of older patients in an Emergency Department. Method: In this prospective cross-sectional study, we evaluated non-traumatized older patients admitted to an Emergency Department. National Early Warning Score, perfusion index and patients' Emergency Department outcomes were recorded. Results: A total of 967 patients (55% female, mean age=74.8) were enrolled. The initial National Early Warning Score of the patients had a significant, negative correlation with perfusion index (p <0.001). Patients admitted to the hospital had higher National Early Warning Score and lower perfusion index values than those discharged (both p <0.001). Patients admitted to an ICU had significantly higher National Early Warning Score and lower perfusion index values than those admitted to the medical floor (both p <0.001). Conclusion: The National Early Warning Score and the perfusion index are useful instruments to distinguish critically ill elderly patients in an Emergency Department. [ABSTRACT FROM AUTHOR]

Objective: The definition of geriatric patient (GP) includes individuals aged 60 and over. Therefore, it may be necessary for rheumatologists to be aware of the problems they may encounter when planning the treatment of this privileged group and to have guidelines to guide doctors in arranging the treatment of rheumatological diseases. The aim of this study is to examine whether there are specific recommendations for GP in the rheumatology treatment guidelines published to date. Methods: The treatment guidelines of the he European Alliance of Associations for Rheumatology (EULAR) and the American College of Rheumatology (ACR), published between 1970 and 2022, were reviewed in detail by two rheumatologists in terms of specific recommendations for GP. In these guidelines, recommendations for the age range (=60 years), recommendations containing keywords, and items that seem to be relevant to elderly patients were noted. Results: Within the scope of the study, 38 EULAR and 11 ACR treatment guidelines were reviewed. In total, 6 (12.2%) guidelines were found to have special recommendations for elderly patients. Guidelines with specific recommendations were EULAR points to consider for the management of difficult-to-treat rheumatoid arthritis, Points to consider for the development, evaluation and implementation of mobile health applications for self-management in patients with rheumatic diseases, 2019 update of EULAR recommendations for Vaccination in Adult Patients with Autoimmune Inflammatory Rheumatic Diseases, EULAR Recommendations for prevention and management of osteoporotic fractures, EULAR Points to consider for monitoring (detection/prevention) comorbidities in inflammatory rheumatic diseases, 2015 Recommendations for the management of polymyalgia rheumatica: An EULAR/ACR collaborative initiative. Conclusion: Few recommendations specific to GP have been found in treatment guidelines. Further clinical trials should be planned to contribute to the management of medical and non-medical treatment of elderly patients. [ABSTRACT FROM AUTHOR]

Background: The aim of this study is to evaluate the cilinical and demographic characteristics of geriatric patients aged 65 and over who presented at the physical medicine and rehabilitation polyclinic of university hospital. Materials and Methods: The study was conducted in the physical medicine and rehabilitation (PMR) department of Harran University Hospital. In the study, the records of geriatric patients aged 65 and over who presented at the PMR polyclinic in the first 10 months of 2022 were retrospectively analyzed. Demographic characteristics and diagnoses of patients in the geriatric age group were examined. Results: A total of 759 people were included in the study, 546 of whom were women (71.9%) and 213 of them (28.1%) were men aged 65 and over. The mean age of the patients was 72.3±6 (65-98) years. The mean age of men was 71.6±5 (65-89) and the mean age of women was 72.6±6 (65-98), and there was no significant difference between the mean ages of both groups (p>0.05). When the diagnosis groups of the patients were examined according to gender, degenerative diseases were determined most (23.9%) followed by joint pain diseases (22.5%) in males. In female patients, the highest rate was observed to be degenerative diseases at 25.5% followed by osteoporosis at 24.2%. In the patient group as a whole, degenerative diseases were seen most often at 25.0% followed by osteoporosis at 19.9%. Conclusions: We observed that the most common diagnoses of the older adult patients who presented at our PMR polyclinic, the most frequent were degenerative diseases and osteoporosis, followed by other diagnoses. To reduce pain and disability in patients, it is important that protective measures are taken against the risk factors that can worsen the clinical condition of the disease in older adults. Nevertheless, we think that there is a need for multicenter clinical studies with wider patient participation related to the prevalence of musculoskeletal diseases in elderly individuals. [ABSTRACT FROM AUTHOR]

Objective: In this study, it was aimed to evaluate the sleep quality and depression status of dementia patients during the Covid-19 pandemic. Materials and Methods: Patients aged 65 and over with dementia who applied to our polyclinics or those who can be reached from their relatives and those who agreed to participate in our research; a questionnaire consisting of sociodemographic information, “Cornell Scale for Depression in Dementia" and "Pittsburgh Sleep Quality Index" was applied. Results: All of 64 (43.5%) of the participants were male and 83 (56.5%) were female. It was found that 68.7% of the participants had poor sleep quality and 31.3% had good sleep quality. 76.2% of the participants suggested depression, 2.8% did not. Pittsburgh Sleep Quality Index score and Cornell Scale for Depression in Dementia score did not differ according to educational status, occupation and gender. Conclusion: In periods such as the pandemic period, which may cause behavioral changes and lifestyle changes, efforts should be made to minimize the changes in the depression status and sleep quality of groups with specific diseases such as dementia, and if necessary, the control examination time intervals should be shortened.

Aim This study aimed to compare the Rotterdam and Helsinki computed tomography (CT) scoring systems for predicting the 30-day mortality after traumatic brain injury (TBI) in the geriatric population. Materials and Methods Patients aged ≥65 years presenting to the emergency department with trauma-related complaints were retrospectively scanned using International Classification of Disease codes, and patients with isolated head trauma examined using brain CT were included. Demographic data including age, gender, trauma mechanisms, Glasgow Coma Scale (GCS) score at the time of admission, light reflex information, intubation, and surgery status, and emergency department outcomes were recorded. Brain CT images were investigated to calculate the Rotterdam and Helsinki CT scores and the relationship between them was examined. Results Of the 890 included patients, 403 (45.3%) were male. Overall, 683 patients fell from a height of lt;1 m and 195 suffered injuries by hitting or direct impact. Further, the 30-day mortality rate was examined, revealing that 868 patients were alive and 22 patients died. Mortality rate was 3.7% for males and 1.4% for females. The Rotterdam and Helsinki CT scores and 30-day mortality was analyzed using receiver operating characteristic curve analysis, and the area under the curve was found as 0.564 and 0.603, respectively. The specificity of Rotterdam and Helsinki CT scoring systems in predicting 30-day mortality was 99.08% and 99.19%, respectively. Conclusion The use of CT scoring systems such as Rotterdam and Helsinki in the geriatric population presenting with TBI allows us to predict 30-day mortality.

Aim In the geriatric group, aspiration pneumonia is one of the most common causes of Intensive Care Unit admission. Multiple comorbidities related with systemic diseases, as well as dementia, fraility and difficulty in swallowing or protecting the airway may all contribute the development of the AP in the geriatric age. Furthermore, many other variables may influence the outcome of this patient group. In this study, it is aimed to determine the parameters that may have an effect on the intensive care mortality. Materials and Methods 221 patients aged ≥ 80 years who were admitted to the third level ICU with the diagnosis of aspiration pneumonia were retrospectively analyzed. They were divided into two groups according to the 28-day outcome (survived-nonsurvived). The admission levels of arterial blood Ph and pCO2 and lactate , blood urea, creatinine, potassium (K) and sodium (Na) levels, APACHE II, Glaskow Coma Scale (GCS), modified shock index (MSI) and the aspiration pneumonia's source ( community-acquired aspiration pneumonia (CA-AP) or healthcare-associated aspiration pneumonia (HCA-AP) )were recorded.The effects of these variables on 28-day mortality were analyzed. Results The presence of HCA-AP, GCS and APACHEII scores were found to be significantly correlated between the two groups. ROC analysis were done for those variables and cutoff points werecalculated. Logistic regression analysis indicated that APACHEII ( gt;22.5,AUC:0.812,P=0.00) and GCS ( lt;9, AUC:0.730, P=0.00) as the most prominentin dependent predictors of mortality (p lt;0,05, odds ratio 7.68, 3.23 respectively) with the presence of HCA-AP. Conclusion Although many variables are significant in predicting the first 28 days of mortality in ICU admission of geriatric patients with aspiration pneumonia, the presence of HCA-AP, high hospitalization APACHE II score and low GCS score were significant independent variables.

Objective: Attention Deficit Hyperactivity Disorder (ADHD)'s clinical appearance of the older adults is different from that of children and young adults. The diagnosis is generally missed in older ages or patients are exposed to polypharmacy due to misdiagnoses. This situation causes deterioration in functionality and financial burden. Our study aims to determine the frequency and clinical features of ADHD in the elderly. Method: We included 70 individuals aged 65 and over, who admission in our outpatient clinic as the clinical sample, and 70 healthy volunteers as the control group who had similar sociodemographic characteristics with the clinical sample. We diagnosed ADHD with Wender Utah Rating Scale (WURS) and Adult ADHD Self-Report Scale (ASRS) scores, family interviews, and psychiatric interviews. We used DSM-5 Structured Clinical Interview-Clinical Version (SCID-5-CV) to identify additional diagnoses and Barratt Impulsivity Scale (BDI-11) to evaluate impulsivity. Results: The prevalence of childhood ADHD (C-ADHD) was 26%, and adult ADHD (A-ADHD) was 11% among the clinical sample. The prevalence of C-ADHD was %4.2, and there was no A-ADHD in the control group. The BIS-11-motor subscale score was significantly higher in those with A-ADHD than those without in the clinical sample (p=0.04). The BIS-11-total and all subscale scores were significantly higher with C-ADHD than those without C-ADHD in the clinical sample (p<0.05 for each). Conclusion: This study suggests that individuals with a previous psychiatric diagnosis have a higher rate of ADHD diagnosis compared to the healthy population, and ADHD often accompanies mood disorders and anxiety disorders. There may be a cause-effect relationship between ADHD and other mental disorders or similarities in the etiopathogenesis. Questioning ADHD symptoms in clinical samples over 65 years of age will contribute to determining the correct diagnosis and appropriate treatment. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Health Sciences / Türkiye Klinikleri Sağlık Bilimleri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: To examine changes in the number of neovascular glaucoma patients aged over 65 presenting to a tertiary hospital at different stages of the COVID-19 pandemic, as well as changes in their intraocular pressure and vision levels. Materials and Methods: Patients aged over 65 years who had been diagnosed with neovascular glaucoma were divided into the three following groups: pre-lockdown (March 21--June 10, 2019), lockdown (March 21--June 10, 2020), and post-lockdown (March 21--June 10, 2021). Age, sex, the eye(s) involved, etiology, intraocular pressure, best corrected visual acuity, and the treatments administered were compared among the groups. Results: Patient numbers decreased by 51.02% in the lockdown group and 14.29% in the post-lockdown group compared with the pre-lockdown group. The number of treatments applied during the lockdown period decreased by 51.85% compared with the pre-lockdown period (p = 0.002). No statistically significant difference in mean best corrected visual acuity levels was observed between the pre-lockdown period and the lockdown and post-lockdown periods (p = 0.078); however, a significant difference was determined in mean intraocular pressure values (p < 0.001). Conclusions: Hospital presentations among patients with neovascular glaucoma aged over 65 years decreased during and after lockdown. A decrease associated with delayed treatment was observed in vision levels after lockdown, whereas intraocular pressure levels increased. A subsequent increase will inevitably be seen in the number of patients with neovascular glaucoma and in surgeries performed. [ABSTRACT FROM AUTHOR]