ABSTRACT
@#Objective: The aim of this study was to determine the reliability and validity of the Parkinson’s Disease Sleep Scale (PDSS)-Turkish version. 48 patients with idiopathic Parkinson’s disease and 48 healthy controls were included in this cross-sectional study. The patients’ Unified Parkinson’s Disease Rating Scale (UPDRS), Hoehn-Yahr Stage (HYS), and the drugs were recorded. Mini-Mental State Examination was performed in the study population. The professional translation of the PDSS (English to Turkish and Turkish to English) was done by a neurologist and a language educator who was a native English speaker and well versed in Turkish, and it was approved by a certified translation agency as well. PDSS and Epworth Sleep Scale (ESS) tests were performed to 96 subjects. PDSS was repeated 15 days later. Conclusions: The scale was found to be reliable by the first and second assessment of PDSS to 96 subjects (Cronbach’s alpha= 0.721 and 0.77). Intra-class correlation coefficient (ICC) 90%, was found to be high. A statistically significant negative correlation was found between the total ESS and the total PDSS scores when tested in the 96 cases included in the study (rs = -0.306, p = 0.02; rs = -0.340 p = 0.01, respectively). PDSS was found to be reliable and valid in our study with Parkinson’s patients who were monitored at our outpatient clinic.
ABSTRACT
PURPOSE: Diabetes mellitus (DM) is a chronic metabolic disorder that often leads to complications. We aimed to correlate two complications of DM, polyneuropathy and hyperactive bladder syndrome, using noninvasive measures, such as screening tests. METHODS: We included 80 female and 40 male type 2 diabetic patients in this prospective study. Diabetic polyneuropathy evaluations were conducted using the Douleur Neuropathique 4 Questions (DN4), and overactive bladder (OAB) evaluations were performed using the Overactive Bladder Questionnaire (OAB-V8). The patients were also evaluated for retinopathy and nephropathy. The diabetic male and female patients with or without OAB were chosen and compared for microvascular complications (polyneuropathy, retinopathy, and nephropathy). RESULTS: There were no significant correlations between OAB and retinopathy as well as between OAB and nephropathy among diabetic patients (female patients, P>0.05; male patients, P>0.05). However, the patients with OAB were significantly more likely to develop polyneuropathy (female patients, P<0.05; male patients, P<0.05). CONCLUSIONS: In diabetic patients, OAB and diabetic peripheral neuropathy are significantly correlated. These correlations were demonstrated using short, understandable, valid, and reliable disease-specific tests without invasive measures. Using these screening tests, both neurologists and urologists can easily diagnose these complications.