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1.
Geriatr Nurs ; 55: 229-236, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38052130

RESUMO

The purpose of this study was to test the feasibility and the possible effects of black mulberry on cognitive functions in Alzheimer's disease (AD). A total of 39 participants aged 65+ with mild-to-moderate AD were involved and 20 subjects were administered 20g of black mulberry concentrate daily for 12 weeks (intervention group), while 19 received no intervention (control group). Cognitive assessment utilized with Mini-Mental State Examination (MMSE) and AD Assessment Scale-Cognitive Subscale (ADAS-Cog) tests; Geriatric Depression Scale (GDS-15) used for depression screening. At the end of the study, although MMSE scores decreased (p = 0.003) and GDS-15 scores increased (p = 0.034) in control group, there was no change in intervention group. On the contrary, ADAS-Cog scores decreased in intervention group (p = 0.002) while the control group showed no improvement. This study showed that treatment of black mulberry (Morus nigra) for 12 weeks may slightly improve cognitive function in patients with AD.


Assuntos
Doença de Alzheimer , Morus , Humanos , Idoso , Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/psicologia , Estudos de Viabilidade , Cognição , Testes Neuropsicológicos
2.
Turk J Orthod ; 35(2): 133-138, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35788438

RESUMO

OBJECTIVE: The aim of this study was to investigate the pain relief effects of chewing gum and mechanical vibration methods on orthodontic pain caused by the initial archwire. METHODS: In this study, 57 patients, having a 3-6 mm maxillary dental crowding and non-extraction treatment modality were includ- ed. The pressure pain thresholds of the subjects were measured. Patients were distributed equally by sex and randomly allocated into 3 groups: mechanical vibration, chewing gum, and control. The fixed orthodontic treatment was started in the upper jaw only. In the first and second groups, mechanical vibration was applied and sugar-free gum was chewed, respectively. The third group was used as the control. The pain perceptions were measured using the Visual Analog Scale. Kruskal-Wallis and Friedman tests were used for statistical analysis. RESULTS: The groups were similar at the beginning of the study in terms of age and algometer scores (P = .138 and P =.155, respective- ly). Statistical significant differences in the Visual Analog Scale scores among the groups could not be detected at any time point. The highest pain scores were detected at the 24th hour of treatment in all 3 groups. There was no statistically significant difference in the highest pain level among the groups (P = .279). CONCLUSION: Although the average pain values were perceived as lower, particularly in the mechanical vibration group, the temporary displacement of the teeth has no clinically significant pain relief effect on orthodontic pain.

3.
PLoS One ; 17(1): e0262131, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35025953

RESUMO

A new methodology, imputation by feature importance (IBFI), is studied that can be applied to any machine learning method to efficiently fill in any missing or irregularly sampled data. It applies to data missing completely at random (MCAR), missing not at random (MNAR), and missing at random (MAR). IBFI utilizes the feature importance and iteratively imputes missing values using any base learning algorithm. For this work, IBFI is tested on soil radon gas concentration (SRGC) data. XGBoost is used as the learning algorithm and missing data are simulated using R for different missingness scenarios. IBFI is based on the physically meaningful assumption that SRGC depends upon environmental parameters such as temperature and relative humidity. This assumption leads to a model obtained from the complete multivariate series where the controls are available by taking the attribute of interest as a response variable. IBFI is tested against other frequently used imputation methods, namely mean, median, mode, predictive mean matching (PMM), and hot-deck procedures. The performance of the different imputation methods was assessed using root mean squared error (RMSE), mean squared log error (MSLE), mean absolute percentage error (MAPE), percent bias (PB), and mean squared error (MSE) statistics. The imputation process requires more attention when multiple variables are missing in different samples, resulting in challenges to machine learning methods because some controls are missing. IBFI appears to have an advantage in such circumstances. For testing IBFI, Radon Time Series Data (RTS) has been used and data was collected from 1st March 2017 to the 11th of May 2018, including 4 seismic activities that have taken place during the data collection time.


Assuntos
Aprendizado de Máquina , Algoritmos , Paquistão , Radônio/análise , Projetos de Pesquisa , Solo/química , Fatores de Tempo
4.
Am J Orthod Dentofacial Orthop ; 161(1): e80-e86, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34666925

RESUMO

INTRODUCTION: This retrospective study aimed to evaluate whether there are differences in the duration of treatment and the quality of treatment results between patients whose entire treatment process is carried out by a single operator and those patients who are transferred to a second operator. METHODS: One hundred twenty-three patients whose fixed orthodontic treatments were completed and included in the study, and their posttreatment plaster models and panoramic radiographs were used. Fifty-nine of the subjects were transfer patients, and their treatment was administered by 2 residents (transfer group). For the remaining 64 patients, all the treatment was carried out by a single resident (control group). Each group was further divided into 2 groups according to the treatment modality, resulting in 4 groups (nonextraction transfer group [n = 27], extraction transfer group [n = 32], nonextraction control group [n = 32], and extraction control group [n = 32]). The quality of the treatment outcomes was evaluated and compared using the American Board of Orthodontics cast-radiograph evaluation (CRE). RESULTS: The total mean CRE scores in the nonextraction transfer and nonextraction control groups were 35.74 and 29.88, respectively. The means of treatment duration in the nonextraction transfer and nonextraction control groups were 32.7 months and 17.25 months, respectively. The total mean CRE scores in the extraction transfer and extraction control groups were 39.53 and 31.41, respectively. The means of treatment duration in the extraction transfer and extraction control groups were 34.38 and 22.94 months, respectively. Differences between all the compared pairings were statistically significant. CONCLUSIONS: The transferred patients had longer treatment times and poorer treatment quality than the control group patients.


Assuntos
Duração da Terapia , Ortodontistas , Humanos , Ortodontia Corretiva , Estudos Retrospectivos , Extração Dentária
5.
Korean J Orthod ; 51(5): 313-320, 2021 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-34556585

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the effects of chewing gum and low-level laser therapy in alleviating orthodontic pain induced by the initial archwire. METHODS: Patients with 3-6 mm maxillary crowding who planned to receive non-extraction orthodontic treatment were recruited for the study. Sixty-three participants (33 females and 30 males) were randomly allocated into three groups: laser, chewing gum, and control. In the laser group, a gallium aluminum arsenide (GaAlAs) diode laser with a wavelength of 820 nm was used to apply a single dose immediately after orthodontic treatment began. In the chewing gum group, sugar-free gum was chewed three times for 20 minutes- immediately after starting treatment, and at the twenty-fourth and forty-eighth hours of treatment. Pain perception was measured using a visual analog scale at the second, sixth, and twenty-fourth hours, and on the second, third, and seventh days. RESULTS: There were no statistically significant differences between the groups at any measured time point (p > 0.05). The highest pain scores were detected at the twenty-fourth hour of treatment in all groups. CONCLUSIONS: Within the limitations of the study, we could not detect whether low-level laser therapy and chewing gum had any clinically significant effect on orthodontic pain. Different results may be obtained with a higher number of participants or using lasers with different wavelengths and specifications. Although the study had a sufficient number of participants according to statistical analysis, higher number of participants could have provided more definitive outcomes.

6.
Disabil Rehabil Assist Technol ; 16(5): 446-452, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-31368830

RESUMO

PURPOSE: Pelvic asymmetry in the sagittal and horizontal planes among prosthesis users is related to the strength of the abdominal and back muscles. Considering that lumbosacral pathologies and pain in long-term transfemoral prosthesis users can cause asymmetric pelvic motion, it is necessary to investigate pelvic asymmetry caused by prosthetic components. The aim was to compare the gait symmetry of the pelvis of active transfemoral amputees using different types of prosthetic knee joints (Non-microprocessor-controlled prostheses (NMCPs) and microprocessor-controlled prostheses (MCP) knees). METHODS: The two patient groups comprised eight transfemoral amputees: four patients had NMCP joints (Turkish products), and four patients had MCP knees. The reference group consisted of ten normal volunteers. In this work, the 3-D motion of the pelvis, hip, knee and ankle was assessed using the VICON system. RESULTS: The results revealed that during stance, the kinematics of pelvic movement in the amputee group differed from those of the control group in terms of the total excursion anterior pelvic tilt (APT) and maximum and minimum degrees of APT (p < .05). We evaluated the graphics of the NMCP and MCP knee joints and found that the prosthesis-side APT was closer to that of the control group during the stance phase among the NMCP users, while the APT of the MCP users was closer to that of the control group during the swing phase. CONCLUSION: The investigated MCP benefitted the patients considerably. The NMCP did not provide as much walking as the MCP but produced less APT.Implications for RehabilitationThe MCP may not provide symmetrical pelvic motion during all phases of the gait cycle. In transfemoral amputees using MCP, focusing on pelvis in walking training will contribute to pre-prosthetic and post-prosthetics rehabilitation.The NMCP knee joint may be closer in terms of APT.


Assuntos
Amputados , Membros Artificiais , Humanos , Articulação do Joelho , Pelve , Desenho de Prótese
7.
Case Rep Urol ; 2021: 8221488, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35003821

RESUMO

Herein, we reported a duodenal perforation case as an intestinal injury during a percutaneous nephrostomy procedure. A 73-year-old woman with bilateral nephrostomy catheters was applied to the emergency service with right flank pain. Early in the day, her bilateral nephrostomy catheters had been changed. On physical examination, she had a defense and rebound at her right quadrant, and costovertebral angle tenderness was also positive. In the contrast-enhanced abdominal computed tomography scan, the right nephrostomy catheter was located in the second part of the duodenum, and the contrast agent did not leak into the peritoneum from the injury area. We decided on conservative management of the case with active surveillance using daily blood tests and physical examinations. The nephrostomy catheter in the duodenum was left to prevent fistula between the duodenum and the skin, and a new one was placed in the right kidney. The broad spectrum antibiotherapy regime was applied, and the patient was followed up closely. The catheter in the duodenum was removed on the 20th day, uneventfully, and the patient was discharged successfully on the 24th day with her permanent bilateral nephrostomy tubes. On the first follow-up, one month later, the patient had no active medical complaint.

8.
Surg Innov ; 28(2): 236-238, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32996834

RESUMO

Aim. The disease caused by the 2019 novel coronavirus is known predominantly for its respiratory outcomes; a subset of critically ill patients demonstrates clinically remarkable hypercoagulability in which thrombotic events range from acute pulmonary embolism in patients with COVID-19 pneumonia to extremity ischemia. Our observational study aimed to describe the incidence and characteristics, as well as clinical outcomes, of patients presenting and treated for mesenteric ischemia during the COVID-19 pandemic. Material and Methods. Between March 13 and May 13, 2020, 60 patients operated for emergency reasons were analyzed, and it was noticed that 5 of the 6 COVID-positive patients were operated due to mesenteric ischemia. Results. Five of sixty patients (83.3%) applied to our emergency clinic with COVID-19 positive and acute abdomen. Two of them (40%) did not have any comorbidities. All of them (%100) were male. There were no complications and only 1 death (20%). Mean leukocyte, neutrophil, and platelet levels were within the normal range, while the lymphocyte level was near the lower limit. C-Reactive Protein was above the limit in all patients. The mean levels of International Normalized Ratio, Platelet, and Activated Partial Thromboplastin Time were above the limits. While D-dimer levels were close to the upper limit; fibrinogen levels were above the normal limit for each patient. Conclusion. The presence of hypercoagulation status in critical COVID-19 patients should be observed closely, and anticoagulation therapy can be considered in selected patients. More clinical data are needed to examine the role of anticoagulation in COVID-19 treatment.


Assuntos
COVID-19 , Isquemia Mesentérica , Proteína C-Reativa/análise , COVID-19/complicações , COVID-19/fisiopatologia , Estado Terminal , Humanos , Masculino , Isquemia Mesentérica/fisiopatologia , Isquemia Mesentérica/virologia , Pessoa de Meia-Idade , SARS-CoV-2 , Trombofilia/fisiopatologia , Trombofilia/virologia
9.
Sensors (Basel) ; 20(21)2020 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-33182270

RESUMO

This paper proposes a novel data classification framework, combining sparse auto-encoders (SAEs) and a post-processing system consisting of a linear system model relying on Particle Swarm Optimization (PSO) algorithm. All the sensitive and high-level features are extracted by using the first auto-encoder which is wired to the second auto-encoder, followed by a Softmax function layer to classify the extracted features obtained from the second layer. The two auto-encoders and the Softmax classifier are stacked in order to be trained in a supervised approach using the well-known backpropagation algorithm to enhance the performance of the neural network. Afterwards, the linear model transforms the calculated output of the deep stacked sparse auto-encoder to a value close to the anticipated output. This simple transformation increases the overall data classification performance of the stacked sparse auto-encoder architecture. The PSO algorithm allows the estimation of the parameters of the linear model in a metaheuristic policy. The proposed framework is validated by using three public datasets, which present promising results when compared with the current literature. Furthermore, the framework can be applied to any data classification problem by considering minor updates such as altering some parameters including input features, hidden neurons and output classes.

10.
North Clin Istanb ; 7(3): 260-266, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32478298

RESUMO

OBJECTIVE: Data on the relationship between fall and psychoactive drug use among Turkish older people are limited. This study aims to investigate the prevalence of falls and the associations between psychoactive drug use and falls in community-dwelling Turkish older people. METHODS: This single center study was performed using the medical records of subjects aged over 65 years admitted to the geriatric care unit. Demographic and lifestyle factors, clinical characteristics, medications, and data on mood, cognitive status, and functional performance were obtained from the comprehensive geriatric assessment records. Based on a fall history in the last 12 months, subjects were grouped as fallers and non-fallers. Subjects treated with a psychoactive drug were identified. RESULTS: Among the total of 429 subjects, there were 184 (42.9%) fallers and 245 (57.1%) non-fallers. Of those, 33.3% were on psychoactive drug treatment. The proportion of psychoactive drug users was higher in the fallers group compared to non-fallers (45.1% vs. 24.5%, p<0.001). Multivariable logistic regression analysis showed age ≥75 years (OR=1.83;CI: 1.09-3.09; p=0.023), female gender (OR=2.70;CI: 1.6-4.50; p<0.001), and psychoactive drug use (OR=2.14;CI 1.32-3.48; p=0.002) as independent predictors of falls. CONCLUSION: We found that about one-third of geriatric outpatients were on psychoactive drug treatment in Turkey that was independently associated with the risk of falls.

11.
Turk J Orthod ; 33(1): 1-7, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32284892

RESUMO

OBJECTIVE: The aim of the present study was to evaluate the hard and soft tissue changes following rapid maxillary expansion (RME) and alternate rapid maxillary expansion and constriction (Alt-RAMEC) therapies. METHODS: A total of 54 patients who needed maxillary expansion or Alt-RAMEC procedure were recruited and divided into two groups (27 subjects in the RME group and 27 subjects in the Alt-RAMEC group). Expansion screw was activated 0.5 mm/day (2 turns/day) in the RME group. Approximately 11 mm of expansion was achieved. In the Alt-RAMEC group, the screw was activated 1 mm/day (4 turns/day) during a period of 4 weeks. In the first and third weeks, the screw was opened; in the second and fourth weeks, the screw was closed. Cephalometric tracing and analyzing were done with the aid of digital software. Lateral cephalometric radiographs were obtained before (T0) and after (T1) RME and Alt-RAMEC applications. RESULTS: In the RME group, the maxilla moved forward and downward. Upper incisor retrusion was observed according to the reference planes. In addition, the tip of the nose moved forward, and the upper lip moved downward. In the Alt-RAMEC group, the nasolabial angle became more obtuse, and the stomion superius moved backward and downward. CONCLUSION: RME therapy resulted in skeletal and dental changes in the maxilla and related structures, favoring a contribution to solving Class III problems. No remarkable changes were recorded in the Alt-RAMEC group.

12.
Am J Alzheimers Dis Other Demen ; 35: 1533317519889810, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31755298

RESUMO

The ability to screen Turkish-speaking older adults for cognitive impairment by phone is lacking. The aim of this study was to translate the existing version of the telephone cognitive screen (T-CogS) into Turkish version (T-CogS-TR) and evaluate its reliability and validity in community-dwelling older adults. We prospectively recruited 104 community-dwelling participants with mild to moderate Alzheimer's disease (AD) and healthy controls. The T-CogS-TR was administered twice via telephone at home, first within 3 days of an in-person administration and again 4 weeks later. We observed acceptable internal consistency (Cronbach α coefficient = 0.738) and internal reliability. The test-retest reliability was excellent. The T-CogS-TR demonstrated significant correlations with Instrumental Activities of Daily Living, Mini-Mental State Examination, Clock-Drawing Test, and Clinician Dementia Rating (P's < .0001). The cutoff value of ≤22 exhibited sensitivity of 96.8%, specificity of 90.2%, positive predictive value of 93.9%, and negative predictive value of 94.9%. The T-CogS-TR can be useful as a valid and reliable tool for detecting AD in Turkish elderly patients. Also, this tool may be considered suitable for patients who need more frequent follow-up and cannot easily return to in-person visits.


Assuntos
Disfunção Cognitiva/diagnóstico , Vida Independente , Inquéritos e Questionários/normas , Telemedicina , Atividades Cotidianas , Idoso , Doença de Alzheimer/diagnóstico , Humanos , Testes de Estado Mental e Demência/estatística & dados numéricos , Reprodutibilidade dos Testes , Turquia
13.
Prog Orthod ; 20(1): 44, 2019 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-31788737

RESUMO

BACKGROUND: The aim of this study was to evaluate the effect of different nose types on the perception of facial aesthetics following camouflage treatment and orthognathic surgery for skeletal class II female patients. METHODS: A pre-treatment profile photograph of a skeletal class II adult patient was selected from the department archive. Two constructed photographs were created to represent orthognathic surgery and camouflage treatments with the aid of computer software. A total of 18 constructed images was composed using three profiles (pre-treatment, post-camouflage, and post-orthognathic surgery) and six nose types. These photographs were shown to the three groups (orthodontists, plastic surgeons, and lay people), and they were asked to assign an attractiveness score to each photo ranging from 0 to 100, with 0 indicating the least attractive and 100 indicating the most attractive. RESULTS: For the convex nose profiles, anterior movement of the mandible obtained by orthognathic surgery did not result in a significant change in the scores given by the lay people. When surgical or camouflage treatment was not implemented and, instead, just rhinoplasty was performed for these profiles, there was a significant increase in the aesthetic scores given by all groups. For the straight nose profiles, orthognathic surgery increased the attractiveness scores given by all groups. Furthermore, for all the profiles, extraction treatment did not affect the aesthetic scores given by any of the groups (P > 0.05). CONCLUSIONS: The lay people perceived that having a convex-bridged nose was a bigger problem than having a retrognathic profile. Overall, in terms of skeletal and dental orthodontic treatments, nose shape should be considered during the treatment planning process.


Assuntos
Cirurgia Ortognática , Procedimentos Cirúrgicos Ortognáticos , Adulto , Estética Dentária , Face , Feminino , Humanos , Nariz
14.
Ulus Travma Acil Cerrahi Derg ; 25(5): 520-526, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31475321

RESUMO

BACKGROUND: This research aims to retrospectively evaluate the effectiveness and safety of dermal substitute (DS), Nevelia®, for the treatment of severely burned patients. METHODS: Twenty severely burned patients were enrolled in this study between May 2017 and May 2018. After escharotomy of the wound, the treatment protocol was applied following a two-step procedure -DS implantation followed by split-thickness skin graft (STSG) application. Need for surgery, complications, hospitalisation duration and overall survival were analysed. RESULTS: Mean age was 40.1±4 (18-86) years old; female/male: 5/15. Mean burn surface area was 50.1%±2 (25-96). Two patients died under hospital treatment due to the severity of their burn trauma and comorbidities. For the rest of the cases, STSG was performed after Nevelia® at mean 21.2 days. No complications due to Nevelia® were detected. The patients were discharged with a mean total recovery of 55.2±4 days. CONCLUSION: This study showed that Nevelia® can be used safely and effectively in severely burned patients with low complication rates and short hospital stay.


Assuntos
Queimaduras , Pele Artificial , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Queimaduras/epidemiologia , Queimaduras/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
15.
Am J Orthod Dentofacial Orthop ; 156(1): 87-93, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31256846

RESUMO

INTRODUCTION: The aim of this study was to evaluate the effects of mechanical vibration and low-level laser therapy on orthodontic pain after placement of the initial archwire. METHODS: Sixty subjects with 3-6 mm maxillary dental crowding, a nonextraction fixed treatment plan, and no medical history were included in this study. The subjects were randomly divided into 3 groups, equally distributed by sex. In each subject, preadjusted edgewise appliances were placed in the maxillary arch from the left first molar to the right first molar, and a 0.014-inch round nickel-titanium archwire was fully engaged with elastomeric ties and cut at the end of first molar bondable tube. In group 1 (mean age 13.98 ± 2.68 y), mechanical vibration was performed 3 times: immediately, 24 hours, and 48 hours after engagement of the initial archwire. In group 2 (mean age 14.86 ± 2.06 y), low-level laser therapy was applied once: immediately after the insertion of the initial archwire. Group 3 (mean age 14.41 ± 1.78 y) served as the control group. Pain scores were determined with the use of a visual analog scale (VAS). RESULTS: Although no statistically significant differences were found among the groups (P >0.05), the mean VAS scores for the mechanical vibration group were consistently lower than those of the control and low-level laser therapy groups at all measured time points. CONCLUSIONS: The mechanical vibration group had lower, though nonsignificant, VAS scores for all measured time points. Additional clinical trials are recommended for more definitive conclusions.


Assuntos
Terapia com Luz de Baixa Intensidade/métodos , Má Oclusão/terapia , Fios Ortodônticos , Manejo da Dor/métodos , Técnicas de Movimentação Dentária/métodos , Vibração/uso terapêutico , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Maxila , Dente Molar , Níquel , Desenho de Aparelho Ortodôntico , Dor/etiologia , Medição da Dor , Titânio , Técnicas de Movimentação Dentária/efeitos adversos , Técnicas de Movimentação Dentária/instrumentação , Adulto Jovem
16.
Angle Orthod ; 89(3): 426-431, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30644756

RESUMO

OBJECTIVES: To investigate the potential cytotoxicity of the bracket identification dyes commonly used in orthodontic fixed appliances. MATERIALS AND METHODS: Six bracket brands representing the market in various aspects were selected. Ten sets of each bracket brand were acquired, and the identification dyes on them were scraped. They were tested for cytotoxicity at three different levels of concentration (2.5 mg/mL, 5 mg/mL, and 10 mg/mL), with the aid of a real-time cell analysis system. The results were compared within and between the groups. One-way analysis of variance and Tukey's post hoc test were used for statistical analysis. RESULTS: None of the six investigated dyes displayed cytotoxicity at the 2.5 mg/mL concentration. Of the investigated brands, three at 5 mg/mL and four at 10 mg/mL displayed cytotoxicity. CONCLUSIONS: Some of the identification dyes in this study did display cytotoxicity at the higher concentrations tested. Alternative methods for bracket identification should be considered.


Assuntos
Corantes , Braquetes Ortodônticos , Corantes/toxicidade , Propriedades de Superfície
17.
Surg Today ; 49(5): 435-442, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30600395

RESUMO

PURPOSE: To compare the marital satisfaction (MS) and psychological well-being (PWB) of men and women before and after bariatric surgery for obesity. METHODS: The subjects of this prospective observational study were obese patients who underwent bariatric surgery. MS and PWB were assessed before, and 6 months after the surgery, using specific scales for MS and PWB. RESULTS: The correlation matrix showed that age was not correlated with any of the scores from the PWB scales, and only with the total MS scores of men (P < 0.05). The pre-surgical BMI-post-surgical BMI (ΔBMI) was correlated negatively and significantly with the post-surgical total MS, especially for women, but it was not correlated with the sexual satisfaction of either gender. The score of positive interpersonal relationships was negatively correlated with the ΔBMI, especially for women (P < 0.05), whereas personal improvement was positively correlated for men (P < 0.05). There was also a significant correlation between ΔBMI and purpose in life for both genders. Post-surgical ΔBMIs were not associated with the other two indicators of PWB, namely, autonomy and environmental mastery for both genders. CONCLUSIONS: For women, weight loss after bariatric surgery seemed to improve PWB and MS when assessed 6 months post-operatively; however, the psychiatric assessment of patients before and after the surgery is crucial.


Assuntos
Cirurgia Bariátrica/psicologia , Casamento/psicologia , Obesidade/psicologia , Obesidade/cirurgia , Satisfação Pessoal , Redução de Peso , Adulto , Índice de Massa Corporal , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Prospectivos , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
18.
Sensors (Basel) ; 18(2)2018 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-29382053

RESUMO

Traffic signal control (TSC) with vehicle-to everything (V2X) communication can be a very efficient solution to traffic congestion problem. Ratio of vehicles equipped with V2X communication capability in the traffic to the total number of vehicles (called penetration rate PR) is still low, thus V2X based TSC systems need to be supported by some other mechanisms. PR is the major factor that affects the quality of TSC process along with the evaluation interval. Quality of the TSC in each direction is a function of overall TSC quality of an intersection. Hence, quality evaluation of each direction should follow the evaluation of the overall intersection. Computational intelligence, more specifically swarm algorithm, has been recently used in this field in a European Framework Program FP7 supported project called COLOMBO. In this paper, using COLOMBO framework, further investigations have been done and two new methodologies using simple and fuzzy logic have been proposed. To evaluate the performance of our proposed methods, a comparison with COLOMBOs approach has been realized. The results reveal that TSC problem can be solved as a logical problem rather than an optimization problem. Performance of the proposed approaches is good enough to be suggested for future work under realistic scenarios even under low PR.

19.
Asian J Surg ; 41(3): 264-269, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28190750

RESUMO

BACKGROUND: Despite many advances in surgery and technology, colonic anastomosis remains a challenge after colonic resection. The purpose of this study is to compare the safety of using diclofenac sodium and paracetamol for analgesia in colonic anastomosis on rats. METHODS: Wistar-Hannover rats were randomly allocated to four groups: Group 1, sham-operated group; Group 2, control group; Group 3, diclofenac sodium group; Group 4, paracetamol group. After laparotomy, the left colon was transected and a single-layer anastomosis was made with 5/0 vicryl in Groups 2, 3, and 4. Only laparotomy was performed in Group 1. After anastomosis, we administered saline to Group 2, diclofenac sodium to Group 3, and paracetamol to Group 4 for 7 days. Then, all animals were decapitated. The anastomotic region was resected, and bursting pressure was measured. Then, the specimen was sent to the laboratory for histological examination and hydroxyproline analysis. RESULTS: Bursting pressure and hydroxyproline level were significantly higher in the paracetamol group (p<0.05). When we looked at the fibrosis levels of these groups, it was also higher in paracetamol group. CONCLUSION: Bursting pressure, hydroxyproline levels, and fibrosis levels indicate that the perioperative use of paracetamol for analgesia when undergoing colonic anastomosis is safer than diclofenac sodium.


Assuntos
Acetaminofen/efeitos adversos , Fístula Anastomótica/induzido quimicamente , Anti-Inflamatórios não Esteroides/efeitos adversos , Colo/efeitos dos fármacos , Colo/cirurgia , Diclofenaco/efeitos adversos , Cicatrização/efeitos dos fármacos , Acetaminofen/uso terapêutico , Anastomose Cirúrgica , Fístula Anastomótica/prevenção & controle , Animais , Anti-Inflamatórios não Esteroides/uso terapêutico , Colo/patologia , Colo/fisiopatologia , Diclofenaco/uso terapêutico , Dor Pós-Operatória/prevenção & controle , Distribuição Aleatória , Ratos , Ratos Wistar , Resultado do Tratamento
20.
World J Psychiatry ; 7(2): 114-120, 2017 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-28713689

RESUMO

AIM: To investigate the levels of impulsiveness, and the relationship between the binge eating disorder (BED) and the levels of impulsiveness in obese individuals. METHODS: Two hundred and forty-one obese patients who were included in the study and candidate for bariatric surgery (weight loss surgery) were clinically interviewed to identify the BED group, and patients were divided into two groups: Those with BED and those without BED. The comorbidity rate of groups was determined by using structured clinical interview for DSM-IV (SCID-I). A sociodemographic data form including the story of previous psychiatric treatment, structured clinical interview for DSM-IV (SCID-I), Beck Anxiety Inventory, Beck Depression Inventory (BDI) and Barratt Impulsiveness Scale-11 were applied to both of the groups. RESULTS: In regard to 241 obese individuals included in the study, total score and score of attention subscale for BED (+) group were significantly high (P < 0.05). In addition, suicide attempt, story of psychiatric consultation, and score for BDI were again significantly high in the BED (+) group (P < 0.05). CONCLUSION: In assessment of obese individuals, assessment of associated psychopathology such as impulsive characteristics and suicide attempt in addition to disrupted eating behaviors will allow to have a more extensive view.

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