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Kara I.,Sakarya University | Erkin A.,Sakarya University | Sacl H.,Sakarya University | Demirtas M.,State Hospital of Beyhekim | And 3 more authors.
Annals of Thoracic and Cardiovascular Surgery

Purpose: The purpose of this study was to research the use of near-infrared spectroscopy (NIRS) on the neurocognitive functions in the patients undergoing coronary artery bypass grafting (CABG) with asymptomatic carotid artery disease. Methods: The study design was carried out with the participation of 79 patients in a prospective, randomized and double blind control method. The patients were separated into two groups as NIRS (n = 43) and no NIRS (n = 36). A neurocognitive test was applied preoperatively and postoperatively to all patients before discharge. Cognitive functions were evaluated by applying the Montreal Cognitive Assessment test (MoCA). Results: The decrease in the postoperative score of mean MoCA in no NIRS group was statistically significant when compared to preoperatively (p <0.001). Postoperative mean MoCA score was found to be significantly higher in NIRS group (NIRS: 26.8 ± 1.9 vs. no NIRS: 23.6 ± 2.5, p <0.001). It has been determined that there was a moderately positive significant correlation between the increase in the NIRS used patients (%) and increase in the MoCA score of the patients (r = 0.59, p <0.001). Conclusion: Intraoperative NIRS usage in the patients undergoing CABG with carotid artery disease might be useful due to its postoperative positive effects on the cognitive functions. © 2015 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery. All rights reserved. Source

Karahan F.S.,University of Konya | Hamarta E.,University of Konya | Karahan A.Y.,State Hospital of Beyhekim
Studies on Ethno-Medicine

The aim of this study was to define attitudes toward ageism among nursing and geriatric care students at two schools. Fifty students from the Sick and Elder Care School (SECS) and the Nursing Services Department (NSD) participated in this study. Participants were asked to fill a questionnaire that included questions on demographic data and questions related to the literature and the Ageism Attitude Scale (AAS). All students were between 16 and 18 years old, female, and single. The participants’ average AAS score was 72.8. Higher AAS scores were correlated with age, class, and experience in residing with an older relative. The mean AAS score of the SECS students was statistically high and significant when it was compared with the mean AAS score of the NSD students. Students who understand the aging process, senility, and changes in senile individuals better and have good communication skills with elderly individuals have a more positive attitude and perspective. © Kamla-Raj 2016. Source

Kara I.,Sakarya University | Koksal C.,Kartal Kosuyolu Research and Training Hospital | Erkin A.,Sakarya University | Sacli H.,Sakarya University | And 4 more authors.
Annals of Thoracic Surgery

This meta-analysis examined the prognosis of patients who were found to have mild to moderate functional tricuspid regurgitation during mitral valve operations. Overall, this meta-analysis included 2,488 patients in 10 studies. Compared with the group without tricuspid valve annuloplasty, the probability of not progressing to moderate to severe functional tricuspid regurgitation was significantly higher in the tricuspid valve annuloplasty group. A more aggressive surgical approach involving concomitant tricuspid repair with mitral valve operations may be considered to avoid the development of moderate to severe functional tricuspid regurgitation in the follow-up. © 2015 The Society of Thoracic Surgeons. Source

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