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    Evaluation of prehypertension and masked hypertension rate among clinically normotensive patients
    (Taylor and Francis Ltd, 2016) Ünsal, Selim; Özkara, Adem; Albayrak, Turgay; Öztürk, Yasin; Beysel, Selvihan; Küçükler, Ferit Kerim
    Background: The present cross-sectional study was aimed to identify pre-hypertension and masked hypertension rate in clinically normotensive adults in relation to socio-demographic, clinical and laboratory parameters. Methods: A total of 161 clinically normotensive adults with office blood pressure (OBP) <140/90 mmHg without medication were included in this single-center cross-sectional study. OBP, home BP (HBP) recordings and ambulatory BP monitoring (ABPM) were used to identify rates of true normotensives, true pre-hypertensives and masked hypertensives. Data on sociodemographic and clinical characteristics were collected in each subject and evaluated with respect to true normotensive vs. pre-hypertensive patients with masked hypertension or true pre-hypertensive. Target organ damage (TOD) was evaluated in masked hypertensives based on laboratory investigation. Results: Masked hypertension was identified in 8.7% of clinically normotensives. Alcohol consumption was significantly more common in masked hypertension than in true pre-hypertension (28.6 vs. 0.0%, p = 0.020) with risk ratio of 2.7 (95% CI 1.7-4.4). Patients with true pre-hypertension and masked hypertension had significantly higher values for body mass index, waist circumference, systolic and diastolic OBP and HBP (p < 0.05 for each) compared to true normotensive subjects. ABPM revealed significantly higher values for day-time and night-time systolic and diastolic BP (p = 0.002 for night-time diastolic BP, p < 0.001 for others) in masked hypertension than true pre-hypertension. Conclusions: Given that the associations of pre-hypertension with TOD might be attributable to the high prevalence of insidious presentation of masked hypertension among pre-hypertensive individuals, ABPM seems helpful in early identification and management of masked hypertension in the pre-hypertensive population. © 2016 Taylor & Francis Group, LLC.
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    Komplikasyondan tanıya: Vena kava superior sendromundan Behçet hastalığına
    (2015) Albayrak, Turgay; Günay, Emrah; Ünsal, Selim; Şencan, İrfan; Kasım, İsmail; Kahveci, Rabia; Özkara, Adem
    Vena kava superior sendromunun (VKSS) belirti ve bulgularını damar tıkanıklığının seviyesi, şiddeti, süresi ile kollateral gelişimi belirlemektedir. Ayrıca hastalığın altında yatan nedene göre de belirti ve bulgulara rastlanabilir. Behçet Hastalığı damar tutulumuna bağlı olarak VKSS'una neden olabilmektedir. Türkiye, Behçet Hastalığının görülme sıklığı yüksek olan ülkelerden biridir. Bu olguda boyunda şişlik, nefes darlığı ve baş dönmesi ile başvuran hastada, Behçet Hastalığının neden olduğu VKSS anlatılmıştır.
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    The future of elderly care in Turkey
    (2014) Albayrak, Turgay; Kahveci, Rabia; Özkara, Adem; Kasım, İsmail
    Although elderly and end-of-life care have been neglected in Turkey, because older people did not constitute a high percentage of the population, the proportion of citizens aged >65 years is now 7.5%, with this proportion expected to increase to 10.2% by 2023, 21% by 2050 and 28% by 2075.1 These estimates put Turkey as one of the most rapidly ageing populations in the world and have stimulated research and discussions around healthy ageing, chronic disease management and elderly care.
  • Küçük Resim
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    The ideas about advanced life support and affecting factors at the end-stage of life in a hospital in Turkey
    (Public Library of Science, 2017) Albayrak, Turgay; Şencan, İrfan; Akça, Ömer; Koç, Esra Meltem; Aksoy, Hilal; Ünsal, Selim; Bülbül, İskender; Bahadır, Adem; Kasım, İsmail; Kahveci, Rabia; Özkara, Adem
    Background The participation of the people in health decisions may be structured in various levels. One of these is participation in decisions for the treatment. “Advanced directives” is one of the examples for the participation in decisions for the treatment. Aim We wanted to determine the decisions on advanced life support at the end-stage of life in case of a life-threatening illness for the people themselves and their first degree relatives and the factors effecting these decisions. Design and setting The cross-sectional study was conducted with volunteers among patients and patient relatives who applied to all polyclinics of the Ankara Numune Training and Research Hospital except the emergency, oncology and psychiatry polyclinics between 15.12.2012 and 15.03.2013. Method A questionnaire, the Hospital Anxiety Depression (HAD) scale, and Templer’s Death Anxiety Scale (TDA) were applied to all individuals. SPSS for Win. Ver. 17.0 and MS-Excel 2010 Starter software bundles were used for all statistical analysis and calculations. Results The participants want both themselves and their first degree relatives included in end-stage decision-making process. Therefore, the patients and their families should be informed adequately during decision making process and quality communication must be provided. Conclusion Participants who have given their end-stage decisions previously want to be treated according to these decisions. This desire can just be possible by advanced directives.When moral and material loads of end-stage process are taken into consideration, countries, in which advanced directives are practiced, should be examined well and participants’ desire should be evaluated in terms of practicability. © 2017 Albayrak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.