A multicenter intertrochanteric fracture study in the elderly: Hemiarthroplasty versus proximal femoral nailing.

OBJECTIVES: This study aims to compare the clinical and functional results of intertrochanteric femoral fractures treated with bipolar hemiarthroplasty (BHA) or proximal femoral nailing (PFN) in elderly patients. PATIENTS AND METHODS: This multicenter, prospectively followed-up, retrospectively compared cohort-type study included 308 patients (81 males, 227 females; mean age 78.4±7.2 years; range, 65 to 95 years) who were treated with BHA or PFN for intertrochanteric fractures by five orthopedic surgeons in four provinces and seven clinics between January 2014 and May 2018. Clinical follow-up was performed at third week, third and sixth months, and at the end of the first and second years. The American Society of Anesthesiologists for preoperative status, Singh index for bone quality, and Harris Hip Score (HHS) for functional outcomes were evaluated. RESULTS: While 156 patients (38 males, 118 females; mean age 77.7±5.9) were treated with BHA, 152 patients (43 males, 109 females; mean age 79±6.1) were treated with PFN. While there was no significant difference between the two groups in terms of total HHS, a significant difference was found in the sub-parameters (p<0.001). Good and excellent results were found in 78.2% of BHA and 86.2% of PFN patients. Mortality rates were similar at the end of two years (14% and 13.6%, respectively). CONCLUSION: In general, clinical and functional outcomes of BHA and PFN are similar. The rates of pulmonary embolism and deep vein thrombosis are significantly higher in BHA. However, BHA is advantageous in terms of operation time and early weight bearing compared to PFN.

Sexual lives of women with diabetes mellitus (type 2) and impact of culture on solution for problems related to sexual life.

AIMS AND OBJECTIVES: To examine sexual lives of women with diabetes mellitus (type 2) (DM) and impact of culture on solution for problems related to sexual life. BACKGROUND: DM has long been considered a risk factor for sexual dysfunction in men and women, although the evidence in women is less clear. This study was conducted to emphasise the effect of DM and culture on sexual life. DESIGN: A descriptive and qualitative study. METHODS: Planned as descriptive and qualitative, this study was conducted with 38 women who matched with the following inclusion criterion: living in a neighbourhood with low socio-economic status in the province of Kayseri, Turkey. The Participant Information Form, Diabetes Control Form, the Arizona Sexual Experiences Scale (ASEX), Sexual Life Definition Form and Semi-Structured Interview Form for revealing problems lived in sexual life, besides the results of laboratory tests, were used for data collection. RESULTS: Mean age of the participating women was 51·34 ± 5·85 years. Total score of ASEX was found to be correlated with the type of DM treatment, duration of DM diagnosis, complications of DM, relation with her husband, level of HbA1c and systolic-diastolic blood pressure (p < 0·05). Of the participating women, 47·4% expressed that they had problems with sexual relation. CONCLUSION: Most of the women with DM were determined to have problems in sexual functions besides the disease, and the impact of culture on the solution for problems lived within sexual life was effective. RELEVANCE TO CLINICAL PRACTICE: These findings can help guide to raise the health of Turkish women with diabetes and to plan appropriate nursing interventions.

Prevalence of urinary tract infections and its risk factors in elementary school students.

BACKGROUND: Childhood urinary tract infections (UTI) are one of the most important factors affecting adult health. AIM: The study was a cross-sectional investigation to identify the prevalence of UTI and its risk factors. METHODS: The study included 2,511 6-8th grade elementary school students. Data were collected by questionnaire form and medical diagnosis. Descriptive statistics and logistic regression analyses were performed. RESULTS: 7.1% of all participating students had UTI (10.1% girls, 4.2% boys). Students with a family history of UTI had a 3.763-fold risk of developing UTI (p < 0.05) compared to those without. Students who drank <1 liter of water daily had a 1.077 times higher risk of having the infection than those who drank >1 liter of water daily (p < 0.05). CONCLUSION: Students drinking an inadequate amount of water and having a family history had a high prevalence of UTI.