RÉSUMÉ
BACKGROUND: Shift rotation schemes can influence workers' tolerance of night-shift work and its impact on health. AIMS: This study was aimed to assess the influence of shift work rotation schemes on sleepiness and sleep quality. METHODS: We conducted a cross-sectional study of 145 male workers, 77 from a ceramic tile factory on a fixed, forward-rotating shift work scheme, and 68 from a dockyard company, working on-call night shifts. Participants self-administered the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) questionnaires and provided data on demographic and lifestyle variables. We set two logistic regression models to predict the risk of daytime sleepiness and poor sleep quality as a function of night-shift work and on-call night shifts, adjusting for personal and lifestyle covariates. RESULTS: Marital status, body mass index, smoking and alcohol intake did not affect ESS and PSQI scores, nor did they differ between the two cohorts. Night-shift workers from both cohorts were more likely to have a PSQI score ≥6, suggestive of poor sleep quality, with no variation between the two cohorts. ESS scores suggestive of daytime sleepiness were strongly associated with on-call night shifts among dockyard workers for (odds ratio = 13.4; 95% confidence interval 2.9-63.9), in respect the regular, forward-rotating night-shift work among ceramic tile factory workers. DISCUSSION: Daytime sleepiness occurred more frequently among dockyard workers working on-call night shifts. Poor sleep quality occurred more frequently among night-shift workers, but it did not differ between the two companies.
Sujet(s)
Qualité du sommeil , Envie de dormir , Études transversales , Humains , Mâle , Sommeil , Enquêtes et questionnaires , Tolérance à l'horaire de travailRÉSUMÉ
BACKGROUND: The current study aimed to evaluate the influence of regular annual influenza vaccinations on cardiovascular (CV) death and heart failure-related hospitalizations (HFrH) in stable outpatients with heart failure with reduced ejection fraction. METHODS: The Turkish research team-HF (TREAT-HF) is a network undertaking multicenter, observational cohort studies in HF. This study is a subgroup analysis of TREAT-HF outpatient cohorts who completed a questionnaire on influenza vaccination status and for whom follow-up data were available. A total of 656 patients with available follow-up data for CV death and HFrH including recurrent hospitalization were included in the study. Patients were classified into two groups: those who received regular influenza vaccination (40 %) and those who did not receive vaccination. RESULTS: During a mean follow-up of 15 ±6 months, 113 (18 %) patients had CV death and 471 (72 %) patients had at least one HFrH. The CV death rate was similar in both groups of patients (16 vs. 19 %, p = 0.37), whereas, HFrH and recurrent HFrH were significantly less frequently encountered in patients who received regular influenza vaccination than in those who did not receive vaccination (43 vs. 92 % and 16 vs. 66 %, p < 0.001, respectively). In a multivariate Cox proportional hazards model - in addition to a few clinical factors - vaccination status (HR = 0.30, 95 % CI = 0.17-0.51, p < 0.001) and graduation from university (HR = 0.35, 95 % CI = 0.17-0.72, p = 0.004) remained independently associated with the risk of recurrent HFrH. CONCLUSION: Regular influenza vaccination does not influence CV deaths; however, it decreases HFrH including recurrent episodes of HFrH in outpatients with heart failure with reduced ejection fraction.
Sujet(s)
Mort subite cardiaque/épidémiologie , Défaillance cardiaque/mortalité , Vaccins antigrippaux/usage thérapeutique , Grippe humaine/mortalité , Grippe humaine/prévention et contrôle , Réadmission du patient/statistiques et données numériques , Vaccination/statistiques et données numériques , Comorbidité , Mort subite cardiaque/prévention et contrôle , Femelle , Études de suivi , Défaillance cardiaque/prévention et contrôle , Humains , Mâle , Adulte d'âge moyen , Prévalence , Facteurs de risque , Turquie/épidémiologieRÉSUMÉ
Members of the phylum Myxozoa are among the most cosmopolitan parasites of fish, and the genus Myxobolus is the largest within the class Myxosporea in freshwater and marine environment from all over the world. Myxobolus parvus has been reported from mainly mugilid fishes from different localities including the Black Sea. Leaping mullet Liza saliens collected by fishermen off Sinop coasts of the Black Sea in the period between September 2014 and December 2015 was investigated for myxosporean parasites using conventional methods. M. parvus Schulman, 1962 was the only Myxobolus species identified and it was found in the gills, gall bladder, kidney tubules, and inside several cysts located on the lower jaw of examined fish in the present study. Morphometric data and all details of parasitic infection were determined and presented in tables and illustrated in figures. Molecular characterization was also conducted to reveal its position within Myxosporea. Two M. parvus samples from gills and kidney showed the same haplotype and appeared in the same sub-lineage with marine Myxobolus species. The closest haplotypes to M. parvus were Triactinomyxon sp. and Endocapsa sp. which are the actinosporeans forms of unknown myxozoan species. These data are the first in molecular characterization of M. parvus, its occurrence in lower jaw of leaping mullet along with its infection prevalence values off the Turkish Black Sea coasts.
Sujet(s)
Maladies des poissons/parasitologie , Myxobolus/classification , Myxobolus/isolement et purification , Parasitoses animales/parasitologie , Smegmamorpha/parasitologie , Animaux , Mer Noire , Eau douce/parasitologie , Branchies/parasitologie , Phylogenèse , TurquieRÉSUMÉ
OBJECTIVES: Asymmetric tonsillar hypertrophy is a condition, confirmed by physical examination, that can be found in every age group. The aim of this study was to compare each tonsil through macroscopic and microscopic assessment of specimens and reveal the reasons that cause one tonsil to grow more than the other. METHODOLOGY: The study was carried out with 93 patients who wereindicated for tonsillectomy in the authors' Clinic. Of these 93 patients, seven cases who had clinically asymmetric but pathologically symmetric tonsils were excluded from the study. The presence of microscopicintraepithelial abscess, Helicobacter pylori with Giemsa stain, Coccobacillus, fungus, Actinomyces with Pas-Grocott stain, dysplasia or hyperplasia, malignancy and reactive changes in the epithelium were evaluated. RESULTS: The study was conducted with 86 patients aged between two and 35, of whom 32 were women (37.2%) and 54 were men (62.8%). The mean age of cases was 8.37 ± 5.95. The mean difference between two tonsils ranged from 1 to 12 mm, mean 3.67 ± 2.56 mm. When the findings were examined, the presence of H. pylori, Coccobacillus, fungus and Actinomyces, reactive changes in the epithelium, pattern of hyperplasia, intraepithelial abscess and macroscopic presence of pus did not reveal any statistically significant changes. CONCLUSION: The reasons behind asymmetric tonsil hypertrophies and how they are related to malignancies have not yet been clarified. There is no statistically significant difference between the evaluated parameters in the present study. This study has brought a new point of view to the subject by comparing different-sized tonsils in the same person, thus paving the way for future studies with a broader scope.
Sujet(s)
Tonsille palatine/anatomopathologie , Abcès/anatomopathologie , Actinomyces/isolement et purification , Adolescent , Adulte , Enfant , Enfant d'âge préscolaire , Épithélium/anatomopathologie , Femelle , Bâtonnets et coques aérobies à Gram négatif/isolement et purification , Helicobacter pylori/isolement et purification , Humains , Hypertrophie/étiologie , Mâle , Tonsille palatine/chirurgie , Suppuration/anatomopathologie , Amygdalectomie , Jeune adulteSujet(s)
Infarctus du myocarde/induit chimiquement , Infarctus du myocarde/diagnostic , Pseudoéphédrine/effets indésirables , Adolescent , Rhume banal/complications , Rhume banal/traitement médicamenteux , Humains , Mâle , Infarctus du myocarde/prévention et contrôle , Décongestionnant nasal/effets indésirables , Décongestionnant nasal/usage thérapeutique , Pseudoéphédrine/usage thérapeutique , Résultat thérapeutiqueRÉSUMÉ
Chronic upper limb ischemia is an uncommon clinical condition and is most often caused by subclavian artery stenosis. Surgical and percutaneous treatment modalities have been shown to be effective for the management of subclavian artery occlusion. Because of lower mortality and morbidity rates, percutaneous interventions for subclavian arterial occlusions are more acceptable than surgery. Chronic total occlusions of the subclavian artery are challenging to treat percutaneously because of the structure and complexity of the lesion. The complexity of the lesion causes its own complications. In this paper, we report a case of a completely occluded left subclavian artery that was complicated by a malpositioned stent hanging into the aortic arch and the ascending aorta during percutaneous intervention, which was successfully managed by our heart team.
Sujet(s)
Bras/vascularisation , Ablation de dispositif/méthodes , Ischémie/étiologie , Endoprothèses , Syndrome de vol sous-clavier/complications , Syndrome de vol sous-clavier/chirurgie , Aorte , Association thérapeutique/méthodes , Humains , Ischémie/diagnostic , Ischémie/prévention et contrôle , Mâle , Adulte d'âge moyen , Syndrome de vol sous-clavier/diagnostic , Résultat thérapeutiqueSujet(s)
Prothèse vasculaire/effets indésirables , Vaisseaux coronaires/traumatismes , Vaisseaux coronaires/chirurgie , Endoprothèses/effets indésirables , Plaies pénétrantes/étiologie , Plaies pénétrantes/chirurgie , Adulte , Ablation de dispositif , Humains , Mâle , Défaillance de prothèse/effets indésirables , Radiographie , Résultat thérapeutique , Plaies pénétrantes/imagerie diagnostiqueSujet(s)
Bactériémie/diagnostic , Brucellose/diagnostic , Maladie des artères coronaires/diagnostic , Embolie/diagnostic , Endocardite bactérienne/diagnostic , Infarctus du myocarde/diagnostic , Bactériémie/étiologie , Bactériémie/thérapie , Brucellose/complications , Brucellose/thérapie , Maladie des artères coronaires/étiologie , Maladie des artères coronaires/thérapie , Embolie/étiologie , Embolie/thérapie , Endocardite bactérienne/complications , Endocardite bactérienne/thérapie , Humains , Mâle , Adulte d'âge moyen , Infarctus du myocarde/étiologie , Infarctus du myocarde/thérapieSujet(s)
Kystes/imagerie diagnostique , Kystes/chirurgie , Tumeurs du coeur/imagerie diagnostique , Tumeurs du coeur/chirurgie , Myxome/imagerie diagnostique , Myxome/chirurgie , Diagnostic différentiel , Échocardiographie tridimensionnelle/méthodes , Atrium du coeur/imagerie diagnostique , Atrium du coeur/chirurgie , Humains , Mâle , Adulte d'âge moyen , Résultat thérapeutiqueSujet(s)
Spasme coronaire/complications , Spasme coronaire/diagnostic , Infarctus du myocarde/diagnostic , Infarctus du myocarde/étiologie , Nitroglycérine/administration et posologie , Coronarographie/méthodes , Vaisseaux coronaires/effets des médicaments et des substances chimiques , Diagnostic différentiel , Relation dose-effet des médicaments , Électrocardiographie/méthodes , Humains , Mâle , Adulte d'âge moyen , Vasodilatateurs/administration et posologieSujet(s)
Fibrillation auriculaire/complications , Fibrillation auriculaire/imagerie diagnostique , Septum du coeur/imagerie diagnostique , Ventricules cardiaques/imagerie diagnostique , Thrombose/imagerie diagnostique , Thrombose/étiologie , Sujet âgé de 80 ans ou plus , Fibrillation auriculaire/chirurgie , Diagnostic différentiel , Femelle , Septum du coeur/chirurgie , Ventricules cardiaques/chirurgie , Humains , Thrombose/chirurgie , Résultat thérapeutique , ÉchographieSujet(s)
Échocardiographie transoesophagienne/méthodes , Insuffisance mitrale/étiologie , Insuffisance mitrale/chirurgie , Ponctions , Instruments chirurgicaux , Thrombose/complications , Thrombose/imagerie diagnostique , Sujet âgé , Diagnostic différentiel , Humains , Mâle , Insuffisance mitrale/imagerie diagnostique , Échec thérapeutiqueRÉSUMÉ
OBJECTIVE: Total atrial conduction time (TACT) is the most important parameter in predicting the development of new-onset atrial fibrillation. We investigated the effect of cilostazol therapy on TACT in patients with peripheral artery disease. METHODS: Thirty patients with peripheral artery disease were treated with cilostazol (200 mg/day) for 6 months. The baseline echocardiographic total atrial conduction time parameter was compared with the 6-month follow-up. RESULTS: The TACT duration was decreased in all patients compared with the baseline after therapy (121.8 ± 19.3 vs. 109.1 ± 15.9 milliseconds, p<0.001). However, left atrial (LA) diameter was not changed with the therapy. The reduction of TACT duration was correlated with the increase in mitral E wave velocity/mitral A wave velocity ratio (r=-0.48, p<0.003). CONCLUSION: Our results showed that 200 mg cilostazol treatment decreased TACT duration in patients with peripheral artery disease, which may also prevent the development and/or recurrence of atrial fibrillation (AF).
Sujet(s)
Maladie artérielle périphérique/traitement médicamenteux , Maladie artérielle périphérique/physiopathologie , Tétrazoles/administration et posologie , Vasodilatateurs/administration et posologie , Sujet âgé , Fibrillation auriculaire/étiologie , Fibrillation auriculaire/physiopathologie , Fibrillation auriculaire/prévention et contrôle , Cilostazol , Femelle , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Maladie artérielle périphérique/complicationsRÉSUMÉ
BACKGROUND: Non-invasive prediction of paroxysmal atrial fibrillation (PAF) is one of the most recent interests of cardiology. AIM: The current study investigates the relationship between the atrial electromechanical coupling time (EMCT) and PAF. PATIENTS AND METHODS: A group of 35 patients with PAF was compared with a group of 37 subjects without PAF. Pulsed wave tissue Doppler evaluations of atrial walls were performed from apical four chambers view under ECG monitoring. The time intervals from the onset of P wave to the onset of late diastolic wave (A') at right atrial wall (P-RA), interatrial septum (P-IAS), and left atrial wall (P-LA, maximum EMCT) were measured. The right atrial EMCT (P-RA minus P-IAS), left atrial EMCT (P-LA minus P-IAS) and interatrial EMCT (P-LA minus P-RA) were computed. A' wave velocities were measured from each atrial wall. RESULTS: RA (16.0±13.1 vs. -8.7±18.6 ms, p < 0.001) and maximum (91.5±32.6 vs. 72.0±23.1 ms, p = 0.001) EMCT were longer, RA A' velocity was higher in the patient group. There were no differences between the groups in LA and interatrial EMCT, and septal and LA A' velocities. Regression analysis revealed that only RA [OR: 1.148 (1.041-1.267), p = 0.006] and maximum [OR: 1.099 (1.009-1.197), p = 0.031] EMCT were independent variables for PAF. In order to predict patients with PAF, we have chosen +7.5 msn for the RA EMCT which yielded 69% sensitivity and 71.4% specificity to predict patients. CONCLUSIONS: Delayed RA lateral EMCT relative to septal one and delayed maximum EMCT detected by tissue Doppler could be a valuable method for identifying patients with PAF.
Sujet(s)
Fibrillation auriculaire/physiopathologie , Septum interatrial/physiopathologie , Échocardiographie-doppler pulsé , Atrium du coeur/physiopathologie , Adulte , Sujet âgé , Études cas-témoins , Électrocardiographie ambulatoire , Femelle , Humains , Mâle , Adulte d'âge moyen , Études prospectives , Analyse de régression , Sensibilité et spécificité , Facteurs tempsRÉSUMÉ
BACKGROUND: No data exist on regarding possible improvement will occur in right ventricular (RV) functions after successful recanalization of right coronary artery chronic total occlusions (RCA CTOs). AIM: Our aim was to evaluate the revascularization induced changes in RV functions by novel echocardiographic techniques like tissue Doppler imaging (TDI) and two dimensional speckle tracking echocardiography (2DSTE). PATIENTS AND METHODS: Forty-one consecutive successfully recanalized patients with RCA CTOs were included in our study. All included patients underwent standard echocardiography with TDI and 2DSTE to assess RV function before procedure and repeated after 24 hours and 1 month. RESULTS: There were no significant changes in tricuspid annular plane systolic excursion, systolic myocardial velocities, and fractional area change values. However, RV global longitudinal strain and systolic strain rate values showed a significant increase at 24 hours after percutaneous coronary intervention compared to baseline (-23.6±4.1% vs. -19.7±3.9%, p < 0.001 and -1.55±0.18s-1 vs. -1.18±0.17s-1, p < 0.001, respectively). Moreover, improvement of the RV functions in patients with RCA CTOs was further suggested by the higher RV isovolumic acceleration values at 1-month compared with baseline (2.29±0.62 vs. 2.05±0.5 m/s2, p = 0.014). CONCLUSIONS: TDI derived isovolumic acceleration and 2DSTE derived global longitudinal strain and systolic strain rate values showed improvement in RV functions after successful percutaneous recanalization of RCACTOs suggesting viability of RV in chronic ischemia.
Sujet(s)
Occlusion coronarienne/chirurgie , Échocardiographie , Intervention coronarienne percutanée , Fonction ventriculaire droite , Sujet âgé , Maladie chronique , Occlusion coronarienne/imagerie diagnostique , Occlusion coronarienne/physiopathologie , Femelle , Humains , Mâle , Adulte d'âge moyen , SystoleRÉSUMÉ
AIM: To assess early outcome of predilatation prior stenting of severe carotid artery stenosis and to evaluate early major adverse cardiovascular and cerebral events (MACCE). PATIENTS AND METHODS: The study group consisted of 265 consecutive patients (200 males, 65 female, mean age 66.7 ± 8.6 years) in whom 275 percutaneous transluminal angioplasty (PTA) procedures of carotid arteries were performed. Staged carotid stenting was performed in patients with bilateral carotid stenosis. Neuroprotection with a distal protection device was used in all cases. The patients were divided into two groups: direct carotid stent implantation without previous pre-dilation was performed in 233 patients (direct stenting group) and predilatation was performed in 42 patients (predilatation group). Early events were recorded and analyzed subsequently. RESULTS: We treated 275 carotid stenoses and the stent was implanted in all patients. Ten patients (3.7%) were treated by staged carotid artery stenting (CAS) due to bilateral carotid artery disease. The technical success rate was 97.1%. During 1-month follow-up, the prevalence of primary endpoint was 2.18%. The prevalence of MACCE at 30 days was higher in the predilatation group (2.4% vs. 2.1%; p = 0.924). Also periprocedural rate of hypotension was higher in predilatation group (7.1% vs. 1.7%; p = 0.04). CONCLUSIONS: Balloon predilatation prior to stenting can be performed to treat severe carotid artery stenosis with acceptable periprocedural complication rate.
Sujet(s)
Angioplastie coronaire par ballonnet/effets indésirables , Angioplastie coronaire par ballonnet/méthodes , Sténose carotidienne/chirurgie , Dilatation/effets indésirables , Dilatation/méthodes , Sujet âgé , Femelle , Humains , MâleRÉSUMÉ
BACKGROUND: Recent findings suggest that there is a close relationship between chronic heart failure and uric acid. AIMS: The aim of the study was to assess whether increased uric acid levels in patients with dilated cardiomyopathy might correlate with the degree of functional mitral regurgitation (MR). MATERIALS AND METHODS: Sixty two consecutive patients diagnosed with dilated cardiomyopathy were included in the study. The patients were classified according to severity of functional MR into two groups: mild-moderate functional MR (ERO < 0.2 cm2) and severe functional MR. RESULTS: The patients with severe functional MR had significantly higher serum uric acid levels compared to patients without severe functional MR (6.34 ± 1.61 mg/dL vs 5.43 ± 1.17 mg/dL respectively, p = 0.012). Furthermore, tenting area, an important predictor of functional MR severity, was moderately correlated with the serum uric acid levels (r = 0.351, p = 0.005). It was also shown that the serum uric acid concentrations were inversely correlated with left ventricular (LV) ejection fraction, and positively correlated with LV volumes. There was also a significant relation between the serum uric acid and left atrial volumes and also brain natriuretic peptide (BNP) levels. CONCLUSIONS: In conclusion, this study demonstrates that elevated serum uric acid levels in patients with dilated cardiomyopathy are correlated with the severity of functional MR and echocardiographic volume indices.
Sujet(s)
Cardiomyopathie dilatée/sang , Insuffisance mitrale/sang , Acide urique/métabolisme , Adulte , Marqueurs biologiques/sang , Cardiomyopathie dilatée/complications , Échocardiographie/méthodes , Échocardiographie/statistiques et données numériques , Femelle , Humains , Mâle , Adulte d'âge moyen , Insuffisance mitrale/complications , Peptide natriurétique cérébral/métabolisme , Indice de gravité de la maladieRÉSUMÉ
Atrial septal defect is a common form of congenital heart disease. Percutenous closure is an important treatment option for these patients. In this case series, we intend to share the percutaneous closure of the difficult types of secundum atrial septal defects.
Sujet(s)
Cathétérisme cardiaque/instrumentation , Échocardiographie transoesophagienne/méthodes , Communications interauriculaires/thérapie , Adulte , Femelle , Communications interauriculaires/imagerie diagnostique , Humains , Mâle , Résultat thérapeutiqueRÉSUMÉ
Keutel syndrome (KS) is a rare autosomal recessive disease which is mainly characterised by abnormal cartilage calcification, peripheral pulmonary artery stenosis, sensorineural and conductive hearing loss, brachytelephalangism, and midface hypoplasia. Here, we present and discuss a Keutel syndrome patient with hearing loss born to consanguineous parents (first cousins), along with all the characteristic features of KS.