INTRODUCTION: This research aims to elucidate the potential advantages of incorporating music therapy as an adjunctive intervention in enhancing the traditional treatment modalities for post-acute stroke patients. The focal outcomes were mood stabilization, cognitive skills and functions recuperation, and anxiety mitigation.
METHODS: The investigation was conducted at the Neurology Department of Gebze Fatih State Hospital. A cohort of volunteer patients, aged between 18-80 years, diagnosed with acute stroke, were enrolled. The participants, segregated into the music therapy group and the control group (20 patients each), were hospitalized for an approximate duration of seven days. The music therapy cohort was exposed to a diverse auditory regimen comprising Turkish art, pop, and acoustic music, along with foreign easy listening and classical genres for four hours daily. Pre-discharge assessments involved the Beck tests for anxiety and depression, the MOCA for cognitive evaluation, and recordings of NIHSS scores upon admission and discharge. Additionally, the Modified Rankin Score was documented prior to discharge. Data were statistically analyzed utilizing the SPSS software (version 25)
RESULTS: Comparative analysis between the groups revealed no significant impact of music therapy on depression, anxiety, or MOCA test scores for acute stroke patients before discharge. However, a significant finding was the correlation of lower Beck depression scores with patients exhibiting reduced NIHSS scores at both admission and discharge (p=0.011 and p=0.007 respectively). Additionally, when comparing minor to moderate stroke patients, those in the minor category displayed statistically elevated musically-evoked emotional responses (e.g., joy, sadness, motivation) (p=0.011).
DISCUSSION AND CONCLUSION: Acute stroke patients with lower NIHSS scores potentially derive the most therapeutic benefits from passive music therapy during their acute hospitalization phase. This underscores the nuanced role of music therapy, suggesting its potential efficacy may be contingent upon the severity of the stroke.
|The Relationship Between White-Collar Workers Nutritional Habits, Nutritional Status, and Healthy Eating Index
Asu Kurtuluş, Ecenur Özkul, Yonca Sevim
doi: 10.14744/bauh.2023.54254 Pages 1 - 11
INTRODUCTION: This study was planned to determine the dietary habits, working hours, and anthropometric characteristics of randomly selected white-collar workers from various sectors in Istanbul and Bursa provinces and to investigate their relationship with the Healthy Eating Index (HEI).
METHODS: A total of 171 employees participated in the study, with face-to-face assessments using general characteristic forms, nutritional habits, anthropometric measurements, a 24-h dietary recall, and HEI.
RESULTS: A total of 171 white-collar working individuals participated in the study, with ages ranging from 23 to 59 years, consisting of 123 females and 48 males. The overall HEI score for participants was 51.27±11.75, and for females and males, average scores were 52.39±11.63 and 48.39±11.72, respectively (p<0.05). No participants in either sex group demonstrated good dietary quality. Males had poorer dietary quality compared to females. It was found that most participants skipped meals, with breakfast being the most skipped meal. After breakfast, morning snacks and lunch were the next most frequently skipped meals. As the number of meals and the daily water intake of participants increased, there was an associated increase in their HEI scores (p<0.05). In addition, a decrease in HEI scores was noted with the delay in dinner time and an increase in participants daily energy intake. It was found a negative correlation between body weight, body mass index, waist circumference, hip circumference, and waist-to-hip ratio with HEI scores; however, this correlation was not statistically significant. When age, sex, education, income level, marital status, smoking, alcohol use, sleep duration, food allergies, presence of diseases, work experience, current job tenure, time spent standing, and time spent sitting were included in Binary Logistic Regression Analysis, it was observed that the only independent variable affecting the HEI score was sex. Female sex was found to reduce the risk of having poor dietary quality. This section is written quite long for the abstract section. The abstract should be a maximum of 250 words. Therefore, the result section should be shortened.
DISCUSSION AND CONCLUSION: Our study has shown the need to improve the diet quality of white-collar workers. The findings also suggest that late-night dinners negatively affect diet quality. In addition, it appears that male employees have a lower diet quality compared to females, and this difference in dietary approaches should not be overlooked.
|The Effects of Nomophobia on Posture, Anxiety, Sleep Quality, and Physical Activity in University Students
Gamze Demircioğlu, Hazal Genç
doi: 10.14744/bauh.2023.54264 Pages 12 - 17
INTRODUCTION: Nomophobia, the fear of being without a cell phone, is prevalent among university students. This study aims to explore the effects of varying levels of nomophobia on posture, anxiety, sleep quality, and physical activity among this demographic.
METHODS: A total of 118 university students, aged 18 to 25, participated in this study. They were evaluated on different parameters. The Nomophobia Scale (NMP-Q) was used to measure nomophobia levels, while the International Physical Activity Questionnaire assessed physical activity levels. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), anxiety levels were determined with the Beck Anxiety Inventory (BAI), and posture was assessed using the New York Posture Rating Scale.
RESULTS: A moderate correlation was found between the BAI and NMP-Q scores (r=0.306; p<0.001), and a positive correlation existed between BAI and PSQI scores (r=0.356; p<0.001). No statistically significant associations were observed between the other variables (p≥0.005).
DISCUSSION AND CONCLUSION: This study highlights the impact of increased cell phone use on anxiety, sleep quality, physical activity, and posture among university students. It was found that nomophobia levels are associated with anxiety and sleep quality but not with physical activity levels or posture. Future research should explore intervention methods to address this growing public concern.
|Music Therapy in Acute Stroke
Iyad Rouijel, Selen Gür-özmen, Ruhan Karahan-Özcan
doi: 10.14744/bauh.2023.65375 Pages 18 - 25
INTRODUCTION: This study aims to explore the potential benefits of adding music therapy to traditional treatment methods for post-acute stroke patients. The primary outcomes focused on were mood stabilization, recovery of cognitive skills and functions, and reduction of anxiety.
METHODS: The research was carried out in the Neurology Department of Gebze Fatih State Hospital. A group of volunteer patients aged 18-80, diagnosed with acute stroke, participated. The participants were divided into a music therapy group and a control group, with 20 patients in each. They were hospitalized for approximately seven days. The music therapy group underwent a varied auditory regimen, including Turkish art, pop, and acoustic music, as well as foreign easy listening and classical music, for four hours daily. Assessments before discharge included the Beck tests for anxiety and depression, the MOCA for cognitive evaluation, and NIHSS score recordings at admission and discharge. The Modified Rankin Score was also recorded before discharge. Data analysis was performed using SPSS software (version 25).
RESULTS: The comparative analysis showed no significant effect of music therapy on depression, anxiety, or MOCA test scores in acute stroke patients before discharge. Notably, lower Beck depression scores correlated with patients who had lower NIHSS scores at both admission and discharge (p=0.011 and p=0.007, respectively). Moreover, patients with minor strokes displayed significantly higher musically-evoked emotional responses (e.g., joy, sadness, motivation) compared to those with moderate strokes (p=0.011).
DISCUSSION AND CONCLUSION: Acute stroke patients with lower NIHSS scores may benefit most from passive music therapy during their hospital stay. This highlights the subtle role of music therapy, suggesting its potential effectiveness might depend on the severity of the stroke.
|Investigation of the Relationship Between Multifidus Muscle and Lumbar Disc Herniation Through Magnetic Resonance Imaging
Gökberk Demirel, Hasan Kerem Alptekin, Tuba Selçuk, Jülide Öncü Alptekin
doi: 10.14744/bauh.2023.09797 Pages 26 - 31
INTRODUCTION: The aim of the research is to analyze the relationship between multifidus muscle (MM) atrophy and disc herniation in the lumbar region through magnetic resonance imaging.
METHODS: A total of 254 patients aged between 18 and 62 were evaluated for MM atrophy and herniated discs. Research is conducted retrospectively. T2-weighted axial slices were used for bilateral evaluation of the cross-sectional area and fatty infiltration of the lumbar MM. Analyses were made on L4/L5 and L5/S1 level intervertebral discs and lumbar MMs at these levels. On the T2-weighted axial sequences, visual assessment was used for fatty infiltration and manual measurement techniques for muscle area.
RESULTS: Research demonstrated that 157 of 254 patients involved have L4/L5 level disc herniation, and 89 of 157 patients (35.1%) also have MM atrophy. 28 patients do not have disc herniation but have muscle atrophy. I addition, at the L5/S1 level, 174 of 254 patients have disc herniation, while 114 of them also have muscle atrophy. On the other hand, 56 of 254 patients (11.1%) without disc herniation have MM atrophy.
DISCUSSION AND CONCLUSION: In the light of the data mentioned above, the relationship between MM atrophy and disc herniation is determined.
|The Role of Acromioplasty in Partial Rotator Cuff Tears
Ethem Burak Oklaz, Batuhan Bahadır, Ahmet Kulduk, Murat Çiçeklidağ, Bülent Ince, Fatih Sulova
doi: 10.14744/bauh.2023.24119 Pages 32 - 37
Partial rotator cuff tears are a common pathology of the shoulder joint and often present with different clinical presentations. This condition can present with a range of symptoms, from no symptoms at all to pain and loss of function that may impact daily activities. Although the term partial tear is commonly used, it is important to note that there are three different types of tears: Bursal surface tears, articular surface tears, and intratendinous tears. In the surgical treatment of partial tears, it is important to determine the type of tear and plan the operation accordingly. Rotator cuff repair or debridement can be performed as surgical treatment, and acromioplasty can be performed in addition to these methods. There are differing opinions in the literature about the role of acromioplasty in treating all three types of tears. While some studies suggest that including acromioplasty in cuff repair or debridement could improve clinical outcomes and decrease re-rupture rates, other studies argue that acromioplasty does not provide any benefits for partial tears. This article reviews the role of acromioplasty in the treatment of partial rotator cuff tears.
|Problems Related to Cables and Connections in the Operating Room: Systematic Review and Meta-Analysis
Dilay Hacıdursunoğlu Erbaş, Hatice Azizoğlu, Fatma Eti Aslan
doi: 10.14744/bauh.2023.55264 Pages 38 - 44
In this systematic review and meta-analysis study, it was aimed to determine the problems caused by cables and connections used in the operating room. Cross-sectional studies published between January 2005 and September 2020 were included in the study. Five databases were scanned on September 12, 2020, to determine suitable studies. Different combinations were used with the keywords surgical room OR operating room AND cables AND connections and safety. The scan initially reached 775 articles. Five of the studies included in the systematic review and meta-analysis were of the cross-sectional type. According to the combined results of these studies, 64% of operating room employees reported problems arising from cables and connections. About 45% of these problems have been detected during the surgery and 55% during the entire operating room process. It has been reported that an estimated 22% of the cables and connections in the operating room have malfunctions that the cable and connection problems arising from instrument failures are 14%, and the cable and connection problems developed in robotic surgery operations occur at an average of 42%. According to the combined results of these studies, it was determined that 22% of the cables and connections in the operating room had malfunctions and 64% of the operating room employees had problems due to cables and connections. Since there is no one solution that fits every surgery or team for the operating rooms, all these shortcomings show the need for solutions for safe cable application in the operating room.