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    Factors influencing treatment compliance among Turkish people at risk for stroke
    (Springer New York LLC, 2006) Koçer, Abdulkadir; İnce, Nurhan; Koçer, Emel; Taşçı, Atilla
    Successful management of stroke risk factors depends on adequate knowledge and self-care. The purpose of this study was to examine the factors affecting treatment compliance among people with modifiable stroke risks. We evaluated modifiable risk factors of stroke, recognition of these factors by patients, and patients' compliance with treatment in a teaching hospital. Semi-structured questionnaires were completed using face-to-face interview techniques. A majority (58.3%) of patients were aware of their risk factors for stroke. Awareness of risk factors was statistically significant for the participants carrying risk factors such as heart disease and hyperlipidemia. Compliance of the participants with treatment was mainly affected by the recognition that their disease could be a risk factor for stroke. Awareness of the presence of multiple risk factors and nonsmoker status were positively associated with treatment compliance. Editors' Strategic Implications: The authors provide evidence that the recognition of risk factors and informative healthcare education may decrease the likelihood of and the recurrence of stroke. Future research should document efforts to inform high risk patients and measure their compliance with recommendations. © 2006 Springer Science+Business Media, Inc.
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    Pain frequency at night reflects median nerve injury in carpal tunnel syndrome
    (2005) Koçer, Abdulkadir; Türk Börü, Ülkü
    Objective: Assessment of pain is useful in evaluating the median nerve entrapment in wrist. We aimed to examine the relationships between characteristics of pain and clinical severity of carpal tunnel syndrome (CTS). Materials and methods: In this prospective study, the characteristics (severity, frequency, occurrence during day life or night) of pain were evaluated by using modified self-administered Symptom Severity Questionnaire with idiopathic carpal tunnel syndrome. The diagnosis of CTS was made clinically and electrophysiologically. We assessed the relationship between electrophysiological findings and pain in 41 patients (32 female and 9 male) with idiopathic CTS. Results: Sixty-three hands (38 left hands, 25 right hands) with CTS were included in this study. The mean age was 43.9±12.1 (Range: 23-78) years. Although a previous study reported a strong relationship between clinical and neurophysiologic findings, we found a significant correlation only between nocturnal pain frequency and median nerve compound muscle action potential amplitudes (p=0.03). This significant correlation was in- dependent from gender, age, side of entrapment, other parameters of nerve conduction studies, and other characteristics of pain. We did not find any correlation between pain scores and other median nerve conduction study parameters. Conclusion: Based on these findings, we suggest that nocturnal pain frequency has biological significance and better reflect median nerve injury.
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    Thyrotoxic hypokalaemic periodic paralysis in a Turkish population: Three new case reports and analysis of the case series
    (Blackwell Publishing, 2008) Cesur, Mustafa; Bayram, Fahri; Temel, Mehtap Akçıl; Özkaya, Mesut; Koçer, Abdulkadir; Ertörer, Melek Eda; Koç, Filiz
    Objective Thyrotoxic hypokalaemic periodic paralysis (THPP) is an uncommon condition with intermittent episodes of muscle weakness and occasionally severe paralysis. THPP is a common complication of hyperthyroidism in Asian populations, and has also been reported in other ethnic groups including Caucasians. This study aimed to conduct an analysis of THPP in a Turkish population, and is to our knowledge the first analysis of a homogeneous Caucasian group. Subjects Forty cases with THPP were identified in the Turkish population. Three out of the 40 were new cases and were assigned as index cases. Two cases were not included in the analysis because of lack of data. Results THPP was diagnosed in 10 cases during the first attack and was observed to have a significant shorter complete recovery time statistically in this group (P < 0.01). The majority of cases were hypokalacmic, while there were two normokalaemic cases. Classification of the cases according to their potassium (K) levels revealed that the group with K levels < 2.5 mEq/l had a statistically longer amelioration time than the group with K levels >= 2.5 mEq/l. When the cases were classified according to intravenous or oral application of K, the mean amelioration time was 6.8 +/- 3.6 h for the intravenous group and 13.1 +/- 7.6 for the oral group. Mean complete recovery times of the groups were 29.4 +/- 16.2 h and 52.8 +/- 18.0 h, respectively. The intravenous group had a shorter amelioration time and complete recovery time, and both were statistically significant (P < 0.05 for each). Conclusions THPP may be seen among Caucasians. Diagnosing THPP during the first attack might decrease the recovery time. The level of hypokalaemia seems to affect the recovery time and initial low K levels may lead to more deterioration in a patient's health compared with mild or near-normal levels. Intravenous, rather than oral, application of K may be advantageous for shortening both the amelioration and complete recovery times.