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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.