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    Disability and chronic disease prevalence in the individuals aged 55 years or older in Di?yarbakir
    (2000) Turhano?lu A.D.; Saka G.; Karabulut Z.; Kilinç Ş.; Ertem M.
    The elderly population is an age group that increased most rapidly in the population of the world and life expentancy period is showed gradually increasing through the development of the treatment of the chronical diseases. Health problems are primary trouble due to the increasing of the elderly population and it is important to determine the details of the problems associated with the health of the elderly people. This study was scheduled to determine the ratios of disability, the frequency of chronical disease diagnosed and the ratio of the dependence on activities of daily life on the elderly people living in a specific region of Diyarbakir. Five hundredten elderly individuals were enrolled for this study. The mean age was 66.31±6.4 years, 233 (%45.7) of individuals were male and 277 (%54.3) were female. It was found that 95 (%18.5) of elderly people had disabilities (92 (%18.04) acguired, 3 (%0.59) congenital). It was found that the number of individuals who had one disability were 59(%11.57), two disabilities were 23 (%4.51), three and more disabilities were 13 (%2.55). Visual, audial and orthopedic disabilities were found the most. There were found that 169 (%33.1) had visual disturbances and 110 (%22.2) of elderly people had audio disturbances and the number of elderly people using hearing apparatus was 6 (%1.2). The number of elderly people using walking stick was found 58 (%11.4), tripot was 5 (%1) and quadripot was 1(%0.02). it was found that 3 (%0.58) of elderly people stayed most of the day in bed, 16 (%3.3) of these could were active only at home, don't have the ability to gou out home, 71 (%13.92) of these were independent at home, but needed help out of home, and 420 (%82.35) of these were independent in the activities out of home. When the groups were compared, it was found that the individuals who were 75 years old and older had higher dependency levels than others (p<0.01). Hypertension, osteoporosis and osteoarthritis were the most seen chronical diseases in the elderly people of this study and rheumatoid arthritis and osteoarthritis as chronical diseases were found to effect the daily life. Also it was found that the individuals who were 75 years old or older had spent most of their time at home and needed help to go outside.
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    Facet joint injection in patients with lumbar facet syndrome unresponsive to medical therapy
    (2000) Turhano?lu A.D.; Turhano?lu S.; Nazaro?lu H.; Karabulut Z.; Ölmez G.; Erdo?an F.
    Twenty seven patients who had been diagnosed as facet syndrome with clinical signs and computed tomography were included in the study. All patients received medical therapy for two weeks and patients allocated into two groups as benefit from medical therapy or not. Local anesthetic injections into facet joints were applied to 15 patients unresponsive to medical therapy. Facet joint injections were performed under fluoroscopy in two levels as degenerated segment and upper of this segment and metil prednisolone 10 mg (0.5 ml) and bupivacaine 10 mg 82 ml) were injected to each segment. All patients were controlled before therapy and 1 week, 1 month and 3 months later of therapy and evaluated as Visual Analoque Scale, Modify Schoeber test and Roland and Morris Scale and results were recorded. All of patients except one have been improved by facet joint injections, we concluded that lumbar facet joint injection could be a useful diagnostic and therapeutic procedure in the lumbar facet syndrome if patient selection made carefully.