Is there any seasonal influence in spontaneous bleeding of intracranial aneurysm and and/or AVM in Istanbul?
We did not find any significant statistical relation between seasonal variation and intracranial haemorrhage in the Istanbul province. But the peak of bleeding in winter and the nadir in autumn were noticeable for all intracranial haemorrhages. In Istanbul, beside the individual risk factors such as hypertension, alcohol consumption, lifestyle, and environmental factors like weather, season and other possible factors of which we are not yet aware, the relative increase of population in winter season due to social reasons may have a small contribution to these findings.
Oral hygiene in the nursing homes needed to be improved. Resistant behaviour is a major barrier. To overcome this barrier nurses' education, organisational strategies to provide more time for oral care, and coping with resistant behaviour in patients are important factors.