4 results on '"Okluoglu T"'
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2. Cross-sectional, hospital-based analysis of headache types using ICHD-3 criteria in the Middle East, Asia, and Africa: the Head-MENAA study
- Author
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Yifru, Y M, Genc, H, Baykan, B, Bolay, HAYRUNNİSA BOLAY, Sanli, Z S, Azizova, I, Bayır, Brh, Tepe, N, Okluoglu, T, Nasergivehchi, S, Demir, T G, Velioglu, S K, Badr, M Y, Vuralli, D, Jafari, E, Gumanovna, V K, Kabay, S C, Nowar, A G, Moustafa, R R, Polat, B, Ermis, A, Khanmammadov, E, Yolcu, O, Kul, B, Kirbasoglu, O, Sakadi, F, Ulutas, S, Akturk, T, Ketema, M T, Lala, S, Cedric, Apsa, Uluduz, D, Unal-Cevik, I, Kissani, N, Luvsannorov, O, Togha, M, Ozdemir, A A, Ozge, A, Cakan, M, Ak, A K, Celik, F, Orun, M O, Seker, D, Kucuk, A, Ozkan, S, Kiraz, M, Alemayehu, B, Melka, D, Orhan, E K, Sirin, T C, Ocal, R, Ekizoglu, E, Hakyemez, H A, Yener, M O, Serim, V A, Cinar, N, Unal, E D, Domac, F M, Ates, M F, Turkoglu, B G, Gursoy, G, Cekic, S, Aslan, S K, Agircan, D, Oktar, A C, Demirel, E A, Gelener, P, Kizek, O, Ibrahim, Eaa, Evlice, A, and Gorken, G
- Subjects
Anesthesiology and Pain Medicine ,Neurology (clinical) ,General Medicine - Abstract
Background Headaches are frequent neurological disorders that are yet to be unveiled and treated comprehensively worldwide. Bearing in mind that the distribution of headache subtypes in neurology clinics (NC) is essential for planning appropriate diagnostic and therapeutic approaches, the primary goals of this multi-centric study are to carry out inter-regional comparisons by using current diagnostic criteria with evaluations of neurologists to delineate headache burden. Methods A cross-sectional study between April 1 and May 16, 2022 was conducted with the participation of 13 countries from the Middle East, Asia, and Africa. Patients were included in the study on a specific day each week during five consecutive weeks. All volunteers over the age of 18 and whose primary cause for admission was headache were examined. The patients admitted to NC or referred from emergency services/other services were evaluated by neurologists by means of the International Classification of Headache Disorders (ICHD-3) criteria. Results Among the 13,794 patients encountered in NC, headache was the primary complaint in 30.04%. The headache patients’ mean age was 42.85 ± 14.89 (18–95 years), and 74.3% were female. According to the ICHD-3 criteria, 86.7% of the main group had primary headache disorders, 33.5% had secondary headaches, 4% had painful cranial neuropathies along with other facial and headaches, and 5.2% had headaches included in the appendix part showing some overlapping conditions. While the most common primary headache was migraine without aura (36.8%), the most common secondary headache was medication-overuse headache (MOH) (9.8%). Headaches attributed to COVID-19, its secondary complications, or vaccines continue to occur at rates of 1.2%-3.5% in current neurology practice. Pain severity was significantly lower in Ivory Coast and Sudan than in Türkiye, Turkish Republic of Northern Cyprus, Iran, Egypt, Senegal, Tatarstan, and Azerbaijan (p Conclusions The study showed that migraine is still the most common motive for admissions to NC in different regions. Furthermore, MOH, an avoidable disorder, is the most common secondary headache type and appears to be a significant problem in all regions. Remarkably, pain perception differs between regions, and pain intensity is lower in Africa than in other regions.
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- 2023
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3. Neuropsychiatric Effects of COVID-19 Pandemic on Alzheimer's Disease: A Comparative Study of Total and Partial Lockdown.
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Cinar N, Sahin S, Karsidag S, Karali FS, Ates MF, Gonul O, Okluoglu T, Eren F, Bulbul NG, Okuyan DY, Totuk O, Demirel EA, Golen MK, Yildirim Z, Erhan H, Polat BSA, Ergin N, Tur EK, and Akdogan O
- Abstract
Objectives: Coronavirus disease 2019 (COVID-19)-related lockdown may have a negative effect on the neuropsychiatric status of Alzheimer's disease (AD) cases. In this study, it was aimed to find future implications by evaluating the neuropsychiatric conditions of AD cases during total and partial lockdown periods., Methods: It is a prospective, cross-sectional, and multicenter study that includes AD cases which have been followed for at least 1 year by outpatient clinics from different regions of Turkey. Sociodemographic data, comorbidities, mobility, existence of social interactions, clinical dementia rating (CDR) scale, and neuropsychiatric inventory (NPI) for total and partial lockdown were questioned by the caregivers with the help of case files of the patients., Results: A total of 302 AD cases were enrolled to the study (mean age: 78±8 years, mean duration of education: 5.8±9 years). The total comorbidity ratio was found to be 84%, with the most frequent comorbidity being hypertension. The mean NPI score was 22.9±21 in total lockdown and 17.7±15 in partial lockdown, which is statistically significantly different. When lockdown periods were compared with the total scores of NPI scores according to gender, existence of social interactions, mobility, and comorbidities were found higher in the total lockdown than the partial lockdown. When switching from total lockdown to partial lockdown, the presence of comorbidities, mobility, and CDR were found to be factors that had a significant effect on NPI scores. In regression analysis, CDR score was found as the most effective parameter on the neuropsychiatric status of AD cases for both lockdown periods., Conclusion: When lockdown-related restrictions were reduced, the neuropsychological conditions of AD cases were significantly improved. Lockdown rules should be considered with these data in mind., Competing Interests: None declared., (©Copyright 2022 by The Medical Bulletin of Sisli Etfal Hospital.)
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- 2022
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4. Autonomic dysfunction in patients with COVID‑19.
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Erdal Y, Atalar AC, Gunes T, Okluoglu T, Yavuz N, and Emre U
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- Cross-Sectional Studies, Humans, Surveys and Questionnaires, Autonomic Nervous System Diseases diagnosis, Autonomic Nervous System Diseases etiology, COVID-19 complications, Communicable Diseases complications
- Abstract
Purpose: Autonomic dysfunction in patients with viral infections has been described before. In this study, we aimed to evaluate autonomic functions in patients with the coronavirus infectious disease 2019 (COVİD-19)., Methods: In this cross-sectional study, we compared 112 patients who had recovered from COVID-19 and 106 healthy controls. Symptoms of autonomic dysfunction were assessed with the SCOPA-AUT scale., Results: Pupillomotor, urinary and sudomotor subscores of SCOPA-AUT scale were significantly higher in the COVID-19 patient group (p = 0.03, p = 0,006, p = 0.0001, respectively). There were no significant difference in terms of gastrointestinal, cardiovascular, sexual subscores and total SCOPA-AUT scores between the patient and control groups. The presence of fatigue symptom in the acute phase of COVID-19 increased the total SCOPA-AUT score by 2.2 points (p = 0.04) whereas the presence of smell loss (OR = 5.82, p = 0.01) and dyspnea (OR = 5.8, p = 0.03) were significant risk factors for pupillomotor dysfunction. The urinary, cardiovascular, sexual subscores and the total score of SCOPA-AUT scale were positively correlated with the age of the patient group., Conclusion: Our study suggests that many patients might have prolonged symptoms of autonomic dysfunction after the acute phase of COVID-19 that might worsen the clinical recovery., (© 2022. The Author(s) under exclusive licence to Belgian Neurological Society.)
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- 2022
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