18 results on '"Kurtuluş Köklü"'
Search Results
2. A neurological approach to fear of falling in patients with stroke
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Büşra Sümeyye Arıca Polat, Nihal Köylü, Kurtuluş Köklü, Zuhal Yiğit, and Ali Rıza Sonkaya
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medicine.medical_specialty ,Rehabilitation ,business.industry ,medicine.medical_treatment ,Beck Depression Inventory ,medicine.disease ,Fear of falling ,Functional Independence Measure ,Falling (accident) ,Mood ,Quality of life ,medicine ,Physical therapy ,medicine.symptom ,business ,Stroke - Abstract
Objective: The present study aimed to investigate the factors that affects the fear of falling, also known basophobia, in patients with stroke and the aspects of life quality. Material and Methods: Stroke patients in the physical therapy were included in this study. Demographic data of the patients were recorded. Patients were asked whether they fell after the stroke and experienced fear of falling. Itaki Fall Risk Scale, Functional Ambulatory Categories, Functional Independence Measure, Beck Depression Inventory and Stroke Specific Quality of Life scale (SS-QoL) have been used. The data of the study were analyzed with SPSS 15 package program. Results: This study was conducted on 102 patients with stroke. Of these, 36 (35.3%) patients were female with a mean age of 60.97. There was a fear of falling in 65 (63.7%) of the patients. 48 patients (47.1%) fell at least once after the stroke. Falls were significantly high with the ones who were experiencing fear of falling (p = 0.006). Fear of falling was significantly high in females, patients with ischemic stroke, elderly and the patients with coexistent systemic diseases (p
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- 2019
3. The course of post-stroke bladder problems and their relation with functional and mental status and quality of life: A six-month, prospective, multicenter study
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Zuhal Özişler, Asuman Doğan, Hakan Tunç, Engin Koyuncu, Ayşe Güler, Ezgi Sasmaz, Ayşe Nur Bardak, Ebru Alemdaroğlu, Necmettin Yildiz, Murat Ersöz, Yesim Akkoc, Kurtuluş Köklü, and Ege Üniversitesi
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intermittent catheterization ,functional status ,Quality of life ,Bladder problems ,middle aged ,cholinergic receptor blocking agent ,Medicine ,Prospective cohort study ,Stroke ,lower urinary tract symptom ,International Prostate Symptom Score ,Modified Barthel Index ,adult ,Rehabilitation ,Mini Mental State Examination ,stroke ,humanities ,aged ,female ,brain hemorrhage ,language ,Original Article ,Psychosocial ,mental health ,nocturia ,prospective study ,medicine.medical_specialty ,Lower urinary tract dysfunction ,quality of life assessment ,Urinary system ,bladder dysfunction ,Physical Therapy, Sports Therapy and Rehabilitation ,lower urinary tract dysfunction ,Article ,Danish ,urine incontinence ,bladder injury ,male ,Internal medicine ,incontinence ,follow up ,controlled study ,human ,Incontinence ,business.industry ,Danish prostatic symptom score ,questionnaire ,daily life activity ,medicine.disease ,major clinical study ,brain ischemia ,language.human_language ,stress incontinence ,multicenter study ,quality of life ,Post stroke ,observational study ,business - Abstract
WOS: 000511167800006, PubMed: 31893270, Objectives: the aim of this study was to evaluate the frequency and course of post-stroke lower urinary tract dysfunction (LUTD) from early term up to a period of six months and to investigate the relation of LUTD with functional and mental status and quality of life (QoL) in stroke patients. Patients and methods: This prospective study included a total of 70 stroke patients (44 males, 26 females; mean age 62.7 +/- 7.0 years; range, 46 to 79 years) from five different centers across Turkey between June 2015 and January 2017. the patients were questioned using the Danish Prostatic Symptom Score (DAN-PSS) to evaluate LUTD and evaluated using the Modified Barthel Index (MBI), Incontinence QoL Questionnaire (I-QOL), and Mini-Mental State Examination (MMSE) at one, three, and six months. Results: At least one symptom of LUTD was observed in 64 (91.4%), 58 (82.9%), and 56 (80%) of the patients according to the DAN-PSS at one, three, and six months, respectively. A statistically significant improvement was found in the DAN-PSS, MBI, MMSE, I-QOL total scores, avoidance and psychosocial subgroup scores at six months compared to the first month scores (p
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- 2019
4. The course of post-stroke bladder problems and their relation with functional and mental status and quality of life: A six-month, prospective, multicenter study
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Yeşim AKKOÇ, Necmettin YILDIZ, Ayşe Nur BARDAK, Murat ERSÖZ, Hakan TUNÇ, Kurtuluş KÖKLÜ, Ebru ALEMDAROĞLU, Ayşe GÜLER, Ezgi ŞAŞMAZ, Asuman DOĞAN, Zuhal ÖZİŞLER, and Engin KOYUNCU
- Abstract
Objectives: The aim of this study was to evaluate the frequency and course of post-stroke lower urinary tract dysfunction (LUTD) fromearly term up to a period of six months and to investigate the relation of LUTD with functional and mental status and quality of life (QoL)in stroke patients.Patients and methods: This prospective study included a total of 70 stroke patients (44 males, 26 females; mean age 62.7±7.0 years;range, 46 to 79 years) from five different centers across Turkey between June 2015 and January 2017. The patients were questioned using theDanish Prostatic Symptom Score (DAN-PSS) to evaluate LUTD and evaluated using the Modified Barthel Index (MBI), Incontinence QoLQuestionnaire (I-QOL), and Mini-Mental State Examination (MMSE) at one, three, and six months.Results: At least one symptom of LUTD was observed in 64 (91.4%), 58 (82.9%), and 56 (80%) of the patients according to the DAN-PSS atone, three, and six months, respectively. A statistically significant improvement was found in the DAN-PSS, MBI, MMSE, I-QOL total scores,avoidance and psychosocial subgroup scores at six months compared to the first month scores (p
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- 2019
5. Post-stroke lower urinary system dysfunction and its relation with functional and mental status: a multicenter cross-sectional study
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Kurtuluş Köklü, Merve Sekizkardeş, Ebru Alemdaroğlu, Yesim Akkoc, Murat Ersöz, Engin Koyuncu, Ayşe Güler, Necmettin Yildiz, Nilgun Simsir Atalay, Ayşe Nur Bardak, Berrin Gündüz, Yasin Demir, Ozlem Satır, Asuman Doğan, Rıdvan Işık, Evren Yaşar, Bilge Yilmaz, Hakan Tunç, Ezgi Sasmaz, Zuhal Özişler, Belgin Erhan, and Ege Üniversitesi
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Male ,030506 rehabilitation ,Cross-sectional study ,medicine.medical_treatment ,Urinary incontinence ,functional status ,Turkey (republic) ,0302 clinical medicine ,Quality of life ,Surveys and Questionnaires ,middle aged ,Prevalence ,Barthel index ,Aged ,Cross-Sectional Studies ,Female ,Humans ,Lower Urinary Tract Symptoms/*etiology/*psychology ,Mental Status and Dementia Tests ,Middle Aged ,Quality of Life ,Stroke/*complications/*psychology ,Stroke Rehabilitation ,Urinary Incontinence/psychology ,Stroke ,Incontinence Quality of Life Questionnaire ,lower urinary tract symptom ,stroke rehabilitation ,Modified Barthel Index ,Rehabilitation ,medicine.diagnostic_test ,adult ,stroke patient ,Mini Mental State Examination ,clinical trial ,stroke ,female ,disease severity ,cerebrovascular accident ,medicine.symptom ,0305 other medical science ,Danish Prostatic Symptom Score ,mental health ,nocturia ,medicine.medical_specialty ,Lower urinary tract dysfunction ,Urinary system ,prevalence ,complication ,psychology ,Article ,urine incontinence ,03 medical and health sciences ,Lower Urinary Tract Symptoms ,Internal medicine ,medicine ,cross-sectional study ,Nocturia ,human ,Community and Home Care ,Mini–Mental State Examination ,business.industry ,questionnaire ,medicine.disease ,major clinical study ,stress incontinence ,multicenter study ,Urinary Incontinence ,quality of life ,dementia assessment ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
EgeUn###, Background: Review of the literature clearly reveals that little is known about the association between functional and mental status, and Lower Urinary Tract Dysfunction (LUTD) in patients with stroke. Objective: The aim of this study was to assess functional and mental status in stroke patients and to identify possible associations with the prevalence, severity and bother of LUTD. Material and methods: This study was designed as a cross-sectional study and included 260 stroke patients enrolled from six different hospitals in Turkey. The patients were questioned using the Danish Prostatic Symptom Score (DAN-PSS) Questionnaire to evaluate LUTD, and evaluated using the Modified Barthel Index (MBI), Incontinence Quality of Life Questionnaire (I-QoL), and the Mini Mental State Examination (MMSE). Results: At least one LUTD finding was reported in 243 (93.5%) patients; the most commonly encountered complaint in these patients was nocturia (75.8%). The mean MBI, MMSE, and I-QoL scores were found to be significantly lower in LUTD (+) patients compared to LUTD (-) patients (p = 0.000, p = 0.005, and p < 0.01, respectively). Similarly all parameters (MBI, MMSE, and I-QoL scores) assessed were found to be significantly lower for patients with urinary incontinence than those without incontinence (p = 0.000, p = 0.000, and p < 0.01, respectively). Conclusion: LUTD is a common problem in patients with stroke. LUTD is associated with poorer cognitive and functional status and the quality of life in these patients. We, therefore, suggest that bladder dysfunction should not be overlooked during rehabilitation of stroke patients.
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- 2018
6. Effectiveness of trospium chloride and doxazosin mesylate combination in neurogenic bladder patients with spinal cord injury
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Zuhal Özişler, Murat Ersöz, Kurtuluş Köklü, Fazıl Kulaklı, Canan Çulha, Sumru Özel, and Belirlenecek
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spinal cord injury,neurogenic bladder,doksazosin mesylate,trospium chloride ,Mikrobiyoloji ,Tıbbi Laboratuar Teknolojisi ,Bladder capacity ,Nörolojik Bilimler ,Yoğun Bakım ,Transplantasyon ,Medicine ,Anatomi ve Morfoloji ,Enfeksiyon Hastalıkları ,Patoloji ,Sağlık Bilimleri ve Hizmetleri ,Spinal cord injury ,Cerrahi ,Dermatoloji ,Alerji ,Hücre Biyolojisi ,Odyoloji ve Konuşma-Dil Patolojisi ,Kulak ,Tıbbi İnformatik ,Kadın Hastalıkları ve Doğum ,Onkoloji ,Periferik Damar Hastalıkları ,Psikiyatri ,Doxazosin Mesylate ,Tıp ,Maximum cystometric capacity ,Tropik Tıp ,Gastroenteroloji ve Hepatoloji ,Romatoloji ,Biyoloji ,medicine.drug ,medicine.medical_specialty ,Temel Sağlık Hizmetleri ,Biyoteknoloji ve Uygulamalı Mikrobiyoloji ,Nükleer Tıp ,medicine.drug_class ,Kalp ve Kalp Damar Sistemi ,Urology ,Burun ,Endokrinoloji ve Metabolizma ,Anestezi ,Biyofizik ,Radyoloji ,Klinik Nöroloji ,Tıbbi Görüntüleme ,Üroloji ve Nefroloji ,Solunum Sistemi ,Health Care Sciences and Services ,Acil Tıp ,Androloji ,Doxazosin ,Anticholinergic ,Spor Bilimleri ,Halk ve Çevre Sağlığı ,Genel ve Dahili Tıp ,Geriatri ve Gerontoloji ,Fizyoloji ,Göz Hastalıkları ,İmmünoloji ,Boğaz ,business.industry ,Trospium chloride ,Tıbbi Araştırmalar Deneysel ,medicine.disease ,Tıbbi Etik ,Residual urine volume ,Adli Tıp ,Pediatri ,Ortopedi ,Hematoloji ,Rehabilitasyon ,Tamamlayıcı ve Entegre Tıp ,Biyokimya ve Moleküler Biyoloji ,business - Abstract
Objective. The aim of this study was to compare the effects of trospium chloride (TCL) and TCL + doxazosin (DXZ) combination to bladder capacity and residual urine volume (RUV) in spinal cord injury (SCI) patients with neurogenic bladder. Methods. The study included 120 patients with SCI. Urodynamic data of patients were reviewed retrospectively. Changes in maximum cystometric capacity (MCC) as well as RUV were determined in patients using 60-90 mg/day TCL (Group 1, n = 98) or 60-90 mg/day TCL + 4-6 mg/day DXZ (Group 2, n = 22). Results. There was statistically significant increase in both MCC and RUV values in both groups. There was no statistical difference in MCC and RUV values in Group 1 and Group 2 ( p = 0.111 and p = 0.664, respectively). There was a significant weak negative correlation between duration of injury and MCC values (r = 0.185; p = 0.043), meaning as the duration of injury increased, MCC decreased. There was no statistically significant correlation between medication usage duration with MCC and RUV (r = -0.129; p = 0.159 and r = -0.68; p = 0.462, respectively). Conclusions. Anticholinergic treatment is currently the mainstay conservative treatment of neurogenic detrusor overactivity. The impact of alfa blockers on neurogenic bladder has been less well evaluated. We consider that, adding DXZ to TCL has no additional benefit to increase bladder capacity and reduce RUV. Further studies are needed to determine the location of DXZ treatment in SCI patients with neurogenic bladder.
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- 2017
7. Assessment of voiding dysfunction in Parkinson's disease: Reliability and validity of the Turkish version of the Danish Prostate Symptom Score
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Tahir Kurtuluş Yoldaş, Hale Karapolat, Murat Ersöz, Ebru Alemdaroğlu, Hakan Tunç, Cenk Akbostanci, Berna Arlı, Kurtuluş Köklü, İnci Şule Özer, Yesim Akkoc, Ulas Sungur, Ahmet Acarer, and Haydar Gök
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Adult ,Male ,medicine.medical_specialty ,Parkinson's disease ,Turkey ,Intraclass correlation ,Turkish ,Urology ,media_common.quotation_subject ,030232 urology & nephrology ,Disease ,Urination ,03 medical and health sciences ,0302 clinical medicine ,Cronbach's alpha ,Lower Urinary Tract Symptoms ,Lower urinary tract symptoms ,Surveys and Questionnaires ,medicine ,Prevalence ,Humans ,Translations ,media_common ,Aged ,Aged, 80 and over ,business.industry ,Reproducibility of Results ,Parkinson Disease ,Middle Aged ,medicine.disease ,humanities ,language.human_language ,Overactive bladder ,language ,Physical therapy ,Quality of Life ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
AIMS To investigate the reliability and validity of the Turkish version of the Danish Prostate Symptom Score (Dan-PSS) questionnaire in patients with Parkinson's disease (PD) and to compare the burden of LUTS (Lower urinary tract symptoms) in men and women. METHODS For analysis of test-retest reliability, the Turkish version of the Dan-PSS scale was developed using the back translation method, and it was administered on the day of admission and repeated 1 week after in 60 patients with PD. The OAB-q (Overactive Bladder Questionnaire) and PDQ-39 (Parkinson's Disease Questionnaire-39) were administered to 73 patients for validity analysis. RESULTS Both the internal consistency (Cronbach's alpha coefficient: 0.99-1.00) and the test-retest reliability (intraclass correlation coefficient: 0.99-1.00) of the Dan-PSS were found to be high in patients with PD. Although weak to moderate correlations were found between the subscales of the Dan-PSS and PDQ-39 (r: 0.20-0.42; P
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- 2017
8. Evaluation Of Gynecological Risk Factors In Osteoporosis
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Alize Yılmaz Şahin, Fazıl Kulaklı, Öznur Uzun, Sumru Özel, Sibel Ünsal Delialioğlu, and Kurtuluş Köklü
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Gynecology ,medicine.medical_specialty ,Obstetrics ,business.industry ,medicine.medical_treatment ,Age at menopause ,Osteoporosis ,Mean age ,General Medicine ,medicine.disease ,Curettage ,Miscarriage ,Osteoporoz,Menopoz ,Menarş ,Osteoporosis,Menopause ,Menarche ,medicine ,In patient ,business ,Body mass index - Abstract
OBJECTIVE: To evaluate gynecological risk factors in patients with and without osteoporosis who are older than 50 years of age.METHODS: One hundred and twenty seven patients with postmenopausal-senile osteoporosis and 53 non-osteoporotic volunteers were included. The subjects were examined in terms of age, body mass index (BMI), risk factors like age at menarche, age at menopause, number of births, numbers of miscarriage and curettage, and history of breast-feeding,RESULTS: The mean age was statistically higher and the mean BMI level was statistically lower in patients (p, AMAÇ: Bu çalışmada 50 yaş üzeri osteoporozu olan ve olmayan olgularda osteoporoz için jinekolojik risk faktörlerini değerlendirmek amaçlanmıştır.YÖNTEMLER: Çalışmaya postmenopozal-senil osteoporoz tanısı alan 127 hasta ve 53 osteoporozu olmayan gönüllü alındı. Katılımcılar yaş, vücut kitle indeksi (VKİ), menarş yaşı, menopoz yaşı, doğum sayısı, düşük-küretaj sayısı, emzirme hikayesi gibi jinekolojik risk faktörleri açısından sorgulandı.BULGULAR: Hastaların yaş ortalaması kontrollere göre daha yüksek, VKİ değerleri daha düşüktü (p
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- 2014
9. Cross-sectional study of urinary problems in adults with cerebral palsy: awareness and impact on the quality of life
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Hilal Yesil, Ebru Alemdaroğlu, Kurtuluş Köklü, Şenay Özdolap, Ender Erden, Hakan Tunç, Ulas Sungur, Hakan Alkan, Murat Ersöz, Berrin Gündüz, Ozlem Satır, Ayşe Nur Bardak, Yesim Akkoc, Necmettin Yildiz, Belgin Erhan, Çağdaş Erdoğan, and Zonguldak Bülent Ecevit Üniversitesi
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Male ,urge incontinence ,Urinary urgency ,030232 urology & nephrology ,Urinary incontinence ,functional status ,0302 clinical medicine ,Surveys and Questionnaires ,Functional Mobility Scale ,middle aged ,Spastic ,awareness ,pathophysiology ,risk ,physician ,urinary urgency ,adult ,spasticity ,Gross Motor Function Classification System ,General Medicine ,Awareness ,Middle Aged ,medical history ,Functional Independence Measure ,Psychiatry and Mental health ,female ,quadriplegia ,young adult ,disease severity ,Female ,medicine.symptom ,nocturia ,Quality of life ,Adult ,Risk ,medicine.medical_specialty ,Adolescent ,Urge urinary incontinence ,sex difference ,patient referral ,emotion ,complication ,Dermatology ,Article ,Awareness/physiology ,Cerebral Palsy/*complications/diagnosis/*physiopathology ,Cross-Sectional Studies ,Humans ,Quality of Life ,Urinary Incontinence/diagnosis/etiology/*physiopathology ,Young Adult ,Cerebral palsy ,urine incontinence ,03 medical and health sciences ,King Health Questionnaire ,urinary frequency ,physical disability ,medicine ,cross-sectional study ,Nocturia ,human ,cerebral palsy ,Urinary problems ,micturition disorder ,business.industry ,questionnaire ,Cerebral Palsy ,Functional status ,medicine.disease ,major clinical study ,Urinary Incontinence ,functional status assessment ,physiology ,Physical therapy ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
We aimed to assess the functional status, urinary problems, and awareness of these problems in adults with cerebral palsy (CP) and their relationship with the quality of life. One-hundred-seventeen adults with CP (53 women, 64 men) were included in this study. Subjects were asked to fill out a urological questionnaire which dealt with urinary symptoms, awareness of urinary problems, and pharmacological treatment they received. Subjects were also assessed with the Gross Motor Function Classification System (GMFCS), Functional Independence Measures (FIM), Functional Mobility Scale (FMS), and King’s Health Questionnaire (KHQ). The mean age of the subjects was 25.3 ± 7.8 years. Of the patients, 83.8% were currently unemployed, 95.7% were single, and 96.5% were living with family. Of the patients, 20.5% had experienced frequency, 38.5% had nocturia, 48.7% had urgency, and 36.8% had urge urinary incontinence. Approximately 80% of the patients did not refer to physician due to urinary problems, and 60% of patients were not recorded history about urinary problem by any physician. Urge urinary incontinence was statistically more frequent in females than males (54.7 and 21.9%,respectively, p
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- 2016
10. Overactive bladder symptoms in patients with multiple sclerosis: Frequency, severity, diagnosis and treatment
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Hakan Tunç, Cihat Uzunköprü, Ebru Alemdaroğlu, Belgin Kocer, Murat Ersöz, Merve Bahar Ercan, Elif Tuncay, Kurtuluş Köklü, Tahir Kurtuluş Yoldaş, Haydar Gök, Ufuk Emre, Şule Bilen, Nur Yüceyar, Canan Yücesan, Şenay Özdolap, Kursat Uygunol, Yesim Akkoc, Ülkü Dönmez, Murat Zinnuroğlu, Zonguldak Bülent Ecevit Üniversitesi, and Ege Üniversitesi
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Adult ,Male ,medicine.medical_specialty ,Urinary urgency ,Intermittent catheterization ,Neurogenic bladder ,medicine.medical_treatment ,Urinary system ,030232 urology & nephrology ,Urology ,macromolecular substances ,Urinary catheterization ,Multiple sclerosis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Nocturia ,Humans ,In patient ,Research Articles ,business.industry ,Urinary Bladder, Overactive ,Ultrasound ,Indwelling catheterization ,Middle Aged ,medicine.disease ,Urinary symptom ,Urodynamics ,Overactive bladder ,Female ,Neurology (clinical) ,medicine.symptom ,business ,Urinary Catheterization ,030217 neurology & neurosurgery - Abstract
WOS: 000373736400014, PubMed ID: 25936385, Objective: To determine the frequency and severity as well as the diagnosis and treatment of overactive bladder problems in patients with multiple sclerosis (MS) followed up at five centers in Turkey. Design: Survey study. Setting: Outpatient tertiary clinics of physical medicine and rehabilitation and neurology. Participants: Consecutive MS patients scheduled for outpatient follow-up (n=309). Intervention: MS patients were asked to complete a questionnaire regarding the frequency and severity, as well as the diagnosis and treatment of their overactive bladder problems. Results: The mean age +/- SD was 39.3 +/- 10.6 years. Urinary urgency was the most common urinary symptom (62%), followed by frequency (50.4%), urge incontinence (44.7%) and nocturia (33%). Residual urine volume was measured using a portable ultrasound instrument in 13.3% of the patients and by catheterization in 16.2% of them. Urodynamic investigations and urinary tract ultrasound were performed on 26.5% and 35.3% of the patients, respectively. Anticholinergic medications were prescribed for 27.5% of the patients. Intermittent catheterization and indwelling catheterization were used on 8.1% and 1.9% of the patients, respectively. The overactive bladder symptom score (OABSS) was significantly higher in patients who had had residual urine measurement (P
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- 2016
11. Handgrip Strength in Fibromyalgia
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Merve Sarigül, Zuhal Özişler, Sumru Özel, Hulya Sirzai, and Kurtuluş Köklü
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030203 arthritis & rheumatology ,myalgia ,medicine.medical_specialty ,business.industry ,musculoskeletal, neural, and ocular physiology ,Significant difference ,Healthy subjects ,medicine.disease ,Article ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Disease severity ,Fibromyalgia ,medicine ,Physical therapy ,Patient group ,medicine.symptom ,Tender point ,business ,Body mass index ,030217 neurology & neurosurgery - Abstract
Objectives: This study aims to compare the handgrip strength values of fibromyalgia (FM) patients and healthy individuals and to demonstrate the relationship between clinical factors and FM disease severity. Patients and methods: Twenty-five female patients (mean age 34±9.2 years; range 20 to 50 years) with FM and 23 age- and body mass index-similar healthy females (mean age 35.3±9.2 years; range 26 to 46) were included. Demographic characteristics of the subjects were recorded. Tender point count was noted in the patient group. Also; total myalgia score and fibromyalgia impact questionnaire scores were calculated. Handgrip strength was measured with Jamar® dynamometer. Patients who had fibromyalgia impact questionnaire scores ≥70 out of 100 were considered to have severe FM, while those who had scores
- Published
- 2015
12. Osteoporotik Yaşlılarda Denge Bozukluğu
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Şule Şahin Onat, Zuhal Özişler, and Kurtuluş Köklü
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Gynecology ,medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,Medicine ,business - Published
- 2013
13. Outcomes of bowel program in spinal cord injury patients with neurogenic bowel dysfunction
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Kurtuluş Köklü, Sibel Unsal-Delialioglu, Sumru Özel, and Zuhal Özişler
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medicine.medical_specialty ,Abdominal pain ,Constipation ,medicine.medical_treatment ,neurogenic bowel ,Gastroenterology ,lcsh:RC346-429 ,Hemorrhoids ,Developmental Neuroscience ,Neurogenic Bowel ,Internal medicine ,medicine ,nerve regeneration ,Spinal cord injury ,lcsh:Neurology. Diseases of the nervous system ,business.industry ,gastrointestinal problems ,bowel program ,digestive, oral, and skin physiology ,Enema ,spinal cord injury ,bowel evacuation ,neural regeneration ,Abdominal distension ,medicine.disease ,digestive system diseases ,Autonomic dysreflexia ,medicine.symptom ,business ,Research Article - Abstract
In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and the severity of neurogenic bowel dysfunction. Fifty-five spinal cord injury patients were included in this study. A bowel program according to the characteristics of neurogenic bowel dysfunction was performed for each patient. Before and after bowel program, gastrointestinal problems (constipation, difficult intestinal evacuation, incontinence, abdominal pain, abdominal distension, loss of appetite, hemorrhoids, rectal bleeding and gastrointestinal induced autonomic dysreflexia) and bowel evacuation methods (digital stimulation, oral medication, suppositories, abdominal massage, Valsalva maneuver and manual evacuation) were determined. Neurogenic bowel dysfunction score was used to assess the severity of neurogenic bowel dysfunction. At least one gastrointestinal problem was identified in 44 (80%) of the 55 patients before bowel program. Constipation (56%, 31/55) and incontinence (42%, 23/55) were the most common gastrointestinal problems. Digital rectal stimulation was the most common method for bowel evacuation, both before (76%, 42/55) and after (73%, 40/55) bowel program. Oral medication, enema and manual evacuation application rates were significantly decreased and constipation, difficult intestinal evacuation, abdominal distention, and abdominal pain rates were significantly reduced after bowel program. In addition, mean neurogenic bowel dysfunction score was decreased after bowel program. An effective bowel program decreases the severity of neurogenic bowel dysfunction and reduces associated gastrointestinal problems in patients with spinal cord injury.
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- 2015
14. Ultrasonographic diagnosis of heterotopic ossification and secondary nerve entrapments in a patient with spinal cord injury
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Kurtuluş Köklü, Şule Şahin Onat, Zuhal Özişle, Ali Orhan, L Özçakar, Büşra Akman, and Fiziksel Tıp ve Rehabilitasyon
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0301 basic medicine ,medicine.medical_specialty ,Acoustics and Ultrasonics ,Radiological and Ultrasound Technology ,business.industry ,medicine.disease ,Surgery ,Nerve entrapments ,03 medical and health sciences ,030104 developmental biology ,Medicine ,Radiology, Nuclear Medicine and imaging ,Heterotopic ossification ,business ,Spinal cord injury - Published
- 2017
15. Relationship of toe position sense, neurological level, lesion severity and bulbocavernosus reflex with bladder function in patients with spinal cord injury
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Murat Ersöz, Gulten Karaca, Pinar Eguz, Kurtuluş Köklü, Fazıl Kulaklı, Canan Çulha, and Sumru Özel
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medicine.medical_specialty ,Proprioception ,business.industry ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease ,Surgery ,Lesion ,Bulbocavernosus reflex ,medicine ,In patient ,medicine.symptom ,Bladder function ,business ,Spinal cord injury - Published
- 2014
16. Relationship between urinary dysfunction and clinical factors in patients with traumatic brain injury
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Sumru Özel, Kurtuluş Köklü, Fazıl Kulaklı, and Murat Ersöz
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Traumatic brain injury ,Urinary system ,Neuroscience (miscellaneous) ,Urology ,Anxiety ,Severity of Illness Index ,Quality of life ,Lower urinary tract symptoms ,Severity of illness ,Activities of Daily Living ,Developmental and Educational Psychology ,medicine ,Humans ,In patient ,Coma ,business.industry ,Depression ,medicine.disease ,Urination Disorders ,Surgery ,medicine.anatomical_structure ,Social Isolation ,Brain Injuries ,Quality of Life ,Sphincter ,Female ,Neurology (clinical) ,Abnormality ,business ,human activities - Abstract
Examination of relations between urinary dysfunction and Functional Independence Measurement (FIM) values and other clinical factors.Twenty-nine patients with TBI were included in the study. Patients' demographic values, lower urinary tract symptoms (LUTS) and urinary drainage methods were recorded. Functional assessment was performed using FIM. Urodynamic studies were carried out and maximum cystometric capacity (MCC), storage and voiding function, type of detrusor, urodynamic abnormality and post-void residual urine volume values were investigated.Total FIM and FIM sphincter control sub-group scores were significantly lower in patients with storage dysfunction and urodynamic abnormality than patients without storage dysfunction and urodynamic abnormality (p 0.05). In tetraparetic patients, frequency of storage dysfunction was significantly higher than hemiparetic patients (p 0.05). Urodynamic abnormality was detected in five of nine patients with LUTS and in 12 of 20 patients without LUTS. There was no significant correlation between LUTS and urodynamic abnormality (p 0.05).Storage dysfunction and urodynamic abnormality is associated with poorly functional outcomes in TBI patients. There is a direct correlation between motor deficit and urodynamic abnormality. All of the TBI patients with or without LUTS should be evaluated neuro-urologically; urodynamic evaluation and treatment should be arranged if needed.
- Published
- 2014
17. Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up
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Ebru Alemdaroğlu, Ayşenur Bardak, Ece Çınar, Bilge Yilmaz, N Catalbaş, Hakan Tunç, Yesim Akkoc, Yasin Demir, Murat Ersöz, Seçilay Güneş, Kurtuluş Köklü, Berrin Gündüz, Ridvan Alaca, Hale Karapolat, Haydar Gök, Necmettin Yildiz, I Turna, Belgin Erhan, and Ege Üniversitesi
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Questionnaires ,Male ,intermittent catheterization ,spinal cord lesion ,retrospective study ,urologic and male genital diseases ,Cholinergic Antagonists ,Adolescent ,Adult ,Aged ,Cholinergic Antagonists/therapeutic use ,Cross-Sectional Studies ,Female ,Follow-Up Studies ,Humans ,Intermittent Urethral Catheterization ,Middle Aged ,Retrospective Studies ,Sex Factors ,Spinal Cord Injuries/drug therapy/*physiopathology/*rehabilitation ,Surveys and Questionnaires ,Treatment Outcome ,Urinary Bladder, Neurogenic/drug therapy/*physiopathology/*rehabilitation ,Urinary Tract Infections/drug therapy/physiopathology ,Young Adult ,middle aged ,cholinergic receptor blocking agent ,bladder training ,indwelling catheter ,pathophysiology ,media_common ,fever ,solifenacin ,Urinary bladder ,adult ,medical specialist ,trospium chloride ,article ,neurogenic bladder ,clinical trial ,General Medicine ,condom catheter ,oxybutynin ,female genital diseases and pregnancy complications ,aged ,female ,medicine.anatomical_structure ,priority journal ,Neurology ,Urinary Tract Infections ,quadriplegia ,young adult ,disease severity ,Propiverine ,Tolterodine ,medicine.drug ,adult diaper ,medicine.medical_specialty ,sex difference ,media_common.quotation_subject ,Urinary system ,bacteriuria ,Bacteriuria ,Urination ,urethral catheter ,paraplegia ,Internal medicine ,medicine ,cross-sectional study ,follow up ,human ,Urinary Bladder, Neurogenic ,Oxybutynin ,micturition ,Spinal Cord Injuries ,drug use ,Solifenacin ,business.industry ,questionnaire ,asymptomatic bacteriuria ,medicine.disease ,propiverine ,tolterodine ,major clinical study ,urethral catheterization ,spinal cord injury ,multicenter study ,Neurology (clinical) ,botulinum toxin A ,darifenacin ,urinary tract infection ,business - Abstract
WOS: 000337233100009, PubMed ID: 24732167, Study design: Multi-center, cross-sectional study. Objectives: Our aim was to evaluate the treatment methods and follow-up of neurogenic bladder in patients with traumatic spinal cord injury retrospectively using a questionnaire. Setting: Turkey. Methods: Three hundred and thirty-seven patients who had spinal cord injury for at least 2 years were enrolled from six centers in the neurogenic bladder study group. They were asked to fill-out a questionnaire about treatments they received and techniques they used for bladder management. Results: The study included 246 male and 91 female patients with a mean age of 42 +/- 14 years. Intermittent catheterization (IC) was performed in 77.9% of the patients, 3.8% had indwelling catheters, 13.8% had normal spontaneous micturition, 2.6% performed voiding maneuvers, 1.3% used diapers and 0.6% used condom catheters. No gender difference was found regarding the techniques used in bladder rehabilitation (P > 0.05). Overall, 63.2% of patients used anticholinergic drugs; anticholinergic drug use was similar between genders (P > 0.05). The most common anticholinergic drug used was oxybutynin (40.3%), followed by trospium (32.6%), tolterodine (19.3%) darifenacin (3.3%), propiverine (3.3%) and solifenacin (1.1%). The specialties of the physicians who first prescribed the anticholinergic drug were physiatrists (76.2%), urologists (22.1%) and neurologists (1.7%). Only four patients had previously received injections of botulinum-toxin-A into the detrusor muscle and three of them stated that their symptoms showed improvement. Most of the patients (77%) had regular follow-up examinations, including urine cultures, urinary system ultrasound and urodynamic tests, when necessary; the reasons for not having regular control visits were living distant from hospital (15.3%) and monetary problems (7.7%). Of the patients, 42.7% did not experience urinary tract infections (UTI), 36.4% had bacteriuria but no UTI episodes with fever, 15.9% had 1-2 clinical UTI episodes per year and 5% had >= 3 clinical UTIs. The clinical characteristics of patients with and without UTI (at least one symptomatic UTI during 1 year) were similar (P40.05). The frequency of symptomatic UTI was similar in patients using different bladder management techniques (P > 0.05). Conclusion: The most frequently used technique for bladder rehabilitation in patients with SCI was IC (77.9%). In all, 63.2% of patients used anticholinergic drugs, oxybutynin being the most commonly used drug. Also, 77% of patients had regular control visits for neurogenic bladder; 42.7% did not experience any UTIs.
- Published
- 2014
18. Outcomes of bowel program in spinal cord injury patients with neurogenic bowel dysfunction
- Author
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Zuhal Ozisler, Kurtulus Koklu, Sumru Ozel, and Sibel Unsal-Delialioglu
- Subjects
nerve regeneration ,spinal cord injury ,neurogenic bowel ,bowel program ,gastrointestinal problems ,bowel evacuation ,neural regeneration ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and the severity of neurogenic bowel dysfunction. Fifty-five spinal cord injury patients were included in this study. A bowel program according to the characteristics of neurogenic bowel dysfunction was performed for each patient. Before and after bowel program, gastrointestinal problems (constipation, difficult intestinal evacuation, incontinence, abdominal pain, abdominal distension, loss of appetite, hemorrhoids, rectal bleeding and gastrointestinal induced autonomic dysreflexia) and bowel evacuation methods (digital stimulation, oral medication, suppositories, abdominal massage, Valsalva maneuver and manual evacuation) were determined. Neurogenic bowel dysfunction score was used to assess the severity of neurogenic bowel dysfunction. At least one gastrointestinal problem was identified in 44 (80%) of the 55 patients before bowel program. Constipation (56%, 31/55) and incontinence (42%, 23/55) were the most common gastrointestinal problems. Digital rectal stimulation was the most common method for bowel evacuation, both before (76%, 42/55) and after (73%, 40/55) bowel program. Oral medication, enema and manual evacuation application rates were significantly decreased and constipation, difficult intestinal evacuation, abdominal distention, and abdominal pain rates were significantly reduced after bowel program. In addition, mean neurogenic bowel dysfunction score was decreased after bowel program. An effective bowel program decreases the severity of neurogenic bowel dysfunction and reduces associated gastrointestinal problems in patients with spinal cord injury.
- Published
- 2015
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