Browsing by Author "Tufan, Fatih"
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Item Attitudes of neurology specialists toward older adults(Springer, 2016-07-08) Seferoğlu, Meral; Yıldız, Demet; Pekel, Nilüfer Büyükkoyuncu; Güneş, Aygül; Tufan, Fatih; Yıldız, Abdülmecit; Uludağ Üniversitesi/Tıp Fakültesi/Nefroloji Anabilim Dalı.; 56256977500Objective Attitude of healthcare providers toward older people is very important in the aging world. Neurologists contact older adults very frequently. We aimed to investigate the attitudes of neurologists toward older adults. Measurements We recorded participants age; sex; duration of clinical practice in neurology; existence of older adult relatives; and history of geriatrics education, nursing home visits, older adult patient density in their clinical practice, and participation in voluntary public activities. UCLA Geriatrics Attitude Scale was used to evaluate participants' attitudes. Results A total of 100 neurologists participated in this study. Seventy-seven percent had positive, 3 % had neutral, and 20 % had negative attitudes. Twenty-seven percent of the participants had history of geriatrics education, and these participants tended to have a higher rate of positive attitudes. Neurologists with positive attitudes tended to be older than those with negative attitudes. Participants with history of living with older adult relatives had lower rates of positive attitudes. The most common diagnoses of the patients the participants encountered were stroke and dementia. Independent factors associated with positive attitudes were history of geriatrics education and older age. History of living with older relatives tended to have a negative effect. Most of the negative items of the attitude scale were associated with the natural course and behavior of the common diseases in neurology practice. Conclusions Generalization of geriatrics education may translate into a better understanding and improved care for older patients. Development of instruments and implementation of qualitative studies to assess attitudes of neurologists toward older adults are needed.Item Dependency in activities of daily living in younger and older patients with rheumatoid arthritis(Clinical & Exper Rheumatology, 2014) Tufan, Fatih; Tufan, Ayşe Nur; Öksüz, Ferhat; Coşkun, Nihan Belkıs; Ermurat, Selime; Pehlivan, Yavuz; Dalkılıç, Ediz; Uludağ Üniversitesi/Tıp Fakültesi/Romatoloji Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Dahili Tıp Anabilim Dalı.; AAG-8227-2021; ABE-4424-2022Item Higher predialysis potassium level is independently associated with intradialytic hypotension in elderly and younger hemodialysis patients(Carbone Editore, 2016-01-02) Yıldız, Demet; Çimen, Doğan; Gül, Cuma Bülent; Aktaş, Nimet; Tufan, Fatih; Oruç, Ayşegül; Yıldız, Abdülmecit; Şahin, Ahmet Bilgehan; Uludağ Üniversitesi/Tıp Fakültesi/Nefroloji Anabilim Dalı.; 0000-0002-0342-9692; 0000-0002-7846-0870; AAH-4002-2021; AAM-4927-2020; HIG-9032-2022; 55133912100; 56256977500; 57188809248Introduction: Intradialytic hypotension (IDH) is an important cause of morbidity and mortality in patients under maintenance hemodialysis (HD) treatment. Seeking factors associated with IDH may provide clinically relevant information.Materials and method: We enrolled a total of 103 patients receiving thrice-weekly HD. Besides hemodynamic and laboratory parameters, we evaluated nutritional status, depressive symptoms, and anxiety symptoms.Results: Female subjects had a significantly higher rate of IDH compared to males (42.6% vs. 14.9%, p=0.003). Older patients (>= 65 years old) tended to have a higher rate of IDH compared to those younger than 65 years, but the difference was not statistically significant (31% vs. 21%, p=0.2). Univariate correlation analysis revealed gender, orthostatism, history of falls, dialysis duration, fasting glucose, albumin, and potassium levels to be correlated with IDH. Logistic regression analysis revealed that higher potassium level was the only independent factor in association with IDH.Conclusion: We observed an independent association between higher predialysis potassium levels and IDH. Further studies are needed to confirm this association and to see if measures to control predialysis potassium levels better would translate into a decreased rate of IDH in these patients.Item Impaired cognitive performance and hippocampal atrophy in Parkinson disease(TÜBİTAK, 2015) Yıldız, Demet; Tufan, Fatih; Erer, Sevda; Zarifoglu, Mehmet; Hakyemez, Bahattin; Bakar, Mustafa; Karlı, Necdet; Varlıbaş, Zeynep Nigar; Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; 0000-0002-2274-3230; 0000-0002-3425-0740; 0000-0001-5229-0001; DVY-9744-2022; EHN-5825-2022; AAI-2318-2021; EKN-8251-2022; JDE-9380-2023; EDI-1148-2022; 25635370800; 6603411305; 6602527239; 26643051200; 6506587942; 36515788700Background/aim: Dementia is common in Parkinson disease (PD). Since magnetic resonance imaging has been used, hippocampal atrophy has been shown in PD patients with or without dementia. In this study we sought the correlation of cognitive decline with bilateral hippocampal volume in PD patients. Materials and methods: Thirty-three patients with diagnosis of idiopathic PD and 16 healthy subjects were included in this study. PD patients were divided into two groups as normal cognitive function and mild cognitive impairment (MCI). The Mini-Mental State Examination and detailed cognitive assessment tests were performed for all patients for cognitive analyses. Depression was excluded by the Geriatric Depression Scale. Results: The mean onset age of disease was 55 years for PD patients without dementia and 59 for PD patients with MCI. According to the Hoehn-Yahr scales, 24% of patients had grade 1, 58% had grade 2, and 18% had grade 3 disease. Right and left hippocampal volumes decreased along with cognitive test scores in PD patients. Increased right hippocampal volume was correlated with forward number test in the MCI-PD group. Conclusion: These findings suggest that memory deficit is associated with hippocampal atrophy in PD patients.Item Importance of immunisation of elderly subjects before immunosuppressive treatment(Clinical and Experimental Rheumatology, 2016) Tufan, Fatih; Tufan, Ayşe Nur; Uludağ Üniversitesi/Tıp Fakültesi/Romatoloji Anabilim Dalı.; 56076552900Publication Lower creatinine as a marker of malnutrition and lower muscle mass in hemodialysis patients(Dove Medical Press Ltd, 2015-01-01) Yıldız, Abdulmecit; Tufan, Fatih; YILDIZ, ABDULMECİT; Uludağ Üniversitesi/Tıp Fakültesi/Nefroloji Anabilim Dalı; HIG-9032-2022Publication Outcomes of elderly burn patients requiring hospitalization(Taylor ve Francis, 2015-06-01) Şimşek, Muhammed Eren; Özgenel, G. Yeşim; Kahveci, Ramazan; Akın, Selçuk; Özbek, Serhat; Tufan, Fatih; ÖZGENEL, GÜZİN YEŞİM; KAHVECİ, RAMAZAN; AKIN, SELÇUK; ÖZBEK, SERHAT; Uludağ Üniversitesi/Tıp Fakültesi/Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı.; 0000-0003-3245-1618; 0000-0003-1683-0722; 0000-0003-0000-8355; AAH-5064-2021; AAH-5441-2021; AAH-4233-2021; AAG-4626-2019Background: The elderly population is more likely to be affected by accidents, such as burns, compared to younger populations because of their diminished host defense. There is limited data about the outcomes of elderly burn patients requiring hospitalization.Methods: In this retrospective study, we assessed the epidemiology and outcomes of burn injuries in elderly patients (>60 years old) admitted to a burn unit of a tertiary medical center based on patient characteristics, type and extent of burns, treatment, hospital stay and mortality rates.Results: Forty-eight elderly burn patients among 870 burn patients during the study period were evaluated. Fire was the most common cause of burns (77.1%). Most of the burns involved more than 20% of total body surface area. Twenty-six (54.2%) patients died during hospitalization. Although burn surface area slightly and non-significantly increased in patients over 75 years, there was a significantly increased mortality rate in these patients. Multivariate linear regression analysis revealed burn area and age as independent associates of mortality.Conclusion: Our data show a high mortality rate in elderly burn patients. Extensive burns and increased age seem to increase the mortality risk.Item The process from symptom onset to rheumatology clinic in polymyalgia rheumatica(Springer Heidelberg, 2014-04-24) Tufan, Fatih; Dalkılıç, Ediz; Tufan, Ayşe Nur; Hafızoğlu, Emre; Hafızoğlu, Merve; Öksüz, Ferhat; Pehlıvan, Yavuz; Yurtkuran, Mustafa Abbas; Uludağ Üniversitesi/Tıp Fakültesi/İç Hastalıkları Anabilim Dalı.; AAG-8227-2021; 6506739457; 56076552900; 56182528900; 56182827600; 56182723600; 13205593600; 7003389525Polymyalgia rheumatica (PMR) is an inflammatory disease of individuals aged over 50 years. Because of the concomitant malignancy possibility and the high prevalence of constitutional symptoms seen in this condition, patients with classical clinical picture often experience delay in diagnosis and treatment and are exposed to a wide list of laboratory and imaging procedures. In this study, we aimed to explore the adventure these patients experience from symptom onset to rheumatology clinic. A total of 106 PMR patients (84 women, 22 men) mean age 70.1 +/- A 8 were analyzed retrospectively. The time period from the onset of symptoms and referral to rheumatology specialists was explored. Diagnostic methods applied to these patients, antibiotic use and hospitalization during this period were recorded. The interval between the onset of the symptoms and admission to rheumatology unit was 13 +/- A 13 months. In this period, abdominal computed tomography (29.2 %), chest computed tomography (21.7 %), cranial magnetic resonance imaging (18.9 %) and whole-body scintigraphy (3.8 %) were applied to the patients. About 30 % of the patients were hospitalized for a mean period of 7 +/- A 3 days before referral to rheumatology unit, and 30 % of the patients were given antibiotics. In order to reduce the delay in the diagnosis of PMR and prevent unnecessary and expensive diagnostic methods, education of clinicians about the diagnosis of PMR may be beneficial.Item Proposed guidelines for future vitamin D studies(American Medical Association, 2016-02) Tufan, Fatih; Tufan, Ayşe Nur; Uludağ Üniversitesi/İç Hastalıkları Anabilim Dalı/Romatoloji Bilim Dalı.; GHE-4236-2022; 56076552900Item Restless-legs syndrome and insomnia in hemodialysis patients(Taylor & Francis, 2015-10-04) Yıldız, Demet; Kahvecioğlu, Serdar; Büyükkoyuncu, Nilüfer; Kılınç, Ahmat Kasım; Gül, Cuma Bülent; Şeferoğlu, Meral; Tufan, Fatih; Yıldız, Abdülmecit; Uludağ Üniversitesi/Tıp Fakültesi/Nefroloji Anabilim Dalı.; 56256977500Aim/background: Restless legs syndrome (RLS) is a common neurological movement disorder which is commonly seen in hemodialysis (HD) patients. Insomnia, depression, and anxiety disorders frequently show concurrence. In this study, we aimed to investigate RLS and insomnia prevalence and related factors in HD patients. Subjects and methods: Patients who were under HD treatment and healthy controls with similar mean age, sex ratio, and hypertension and diabetes mellitus frequency were included in this study. Depression, insomnia, and daytime sleepiness assessments were performed by using Beck Depression Inventory, Insomnia Severity Index, and Epworth Sleepiness Scale. The diagnosis of RLS was made using the International RLS Study Group consensus criteria. Results: About 156 HD patients and 35 controls were enrolled. The mean age was 50.6 in the HD group and 49.7 in the control group. Female sex was 43.9% in the HD group and 57.1% in the control group. RLS was significantly more frequent in HD patients compared with controls. The rate of sub-threshold insomnia and insomnia with moderate severity was higher in HD patients. While insomnia severity score and diabetes mellitus were significantly associated with the presence of RLS, depression, RLS, older age, and being under HD treatment were independently associated with insomnia severity. Conclusions: HD patients commonly have RLS and insomnia. Insomnia and diabetes mellitus seem to be major factors underlying RLS in HD patients. Furthermore, depression and RLS seem to be closely related to insomnia in these patients. Treatment of depression, insomnia, and RLS may be beneficial to improve quality of life in HD patients.