Background: Population-based studies examining the prevalence of trigeminal neuralgia (TN) and persistent idiopathic facial pain (PIFP) are rare, and data on TN prevalence in Türkiye are very limited, with the prevalence of PIFP being unknown. This study aimed to determine the prevalence of TN and PIFP in Türkiye. Materials and Methods: This population-based epidemiological study has a cross-sectional and descriptive design, and it was carried out in Afyonkarahisar, Türkiye. Participants aged 18 years and older were screened by using a self-assessment form to determine potential patients with TN or PIFP. Results: A total of 19,237 individuals were included in this study, of which 17,223 responded to the survey questions. TN was diagnosed in 17 individuals, and the prevalence of TN was calculated as 98.5 per 100,000. PIFP was diagnosed in 35 patients, and the prevalence of PIFP was calculated as 202 per 100,000. The mean age of the patients with TN was 54.29 ± 12.98 years, the mean age of patients with PIFP was 49.80 ± 16.10 years, and the female-to-male ratio was 1.13/1 for TN and 2.18/1 for PIFP. Conclusion: The prevalence of PIFP in Türkiye has been reported for the first time by this study. Additionally, a much higher prevalence of TN was found when compared to previous study.

Background Multiple Sclerosis (MS) is a chronic, progressive and neurodegenerative disorder of the central nervous system. It often leads to symptoms such as disability, cognitive impairment, fatigue and depression. The aim of this study was to investigate the relationship between fatigue, cognitive functions, depression and disability in individuals with MS. Method We evaluated 74 patients with MS using the Cognitive Failure Questionnaire (CFQ) battery. The Expanded Disability Status Scale (EDSS) was used to assess the level of disability. The Fatigue Severity Scale (FSS) and the Beck Depression Inventory (BDI) were used to measure fatigue and depression levels, respectively. Results A moderate positive correlation was found between EDSS and BDI (r1=0,342; p<0,001). A moderate positive correlation was found between EDSS and FSS (r1=0,392; p<0,001). A moderate positive correlation was found between CFQ and BDI (r1=0,451; p<0,001). A moderate positive correlation was found between CFQ and FSS (r1=0,425; p<0,001). A moderate positive correlation was found between FSS and BDI (r1=0,424; p<0,001). Conclusion The findings suggest that as disability increases in MS patients, fatigue and depression also, increase and cognitive impairment is associated with both depression and fatigue.

AMAÇ: Multipl skleroz (MS), merkezi sinir sisteminin (CNS) sık görülen bir otoimmün demiyelinizan hastalığıdır. Bu çalışmada retrospektif olarak MS tanılı hastaların toplanması Türk toplumunda ailesel ve sporadik MS hastalarının özelliklerini karşılaştırmak ve ailesel özellik gösteren MS hastalarının sıklığı ve bu hastaların klinik ve demografik özelliklerini belirlemek amaçlandı. GEREÇ VE YÖNTEM: Bu kesitsel kayıt tabanlı çalışma, 01 Ocak 2022-01 Haziran 2022 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Nöroloji Anabilim Dalı’nda 2017 McDonald kriterlerine göre MS tanısı ile takipli hasta verileri ile yapıldı. Hastaların demografik verileri, klinik bulguları, başlangıç yaşları, ortalama hastalık süresi, başlangıç semptomları ve MS subtipleri değerlendirildi. BULGULAR: Türk populasyonunda ailesel MS (FMS) sıklığı %7.3 olarak saptandı. FMS varlığı erken hastalık yaşı ile ilişkili bulunmadı. En sık başlangıç semptomu duyusal semptomlar en sık MS subtipi relapsing remitting MS olarak değerlendirildi ve genişletilmiş durum özürlülük skalası skoru hesaplandı ve FMS varlığı ile yüksek hastalık aktivitesi arasında ilişki saptanmadı. SONUÇ: Türk populasyonunda FMS oranı daha çok Avrupa-Latin ülkelerine benzer bulunmuştur. Klinik ve demografik özellikler ise Avrupa ve Orta doğu ile benzer bulunmuştur.

Objectives: The present study aimed to examine the effects of diabetes complications on the ischemic stroke risk among patients with type 2 diabetes mellitus (T2DM). Patients and methods: The medical records of all patients (n=5,468) who were admitted to a tertiary care hospital between January 1, 2021, and June 1, 2022, were retrospectively reviewed. Of 911 patients diagnosed with T2DM for at least two years, 37 patients with a history of hemorrhagic cerebrovascular disease were excluded. Consequently, the study was conducted with 874 patients (460 males, 414 females; mean age: 65.5±12.1 years; range, 39 to 92 years) with T2DM. Demographic data, presence of chronic disease other than diabetes, duration of diabetes, retinopathy, nephropathy, peripheral arterial disease, and diabetes medications were recorded. The patients were divided into two groups: those with and without a history of ischemic stroke. The two groups were compared in terms of demographic characteristics and diabetes complications. Results: The prevalence of ischemic stroke was 18.6% (n=163). Patients with ischemic stroke were older than those without ischemic stroke, had longer diabetes durations, and had higher rates of hypertension, hyperlipidemia, and insulin use (p=0.001, p<0.001, p<0.001, p<0.001, and p<0.001, respectively). Diabetic retinopathy (41.7%), diabetic nephropathy (27.6%), and peripheral arterial disease (16.6%) were more commonly observed among patients with ischemic stroke compared to the others. Examining the parameters differing between the groups, diabetes duration, hypertension, insulin use, and peripheral arterial disease were found to be independent risk factors for ischemic stroke (p<0.001, p<0.001, p=0.001, and p=0.001, respectively). Conclusion: Examining the relationship between diabetes complications and ischemic stroke risk from a broader perspective, the present study provided important implications for clinical management. Large-scale studies are needed in the future.

OBJECTIVE: Burnout syndrome is an important problem among healthcare workers. During the Covid-19 pandemic, healthcare professionals have struggled with an unprecedented effort. The aim of this study is to investigate occupational burnout levels among healthcare professionals working at Afyonkarahisar Health Sciences University during the Covid-19 pandemic.MATERIAL AND METHODS: This study was carried out at the Afyonkarahisar Health Sciences University between February 1st and March 1st, 2021. G* power package software was used in the sample calculation. A questionnaire form consisting of 20 parameters on demographic data and work life was used. Maslach Burnout Inventory was used as the burnout scale.RESULTS: A total of 312 healthcare professionals participated in this study. 139 of the participants were men (44.6%) and 173 were women (55.4%). The mean age of the participants was 30.7± 7.28. 138 of the participants were doctors (44.2%) and 174 were nurses (55.8%). 110 of the participants were working in a covid ward or covid intensive care unit (ICU) (35.3%) and 202 were working in other departments (64.7%). The mean subscale scores were 19.21±7.28 for emotional exhaustion, 7.31±7.19 for depersonalization, and 20.05±3.88 for personal accomplishment. These results show that healthcare workers experience high levels of burnout according to the emotional exhaustion and personal accomplishment subscales and moderate burnout according to the depersonalization subscale.CONCLUSIONS: The results of this study are very valuable for establishing future prevention protocols and educating healthcare professionals in the face of a pandemic. Based on our findings, we suggest closely monitoring risk groups that work directly with Covid-19 patients and providing psychological support when necessary. Also, making the necessary arrangements in working conditions is crucial to increase job satisfaction and reduce burnout in healthcare workers.