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Objective:The objective of the study is to investigate sleep disorders in patients with polycystic ovary syndrome (PCOS) and determine the relationship of sleep disorders with the metabolic and psychogenic aspects of PCOS.Materials and Methods:This case-control study was conducted between October 1, 2019, and March 1, 2020, at the gynaecology and neurology outpatient clinics of a tertiary hospital. The study included 73 patients diagnosed with PCOS and 63 healthy women volunteers. Testosterone, fasting glucose and fasting insulin levels of all the participants were measured. All study participants completed Beck’s depression inventory (BDI), Beck’s anxiety inventory (BAI), Epworth Sleepiness scale (ESS), Berlin questionnaire (BQ), insomnia severity index (ISI), and Pittsburgh sleep quality index (PSQI). The presence of restless legs syndrome (RLS) was assessed according to the international RLS study group criteria.Results:According to PSQI scores, 61.6% of patients with PCOS and 34.9% of healthy controls had a poor sleep quality (p=0.003). The PCOS group had significantly higher PSQI, ESS, ISI, BAI, BDI, and BQ scores than the control group (p=0.002, p=0.001, p

Objective: This study aims to investigate the relationship between work-related stress and sleep disorders in healthcare personnel working in emergency department and in other departments. Material and Methods: This cross-sectional study included 34 emergency department healthcare personnel (emergency group [EG]) and 35 healthcare personnel working in other departments (non-emergency group [NEG]) and was conducted between November 10, 2019 and March 1, 2020. All participants were administered the following questionnaires: work-related strain inventory (WRSI), Epworth sleepiness scale (ESS), Berlin questionnaire, insomnia severity index (ISI), Pittsburgh sleep quality index (PSQI), Beck depression inventory (BDI), and Beck anxiety inventory (BAI). Results: While the mean WRSI score of EG was 39.53±7.77, the mean WRSI score of NEG was 30.06±7.26 (t=5.236, p

Objective:This study aimed to investigate sleep disorders in patients with episodic migraines and tension-type headaches.Materials and Methods:This study was conducted between June 15, 2019, and December 15, 2019, at the neurology clinics of two different tertiary hospitals. The study included 100 healthy volunteers, 102 patients with episodic migraine, and 105 patients with episodic tensiontype headache. All participants were assessed using Beck Depression inventory (BDI), Beck Anxiety inventory (BAI), Epworth Sleepiness scale (ESS), Berlin Questionnaire, Insomnia Severity index (ISI), and Pittsburgh Sleep Quality index (PSQI). The presence and severity of Restless Legs syndrome (RLS) were evaluated according to the International RLS Study Group criteria.Results:Patients with migraine and tension headaches had significantly higher BDI, BAI, ESS, ISI, and total PSQI scores compared with the control group. According to the Berlin Questionnaire, 8% of the healthy controls, 20.6% of patients with migraine, and 11.4% of patients with tension headache were at high risk for Sleep Apnea syndrome. RLS criteria were met by 3% of healthy controls, 9.8% of patients with migraine, and 6.7% of patients with tension headache. Subjective sleep quality, sleep disturbance, and daytime dysfunction scores were significantly higher in patients with migraine compared with those with tension headache. By contrast, sleep latency and sleep efficiency scores were significantly higher in patients with tension headache compared with those with migraine.Conclusion:The study results indicated that migraines and tensiontype headaches have varying effects on sleep. Hence, for each of the headache types, sleep disorders should be examined under a broad spectrum, and each sleep disorder should be investigated separately.

Objective:Internet users in the world are increasing day by day and internet addiction is becoming an important problem. The aim of this study is to investigate the effects of sleep disorder and poor sleep quality on internet addiction levels.Materials and Methods:One hundred and four people aged between 18-65 years old who stated that they had a sleep disorder and 116 healthy controls without any known sleep disorder were included in the study. Young’s Internet Addiction Test-short Form (YIAT-SF) and the Pittsburgh Sleep Quality index (PSQI) were applied to the participant via face-to-face interviews.Results:According to the PSQI, 74 of the total of 220 participants included in the study had poor sleep quality. YIAT-SF scores of those with poor sleep quality were significantly higher than those with good sleep quality (p

Objective: This study aimed to evaluate the demographic, etiologic, and clinical characteristics of patients with the diagnosis of stroke, as well as the incidence of stroke in Ardahan province, which is the gateway from our country to the Caucasus (Caucasia). Materials and Methods: This study has a descriptive design. The hospital records of patients who were diagnosed as having stroke or cerebrovascular disease between June 2015 and June 2016 in Ardahan State Hospital were retrospectively investigated. Results: In the defined one year period, 196 individuals were admitted to our hospital with the diagnosis of acute stroke. The incidence of stroke was 199/100.000 per person-year. Of these patients, 71.4% (n=140) were diagnosed as having ischemic stroke and 20.4% (n=40) had hemorrhagic stroke. The incidence of ischemic stroke was determined as 142/100.000 per person-year. The incidence of hemorrhagic stroke was determined as 41/100.000 per person-year. Ipsilateral muscle weakness was the most common symptoms in 78.1% (n=153) of the patients. Of the patients, 3.6% (n=7) were admitted to the hospital within 3 hours after the onset of symptoms and 75.5% (n=148) were brought to our hospital by ambulance Conclusion: Although the results of this study are generally compatible with other studies in the literature, they also show differences. The incidence of stroke in our country and the demographic characteristics of patients with stroke differ from other countries, at the same time there may be regional differences. For this reason, the data in this study are important because they provide information about our country and its northeastern region.

Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the present case, an 81-year-old male presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.

ABSTRACT Background: Few studies have explored the coexistence of migraine and disordered eating attitudes. Furthermore, the underlying pathophysiological mechanisms of migraine and disordered eating attitude comorbidity are not clearly understood. Objective: This study aimed to investigate the association between migraine and disordered eating attitudes in relation to personality traits, obesity, quality of life, migraine severity, depression, and anxiety. Methods: This study included 91 patients with episodic migraine and 84 healthy control subjects. Self-report questionnaires were used to evaluate anxiety, depression, migraine-related disability, personality traits, quality of life, and eating disorders. Results: The Eating Attitude Test (EAT) showed disordered eating attitudes in 21 patients (23.1%) in the migraine group and eight patients (9.5%) in the control group. Migraine-related disability, anxiety, depression, neuroticism, and quality of life scores were significantly worse in migraine patients with disordered eating attitudes compared to migraine patients without disordered eating attitudes. In migraine patients, eating attitude test scores were positively correlated with migraine-related disability, anxiety, depression, and neuroticism scores, and negatively correlated with quality of life scores. Conclusion: The association of migraine and disordered eating attitudes was shown to be related to depression, anxiety, quality of life and personality traits and may also indicate a more clinically severe migraine. To the best of our knowledge, there is no literature study that deals with all these relevant data together. However, neuropsychiatry-based biological studies are required to better understand this multifaceted association.

Amaç: Bu çalışmanın amacı Obstrüktif Uyku Apne Sendromu (OUAS) hastalarını birçok bilişsel fonksiyon açısından değerlendirmek ve OUAS hastalarının bilişsel fonksiyonları ile anksiyete ve depresyon düzeyleri arasındaki ilişkiyi ortaya koymaktır.Gereç ve Yöntemler: Bu kesitsel çalışmaya 15 Haziran 2019 ve 15 Aralık 2019 tarihleri arasında yapıldı ve 18-65 yaş arası en az ilkokul mezunu 34 OUAS hastası ve 28 sağlıklı gönüllü dahil edildi. Tüm katılımcıların bir gece boyunca polisomnografi kayıtları alındı. Tüm katılımcılara sosyodemografik veri formu, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Montreal Bilişsel Değerlendirme (MoCA) ve Stroop Renk ve Sözcük Testi (SCWT) uygulandı.Bulgular: OUAS ile kontrol grubu arasında yaş, cinsiyet açısından anlamlı fark yoktu. OUAS hastalarının depresyon ve anksiyete ölçek puanları kontrol grubuna göre anlamlı şekilde daha yüksekti. OUAS hastalarının adlandırma, dikkat, soyut düşünme ve gecikmeli hatırlama performansları kontrol grubuna göre daha düşük idi. OUAS hastaları Stroop 1, 3 ve 5 testini kontrol grubundan daha uzun bir sürede tamamladı. Bilişsel fonksiyonların apne hipopne indeksi, BDÖ ve BAÖ skorları ile negatif yönde anlamlı bir korelasyonu olduğu bulundu.Sonuç: OUAS’ın bilişsel fonskiyonların her bir alt birleşeni üzerinde farklı bir etkisinin olduğu saptandı. Ayrıca OUAS’daki bilişsel etkilenmenin altında, OUAS’ın neden olduğu birçok olumsuz faktörün rolü olabileceği tespit edildi. Bu konunun etyopatogenizin daha açık hale gelmesi için ileri çalışmalara ihtiyaç vardır.

ABSTRACT A few studies have explored dissociative experiences in epilepsy patients. We investigated dissociative experiences in patients with epilepsy using the dissociative experiences scale (DES). Ninety-eight patients with epilepsy and sixty healthy controls were enrolled in this study. A sociodemographic questionnaire and the Dissociative Experiences Scale (DES), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were administered to the participants. The DES scores were significantly higher for the patients with epilepsy than the healthy individuals. The number of individuals with pathological dissociation (DES ≥ 30) was higher in the epilepsy group (n = 28) than in the control group (n = 8). Also, higher levels of dissociation were significantly associated with frequency of seizures, but were not associated with duration of epilepsy and age at onset of the disorder. These findings demonstrate that patients with epilepsy are more prone to dissociation than controls. The high rate of dissociative experiences among patients with epilepsy suggest that some epilepsy-related factors are present.