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    AWARENESS AND APPROACHES OF FAMILY PHYSICIANS ABOUT CHRONIC PAIN
    (Dokuz Eylul Univ Inst Health Sciences, 2021) Sultanoglu, Tuba Erdem; Gamsizkan, Zerrin; Ataoglu, Safinaz; Sultanoglu, Hasan
    Purpose: We aimed to investigate family physicians' awareness and approaches to chronic pain in its management. Methods: This study was planned as a descriptive, crosssectional study to investigate family physicians' awareness and approaches to chronic pain between September and November 2020.A questionnaire were used as data collection tools.The physicians sociodemographic characteristics, the number of registered patients, the percentage of patients with chronic pain, the status of participation in training activities on pain management, the most common cause of chronic pain, initial approach to chronic pain management were recorded. They were also questioned about the medical treatment option that they preferred for the treatment of patients with chronic pain, the most commonly demanded medication group by their patients and their practice of prescribing those medications, their views on traditional and complementary medicine, and the most effective treatment option for chronic pain. Results: 81 family physicians participated in the study. The mean age was 34.2 +/- 7.3.58% of the participants are women;42% of them were male.Half of the family physicians participating reported that low back pain was the most common cause of chronic pain. In our country, the responses given to the question about the most common causes of chronic pain were psychiatric problems and low back pain. Initial approach to a patient presenting with chronic pain, the most the physicians responsed 'I treat the patient'.66.7% of the physicians agreed with multidisciplinary approach. Conclusion: Developing algorithms for chronic pain management, structuring specialist training and planning continuous training after graduation will contribute significantly to increasing awareness of chronic pain.
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    Duzce University Faculty of Medicine Department of Physical Medicine and Rehabilitation in the COVID-19 Pandemic Process
    (Duzce Univ, 2020) Sultanoglu, Tuba Erdem; Ataoglu, Safinaz
    COVID-19 is one of the extraordinary periods in Wuhan, China, which affect the whole world, and protective measures must be taken quickly. Coronavirus Disease (COVID-19) is a highly contagious disease that causes physical, psychological and widespread systemic dysfunction in patients, causing a rapid change in our social life. In this review, we aimed to explain the pandemic process in the Department of Physical Medicine and Rehabilitation.
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    Evaluation of elderly patients in adult suicide cases admitted to the emergency department
    (Elsevier Sci Ltd, 2021) Sultanoglu, Hasan; Sultanoglu, Tuba Erdem
    The proportion of elderly people in the general population has been increasing in our country. The suicide rate increases by a person's age, and old age appears as one of the life periods with a high suicide incidence. We aimed at investigating the causes and risk factors of suicide attempts and to analyze the sociodemographic and clinical features of the elderly individuals presenting to the emergency department after suicide attempt. Crosssectional retrospective study was performed.1403 patients were enrolled. The patients were categorized into two age groups of 18-64 years and 65 years or older. The male gender had a greater proportion in both groups. The young group contained more subjects having an educational level of primary school while the illiterate ones in the older group had a greater suicide tendency. The married subjects had a greater suicide tendency in the younger group while widowed/divorced subjects had a greater suicide tendency in the older group. Subjects without any comorbidity or medication use had a greater suicide tendency in the younger group whereas those who had comorbidities or medication use greater suicide tendency. Mood disorders were the most common psychiatric disorder in both groups. Medication intake was the most common method of suicide in both groups; suicide attempts were more common in summer and between 16:00-24:00. Domestic problems as the cause of suicide were more common in the younger group, while communication problems were more common in the older group. Male gender, divorced/widowed, low education and sociocultural level, presence of depression, communication problems have been identified as risk factors for older group.
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    Evaluation of medication adherence and medication beliefs and their relation with quality of life in osteoporotic patients with and without vertebral fractures: a path analysis
    (Springernature, 2023) Sultanoglu, Tuba Erdem; Ataoglu, Safinaz
    BackgroundOsteoporosis (OP) is a public health problem that causes morbidity and mortality with various complications, especially fractures, negatively affects quality of life (QoL) and creates an economic burden on society. The aim of this study was to investigate the relationships among medication adherence, medication beliefs, QoL in Turkish patients with OP.ResultsThe Medication Adherence Report Scale (MARS) total score was 17 in those with vertebral fractures and 18 in those without vertebral fractures. The total Quality of Life Questionnaire of the European Foundation for Osteoporosis (Qualeffo-41) score was 48.7 in those with vertebral fractures and 35.1 in those without vertebral fractures. Visual analog scale (VAS) of pain scores showed a moderate correlation with every domain of the Qualeffo-41 scores (r = 0.401, r = 0.412, r = 0.391, r = 0.402, r = 0.380, r = 0.387 respectively, P = < 0.001). MARS total score, Beliefs about Medicines Questionnaire (BMQ), and Qualeffo-41 parameters were compared between patients with osteoporotic fractures and without fractures. In patients with a vertebral fracture, the patients Qualeffo-41 scores were higher with every domain and their QoL was more impaired (p < 0.001); but there were no significant differences between patients with osteoporotic fractures and without fractures in terms of MARS total score and BMQ domains. The pathway analysis results showed that general beliefs about drugs is associated with the physical function and social function of statistically significant and general overuse is associated with the pain (& beta; = 1.781; p < 0.001), and general health (& beta; = 1,832; p = 0.039). However, self-reported medication adherence and specific beliefs is not associated with the pain, physical function, social function, general health, and mental function (p > 0.05) of statistically significant.ConclusionsEnhancing positive medication beliefs are a promising approach to improve medication adherence, and in turn, improved diseases self management and better QoL, in OP patients.
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    Evaluation of patients with rheumatic diseases admitted at emergency department: 5-year analysis in a single centre
    (Wiley, 2021) Sultanoglu, Tuba Erdem; Sultanoglu, Hasan
    Background Chronic inflammatory diseases can lead to emergency admissions with various acute complications. Unfortunately, there is limited data on emergency admissions because of rheumatological diseases. Objectives To evaluate the patients with rheumatic diseases presenting to the emergency department (ED). Methods A total of 1788 patients with a diagnosis of inflammatory rheumatic disease admitted to the ED of a tertiary university hospital between March 2016 and March 2021 were included. The patients' socio-demographic and clinical characteristics, diagnosis and treatments in the ED were recorded. Patients' complaints were classified as rheumatological or non-rheumatological. Results Over 5 years, 1788 patients with an inflammatory rheumatic disease presented to the ED. The mean duration of rheumatological disease was 7 +/- 3.4 years, and the mean number of emergency admissions was 4.4 +/- 5. The four most common groups attending the ED were patients with rheumatoid arthritis, ankylosing spondylitis, familial Mediterranean fever and vasculitis. Of the complaints of the 1788 ED visitors, 1106 (61.9%) were rheumatological, 681 (38.1%) were non-rheumatological and other acute or chronic conditions. Twenty-three patients (1.3%) had the rheumatic disease and died after admission to the ED. When the univariable model results are examined, the risk of hospitalisation increases 1.024 times with increasing age. The risk of hospitalisation is 2.318 times higher in those with ankylosing spondylitis and 2.722 times in those with rheumatoid arthritis compared with those with a diagnosis of vasculitis. The risk of hospitalisation in patients with comorbid diseases is 1.807 times higher than those without. When the results of the multivariable model are examined, the risk of hospitalisation is 2.227 times higher in those with ankylosing spondylitis and 2.615 times in those with rheumatoid arthritis compared to those with vasculitis. Other risk factors were not statistically significant (P > .050). Conclusion Patients with the rheumatic disease most frequently presented to the ED with musculoskeletal complaints and were discharged from the ED. True rheumatological emergencies are rare, but ED physicians should be aware of serious and life-threatening conditions.