Yazar "Ipek, Rojan" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • [ X ]
    Öğe
    The Evaluation of Patients with Cystic Fibrosis in Terms of Depression
    (Reial Acad Medicina Illes Balears, 2024) Ucar, Fesih; Karabel, Musemma Alagoz; Sen, Velat; Uzel, Veysiye Hulya; Ipek, Rojan; Akar, Asuman
    Introduction and Objective: Cystic Fibrosis (CF) is a chronic, progressive and fatal genetically inherited severe disease. Major depressive disorder (MDD) is a serious mental disorder that sometimes involves suicidal thoughts and death can occur when suicide is committed. The prevalence of depression has increased in CF patients. In our study, CF patients who were followed up monthly were investigated in terms of depression. Materials and Methods: The study group consisted of children aged 10-18 years with CF and the control group consisted of age- and gender-matched healthy children. Demographic data and depression status of the groups were analysed prospectively. The depression scale for children (DSC), which has been proven to be valid and reliable, was used for the diagnosis of depression. The total score obtained according to the DSC and the presence of depression according to the DSC were recorded. Results: Sixty per cent of the study group (n=30) and 70 per cent of the control group (n=30) were male (n=21), and the distribution was similar. History of psychiatric outpatient clinic, total score of the DSC, body mass index (kg/m(2)), consanguinity status between parents and total sleep duration were statistically significantly different between the groups (p<0.05). There was no statistically significant difference in the presence of depression, suicidal ideation, educational status, family type, place of residence, smoking exposure and parental psychiatric history. Although not statistically significant, there were numerically increased depressive symptoms and tendencies in the study group compared to the control group. Conclusion: CF is a chronic disease and the risk of depression is increased in CF patients. In addition to medical treatments, it is important to protect mental health. Adequate mental health support improves the physical symptoms of the disease and increases patient and family compliance with treatment. In conclusion, we think that it is important to perform routine mental health screening during the disease process.
  • [ X ]
    Öğe
    A Rare Case Presenting with Atypical Acute Polyneuropathy: Neuroborreliosis
    (Reial Acad Medicina Illes Balears, 2024) Ipek, Rojan; Karabel, Muesemma Alagoz; Bozkurt, Enes; Yolbas, Ilyas; Okuyaz, Cetin
    Lyme disease is an infectious condition that potentially impacts various bodily systems, notably the skin, joints, and the nervous system. The involvement of the nervous system in Lyme disease, a multisystem disorder, is termed neuroborreliosis. The disease manifests with diverse clinical presentations due to spirochetes transmitted by ticks of the Ixodes species, with Borrelia burgdorferi being the most prevalent. Given its infrequency in Turkey and the uncertainty surrounding its clinical presentation, the diagnosis of neuroborreliosis remains challenging and contentious. Common manifestations in the early stages include cranial neuropathy, lymphocytic meningitis, and radiculoneuritis. Early diagnosis is pivotal for a favorable prognosis. Despite its rarity, there are scant documented cases in the literature involving neuroborreliosis presenting with acute polyneuropathy and bilateral facial nerve palsy.This article discusses the case of an eight-year-old male patient who presented with acute gait difficulty, weakness, and bilateral facial weakness. Electromyography revealed axonal polyneuropathy, predominantly affecting motor fibers.