Background The COVID-19 outbreak, which has caused great fear and has affected many aspects of life even in healthy individuals, could become more threatening for people with multiple sclerosis (PwMS). Aim The aim of the present study was to evaluate depression, sleep and quality of life before and one year after the COVID-19 pandemic in PwMS and the association between the fear of COVID-19 and these parameters. Methods A total of 89 PwMS and 262 healthy controls were included in this descriptive cross-sectional study. The study compared the data collected before the pandemic with the data collected online approximately one year after the onset of the pandemic. The Fear of COVID-19 Scale (FCV-19S), the Worry and Anxiety Questionnaire (WAQ), the Beck Depression Inventory (BDI), the Pittsburgh Sleep Quality Index (PSQI) and the MS Quality of life scale (MSQoL-54) were used as data collection tools. Results The mean age of the patients was 41.08 (±10.2) years; 62% were female and half (50.6%) of the patients were not working. The mean EDSS and the mean duration of diagnosis were found to be 1.33(±1.6) and 7.73(±6.1), respectively. The mean age of the control group was 38.08 (±11.4) and 51.5% were female. In both groups, social (PwMS 79.8% vs HC 89.3%) and psychological (PwMS 61.8% vs HC 51.9%) fields were found to have been affected by the COVID-19 pandemic most. Of the patients, 19% reported that the frequency of exacerbations increased during the pandemic. In the patient group, the fear of coronavirus (p=0.808) and the sleep quality (p=0.906) were found not to be different to those in control group; however, the anxiety (p=0.001) and depression (p=0.001) levels were determined to be significantly higher. Compared to the pre-pandemic period, the sleep quality of the patients was seen to be impaired during the pandemic (p 0.05). Although there were improvements in energy/vitality (p 0.05). Conclusion It was determined that PwMS and were psychosocially affected by the COVID-19 pandemic, and had a significant deterioration in sleep quality at the end of a year spent with the pandemic. In addition, there was a deterioration in depression scores, although it was not statistically significant. Considering the fact that many subdimensions of quality of life, especially those associated with mental health, were impaired, it can be said that providing psychosocial support to patients is an important necessity.

A year with the fear of COVID-19 in multiple sclerosis patients: Examination of depression, sleep quality and quality of life before and after the pandemic

/pdf/norolojik-bakis-acisindan-covid-19-1o0bg1y0ag.pdf

Nörolojik Bakış Açısından COVID-19

The COVID-19 outbreak, which has caused great fear and has affected many aspects of life even in healthy individuals, could become more threatening for people with multiple sclerosis (PwMS).The aim of the present study was to evaluate depression, sleep and quality of life before and one year after the COVID-19 pandemic in PwMS and the association between the fear of COVID-19 and these parameters.A total of 89 PwMS and 262 healthy controls were included in this descriptive cross-sectional study. The study compared the data collected before the pandemic with the data collected online approximately one year after the onset of the pandemic. The Fear of COVID-19 Scale (FCV-19S), the Worry and Anxiety Questionnaire (WAQ), the Beck Depression Inventory (BDI), the Pittsburgh Sleep Quality Index (PSQI) and the MS Quality of life scale (MSQoL-54) were used as data collection tools.The mean age of the patients was 41.08 (±10.2) years; 62% were female and half (50.6%) of the patients were not working. The mean EDSS and the mean duration of diagnosis were found to be 1.33(±1.6) and 7.73(±6.1), respectively. The mean age of the control group was 38.08 (±11.4) and 51.5% were female. In both groups, social (PwMS 79.8% vs HC 89.3%) and psychological (PwMS 61.8% vs HC 51.9%) fields were found to have been affected by the COVID-19 pandemic most. Of the patients, 19% reported that the frequency of exacerbations increased during the pandemic. In the patient group, the fear of coronavirus (p=0.808) and the sleep quality (p=0.906) were found not to be different to those in control group; however, the anxiety (p=0.001) and depression (p=0.001) levels were determined to be significantly higher. Compared to the pre-pandemic period, the sleep quality of the patients was seen to be impaired during the pandemic (p<0.05); however, the depression scores were seen not to change (p>0.05). Although there were improvements in energy/vitality (p<0.001) and sexual function (p=0.002) scale scores, compared to the pre-pandemic period, deterioration in many sub-dimensions of quality of life was detected. Multiple regression analysis demonstrated that the anxiety, depression, and the sleep problems were predictors of both the physical health (p<0.001) and the mental health (p<0.001) sub-dimensions. The fear of coronavirus was determined not to have a significant effect on the quality of life (p>0.05).It was determined that PwMS and were psychosocially affected by the COVID-19 pandemic, and had a significant deterioration in sleep quality at the end of a year spent with the pandemic. In addition, there was a deterioration in depression scores, although it was not statistically significant. Considering the fact that many subdimensions of quality of life, especially those associated with mental health, were impaired, it can be said that providing psychosocial support to patients is an important necessity. 

http://www.msard-journal.com/article/S2211034821006374/pdf

In the pandemic year, the number of brain death declarations decreased by more than 50% compared with previous years The timely diagnosis of brain death is critical in terms of rational use of intensive care facilities, as well as organ transplantation Apnea testing should not be omitted in patients with COVID-19, and can be performed either with apneic oxygenation method or ventilator-based spontaneous modes when standard prerequisites are met Complete compliance with personal protection measures and prevention of the environmental escape of the expiratory air via tube clamping or filtering is essential Other declaration processes should be conducted in accordance with the 2014 guidelines of the Turkish Neurology Association © 2021 by Turkish Neurological Society Turkish Journal of Neurology published by Galenos Publishing House

Brain death diagnosis and management in the pandemic: Expert opinion of the turkish neurological society neurological intensive care scientific working group

Neurorehabilitation originates from the concept of neuroplasticity and it has an important role-both physical and cognitive-in the restoration of a damaged nervous system Interruption in neurorehabilitation negatively affects a patient’s prognosis Unfortunately, after the World Health Organization declared coronavirus disease 2019 (COVID-19) a pandemic, there were some disruptions in neurorehabilitation practices Therefore, according to the principles of infection prevention and protection, the issue of developing new neurorehabilitation management strategies was raised Providing appropriate physical distancing in shared rehabilitation areas and strict training of the rehabilitation team with regard to hygiene rules are important issues in terms of preventing contamination In new treatment schemes, options such as discharging patients from hospital at the earliest possible time, home-based treatments and telerehabilitation have become standard Online patient-physician consultation can provide the continuity of neurorehabilitation and reduce anxiety and the feeling of social isolation felt by many patients and their families In addition, the pandemic period can be turned into an opportunity for caregivers to learn physical and cognitive exercises and apply them to their patients The current article focuses on the new neurorehabilitation approaches in the neurological diseases sample which includes stroke, multiple sclerosis, dementia, Parkinson’s disease and neuromuscular diseases within the context of the COVID-19 pandemic © 2020, Duzce University Medical School All rights reserved

/pdf/management-of-neurorehabilitation-during-the-covid-19-28ssx5td9l.pdf

Management of neurorehabilitation during the covid-19 pandemic

/pdf/the-covid-19-from-neurological-overview-rcoi2a1lt6.pdf

The COVID-19 from Neurological Overview

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The COVID-19 from Neurological Overview

Nörolojik Bakış Açısından COVID-19