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Therapeutic single-dose mirtazapine-induced symptomatic bradycardia: a case report 治疗性单剂量米氮平诱导症状性心动过缓1例报告
Pub Date : 2018-09-27 DOI: 10.5350/dajpn2018310309
Pınar D Gündoğmuş, İbrahim Gündoğmuş, Emrah Burak Olcu, A. Karagoz, A. Algul
Therapeutic single-dose mirtazapine-induced symptomatic bradycardia: a case report Cardiotoxicity is an important adverse effect of some psychotropic drugs. However, cardiac side effects with mirtazapine, which is used for an effective treatment of depression and anxiety, are rare. In this article, a forty-eight-year-old woman referred to psychiatric clinics with depressive symptoms. According to Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria, major depressive disorder was diagnosed and mirtazapine 30mg/day was started. 30 minutes after the first dose of mirtazapine was brought to the emergency room with syncope, nausea, vomiting. She was examined in emergency service. Routine blood tests and ECG was studied. During the examination, the patient was followed up with a heart rate of 33 beats per minute, blood pressure arterial 80/50mmHg and a temperature of 36.1°C. 0.5mg atropine IV and theophylline inhaler were administered and cardiology consultation was requested. After atropine and theophylline administration, the heart rate was 48 beats/min in the second ECG. To the best of our knowledge, it is the first bradycardia developed after mirtazapine use in the literature. Bradycardia has been resolved after the half-life of mirtazapine has passed (37 hours for women). The initial heart rate of our patient was within normal limits prior to mirtazapine administration. There was no reason to explain bradycardia, we think that symptomatic bradycardine is caused by mirtazapine. In conclusion, this case report suggests that mirtazapine may cause bradycardia in patients. Risk factors for bradycardia caused by mirtazapine are unknown. Although in many patients this bradycardine does not cause a clinical outcome, clinicians should be aware of this and should perform ECG monitoring in patients with underlying cardiac disease, especially when prescribing mirtazapine.
治疗性单剂量米氮平致症状性心动过缓1例心脏毒性是一些精神药物的重要不良反应。然而,用于有效治疗抑郁和焦虑的米氮平的心脏副作用是罕见的。在这篇文章中,一位48岁的女性因抑郁症状来到精神科诊所。根据《精神障碍诊断与统计手册》第五版(DSM-5)标准,诊断为重度抑郁症,开始使用米氮平30mg/天。第一剂米氮平30分钟后被送到急诊室,伴有晕厥,恶心,呕吐。她在急救中心接受了检查。研究了血常规和心电图。检查期间,随访患者心率33次/分,血压动脉80/50mmHg,体温36.1℃。给予静脉阿托品0.5mg及茶碱吸入器,并要求进行心内科会诊。给予阿托品和茶碱后,第二次心电图心率为48次/分。据我们所知,这是文献中使用米氮平后出现的第一例心动过缓。在米氮平的半衰期(女性37小时)过去后,心动过缓得到缓解。在使用米氮平之前,患者的初始心率在正常范围内。没有理由解释心动过缓,我们认为症状性心动过缓是由米氮平引起的。总之,本病例报告提示米氮平可能导致患者心动过缓。米氮平引起心动过缓的危险因素尚不清楚。虽然在许多患者中,这种慢速卡丁药不会引起临床结果,但临床医生应该意识到这一点,并对有潜在心脏病的患者进行心电图监测,特别是在开米氮平处方时。
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引用次数: 2
The effect of heroin use disorder on the sexual functions of women 海洛因使用障碍对女性性功能的影响
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310301
M. Dişsiz
The effect of heroin use disorder on the sexual functions of women Objective: This study was conducted to evaluate the sexual functions of women with heroin use disorder. Method: This comparative-descriptive and cross-sectional study was carried out at the Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM) of Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery. Included in the heroin use disorder group were 57 women aged 18 years or above who presented to AMATEM between June 1, 2014 and December 31, 2014 and received a diagnosis of substance use disorder according to DSM-5. Inclusion criteria were the absence of psychiatric diseases, substance withdrawal symptoms, or mental retardation, being sexually active, not being pregnant or puerperant, and having given consent to participate in the study. Healthy female relatives of 79 female patients who presented to the Gynecology Clinic of the same hospital during the same period were included in the healthy group. The data were collected through an interview form was developed by researchers, Female Sexual Function Index (FSFI), and Beck Depression Inventory (BDI). Results: No difference was determined between the participants in both groups in terms of average age, period of education, body mass index, or employment and economic situation (p>0.05). It was determined that, in contrast with the healthy group, 70.4% of the women with heroin use disorder had sexual problems and 71.9% of them were not satisfied with their sexual life. It was found that women with heroin use disorder scored significantly lower than healthy controls in FSFI sub-dimensions such as desire, arousal, lubrication, orgasm, satisfaction, and pain, as well as for the total scale, while scores were higher on the BDI scale (p<0.05). Conclusion: Among women with heroin use disorder, sexual functions are adversely affected and depressive symptoms appear to be increased.
海洛因使用障碍对女性性功能的影响目的:探讨海洛因使用障碍女性的性功能状况。方法:在Bakirkoy精神病学、神经病学和神经外科培训研究医院的酒精和物质依赖研究、治疗和培训中心(AMATEM)进行了这项比较描述性和横断面研究。海洛因使用障碍组包括57名18岁及以上的女性,她们于2014年6月1日至2014年12月31日期间向AMATEM就诊,并根据DSM-5被诊断为物质使用障碍。纳入标准为无精神疾病、药物戒断症状或智力迟钝、性活跃、未怀孕或分娩、同意参加研究。选取同期到同一医院妇科就诊的79名女性患者的健康女性亲属为健康组。数据通过研究者开发的访谈表、女性性功能指数(FSFI)和贝克抑郁量表(BDI)收集。结果:两组受试者在平均年龄、受教育年限、体重指数、就业和经济状况方面均无差异(p>0.05)。结果表明,与健康组相比,70.4%的海洛因使用障碍女性存在性问题,71.9%的女性对自己的性生活不满意。结果发现,海洛因使用障碍女性在欲望、兴奋、润滑、性高潮、满意度、疼痛等FSFI子维度和总量表得分均显著低于健康对照组,而在BDI量表得分高于健康对照组(p<0.05)。结论:女性海洛因使用障碍患者性功能受到不良影响,抑郁症状明显加重。
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引用次数: 1
The challenge of responding to a more globally joined-up, dynamic, and innovative drug market: Reflections from the EMCDDA´s 2018 analysis of the European drug situation 应对更全球化、更有活力和更创新的药品市场的挑战:EMCDDA 2018年欧洲药品形势分析的思考
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN20183103001
P. Griffiths, Eoghan Quigley, L. Vandam, Jane Mounteney
Dusunen Adam The Journal of Psychiatry and Neurological Sciences, Volume 31, Number 3, September 2018 Each year in the European Drug Report (EDR), the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) produces an overview of trends and developments in the drug situation. Founded in 1993, and based in Lisbon, Portugal, since 1995, the EMCDDA is the designated reference point for drugrelated information in the European Union (EU). It works with all EU member states as well as, by special agreement, with Norway and Turkey. Data are collected annually for a set of standardised indicators that cover both drug demand and drug supply measures. In addition, the EMCDDA, together with Europol, is responsible for the EU’s early warning system on new psychoactive substances (NPS). This three-step mechanism allows for the sharing of information on non-controlled psychoactive substances appearing in Europe that may pose a risk to health similar to drugs controlled under the United Nations Conventions. Should it be merited, information provided to the early warning system may trigger a risk assessment, which is conducted by the EMCDDA’s Scientific Committee. This exercise can potentially lead to a decision for fast track control measures being introduced across the EU. In this editorial, we consider how a more globally joined-up, dynamic and innovative drug market has impacted on drug availability and on drug use problems. In doing so, we build on the commentary and analysis of the Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2018;31:231-237 Guest Editorial / Misafir Editoryal DOI: 10.5350/DAJPN20183103001
《精神病学和神经科学杂志》,第31卷,第3期,2018年9月每年欧洲药物报告(EDR)中,欧洲药物和药物成瘾监测中心(EMCDDA)都会对药物形势的趋势和发展进行概述。EMCDDA成立于1993年,总部设在葡萄牙里斯本,自1995年以来一直是欧盟(EU)药品相关信息的指定参考点。它与所有欧盟成员国合作,并通过特殊协议与挪威和土耳其合作。每年收集一套涵盖药物需求和药物供应措施的标准化指标的数据。此外,EMCDDA与欧洲刑警组织一起负责欧盟的新精神活性物质(NPS)预警系统。这一三步机制允许共享关于在欧洲出现的可能对健康构成类似于联合国公约管制药物风险的非受管制精神活性物质的信息。如果值得,提供给早期预警系统的信息可能触发由EMCDDA的科学委员会进行的风险评估。这项工作可能会导致在整个欧盟范围内引入快速通道控制措施的决定。在这篇社论中,我们考虑一个更加全球联合、充满活力和创新的药物市场如何影响药物供应和药物使用问题。在此过程中,我们以Dusunen Adam的评论和分析为基础精神病学和神经科学杂志2018;31:31 -237客座编辑/ Misafir编辑DOI: 10.5350/DAJPN20183103001
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引用次数: 2
Severe pseudocholinesterase deficiency and ECT: a case report 严重假胆碱酯酶缺乏伴电痉挛1例
Pub Date : 2018-09-27 DOI: 10.5350/DAJPN2018310311
E. Yıldızhan, N. Tomruk, Hafize Miray Aytac, H. Yıldırım, Ozge Canbek
Pseudocholinesterase (PCE) deficiency is an inherited condition in which recovery from anesthetic agents like succinylcholine and mivacurium is slow and is complicated with prolonged paralysis of respiratory muscles in susceptible patients. We present a very rare case that we encountered in our practice; the patient is a 29-year-old woman with a 15-year history of schizophrenia with pseudocholinesterase deficiency. Since the detection of PCE levels of all patients eligible for ECT is part of our pre-ECT assessment procedure, we could detect the deficiency before the ECT procedure. We performed modified ECT with propophol and rocuronium instead of succinylcholine as usual. Sugammadex was used for fastening the recovery. Response to treatment which is measured with Positive and Negative Symptom Scale was good and we completed 9 ECT sessions without complication. We suggest further investigation of this topic because screening for PCE levels in pre-ECT assessment may reduce complications of modified ECT with anesthesia.
假胆碱酯酶(PCE)缺乏症是一种遗传性疾病,易感患者从琥珀胆碱和米维脲等麻醉剂中恢复缓慢,并伴有呼吸肌长时间瘫痪。我们在实践中遇到了一个非常罕见的案例;患者为29岁女性,有15年的精神分裂症史,并伴有假性胆碱酯酶缺乏症。由于检测所有符合ECT条件的患者的PCE水平是我们ECT前评估程序的一部分,我们可以在ECT手术前检测到PCE水平的不足。我们像往常一样用丙酚和罗库溴铵代替琥珀酰胆碱进行改良电痉挛治疗。使用糖胺酮固定回收物。用阳性和阴性症状量表测量治疗反应良好,我们完成了9次ECT治疗,无并发症。我们建议对这一主题进行进一步的研究,因为在ECT前评估中筛查PCE水平可以减少麻醉下改良ECT的并发症。
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引用次数: 2
Information processing abnormalities in schizophrenia and bipolar disorder 精神分裂症和双相情感障碍的信息处理异常
Pub Date : 2018-06-29 DOI: 10.5350/dajpn2018310202
Ozlem Devrim Balaban, Murat Ilhan Atagun, H. Devrimci Ozguven
Information processing abnormalities in schizophrenia and bipolar disorder Objective: Patients with bipolar disorder and schizophrenia exhibit abnormalities in attention, memory, working memory, verbal/visual learning and executive functions. However, many of the tests fail to detect slight changes in cognitive performance due to ceiling effect. It was aimed to determine sensitivity and specificity of the tests that measure information processing in schizophrenia and bipolar disorder in this study. Method: Thirty four patients with schizophrenia, 35 patients with bipolar disorder according to DSM-IV and 33 healthy control subjects matched for age, education level and gender were enrolled to the study. For clinical assessments Scale for the Assessment of Positive Symptoms, Scale for the Assessment of Negative Symptoms, Hamilton Depression Rating Scale, Young Mania Rating Scale, Clinical Global Impression Scale and Abnormal Involuntary Movements Scale were used. All participants performed a battery consisting of tests measuring information processing including Adult Memory and Information Processing Battery (AMIPB), Trail Making Test (TMT) Form A and B, Digit Symbol Coding Task (DST) and Auditory and Visual Reaction Time Tests (RTT). Results: The schizophrenia group had significantly lower performance than the healthy control group in all tests and lower performance than the bipolar disorder group in AMIPBA and B tests, TMT A and B tests. The bipolar disorder group had lower performance than the healthy control group only in DST test. The AMIPB A and B tests were the most sensitive and specific tests in the ROC analysis. Conclusion: Changes in cognitive function might be better monitored by the tests whose sensitivity and specificity are higher. Since psychiatric disorders are highly heterogeneous, measurement tools are important for precise measurements.
{"title":"Information processing abnormalities in schizophrenia and bipolar disorder","authors":"Ozlem Devrim Balaban, Murat Ilhan Atagun, H. Devrimci Ozguven","doi":"10.5350/dajpn2018310202","DOIUrl":"https://doi.org/10.5350/dajpn2018310202","url":null,"abstract":"Information processing abnormalities in schizophrenia and bipolar disorder Objective: Patients with bipolar disorder and schizophrenia exhibit abnormalities in attention, memory, working memory, verbal/visual learning and executive functions. However, many of the tests fail to detect slight changes in cognitive performance due to ceiling effect. It was aimed to determine sensitivity and specificity of the tests that measure information processing in schizophrenia and bipolar disorder in this study. Method: Thirty four patients with schizophrenia, 35 patients with bipolar disorder according to DSM-IV and 33 healthy control subjects matched for age, education level and gender were enrolled to the study. For clinical assessments Scale for the Assessment of Positive Symptoms, Scale for the Assessment of Negative Symptoms, Hamilton Depression Rating Scale, Young Mania Rating Scale, Clinical Global Impression Scale and Abnormal Involuntary Movements Scale were used. All participants performed a battery consisting of tests measuring information processing including Adult Memory and Information Processing Battery (AMIPB), Trail Making Test (TMT) Form A and B, Digit Symbol Coding Task (DST) and Auditory and Visual Reaction Time Tests (RTT). Results: The schizophrenia group had significantly lower performance than the healthy control group in all tests and lower performance than the bipolar disorder group in AMIPBA and B tests, TMT A and B tests. The bipolar disorder group had lower performance than the healthy control group only in DST test. The AMIPB A and B tests were the most sensitive and specific tests in the ROC analysis. Conclusion: Changes in cognitive function might be better monitored by the tests whose sensitivity and specificity are higher. Since psychiatric disorders are highly heterogeneous, measurement tools are important for precise measurements.","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80221761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hyperemesis gravidarum is associated with childhood trauma, depression, trait anxiety, and somatization: a case-control study 妊娠剧吐与儿童创伤、抑郁、特质焦虑和躯体化有关:一项病例对照研究
Pub Date : 2018-06-29 DOI: 10.5350/DAJPN2018310205
Y. Kıvrak, I. Yagci, Hacer Pasaoglu Yagci, Yasin Taşdelen, M. Aşoglu
Hyperemesis gravidarum is associated with childhood trauma, depression, trait anxiety, and somatization: a case-control study Objective: Hyperemesis gravidarum (HG) is a disease characterized by severe nausea and vomiting; it is the most common cause of hospitalization in the first months of pregnancy. The effects of childhood trauma, anxiety types, and exaggeration of somatic sensations on HG have not been defined. In this study, it was aimed to investigate the relationship between HG and factors including depression, anxiety, childhood abuse, and exaggeration of physical sensations. Method: Forty-five pregnant women diagnosed with HG and 45 healthy pregnant women were included in the study. Socio-demographic data form, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Somatosensory Amplification Scale (SSAS), Childhood Trauma Questionnaire (CTQ), and PregnancyUnique Quantification of Emesis (PUQE) scales were administered to the participants in the study. Results: No significant differences were observed between the groups in relation to socio-demographic data except income levels. The income level of the patient group was lower than that of the control group. Compared to the control group, scores for PUQE (p<0.01), BDI (p<0.01), Trait Anxiety Scale (TAI) (p<0.05), SSAS (p<0.05), and CTQ (p<0.001) were found to be significantly higher in the patient group. According to correlation analysis, while a relation was detected between PUQE scale results and CTQ, BDI, SSAS, and TAI results, no relation was found with the State Anxiety Inventory (SAI). Conclusion: In this study, a history of childhood trauma, depression, exaggeration of somatic sensations, and trait anxiety were found to be more common in individuals with HG. In addition, these factors were also found to be associated with the severity of nausea and vomiting.
妊娠剧吐与儿童创伤、抑郁、特质焦虑和躯体化有关:一项病例对照研究目的:妊娠剧吐(HG)是一种以严重恶心和呕吐为特征的疾病;这是怀孕头几个月住院治疗的最常见原因。童年创伤、焦虑类型和躯体感觉夸大对HG的影响尚未明确。本研究旨在探讨高血压与抑郁、焦虑、童年虐待、身体感觉夸大等因素的关系。方法:将45例诊断为HG的孕妇和45例健康孕妇纳入研究。采用社会人口学量表、贝克抑郁量表(BDI)、状态-特质焦虑量表(STAI)、躯体感觉放大量表(SSAS)、儿童创伤问卷(CTQ)和妊娠呕吐独特量化量表(PUQE)对研究对象进行问卷调查。结果:除了收入水平外,两组之间的社会人口统计数据没有显著差异。患者组的收入水平低于对照组。与对照组比较,患者组PUQE (p<0.01)、BDI (p<0.01)、特质焦虑量表(TAI) (p<0.05)、SSAS (p<0.05)、CTQ (p<0.001)得分均显著高于对照组。根据相关分析,PUQE量表结果与CTQ、BDI、SSAS和TAI结果有相关性,但与状态焦虑量表(SAI)无相关性。结论:在本研究中,儿童期创伤史、抑郁、躯体感觉夸大和特质焦虑在HG患者中更为常见。此外,这些因素也与恶心和呕吐的严重程度有关。
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引用次数: 1
Psychiatric presentation of hypoxic ischemic encephalopathy occurring after a violent suicide attempt: a case of hanging 暴力自杀未遂后出现的缺氧缺血性脑病的精神病学表现:一例上吊
Pub Date : 2018-06-29 DOI: 10.5350/DAJPN2018310214
Mehmet Hamdi Örüm, O. Eğilmez
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引用次数: 7
Cyberchondria Scale (CS): Development, validity and reliability study 网络疑病症量表(CS)的开发、效度与信度研究
Pub Date : 2018-06-29 DOI: 10.5350/DAJPN2018310203
A. Batıgün, N. Gor, Burcu Komurcu, Ipek Senkal Erturk
Cyberchondria Scale (CS): Development, validity and reliability study Objective: The aim of the current study is to develop culture specific, multidimensional and self-report Cyberchondria Scale (CS) which can be used to evaluate one’s emotional, cognitive and behavioral tendency to cyberchondria and to determine the psychometric properties of this scale. Method: The study was conducted with two different samples consisted of Internet users. To investigate the factor structure, the first sample was composed of 250 (49.6% women, 50.4% men) individuals aged between 18 and 65. The second sample in which confirmatory factor analysis (CFA) was conducted consisted of 360 (61.1% women, 38.3% men) individuals aged between 18 and 65. In addition to CS, Internet Addiction Scale (IAS), Brief Symptom Inventory (BSI) and Health Anxiety Inventory (HAI) were
网络疑病症量表(CS):编制、效度和信度研究目的:本研究旨在编制文化特异性、多维度和自我报告的网络疑病症量表(CS),该量表可用于评估个人对网络疑病症的情感、认知和行为倾向,并确定该量表的心理测量学性质。方法:采用两种不同的互联网用户样本进行研究。为了研究因子结构,第一个样本由250名年龄在18 - 65岁之间的个体组成,其中女性49.6%,男性50.4%。进行验证性因子分析(CFA)的第二个样本包括360名(61.1%女性,38.3%男性)年龄在18至65岁之间的个体。除CS外,网络成瘾量表(IAS)、简短症状量表(BSI)和健康焦虑量表(HAI)也被采用
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引用次数: 35
Sleep-related eating disorder caused by zolpidem: case report and review of the literature 唑吡坦致睡眠相关进食障碍:病例报告及文献复习
Pub Date : 2018-06-29 DOI: 10.5350/DAJPN2018310207
Carmen Maura Carrillo de Albornoz, M. Guerrero-Jiménez, L. Gutiérrez-Rojas
Sleep-related eating disorder caused by zolpidem: case report and review of the literature Sleep-related eating disorder (SRED) is a status characterized by recurrent episodes of eating high caloric foods and sometimes even toxic products at the transition from night-time sleep to arousal. The case presented is secondary to treatment with zolpidem, a hypnotic whose prescription rate has increased worldwide over the past few years. The authors report a case of SRED caused by zolpidem with important repercussions on the sleep structure and quality of life of our patient. The night eating episodes ceased promptly with zolpidem discontinuation, the sleep structure improved and the dayand night-time consequences disappeared. As in very few reported cases of zolpidem-induced SREDs, our patient had been suffering from parasomnia for a long time before the diagnosis. Reaching an understanding of the mechanism producing this type of parasomnias can be a guide for choosing the candidate profile before starting a zolpidem treatment. Active exclusion of symptoms suggestive of SREDs in patients under zolpidem treatment can avoid a significant deterioration in the quality of life of our patients. To our knowledge, there are no data focusing on the risk of parasomnias as a function of the sedative-hypnotic agent chosen. Here we present a case that may help address this issue.
唑吡坦引起的睡眠相关饮食障碍(sleep - relevant eating disorder, SRED)是一种以在夜间睡眠到觉醒的过渡阶段反复进食高热量食物,有时甚至是有毒食物为特征的状态。本病例继发于唑吡坦治疗,唑吡坦是一种催眠药,其处方率在过去几年中在世界范围内有所增加。作者报告了一例由唑吡坦引起的SRED,对患者的睡眠结构和生活质量产生了重要影响。停用唑吡坦后,夜间进食事件迅速停止,睡眠结构得到改善,白夜后果消失。由于很少有唑吡坦诱发的sred病例报道,我们的患者在诊断前已经患有睡眠异常很长时间。在开始唑吡坦治疗之前,了解产生这种类型的睡眠异常的机制可以作为选择候选特征的指南。在接受唑吡坦治疗的患者中,积极排除提示sred的症状可以避免患者生活质量的显著恶化。据我们所知,还没有数据表明睡眠异常的风险与所选择的镇静催眠剂的作用有关。在这里,我们提出一个可能有助于解决这个问题的案例。
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引用次数: 3
Emergence of stuttering in an attention deficit hyperactivity disorder patient treated with methylphenidate 哌甲酯治疗的注意缺陷多动障碍患者出现口吃
Pub Date : 2018-06-29 DOI: 10.5350/dajpn2018310212
M. Çopur, Sidar Copur
{"title":"Emergence of stuttering in an attention deficit hyperactivity disorder patient treated with methylphenidate","authors":"M. Çopur, Sidar Copur","doi":"10.5350/dajpn2018310212","DOIUrl":"https://doi.org/10.5350/dajpn2018310212","url":null,"abstract":"","PeriodicalId":11480,"journal":{"name":"Dusunen Adam: The Journal of Psychiatry and Neurological Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80966098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences
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