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Phantom Limb Pain Treated with Duloxetine: A case series 度洛西汀治疗幻肢痛:一个病例系列
Q Medicine Pub Date : 2016-12-01 DOI: 10.5455/BCP.20160411071457
M. Dalkıran, A. Genc, B. Dikmen, İlknur Yıldırım, Ş. Turan
Phantom limb pain (PLP) is a general complaint after amputation which is usually described as burning, tingling, shooting, and cramping. Spontaneous recovery of phantom limb pain generally last many months or years. The pain gets chronic in most cases and impresses the life quality of the patient. Here we present four cases of PLP, treated with duloxetine.
幻肢痛(PLP)是截肢后常见的主诉,通常描述为灼烧、刺痛、射击和痉挛。幻肢疼痛的自发恢复通常持续数月或数年。在大多数情况下,疼痛是慢性的,影响了患者的生活质量。在这里,我们提出了四例PLP,用度洛西汀治疗。
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引用次数: 2
Risperidone and Lithium for Pathological Laughing 利培酮与锂治疗病理性大笑
Q Medicine Pub Date : 2016-12-01 DOI: 10.1080/10177833.2016.11827160
M. Şahpolat, A. Demir
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引用次数: 0
The Effect of Intrauterine Antipsychotic Drug Exposure on Learning and Memory in Adult Rats 宫内抗精神病药物暴露对成年大鼠学习记忆的影响
Q Medicine Pub Date : 2016-12-01 DOI: 10.5455/BCP.20160627090254
Çağatay Oltulu, Ç. Karadağ
ABSTRACTObjective: The effects of antipsychotic drugs, of whose different classes can be used in the treatment of patients with resistant to schizophrenia, on the fetus and the benefits of the treatment to the mother should be taken into consideration before making a decision about initiating treatment. This study aimed to examine the effects of prenatal exposure to various antipsychotic agents on learning and memory in adult rats.Method: In this study, antipsychotic drugs from different chemical classes (2 mg/kg haloperidol, 100 mg/kg thioridazine, 200 mg/kg sulpiride, 20 mg/kg chlorprothixene, 40 mg/kg clozapine, 10 mg/kg fluphenazine, 20 mg/kg chlorpromazine) and water for the control group were administered to pregnant Sprague-Dawley dams through gavage during the pregnancy period. In total, 16 groups were created and tested in the Morris water maze by dividing offspring of eight mother rats into male and female rat groups (n=10) on postpartum day 60. Learning was tested with hidden platform task and ...
【摘要】目的:在决定是否开始治疗精神分裂症耐药患者时,应综合考虑不同种类抗精神病药物对胎儿的影响及对母亲的益处。本研究旨在探讨产前暴露于各种抗精神病药物对成年大鼠学习和记忆的影响。方法:采用不同化学类别的抗精神病药物(氟哌啶醇2 mg/kg、硫硝嗪100 mg/kg、舒必利200 mg/kg、氯原噻嗪20 mg/kg、氯氮平40 mg/kg、氟非那嗪10 mg/kg、氯丙嗪20 mg/kg)和水作为对照组,在妊娠期灌胃给药。将8只母鼠的子代在产后第60天分成雌雄鼠组(n=10),共创建16组Morris水迷宫进行测试。学习测试用隐藏平台任务和…
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引用次数: 1
Comment on FDA's Breakthrough Therapy Designation of Intranasal Esketamine for the Treatment of Major Depressive Disorder with Imminent Risk of Suicide FDA认定鼻用艾氯胺酮治疗有自杀危险的重度抑郁症的突破性疗法
Q Medicine Pub Date : 2016-12-01 DOI: 10.5455/BCP.20161027122045
Rejish K Thomas, M. Cetin, G. Baker, S. Dursun
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引用次数: 6
Extensive Gray Matter Volume Reduction and Correlations with Neuropsychological Performance in Alcohol Use Disorder Patients 酒精使用障碍患者广泛的灰质体积减少及其与神经心理表现的相关性
Q Medicine Pub Date : 2016-12-01 DOI: 10.5455/BCP.20160223123949
Serdar Nurmedov, O. Noyan, B. Metin, Sehadet Ekmen, Cumhur Avcil, S. Kose
ABSTRACTObjective: Long term alcohol use results in varying degrees of deficits in cognitive functions. Although the neocortex, particularly the frontal lobe; limbic system and cerebellum are the brain regions most vulnerable to the toxic effects of alcohol, neural correlates of neuropsychological deficits have not been studied directly.Methods: This voxel based morphometric (VBM) study examined the effect of duration and amount of alcohol exposure on gray matter (GM) volume and the relation between GM volumes and neuropsychological deficits in patients with Alcohol Use Disorder (AUD).Results: Voxel-wise whole brain analysis showed extensive regional gray matter volume for AUD patients and GM volumes were inversely correlated to the amount of alcohol exposure. More importantly, there were statistically significant correlations between different indices of executive functioning and GM volumes.Conclusion: These results indicate that dose-dependent alcohol effect on prefrontostriatal and temporal circuitries...
摘要目的:长期饮酒可导致不同程度的认知功能障碍。虽然大脑皮层,尤其是额叶;边缘系统和小脑是最容易受到酒精毒性影响的大脑区域,神经心理缺陷的神经相关性尚未得到直接研究。方法:这项基于体素的形态测量(VBM)研究检测了酒精暴露时间和酒精暴露量对酒精使用障碍(AUD)患者灰质(GM)体积的影响,以及GM体积与神经心理缺陷之间的关系。结果:全脑体素分析显示,AUD患者广泛的区域灰质体积和GM体积与酒精暴露量呈负相关。更重要的是,执行功能的不同指标与GM体积之间存在统计学上显著的相关性。结论:剂量依赖性酒精对大鼠前额纹状体和颞叶神经回路的影响。
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引用次数: 5
Finding the Right Balance Between Clinical Efficacy gHg and Side Effects in Second Generation Antipsychotics 第二代抗精神病药物临床疗效gHg与副作用的平衡
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20150902042049
O. Durmaz
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引用次数: 0
Antioxidant Status and DNA Damage in Children with Attention Deficit Hyperactivity Disorder with or without Comorbid Disruptive Behavioral Disorders 伴有或不伴有破坏性行为障碍的注意缺陷多动障碍儿童的抗氧化状态和DNA损伤
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151003063820
Şeref Şimşek, Salih Gençoğlan, Soner Ozaner, İ. Kaplan, M. Kaya
Objective: The aim of this study is to investigate oxidative stress and DNA damage among children with attention deficit hyperactivity disorder (ADHD) with or without disruptive behavioral disorder...
目的:本研究旨在探讨伴有或不伴有破坏性行为障碍的注意缺陷多动障碍(ADHD)儿童的氧化应激和DNA损伤。
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引用次数: 5
Prevalence of restless legs syndrome among psychiatric patients who are under antidepressant or antipsychotic monotherapy 不宁腿综合征在接受抗抑郁药或抗精神病药单一治疗的精神病患者中的患病率
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20150908024954
M. Semiz, V. Solmaz, D. Aksoy, S. Inanir, B. Çolak, M. Gokbakan, A. Inanir
Objective: Several groups of medications, such as dopamine blockers, analgesics and antihistaminergics were associated with restless legs syndrome (RLS). Although case reports showed some significant relations, they have many methodological limitations such as co-medications or medical co-morbidities. The aim of this study was to investigate the prevalence and severity of RLS in patients on antidepressant (AD) or antipsychotic (AP) monotherapy. Methods: One hundred and ninety-seven patients and 150 healthy controls were included in the study. RLS was diagnosed according to the International Restless Legs Syndrome Study Group (IRLSSG) criteria. The severity of RLS was evaluated according to IRLSSG rating scale. Participants diagnosed with RLS went under further neurological and psychiatric investigation for excluding secondary causes. Results: One hundred and twenty patients (60.9%) were on AD therapy, while 77 patients (39.1%) were on AP monotherapy. Thirty-two patients (16.2%) and seven controls (4.7%) were diagnosed with RLS according to IRLSSG criteria. The most frequent cause of RLS was quetiapine (28.5%) in the antipsychotic group and paroxetine (22.2%) in the antidepressant group. There was no statistically significant correlation between drug usage duration and RLS severity. Conclusion: AD or AP induced RLS is a common condition. ADs and APs should be considered as a cause for RLS when assesing RLS in psychiatric patients who are under treatment either of these medications.
目的:多巴胺阻断剂、镇痛药、抗组胺药等多组药物与不宁腿综合征(RLS)相关。虽然病例报告显示了一些重要的关系,但它们有许多方法上的局限性,如联合用药或医学合并症。本研究的目的是调查抗抑郁药(AD)或抗精神病药(AP)单一治疗的患者的RLS患病率和严重程度。方法:纳入197例患者和150例健康对照。根据国际不宁腿综合征研究组(IRLSSG)的标准诊断RLS。根据IRLSSG评定量表评定RLS的严重程度。被诊断为RLS的参与者进行了进一步的神经学和精神病学调查,以排除继发性原因。结果:AD治疗组120例(60.9%),AP单药治疗组77例(39.1%)。32例患者(16.2%)和7例对照(4.7%)根据IRLSSG标准诊断为RLS。抗精神病药物组最常见的RLS病因是喹硫平(28.5%),抗抑郁药物组最常见的是帕罗西汀(22.2%)。用药时间与RLS严重程度无统计学意义相关。结论:AD或AP诱发的RLS是一种常见疾病。在评估正在接受这两种药物治疗的精神病患者的RLS时,ad和APs应被视为引起RLS的原因。
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引用次数: 7
The changes of the cognitive and psychomotor functions in the chronic cannabis users after a month of remission 慢性大麻使用者缓解一个月后认知和精神运动功能的变化
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151019014343
G. Umut, M. Atagün, C. Evren, H. Cengel, Ozge Hisim, Cahit Keskinkiliç
Objective: In our study, it is aimed to investigate impacts of cannabis use on information processing and psychomotor functions and to examine changes in the cognitive functions at the end of abstinence over a month. Method: The study was initiated with 34 volunteer participants using cannabis at least over two years, directed by a forensic unit. 34 persons were assessed at admission and were planned to assess after a month of remission. As 14 participants discontinued the study 20 participants only were assessed again at the end of a month. The participants were applied The Montreal Cognitive Assessment (MOCA) test, Edinburgh Handedness Inventory, Finger Tapping Test (FTT), Adult Memory and Information Processing Battery (AMIPB) A and B, and simple reaction time tests (auditory and visual) in admission and were applied Finger Tapping Test (FTT), Adult Memory and Information Processing Battery (AMIPB), and simple reaction time tests (auditory and visual) at the end of a month. Results: There was no statistically significant difference between participants continue to the treatment and those discontinue in terms of sociodemographic and clinical characteristics. The participants discontinue were using more daily cannabis dose. The auditory reaction time of the group continue to the treatment decreased statistically significantly after a month whereas there was no statistically significant difference in the visual reaction time. The scores of the AMIPB-A and AMIPB-B were detected statistically higher after a month compared to admission. The score of the dominant hand FTT after a month was detected statistically higher than that in admission whereas there was no statistically significant difference in the non-dominant hand score. Conclusion: Improvements in scores of AMIP-A, AMIP-B, FTT and auditory reaction time after one month of quitting cannabis suggest that cannabis use may impair cognitive functions such as information processing, reaction time and motor functions. We suggest that future studies to assess cognitive functions after either a shorter (i.e. 1 week) or a longer (i.e. 2 months) period of cannabis abstinence in larger samples may provide further useful data about the relationship between cannabis use and cognitive functions.
目的:在我们的研究中,旨在探讨大麻使用对信息加工和精神运动功能的影响,并检查在戒断一个多月后认知功能的变化。方法:这项研究是由34名志愿者参与者开始使用大麻至少超过两年,由法医单位指导。34人在入院时接受评估,并计划在缓解一个月后进行评估。14名参与者终止了研究,只有20名参与者在一个月后再次接受评估。入院时采用蒙特利尔认知评估(MOCA)测试、爱丁堡利手性量表、手指敲击测试(FTT)、成人记忆与信息处理测试(AMIPB) A、B和简单反应时间测试(听觉和视觉),月底采用手指敲击测试(FTT)、成人记忆与信息处理测试(AMIPB)和简单反应时间测试(听觉和视觉)。结果:继续治疗和停止治疗的患者在社会人口学和临床特征方面无统计学差异。参与者停止使用更多的每日大麻剂量。治疗1个月后,继续治疗组的听觉反应时间下降有统计学意义,而视觉反应时间差异无统计学意义。一个月后,与入院时相比,AMIPB-A和AMIPB-B的得分在统计学上更高。一个月后的优势手得分明显高于入院时,而非优势手得分差异无统计学意义。结论:大麻戒烟1个月后,AMIP-A、AMIP-B、FTT和听觉反应时间得分的改善提示大麻使用可能损害信息处理、反应时间和运动功能等认知功能。我们建议未来的研究在更大的样本中评估较短(如1周)或较长(如2个月)的大麻戒断期后的认知功能,可能会为大麻使用与认知功能之间的关系提供进一步有用的数据。
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引用次数: 6
VALIDITY AND RELIABILITY OF AM SAD, a SHORT GERIATRIC DEPRESSION SCREENING TOOL, IN TURKISH ELDERLY PEOPLE amsad是一种简短的老年抑郁症筛查工具,在土耳其老年人中的有效性和可靠性
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20150910032337
P. Soysal, A. Işık, Cansu Usarel, D. Kaya, H. Ellidokuz, G. Grossberg
ABSTRACTObjective: Depression is a serious public health problem among the elderly and screening for depression in the elderly for primary care physicians is essential. The objective of this study was to evaluate the validity and reliability of the AM SAD (Appetite, Mood, Sleep, Activity, and thoughts of Death) and to compare the results with DSM-5 depression criteria in Turkish elderly people.Methods: This study was conducted in a geriatric division of a tertiary hospital in the west part of Turkey, Izmir. A total of 186 elderly outpatients were included in the study. Translation from the original English version was performed according to the standardized methods. Yesavage Geriatric Depression-15 Scale (YGDS), and the “AM SAD” were administered following by the Mini-Mental Status Examination (MMSE). Patients were assessed for depression using DSM-5 criteria and the results were compared with AM SAD.Results: A statistically significant correlation was established between YDGS-15 and AM SAD scores (r:0.64...
摘要目的:抑郁症是老年人中一个严重的公共卫生问题,对老年人进行抑郁症筛查对初级保健医生至关重要。本研究的目的是评估AM SAD(食欲、情绪、睡眠、活动和死亡思想)的效度和可靠性,并将结果与土耳其老年人的DSM-5抑郁标准进行比较。方法:本研究是在土耳其西部伊兹密尔一家三级医院的老年科进行的。本研究共纳入186例老年门诊患者。按照标准化方法对英文原文进行翻译。采用Yesavage老年抑郁症-15量表(YGDS)和AM SAD量表,并进行简易精神状态检查(MMSE)。使用DSM-5标准对患者进行抑郁评估,并将结果与AM - SAD进行比较。结果:YDGS-15与AM SAD评分之间存在显著的相关(r:0.64)。
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引用次数: 3
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Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology
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