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Thyroxin Levels Associated with Current Suicide Attempts: A Case Control and Follow-Up Study 甲状腺素水平与当前自杀企图相关:一项病例对照和随访研究
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20160217101946
H. Ozcan, A. Yucel, O. Atıs, N. Yucel, A. Bilen, M. Emet, S. T. A. Gur
ABSTRACTObjective: Suicide is a complex behavior concerning a number of psychological, biological, social and cultural factors. It is also an important public issue, as well as one of the leading causes of death. We aimed to examine the relationship between suicide attempt and thyroid hormones in suicide attempters and healthy controls and aimed to clarify whether any of the thyroid hormone levels may have predicted current or future suicide attempts.Method: This study comprised 358 participants (115 suicide attempters, 243 controls). Thyroid hormone levels including free T3, free T4, and TSH of all participants were explored. For predicting future suicide attempts using our hospital database and the database of the Republic of Turkey Social Security Institution, via International Classification of Diseases (ICD) diagnostic codes related to suicide data of future suicide attempts of the study participants were collected. Participants were people without previous history of any thyroid disorder or chronic ...
摘要目的:自杀是一种涉及心理、生理、社会和文化等多种因素的复杂行为。这也是一个重要的公共问题,也是导致死亡的主要原因之一。我们的目的是研究自杀未遂者和健康对照者的自杀企图和甲状腺激素之间的关系,并旨在澄清甲状腺激素水平是否可以预测当前或未来的自杀企图。方法:本研究共纳入358名参与者(115名自杀未遂者,243名对照组)。研究了所有参与者的甲状腺激素水平,包括游离T3、游离T4和TSH。为了预测未来的自杀企图,使用我院数据库和土耳其共和国社会保障机构数据库,通过国际疾病分类(ICD)收集与研究参与者未来自杀企图相关的自杀数据的诊断代码。参与者以前没有任何甲状腺疾病或慢性…
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引用次数: 3
Online Game Addiction in a Sample from Turkey: Development and Validation of the Turkish Version of Game Addiction Scale 土耳其网络游戏成瘾:土耳其版游戏成瘾量表的开发与验证
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20150502073016
Erkan Baysak, F. Kaya, Ilker Dalgar, S. Candansayar
Objective: Online game addiction also referred to as internet gaming disorder, a clinical condition that is not well-established, is not listed in psychiatric classification systems due to lack of adequate studies but expected to be added to the manual in near future. In Turkey neither a scale nor a study is present to evaluate online game addiction/ addicts. We aimed to evaluate the reliability and validity of “The Game Addiction Scale” that was developed by Lemmens in 2009 as an instrument to assess online game addiction in an online game players sample in Turkey and examine the game addiction levels in these players. Methods: For this purpose 726 “Travian” (a massively multiplayer online game) players were evaluated with the Young’s Internet Addiction Test and the Lemmens’s Game Addiction Scale to find out their game addiction levels. Individual properties of the participants reflecting their internet use and gaming habits were also examined. The study was performed using SurveyMonkey within three months between March 1 and May 31, 2013. Results: Both 21-item (Cronbach’s α=0.96) and 7-item versions (Cronbach’s α=0.88) of the Game Addiction Scale were found to be valid and reliable. Also using the monothetic format 11.1% of the participants was found to be online game addicts. Conclusion: Our findings indicates that there is a considerably high percentage of game addiction within this online gamers sample compared to other countries. Further studies with online gamers and general population are needed to see the whole picture in Turkey.
目的:网络游戏成瘾也被称为网络游戏障碍,这是一种尚未建立的临床症状,由于缺乏足够的研究,尚未列入精神病学分类系统,但预计在不久的将来将被添加到手册中。在土耳其,既没有量表也没有研究来评估在线游戏成瘾者。我们的目的是评估“游戏成瘾量表”的可靠性和有效性,该量表由Lemmens于2009年开发,作为评估土耳其在线游戏玩家样本中网络游戏成瘾的工具,并检查这些玩家的游戏成瘾水平。方法:采用Young 's网络成瘾测试和Lemmens游戏成瘾量表对726名大型多人在线游戏《特拉维安》(Travian)玩家进行评估,了解其游戏成瘾程度。参与者的个人属性也反映了他们的互联网使用和游戏习惯。该研究是在2013年3月1日至5月31日的三个月内使用SurveyMonkey进行的。结果:游戏成瘾量表的21项版本(Cronbach′s α=0.96)和7项版本(Cronbach′s α=0.88)均有效、可靠。同样使用一元格式,11.1%的参与者被发现是网络游戏成瘾者。结论:我们的发现表明,与其他国家相比,这个在线玩家样本中游戏成瘾的比例相当高。为了了解土耳其的整体情况,我们需要对在线游戏玩家和普通人群进行进一步研究。
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引用次数: 35
Clinical Course and Management of Drug-Induced Catatonia and Paranoid Behavior in an Adolescent 青少年药物性紧张症和偏执行为的临床过程与处理
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151217105437
Parna Prajapati, D. Fabius, B. Pradhan
ABSTRACTA 19-year-old Hispanic male with past psychiatric history of illicit drug use was brought by his mother to the emergency room of a tertiary care hospital with altered mental status. According to patient's mother his paranoid symptoms consisted of increased suspiciousness towards his friends and other family members, but were not to the extent for him to seek out any medical help. Clinical course and management of this patient, who later progressed to full blown catatonia, is described in this report. Patient had paradoxical disinhibition when treated with benzodiazepine, limiting treatment options. Patient's mother would not consent for ECT treatment after which Olanzapine was selected to manage his catatonic symptoms. This patient's preexisting paranoid ideations and catatonia were stabilized successfully with a few days of olanzapine with significant decrease in Bush-Francis Catatonia Score. Initial catatonia score of 14 points at baseline decreased to 3 points after 20 days of inpatient managem...
19岁西班牙裔男性,既往有非法药物使用精神病史,由其母亲带至三级医院急诊室,精神状态改变。据病人的母亲说,他的偏执症状包括对他的朋友和其他家庭成员的怀疑增加,但没有达到寻求任何医疗帮助的程度。本报告描述了该患者的临床过程和治疗,该患者后来发展为完全的紧张症。当使用苯二氮卓类药物治疗时,患者出现矛盾的去抑制,限制了治疗选择。患者的母亲不同意电痉挛治疗,之后选择奥氮平来控制他的紧张性症状。该患者先前存在的偏执观念和紧张症在几天的奥氮平治疗后成功稳定,Bush-Francis紧张症评分显著下降。入院治疗20天后,患者的紧张症评分由基线时的14分降至3分。
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引用次数: 5
Attention Deficit Hyperactivity Disorder Treatment Practice in Turkey 土耳其的注意缺陷多动障碍治疗实践
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151202103706
O. Oner, H. Türkçapar, F. Isli, H. Karadağ, A. Akbulat, A. Basci, M. Aksoy, Cem Seckin, A. Alkan
ABSTRACTObjective: To determine the factors associated with type of ADHD prescription and re-admission of the cases to the outpatient clinics between January-July 2013.Method: The Ministry of Health prescription database, which included prescriber, region, age and gender data and contained almost 20% of IMS data.Results: A total of 73,189 prescription were prescribed to a total of 41,341 (30,014 males; 72.7%) patients. 38645 (93.5%) of the patients were between 6 and 18 years of age. The most frequently prescribed drug was OROS methylphenidate (MPH, 59.7%) followed by IR MPH, atomoxetine and combination of drugs. There were several regional differences in prescription practice. Treatment choice changed significantly with age and gender. Rate of repeated prescription was highest among 6–18 year-old male subjects receiving combination treatment.Conclusions: ADHD treatment choice seemed to be heavily influenced by official regulations. Age, gender and drug of choice were important factors associated with tre...
【摘要】目的:了解2013年1 - 7月ADHD处方类型与门诊再入院的相关因素。方法:卫生部处方数据库,包括处方者、地区、年龄和性别数据,包含近20%的IMS数据。结果:共开处方73,189张,共41,341例(男性30,014例;72.7%)患者。38645例(93.5%)患者年龄在6 ~ 18岁。最常见的处方药物是哌甲酯OROS (MPH, 59.7%),其次是IR MPH、托莫西汀和联合用药。在处方实践中存在一些地区差异。治疗选择随年龄和性别的变化显著。重复处方率以6 ~ 18岁男性联合用药者最高。结论:ADHD的治疗选择似乎受到官方规定的严重影响。年龄、性别和药物选择是与三种药物相关的重要因素。
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引用次数: 1
Relationship Between Impulsivity and Plasma Uric Acid Levels in Patients with Substance Use Disorders 物质使用障碍患者冲动与血浆尿酸水平的关系
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20160222092414
Serdar Nurmedov, Yelda İbadi, O. Noyan, Onat Yilmaz, S. Kesebir, N. Dilbaz, S. Kose
Objective: Impulsivity is an important neurobiological process that contributes to individual differences in substance use disorder vulnerability. Uric acid has been mentioned to be telated to some...
目的:冲动性是导致物质使用障碍易感性个体差异的重要神经生物学过程。尿酸被认为与一些…
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引用次数: 4
Factors affecting burden of psychopharmacological medication in patients with autism spectrum disorder: the importance of early diagnosis - 影响自闭症谱系障碍患者精神药物负担的因素:早期诊断的重要性
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151230063042
Şahin Bodur, C. Taşkıran, Yetiş Işıldar, Burcu Ersoz Alan, M. Çetinkaya, H. Kara, M. Şahin, S. Turgut
ABSTRACTObjective: The aim of the present study is to specify the frequency in psychopharmacological medication use in children with autism spectrum disorder (ASD) and determine their age range at diagnosis.Methods: Five hundred and twenty three children with ASD who applied to Dr. Sami Ulus Maternity and Children Research and Training Hospital between 2010–2015 were reviewed retrospectively. Data has been obtained from computerized hospital information system. Individuals with the diagnosis of Autism (F84.0), Atypical Autism (F84.1) and Pervasive Developmental Disorder Not Other Specified (F84.9) were screened.Results: Psychotropic medication was recommended to 28.5% of the 523 children and adolescents diagnosed with ASD. Antipsychotics were the most common drugs of choice among psychotropic medications. The mean age at diagnosis of patients taking psychotropic medication was significantly higher than that of the patients who were not taking psychotropic medication (t=-3.064; p<0.01). The rate of psychot...
摘要目的:了解自闭症谱系障碍(ASD)患儿的精神药理学用药频率,确定其诊断年龄范围。方法:对2010-2015年在Sami Ulus妇幼研究培训医院就诊的523例ASD患儿进行回顾性分析。数据来源于计算机化的医院信息系统。对诊断为自闭症(F84.0)、非典型自闭症(F84.1)和非其他特定的广泛性发育障碍(F84.9)的个体进行筛查。结果:523例诊断为ASD的儿童和青少年中有28.5%推荐精神药物治疗。抗精神病药物是精神药物中最常见的选择。服用精神药物的患者诊断时平均年龄显著高于未服用精神药物的患者(t=-3.064;p < 0.01)。精神病发病率…
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引用次数: 2
Psychobiotics: The Potential Therapeutic Promise of Microbes in Psychiatry 精神生物学:微生物在精神病学中的潜在治疗前景
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20160531111208
Assoc. Prof. Gokben Hizli Sayar, M. Cetin
The recognition of the importance of human microbiome for health and disease is a relatively recent issue. Studies suggest that the microbiome may contribute to the regulation of multiple neurochemical pathways that interconnect the gastrointestinal tract and other organs with the central nervous system. The microorganisms play a vital role in the immunological development of the host. Therefore, a selection between beneficial and harmful microbes is needed, and this vital role is guided by the immune system of the host. Probiotic therapy is the application of potentially beneficial microorganisms to support the balance of beneficial and harmful microbiota in our body system. The probiotic microorganisms not only compete with the pathogens of the host but also improve the immunological state of the host. As they colonize in the human intestine, they intricately involve with different systems of the body. Organisms used as probiotics are bacteria that exist naturally in the gut and are most frequently of the Lactobacillus, Bifidobacterium, Enterococcus, and Pediococcus species. The concept of modulating the microbiome is a novel and promising idea in various areas of medicine. “Vaginal seeding” is one of the most popular issues in the press, related to modulation of the microbiome. The term “vaginal seeding” describes the use of a gauze swab to transfer maternal vaginal fluid, and hence vaginal microbiota, on to an infant born by caesarean section. The composition of the early microbiota of infants is heavily influenced by mode of delivery. In infants born by caesarean section, the microbiota resembles that of maternal skin, while in vaginally born infants it is similar to that of the maternal vagina. These early differences in the microbiota have been suggested to determine susceptibility to some common diseases. In theory, vaginal seeding might rebuild the microbiota of infants born by caesarean section to a more “natural” state and decrease the risk of disease. Strong evidence supports a therapeutic role for probiotics in the treatment of inflammatory bowel disease, irritable bowel syndrome, atopic dermatitis, and arthritis. Probiotics have immunomodulatory, hypocholesterolemic, antihypertensive, and anti-allergic properties. They are proclaimed to lighten postmenopausal symptoms and have an effect of protection toward lung emphysema. While probiotics have been suggested as an adjuvant therapy for depression, our knowledge is limited about the potency of probiotic treatments to modulate CNS function.
认识到人类微生物组对健康和疾病的重要性是一个相对较新的问题。研究表明,微生物组可能有助于调节多种神经化学途径,这些途径将胃肠道和其他器官与中枢神经系统相互连接。这些微生物在宿主的免疫发育中起着至关重要的作用。因此,需要在有益和有害微生物之间进行选择,而这一重要作用是由宿主的免疫系统指导的。益生菌疗法是应用潜在的有益微生物来支持我们身体系统中有益和有害微生物群的平衡。益生菌微生物不仅能与宿主的病原体竞争,还能改善宿主的免疫状态。当它们在人体肠道中定居时,它们复杂地与身体的不同系统有关。用作益生菌的生物是自然存在于肠道中的细菌,最常见的是乳杆菌、双歧杆菌、肠球菌和Pediococcus。调节微生物群的概念在医学的各个领域都是一个新颖而有前途的想法。“阴道播种”是在新闻界最流行的问题之一,与微生物组的调节有关。"阴道播种"一词指的是使用纱布拭子将母体阴道分泌液以及阴道微生物群转移到剖腹产出生的婴儿身上。婴儿早期微生物群的组成受到分娩方式的严重影响。在剖腹产出生的婴儿中,微生物群与母体皮肤相似,而在阴道出生的婴儿中,微生物群与母体阴道相似。这些微生物群的早期差异被认为决定了对某些常见疾病的易感性。理论上,阴道播种可能会将剖腹产婴儿的微生物群重建到更“自然”的状态,并降低患病的风险。强有力的证据支持益生菌在治疗炎症性肠病、肠易激综合征、特应性皮炎和关节炎方面的治疗作用。益生菌具有免疫调节、降胆固醇、抗高血压和抗过敏的特性。据说它们能减轻绝经后症状,对肺气肿有保护作用。虽然益生菌已被建议作为抑郁症的辅助治疗,但我们对益生菌治疗调节中枢神经系统功能的效力的了解有限。
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引用次数: 5
beta-adrenergic Receptor Blocker Use for Traumatic Memory Reconsolidation in Posttraumatic Stress Disorder 肾上腺素受体阻滞剂用于创伤后应激障碍的创伤记忆再巩固
Q Medicine Pub Date : 2016-09-01 DOI: 10.5455/BCP.20160927054221
S. Kose, M. Cetin
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引用次数: 3
Massive creatine kinase elevation during antipsychotic drug treatment with olanzapine and quetiapine 在奥氮平和喹硫平抗精神病药物治疗期间大量肌酸激酶升高
Q Medicine Pub Date : 2016-06-01 DOI: 10.5455/BCP.20151219072041
H. Ersen, F. Maner
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引用次数: 0
Propolis as a Complex Compound May Contain Many Active Ingredients Like Caffeic Acid Phenethyl Ester (CAPE) 蜂胶作为一种复杂的化合物,可能含有咖啡酸苯乙酯(CAPE)等多种活性成分
Q Medicine Pub Date : 2016-06-01 DOI: 10.5455/BCP.20151006014845
M. A. Gulec, O. Akyol, S. Akyol
We have read with great interest the article “Propolis induced mania with psychotic features: A case report” b y O z c a n e t a l . i n B u l l e t i n o f C l i n i c a l Psychopharmacology. The authors reported that high dose of propolis may have been the triggering factor of the manic symptoms with psychotic features. We would like to add some valuable information for both propolis and its active component, caffeic acid phenethyl ester (CAPE) (Figure 1) to explain why such type of symptoms might occur after propolis ingestion. For a better understanding of the cellular mechanisms of these potential psychiatric side effects, the authors should have mentioned the ingredients of propolis mixture, which have different physical, chemical, and functional properties. Propolis has been used in folkloric medicine for
我们饶有兴趣地阅读了《蜂胶诱发躁狂症伴精神病性特征1例》一文。它在B中,但在C中,它在C中,它在l中,它在l中,精神药理学。作者报告高剂量蜂胶可能是具有精神病性特征的躁狂症状的触发因素。我们想为蜂胶及其活性成分咖啡酸苯乙酯(CAPE)(图1)添加一些有价值的信息,以解释为什么摄入蜂胶后可能会出现这种症状。为了更好地理解这些潜在的精神副作用的细胞机制,作者应该提到蜂胶混合物的成分,它们具有不同的物理,化学和功能特性。蜂胶已被用于民间医学
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引用次数: 1
期刊
Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology
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