Lorazepam and electroconvulsive therapy (ECT) are effective treatments for catatonia. However, systematic data on these treatments in catatonia are limited. In the present study, we aimed to ...investigate the clinical and treatment-related characteristics of patients with catatonia who underwent lorazepam and/or ECT.
Between January 2012 and December 2016, we received 60 patients with catatonia hospitalized in the Gaziantep University Faculty of Medicine Clinic of Psychiatry. Lorazepam and/or ECT were used in the patients' treatment schedule. Treatment results were evaluated using the Bush-Francis Catatonia Rating Scale and Clinical Global Impression-Improvement.
Thirty-five patients (58.3%) in the sample were in their first catatonic episode. The most common comorbidity was mood disorder (n = 34, 56.7%), whereas the most frequent catatonic sign was mutism (n = 43, 71.7%). Moreover, 31 patients (51.7%) had some form of medical comorbidity. Cerebral abnormalities were detected in computed tomography/magnetic resonance imaging in 22 patients (36.7%). Furthermore, 95% of the patients (n = 57) fully recovered after administration of the treatment.
Lorazepam is a reasonable initial choice in the treatment of catatonia, with rapid consideration for ECT if there is no rapid response to lorazepam.
We aimed to compare the electrocardiographic parameters in patients with methamphetamine use to healthy controls.
The study is a cross-sectional case-control study. Sixty-eight patients diagnosed ...with methamphetamine use disorder (MUD) according to DSM-5 criteria and 65 subjects in healthy control group who can match the patient group with demographic data were included in the study. Heart rate, P wave dispersion, QT dispersion, QTc and Tp-e/QTc ratios were calculated in the ECGs of all participants.
The mean age of the patients was 25.60 ± 5.70 and of the control group was 27.43 ± 6.10 (p = 0.076). There was no statistically significant difference between the blood pressure, body mass index, HDL-LDL-total cholesterol and triglyceride values of the participants (p > 0.05). Although QT dispersion was 13.68 ± 9.12 in patients with methamphetamine use disorder, it was calculated as 9.08 ± 7.85 in the control group (p = 0.002). Finally, the Tp-e/QTc ratio of the patients was higher than the healthy controls (p = 0.014).
In our study, we found a significant deterioration in QT dispersion and Tp-e/QTc ratio in the MUD group. Therefore, it should be kept in mind that there is a risk of malignant arrhythmia in this patient group and care should be taken in terms of arrhythmic events during follow-up in this patient group.
Key points
Patients with methamphetamine use showed significant deterioration in QTd and Tp-e/QTc
Methamphetamine users have prolonged Tp-e/QTc ratio and QTd
Caution should be exercised in terms of arrhythmic events in methamphetamine users
We aimed to examine the electrocardiographic arrhythmia risk predictors in patients with opioid use disorder by P wave dispersion, QT dispersion, and by comparing Tp-e/QTc ratio with healthy ...controls.
One hundred seventeen patients who were diagnosed with opioid use disorder according to DSM-5 criteria and who were hospitalized in 25 Aralık Gaziantep State Hospital AMATEM (Alcohol and substance addiction treatment center) service and a healthy control group consisting of 168 subjects were included in the study. Electrocardiography (ECG) scans of all participants were performed in the supine position and at rest. P wave dispersion, QT dispersion, and Tp-e/QTc ratio were calculated.
Of all the participants, 12 were women (4.21%), 273 (95.78%) were men. The mean age of all participants was 30.42 ± 9.36 years. No difference was found between the gender, mean age, marital status, educational level, and smoking status of the participants (p > 0.05). The entire patient group was using heroin. Heart rate of the patient group was calculated as 68.14 ± 13.26 beats per minute, being lower than healthy controls (p < 0.05). Although QT dispersion value was lower than healthy controls (p < 0.05); P wave dispersion did not differ between groups (p > 0.05).
It is thought that the patients with opioid use disorder are at risk for cardiac arrhythmia based on our findings. Therefore, physicians should be careful about cardiac rhythm and conduction problems while organizing any treatment of these patients.
The aim of this study was to identify types and number of traumatic experiences and to determine the predictors of severity of posttraumatic stress disorder (PTSD) in Syrian refugees who were ...residing in a camp in Turkey. Face-to-face psychiatric interviews were carried out with 342 participants to make a diagnosis of PTSD according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision (DSM-IV-TR) diagnostic criteria. A traumatic events list was administered to screen Criterion A traumatic experiences, and the Clinician-Administered PTSD Scale (CAPS) was administered to assess the severity of PTSD. The prevalence of PTSD was 31.0% (n = 106). Among 86.8% of the refugees with PTSD, the CAPS score was at the level of severe and above. Female gender, total number of traumatic events, and age predicted the PTSD symptom severity. Married young women were the most affected group and violent loss of family members was the most frequent type of trauma among them. Given that the vast majority of Syrian refugees have already settled down in various towns of the country, those who were residing in camps possibly constituted an especially fragile subgroup. The participants represented a group with an extreme level of mass traumatization. Both future research and psychosocial services should address those with broken families as a potentially fragile subgroup among refugees.
This study is the second leg of a two-leg project. In the first leg, the effect of the COVID-19 pandemic on healthcare workers (HCWs) was investigated in the period between the first case in Turkey ...and the arrival of the first case in the hospital.
In this second leg, three months after the first evaluation, we aimed to investigate whether psychological effects of COVID-19 such as stress, anxiety, depression, and sleep quality have been changed on HCWs.
This was a 3-month observational study. 169 hospital staff who participated in the first leg of the study were reached and asked to participate in the second leg evaluation in Gaziantep University Medical Faculty Hospital.110 HCWs accepted to participate. Impact of Event Scale (EIS-R), Depression Anxiety Stress Scale (DASS-21), and Pittsburgh Sleep Quality Index (PSQI) were used to assess in both two legs. Paired Sample T-test was used for comparison of normally distributed variables. Wilcoxon test was used for the comparison of abnormally distributed variables. SPSS 22.0 software was used in the analysis of variables.
Of the HCWs with an average age of 33.9±6.6 years, 59% (65) were males. There was no significant difference between the two legs in terms of IES-R, DASS-21, and PSQI scales.
This study suggests that the psychological effects of the COVID-19 pandemic on HCWs started with the pandemic, before the arrival of the first case in the hospital. Also, these psychological effects continued similarly without significant change after the initiation of direct contact with COVID-19 patients and even after the increase in COVID-19 patients in a hospital which in they work.
LGBTI Healthcare in Medical Education Elboga, Gulcin; Kocamer Sahin, Sengul; Demir, Bahadır ...
The journal of nervous and mental disease,
2024-May-01, Letnik:
212, Številka:
5
Journal Article
Recenzirano
Our aim is to reveal the interaction of cultural and religious influences with professional equipment by determining the level of knowledge, sexual attitudes, and homophobia of medical students about ...LGBTI+ individuals. The study included 324 students from our faculty of medicine. The Hudson and Ricketts Homophobia scale, the Attitudes Towards Lesbians and Gay Men scale, and the Hendrick Sexual Attitudes scale were used with the sociodemograpic data form. Data were collected and analyzed using descriptive and inferential statistical tests. The mean score of the students from the Hudson and Ricketts Homophobia scale was 58.50. The findings of our study support that medical students consider that the education they receive in this regard is inadequate. One of the goals of undergraduate medical education is the provision of health services to all segments of society; therefore, it is recommended to make improvements in the curriculum in this regard.
Substance use and addiction are an increasing problem worldwide. Knowledge of the frequency and features of substance use contribute to ascertaining the addiction trends in a country, region or city, ...taking precautions for drug use, establishing policies on treatment and rehabilitation, and determining patient needs.
The files of individuals who were hospitalized in the Gaziantep Alcohol and Substance Addictions Treatment Center (AMATEM) Clinic between 01.01.2019 and 31.12.2019 were examined retrospectively. The SPSS 22.0 program was used in statistical analyses of patient data.
This study included 694 patients, where 670 of whom were male (96.5%) and 24 were female (3.5%). Considering the diagnoses of the patients, opioid use disorder and amphetamine/methamphetamine use disorder were the most common diagnoses at 47.1% and 13%, respectively. A statistically significant difference was found between the diagnostic groups in terms of age, educational status, occupation, whether there was any suicide attempts, and treatment outcomes (p value for all <0.05).
Our study is the first study conducted in the Gaziantep AMATEM Clinic, which is the only inpatient drug and alcohol center in the Southeastern Anatolia region. Our findings showed that alcohol/substance use is a dynamic problem that negatively affects many areas of life including work and education life, and family and social relationships.
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