Fatih Selvi

Chronotype Differences in Suicidal Behavior and Impulsivity Among Suicide Attempters

Morning- and evening-type individuals differ on a number of psychological and biological variables. There has been increasing interest in the relationship between chronotype and personality traits. The aim of this study was to investigate the relationship between impulsivity and chronotype in suicide attempters. Eighty-nine suicide attempters were included in the study, and systematic information on suicide attempts was recorded. The Morningness-Eveningness Questionnaire was applied to determine chronotype, and attempter impulsivity was measured by the total score of the Barratt Impulsiveness Scale. Significant differences between chronotype and impulsivity scores were found. Evening-type subjects reported significantly higher impulsivity scores than both neither- and morning-types. A significant association between chronotype and type of suicide attempt was detected. The largest proportion of violent suicide attempters were evening-type subjects. Violent suicide attempters also reported significantly higher impulsivity scores than nonviolent attempters. Previous studies have pointed out possible relations between eveningness and impulsivity. Current findings suggest that eveningness may be a risk factor for violent suicide attempts by increasing impulsivity. (Author correspondence: dryavuzselvi@yahoo.com)

Seasonality of self-destructive behaviour: Seasonal variations in demographic and suicidal characteristics in Van, Turkey

Abstract Objective. Seasonality is one of the most interesting but still elusive issue in suicide research. Linkages of seasonality in suicides to possible contributors such as gender, type of method used, and climatic factors have received attention in different cultures. We aimed at evaluating seasonal trends in suicidal behaviour according to demographic characteristics, reasons for self-destructive behaviour and means preferred in suicide. Methods. Our aim was to assess the seasonal variation in self-destructive behaviour in terms of completed and attempted suicides in a 3-year time period from 2008 to 2010 in Van, Turkey. A total of 1448 cases were registered over a 3-year time period in the city. Seasonal deviations in demographic characteristics, reasons for suicide, and methods of suicide were evaluated. Results. Seasonal distribution of both completed and attempted suicides by gender did not significantly deviate. On the other hand, we found a significant decline in self-destructive behaviours among those who were single and student in the spring. We found a peak in self-destructive behaviours in the autumn among Individuals who suffer from psychological problems. Conclusions. Subjects with psychological difficulties were more prone to commit suicide in autumn. Seasonal differences in methods of suicide used by suicidal subjects were not significant.

Hepatic Encephalopathy in Connection With Budd-Chiari Syndrome due to Infection With Echinococcus Multilocularis: A Case Report

Budd-Chiari syndrome (BCS) is a hepatic venous outflow block generally resulting from disorders affecting hepatic venous system. Elevated hepatic venous pressure results in portal hypertension. BCS may also cause hepatic encephalopathy. Echinococcus multilocularis is a tapeworm parasite and the natural course of the disease may affect liver parenchyma as well as hepatic venous tree. It is the most terrible parasitic disease of the liver and is easily confused with hepatic malignancies. Albendazole therapy may suppress disease progression. Alveolar echinococcosis of the liver rarely causes Budd-Chiari syndrome-related hepatic encephalopathy (HE). We report a rare case of alveolar echinococcosis-related BCS with HE, who was successfully managed by rifaximin and albendazole.

Datura stramonium zehirlenmesi: Psikiyatrik belirtilerle başvuran olgu / Datura stramonium intoxication: report of a case with psychiatric symptoms

Datura stramonium intoxication: report of a case with psychiatric symptoms Delirium is a common neuropsychiatric syndrome and is often caused by metabolic, systemic disorders and drug or poison intoxication. Though hallucinations, delusions and agitation are sometimes present, the symptoms of delirium are clinically distinct from those induced by other psychiatric disorders. Datura stramonium is a hallucinogenic plant which is a member of belladona alkaloids. The toxic effects of Datura stramonium most often include visual and auditory hallucinations, confusion and agitation. We report a patient who was poisoned with Datura stramonium and presented to the emergency department with psychiatric symptoms.

A Rare Suicidal Method:Succinylcholine Chloride Injection

DOI: 10.4328/JCAM.965 Received: 27.03.2012 Accepted: 23.04.2012 Printed: 01.05.2015 J Clin Anal Med 2015;6(3): 363-5 Corresponding Author: Hayriye Gonullu, Yuzuncu Yil Universitesi, Tip Fakultesi, Arastirma Hastanesi, Acil Tip AD, Hafiziye Mah. 65300, Van, Turkiye. T.: +90 4322150474-6042 F.: +90 4322168352 GSM.: +905057672477 E-Mail: drhayriyegonullu@windowslive.com Ozet Depolarizan noromuskuler bloker bir ajan olan suksinilkolin, entubasyonda 1-1,5 mg/kg dozlarinda kullanilmaktadir. Gunumuzde sokak kopeklerinin yakalanmasinda kullanilan tufekler icin enjektor seklinde de satilmaktadir. Bu sekilde veterinerlik alaninda da kullanilmasi kolayca bulunma imkanini da beraberinde getirmistir. Bu calismada, etken maddesi suksinilkolin olan ilactan, ozkiyim amaciyla sol omuza 3 ml (60 mg) enjekte ettikten bir saat sonra halsizlik, karin agrisi gibi nonspesifik sikâyetlerle acil servise basvuran olgu sunuldu. Acil servis hekimlerinin ozellikle solunum depresyonu olmak uzere ciddi sistemik etkileri nedeniyle suksinilkolin ile ilgili bilgi sahibi olmalarinin onemi vurgulandi.

Spontaneous pneumothorax and pneumomediastinum in pregnancy: A case report

Spontan akut pnömotoraks subplevral bleb veya büllerin spontan rüptürü sonucu gelişebilen ve gebelikte son derece nadir görülen bir durumdur. İki günlük dispneyi takiben toraks üst kısımlarda ve boyunda gelişen ağrı ve şişlik şikayeti ile başvuran genç bir gebede bilateral pnömotoraks ve pnömomediastinum teşhis edildi. Tedavide on günlük hospitalizasyon süresince gerek duyuldukça nazal oksijen, anljezikler ve antiemetikler kullanıldı. Bu süre sonunda, fizik muayene bulguları, akciğer filmi ve oksijen saturasyonunda iyileşme kaydedildi. Destekleyici tedaviler yeterli olduğundan cerrahi ya da toraks tüpü gibi invaziv tedavilere gerek duyulmadı. Nadir görülmesine rağmen, dispne ve göğüs ağrısı şikayeti olan her gebede pnömotoraks akla getirilmeli ve diğer durumlardan ayırt etmek için tanı radyografik olarak doğrulanmalıdır. Bu raporda, 10 haftalık bir primigravid gebede spontan akut pnömotoraks ve pnömomediastinum olgusu sunulmuştur. J Turk Soc Obstet Gynecol 2014;2:131-33 Anahtar Kelimeler: Pnömomediastinum, pnömotoraks, gebelik Abstract

Uvular Edema Due to Ecbalium elaterium: A Case Report

ÖZET Bitkisel ilaçlar son yıllarda halk arasında çok sık kullanılmaya başlayan alternatif tedavi yöntemi olarak karşımıza çıkmaktadır. İnsanlar birçok bitki ve otları hastalıklarını veya semptomlarını düzeltmek için kullanmaktadır. Literatürde bu tür ilaçların hayatı tehdit edici yan etkileri olduğunu bildiren çok sayıda vaka sunumu bildirilmiştir. Bu çalışmada sinüzit tedavisi için Ecbalium elaterium sıvısını burnuna uygulayan ve uvular ödem gelişen olgu literatür eşliğinde sunuldu.