Halil İbrahim Güzel

Association analyses of depression, anxiety, and physical fitness parameters in Turkish obese adults.

OBJECTIVE This study aims to investigate the associations among depression, anxiety, aerobic exercise capacity, body fat percentage, sum of skinfolds, abdomen circumference, and waist to hip ratio on the basis of body mass index (BMI) in adults. METHODS The subjects of the study were 60 obese participants (30 women, 30 men) with BMIs over 30 kg/m{2}and 60 healthy controls (30 women, 30 men) with BMIs of 18-25 kg/m{2}. Body fat percentage was calculated from the skinfold thicknesses using the formula. Body circumference measurements were performed using a tape measure. Maximal aerobic capacity (VO(2)max) was determined by Astrand submaximal exercise protocol. Two self-reported questionnaires, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), were administered to all participants. RESULTS BMI, body fat percentage, sum of skinfolds, abdomen circumference, and waist to hip ratio were found to be higher in obese groups as compared to the controls, while VO(2)max (ml/kg/min) values were lower in both genders. In males, BAI scores and mild-level anxiety percentage values were higher in the obese group than in the control group. There was no significant difference for BDI scores and levels between the obese and control groups in both genders. There was also no significant difference in BAI scores and levels between the obese and control groups in women. CONCLUSION The fact that physical fitness being found poor in obese shows the existence of a condition that might constitute an increased tendency for obesity-related disorders. In addition, it was suggested that, in Turkey, attitudes toward obesity change depending on gender.

Complementary and alternative medicine use in patients with mental disorders in Turkey

PURPOSE The aim of this study was to determine the prevalence of complementary and alternative medicine (CAM) use and the associated socio-demographic factors among patients with mental disorders in the Turkish community. METHODS One thousand and twenty-seven patients with a diagnosis of mental disorders who were attending psychiatric outpatient clinics in five Turkish cities were interviewed. A survey questionnaire, which included questions on socio-demographic characteristics and CAM use, was administered face-to-face by psychiatrists. RESULTS 22.2% of patients with mental disorders were using some form of CAM in the Turkish community. CAM and medication concurrent users had a higher level of education and income compared to CAM users only or medicine users only (p < 0.001). The most common type of CAM used was herbal therapy (n = 146, 64%). CONCLUSION Use of CAM by patients with mental disorders should be investigated and taken into account by psychiatrists.

Problematic Internet use was more common in Turkish adolescents with major depressive disorders than controls.

This study compared problematic Internet use (PIU) rates in 12‐ to 18‐year‐olds with major depressive disorder (MDD) and healthy controls and explored potential links between PIU and suicide among patients with MDD.

Nossa experiência em anestesia durante terapia eletroconvulsiva em pacientes grávidas

e administration of remote location anesthesia, analsia, and sedation practices to pregnant patients has reased in recent years. Psychiatric disorders emerging or ccurring during pregnancy may cause severe problems Choosing an anesthetic agent that has no maternal or fetal toxic effects is important in remote location anesthesia for pregnant women. In terms of teratogenic risk, ECT use in pregnancy is considered relatively safe. Propofol and methohexital are commonly used anesthetic drugs for ECT. The teratogenic effects related to these drugs have not been specified.2 Propofol seems to be associated with some advantages in ECT practice, including lower rises in blood pressure and heart rate and faster postictal recovery in some measures.3 Succinylcholine is often used as a neuromuscular block during ECT.2 Succinylcholine is not transfered to any extent across the placenta, and has little effect on the fetus. The amount of succinylcholine that crosses the placental barrier depends on the concentration inclination between the maternal and fetal circulation; thus, repeated high doses both the woman and the fetus. Psychotropic drugs used the treatment of psychiatric disorders occurring during gnancy have side effects on the mothers and fetuses. e American Psychiatric Association (APA) practice guidees suggest electroconvulsive therapy (ECT) as a primary atment for major depression and bipolar disorder durpregnancy. ECT has been reported as a treatment with h efficacy and low risk for the management of these disers during all three trimesters of pregnancy as well as stpartum.1 These case studies report our experience administeranesthesia to four pregnant women with psychiatric orders who were scheduled for ECT treatment during gnancy. The women undergoing ECT treatment were diagnosed th bipolar disorder (two of them), atypical psychosis, d depression. All of the cases were evaluated by either obstetrician/gynecologist or an anesthesiologist the day fore treatment. The patients were monitored in the operng room with an electrocardiogram (ECG), a noninvasive od pressure monitor, and peripheral oxygen saturation O2). All of the patients were given oxygen by mask at 6 L/min. To prevent aspiration, all of the patients were en an H2-receptor antagonist 15--20 min before the produre and this was continued throughout the operation. ring the process, the fetal heart rates were constantly ntrolled with an ultrasound or doppler device by a senior stertics/gynecology assistant. The plasmacholinesterase els and other routine blood values of the patients were asured before the procedure. Propofol and Lystenon were d for anesthesia induction and maintenance in all cases mask ventilation with oxygen. The mean age of the tients was 28 (24--31) years, the mean gestational age was weeks (12--28), and the mean number of ECT applications s 10 (8--13). No maternal or fetal complications occurred rioperatively. All of the pregnant women gave birth at normal gestational age and the average Apgar score of newborns was between 8 and 10. No complications were served in the newborns during the one-month after birth or the presence of atypical pseudocholinesterase may lead to newborn apneas and muscle relaxation.4 In our cases, we used propofol as a hypnotic agent and succinylcholine as a neuromuscular block. All of the patients had unproblematic terminations to their pregnancies and the treatment did not have any adverse effects on the babies or the mothers.

The Effects of Hysteroscopic Submucosal Myoma Resection on Number of Sanitary Pads

1 Hasan Mayda1, Etem Soyuçok2, Halil İbrahim Güzel1, Yasemin Görücü1, Erman Bagcioglu1 1Department of Psychiatry, Afyon Kocatepe University, Faculty of Medicine, Afyonkarahisar, 2Department of Psychiatry, Kutahya Dumlupinar University, Faculty of Medicine, Kutahya, Turkey Alkol Bağımlılığı ve Stigma / Alcohol Addiction and Stigma Attitudes of General Population and Physicians Towards Alcohol AddictionAim: To research the effect of hysteroscopic resection of submucosal myoma (HRSM) on the amount of pads used during the menstrual period in a premenopausal patient with menometrorrhagia caused by submucosal fibroids. Material and Method: A total of 27 women with submucosal fibroids were included in this prospective study using the Pictorial Blood Assessment Chart (PBAC) to evaluate quantity of menorrhagia. Bleeding evaluation and number of pads used by patients in the 6th month after HRSM were recorded. Re sults: The average age of patients included in the study was 41±5.1. Of 27 patients 20 (74%) had one. 4 (14%) had two and 3 (12%) had three or more submucosal myomas. The diameter of removed fibroids were 17 (63%) less than 3 cm, 6 (22%) between 3 and 5 cm and 4 (15%) were above 5 cm. In the postoperative 6th month on the day of heaviest menstrual bleeding average number of pads used dropped to 3.8 compared to 9.1 in the preoperative period (p<0.05). Discussion: HRSM performed due to menometrorrhagia in the premenopausal period significantly reduces the number of pads used and the number of days of bleeding.