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Öğe Chronic Manganese Intoxication Due to Methcathinone (Ephedron) Abuse: A Case Report(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2009) Yildirim, Ejder Akguen; Essizoglu, Altan; Koksal, Ayhan; Dogu, Basri; Baybas, Sevim; Gokalp, PeykanChronic Manganese Intoxication Due to Methcathinone (Ephedron) Abuse: A Case Report Known as an occupational disease, chronic manganese intoxication is recently being observed among abusers of psychoactive substances. Methcathinone hydrochloride is obtained by combining ephedrine/pseudoephedrine and potassium permanganate. Various neuropsychiatric symptoms have been reported among Efedron users. Our patient is a 29 year old male, who was referred to our hospital from a state general hospital with a diagnosis of Conversion Disorder. He was hospitalized and preliminary diagnoses of Facititous Disorder, Conversion Disorder, Psychiatric Disorder due to a General Medical Condition and Antisocial Personality Disorder. He was abstinent from any substance for five years upon referral to our hospital and had a history of methcathinone abuse for 4.5 years. The backache dated back to 6 years ago and a disturbance of gait was added to the clinical picture. A speech disturbance, falling while walking downhill and walking on tiptoe were added in the last 2-3 years. In the neurological examination, extrapyramidal system findings, gait disturbance and the report on use of manganese compunds were found. The setting was changed from psychiatric ward to neuorology ward and evaluated by consultant neurologist. The case was diagnosed as 'Manganese Intoxication'. The aim of this report is to demonstrate and emphasize the importance of questioning the presence of manganese compounds in case of history of substance abuse. Other areas of interest are the shortage of data on the intravenous use of manganese and the cases reported in the literature coming from the former Soviet Union.Öğe Clozapine induced retrograde ejaculation. A case report(Kure Iletisim Grubu A S, 2009) Yildirim, Ejder Akgun; Gunduz, Suleyman; Essizoglu, AltanIt has been reported to present a patient who has schizophrenia and retrograde ejaculation clue to clozapine treatment. The patient was 42 year-old and married and several antipsychotics were administrated in first three years. Clozapine has been started upon not getting any benefit since two years. Just after administration of this drug, the patient who had the ejaculation problems were be able to orgasm. Sexual desire and stimulation were adequate. Since clozapine treatment provides a clear benefits in social and professional functionality for patient, it was not stopped in patient and the choice of decreasing dosage as high as possible is preferred.Öğe Double Standard for Traditional Value of Virginity and Premarital Sexuality in Turkey: A University Students Case(Routledge Journals, Taylor & Francis Ltd, 2011) Essizoglu, Altan; Yasan, Aziz; Yildirim, Ejder Akgun; Gurgen, Faruk; Ozkan, MustafaThis study investigates the prevalence of myths regarding virginity and the hymen and their associations with sexuality prior to marriage. This study was conducted with 534 single, heterosexual male and female students from various faculties of Dicle University in Turkey. The findings demonstrated that the rates of masturbation (11.1%) and premarital sexual intercourse (4.3%) were much lower in women than in men (87.7% and 44.2% respectively) who were traditionally expected to maintain their virginity until marriage. A higher degree of commitment to religious faith was associated with a lower rate of masturbation and sexual contact experience. Also, the myth that the hymen symbolized virginity was slightly more prevalent among male students (74.2% vs. 72.1%). Female virginity was significantly more important among male students (76.7%) than females (11.1%), and male students more frequently (30.1% vs. 11.1%) stated that othe blood-stained bed sheeto should be displayed to the family on the day of marriage. Although some myths about virginity were frequently reported by females, less significance was attributed to virginity by females than by males. In conclusion, the traditional social structure that incites sexual double standards still prevails over the sexual attitudes and behaviors of university students in Turkey.Öğe Inappropriate treatment of a woman with vaginismus and social and psychiatric consequences in a traditional culture(Routledge Journals, Taylor & Francis Ltd, 2009) Yasan, Aziz; Essizoglu, Altan; Yildirim, Ejder AkgunVaginismus is the most commonly diagnosed sexual dysfunction among Turkish women seeking sex therapy. Herein, we report a woman with vaginismus who was referred to our clinic after unsuccessful medical interventions for vaginismus. Additionally, she was physically and emotionally abused by her husband and parents in-law. Based on DSM-IV, she was diagnosed with vaginismus, posttraumatic stress disorder and major depressive disorder. Sex therapy for this patient lasted for nine weeks, after that time she was able to penetrate her vagina with two of her fingers. In traditional culture, women with vaginismus are susceptible to social pressures, traumatic experiences and loss of social status as a result of sexual dysfunction.Öğe Predictor Factors Associated with Premarital Sexual Behaviors Among University Students in an Islamic Culture(Routledge Journals, Taylor & Francis Ltd, 2009) Yasan, Aziz; Essizoglu, Altan; Yildirim, Ejder AkgunWe examined premarital sexual behaviors among Turkish university students and the predictor factors for these behaviors. The study included 638 eligible students ( 256 women and 382 men). Masturbation was reported by 53.3% of the participants, and sexual intercourse experience was reported by 26.3%. Men, heterosexual orientation, and non-religious/liberal religiosity were predictor factors for masturbation and premarital sexual intercourse/foreplay experience. Men having more sexual experiences than women may indicate gender double standards, while heterosexual orientation as a predictor of sexual behaviors could relate to homophobia, still prominent in Turkey. These findings highlight Islam's restrictive attitude towards sexuality despite continued Western influences.Öğe Quality of life, depression and anxiety in young male patients with silicosis due to denim sandblasting(Turkish Assoc Tuberculosis & Thorax, 2011) Yildiz, Tekin; Essizoglu, Altan; Onal, Suna; Ates, Gungor; Akyildiz, Levent; Yasan, Aziz; Ozmen, Cihan AkgulThe aim of this study was to estimate the quality of life, depression and anxiety in patients with silicosis due to denim sandblasting. This study was conducted on 50 young male patients with silicosis and 30 controls. A socio-demographic data form, Short Form-36 (SF-36), the Beck depression inventory (BDI) and the Beck anxiety inventory (BAI) were used to determine quality of life, depression and anxiety. The mean scores of SF-36, BDI and BAI were higher in the patients than in the controls. Correlation analysis revealed a strong negative correlation between all scales of SF-36 and BDI scores. Additionally, there was strong negative correlation between five scales of SF-36 and BAI scores. We suggest that silicosis might be detrimental to the quality of life and increase depression and anxiety in patients with silicosis due to denim sandblasting.Öğe Relation between seizure duration, apllied electrical dose and response speed to electroconvulsive therapy for patients with depression: a retrospective study(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2009) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Akkoc, Hasan; Yildirim, Ejder Akguen; Ozkan, MustafaObjective: The aim of this study was to determine the relationship between speed of clinical response and both applied dose to produce seizure and seizure duration in inpatients with depression who underwent electroconvulsive therapy (ECT) in Dicle University Faculty of Medicine Psychiatry Service between 1st June 2006 and 1st June 2008. Methods: The sociodemodemographic and diagnostic features of 48 inpatients who underwent ECT in our clinic between 1st June 2006 and 1st June 2008 were examined retrospectively. In order to establish correlations between applied dose and seizure duration on the one hand and speed of clinical response during ECT treatment on the other, data of 21 inpatients with depression whose cure was completed in spite of adequate clinical response were analyzed using chi-square and Mann Whitney U tests. Results: In our study, 87 (16.3%) of the 533 inpatients were diagnosed with depression, 48 (9.0%) of all inpatients received ECT, 32 (66.7%) of ECT recipients were diagnosed with depression, 21 (65.6%) of those 32 recipients had adequate clinical response and completed the cure. 57.1% of the patients with depression who completed the cure received ECT with the indication of suicide attempt/suicidal ideation. Among patients who had adequate clinical response; our analyses indicated that patients received six and less ECT treatments needed lower dose and had longer seizure duration than patients received seven and more ECT treatment. Conclusion: The results of our study show that beginning from the first ECT treatment the droopiness of the applied dose to produce seizure and the length of seizure duration may predict that patients with depression will have more rapid clinical response during ECT treatment. However, further research which includes more patients is needed about this issue. (Anatolian Journal of Psychiatry 2009; 10: 286-292)Öğe Venlafaxine Addiction without a History of Alcohol and Substance Abuse: A Case Report(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2012) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Karabulut, Evindar; Gurgen, FarukVenlafaxine addiction without a history of alcohol and substance abuse: a case report In this paper, the aim was to present a patient who had no history of drug or alcohol abuse but was prescribed venlafaxine because of her complaints of headache and increased its dosage by herself on the pretext of a decrease in efficiency. A 35 year-old female patient complaining of headache was prescribed 75 mg/day venlafaxine by a psychiatrist, and the dosage was increased to 225 mg/day by the same doctor, and then the drug dosage was increased to 2100 mg/day by the patient herself. The patient was hospitalized and venlafaxine dosage was gradually decreased and stopped in 10 weeks. This case shows that antidepressant dependence may develop in patients without a history of drug or alcohol abuse.Öğe Venlafaxine dependency: A case report(Kure Iletisim Grubu A S, 2009) Essizoglu, Altan; Yasan, Aziz; Bulbul, Israfil; Karabulut, Evindar; Gurgen, FarukIn this case report, the aim was to present a patient who is complaining of headache and started to venlafaxine and increased the dosage of this drug with a reason of decreasing its efficiency. A 35 year-old woman patient who applied to the doctor complaining of headache is started to 75 mg/day venlafaxine by psychiatrist, the dosage was increased to 225 mg/day by the same doctor and then the drug dosage was increased to 2100 mg/day by client self-decision. The venlafaxine dosage of patient, who was investigated by hospitalization with the diagnosis of venlafaxine addiction along 10 weeks, was gradually decreased and stopped. However, this detoxification period was hardly carried out due to limited mental capacity of the patient. This case shows that the antidepressant addiction is able to develop in patients who have not drug and alcohol usage history.
