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    Association between latent toxoplasmosis and clinical course of schizophrenia-continuous course of the disease is characteristic for Toxoplasma gondii-infected patients
    (Czech Academy of Sciences, 2015) Çelik T.; Kartalci S.; Aytaş O.; Akarsu G.A.; Gözükara H.; Ünal S.
    The aim of the present study was to investigate the association between various clinical aspects of schizophrenia and seropositivity against Toxoplasma gondii (Nicolle et Manceaux, 1908). We selected 94 patients with schizophrenia and investigated the seropositivity rate for anti-T. gondii IgG antibodies by ELISA. Clinical parameters of schizophrenic patients such as illness type and status, clinical course, awareness of the illness and need for electroconvulsive therapy (ECT) were compared with their serological status. Anti-T. gondii IgG antibodies were detected in 43 (46%) of schizophrenic patients. Chronic patients had a rate of 34 (72%) seropositivity, whereas 9 (22%) of the patients with partial remission showed evidence of latent toxoplasmosis. Of continuous patients, 35 (81%) were found to be seropositive and this rate was significantly more than in the other groups. The rate of latent toxoplasmosis was detected significantly higher in patients who lack awareness of schizophrenia (36, i.e. 72%) than the patients who were aware of their illnesses (7, i.e. 16%). Anti-T. gondii IgG antibodies were detected in 38 (70%) of ECT performed patients while this percentage was 13% in the ones who had never been treated with ECT. This difference was also statistically significant. We showed that Toxoplasma-infected subjects had 15× higher probability of having continuous course of disease than Toxoplasma-free subjects. Our results put forth the possibility of latent toxoplasmosis to have a negative impact on the course of schizophrenia and treatment response of schizophrenic patients. © Institute of Parasitology, Biology Centre CAS.
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    EVALUATION OF PSYCHIATRIST’S COMMUNICATION WITH PSYCHOSIS PATIENTS [Avaliação da comunicação de psiquiatras com pacientes psicóticos] [Evaluación de la comunicación de psiquiatras con pacientes psicóticos]
    (Universidad de Chile - Centro Interdisciplinario de Estudios en Bioetica, 2022) Karatas M.; Kartalci S.; Selcuk E.B.; Yetis H.; Karatas T.; Gozukara H.
    Evaluation of the physician-patient relationship is very important in determining priorities in medical practice and medicine. For this purpose, in this study the psychiatrist’s communication with psychotic patients as a sensitive group was evaluated. A questionnaire was administered to 210 patients in a psychiatric clinic of Inonu University Hospital in Turkey to determine how the examination is performed in the facility for outpatients in the psychosis unit. According to the study conducted, it was observed that the evaluation score of the psychiatrist’s communication with psychotic patients increased positively with increasing consultation duration. Our work is particularly noteworthy because it deals with a sensitive area, such as a group of psychiatric patients. The scores were obtained based on data from the evaluation of the questionnaires, which showed that the communication between the psychiatrist and the psychotic patient was conducted in a sensitive and careful manner, and without ethical problems. © 2022, Universidad de Chile - Centro Interdisciplinario de Estudios en Bioetica. All rights reserved.
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    Smoking induced worsening of myoclonic dystonia due to haloperidol: A case report
    (Istanbul Universitesi, 2012) Kartalci S.; Unal S.; Cumurcu B.E.; Karlidag R.
    Acute dystonia is a side effect of antipsychotic medication, and appears shortly after beginning treatment. The movement disorder is characterized by sustained muscle contractions that are typically slow, but rapid dystonia referred to as myoclonic dystonia has also been described. Cranial, pharyngeal and cervical muscles are generally affected causing fixation of the jaw, retrocollis, torticollis or opisthotonic posturing. Acute laryngeal dystonia (laryngospasm) with dysphonia has rarely been reported. Although known for six decades, the mechanism underlying acute dystonia is not clearly understood. It has been reported to be associated with striatal dopaminergic and cholinergic dysfunction due to the D2 receptor blockade of antipsychotics in the basal ganglia. We discuss a patient with haloperidol-induced atypical myoclonic dystonia that got worse with smoking together with the role of the cholinergic system in acute dystonia in this case report.