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Öğe Anxiety, depression and sexual dysfunction in women with chronic pelvic pain(2006) Kaya B.; Unal S.; Ozenli Y.; Gursoy N.; Tekiner S.; Kafkasli A.In this article we compared healthy women with women having chronic pelvic pain (CPP) for the levels of depression, anxiety, and sexual dysfunction. A cross-sectional survey was conducted in the Obstetrics and Gynecology Outpatient Clinic and Family Planning Department of Inonu University Medical Faculty in Turkey. We examined 19 women with CPP and 25 healthy women between January 2000 and April 2000. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Spielberger Trait Anxiety Inventory (STAI), and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) were used for psychological assessments. Women with CPP had significantly higher scores on the BDI and GRISS. While avoidance, dissatisfaction and non-sensuality subscale scores of the GRISS showed a positive correlation with depression and anxiety scores, the vaginismus subscale score had a positive correlation with the BAI scores. Our results indicated that there is a link between anxiety, depression and sexual dysfunction in women with chronic pelvic pain. Further studies are needed to characterize this link. © British Association for Sexual and Relationship Therapy.Öğe Plasma iron, copper, zinc levels in patients experiencing delirium following coronary artery bypass grafting(2008) Cumurcu B.E.; Karlidag R.; Unal S.; Sezer O.H.; Battaloglu B.; Mendil D.; But K.Aim: To investigate the role of plasma iron (Fe), copper (Cu), and zinc (Zn) levels on delirium in patients following coronary artery bypass grafting (CABG). Methods: Twelve of the 50 patients included in the study showed signs of delirium during postoperative follow-up. We diagnosed delirium using DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders) criteria. Delirium Rating Scale (DRS) was used to estimate delirium severity. In both groups pre-and postoperative plasma Fe, Cu, and Zn levels were analyzed with atomic absorption spectrometry (FAAS) method and compared statistically. Results: There was no significant difference between the groups for preoperative plasma Fe and Zn levels, while the Cu level was statistically significantly lower in the delirium group (p<0.05). The postoperative plasma Fe and Zn levels were statistically significantly higher in the delirium group (p=0.0001). The Cu level was statistically significantly higher in the delirium and non-delirium group (p=0.0001, p<0.05, respectively). The comparison of postoperative plasma Fe, Cu and Zn levels between the two groups showed a statistically significantly higher level in the delirium group compared to the non-delirium group (p=0.0001). The postoperative plasma Cu/Zn levels were statistically significantly higher in the delirium group (p<0.05). Conclusion: It may be suggested that the increased postoperative plasma levels of these trace elements may play a role in delirium seen after CABG. © Universitätsverlag Ulm GmbH 2009.Öğe 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.