Psychiatric Comorbidities and Quality of Life in Epilepsy

Epilepsy is a chronic disorder characterized by a spontaneous tendency to recurrent seizures which affects patients’ cognitive, behavioral, psychological, and social functioning. Epileptic patients face various problems that result in a lower quality of life. Seizure frequency, drug side effects, psychological comorbidity, and stigma are the major factors affecting the quality of lives of patients with epilepsy. Depression, anxiety, psychosis, and cognitive impairment are some of the comorbid psychiatric problems accompanying the clinical picture in epilepsy. Also the role of antiepileptic drugs (AEDs) in psychopathology of epilepsy should not be underestimated. One of the most important reasons why health-related quality of life (HRQOL) has become important for epileptic patients is related with well-known characteristics of this disorder. Its chronic nature, presence of unexpected, intractable and frequent seizures, and stigma are some of these characteristics among others. With the review of the current literature, it can be concluded that there is still a need for further scientific research to find out more clear relation between epilepsy, comorbidities, and HRQOL

The Contribution of Moral Education on Raising Awareness of Citizenship Responsibility

Every society works and makes an effort to provide peace and comfort for its individuals. Besides personal financial comfort, raising conscious individuals who have a sense of responsibility takes its place in the aims of countries. Those individuals who have personalities and a sense of morality and also are righteous, honest and just are the indispensable elements of a healthy society.To form such a society is possible only by knowing both moral and material needs of the society, determining the dynamics which tie the society together and by means of education. The aim of this study is to put forth that the moral education the individual receives in his environment and family and school environment contributes positively to training conscious and responsible individuals.On one hand technological and scientific progress in our increasingly globalized world with information and communication has been observed, on the other hand it has been seen that people have strayed away from moral values, duties and responsibilities. If a person controls himself and adopts a life based on moralities, its positive effects will be seen in daily life. In this study, qualitative method is conducted and the sources related to the subject are examined by scanning method. The effects of moral values on the progress of conscious and responsible citizenship are discussed by drawing a general frame for moral education. In conclusion, society’s happiness and peace ought not to be sought only in economical and technological progress. Society needs emotional, moral and cultural values as well as technological and scientific progress which makes life easier. Important duties fall on school, family and environment in raising citizens who have features demanded. And belief, which takes part in the elements which form people’s relationships with each other, should not be forgotten. DOI: 10.5901/mjss.2014.v5n19p50

How Can We Create a Healthy Relationship With Children?

The quick changes of technology and science in 21st century have influenced many fields and this affect is still felt. Family itself is one of those that have felt these affects. Family, that is the core and representative of society has one important place in institutions. The role of family is essential in universal values and even in formation of personality. Mothers and fathers are irreplaceable in moral education of the child. Even though school looks like it is the irst place of education, it is family where the irst steps are taken. The child during his life learns moral codes and rules that are needed, from his parent’s education and takes them as model of life. Many positive values as generosity, sacriice and honesty are transmitted during childhood in the family. At this point the communication and attitude toward the child are the basic factors that interwove their life. In this article it is discussed theoretically the communication with children during the childhood and its effect in moral development. To create a successful and healthy communication the irst condition is that parents should give examples from their own life. This follows up other factors as respect, share of personal life between the members of the family and managing the questions correctly. During the dialogue between the parents and children instead of the message “you” it should be “I, me” and paying attention is one of the indispensable elements in one healthy communication. It requires a lot of effort to contribute in children’s development of personality and socialization, or in contributing in his ability to improve his communication with the others and you should contribute in children’s development of personality and socialization. It requires a lot of effort even in contribution to child’s ability to improve communication with others and sharing community with them. If this is provided without experiencing a conlict inside the children he may become conscious and social person. This is why nowadays parents and educators by coming through a healthy communication with children and working on making more attractive the necessary moral values, is one human responsibility. The purpose of the study is to guide parents in raising and education of children who are the future of our community. This study aims to show parents ways to communicate with children and getting to know them, and contribute the future studies

KAMU KURUMU ÇALIŞANLARININ SU KULLANIM ALIŞKANLIKLARI-BURSA İLİ ÖRNEĞİ

Bursa ili, sürekli göç alan, sanayisi gelişen ve 3.147.818 kişilik nüfusu ile Türkiye’nin 4. büyük kenti olup, artan nüfus yoğunluğu ve sanayi faaliyetleri, içme ve kullanma suyuna duyulan ihtiyacı da gün geçtikçe arttırmaktadır. Tüm dünyada olduğu gibi Bursa ilinde de mevcut su kaynaklarının sınırlı olması suyun kontrollü ve sürdürülebilir bir şekilde kullanılmasını gerektirmektedir. Bu çalışmada, Bursa ili merkez kamu kurumları çalışanlarından 1405 personele, su kullanım alışkanlıkları, su tasarrufu, su kaynaklarının korunması ve suyun sürdürülebilir şekilde kullanımı konusundaki hassasiyetlerinin ölçülmesi amacı ile 30 kamu kurumunu içeren geniş katılımlı bir anket çalışması uygulanmış ve elde edilen veriler SPSS programı kullanılarak değerlendirilmiştir. Yapılan değerlendirmeler neticesinde, merkez kamu kurumu çalışanlarının su kullanımında su kaynaklarının korunması yönünde alışkanlıklarını belirledikleri ve su tasarrufu konusunda son derece duyarlı oldukları ortaya konulmuştur

Skin manifestations following anti-COVID-19 vaccination: A multicentricstudy from Turkey

Purpose: After the emergence of the pandemic caused by the COVID-19 virus, vaccination with various vaccines has started to be implemented across the world. To identify dermatological reactions developing after the COVID-19 vaccines administered in Turkey and determine their clinical features and risk factors that may play a role in their development. Materials and Methods: The study included patients aged ≥18 years, who presented to 13 different dermatology clinics in Turkey between July 2021 and September 2021 after developing dermatological reactions following the administration of the COVID-19 vaccine. After providing written consent, the patients were asked to complete a standard survey including questions related to age, gender, occupation, comorbidities, the regular medication used, the onset of cutaneous reactions after vaccination, and localization of reactions. Dermatological reactions were categorized according to whether they developed after the first or second dose of the vaccine or whether they occurred after the inactivated or messenger RNA (mRNA) vaccine. The relationship between dermatological reactions and some variables such as gender and comorbidities was also evaluated. Results: A total of 269 patients [116 women (43.1%), 153 men (56.9%)] were included in the study. It was observed that the dermatological diseases and reactions that most frequently developed after vaccination were urticaria (25.7%), herpes zoster (24.9%), maculopapular eruption (12.3%), and pityriasis rosea (4.5%). The rate of dermatological reactions was 60.6% after the administration of the mRNA vaccine and 39.4% after that of the inactivated vaccine. There was a statistically significantly higher number of reactions among the patients that received the mRNA vaccine (p = 0.001). Conclusion: The most common reactions in our sample were urticaria, herpes zoster, and maculopapular eruption. Physicians should know the dermatological side effects of COVID-19 vaccines and their clinical features

Diagnosis of comorbid migraine without aura in patients with idiopathic/genetic epilepsy based on the gray zone approach to the International Classification of Headache Disorders 3 criteria

BackgroundMigraine without aura (MwoA) is a very frequent and remarkable comorbidity in patients with idiopathic/genetic epilepsy (I/GE). Frequently in clinical practice, diagnosis of MwoA may be challenging despite the guidance of current diagnostic criteria of the International Classification of Headache Disorders 3 (ICHD-3). In this study, we aimed to disclose the diagnostic gaps in the diagnosis of comorbid MwoA, using a zone concept, in patients with I/GEs with headaches who were diagnosed by an experienced headache expert.MethodsIn this multicenter study including 809 consecutive patients with a diagnosis of I/GE with or without headache, 163 patients who were diagnosed by an experienced headache expert as having a comorbid MwoA were reevaluated. Eligible patients were divided into three subgroups, namely, full diagnosis, zone I, and zone II according to their status of fulfilling the ICHD-3 criteria. A Classification and Regression Tree (CART) analysis was performed to bring out the meaningful predictors when evaluating patients with I/GEs for MwoA comorbidity, using the variables that were significant in the univariate analysis.ResultsLonger headache duration (<4 h) followed by throbbing pain, higher visual analog scale (VAS) scores, increase of pain by physical activity, nausea/vomiting, and photophobia and/or phonophobia are the main distinguishing clinical characteristics of comorbid MwoA in patients with I/GE, for being classified in the full diagnosis group. Despite being not a part of the main ICHD-3 criteria, the presence of associated symptoms mainly osmophobia and also vertigo/dizziness had the distinguishing capability of being classified into zone subgroups. The most common epilepsy syndromes fulfilling full diagnosis criteria (n = 62) in the CART analysis were 48.39% Juvenile myoclonic epilepsy followed by 25.81% epilepsy with generalized tonic-clonic seizures alone.ConclusionLonger headache duration, throbbing pain, increase of pain by physical activity, photophobia and/or phonophobia, presence of vertigo/dizziness, osmophobia, and higher VAS scores are the main supportive associated factors when applying the ICHD-3 criteria for the comorbid MwoA diagnosis in patients with I/GEs. Evaluating these characteristics could be helpful to close the diagnostic gaps in everyday clinical practice and fasten the diagnostic process of comorbid MwoA in patients with I/GEs

Ibn Tabataba and his work entitled İyar al-Shir

Yüksek Lisans Teziİbn Tabâtabâ (322/934), Abbasilerin ikinci döneminde yaşamıştır. Bu dönem, kültürel ve ilmî açıdan hareketli bir dönem olmuş her alanda çok değerli eserler ortaya konulmuştur. İbn Tabâtabâ, öğrenimini doğup büyüdüğü yer olan Isfahan'da tamamlamış ve Arap Dili alanında önemli eserler ortaya koymuştur. Ancak onun günümüze ulaşan en önemli eseri 'Iyâru'şŞi'r'dir. Bu eser şiir konusuna yoğunlaşmış olup belagat ve edebî tenkit alanında çok önemli bir yer tutmuştur. 'Iyâru'ş-Şi'r yazıldığı dönemde pek çok âlim ve sanatkârı etkilediği gibi edebî tenkit alanındaki değerini günümüze kadar korumuştur.Ibn Tabâtabâ (322/934) lived in the second period of Abbasids. This was a culturally and scientifically dynamic period in which numerous valuable works were composed in every field. Ibn Tabâtabâ completed his education in Isfahan, where he was born and raised. He has produced important works in the Arabic language field. But Iyar Al-Shır is the only extant work of him. This work focuses on poetry and has an extremely important place in the field of rhetoric and literary criticism. Iyar Al-Shır influenced many scholars and artists of its time and it has preserved its value in the field of literary criticism until the present time

Dikkat eksikliği hiperaktivite bozukluğu ve yıkıcı davranış bozukluğu tanılı çocukların yalnızca ilaç tedavisi ve ilaç tedavisi + ebeveyn eğitimi tedavi seçeneklerine verdikleri yanıtların on sekiz ay süreli izlem çalışmasıyla değerlendirilmesi

[Abstarct Not Available

The reasons of intrauterin device discontinuation in women applied to a family planning policlinic

Amaç: Rahim içi araç (RİA) uygulaması aile planlamasında yaygın olarak kullanılan, güvenilir, ekonomik bir metottur. Bu çalışmada, bir aile planlaması polikliniğine başvuran kadınlarda RİAyı terk etme nedenlerini ve etkileyen faktörleri araştırmayı amaçladık. Yöntem: Tanımlayıcı tipteki bu çalışma 01.12.2012- 31.12.2012 tarihleri arasında, Konya Faruk Sükan Çocuk Hastalıkları ve Doğumevi aile planlaması polikliniğine RİA çıkarılmak üzere başvuran 18 yaş ve üstü 190 kadında yapıldı. Verilerin toplanmasında araştırmacılar tarafından literatür doğrultusunda geliştirilen katılanların sosyodemografk özellikleri ve RİAyı terk nedenlerini sorgulayan bir anket formu kullanıldı. Bulgular: Katılanların yaş ortalaması 33,528,78 yaş (20-58) idi. Kadınların %64,2si ilköğretim, %23.2si ortaokul-lise mezunu ve bunların %92,1i ev hanımı idi. Kullanılan RİA tipi %97,8 sıklıkta en fazla bakırlı RİA idi. RİA kullanımı sırasında karşılaşılan şikayetler sorgulandığında %52,6sı RİA öncesine göre menstrüel kanama miktarının arttığını, %51,6sı kanama süresinin uzadığını, %40,0ı menstrüel siklusunun ağrılı olduğunu, %51,6sı kötü kokulu akıntının, %35,8i cinsel ilişki sırasında ağrısının olduğunu bildirdi. RİA kullanmayı terk etme nedenleri incelendiğinde; sıklık sırasıyla %34,2si çocuk istedikleri için, %17,9u menstrüel kanamanın uzaması, %14,2si uterin enfeksiyon, %10,5i RİAnın spontan atılması nedeni ile RİAyı terk ettiklerini bildirmişlerdi. Yaş, çocuk sayısı ve evlilik süresi arttıkça RİAyı terk etme sıklığı da artmakta idi. Bu fark istatistiksel olarak önemli idi (p0,001). RİA kullanma süresi ile çıkarılma nedenleri arasındaki ilişki incelendiği RİA kullanma süresi özellikle çocuk isteyen kadınlarda daha kısa süreli iken, menopozdaki kadınlarda daha uzun süreli idi (p0,001). Sonuç: RİA kullanımının bırakılmasında çocuk sahibi olma isteği birinci neden olarak yer alırken uzun ve ağrılı menstrüel kanama, uterin enfeksiyon, RİAgebelik olması diğer nedenler arasında yer alıyordu.Objective: Intrauterine device (IUD) application is a widely used effective, safe and economic method for family planning. In this study, we aimed to assess the reasons of intrauterine device discontinuation in women applied to a family planning policlinic. Methods: This descriptive study was performed in a family planning policlinic with 190 women, aged 18 and older, who admitted for IUD removal between 01.12.2012-31.12.2012. Their socio-demographic characteristics and the IUD discontinuation reasons were surveyed by a questionnaire which is developed by researchers according to the literature. Results: The participants mean age was 33.52±8.78 years. Of the respondents, 64.2% had primary school, 23.2% had middle/high school education and 92.1% of them were housewives. The most frequently used IUD type (97.8%) was copper-containing intrauterine device (Cu-IUD). The complaints due to IUD use were; 52.6% increase in menstrual bleeding comparing to previous, 51.6% prolonged bleeding time, 40.0% dysmenorrhea, 51.6% foul-smelling discharge, 35.8% pain during sexual intercourse. The causes of discontinuation were; the desire to have children (34.2%), intermenstrual spotting or prolonged menstrual bleeding (17.9%), uterine infection (14.2%), spontane expulsion (10.5%) respectively. Increase in age, number of children and duration of marriage was related with higher frequency of IUD discontinuation. This difference was statistically signifcant (p0.001). When we searched for the relationship between the duration of IUD use and reasons for removal, IUD using time was short in women who want child whereas it was long in menopausal period (p0.001). Conclusion: Whilst the desire to have children was the privileged reason of IUD discontinuation, prolonged and heavy menstrual bleeding, dysmenorrhea, uterine infection, IUD plus pregnancy were the other causes