ismail KARKA

Amac: Gunumuzde medya genis anlamiyla ele alindiginda, basta televizyon olmak uzere bilgisayar/internet, gazete, sinema, video, billboardlar, afisler gibi cesitli araclariyla yaptigi yayinlarda yogun sekilde siddet icerikli unsurlar barindirmaktadir. Bu siddet unsurlari, insan psikolojisini olumsuz yonde etkileyen en onemli faktorler arasinda sayilmaktadir. Bu calisma ile, ozellikle televizyonlarda yer alan siddet iceren haber ve programlarin, genclerde meydana gelen siddet olaylarina etkisini ve bireylerin ruh sagligini nasil etkiledigini arastirip, siddeti onlemek amaciyla alinabilecek onlemleri tartisip, bu konuda bir farkindalik olusturmayi amacladik. Materyal ve Metod: Veri toplama teknigi olarak yuz yuze anket yontemi kullanilmistir. Anketler Harran Universitesi Kampusunde rastgele secilen 109’u kadin 91’i erkek olmak uzere 200 saglikli universite ogrencisine uygulanmistir. Katilimcilarin anket formlari SPSS programinda frekans ve yuzdeleri hesaplanarak yorumlanmistir. Daha so...

Electroconvulsive therapy (ECT) is used as a primary treatment in major depressive disorder, including suicide risk, unresponsive manic excitation, and catatonic schizophrenia. Most side-effects of ECT are nondestructive and transient and can be prevented by special precautions. We describe an adolescent patient with bronchospasm developing after ECT. A 17-year-old male with a diagnosis of bipolar disorder was referred to our clinic due to non-response to treatment. He had a history of asthma. We decided to administer ECT due to non-response to treatment. The patient was prepared for ECT following evaluation by an anesthetist. Propofol was administered as an anesthetic and rocuroniumbromide as a muscle relaxant before ECT, and sugammadex was given after ECT. After the second ECT session, saturation decreased to 30%. All possible organic etiologies were excluded. We suspected that the crisis was caused by asthma, and the patient was treated accordingly. Two days subsequently, saturation rose to 95%. Reports of ECT-related bronchospasm are very rare. Propofol is widely used in ECT anesthesia because it has little deleterious effect on hemodynamic stability. Although rare, anaphylactic reactions resulting in bronchospasm have previously been reported.The presence of asthma in our patient may have been a facilitating factor in the progression of bronchospasm. Although in this case it is uncertain whether the bronchospasm was due to ECT or propofol, this should be remembered when applying ECT to patients with asthma.

Although a complete blood count is part of the evaluation before the use of electroconvulsive therapy (ECT), there are no known hematological contraindications for the procedure. A preliminary study was done on 31 randomly selected psychiatric patients (chronic schizophrenia, n=10; acute depression, n=8; acute mania, n=6; acute psychosis, n=6; delusional disorder, n=1) receiving ECT to study its hematological effects. Blood samples were drawn just before and 0, 1 and 2 h after ECT. Hemoglobin (Hb%), total and differential leukocyte count (TLC and DLC), red blood cell (RBC) count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC) and platelet count were measured on a fully automated hematology analyzer (Sysmex K-1000). Significant changes were found in TLC, percentage of polymorphs and lymphocytes, and Hb%. Changes in other parameters were not statistically significant. More such studies are needed to substantiate these observations and to understand the mechanism and implication of these effects.