Person: YILDIZ, MESUT
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YILDIZ
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MESUT
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Publication Open Access Suicide among doctors in Turkey: Differences across gender, medical specialty and the method of suicide(2023-03-01) YILDIZ, MESUT; HIDIROĞLU, SEYHAN; YILDIZ M., Batun K. D., Sahinoglu H., Eryilmaz M. S., Ozel B., Ataoglu B., HIDIROĞLU S.Background. Doctors have higher rates of mental illness and suicide than the general population worldwide. Suicides of doctors are known to be underreported in developing countries. To the best of our knowledge, there are no studies investigating suicides among medical students and doctors in Turkey.Objectives. To investigate the characteristics of suicides in medical school students and doctors in Turkey.Materials and methods. In this retrospective study, newspaper websites and Google search engine were searched for information on medical school student and doctor suicides in Turkey between 2011 and 2021. Cases of suicide attempt, parasuicide or deliberate self-harm were not included in the study.Results. Sixty-one suicides were reported between 2011-2021. There was a male predominance (45 (73.8%)), and more than half of the suicides (32 (52.5%)) occurred among specialist doctors. Self poisoning, jumping from heights and firearms were the most common methods of suicide (18 (29.5%), 17 (27.9%) and 15 (24.6%), respectively). Cardiovascular surgery, family medicine, gynecology, and obstetrics specialties had the highest numbers of suicide deaths. Depression/mental illness was the most common speculated etiology. These results show that suicides among medical students and doctors in Turkey have characteristics that differ from both suicided among the general population in Turkey and doctor suicides in other countries.Conclusions. In this study, we identified the suicidal characteristics of medical students and doctors in Turkey for the first time. The results help us to better understand this understudied topic and provide an avenue for future studies. The data also indicate that it is important to monitor the individual and systemic difficulties experienced by doctors, starting from the medical education stage, and to provide individual and environmental support to help decrease the risk of suicide.Publication Metadata only Massive traumatic events and posttraumatic stress disorder(NOVA Science Publishers Inc., 2021-05-01) YILDIZ, MESUT; Yıldız M.; Turan Yurtsever, NursenPosttraumatic stress disorder (PTSD) is a psychiatric disorder that mayoccur in people who have experienced or witnessed a traumatic event suchas a natural disaster, a serious accident, a terrorist act, war/combat, or rapeor who have been threatened with death, sexual violence, or serious injury.Individuals with PTSD may have impairments in aspects of theirpsychological, physical, interpersonal, and occupational lives. PTSDusually has a chronic course and causes disruptions in the general andsocial functioning of the person. PTSD can be both underdiagnosed andoverdiagnosed in clinical settings. There are clear differences in the clinicalapproach to PTSD cases and the forensic perspective. The medicolegalapproach is different from the clinical viewpoint. Psychiatrists arefrequently asked for evaluations of traumatic events in civil and criminalmatters. Psychiatrists are asked to evaluate if the traumatic event caused orcontributed to a psychiatric disorder or a functional impairment. They arealso asked to make a distinction between causal and contributing factors.In addition, the factors that contribute to the person’s current mental stateand functionality should be well reviewed, and a possible malingeringshould not be overlooked. This chapter will review the clinical and ethical implications in evaluating patients with PTSD in a forensic setting.Publication Open Access Neuropsychological and clinical correlations of optical coherence tomography findings in patients with schizophrenia(2023-10-01) SAKALLI KANİ, AYŞE; ŞAHİN ÇAM, CANSUN; AKKAYA TURHAN, SEMRA; TOKER, AYŞE EBRU; YILDIZ, MESUT; Sakallı Kani A., Şahin Çam C., Çelik E. B., Dural Şenoğuz U., Duran M., Akkaya Turhan S., Toker A. E., Yıldız M.Objective: There are increasing studies examining retinal fiber layer (RNFL) and ganglion cell layer (GCL) thinning in patients with schizophrenia. However, the results are controversial, and clinical and cognitive reflections of these findings remain unclear. With this study, we aim to examine retinal abnormalities and establish correlations with cognitive and clinical parameters. Methods: In this cross-sectional study, we examined 29 patients with schizophrenia and 13 age and gender-matched healthy controls. All participants underwent psychometric assessment, neuropsychological tests, and optical coherence tomography (OCT) measurements. The retinal fiber layer and ganglion cell layer thickness were used as retinal parameters. Results: Five patients dropped out during the OCT measurement process, 24 patients with schizophrenia and nine healthy controls were included in the analysis. There was no statistically significant difference between groups in measuring retinal nerve fiber layer or ganglion cell layer thicknesses. The verbal fluency test score negatively correlated with left RNFL superior (ρ = – .422, p <.05). STROOP response duration positively correlated with right RNFL on average (ρ = .551, p <.05), left RNFL on average (ρ = .498, p <.05), right RNFL superior (ρ = .507, p <.05), left RNFL superior (ρ = .461, p <.05) and right RNFL temporal values (ρ = .434, p <.05). STROOP response error was also positively correlated with right RNFL temporal thickness (ρ = .430, p <.05). STROOP response duration was positively correlated with right GCL total (ρ = .646, p <.01), right GCL superior (ρ = .658, p <.01) and right GCL inferior (ρ = .596, p <.01) thickness. Conclusion: We did not find a significant relationship between reduced RNFL or GCL thickness and cognitive impairment. However, we had several positive correlations between cognitive task scores and RNFL and GCL thicknesses. Additionally, our study did not correlate symptom severity and clinical severity parameters with reduced RNFL or GCL thicknessPublication Metadata only Clozapıne induced myocarditis development in the late period: A Case report(2022-11-09) YILDIZ, MESUT; Yıldız M.Publication Metadata only A case report of a patient ınitially diagnosed with psyhotic depression rapidly switching to mania in treatment of bupropion rechallange(2021-11-17) KARAKUŞ, İBRAHİM HAKKI; AKÇA, ERDOĞDU; YILDIZ, MESUT; Karakuş İ. H., Akça E., Yıldız M.Publication Open Access The relationship between type d personality and impulsivity in medicine, dentistry, and nursing students(2023-05-01) YILDIZ, MESUT; Yıldız M.Amaç: D tipi kişilik negatif afektivite (NA) ve sosyal inhibisyonun (SI) belirgin olduğu bir kişilik tipi olarak tanımlanmaktadır. D tipi kişilik psikiyatrik semptomlarla ilişkilidir. Bu çalışmanın amacı klinik olmayan bir popülasyonda Tip D kişilik ile dürtüsellik arasındaki ilişkinin araştırılmasıdır. Gereç ve Yöntem: Çalışmaya toplamda sağlık alanında eğitim gören 462 üniversite öğrencisi dahil edilmiştir. Katılımcılara Beck Anksiyete Ölçeği (BAI), Beck Depresyon Ölçeği (BDI), Barratt Dürtüsellik Ölçeği-11 (BIS-11) ve D Tipi Kişilik Ölçeği (DS-14) ile değerlendirilmiştir. Bulgular: D tipi kişiliğin sıklığı % 39.6 idi. D tipi kişiliği olanlarda olmayanlarda göre BAI, BDI ve BIS ölçek skorları daha yüksek bulunmuştur. Korelasyon analizinde D tipi kişiliğin depresyon ve anksiyetenin şiddetiyle pozitif olarak korele olduğu gösterilmiştir. BIS ile ölçülen dürtüsellik skorlarının D tipi kişilik, depresyon ve anksiyete skorları ile pozitif yönde korele oldukları görülmüştür. Regresyon analizinde ise dürtüselliğin erkek cinsiyet ev depresyon skorları ile predikte edildiği gösterilmiştir. Sonuç: D tipi kişiliğik depresyon ve anksiyete şiddetiyle koreledir. Depresyon puanları ve erkek cinsiyet dürtüselliği yordamaktadır