ÖzPurpose: In this study, it was aimed to examine the sociodemographic characteristics of the juvenile delinquents, who were sent to a university hospital by judicial authorities in order to prepare an expert report in accordance with Clause 31/2 of the Turkish Penal Code (TPC), and their families as well as nature of the offence, co morbid psychiatric diagnosis, and the prepared report results. Materials and Methods: This study was conducted by reviewing retrospectively the file records of children and adolescents who were required to be reported in accordance with Clause 31/2 of TPC in Outpatient Clinic of Child and Adolescent Psychiatry of a university hospital by judicial authorities between 01.04.2013 and 01.04.2015. From the judicial file records, socio-demographic characteristics of the cases and their families, WISC-R (Wechsler Intelligence Scale for Children-Revised) results, clinical evaluation results and information related to the judicial event were obtained. Results: It was found that 11.1% of the cases (n=7) were female and 88.9% (n=56) were male. Theft (40.5%) was on the first rank among the crime types committed by the cases who were claimed to get involved in crime. As a result of the clinical evaluation it was determined that 49.2% of the cases (n=31) had normal intelligence level, 38.1% (n=24) had borderline intelligence level, and 12.7% (n=8) had mental retardation. Conclusions: The intellectual limitations in juvenile delinquents, socio-economic difficulties, and frequency of the low education levels in both children and families are remarkable. In order to reduce juvenile delinquency, it is considered as necessary to determine the needs of children at risk and take appropriate protective and supportive measures.Amaç: Bu çalışmada, adli makamlarca TCK madde 31/2 gereğince bilirkişi raporu düzenlenmek üzere bir üniversite hastanesine gönderilen suça sürüklenen çocuklar ve ailelerinin sosyodemografik özellikleri, suçun niteliği, eşlik eden psikiyatrik tanı ve düzenlenen rapor sonuçlarının incelenmesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışma, 01.04.2013-01.04.2015 tarihleri arasında adli makamlar tarafınca bir üniversite hastanesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları polikliniğine TCK madde 31/2 gereğince rapor düzenlenmesi istenen çocuk ve ergenlerin dosya kayıtlarının geriye dönük olarak taranması ile gerçekleştirilmiştir. Adli dosya kayıtlarından olgular ve ailelerinin sosyodemografik özellikleri, WISC-R (Wechsler Intelligence Scale for Children-Revised, WÇZÖ-R, Wechsler Çocuklar için Zeka Ölçeği-Yeniden Gözden Geçirilmiş Formu) sonuçları, klinik değerlendirme sonuçları ve adli olaya ilişkin bilgiler elde edilmiştir. Bulgular: Olguların %11,1'i (n=7) kız, %88,9'u (n=56) erkekti. Suça karıştığı iddia edilen olguların işlenen suç tipleri arasında ise ilk sırada hırsızlık (%40,5) yer almaktaydı. Klinik değerlendirme ile olguların %49,2'sinin (n=31) normal zeka düzeyinde olduğu, %38,1'inin (n=24) sınırda zihinsel kapasiteye sahip olduğu, %12,7'sinin (n=8) zeka geriliğinin bulunduğu bel...
Anah tarKe li me ler Öz AbstractObjective: The aim of this study was to evaluate socio-demographic characteristics, application reasons and diagnoses of cases applying to child and adolescent psychiatry outpatient clinic in order to receive a medical board report. MaterialsandMethods: File data of 405 cases in the child and adolescent group (0-18 years), who applied to Child and Adolescent Psychiatry Outpatient clinics of Adnan Menderes University Faculty of Medicine between 1 November 2014 and 31 October 2015 in order to receive a medical board report, were retrospectively examined. Results: Average age of the cases was determined as 6.32±4.62 years, and 42.7% (173) were female and 57.3% (232) were male. When reasons of applications to medical board for the disabled were examined, it was found that the most frequent reason of application is to make them receive special education or to continue their special education at the rate of 66%; when diagnosis distribution of the cases was examined, the most frequent diagnoses included mild mental retardation (28.3%), borderline intellectual functioning (23.5%), attention-deficit/hyperactivity disorder (13.6%), and learning disorder (12.6%). Conclusion: In our study, it was determined that the most frequent diagnosis in children applying to receive a medical board report was mild mental retardation and the most frequent reason of application was to receive special education report. The studies to be conducted with relation to cases applying to medical board for the disabled will help in formation of healthy demographic data about pathologies in our field and in approaching clinically to such cases.
It is suggested that in case of blockage in an energy center, illness or imbalance may occur and it may be treated by touching by hand according to Reiki. In this case, the first episode of psychosis with intense occupation of reiki will be presented. A 57 year-old woman presented with the complaints of auditory hallucinations, decreased need for sleep, and skepticism. In psychiatric examination; poor self-care, irritable affect, decreased psychomotor activity, flight of associations, mystic delusions, and auditory illusions were noted. It was her first psychiatric administration and her complaints were exacerbated 10 days ago. According to her family, the patient, who has no intimate friendship, has been busy with reiki for 4 years. As the level of reiki goes up, the patient, who predicts the increase of the auditory hallucinations as a reward, has tried to heal the patients through the energy and has tried to eat the earth and to throw herself from 3 meters high. For a possible organic etiology, no pathological findings were found in the results of the blood tests and cranial MRI. Haloperidol 20 mg/day, biperidene 4 mg/day quetiapine 100 mg/day was recommended for the patient who was diagnosed as atypical psychosis. Within a week, her complaints were down. The beginning of the psychotic manifestations of our case, such as hearing the voices, may suggest that a mission like healing in this ritual leads the patient to a psychotic life. From another point of view, the fact that the patient's introverted prodromal period may suggest that there is a psychotic pattern with negative symptoms in the beginning, and perhaps the patient may turn to this area for self-medication. It may be appropriate to evaluate Reiki healing technique from the perspective of psychosis in addition to healing activity.
N-Acetyl cysteine (NAC) has been increasingly used for several psychiatric conditions such as autism spectrum disorders, obsessive compulsive disorder, hoarding disorder etc. Here we report two cases with diagnosis of trichotillomania who had been treated with NAC successfully.
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