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Objectives: This study aims to investigate the rate of type D personality in Turkish patients with fibromyalgia (FM) and evaluate its associations with clinical parameters of FM as well as its effects on health-related quality of life (HRQoL). Patients and methods: The study included 100 patients with FM (14 males, 86 females; mean age 34.6±7.4 years; range, 22 to 49 years) fulfilling 1990 American College of Rheumatology diagnostic criteria and 50 healthy controls (9 males, 41 females; mean age 32.6±6.5 years; range, 21 to 50 years). Type D personality was assessed using the type D scale-14 (DS-14). FM disease severity was determined by Fibromyalgia Impact Questionnaire (FIQ), functional status by Stanford Health Assessment Questionnaire (HAQ), and HRQoL by Nottingham Health Profile (NHP). Severity of pain and fatigue were measured by visual analog scale (VAS). Results: The frequency of type D personality was 33% in FM patients and 12% in controls (odds ratio=3.612, 95% confidence interval 1.398-9.333) (p=0.006). Type D FM patients scored higher in tender point count (TPC), FIQ, HAQ, VAS-pain and all NHP subgroups except energy (p<0.01). Type D personality was found to be correlated with FIQ, TPC, HAQ, VAS-pain and NHP subgroups except energy (p<0.01). Conclusion: Based on our findings, assessment of personality characteristics of patients with FM may hold the key for the treatment of the disease. Besides, a better understanding of personality-related pain in FM patients may provide a more targeted approach to pain treatment.

<b><i>Purpose:</i></b> This study aimed to investigate the relationships between intravaginal ejaculatory latency time (IELT), severity of disease, and chronotype in lifelong premature ejaculation (PE). <b><i>Materials and Methods:</i></b> Evaluation was made of 114 males with PE and 103 healthy individuals, and comparisons were made of self-estimated IELT, Arabic Index of Premature Ejaculation (AIPE), Pittsburg Sleep Quality Index (PSQI), and Morningness-Eveningness Questionnaire (MEQ). <b><i>Results:</i></b> The frequency of morningness chronotype (78.1%) was significantly higher, and Morningness-Eveningness Questionnaire (MEQ) scores were negatively correlated with both IELT (<i>r</i> = −0.490, <i>p</i> &#x3c; 0.001) and Arabic Index of Premature Ejaculation (AIPE) scores (<i>r</i> = −0.639, <i>p</i> &#x3c; 0.001) in the PE group. MEQ scores significantly predicted IELT (<i>t</i> = −2.465, <i>p</i> = 0.015) and AIPE scores (<i>t</i> = −4.003, <i>p</i> = 0.000) in the PE group but not in the control group. <b><i>Conclusion:</i></b> It can be asserted that morningness chronotype is more common, and ejaculatory latency time and PE severity are associated with chronotype in males with PE.

Swallowing difficulty items in PD patients involved anxious, phobic and somatic symptoms associated with swallowing. In addition, swallowing difficulty symptoms in PD patients can be confounded with eating disorder symptoms.

Duloxetine is a balanced and potent serotonin and noradrenaline reuptake inhibitor which is known to be effective in depression and anxiety disorders. The common adverse effects include dry mouth, nausea, insomnia, somnolence, dizziness and constipation. Reported adverse effects of the extra pyramidal symptoms (EPS) are rare. In this case, a patient who suffered from acute dystonia, after only one dose of 30 mg duloxetine is presented.

Background: Schizophrenia is known to be accompanied with increased cardiovascular mortality, which causes reduced life expectancy. Aim: The aim of the current study was to investigate if atherogenic index of plasma (AIP) could be a good marker in assessing cardiovascular disease (CVD) risk in patients with schizophrenia. Methods: Patients with schizophrenia ( n = 328) and healthy controls ( n = 141) were recruited. Schizophrenia patients were evaluated according to the presence of antipsychotic (AP) drug use as AP(+)Sch group and AP(−)Sch group. Atherogenic indices, such as AIP, Castelli’s risk index-I (CRI-I), Castelli’s risk index-II (CRI-II), and atherogenic coefficient (AC), were calculated according to the laboratory examination of serum lipid parameters. Results: According to the comparison of serum lipid levels, triglyceride (TG) levels were found to be highest and high-density lipoprotein–cholesterol levels were lowest in AP(+)Sch group than AP(−)Sch group and control group (CG) ( p < 0.001). AIP, CRI-I, and CRI-II scores were found to be significantly higher in AP(+)Sch group than AP(−)Sch group, and in AP(−)Sch than healthy controls ( p < 0.001). Mean AC scores were higher in AP(+)Sch group than both AP(−)Sch and CG and were similar in AP(−)Sch and control subjects ( p < 0.001). According to the correlation analysis, AIP scores were positively correlated with duration of disease ( r = 0.235; p = 0.002) and age ( r = 0.226; p = 0.003) in AP(+)Sch group but not in drug-free subjects. In all groups, atherogenic indices of CRI-I, CRI-II, and AC scores were found to be positively correlated with AIP scores ( p < 0.001). Conclusion: Our results suggest that AIP is an easily calculable and reliable marker for determining the CVD risk in both drug-free schizophrenia patients and patients under AP treatment.

Objectives: Both males and females carried out pubic hair removal by various methods usually for visual/aesthetic or psychosexual reasons. The aim of the present study was to evaluate self-esteem, body image and sexual functions of women before and after total laser pubic hair removal (TLPHR) which is frequently being prefered due to its long-lasting effects. Methods: A total of 45 sexually active women between 20 and 50 years of age who underwent total laser pubic hair removal were included in the study. The sociodemographic features, Female Sexual Function Index (FSFI), Rosenberg Self Esteem Scale (RSES), Body Cathexis Scale (BCS), Beck Depression Inventory (BDI) of the participants were assessed before the first session and after the 6th session of TLPHR procedure. Results: Total RSES, total BCS scores and the 40th item of the BCS score significantly decreased after the TLPHR procedure (p < 0.001). Total FSFI scores and also FSFI subscales of desire, arousal, lubrication and satisfaction scores were significantly increased after TLPHR (p < 0.001). Conclusion: Our study results demonstrated that self-esteem, genital and total body image, sexual desire, sexual arousal and sexual satisfaction was improved after TLPHR procedure. Wider sampled studies examining the effects of laser pubic hair removal on individual, relational and psychosocial issues in both males and females are needed.