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  • Küçük Resim
    Öğe
    Asperger sendromunda proton manyetik rezonans spektroskopi: Nöropsikolojik testlerle ilişkisi
    (2009) Öner, Özgür; Özgüven, Halise Devrimci; Öktem, Ferhunde; Yağmurlu, Banu; Baskak, Bora; Ölmez, Şenay; Munir, Kerim
    Amaç: Daha önceki çalışmalarda otizm spektrum bozukluklarında zihin kuramı (ZK) sorunları olduğu gösterilmiştir, ancak bu olgularda ZK performansı ile beyin nörokimyasal bulguları arasındaki ilişki incelenmemiştir. Bu çalışmanın amacı 1H Manyetik Rezonans Spektroskopi (MRS) yöntemiyle dorsolateral prefrontal korteks (DLPFK) ve anterior singulat korteks (ASK) N-Asetil-Aspartat (NAA)/Kolin (Cho), NAA/Kreatin (Cr) ve Cho/Cr değerlerinin ZK performansı ile ilişkisinin incelenmesidir. Yöntem: Onüç sağ elini kullanan, yetişkin erkek Asperger Sendromu (AS) olgusu (yaş 17-37) ve bu olgularla yaş, cinsiyet, el kullanımı ve Weschler Yetişkinler İçin Zeka Ölçeği, Gözden Geçirilmiş Form Toplam Zeka Bölümü bakımlarından benzeştirilmiş 20 sağlıklı kontrol çalışmaya dahil edilmiştir. Bulgular: Bulgular AS olgularının ZK performansının anlamlı şekilde daha düşük olduğunu göstermiştir. DLPFK NAA/Cho düzeyi ZK puanı ile ters korelasyon göstermektedir (r=-.738, p=. 004). Öte yandan ZK performansı ile DLPFK Cho/Cr arasında düz korelasyon bulunmaktadır (r=. 656, p=. 015). ASK MRS değişkenleri ile ZK performansı arasında ise anlamlı bir ilişki bulunmamıştır. Tartışma: Sonuçlar DLPFK Cho düzeyi arttıkça AS olgularında ZK performansının arttığını düşündürmektedir.
  • Küçük Resim
    Öğe
    Evaluation of cognitive slowing in OCD by means of creating incongruence between lexicon and prosody
    (Elsevier Ireland Ltd, 2010) Koçak, Orhan Murat; Nalçacı, Erhan; Özgüven, Halise Devrimci; Nalçacı, Emel Güneş; Ergenç, İclal
    Studies indicate that patients with obsessive-compulsive disorder (OCD) have slowing in cognitive processing, especially in the presence of a conflict. This study aimed to determine whether decision and motor times in OCD patients were affected by manipulating the congruence/incongruence of lexical and prosodic aspects of commands. An experimental paradigm was designed to simulate a situation that can trigger anxiety and obsessions in OCD patients. Commands with or without a conflict, that is. an incongruence between lexical and prosodic aspects, were given to the participants. Decision time, motor time and errors were the main parameters of the experiment. The control group had significantly faster decision times than the OCD group in response to both conflicting and non-conflicting commands. The OCD patients demonstrated higher trait anxiety, while Stroop interference and state anxiety were not significantly different between the groups. These results suggest that OCD patients experience slowing in their response times, regardless of whether the stimuli are conflicting or not. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
  • Küçük Resim
    Öğe
    The impact of CYP2C19 polymorphisms on citalopram metabolism in patients with major depressive disorder
    (Wiley, 2015) Uçkun, Zuhal; Başkak, Bora; Özel-Kızıl, Erguvan Tuğba; Özdemir, Hatice; Özgüven, Halise Devrimci; Süzen, Halit Sinan
    What is known and objective: Genetic variations in drug-metabolizing enzyme genes change drug pharmacokinetics and response. CYP2C19 is a clinically important enzyme that metabolizes citalopram (CIT). The objective of this study was to determine CYP2C19 genetic polymorphisms and to evaluate the impact of these polymorphisms on the metabolism of citalopram in a sample of the Turkish population. We also assessed *17 polymorphism in healthy subjects in this population. Methods: The CYP2C19 genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism method (209 healthy individuals and 50 patients for CIT metabolism), and the plasma concentrations of CIT and demethylcitalopram (DCIT) were quantified by high-performance liquid chromatography. Results and discussion: The CYP2C19*1 and *17 allele frequencies for the patient group and the healthy group were 71.0%, 18.0% and 81.1%, 18.9%, respectively. There was no significant difference between the two groups (P > 0 . 05). The mean plasma concentrations and the mean dose-corrected (C/D) plasma levels of DCIT were significantly higher in patients with the CYP2C19*1/*1 genotype compared to patients with CYP2C19*1/*2 and CYP2C19*2/*2 genotypes (P < 0 . 05). Furthermore, the mean metabolic ratio (MR, CIT/DCIT) was also significantly higher in the CYP2C19*1/*2 + CYP2C19*2/*2 genotypes (P < 0 . 05). On the other hand, plasma CIT, DCIT concentrations and M/R value in the CYP2C19*1/*1 genotypes were no different to those of the CYP2C19*1/*17 genotypes (P > 0 . 05). What is new and conclusion: Our data suggest that CYP2C19*17 polymorphism does not have a significant effect on CIT metabolism. In contrast CYP2C19*2 polymorphism has a prominent role and is likely to contribute to interindividual variability in CIT metabolism in vivo at therapeutic doses.