Person: KIRLI, SELÇUK
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KIRLI
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SELÇUK
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Publication A pilot study: Is belonging one of the effective factors for perception of cities?(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2020-06-01) Kirli Özer, Gözde; KIRLI ÖZER, GÖZDE; Cahantimur, Arzu; ÇAHANTİMUR, ARZU; Kırlı, Selçuk; KIRLI, SELÇUK; Bursa Uludağ Üniversitesi/Tıp Fakültesi; Bursa Uludağ Üniversitesi/Mimarlık Fakültesi; AAI-4727-2021; AAH-2742-2021Objective: The identification of the person develops when he/she can distinguish between himself/herself and other relevant persons, and it includes objects, some areas and places that he/she considers his/her own. Thus, place identity is a substructure of self-definition and consists mostly of what one perceives about the physical world in which she lives. In this sense, belonging can be considered as a common field of study psychology, psychiatry and architecture. This study is planned as the first pilot study of a multidisciplinary research series to determine; reflections of the human-place relationship on the selection process and behavior, the perceptions of people about the homeworlds and how changes and/or distortions in perceptions affect people's psychology, and the importance of these effects in terms of psychiatric disorders and what preventive/preventive practices may be. Methods: In order to determine whether the sense of belonging is effective in the perception of a city or not, to measure the current perception of the city, a field study was conducted with the secondary school and undergraduate students who lived in Bursa but had never seen the Iznik before. On a day trip with two groups of students, the city of Iznik was visited by foot on a specific route. At the end of the trip, mental (cognitive) maps were obtained from students about their perception of the city, and then a 12-item General Belonging Scale was applied. Afterwards, the structures which were drawn on the maps and other symbolic elements were grouped as Ottoman, and Roman/Byzantine structures and the dominant preferences were determined for each subject. Conclusion: By comparing the characteristics of these preferences in terms of high and low belonging students' groups, it is concluded that belongingness is an essential factor in the perception of the city.Publication The burden of urinary incontinence on caregivers and evaluation of its impact on their emotional status(Aves, 2021-01-01) Kırlı, Elif Altınay; Türk, Şeyda; Kırlı, Selçuk; TÜRK, ŞEYDA; KIRLI, SELÇUK; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Psikiyatri Anabilim Dalı; GFL-4528-2022; CZU-1387-2022Objective: This study aimed to evaluate caregivers of children with urinary incontinence in terms of the caregiving burden and its associated manifestations.Methods: Caregivers of children who are being treated for urinary incontinence secondary to neurogenic and non-neurogenic lower urinary tract dysfunction (LUTD) were evaluated for caregiver burden (Zarit score), depression (Beck Depression Inventory [BDI]), and anxiety (Beck Anxiety Inventory [BAI]). Additionally, children were evaluated for dysfunctional voiding score. All scores were statistically analyzed for correlation with and relation to the caregiver's emotional status.Results: Zarit score was equal in caregivers of children with neurogenic and non-neurogenic LUTD. BDI score was higher in caregivers of patients with neurogenic LUTD, whereas BAI score was higher in caregivers of patients with non-neurogenic LUTD. In the evaluation performed, considering the etiological difference, Zarit score in the group with non-neurogenic LUTD correlated positively with BAI and BDI scores. In the neurogenic bladder group, Zarit score correlated with BDI score.Conclusion: It is important not only in psychiatric patients, but also in those with other chronic disease processes, to evaluate the mental status of caregivers and to support them in dealing with the problem.Publication The efficacy of flupenthixol decanoate in bipolar disorder patients who have no sufficient remission with existing treatments(Cumhuriyet Üniversitesi Tıp Fak Psikiyatri Anabilim Dalı, 2015-10-01) Eker, Salih Saygın; Akkaya, Cengiz; Pirinçci, Erdal; Cangür, Şengül; Kırlı, Selçuk; EKER, SALİH SAYGIN; AKKAYA, CENGİZ; Pirinçci, Erdal; KIRLI, SELÇUK; Uludağ Üniversitesi/Tıp Fakültesi/Ruh Sağlığı ve Hastalıkları Anabilim Dalı; Q-9477-2019; EKJ-8427-2022; FVU-0359-2022; CZU-1387-2022Objective: It is aimed to evaluate the prophylactic effect of flupenthixol decanoate in remitted BD patients. Methods: Remitted patients with bipolar disorder (BD), who had at least one mood episode each year in the last five years in spite of adequate pharmacotherapy, were included. Flupenthixol decanoate 20 mg/ml was administered in every two weeks. Hamilton Depression Rating Scale (HDRS), Young Mania Rating Scale (YMRS), Bipolar Disorder Functioning Questionnaire (BDFQ), General Assessment of Functionality (GAF) and Side Effect Rating Scale (UKU) were applied. Patients were followed up for 12 months. Results: Eight patients with a mean age of 34.7 +/- 7.5 were enrolled to the study. None of the patients were under monotherapy before the study enrollment. Three (37.5%) of the three patients were dropped out. The data of remaining 5 patients' were evaluated. At the end of the study mean number of mood episodes declined to 0.2 +/- 0.4 per year indicating a statistical significance and the mean score of BDFQ declined to 119.6 +/- 2.7. Conclusions: Flupenthixol decanoate significantly improved functionality and decreased the number of mood episodes allowing an alternative treatment even in remitted BD patients.Publication Metabolic, endocrinologic and cardiac effects of amisulpride: A 24-week follow-up study(Sage Publications Ltd, 2011-12-01) Kotan, Zeynep; Ertepe, Berrin; Akkaya, Cengiz; SARANDÖL, EMRE; AKKAYA, CENGİZ; Sarandöl, Emre; Özkaya, Güven; ÖZKAYA, GÜVEN; Kirli, Selçuk; KIRLI, SELÇUK; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Psikiyatri Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyokimya Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0003-0297-846X; A-4421-2016; ABE-1716-2020Background: Amisulpride is a second-generation antipsychotic which has been proved to be effective in the control of both positive and negative symptoms of schizophrenia. In this study we aimed to determine metabolic, endocrinologic and cardiac effects of amisulpride commonly used in our clinical practice.Methods: A total of 18 patients (11 males, 7 females) diagnosed with schizophrenia received amisulpride at the dosage of 800 mg/day and were followed up for 24 weeks. Positive and negative psychotic symptoms, extrapyramidal and sexual side effects, metabolic, endocrinologic and cardiac parameters were evaluated at regular intervals.Results: Significant improvement in both positive and negative symptoms was observed in patients starting from the second week of treatment. Prolactin levels increased significantly both in men and women starting from the measurement on day 4. Prolactin elevation was significantly higher in women than in men. Increase in total cholesterol level became significant at week 24. No other significant difference was observed between weeks 1 and 24 regarding the other parameters.Conclusions: The clinical data from the present study supports the fact that amisulpride is an effective and safe antipsychotic drug, but elevates prolactin levels in both sexes.