13 research outputs found
A prevalence study of restless legs syndrome in Turkish children and adolescents
No full textObjective: To determine the prevalence of restless legs syndrome (RLS) in Turkish school children and adolescents during the past 12 months. Methods: A cross-sectional population study conducted in three primary and four high schools was randomly selected in the Umraniye district of Istanbul. In the first step, a 7-item questionnaire including pediatric diagnostic criteria of RLS proposed by the International Restless Legs Study Group was given to 4346 students aged from 10 to 19 years in the classroom. Candidates for definite RLS or probable RLS were selected by a face-to-face interview done by an expert. In the second step, a 58-item questionnaire was administered to the families of the selected subjects. The questionnaire aimed to survey family history, parent's awareness, and their behaviors for seeking treatment, as well as the differential diagnosis and comorbid disorders of RLS. Results: Definite RLS was diagnosed in 119 (2.74%) of the subjects and was more prevalent in females (3.42%) compared to males (2.04%) (p = 0.007). A family history of RLS was positive in 15.8% of the first-degree relatives of those 119 subjects. Less than half of the parents (45%) were aware of their children's symptoms and only 10.9% of these parents consulted medical centers. The most prevalent symptoms of sleep disturbances were restless sleep (28.6%) and daytime sleepiness (21%). Growing pains were reported in 54.5% of the 119 subjects with definite RLS. Symptoms of Attention-Deficit/Hyperactivity Disorder were found in 15.3% of the 119 subjects. Conclusions: RLS is prevalent in Turkish children and adolescents although family awareness of RLS is relatively low. (C) 2011 Elsevier B.V. All rights reserved
Anti-N-Methyl-d-Aspartate (Anti-NMDA) Receptor Encephalitis Rapid and Sustained Clinical Improvement With Steroid Therapy Starting in the Late Phase
No full textAnti-N-methyl-d-aspartate (anti-NMDA) receptor encephalitis is an autoimmune/paraneoplastic encephalitis, with neurologic and psychiatric symptoms. Early and aggressive therapy has been shown to improve prognosis although problems with executive functions and memory have continued for several years. A 15-year-old girl had a history of initial symptoms including behavioral difficulties, poor attention, and frequent seizures progressing to a catatonia-like state, 2.5 months after onset of initial symptoms. Anti-NMDA receptor antibodies were detected in serum and cerebrospinal fluid. Subsequent to treatment with methylprednisolone starting 3 months after onset, motor skills, responsiveness, self-care, and speech improved rapidly. Her neuropsychologica profile assessed after 2 months showed global difficulties predominantly in attention, executive functions, memory, and visual perception, which moderately recovered in the 7th and 24th months, respectively. Contrary to current literature supporting the positive impact of early immunomodulatory therapy, a dramatic resolution of major neurologic and psychiatric symptoms was detected with steroid treatment given in the late phase
When Is EEG Indicated in Attention-Deficit/Hyperactivity Disorder?
No full textThe authors investigated the parameters for predicting epileptiform abnormalities in a group of children diagnosed with attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 148 subjects aged between 6 and 13 (8.76 +/- 1.26; 25.7% female) years. Subtypes of ADHD and comorbid psychiatric disorders were defined according to DSM-IV criteria. The Wechsler Intelligence Scale for Children-Revised was applied to all patients. Most of the subjects (89.2%) had wakefulness and sleep electroencephalography examinations lasting about one hour. The authors found out that the coexistence of speech sound disorder (odds ratio [OR] 3.90, 95% confidence interval [CI]: 1.61-9.48) and higher Digit Span test performance (OR 1.24, 95% CI: 1.06-1.44) predicted the presence of accompanying epileptiform abnormalities. The prevalence of epileptiform abnormalities was 26.4%, and they were frequently localized in the frontal (41%) and centrotemporal (28.2%) regions. Higher percentage of speech sound disorder co-occurrence (64%) in subjects with rolandic spikes suggests that epileptiform abnormalities associated with ADHD can be determined genetically at least in some cases. Pathophysiology of epileptiform abnormalities in ADHD might have complex genetic and maturational background
Exacerbation of Tics After Combining Aripiprazole With Pimozide A Case With Tourette Syndrome
No full textSufism and Insurgency: Religiosity and Cosmopolitanism in Schwarze Jungfrauen by Feridun Zaimoglu and Günter Senkel
No full textAfter the terrorist attacks of 9/11, Islam is increasingly being viewed as the Other of an enlightened and tolerant Germany. Turkish-German author Feridun Zaimoglu and his co-writer Günter Senkel destabilize these Western assumptions in the play Schwarze Jungfrauen (2006), in which performed monologues from the perspective of Muslim women evoke both fundamentalist and mystical (Sufi) manifestations of Islam. The play challenges contemporary cosmopolitan theory's engagement with religion, implying that its insistence upon the rational individual's exercise of free will is actually conducive to fundamentalism. Instead, Schwarze Jungfrauen suggests, corresponding with Jean-Luc Nancy's philosophy, that any hope of stemming religious fundamentalism rests not in the perpetuation of immanent identities and universalizing ideologies, but rather in notions of religiosity and community beyond representation. Thus, rather than acting as a barrier to cosmopolitan solidarities, Islam, in the form of Sufism, in fact provides inspiration for a non-identitarian religiosity that would avoid religion-based conflict
Isotretinoin has no negative effect on attention, executive function and mood
No full textBackground According to some animal data, impairments in learning and memory are seen with isotretinoin. Isotretinoin has been shown to affect human brain metabolism, but the data on human neural functions is lacking. Objectives To evaluate whether isotretinoin treatment affects cognitive functions, causes depression and anxiety or alters anger level and anger expression. Methods Neuropsychological tests of attention and executive functions, behavioural tests measuring anger and depression and measures assessing acne severity were applied to 63 severe and / or resistant acne patients from four medical centres including one primary care institute and three university hospitals at the beginning, at the end of first month, third month and at end of treatment with isotretinoin. Results From a total of 63 patients, 15 missed the final visit and 48 were evaluated. Overall, 11 (six women, five men) and five (all women) patients reported anger and depression, respectively, during treatment. Eleven of these 16 patients improved spontaneously. No detrimental effects of isotretinoin treatment on either executive functions or mood were found. Several executive functions and control of anger trait were found to be improved. Clearing of acne was obtained in 94.6% of patients. Limitations Improvement of several measures may be related to learning effect of repeated testing. Investigating brain functions is a complex process and various methods can be used. Conclusion The test battery used in this study, which is commonly used to evaluate mental status both in adults and children, did not show any negative effect of isotretinoin on executive functional parameters in acne patients
PRIHVAĆANJE ILI ODBIJANJE – DVIJE MOGUĆNOSTI ODNOSA PREMA INTERKULTURALNOSTI
No full textThe article shows the problems and possibilities of intercultural discourse on the example of two foreign born writers, Florjan Lipuš and Feridun Zaimoglu, within a German speaking context. As both of them initially applied literature as a means of protest against their respective hegemonic societies the role of subversion poses itself. It is possible to see how in one case, Zaimoglu, subversion gave way to acceptance, whereas in the second case, Lipuš, the author stagnated in his selfimposed role of the rebellious outsider. Marginality thus became a constituent part of dominant culture. One can see here that acceptance is not only a requirement from the majority, but that it can also be fruitful from a minority perspective
Poetics Of Resonance And Legacies Of Sound In German Literature Since 1989
No full textMy dissertation analyzes two primary modes of engagement with sound in German literature since 1989. One is informed by the literary experiments of the interwar-and post-WWII avant-gardes, and the other is marked by vestiges of the manipulation of sound in Nazi and communist dictatorships. My first chapter examines complex relations between Herta Müller and Oskar Pastior, two Romanian writers of German ethnicity. By scrutinizing the relationship of these two authors to the Romanian avantgardes and their forms of experimentation in general (such as collage), I uncover both the potential of literary experiment to resist communist ideology and basic structures of untimeliness that Müller inherited from Pastior. The second chapter is dedicated to Marcel Beyer's prose and poetry, which testify to the influence of sound poetry and dub music on structures of contemporary prose. Beyer uses these innovative practices to recreate an imaginary East and explore unsuspected afterlives of colonialism and fascism in a present setting. My third chapter is devoted to the Turkish-German author Feridun Zaimoglu and his little discussed relation to the avant-garde. My discussion of Zaimoglu's work examines musical and ideological influences in his work, from the black power movement to rap aesthetics, but also probes the influence of the postcolonial Caribbean movement of négritude on his understanding and codification of sound. In my fourth chapter I address Thomas Kling's engagement with Dadaist experiments with sound as well as with the Wiener Gruppe's speech duets; I also show how Kling critically interprets these interwar and postwar traditions by recasting them in verses written under the sign of the digital. With this comparative study, I seek to contribute to the field of German studies as it intersects with the evolving scholarship on sound studies, media studies and performance studies, and I ask how the past of experimentation in its colonial, communist, and avant-gardist dimensions transforms and conditions the social and aesthetic textures of the present
Voices from the Borders. Feridun Zaimoglu’s <i>Kanaksprak</i>
No full textKanak Sprak, a collection of reportages by the Turkish-German author Feridun Zaimoglu issued in 1995, suggests two considerations: on the one hand on the strategies of empowerment of the stigma “Kanake”, which labels Turkish and other Germans with migration background who have been raised in the Federal Republic; on the other hand on the distortion of the mainstream language as a strategy of decolonization. Hence, this paper focuses on the subversion of the stereotype and the “relexification” of the language.
The stereotype works – as Homi Bhabha claims – like an apparatus, a deployment in which relations of force are formed and operate. By turning the stereotype into an articulation of their difference, Zaimoglu’s Kanaken try to subvert the hegemonic gaze, which contains their fluid identity into a label, and thus to assert their “in-betweeness” as “synthetic products”. Yet, their strategy of empowerment works as a performance of codes of behaviour and of a body language, which turn to absorb the mainstream gaze, failing in the claim for a resistant identity.
Furthermore their corrupted language, which is neither German nor Turkish, but a sort of provocative street slang rich in vernacular terms, works as a “relexification”, as Chantal Zabus calls the attempt to corrupt an European language with elements from another cultural substrate. Yet, Zaimoglu’s rendering of it sounds like a mockery of this slang, as the hegemonic German culture usually encodes it.
So, the fluid border crossing of Kanak interstitial identity in the end crystallizes in a mimicry, in which both codes of behaviour and language structures become a metonymic representation of difference
Dramatische Palimpseste: Klassikeradaptationen im zeitgenössischen deutschen und US-amerikanischen Theater
No full textAt the beginning of the 21st century, new adaptations of classical plays appear to serve as a means of cultural criticism for minority writers in Germany as well as in the US. In contrast to other scholars who have defined adaptation as a mere change from one genre or medium to another, this interdisciplinary and comparative study shows that the new dramatic palimpsests engage in transtextual conversations in order to recontextualize canonical works within contemporary discourses on ethnicity, race, and gender. First, in his “Überschreibung” (Overwriting) of Othello, the Turkish-German author Feridun Zaimoglu overwrites standard translation German with a multilingual German hybrid to underscore the discursive power of racist ascriptions. With its cast of three black actresses, Korean-born Young Jean Lee’s Lear represents another overwriting of a Shakespeare classic with the “tragedy of the black body.” Gendered representations are central to the feminist “Umschrift / Umschreibung” (Rescription / Circumscription) of classical myths. This second category compares the motif of female writing in Eurydice by American playwright Sarah Ruhl and Schatten (Eurydike sagt) (Shadow [Eurydice says]) by Austrian writer Elfriede Jelinek. Thirdly, “Überschreitungen” (Transgressions) mark the transtextual method to constitute a new play that includes parts of another play. Verrücktes Blut (Crazy Blood) by Nurkan Erpulat uses large passages of Friedrich Schiller‘s dramas Die Räuber (The Robbers) and Kabale und Liebe (Love and Intrigue) to represent transcultural identities on stage and to comment critically on minority discourses in Germany. In a similar vein, African-American playwright Branden Jacobs-Jenkins establishes in An Octoroon a meta-melodrama that features almost the complete text of The Octoroon, Dion Boucicault’s 19th century play, to raise critical questions of the portrayal of race in American theater and society. By situating the selected adaptations in an expanded theoretical context, the dramatic palimpsests reveal a mutual new aesthetics of theater adaptation informed by German and American theater traditions and cultural discourses
