To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Dissociative disorders have comorbidity with conversion disorder, borderline personality disorder, depression and somatization disorder. Though dissociative disorders and medical illness comorbidity is not investigated enough, epilepsy, cronic pain such as headache, pelvic pain and backpain are frequent with childhood trauma and dissociative disorders. Few studies indicated that headache is more frequent in people with childhood trauma but the relationship between dissociative experiences and headache, childhood and other traumas is not investigated enough.
The aim of this study is to investigate the frequency of childhood trauma and dissociative disorders and the relationship between them among patients with cronic headache.
DIS-Q, SDQ, DES and Childhood Trauma Questionare is given to 90 patients presented to Neurology headache unit. Patients scored DIS-Q>2 or SDQ>30 or DES>25 are called for another session to apply DDIS and SCID-D.
46,7% of the patients had comorbid psychiatric illness. In this population the percentage of childhood trauma was 58,9% (34,4% neglect; 24,7% physical abuse; 22,6% emotional abuse; 10,8% sexual abuse). 21,1% of the patients had at least one suicide attempt; 17,8% had self destructive behaviour. DDIS was applied to 33 and SCID-D to 19 of 90 patients. Any type of dissociative disorders is diagnosed in 31 of 33 patients evaluated with DDIS.
We found high prevelance of childhood trauma and dissociative disorders among patients who present to neurology headache unit. These findings may indicate that childhood trauma can play a role in the development of dissociative disorders and somatic symptoms such as headache.
Functional endoscopic sinus surgery can be performed under either local or general anaesthesia. The objective of this study was to investigate the haemodynamic effects of perioperatively administered dexmedetomidine, a new generation α-2-agonist, in patients for functional endoscopic sinus surgery.
Sixty-two patients who were planned to undergo functional endoscopic sinus surgery under local anaesthesia were included in the study. Following meperidine premedication, both groups were monitored in a standard manner with electrocardiogram, non-invasive blood pressure and percentages of peripheral saturation of oxygen. Saline intravenous infusion was started in the placebo group, and dexmedetomidine bolus intravenous infusion (an initial loading dose of 1 μg kg−1 given for a 10-min period followed by 0.7 μg kg−1 h−1) was administered to the treatment group. Maintenance dose infusion was stopped 15 min before the end of the surgical procedure.
Systolic, diastolic and mean arterial pressures, and heart rate markedly decreased in the dexmedetomidine group. However, dexmedetomidine had no effect on serum nitric oxide levels, measured by a nitric oxide/ozone chemiluminescence method. No significant difference was found in oxygen saturation levels of the two groups. Postoperative nausea and vomiting rates were significantly lower in the dexmedetomidine group. No adverse effects were observed with this α-2-agonist. Dexmedetomidine provided appropriate levels of sedation.
These results suggest that dexmedetomidine provides analgesia, adequate sedation and surgical comfort without adverse effects for patients undergoing functional endoscopic sinus surgery under local anaesthesia.
Email your librarian or administrator to recommend adding this to your organisation's collection.