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Objective: Headache during childhood is a common condition. Although recent studies have shown that the autonomic nervous system (ANS) in adult migraine patients is affected, there are few studies evaluating this relationship in children. Adult migraine patients demonstrate no abnormal ANS function in either the sympathetic or parasympathetic nervous system but there can be sympathetic/parasympathetic hypofunction/hyperfunction. The aim of this study is to investigate autonomic dysfunction in pediatric migraine patients. Method: The study evaluated tests for autonomic functions such as the orthostatic test, 30: 15 ratio, cold-pressor test, heart-rate responses to deep and normal breathing, valsalva ratio (VR), blink reflex (BR), and sympatheticskin-response with thirty pediatric migraine patients in interictal period. Patients in control group were selected from children that had not any other disease or headhache. Results: Consistent with sympathetic hypofunction, there was more frequent orthostatic hypotension in migraine group (p=0.019) and negative correlation between average disease duration, migraine attack duration and orthostatic tests results. Consistent with parasympathetic hyperfunction, the migraine group had higher VRs (p=0.035). There was a negative correlation between analgesic use rate and normal respiratory-RR-interval variability and between attack rate and deep and normal-R-R interval (R-wave peak to R-wave peak in electrocardiograms) variability. There was a positive correlation between average disease duration and BR R2 and R2’ latency in migraine group (p=0.028 and p=0.027). Conclusion: Our study revealed that ANS functions are affected in pediatric migraine and balance between sympathetic and parasympathetic nervous system is distrupted.Our study demonstrates decreased sympathetic responsiveness during the interictal period. Our results suggest hypofunction in the parasympathetic nervous system of migraine patients as attack rate and pain density elevate.

Amaç: Bu çalışmada, kontrol ve bağlılık odağından insan kaynakları yönetimi uygulamalarının çalışanların iş becerikliliği davranışları üzerindeki rolünü belirlemek amaçlanmıştır.Yöntem: Çalışmanın amacı doğrultusunda İzmir ilinde bulunan bir üniversitenin İnsan Kaynakları Yönetimi Bölümü üçüncü sınıf öğrencilerinden 22 kişi seçilmiş ve yarı yapılandırılmış görüşmeler gerçekleştirilmiştir. Görüşmelerden elde edilen cevaplar betimsel analiz yöntemiyle incelenmiş ve yorumlanmıştır.Bulgular: Araştırma sonucunda, kontrol odaklı insan kaynakları yönetimi uygulamalarının iş becerikliliğinin ortaya çıkmasını zorlaştırırken, bağlılık odaklı insan kaynakları yönetimi uygulamalarının iş becerikliliğinin ortaya çıkmasını kolaylaştırdığı belirlenmiştir. Ayrıca bazı kontrol odaklı insan kaynakları yönetimi uygulamalarının da çalışanların iş becerikliliğini olumlu yönde etkileyebileceği görülmüştür.Özgünlük: Literatürde kavramı henüz kontrol ve bağlılık odaklı insan kaynakları yönetimi uygulamaları kapsamında inceleyen fazla çalışmaya rastlanamamıştır. Bu çalışma, Türkçe literatürde bu odakta yer alan ilk çalışma olması açısından önem teşkil etmektedir.

Objective: Epilepsy and electroencephalography (EEG) abnormalities are more commonly seen in autism spectrum disorder (ASD). The aim of the present study is determine the risk factors that cause epilepsy, seizures and EEG abnormalities in cases with EEG examination who were followed with the diagnosis of ASD. Method: A total of 166 cases diagnosed with ASD according to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition in Dokuz Eylül University Faculty of Medicine Hospital Clinic of Child Psychiatry and whose neurological evaluations and examinations were performed in the pediatric neurology clinic, were included in the study. We retrospectively recorded and analyzed the cases' clinical features, the results of physical examination, imaging and EEG, comorbidities and medications they used. Results: Of the cases, 74.4% were male. The mean age of cases with epilepsy diagnosis, at least one seizure and epileptic discharges on EEG was higher (p

OBJECTIVE Recent data from the literature have recognized the importance of cerebellum in bipolar disorder. Brain imaging studies focusing on cerebellar volumetric changes in bipolar disorder demonstrated controversial data. The aim of this study is to investigate whether there is any difference between early-onset bipolar cases and healthy controls regarding cerebellar volumetric measurements. METHODS Patients with bipolar I disorder were compared to healthy controls in terms of total cerebellar volume, volumes of the right and left cerebellar hemispheres, and cerebellar volumetric asymmetry. All the sociodemographic, clinical data, and magnetic resonance image scans were collected retrospectively. Cerebellar volumes were evaluated using the stereological method. Asymmetry indices were calculated subsequently. RESULTS We recruited 10 bipolar I cases and 10 healthy controls. There were no statistically significant differences between the bipolar and the control groups for total cerebellar volumes, volumes of right and left cerebellar hemispheres, and cerebellar asymmetry indices. CONCLUSION Future studies focusing on cerebellar changes in early-onset bipolar disorder should include large case and control series and designed as follow-up studies for being able to determine the chronic effects of the illness on cerebellar volumes.

Objectives This study aimed to investigate whether early-onset schizophrenia (EOS) cases differ from controls regarding volumes of the total cerebellum and the right and left cerebellar hemispheres, and volumetric asymmetry. Correlations of cerebellar volumes and asymmetry indices with severity of symptoms and general functioning in cases of EOS were also assessed. Methods Adolescents with EOS (n = 23) were compared with controls (n = 23). Sociodemographic and clinical data, and magnetic resonance imaging scans that were acquired for routine clinical purposes were collected retrospectively. Cerebellar volumes were evaluated using the stereological method. Asymmetry indices were subsequently calculated. Scores of the Positive and Negative Syndrome Scale and the Children’s Global Assessment Scale were used to assess the severity of symptoms and general functionality. Results There were no significant differences in any of the cerebellar volumes and asymmetry indices between the two groups. Neither cerebellar volumes nor asymmetry indices were correlated with the severity of symptoms and general functionality in EOS. Conclusions Our findings suggest that the early-onset form of schizophrenia does not show apparent volumetric changes of the cerebellum. Additionally, the neural circuits involved in formation of symptomatology may not reflect any correlation with cerebellar volumes at mid-adolescence.

An ectopic or accessory limb attached to the back is an extremely rare and strange condition, and there are only a few documented cases in the worldwide literature. The first case was described by Jones and Larkin (1889). There are several theories regarding the origin of this condition. Asymmetric conjoined twinning which is located dorsally in the vertebral column (rachipagus) is the most probable diagnosis of our patient. Conjoined twinning is very rare and the incidence is 1 per 50 000 live births. Rachipagus is even rarer, with no more than 30 case reports so far (Chadha et al. (1993, 2006)). In this report, we present a patient who underwent successful surgical excision of a third arm attached to the back in the midline over the low-dorsal region. Differential diagnoses including teratoma and fetus in fetu are discussed.