Browsing by Author "Gurcan, Ahmet"

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Bupropion-induced leukopenia: A case report
(2021) Gurcan, Gamze; Gurcan, Ahmet; 0000-0002-3545-8981; ABB-1814-2021
Bupropion hydrochloride, a norepinephrine/dopamine reuptake inhibitor, is administered for the treatment of depression and smoking cessation. Common side effects of bupropion are dry mouth, nausea and insomnia, also it may lower the seizure threshold. The normal range of total white blood cell (WBC) count is 4000 -11000/mu l for adults. The values below 4000/ mu l, are defined as leukopenia. A 33-year-old woman admitted to the psychiatry outpatient clinic with the complaints of mild depression, also wanted to quit smoking. Bupropion hydrochloride (extended release-XL) 150 mg/day was initiated to the patient. The leukocyte count of her treatment was 3890/mu l at the third month and 3730/mu l at the fourth month. The leukocyte count was at normal value before initiation of bupropion hydrochloride (7220/mu l) and after stopping the treatment (7290/mu l). She did not have any chronic disease, medication and drug or alcohol abuse. According to this case, it is probable that there was a relationship between bupropion hydrochloride and leukopenia as an adverse event. Many idiosyncratic drug reactions involve blood dyscrasias. Some of the psychotropic drugs have been associated with leukopenia and sometimes agranulocytosis. Although some rare studies and case reports related to leukopenia have been reported with some of the antidepressants but to our knowledge bupropion induced leukopenia is not a common side effect. Therefore, reporting this adverse event due to bupropion is important to make a contribution to literature.
The Disquietude Of Clozapine Continuation During The COVID-19 Pandemic
(2022) Shoib, Sheikh; Bharati-Sinha, Vidya; Javed, Sana; Gurcan, Ahmet; Gurcan, Gamze; Das, Soumitra; Chandradasa, Miyuru; Saeed, Fahimeh; 35155830
Prevention of Suicides Associated with Global Warming: Perspectives from Early Career Psychiatrists
(2023) Shoib, Sheikh; Hussaini, Syed Sameer; Armiya'u, Aishatu Yusha'u; Saeed, Fahimeh; Ori, Dorottya; Roza, Thiago Henrique; Gurcan, Ahmet; Agrawal, Aditi; Solerdelcoll, Mireia; Lucero Prisno III, Don Eliseo; Nahidi, Mahsa; Swed, Sarya; Ahmed, Saeed; Chandradasa, Miyuru; 38045615
Climate change poses significant challenges to global mental health, with potential consequences including increased rates of suicide and mental health disorders. Early Career Psychiatrists (ECPs) play a crucial role in addressing these challenges. The Climate Psychiatry Alliance, a group of psychiatrists dedicated to improving mental health amidst climate change, recognizes the importance of cultivating climate-aware ECPs. Training ECPs to become confident climate-aware clinicians enables them to effectively treat patients experiencing anxiety, depression, and PTSD in the context of climate-related distress. Together with other mental health professionals, ECPs can contribute to efforts by implementing strategies for monitoring and treating mental health problems arising from climate events. Additionally, they can raise awareness about the psychological consequences and risks of suicide associated with climate change. Collaboration among ECPs from various regions is essential in developing community-based approaches and reducing vulnerabilities. ECPs must prioritize supporting vulnerable populations by advocating for increased funding for mental health support and research in affected areas. Long-term solutions to address the mental health impacts of climate change and global warming should be pursued to mitigate future suicidality. Integrating climate considerations into local mental health programs and expanding psychological support services is crucial. By promoting emotional resilience and self-awareness, ECPs can contribute to building a more climate-resilient and mentally healthy society.
Use Of Smartphone Applications In The Follow-Up Of Individuals With Bipolar Disorder: Psychiatrists' Opinions And Concerns
(2022) Gurcan, Ahmet; Celik, Hidayet Ece; Alici, Yasemin Hosgoren; Bagcaz, Arda; Ercis, Mete; Ceylan, Deniz
Violence Against Psychiatric Trainees from Asian Countries: A Pilot Online Survey
(2023) Parmar, Arpit; Gnanavel, Sundar; Gurcan, Ahmet; Rai, Yugesh; Karki, Utkarsh; da Costa, Mariana; Szczegielniak, Anna; Pereira Sanchez, Victor; 37204979
Background: Violence against psychiatry trainees is an important issue to the medical profession. However, this matter has been under researched, especially in Asian countries. Aim: We aimed to explore the rates and factors associated with violence against psychiatric trainees in Asian countries. Methods: An online, 15 item cross sectional pilot survey was designed and disseminated among psychiatric trainees in Asia through the World Network of Psychiatric Trainees, national and local networks of trainees, and social media. The questionnaire sought to enquire about the experience of physical, verbal, and sexual assaults and its impact. Data were analyzed using Statistical Package for the Social Sciences (SPSS) V20.0. Results: A total of 467 responses were obtained from psychiatric trainees in 16 countries in Asia. More than two thirds of participants (n = 325, 69.59%) reported a history of assault. Psychiatry inpatient units were the most common setting (n = 239, 73.54%). A relatively lower proportion of participants from the East Asian countries reported an assault, compared to other countries (chi(2) = 13.41, P = 0.001). Sexual assault was more common among women compared to men (chi(2) = 0.94, P = 0.002). Conclusion: Violence against psychiatric trainees seems common across Asian countries. Our findings call for further systematic investigation of the phenomenon and suggest the need to develop programs to protect psychiatric trainees against the threat of violence and its subsequent psychological complications.
Violence Against Psychiatric Trainees: Findings of a European Survey
(2021) Gurcan, Ahmet; 0000-0002-3545-8981; 34606076; ABB-1814-2021
Objectives Violence by patients against health care professionals has been widely described. Although psychiatric trainees are particularly exposed, little is known about the extent, context, and impact of violence toward them in Europe. Methods A cross-sectional online survey was distributed between June 2018 and December 2019 among European psychiatric trainees through professional networks, using a snowball approach. The questionnaire asked about experiences of verbal abuse and physical and sexual assaults, as well as their context and impact. Descriptive analyses of the obtained data were conducted. Results The survey was completed by 827 trainees from 39 countries (68.4% females). Most (83.6%) reported having been abused/assaulted at least once (of these, 92% verbally, 44.1% physically, and 9.3% sexually). Emergency rooms and inpatient units were the most frequent settings. Psychological impact of these events was commonly reported. Most respondents did not report abuses and assaults to their supervisors. They also described a lack of training for staff and aggression management plans at their institutions or of being unaware of their existence. Conclusions Violence from patients is reported by many psychiatric trainees across countries in Europe, with very frequent verbal abuse and worrisome figures of physical and sexual assaults. Particularly concerning are the low proportion of trainees reporting to authorities, the lack of staff training and management protocols, and trainees' lack of awareness about those resources. Despite the study limitation of a small response rate, these results support a call for urgent efforts to address this problem in Europe, and possibly beyond.