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    Does attention deficit hyperactivity disorder have cardiac arrhythmia potential?
    (Cukurova University, Faculty of Medicine, 2018) Araz Altay M.
    Objective: Attention deficit hyperactivity disorder (ADHD) is quite common in the general pediatric population. In this population, sympathomimetic drugs, which are at risk of arrhythmia, are frequently used. In this study, ECG characteristics of drug naive ADHD patients were compared control group. Methods: This study was performed 43 drug naive ADHD patients and 36 healthy children who admitted to the child and adolescent psychiatry outpatient clinic between November 2017 and January 2018. A standard 12-lead ECG of the patient and control group were evaluated. The ADHD and control group data were compared by calculating the minimum and maximum QT inter-val, corrected QT (QTc), QT dispersion (QTd), the peak and the end of the T wave (Tp-e) and Tp-e dispersion (Tp-ed) on 12-lead surface ECG. Tp-e interval was measured tangent method. The Bazett formula was used for QT correction. Results: The mean age of the patients with ADHD was 10.6±3.2 and 62.8% of them were male and similar to the control group. There was no significant difference between ADHD and control groups in terms of heart rate, min QT, max QT and min Tp-e values. QTc, QTd, max Tp-e and Tp-ed intervals were statistically higher ADHD patients than control group. Conclusion: QT dispersion and Tp-e is a measure of transmural dispersion of repolari-zation and related to cardiac arrhythmias. High QTd, QTc, max Tp-e and Tp-ed intervals in ADHD patients may indicate a potential cardiac arrhythmia. Physicians should make careful assessments of ADHD patients before pre-scribing sympathomimetic drugs. © 2018, Cukurova University, Faculty of Medicine. All rights reserved.
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    Family physicians' awareness of autism spectrum disorder: Results from a survey study
    (Open Access Macedonian Journal of Medical Sciences, 2019) Araz Altay M.
    AIM: Autism spectrum disorder (ASD) is a common neurodevelopmental disorder in children. Family physicians with the first medical contact of children are among the most frequent physicians with ASD. We aimed to investigate family physicians' awareness of ASD. METHODS: This study was carried out family physicians in between September 25-October 15, 2018. The questionnaire form on autism awareness prepared by the researcher was delivered to family physicians electronically and in printed form, and it was filled out by volunteers. RESULTS: Forty-eight family physicians with an average professional experience of 16.9 ± 8.8 years participated in the study. A group of 66.7% of the participants had not previously received education on ASD, and 70.8% of them did not refer any child to child psychiatry with suspected ASD in the last 6 months. The participants stated that the most common clinical features in children with ASD were the inability to make eye contact (72.9%) and repetitive movements (47.9%), and 56.3% of them stated one or more features that are not observed in ASD. The compliance of the participants' answers about the clinical features observed in children wit h ASD with the DSM-5 criteria was determined to be 54.6 ± 18.4%. Significantly higher compliance rates were observed in the participants with education on autism and those working as a physician below 15 years. CONCLUSION: In our study, family physicians' awareness of ASD was not found to be adequate. Education programs on autism awareness should be applied to family physicians who are probably the most frequently encountered physicians by children with ASD. © 2019 Mengühan Araz Altay.