Etiology of a rare intraglandular foreign body in the parotid gland: Vegetable nidus

Foreign bodies observed in the parotid gland generally origins from trauma. These foreign bodies are commonly solid structures such as metal, stone, and glass, but foreign body compatible with plant histomorphology is a rare condition. In this study, we present the diagnosis and treatment methods that we applied to this clinical entity, which is very rare in the literature. A 44-year-old female patient who applied to our clinic with a mass on her left cheek that developed in the past 3 months was evaluated. The patient underwent foreign body excision from the parotid gland. On the patient who had a stricture in the Stensen duct during intraoperative exploration, the duct was dilated, and the patient was followed up. Foreign body with vegetative morphology, which settles into the parotid gland by retrograde migration, is a very rare condition. The importance of being aware of possible complications, and a meticulous surgical approach should also be taken into consideration

Yüksekten düflmenin neden olduğu trakea rüptürü

Follow-up and treatment of multiple lesions in intensive care units arearranged within the discipline of approach to a case of injury. Herein, wepresent a 38-year-old female patient who had head trauma caused by a fallfrom a minibus. The patient was presented to our intensive care unit withepidural hematoma; however, tracheal rupture was found during the follow-up. Tracheal injuries and especially ruptures are not frequentlyencountered events even in cases with severe traumas. In traumaticevents, it is difficult to diagnose tracheal rupture because of serious problems related with many organ systems. After establishment of diagnosis,it is possible to encounter relevant neurological and infectious problemsbecause of longer treatment process. As in the case with our patient, inpatients without any additional previously experienced respiratory problems while intubated development of respiratory distress hours afterrecurrent periods of intubation and extubation should suggest the presence of tracheal rupture.Yoğun bakım ünitelerinde birden fazla lezyonun izlem ve tedavisi, biryaralanma olgusuna yaklaflım disiplini kapsamında düzenlenir. Bu yazıda, bir minibüsten düflüflün neden olduğu kafa travmasına maruzkalmıfl 38 yaflındaki bir kadın hastayı sunduk. Hasta yoğun bakım ünitemize epidural hematomla gelmesine karflın, izlem sırasında trakearüptürü saptanmıfltır. Trakea yaralanmaları ve özellikle rüptürlereağır travmalarda bile sıklıkla rastlanmamaktadır. Travmatik olaylarda,birçok organ sistemiyle ilgili ciddi sorunlar nedeniyle trakea rüptürüne tanı koymak zordur. Tanı konduktan sonra daha uzun tedavi süreciyle ilgili nörolojik ve enfeksiyon sorunlarına rastlamak mümkündür.Hastamızda olduğu gibi entübe iken ilave solunumsal sorunlar yaflamayan hastalarda yinelenen entübasyon ve ekstübasyon dönemlerinden saatler sonra solunum sıkıntısının geliflmesi trakea rüptürününvarlığını düşündürmelidir

Türk romanında Yeniçeriler

Yeniçeri Ocağı, bir müessese olarak Osmanlı Devleti’nin kuruluşundan çok uzak olmayan bir zamanda kurulduğunda, örneği olmayan paralı askerî kuvvet olup ordunun en önemli vurucu gücünü oluşturmuştur. Padişaha kul olup tek işi savaşmak olan yeniçeriler, zaman geçtikçe aslından uzaklaşmış, düşman kuvvetlerle savaşmak yerine kendi devletiyle savaşır hâle gelmiş, bu kendi devletine kılıç çekmenin bedelini de tüm devlete ödetmişlerdir. Zira sık sık isyana teşebbüs eden ocaklı, sadece askerî zarar vermekle kalmamış, toplumsal, ekonomik, dinî birçok olumsuzluğa da sebep olmuştur. Hâl böyle olunca geçmiş ihtişamlı günleriyle bozulmanın günden güne arttığı dönemler arasında mukayeseli düşünme kaçınılmaz olmuştur. Gerçek hayattan beslenen tarihî romanlar için yeniçerilerin tükenmez bir kaynak olduğu, bu konuda birçok romanın verilmesine bakılarak anlaşılabilir. Osmanlı Devleti’nin ilk dönemlerinde en önemli askerî gücü, XVII. yüzyılın başlarından itibarense devleti çöküşe götüren önemli etkenlerden olan Yeniçeri Ocağı ve mensuplarının tarihî romanlarda, gerçeklerle ilişkisi bağlamında düşünülerek incelenmesi bu çalışmanın konusunu oluşturur. Bu incelemede Yeniçeri Ocağı’nın tarihî seyri ve tarihî roman türünün gerekleri/gerçekleri göz önünde bulundurularak romanlar incelenmeye çalışılmıştır. Anahtar Kelimeler: Türk edebiyatı, roman, tarihî roman, Osmanlı Devleti, Yeniçeri Ocağı, yeniçeri. ABSTRACT The Janissary corps that was founded not long after the establishment of Ottoman Empire were unique paid military forces and constituted the most significant striking power of the military. The janissaries were slaves of the sultan and their only job was to wage war. But in time, they deviated from their aims and instead of fighting the enemy forces, they started to fight their own states and they made the state pay the price for their actions. Their frequent rebellions not only harmed the military but also they caused socio-economical and religious problems. Therefore, it’s been unavoidable to make comparison between their glorious past days and the corrupt times. It can be understood by looking at the numerous novels that the janissary corps has become an endless source for historical novels which are nourished by real life. The analysis of the Janissary corps that was the most powerful military force of the Ottoman Empire in the early periods and also one of the important factors that led the state to collapse as of the beginning of the seventeenth century in the historical novels in terms of its relation to reality is the subject of this study. In this research, the historical process of the janissary corps is tried to be analyzed by taking the necessities of the historical novels into consideration. Keywords: Turkish literature, novel, historical novel, Ottoman Empire, The Janissary corps, janissar

Transdermal methyl alcohol intoxication: A case report

Methyl alcohol (methanol) is a colourless, odourless and bitter substance found in solvents, paint removers, varnishes, antifreezes, cologne and grain alcohol (1). Methanol is a central nervous system depressant that is potentially toxic after its ingestion, inhalation or transdermal exposure (1–4). Most of the patients have headache, nausea, vomiting, weakness and vision loss during this period. As a result of high intake, the patient presents with stupor, coma and even death. Although methanol intoxication is most frequently reported due to oral intake, cases of inhalation and transdermal methanol intoxication are reported as well (5). In this paper we report a rare case of transdermal methanol intoxication. We suggest that transdermal toxication should be considered and questioned whilst taking the medical history of a patient

Tracheal rupture caused by fall from a height

We encounter multiple cranial, thoracal, abdominal, and extremity lesions caused by traffic accidents and fall from a height. Follow-up and treatment of these cases in intensive care units (ICUs) are arranged within the discipline of approach to a case of injury. In the present case, we are dealing with a 38-year-old female patient who had head trauma caused by a fall from a minibus. The patient was presented to our ICU with tracheal rupture. Case Report A 38-year-old female patient who had an extravehicular traffic accident was sent to an external medical center and then her cerebral computed tomography (CT) was obtained because of head trauma. The patient with normal tomographic findings was admitted to ICU. When she was admitted in ICU her conscious was open; however, she was somnolent. She was consulted to neurosurgery department, which suggested her follow-up with cervical and cerebral CTs. She was spontaneously breathing through her intact respiratory tract and received oxygen ventilation at a rate of 3 L/min. Later on, she suffered from respiratory distress and underwent noninvasive intermittent mechanical positive pressure ventilation (NIMV). Control CT revealed right parieto-occipital epidural hematoma and then intracranial pressure catheter was implanted for drainage of the epidural hematoma. On the 9th day of her ICU stay when she was cooperative with improved general health state and open conscious, she was transferred from ICU to the service of neurosurgery. During her transfer to the service, she had intermittent fits of coughing which we thought to be related to airway irritation during her transfer to the service. Özet: Yüksekten düflmenin neden oldu¤u trakea rüptürü Yo¤un bak›m ünitelerinde birden fazla lezyonun izlem ve tedavisi, bir yaralanma olgusuna yaklafl›m disiplini kapsam›nda düzenlenir. Bu yaz›da, bir minibüsten düflüflün neden oldu¤u kafa travmas›na maruz kalm›fl 38 yafl›ndaki bir kad›n hastay› sunduk. Hasta yo¤un bak›m üni-temize epidural hematomla gelmesine karfl›n, izlem s›ras›nda trakea rüptürü saptanm›flt›r. Trakea yaralanmalar› ve özellikle rüptürlere a¤›r travmalarda bile s›kl›kla rastlanmamaktad›r. Travmatik olaylarda, birçok organ sistemiyle ilgili ciddi sorunlar nedeniyle trakea rüptürü-ne tan› koymak zordur. Tan› konduktan sonra daha uzun tedavi süre-ciyle ilgili nörolojik ve enfeksiyon sorunlar›na rastlamak mümkündür. Hastam›zda oldu¤u gibi entübe iken ilave solunumsal sorunlar yaflamayan hastalarda yinelenen entübasyon ve ekstübasyon dönemlerin-den saatler sonra solunum s›k›nt›s›n›n geliflmesi trakea rüptürünün varl›¤›n› düflündürmelidir. Anahtar sözcükler: Trakea rüptürü, yüksekten düflüfl, yaralanma. Abstract Follow-up and treatment of multiple lesions in intensive care units are arranged within the discipline of approach to a case of injury. Herein, we present a 38-year-old female patient who had head trauma caused by a fall from a minibus. The patient was presented to our intensive care unit with epidural hematoma; however, tracheal rupture was found during the follow-up. Tracheal injuries and especially ruptures are not frequently encountered events even in cases with severe traumas. In traumatic events, it is difficult to diagnose tracheal rupture because of serious problems related with many organ systems. After establishment of diagnosis, it is possible to encounter relevant neurological and infectious problems because of longer treatment process. As in the case with our patient, in patients without any additional previously experienced respiratory problems while intubated development of respiratory distress hours after recurrent periods of intubation and extubation should suggest the presence of tracheal rupture

Assessment of job satisfaction, work-related strain, and perceived stress in nurses working in different departments in the same hospital: A survey study

ObjectiveWe aimed to evaluate whether working at ICU, inpatient services, or the operating room creates differences in job satisfaction (JS), work-related strain (WRS), and perceived stress (PS) of nurses.Research methodologyThe study data were collected through face-to-face interviews. The data collection tools utilized in the study included a questionnaire form consisting of 19 questions.Work-Related Strain Inventory (WRSI), Short-Form Minnesota Job Satisfaction Questionnaire (SF-MSQ), and the Perceived Stress Scale (PSS) were used.ResultsAcross all groups, the mean scores of SF-MSQ were statistically significantly the lowest in the groups of nurses, who were not economically satisfied with their salaries at all, who reported that they did not do their dream jobs and that they were not fond of their jobs.The mean scores of WRSI were statistically significantly the lowest across all groups in the groups of nurses.The mean PSS scores were statistically significantly the lowest across all compared groups in the groups of nurses, who commute to work by their private cars.ConclusionHospital management and nursing services should address the overtime working conditions of nurses and provide satisfactory wage improvements

Tuberculosis cases presenting with spontaneous hemopneumothorax and hypotension

Sir, Tuberculosis (TB) is the second most common fatal infectious disease, following human immunodeficiency virus/ acquired immunodeficiency syndrome (HIV/AIDS), in the adult population. Socio-economic deprivation, immigration, wars, omission of tuberculosis control programs, and HIV/AIDS epidemics have led to an increase in the incidence of tuberculosis. The World Health Organization (WHO) publishes a global tuberculosis report annually. The 2013 report stated that, in 2012, 8.6 million people developed TB, and 1.3 million people died from the disease, including 320,000 deaths among HIV-positive individuals

Pulmonary hypertension classification based on machine learning using standart chest X-Ray: ATA Artificial Intelligence Study-1

[No Abstract Available

Klinik gözlem ve protokole dayalı weaning'in antioksidan stres faktörleri üzerindeki etkilerinin karşılaştırılması

BACKGROUND: We aimed to compare the effects of observation of the physician (POB) or by adhering to the protocol-based (PB) weaning methods on total antioxidant capacity (TAC) and total oxidative stress (TOS) levels and weaning success levels. METHODS: Our study was conducted on patients admitted from the emergency department between January 2015 and January 2018 in the intensive care unit of our hospital. During the spontaneous breathing trial (SBT), when one of the criteria specified in developed, SBT was terminated and the previous mechanical ventilator parameters were returned. The patient was planned to be taken to SBT again the next morning. If the SBT was successful, extubation was decided. The extubation decision based on physician observation was made according to the patient's state of consciousness and adequate chest expansion during the daily visit. RESULTS: The decrease in TAC average value before and after extubation was found to be significant in the POB group patients (p=0.001). The decrease in the average TAC value of the PB group patients before and after extubation was found to be significant (p=0.03). CONCLUSION: In our study, TAC values were found to be higher in the PB group than in the POB group, and in addition, the reintubation rate was found to be lower. We think that the management of weaning as a PB may contribute to maintaining the balance between TAC and TOS and reduce the rate of reintubation.AMAÇ: Bu çalışmada, hekim gözlemine (POB) veya protokole bağlı (PB) weaning protokolünün total antioksidan kapasite (TAC) ve total oksidatif stres (TOS) düzeyleri ve weaning başarı düzeyleri üzerindeki etkilerini karşılaştırmayı amaçladık. GEREÇ VE YÖNTEM: Çalışmamız Ocak 2015–Ocak 2018 tarihleri arasında hastanemiz yoğun bakım ünitesinde acil servisten başvuran hastalar üzerinde yapıldı. Spontan solunum denemesi sırasında, belirtilen kriterlerden biri geliştiğinde, SBT sonlandırıldı ve önceki mekanik ventilatör parametrelerine dönüldü. Hastaların ertesi sabah tekrar SBT’ye alınması planlandı. Spontan solunum denemesi başarılı olursa ekstübasyona karar verildi. Doktor gözlemine dayalı ekstübasyon kararı, hastanın bilinç durumu ve günlük vizit sırasında yeterli göğüs ekspansiyonu durumuna göre verildi. BULGULAR: POB grubu hastalarda ekstübasyon öncesi ve sonrası TAK ortalama değerindeki düşüş anlamlı bulundu (p=0.001). PB grubu hastalarda ekstübasyon öncesi ve sonrası TAK ortalama değerindeki azalma anlamlı bulundu (p=0.03). TARTIŞMA: Çalışmamızda PB grubunda TAK değerleri POB grubuna göre daha yüksek bulundu ve ayrıca yeniden entübasyon oranı daha düşük bulundu. Bir PB olarak weaning yönetiminin TAC ve TOS arasındaki dengeyi korumaya ve yeniden entübasyon oranını düşürmeye katkıda bulunabileceğini düşünüyoruz