Does mallampati score affect the technical success of the inferior alveolar nerve block and posterior mandibular surgical procedures?

Background and Aim: The aim of this randomized prospective study was to assess the effect of Mallampati score on the technical success of the inferior alveolar nerve block and posterior mandibular surgical procedures. Material and Methods: A total of 150 adult patients who required inferior alveolar nerve blocks for dental surgery in the lower posterior region were included in this study. A research fellow documented the Mallampati score, age, gender, and body mass index of patients. A resident blinded to the Mallampati scoring performed the local anaesthesia and surgical procedures and documented the technical difficulty scores during the inferior alveolar nerve block and surgical procedures, latent period of local anaesthesia, and total volume of injected anaesthetic solution. The data were statistically analyzed. Results: There were statistically significant differences between the patients with different Mallampati scores in terms of age, technical difficulty score of inferior alveolar nerve block, and technical difficulty score of surgical procedure (p<0.05). Technical difficulty scores of the inferior alveolar nerve block were significantly higher in Mallampati class III and IV patients than in class I patients. Technical difficulty scores of the surgical procedure were significantly higher in Mallampati class II, III, and IV patients than in class I patients. Conclusions: The knowledge and/or clinical assessment regarding Mallampati classification in the field of dentistry is scarce and should be improved. Dental clinicians should be aware of the possible relationship between high Mallampati score and unsuccessful inferior alveolar nerve block or technical difficulty of a posterior mandibular surgical procedure

CORRELATION AMONG EXPERIENTIAL AVOIDANCE, ANXIETY SENSITIVITY AND BEHAVIORAL INHIBITION SYSTEM IN GENERALIZED ANXIETY DISORDER AND PANIC DISORDER PATIENTS

Purpose: This study aimed to analyze the concepts of experiential avoidance, anxiety sensitivity and behavioral inhibition system through healthy volunteers and patients diagnosed with anxiety disorder. It was planned to analyze and evaluate the correlation among the levels of experiential avoidance, anxiety sensitivity and behavioral inhibition system in various anxiety groups. Method: Within the scope of this study, clinical interviews were carried out with patients who sought treatment at the Psychiatry Department of the Hospital of Balıkesir University Medical Faculty. The study included 50 Generalized Anxiety Disorder (GAD) patients and 50 Panic Disorder (PD) patients who fulfilled the study criteria and accepted to participate in the study. A voluntary control group of 50 individuals with similar age and gender with the patients was formed. The participants were evaluated through the Acceptance and Action Questionnaire-II (AAQ-II), Behavioral Inhibition System/Behavioral Approach System Scale (BIS/BAS Scale), and Anxiety Sensitivity Index-3 (ASI-3). Results: In this study, the anxiety sensitivity, behavioral inhibition system sensitivity and experiential avoidance levels were all found to be higher in both the GAD and PD patients than the controls. On the other hand, the scale scores did not significantly differ between the GAD patients and PD patients. Positive correlations were determined among anxiety sensitivity, experiential avoidance and behavioral inhibition system. Our data provided findings supporting that the development of anxiety disorders entails increased anxiety sensitivity, behavioral inhibition system sensitivity and experiential avoidance levels. Discussion: The literature has shown, through separate studies, a correlation among experiential avoidance, anxiety sensitivity and behavioral inhibition system as well as a correlation between these concepts and anxiety disorders, and this study handled them altogether to reveal their correlation with anxiety in a clinical environment

Test-retest reliability and validity of the timed up and go test and 30-second sit to stand test in patients with pulmonary hypertension

Background: Timed up and go (TUG) and sit to stand (STS) tests that required less space and easier to be performed in respiratory and cardiac diseases for assessing functionality. Aim was to test the reliability of TUG and 30-second STS (30STS) tests and determine the validity of TUG and 30STS tests in patients with Pulmonary Hypertension (PH). Methods: Thirty-eight patients with diagnosed PH were included. We collected TUG, 30STS, quadriceps muscle strength, physical activity level, and 6MWT. Intra-class correlation coefficient (ICC) was used to determine test-retest reliability and correlations with quadriceps muscle strength, physical activity level and 6MWT for validity of the TUG and 30STS tests. Results: The TUG and 30STS tests were associated with age, functional class, muscle strength, physical activity and functional exercise capacity in patients with PAH (p < 0.05). 6MWT was associated with age, functional class, muscle strength, physical activity and functional exercise capacity (p < 0.05). ICC (95%) for TUG test and 30STS were 0.96 (0.93-0.98) and 0.95 (0.90-0.97), respectively. Conclusions: The TUG and 30STS tests were reliable and valid tests for measuring physical performance in PH. This study supports using the TUG and 30STS tests as practical assessment tools in patients with PH. (C) 2020 Elsevier B.V. All rights reserved

Balance performance in patients with heart failure

Background: It has been suggested that patients with heart failure (HF) have an increased fall rate. Although balance is one of the most important risk factors for fall, there is not sufficient information about balance in HF. Objective: To compare static, dynamic and functional balance between patients with HF and healthy controls. Methods: Twenty-seven patients with HF and 22 healthy controls were recruited in this study. The Unilateral Stance (US) and Limits of Stability (LOS) tests were used to measure static and dynamic balance, respectively. Functional balance was assessed with Berg Balance Scale. Results: There was no significant difference in age, gender and body mass index between the groups (p > 0.05). There was a significant difference in US with open eyes between the groups (p < 0.05). Reaction time (backward and left), endpoint excursion (backward), maximum excursion (forward and backward) and directional control (forward and right) variables of LOS were significantly different between the groups (p < 0.05). Conclusions: Patients with HF have impaired static, dynamic and functional balance. Considering the balance impairment, a comprehensive balance assessment performed and balance training should be included in the management of HF as a part of the cardiac rehabilitation program. © 2020 Elsevier Inc

Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability

PURPOSE: Individuals with cardiac problems avoid physical activity and exercise because they expect to feel shortness of breath, dizziness, or chest pain. Assessing kinesiophobia related to heart problems is important in terms of cardiac rehabilitation. The Tampa Scale of Kinesiophobia Swedish Version for the Heart (TSK-SV Heart) is reliable and has been validated for cardiac diseases in the Swedish population. The aim of this study was to investigate the reliability, parallel-form validity, and exploratory factor analysis of the TSK for the Heart Turkish Version (TSK Heart Turkish Version) for evaluating kinesiophobia in patients with heart failure and pulmonary arterial hypertension. METHODS: This cross-sectional study involved translation, back translation, and cross-cultural adaptation (localization). Forty-three pulmonary arterial hypertension and 32 heart failure patients were evaluated using the TSK Heart Turkish Version. The 17-item scale, originally composed for the Swedish population, has four factors: perceived danger for heart problem, avoidance of exercise, fear of injury, and dysfunctional self. Cronbach’s alpha (internal consistency) and exploratory factor analysis were used to assess the questionnaire’s reliability. Results of the patients in the 6-minute walk test, International Physical Activity Questionnaire, and Nottingham Health Profile were analyzed by Pearson’s correlation analysis with the TSK Heart Turkish Version to indicate the convergent validity. RESULTS: Cronbach’s alpha for the TSK Heart Turkish Version was 0.75, indicating acceptable internal consistency. Although exploratory factor analysis showed a different subgroup distribution than the original questionnaire, the model was acceptable for the four-factor model hypothesis. Therefore, the questionnaire was rated as reliable. CONCLUSION: These results supported the reliability of the TSK Heart Turkish Version. Since the acceptable four-factor model fits the subgroups and measures of reliability are sufficiently high, the questionnaire seems reliable for pulmonary arterial hypertension and heart failure patients

Musical practices of the Izmir Yamanlar Alevi immigrants in the context of the Alevi musical revival

Bu çalışmada, İzmir'in Yamanlar Mahallesi'nde yaşayan Orta ve Doğu Anadolu Alevi göçmenlerinin ritüel içi -ritüel dışı müzik pratikleri, `Alevi müzik uyanışı' bağlamında ele alınmıştır. İzmir'in Yamanlar Mahallesi'ne göç eden Alevi topluluğu, 1993 yılında `Hacı Bektaşi Veli Kültür ve Dayanışma Derneği Karşıyaka Şubesi'nde örgütlendi. İçinde cemevini de bulunduran bu dernek 2009' da `Alevi Kültür Dernekleri Karşıyaka Şubesi (Yamanlar Cemevi)' olarak isim değiştirdi. Bu çalışma bir yıl süren alan araştırması, gözlem ve görüşmelere dayanmaktadır. Farklı etnik topluluklardan oluşan Aleviler, Ortodoks Müslümanlardan oldukça farklı ibadetlere sahip heteredoks Müslümanlardır. Bu dinsel açıdan farklı olan topluluk, Hz. Muhammed'in kuzeni ve damadı olan Hz. Ali'ye gönülden bağlıdır. Alevilerin sosyal ve dinsel lideri olan dede, içinde müzik ve dansın (semah) önemli işlev gördüğü, cem ritüelini yönetir.Çalışma üç bölümden oluşmaktadır. Birinci bölümde, Aleviliğin tarihsel gelişimi, Alevi inanç ve kültürü, toplumsal kurumları ve Türkiye'de Alevi uyanışı ele alınmıştır. İkinci bölümde, Alevi kültürel kimliği ve belleği, Alevi müzik uyanışının bileşenleri ile ilişkilendirilmiştir. Üçüncü bölüm ise ilk iki bölümün kazanımlarından hareketle, bu çalışmaya seçilen vaka incelemesi çerçevesinde, cem içi - cem dışı müzik pratiklerinin tanımlanmasını ve değerlendirilmesini içermektedir. `Müzik uyanışı' (music revival), yok olmakta olduğuna ya da tamamen geçmişe ait olduğu düşünülen bir müzik geleneğinin yeniden gündeme gelmesidir. 1980'lerin sonundan itibaren, gerek endüstrileşmenin, gerekse Türkiye'nin siyasi koşullarındaki değişimin etkisiyle Alevi müzik uyanışı ortaya çıkmaya başlamıştır. Dolayısıyla, Alevi müzik uyanışından, İzmir Yamanlardaki Alevi göçmenlerinin cem içi ve cem dışı müzik pratikleri de etkilenmiştir; Alevi müzik uyanışçılarının gündeme getirdiği dağar, bağlamada kullanılan şelpe, çarpma, vb. gibi popüler teknikler ve amplifikatör, mikrofon vb. gibi yeni müzik teknolojileri bölgedeki cem içi ve cem dışı müzik pratiklerinde halen uygulanmaktadır. This study explores the ritual and non ritual musical practices of Alevi immigrants who migrated from the Central and Eastern Anatolia to Yamanlar District, Izmir in the context of `Alevi music revival?. Yamanlar Alevis organised themselves at `Hacı Bektaşi Veli Kültür ve Dayanışma Derneği Karşıyaka Şubesi? ( a religious association) in 1993. This association?s name was changed as `Alevi Kültür Dernekleri Karşıyaka Şubesi (Yamanlar Cemevi)? (it has its own `cemevi?) in 2009. This study has endured researches, observations and interviews for one year. Alevis who consist of different ethnic communities are heteredoks Muslims whose worship is comparatively different from Ortodoks Muslims. This religiously marginalized social group loves imam Ali willingly who is the prophet Muhammed?s cousin and son-in-law. Alevis? social and religious leader is called dede manages cem ritual in which music and dance (semah) play an important role This study consists of three parts. In the first part, historical background, faith, culture, social organizations and revival of Alevis were considered. Secondly, cultural identity, memories and music revival?s components of Alevis were associated. Finally, the third part covers defining and evalutaing the ritual and non ritual musical practices starting with achievements of first two parts working under the selected case study Music revival can be defined as to be on the agenda (today) of a music tradition which is thought that this tradition is becoming lost or definitely lost in the history. After end of 1980?s, either industralization or changes in Turkish political life affected Alevis and so Alevi music revival was born. Accordingly, Yamanlar Alevis? ritual and non ritual musical practices have also been affected by Alevi music revival. Popular repertoire, new bağlama (Turkish folk string instrument) techniques such as şelpe, çekme etc. and new music technologies such as amplifier, microphone etc.(which have been popularized by Alevi music revivalists) are still being performed in Yamanlar Alevis? ritual and non ritual practices today

Alveolar ridge splitting versus autogenous onlay bone grafting: Complications and implant survival rates

WOS: 000398802400017PubMed ID: 28114264Purpose:To compare the complications and implant survival rates of localized alveolar ridge deficiencies in the horizontal dimension reconstructed by alveolar ridge splitting (ARS) or autogenous onlay bone grafting (OBG).Materials and Methods:Twenty-eight ARS and 28 OBG were performed. The survival rate of the all included implants was evaluated using the clinical and radiographical evaluation criteria of Misch et al. Temporary exposure of graft, mild infection, temporary paresthesia, and bad split were defined as minor complications; permanent exposure of graft, loss of graft, and permanent paresthesia were defined as major complications. Major and minor complications of ARS and OBG groups were statistically compared.Results:When the minor and major complication rates are considered, there was not any statistically significant difference between OBG (P = 0.099) and ARS (P = 0.241) groups. The satisfactory survival rate of OBG group was 92% and was 100% in the ARS group, and the difference was not statistically significant (P = 0.116).Conclusion:When reconstructing vertically sufficient but horizontally insufficient alveolar ridges, ridge splitting technique could shorten the treatment period, decrease postoperative swelling and pain, eliminate the need for a second surgical site, reduce the treatment cost, and ease the patient cooperation to the surgery