The affect of increasing radiofrequency surgery application regions to the medical treatment success of snoring

AMAÇ: Ciddi medikal sonuçları olan Obstrürüktif UykuApnesi Sendromu (OUAS)'nun en önemli belirtisi olan horlama sosyal ve medikal bir problem oldugundan titizlikle değerlendirilmesi gerekir. GEREÇ VE YÖNTEMLER: Cumhuriyet Üniversitesi Tıp Fakültesi, KBB Anabilim Dalı, horlama polikliniğine 1999-2002'de horlama şikâyeti ile başvuran, obstrüktif uyku apnesi öyküsü bulunmayan ve yumuşak damak ile uvulası normalden uzun olup değişen oranlarda vibrasyon gösteren 46 olguda yapıldı. Bu 46 olgu grup 1 (iki noktaya radyo frekans uygulaması yapılacak olgular) ve grup 2 (üç noktaya radyo frekans uygulaması yapılacak olgular) olmak üzere rastgele iki gruba ayrıldılar. BULGULAR: Preoperatif yumuşak damak vibrasyon dereceleri postoperatif 12. haftadaki vibrasyon dereceleri ile karşılaştırıldığında anlamlı düzeyde azaldığı görüldü (p<0,05). Subjektif olarak ilk 4 haftada horlama şikâyetinde belirgin artış gözlendi. PreoperatifVizüelAnalog Skala (VAS) değerlerinin ortalaması 7.76±0,25; postoperatif 12. haftadaki VAS değerlerinin ortalaması ise 4,41±0,18 olup aralarındaki fark istatistiksel olarak anlamlıdır (p<0,001). Iki grubun 4. haftadaki VAS değerlerindeki artıs preoperatif VAS değerleri ile karşılaştırıldığında istatistiksel olarak anlamlıdır (p<0,001). Yapılan istatistiksel değerlendirmede preoperatif VAS değerlerine göre postoperatif 12. haftadaki VAS değerlerinde anlamlı azalma saptandı (p<0,001). Subjektif sikâyetlerin de azalma olmaması nedeniyle grup1'de 8 (%40), grup 2'de 2 (%11,8) olguya ikinci seans radyo frekans uygulaması yapılması gerekti. Ikinci seans uygulaması gerekmesi açısından 2 grup karşılaştırıldığında istatistiksel olarak anlamlı bir fark tespit edilmedi. Bununla birlikte rölatif risk %95 güvenlik aralığında hesaplandığında grup1'de grup 2'deki olgulara göre ikinci seans radyo frekans uygulamasına 3,4 kez daha fazla gereksinim gösterdikleri saptandı. SONUÇ: Uygulama yeri sayısı arttıgında ikinci seans radyo frekans uygulaması daha az gerekir. Sonuç olarak uygulama yeri sayısı tedavi başarısında etkilidir.OBJECTIVE: Snoring is a social and medical problem because of the prime sign of OSAS this pathology must be scrupulously evaluate. MATERIALand METHODS: During 3 years period (from 1999 to 2002), the 46 patients with chief complaint of snoring without obstructive sleep apnea history and soft plate elongation was found who applied to snoring policlinic of Cumhuriyet University Faculty of Medicine Department of Otorhinolaryngology was included in this study. RESULTS: There were a prominent decrease preoperative vibrations degree and postoperative 12 week vibrations degree statistically meaningfully differences was found (p<0, 05) in this study participant In the first 4 weeks of treatment, it was observed increasing of snoring subjectively. Patients average-value of VAS were preoperative 7.76±0, 25 and postoperative 12 weeks 4, 41±0, 18 which differences statistically meaningfully was found (p<0,001). Both of 2 group's 4 weeks VAS degree were compare preoperative VAS degree which increase were found statistically meaningfully(p<0,001). Both of 2 group's postoperative 12. weeks VAS degree were compare preoperative VAS degree which decrease were found statistically meaningfully (p<0,001). Second treatment application of radio frequency was needed in 8 patients in group I (%40) and 2 patients of group II (%11.8) due to decrease of subjective complaints. There were no statistically meaningfully differences when the necessity of second treatment application of radio frequency in both groups included in the study compared. In addition, when the relative risk with %95 safe interval was calculated, the necessity of second treatment application of radio-frequency in group I was found 3.4 times more then the necessity of second treatment application of radio-frequency in group II. CONCLUSION: In this study shows second treatment requisiteness was decreased when the increasing number of radiofrequency application regions. Therefore, the treatment success of snoring number of radiofrequency application regions was very important

Effects of the Lunar Cycle, Seasons and the Meteorological Factors on Peripheral Vertigo

Objective:This study aimed to determine whether peripheral vertigo is related to the lunar cycle, the seasons, or meteorological factors, in patients who presented to the ear, nose, and throat clinic.Methods:All the patients, diagnosed with vertigo between January 2020 and January 2022, were identified through a retrospective review of our hospital database. The clinical and demographic data of the patients were recorded. Daily humidity (minimum, average, and maximum; %), daily temperature (minimum, average, and maximum; °C), daily average and maximum wind speed (m/min), daily air pressure (minimum and average maximum; hPa) and wind direction (degrees) values were noted. Also, the phases of the moon, i.e., first quarter, new moon, last quarter, and full moon periods were determined.Results:A total of 5,432 patients were included in the study. No statistically significant differences were noted among them with respect to the lunar cycle (p=0.233). However, patient density was found to increase in the winter months.Conclusion:This study concluded that the frequency of diseases is related to meteorological factors, nonetheless, no statistical relationship was found between the lunar cycle and the frequency of patient entries

Examination of the Relationship between Umbilical Cord Blood Gas Values and Hearing Function in Neonates

Objective: The aim of the present study was to examine the relationship between the results of the transient otoacoustic emission (TEOAE) test used in neonatal hearing screening and the results of the umbilical cord blood (UCB) analysis in neonates.Methods: This retrospective study included 209 neonates born in the obstetric unit at the 37th gestational week. Based on the results of the TEOAE test, the neonates included in the study were divided into two groups as the study group composed of those “REFER” (n=141) and the control group consisting those “PASS” (n=68) the test. The UCB sampling procedure was performed on all neonates. In the blood samples, the pH parameters were evaluated by using glass electrodes, and the pCO2 and pO2 parameters were evaluated directly by using sensitive electrodes.Results: When the additional maternal diseases were compared with the TEOAE results, the ratio of hypothyroidism was found to be statistically higher in the study group (p0.05).Conclusion: The results of the present study showed that there was no statistically significant difference between the results of UCB analysis and the TEOAE test. However, we believe that conducting a larger study evaluating other parameters and employing UCB analysis would be useful, and UCB evaluation, which is an inexpensive, easy and effective method in determining hypoxia in neonates, might be a significant marker in cases at risk of hearing loss

Quantum back-action limits in dispersively measured Bose-Einstein condensates

Back-action limited measurements of many-body quantum systems are a challenging topic of relevance to open quantum systems and quantum metrology. This work makes important contributions in that direction by experimentally measuring and theoretically modeling via a quantum-trajectories approach coherence in an atomic Bose-Einstein condensate coupled to a far-off-resonant laser beam

Investigation of the Effects of Static Deformation Aging Treatment on the Tensile Strength of a Plain Carbon Powder Metal Steel

In this study, the effect of annealing temperatures on the deformation aging of 0.4% C steels produced by Powder Metallurgy (PM) method was investigated. For this purpose, 0.4% by weight natural graphite powder and 0.3% by weight zinc stearate are added to pure iron powder. Micro tensile test samples were produced by shaping the obtained powder mixtures at room temperature and at a pressure of 700 MPa in a single-axis mold. Then it was left to sintering for 30 minutes under an atmosphere of pure argon gas at 1180 ºC. 4% pre-deformation was applied to the medium carbon powder metal steels produced after sintering. Then, aging treatment of 30 minutes was carried out at 200, 300 and 400ºC temperatures, respectively. After aging deformation, powder metal steels; microstructure, hardness, broken surface and tensile properties were investigated. As a result of static deformation, the highest yield strength and hardness value were seen in the samples where static deformation aging at 200 ºC was applied

Systemic immune-inflammation index, and neutrophilto-lymphocyte and platelet-to-lymphocyte ratios can predict clinical outcomes in patients with acute coronary syndrome

PMID: 37145864WOS:000989138200001Objective: Inflammatory mechanisms play an important role in the pathogenesis of atherosclerosis and myocardial infarction. The clinical and prognostic importance of inflammatory parameters, such as neutrophil-lymphocyte (NLR) and platelet-lymphocyte ratios (PLR) in complete blood counts in acute myocardial infarction and other cardiovascular diseases has been demonstrated. However, systemic immune-inflammation index (SII) calculated from neutrophils, lymphocytes and platelets in the complete blood cell count has not been studied sufficiently and is thought to provide a better prediction. This study investigated whether haematological parameters such as SII, NLR and PLR were associated with clinical outcomes in acute coronary syndrome (ACS) patients. Methods: We included 1 103 patients who underwent coronary angiography for ACS between January 2017 and December 2021. The association between major adverse cardiac events (MACE) that developed in hospital and at 50 months of follow up and SII, NLR and PLR was compared. Long-term MACE were defined as mortality, re-infarction and target-vessel revascularisation. SII was calculated using the formula: NLR × total platelet count in the peripheral blood (per mm3). Results: Of the 1 103 patients, 403 were diagnosed with ST-elevation myocardial infarction and 700 with non-STelevation myocardial infarction. The patients were divided into a MACE and a non-MACE group. In hospital and during the 50-month follow up, 195 MACE were observed. SII, PLR and NLR were found to be statistically significantly higher in the MACE group (p < 0.001). SII, C-reactive protein level, age and white blood cell count were independent predictors of MACE in ACS patients. Conclusions: SII was found to be a strong independent predictor of poor outcomes in ACS patients. This predictive power was greater than that of PLR and NLR

High triglyceride-glucose index is associated with poor prognosis in patients with acute coronary syndrome in long-term follow-up

WOS:000854797500001 PubMed ID36112779The triglyceride-glucose (TyG) index is calculated from fasting triglycerides and fasting glucose levels and is an indicator of insulin resistance. The present study investigates whether the TyG index has a role in predicting clinical outcomes in cases of acute coronary syndrome (ACS). This retrospective study included 646 patients with ST-elevation myocardial infarction (STEMI) and 1048 patients with non-ST-elevation myocardial infarction (NSTEMI). The association between major adverse cardiac events (MACEs) that developed in-hospital and at 60 months of follow-up and TyG index values were compared. Patients were divided into 2 groups: TyG index values of >= 8.65 and = 8.65 (P < .001). TyG index, C-reactive protein, and age were independent predictors of MACEs in both the NSTEMI and STEMI groups. The present study found a significant association between higher TyG index values and increased risk of MACEs in ACS patients. The TyG index may prove useful to predict clinical outcomes in ACS patients

Erken başlangıçlı androgenetik alopeside karotis intima kalınlığının değerlendirilmesi

Purpose of this study was to evaluate of carotid intima- media thickness (CIMT) together with biochemical parameters in male patients with early-onset androgenetic alopecia (AGA) without risk factors for cardiovascular disease and to reveal the relati- onship between early-onset AGA and cardiac arrhythmia, athe- rosclerosis, metabolic syndrome in patients with P wave and QT dispersion in electrocardiography. Forty men with early onset AGA and 50 healthy men without AGA in the age group of 18-35 years were included in this study.We compared the biochemical values, blood pressure, carotid intima- media thickness (CIMT), echocardiographic(echo) and electrocardiographic (ECG) para- meters. The mean age was 28.03±4.95/years and the mean CIMT was 0.63±0.12 cm in the group with early onset AGA. The mean age was 28.95±5.03 /years and the mean CIMT was 0.51±0.1 cm in the control group. CIMT was correlated with AGA (p0,05). Elektrokardiyografide bakılan QT ile P dalga dispersi- yonları açısından yapılan değerlendirmede istatistiksel açıdan anlamlı fark oluşmadı (p>0,05). İnsülin direnci için bakılan Home- ostatic Model Assessment- İnsulinResistance (HOMA-IR) AGA’lı grupta 2,35±1,97 kontrol grubunda ise 1,85±1,65 bulunup ista- tistiksel açıdan anlamlıydı (p=0,036). KIMK, HOMA-IR ile erken başlangıçlı AGA arasında ilişki saptanması bu hastalarda prema- tür ateroskleroz başlaması anlamına gelebilir. Bununla beraber, aterosklerozun klinik tabloları erken başlangıçlı AGA’lı hastalarda genç yaşlarda ortaya çıkabileceğinden uygun tarama yöntemleri kullanılmalıdır

Does the use of recombinant TSH in preparation for I-131 scintigraphy scan affect hearing function?

Objective: The objective of this study was to examine the effect of hypothyroidism on hearing function in patients surgically treated for differentiated thyroid cancer and subsequently experienced hypothyroidism during preparation for follow up I-131 scintigraphy scan by either recombinant human thyroid stimulating hormone (rhTSH) treatment or thyroid hormone withdrawal (THW). Methods: A total of 55 patients undergoing I-131 scintigraphy scan following surgeries for differentiated thyroid cancer were included in the study, including 25 patients prepared by administration of recombinant TSH (rhTSH Group) and 30 patients by thyroid hormone withdrawal (THW Group). Results: Air conduction thresholds at 1, 2 and 4 kHz for both ears were higher during hypothyroid period than during euthyroid period for patients in the THW group (p < 0.05) but not for patients in the rhTSH group. Conclusion: Sensorineural hearing loss was detected, especially at low frequencies, in patients with DTC after surgical treatment whose hormone replacement therapy was withdrawn but not in those receiving rhTSH. It is therefore preferred to use rhTSH when preparing for I-131 scintigraphy scan in patients at risk for hearing loss