16 research outputs found

    Comparison of the Effect of the Time Under the Three Primary Color Lighting of Led Production Before Scanning of Phosphorus Plates

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    Purpose This study aims to compare the effect of light exposure in red, green and blue (RGB) colors prior to scanning of the PSP plates. Materials Methods An Arduino-based system is produced for standardized light exposure to the irradiated PSP plates. The system consisted of an Arduino Mega 2560 developer board, 2 RGB LED light sources, a TSL2591 digital light sensor and a DHT11 temperature and humidity sensor. A light-tight platform is produced with additive manufacturing and electronical units are integrated into this platform. A two-step alloy was used to create contrast. PSP system (VistaScan, Dürr Dental, Germany) is irradiated with fixed parameters of 70 kV, 8 mA and 0.5 seconds. Scanning of the PSPs were delayed for 1-,3-,5-, and 10-minutes, and half of the active surfaces are exposed to RGB lights independently in full brightness (PWM) and calibrated with lux while the rest is protected. MGVs are measured in 6 regions per image. The MGV differences in regions between conditions were examined by Kruskal-Wallis test. A p-valu

    Effect of foot posture on foot-specific health-related quality of life

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    The purpose of this study was to determine the relationship between Navicular drop (ND) and Hallux valgus (HV) angles and their effects on foot-specific health related quality of life. Sixty female patients with bilateral HV aged between 32-60 participated in this study. The patients with the HV deformity degree of “2” or “3” according to the Manchester scale were included. HV angle were obtained from standing (weight bearing) bilateral antero-posterior radiographs. HV angle (A angle), intermetatarsal angle (B angle), hallux interphalangeal angle (C angle) were measured. Subtalar pronation was measured the navicular drop (ND) test. ND test were performed for both feet and recorded in millimeters. Foot-specific health related quality of life was measured using the Manhester-Oxford Foot Questionnaire (MOFQ). There was a strong positive correlation between the ND qtest and the angles A, B, and C for the right foot (rho=0.749, 0.761 and 0.749 p<0.001, respectively,). There was a strong positive correlation between the MOFQ subscales and the angles A, B, and C for the right foot (p<0.001). There was a strong positive correlation between the MOFQ subscales and the angles A, B, and C for the right foot (p<0.001). In conclusion, there were relationship between ND, HV angular severity and foot-specific health related quality of life. As the HV angular severity increased, there was greater drop in the navicula and reduction in quality of life

    A Comparison Of The Effects Of Mirror Therapy And Phantom Exercises On Phantom Limb Pain

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    Background/aim: Although mirror therapy (MT) and phantom exercises (PE) have been shown to reduce pain, the efficacy of these methods in terms of pain, quality of life (QoL), and psychological status (PS) has not been investigated and compared to date. The aim of this study was to determine whether there is any difference between MT and PE in the treatment of phantom limb pain (PIP). Materials and methods: Forty unilateral transtibial amputees (aged 18-45 years) participated in this study. The subjects were randomly divided into `MT group' and `PE group. Qol, was assessed using Short-Form 36 (SF-36), psychological status using the Beck depression inventory (BDI), and pain intensity using a visual analog scale (VAS), before and at the end of the program, and on the 3rd and 6th months thereafter. Results: All assessments for all parameters improved significantly in both groups (P < 0.05). Comparison of the two groups revealed a significant difference in changes for VAS and BDI in all measurements, and in pre- and posttreatment scores for all SF-36 parameters (except for Role-Emotional) in favor of the MT group (P < 0.05). Conclusion: While pain intensity decreased and QoL and PS improved in both the MT and PE groups, these improvements were greater in the MT group.WoSScopu

    Comparison of the Dental Treatments Performed in A Pediatric Dentistry Clinic During the Covid-19 Pandemic Period with the Pre-Pandemic Period: A Retrospective Study

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    Purpose: This study aimed to assess the impact of COVID-19 pandemic on attendance and treatments performed in a paediatric dental clinic. Materials Methods: A retrospective study was conducted using the records of pediatric patients treated in two periods: before the pandemic (15 March 2019–14 March 2020) and during the pandemic (15 March 2020–14 March 2021). Data regarding patients’ age, sex and administered treatment were collected and analyzed. The treatments applied were categorized under 6 groups: examination, restorative, preventive, prosthetic, emergency and surgical, and periodontal. Rates of each procedure were compared between two periods. Results: During pandemic, 11,700 patients applied to our clinics and 26,995 procedures were performed, resulting a decrease by 63.5% and 84.3% in the outpatients and treatments, respectively, compared to the pre-pandemic period. During the pandemic, the rates of examination and surgical procedures were significantly higher than those before the pandemic, while the rates of other procedures were significantly decreased (

    Outcomes of adalimumab biosimilar ABP 501 in patients with inflammatory bowel disease: Comparison of adalimumab naïve and switching from originator

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    Background: In this study, we aimed to compare the effectiveness and safety of the ABP 501 molecule in inflammatory bowel disease patients who were ADA-naive and those who were switching from the originator molecule. Materials and Methods: Data was prospectively collected between March 2020, and October 2022. The outcomes of the study were therapeutic failure free remission, and therapeutic failure. Results: Seventy-four patients were analyzed for the ABP 501-ADA naïve group (67.9% males; 9.4% biologics experienced; 69.8% CD; 30.2% UC) and ABP 501-ADA switch group (47.6% males; 14.3% biologics experienced; 85.7% CD; 14.3% UC). Median total disease duration was 5.95 years (IQR 2.68-11.89), and follow-up time was 10.43 months (IQR 5.78-15.75). Median follow-up time was 9.23 months (IQR: 4.90-16.07) and 11.47 months (IQR: 7.47-15.39) after starting ABP 501-ADA naive and switch group, respectively (p= 0.297). Over this period, there was no significant difference between ABP 501-ADA naive and switch groups respectively, in the rates of therapeutic failure-free remission (86.8% vs. 90.5%) or therapeutic failure (13.2% vs. 9.5%), (p>0.05). Mean therapeutic failure-free survival was 21.12 months (95% CI: 19.12-23.11) in the ABP 501-ADA naïve group and 25.56 months (95% CI: 21.19-29.94) in the ABP 501-ADA switch group. There was no significant difference in terms of therapeutic failure-free survival between the two groups (p=0.207). Conclusion: Results from this study showed no significant differences between the ABP 501-ADA naïve and the 501-ADA switch group in terms of therapeutic failure-free remission. The two groups were also found to be similar in terms of therapeutic failure-free survival

    Turkish translation of the Prolapse and Incontinence Knowledge Questionnaire: validity and reliability

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    Alkan, Afra/0000-0002-9734-4138; COBAN, OZGE/0000-0002-0979-7613; BIRBEN, TUGBA/0000-0002-0822-2498WOS: 000499749200027PubMed: 31049644Introduction and hypothesis To translate the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) into Turkish and test its validity and reliability. Methods the study included 341 women. the translation of the PIKQ, which comprised of the urinary incontinence (PIKQ-UI) and pelvic organ prolapse (PIKQ-POP) sections, was performed in accordance with international recommendations. the Incontinence Quiz (IQ) and the Visual Analog Scale (VAS) were applied to assess the level of knowledge about POP and UI. Psychometric analyses consisted of assessing the following: (1) construct validity by confirmatory factor analysis, (2) criterion and known group validity, (3) internal consistency reliability by the KR-20 coefficient, and (4) test-retest reliability over 1 week with the intraclass correlation coefficient (ICC). Results All fit indices except the Standardized Root Mean Square Residual indicated acceptable fit for the final models. Criterion validity was supported by moderate correlations between the PIKQ-UI and the IQ (rho = 0.679, p < 0.001). There were positive and weak linear correlations between the PIKQ-UI and PIKQ-POP scores and their corresponding perceived knowledge scores (rho = 0.351, p = 0.013 and rho = 0.345, p = 0.014, respectively). the known group validity did not show differences indicating that participants did not have enough knowledge about UI and/or POP even when they had the condition or acquaintance with them (p = 0.852 and p = 0.185, respectively). Reliability was excellent as indicated by the ICCs of 0.91-0.90, and KR-20 of 0.67-0.75 indicated good internal consistency for the PIKQ-UI and PIKQ-POP, respectively. Conclusions the Turkish version of the PIKQ is a valid and reliable instrument to assess the knowledge of UI and POP

    Survival Analysis of Ovarian Carcinosarcomas Depending on Platinum or Doxorubicin Based Adjuvant Chemotherapy

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    OBJECTIVE: To analyse the survival outcomes of women with ovarian carcinosarcoma according to platinum or doxorubicin based adjuvant chemotherapy protocols. STUDY DESIGN: This retrospective study was performed at Etlik Zübeyde Hanım and Zekai Tahir Burak Women’s Health Education and Research Hospitals, which are tertiary centers in Turkey. A total of 31 women with ovarian carcinosarcoma between January 1999 and January 2013 were evaluated retrospectively. RESULTS: The mean age of patients was 53.84±10.13. Most of the patients were diagnosed with stage IIIC ovarian carcinosarcoma (n=21, 67.7%). Maximal debulking and optimal debulking was performed to 23 (74.2%) and 8 (25.8%) patients, respectively. Disease free survival was significantly shorter in stage IIIC patients when compared to stage IIIB patients (p=0.048). Disease free survival for one and three years according to the treatment protocol (platinum or doxorubicin based) was not significantly different (p=0.574). Additionally, three and five years overall survival was not significantly different (p=0.891) between the platinum and doxorubicin based chemotherapy protocols. DISCUSSION: We did not find a significant difference in terms of disease free survival and overall survival between platinum and doxorubicin based adjuvant chemotherapy protocols in women with ovarian carcinosarcoma

    Elastosonographic Evaluation of Endometrium in Postmenopausal Bleeding

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    OBJECTIVE: The aim of this study was to evaluate the elastosonographic changes of endometrium in postmenopausal women with uterine bleeding. STUDY DESIGN: A total of 80 women in their postmenopausal period were enrolled for the study; 19 with postmenopausal bleeding and 61 normal healthy controls. All patients with a history of previous uterine surgery (including myomectomy) and/or endometrial interventions such as endometrial ablation, polyp removal, hysteroscopic interventions (except solely diagnostic procedures) and endometrial sampling within one year were excluded from the study because of the possibility of endometrial changes that may interfere with elastosonographic starin ratios. B-mode scanning, Doppler and real-time tissue elastography (RTE) were performed by the same single operator, blinded to the study design. The ultrasonographic findings (strain ratio, endometrial thickness, uterine artery Doppler indices) were evaluated between groups. RESULTS: The means of age were 57.84±5.36 years and 56.34±3.32 years for the study group and the controls respectively. The groups were similar in regard to age (p=0.328). The parity of the postmenopausal bleeding group was significantly higher than the controls (p<0.001). When uterine artery Doppler indices were compared between groups, study group was found to have lower values in regard to controls (p<0.001). The medians of endometrial thickness were 4.30 (IQR=3.80)mm in the study group and 2.60 (IQR=0.90) mm in the control group and the difference was found to be significant (p<0.001). The medians of elastosonographic B/A ratios were 0.98 (IQR=0.18) and 1.27 (IQR=1.78) for the study group and controls respectively. The B/A ratios were found to be significantly lower in the study group (lower tissue elasticity) (p<0.001). CONCLUSION: Tissue biopsy for histopathologic evaluation is still the gold standart in cases with postmenopausal bleeding. However, the need for a noninvasive method with high sensitivity and specificity is still under search. Some women who had been offered biopsy but did not accept the intervention because of the invasive nature of the procedure will be eft undiagnosed for a possible malignancy. Evaluation of the endometrium with real-time tissue elastosonography is one of the noninvasive methods with this potential and the diagnostic value of RTE could be possible with multicentric studies including more subjects

    Impact of body mass index, waist circumference and Pfannenstiel site tissue thickness, and elastosonography on operative parameters

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    Background/aim: This study aimed to evaluate the impact of body fat distribution measured by body mass index (BMI), waist circumference (WC) and Pfannenstiel incision site tissue thickness, and elastosonography on bleeding and operation time during cesarean delivery. Materials and methods: A prospective study was made of 52 healthy, term pregnant women with prior cesarean deliveries. The impact of BMI, WC, incision site thickness, and elastosonography on preoperative and postoperative differences in hemoglobin (Hb) and hematocrit (Htc) levels and operation times was evaluated. Results: A moderate negative relationship was found between Htc levels and WC. Htc levels were found to decrease by 0.148 units for each 1-cm increase in WC. Skin-to-fascia time was found to increase by 0.697 s with each 1-unit increase in BMI, whereas fascia-touterus time was found to increase by 1.117 s with each 1-cm increase in Pfannenstiel site tissue thickness. None of the elastosonographies or differences in Hb levels were found to be significant for any parameter. Conclusion: Each of the evaluated parameters was found to have an impact on different factors: WC on Htc levels, BMI on skin-to-fascia time, and Pfannenstiel tissue thickness on fascia-to-uterus time
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