Evaluatıon Of Lower Lıp Profıle In Cleft Lıp And Palate Patıents

The aim of this study was to evaluate the lower lip morphology and posture of pre-peak cleft lip and palate (CLP) patients comparatively with skeletodental Class I normals and post-peak unilateral CLP subjects. The study material consisted of lateral cephalometric and hand-wrist radiographs obtained from a total of 38 CLP patients, 24 pre-peak unilateral (Mean age: 12.86± 0.85 years), 14 post-peak unilateral (Mean age: 16.53±0.77 years) and 20 control individuals (Mean age:12.33±0.85 years) with Class I occlusion and a harmonious profile. Cephalometric landmarks were double-digitized and the measurements were calculated by a computer program. Besides conventional dentofacial variables, the lower lip area was also measured by using a digital planimeter on the cephalometric tracings. Bonferroni test was performed to evaluate the differences between the pre-peak CLP and the control group while t-test was used to evaluate the defferences between pre and post peak unilateral CLP groups. The lower lip area was 3.46±0.27cm2 in the pre-peak CLP group and no statistically significant difference was found in comparison with the control (4.42±0.24 cm2). The lower lip area was found as 4.38+0.19cm2 in the post-peak unilateral group and was significantly different from the pre-peak group (p<0.001). The results of this study imply that the lower lip thickness of CLP patients increases after puberty. The reason of this increase may be a compensatory mechanism to reduce the increased inter-labial gap due to the short upper lip seen in CLP subjects

Analytical hierarchy process (AHP) based decision support system for urban intersections in transportation planning

In transportation planning, design of intersections is required some concrete decisions. It is mostly related to capacity, safety and economy. In many applications, capacity is considered as the main factor for design purpose and type of intersection is determined regarding the capacity. But it is known that safety and economy are as important as the capacity. In order to handle this problem, a multi-criteria decision making approach (AHP) is used. Four intersection types are used. Fuel consumption, emission rates, delay, cost of intersection type and safety parameters are taken into account in the decision process. These intersection types are tested by SIDRA Intersection software using the parameters listed above. The data obtained by SIDRA software is used in the AHP model. Weights of the factors used in the AHP model are varied considering the views of capacity and economy. And results and applicability of the model are discussed. © 2016, IGI Global. All rights reserved

Foreign Body Ingestion and Management in Children

Objective The aim of the study is to evaluate of the children who came to our hospital with the complaint of foreign body (FB) ingestion and were treated. Methods A retrospective evaluation was made of the records of children who presented at our institution between January 2014 and August 2021 with the complaint of FB ingestion. Results Evaluation was made of 297 children, comprising 121 female children (40.7%) with a mean age of 61.1 ± 50.3 months (range, 4-202 months). The ingested FB most frequently was coins (n = 88, 29.6%). The most common complaint on presentation was vomiting in 47 cases (15.8%). Endoscopy was applied to 75 cases (25.3%), and most common FB was removed from the upper esophagus in 31 cases (41.3%). The most frequently removed FB was coins at the rate of 40%. Of the 211 cases left to a spontaneous course, 117 were in the intestines, 22 in the stomach, and in 72 cases localization could not be determined on conventional radiography as the FB was not opaque. In 7 cases with a bolus of food caught in the esophagus, 3 had corrosive esophagus stricture (1 case with colon transposition), 2 had operated esophagus atresia, 1 had eosinophilic esophagitis, and 1 had congenital esophagus stricture. Conclusions Although there can be serious outcomes, there is spontaneous expulsion in most cases. However, a significant proportion requires a timely endoscopic procedure. Attention must be paid to underlying diseases when FBs, such as a food bolus, are in the esophagus. © Wolters Kluwer Health, Inc. All rights reserved

Psoriasis induced by tumor necrosis factor-alpha antagonist therapy: Case series and literature overview [Tümör nekrosis faktor-alfa i·nhibitörü kullanımına baglı olarak gelişen psöriazis: Olgu serisi ve literatürün gözden geçirilmesi]

Although tumor necrosis factor-alpha (TNF-?) antagonists are shown to be effective in the treatment of psoriasis, induction of psoriatic skin lesions have been seen in patients with different rheumatic conditions who were treated with TNF-? antagonists. In this case series, we report four cases that developed psoriatic lesions; in one of the cases, psoriasis was associated with two different TNF-? antagonists. Case 1: A 31-year-old man with ankylosing spondylitis developed erythematous and squamous lesions on his extremities in the 2nd week of infliximab treatment. Two months later he began to receive etanercept, and psoriatic skin lesions developed on the entire trunk and extremities, and predominantly on the scalp after one month. Case 2: A 53-year-old female with rheumatoid arthritis developed psoriatic skin lesions in the ankle region after two months' treatment with etanercept. Case 3: A 34-year-old female with ankylosing spondylitis developed psoriatic lesions on her palms after 10 months' treatment with infliximab. Case 4: A 40-year-old female with ankylosing spondylitis developed pustular lesions on her palms and soles after two years' treatment with infliximab. The patients had no personal or family history of psoriasis. The diagnosis of psoriasis was confirmed by skin biopsy in three of the cases. Psoriatic skin lesions can be induced as a result of treatment with TNF-? antagonists in patients with rheumatoid arthritis, ankylosing spondylitis and other spondyloarthropathies. The most common form is plaque or pustular pattern with palmoplantar distribution