Lymphoid papillary hyperplasia of palatine tonsils: a rare pediatric case from Turkey

Lymphoid papillary hyperplasia (LPH) is a rare abnormality of the tonsils with a tendency to affect young Asian females. We report a case of this rare condition in a 13-year-old girl. To our best knowledge, this case is the only pediatric Turkish case of LPH reported in the literature. The significance of recognizing this abnormality lies in its clinical appearance, given the fact that despite the clinical characteristics suggesting a diagnosis of epithelial papilloma or evenmalignancy, this process is benign, non-neoplastic, can readily be differentiated from other neoplastic lesions by histologic examination, and can easily be cured by tonsillectomy. (C) 2015 Elsevier Ireland Ltd. All rights reserved

Coruh river dam projects and their ecological impacts

Coruh river starts from Mescit Mountains of Bayburt, Turkey and reaches Black Sea in Batum, Georgia. The total length of the river is around 431 km. and 410 km of it in the boundries of Turkey and the remaining 21 km in the Georgia. The annual discharge of the river is 6.3 billion cubic meter. Coruh is the fastest running river of the Turkey with an elevational difference of 1420 m. It carries 5.8 million cubic meter of sediment each year. Ten dams are planned to construct on the main river while 21 planned to construct on the branches of the river. They will generate 10.6 billions kWh energy per year. Seven of these dams are located in the vicinity of Artvin. Construction of new roads have also started to solve the transportation problem of the area because some part of the roads are going to be covered by the water. Road construction will damage the forests of the valley due to high slope in the area. Fish species living in the river such as Salmo trutta labrax, Salmo trutta lcapius, Cypirinus carpio, Barbus cycloepsis and Silurus glanis are going to lose their habitat. The region is rich in endemism. The number of endemic species is 119 for Artvin and some of them grows in the main valley of Coruh river. They will lose their habitat after the construction of the dams

Food impaction in older age: Think about an eosinophilic esophagitis

Eosinophilic esophagitis is an inflammatory condition of esophagus. It is generally seen in childhood and young population. Men are more commonly affected than women. However, it is not common in an advanced age. Eosinophilic esophagitis decreases the ability of the esophagus to stretch and accommodation against foods. Therefore, the major symptom in adults with eosinophilic esophagitis is difficulty in swallowing solid food (dysphagia). Specifically, the food gets stuck in the esophagus after it is swallowed. Less common symptoms include heartburn and chest pain. Because of this, it may be incorrectly diagnosed as a gastroesophageal reflux disease. Here, we reported a case presented with food impaction at advanced age. As a conclusion, eosinophilic esophagitis is a rare entity that must be remembered in advance aged patients presenting with food impaction

The Impact of Flipped Learning on Students’ Engagement and Satisfaction Development: A Cross-Country Action Research Study

[Abstract] Action research has shown that using the Flipped classroom method, students become more active and engaged in educational activities. The Flipped classroom method, used in the activity study, revealed that students were more successful in communicating and cooperating, the process could be made easier by differentiating, playing, including intercultural aspects. This method made it possible to develop higher thinking abilities and increased motivation, and involvement in the educational process was observedResearch was conducted under ERASMUS+ project Flipped Impact (2018-1-TR01-K A 201- 059386)

Phenological, Pomological and Technological Characteristics of Seedless White Mulberry in Mulberry Genetic Resources of Turkey

This study carried out in 2015 and 2016 to determine phenological, pomological and some technological characteristics of 19 seedless mulberry genotypes of the Malatya Apricot Research Institute. Full-bloom periods of the genotypes varied between 27th of April (Poser 24-07) and 3rd of May (24 MRK 02); start of harvest dates varied between 15th of May (Poser 24-07) and 31st of May (Yediveren 24-08); end of harvest dates varied between 5th of July (Angut 009) and 30th of August (Yediveren 24-08). Fruiting durations varied between 50 days (Angut 009) and 95 days (Gemirgap Dutu 24-05). Of the pomological characteristics, average fruit weights varied between 0.77 g (Angut 009) and 2.46 g (Poser 24-07); water soluble dry matter (WSDM) contents varied between 15.50% (Topu Beyaz 1) and 29.60% (Angut 009). Of the technological characteristics, drying efficiency values varied between 15.79% (44 KE 10) and 39.94% (Angut 009), dry fruit color L values varied between 25.97 (Poser 24-07) and 50.20 (İstanbul Dutu 24-12). Based on present findings, Poser 24-07 genotype was found to be prominent with early fruiting and availability for fresh consumption; Yediveren 24-08 genotype with late fruiting; İstanbul Dutu 24-12 genotype with drying efficiency and Gemirgap Dutu 24-05 and Gemirgap Dutu 24-06 genotypes with their longer fruiting durations. Current findings may be beneficial in mulberry breeding programs

Prolonged venous bleeding due to traditional treatment with leech bite: a case report

<p>Abstract</p> <p>Introduction</p> <p>The medicinal leech, <it>Hirudo medicinalis</it>, has been used in the treatment of many diseases for thousands of years. In Turkey, it is used most commonly in the management of venous diseases of lower extremities.</p> <p>Case presentation</p> <p>A 25-year-old Turkish woman presented to our emergency room with bleeding from her left leg. She had been treated for varicose veins in her lower extremities with leeches about 24 hours before admission to the emergency room. The bleeding was controlled by applying pressure with sterile gauze upon the wound, and she was discharged. She returned after four hours having started bleeding again. Hemostasis was achieved by vein ligation under local anesthesia.</p> <p>Conclusions</p> <p>Leech bite should be evaluated as a special injury. Prolonged bleeding can be seen after leech bites. In such cases, hemostasis either with local pressure or ligation of the bleeding vessel is mandatory.</p

Management of Crown-related Fractures in Children: An Update Review

Traumatic dental injuries (TDIs) are a serious public health problem. Epidemiology of dental trauma indicates that these injuries are more prevalent in child population of the world. Children are the sufferers in two-thirds of all TDIs observed. Although being a major fraction, crown-related fractures are a less severe form of TDIs with respect to their complications and sequelae. However, as with other types of traumatic injuries, the delay in seeking for immediate care following a traumatic injury and the lack of appropriate treatment may compromise long-term outcomes. This article reviews the occurrence, management, and prognosis of crown-related fractures in primary and permanent teeth in light of the recent literature

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries