Management of Complications in 1452 Pediatric and Adult Cochlear Implantations

Objective: The aim of this study was to determine the short- and long-term complications after cochlear implantation (CI) procedures and to discuss the management and prevention of these complications.Methods: The study included a total of 1452 pediatric and adult cochlear implantation procedures performed in our clinic from March 2000 through September 2019. Of the 1452 implantations, 1201 were performed in children and 156 in adults. The minimum follow-up period was three months and maximum was 19 years. The mean age of the patients was 6.7±3.9 years (range, 10 months-69 years) at the time of their respective procedures. Complications were classified as major complications requiring reimplantation, major complications not requiring reimplantation and minor complications. All postoperative complications and treatment methods were examined.Results: A total of 148 (10.1%) complications were observed in the 1452 cochlear implants. Of these, 69 (4.75%) were major and 79 (5.44%) were minor complications. While 40 (2.75%) of the major complications required reimplantation, 29 (1.99%) did not. The most common cause of major complications leading to reimplantation was device failure (29 patients, 1.99%). The most common cause of minor complications was hematoma (21 patients). Total complication rates (6.68%) were significantly higher in children than in adults (3.51%) (p=0.00).Conclusion: Our 19 years of clinical experience has shown that CI is a successful and safe procedure that can be performed with low major complication rates. It is important to know the possible complications and to manage them correctly

Bir yenidoğanda Freeman-Sheldon sendromunun hemofili A ile birlikteliği

WOS: 000391200000010The Freeman-Sheldon syndrome (FSS) (whistling face) is a congenital autosomal dominant disease (rarely described in its autosomal recessive form) characterized by small "whistling" mouth, a flat masklike face, joint contractures (commonly involving the fingers and hands) and underdevelopment of the nasal cartilage. Other clinical features include full forehead, deep set eyes, epicanthal folds, high palate, H-shaped cutaneous dimpling on the chin, ulnar deviation of the hands, seizures, and dislocation of the hip. A 10-day-old male newborn was admitted to our neonatal intensive care unit with jaundice and hyperthermia. He had fever of 42.5 degrees C, small whistling mouth, a flat mask-like face, joint contractures of the fingers, and ulnar deviation of the hands. The parents were consanguineous and one of the boys died when he was 1 years old due to intracranial hemorrhage. To our knowledge, there have been more than 60 cases diagnosed with FSS. This is the first reported case of Freeman-Sheldon syndrome associated with hemophilia A and the second case of FSS associated with fever without anesthesia

Elemental composition of PM10and PM2.5in erzurum urban atmosphere, Turkey

This study investigated the elemental concentrations of atmospheric particulate matter (PM10, PM2.5) and their relationships with meteorological factors in Erzurum urban centre, Turkey. The average elemental concentration PM10values for Ca, Mg, Si, Al, Pb, Zn, Cu and Ni in Erzurum city atmosphere were 2112, 184, 2134, 746, 6, 44, 38 and 2 ng/m3, respectively, and that of PM2.5 were 103, 30, 717, 86, 4, 6, 70 and 1 ng/m3, respectively. Furthermore, during the sampling period, whilst on average 90% of some alkali metals (Si, Ca, Al, Mg) were observed in large size fraction, on average 55% of some elements (S, Zn, Pb, K) were measured in fine size fraction. For the purposes of investigating the sources of the elemental PM concentrations measured, the widely documented crustal enrichment factors method was used. K, Mg, Ca, Ti, Cr, Mn were observed to be from crustal sources in coarse fraction (PM10-2.5), but S, Cu, Zn, Pb were found to be anthropogenic. Concentrations of fine fraction (PM 2.5) elements Mg, Ca, Al, Si, Ti were found to be entirely of crustal origin (as per coarse fraction), and both crustal and anthropogenic sources were important in concentrations of K, Cr, Mn and Ni, whereas S, Cu Zn and Pb levels were entirely of anthropogenic origin. Moreover, fine mode fraction of PM (PM2.5) showed considerable seasonal variations of elemental concentrations which was thought to originate from anthropogenic sources

Woody plant composition and diversity of urban green spaces in Istanbul, Turkey

The high urbanization rate of Istanbul in response to rapid population decreased the size and amount of green spaces. Thereby, every green space types are of vital importance in terms of conservation of urban biodiversity. In this study, it was aimed to compare woody species composition of main green space types consist of artificial and natural sites. Botanical gardens had the highest diversity followed by gardens. Residential areas showed to be important in terms of shrub (52%) and evergreen species (58%), which are mostly exotics (71%). The ratio of the invasive plants in the composition was higher in parks, which contain highway greenings and public gardens. Since the most tree species used in public green areas of Istanbul were mostly same with the species used in European cities, all of the green space categories having varied composition must be considered as interconnected habitat patches in urban planning

Average mass concentrations of TSP, PM10 and PM2.5 in Erzurum urban atmosphere, Turkey

In this study, particulate matters (TSP, PM10, PM2.5 and PM10-2.5) which are hazardous for environment and human health were investigated in Erzurum urban atmosphere at a sampling point from February 2005 to February 2006. During sampling, two low volume samplers were used and each sampling period lasted approximately 24 h. In order for detection of representative sampling region and point of Erzurum, Kriging method was applied to the black smoke concentration data for winter seasons. Mass concentrations of TSP, PM10 and PM2.5 of Erzurum urban atmosphere were measured on average, as 129, 31 and 13 mu g/m(3), respectively, in the sampling period. Meteorological factors, such as temperature, wind speed, wind direction and rainfall were typically found to be affecting PMs, especially PM2.5. Air temperature did not seem to be significantly affecting TSP and PM10 mass concentrations, but had a considerably negative induction on PM2.5 mass concentrations. However, combustion sourced PM2.5 was usually diluted from the urban atmosphere by the speed of wind, soil sourced coarse mode particle concentrations (TSP, PM10) were slightly affected by the speed of wind. Rainfall was found to be decreasing concentrations to 48% in all fractions (TSP, PM10, PM10-2.5, PM2.5) and played an important role on dilution of the atmosphere. Fine mode fraction of PM (PM2.5) showed significant daily and seasonal variations on mass concentrations. On the other hand, coarse mode fractions (TSP, PM10 and PM10-2.5) revealed more steady variations. It was observed that fine mode fraction variations were affected by the heating in residences during winter seasons