Non-operative treatment in children and adolescents with atlantoaxial rotatory subluxation

Amaç: Atlantoaksiyel rotator subluksasyon (AARS) çocuk ve adolesanlarda baş-boyun hareketlerinde kısıtlılık ve tortikollisle kendini gösteren, genellikle tanıda güçlük yaşanan ve beraberinde potansiyel riskler barındıran bir durumdur. Bu çalışmada cerrahi dışı yöntemlerle tedavi edilen 12 AARS olgusunun retrospektif analizi sunulmaktadır. Hastalar ve yöntem: AARS nedeni ile cerrahi dışı yöntemlerle tedavi edilen, ortalama yaşı 11,5 olan 12 hasta travma ve üst solunum yolu enfeksiyonu öyküsü, ek yaralanmalar, radyolojik bulgular, semptomların süresi, mentooksipital traksiyonun miktarı ve süresi ile tedavinin klinik sonuçları açısından değerlendirildi. Bulgular: Olguların 8’inde travmatik AARS saptanırken, 4 olguda subluksasyonların ardında travmatik bir neden bulunamadı. Olguların 10’unda Fielding ve Hawkins’e göre tip I, 2’sinde ise tip II subluksasyonlar saptandı. Tüm olgular yatak başı mentooksipital traksiyonla tedavi edildi. Traksiyonda kullanılan ortalama ağırlık 1,8 kg iken, ortalama traksiyon süresi 3,75 kg olarak hesaplandı. Olgular traksiyonla elde edilen klinik düzelmenin ardından 3 hafta Philadelphia boyunlukla takip edildi. Altıncı ay kontrollerde hiçbir olguda baş-boyun hareketlerinde kısıtlılık ve ağrı saptanmadı. Sonuçlar: Atlantoaksiyel eklem, baş rotasyonunun çoğundan sorumlu olan karmaşık bir yapıdır. Çocuk ve adolesanlarda boyun ağrısı ve torticollis ayırıcı tanısında atlantoaksiyel eklem patolojileri ve AARS mutlaka düşünülmeli ve ekarte edilmelidir. Tanıda gecikme yaşanan olguların tedavisinde cerrahi dışı yöntemlerle başarı şansı düşüktür.Objective: Atlantoaxial rotatory subluxation (AARS) is an uncommon lesion seen mainly in children and adolescents. A retrospective analysis of 12 patients with AARS treated non-operatively is presented in this study. Material and Methods: Twelve patients with AARS who were treated non-operatively were evaluated retrospectively in terms of recent trauma and respiratory tract infection history, accompanying injuries, radiological findings, duration of symptoms, amount and duration of traction and clinical results of the treatment. Results: Traumatic AARS was present in 8 patients. No evidence of trauma was found in 4 patients. Type I subluxations in 10 and type II subluxations in 2 patients were found according to the Fielding and Hawkins classification. All patients were treated using bed-side mentooccipital tractions. The mean duration of bed-side mentooccipital traction was 3,75 days and the mean amount of load was 1.8 kg. All patients were kept in Philadelphia collars for additional 3 weeks after the clinical recovery. No limitations and pain in head movements were present in any patient at the sixth month follow-up examinations. Conclusion: Paediatric patients with neck pain and torticollis should be investigated concerning trauma and recent respiratory tract infection history in order to avoid any delay in diagnosis of a possible AARS

Bir ilköğretim okulu 4, 5, ve 6. Sınıf öğrencilerinin saldırganlık düzeylerinin anne baba tutumları ve bazı değişkenler ile ilişkisi

Amaç: Bu çalışma ilköğretim öğrencilerinin saldırganlık düzeylerinin anne-baba tutumları ve bazı değişkenler ile ilişkisini belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı ve ilişki arayıcı tipteki bu çalışma Nisan-Mayıs 2011 tarihleri arasında bir ilköğretim okulunun dört, beş ve altıncı sınıf öğrencileri ile yürütüldü. Araştırmada örneklem seçimine gidilmeyerek dört, beş ve altıncı sınıfta öğrenim gören tüm öğrencilere (N=425) ulaşmak hedeflendi, ancak çalışma 409 öğrenci ile tamamlandı. Araştırma verileri araştırmacılar tarafından oluşturulan sosyodemografik anket formu, Anne-Baba Tutum Ölçeği ve Çocuk Saldırganlık Ölçeği kullanılarak toplandı. Bulgular: Öğrencilerin saldırganlık ölçeği puan ortalamaları 17.61±5.10 bulundu ve % 15,2’si saldırgan olarak belirlendi. Erkek öğrencilerin saldırganlık puan ortalamaları kız öğrencilerden istatistiksel olarak anlamlı daha yüksek bulundu (t=-2.21, p<0.05). Anne ve babanın kavga etme sıklığı (Kwx2=9.84, p<0.05),öğrencilerin boş zaman faaliyetleri (F=5.89, p<0.05) ile saldırganlık puan ortalamaları arasında istatistiksel olarak anlamlı fark vardı (F=6.28). Lojistik regresyon analizi sonuçlarına göre saldırgan olma durumunun ana baba kavga etme sıklığı, anne tutumu ve baba tutumundan etkilendiği saptandı (p<0.05). Sonuç: Çalışma sonuçlarında ilköğretim çağındaki öğrencilerin saldırganlık düzeylerinin düşük olduğu, saldırganlığın anne baba kavga etme sıklığı ve ana-baba tutumu gibi değişkenlerden etkilendiği saptanmıştır

Resveratrol Supplementation Attenuates Excessive Inflammation and Helps Restore Impaired Restitution in an Intestinal Epithelial Cell Culture Model

Aim:Sustained release of inflammatory mediators, excessive inflammatory response and impaired intestinal epithelial restitution are well-known mechanisms in the pathogenesis of necrotizing enterocolitis. This study focused on the effect of resveratrol on these pathways.Materials and Methods:In this study, the rat crypt intestinal cell line (IEC-6) culture, an application of lipopolysaccharide or a cytokine mixture and a scratch migration assay model were used. Nitric oxide synthase-2 (iNOS) and cyclooxygenase-2 (COX-2), focal adhesion kinase (FAK) and its phosphorylated form (pFAK) levels were assessed.Results:IEC-6 cells covered 88% of the denuded area in the control, 54% in LPS, and 35% in cytomix groups at the 24th hour. The treatment with resveratrol at doses of 0.5, 1 and 5 μM/L before LPS resulted in the repair of 84%, 87% and 76% of the denuded areas, respectively. Likewise, with cytomix, it was 86%, 82%, and 78%. Resveratrol at a dose of 5 μM/L prevented an increase in iNOS levels. All three doses of resveratrol were effective in preventing increases in COX levels. FAK or pFAK expressions remained unchanged in all groups.Conclusion:Resveratrol, being known for its antioxidant features, suppresses excessive inflammatory response and helps preservation of mucosal integrity by conservation of epithelial restitution

The association between serum YKL-40 levels, mean platelet volume, and c-reactive protein in patients with cellulitis

cure, erkan/0000-0001-7807-135X; Cure, Medine Cumhur/0000-0001-9253-6459; ERTURK, AYSE/0000-0001-6413-9165WOS: 000349843900013PubMed: 25657159Background: Lower limb cellulitis is an infectious disease that has serious complications unless it is treated. Objectives: in this pilot study, we evaluated whether levels of YKL-40, an acute-phase reactant, and mean platelet volume (MPV), which occurs secondary to inflammation in cellulitis, increase compared to healthy subjects. We also aimed to investigate the association between YKL-40 and MPV in the prognosis of the patients. Material and Methods: A total of 55 patients with cellulitis (23 men and 32 women) and a similar age group of 46 healthy individuals (22 men and 24 women) were included in the study. Cellulitis was diagnosed according to guideline. Serum YKL-40 levels, MPV, C-reactive protein (CRP), and other biochemical values of both groups were compared. Results: YKL-40 levels (52.2 +/- 34.5 ng/mL vs 34.6 +/- 18.0 ng/mL, P = 0.004), MPV (7.7 +/- 1.0 fL vs 6.9 +/- 0.7 fL, P < 0.001), and CRP (9.5 +/- 8.2 mg/dL vs 0.7 +/- 0.6 mg/dL, P < 0.001) were significantly higher in the patients with cellulitis than the control. the mean recovery time (RT) of the patients was 22.6 +/- 6.9 days. We found that YKL-40 (odds ratio [OR] 0.1, confidence interval [Cl] 0.028-0.191, P = 0.009) and MPV (OR 2.4, Cl 0.254-4.578, P = 0.029) have an independent association with RT. Conclusion: YKL-40 and MPV values were correlated with higher CRP in the cellulitis group than in controls. According to these results, increased YKL-40 and MPV levels might be a prognostic factor for cellulitis in patients

Sakroiliiti taklit eden hodgkin lenfoma: Olgu sunumu]

Musculoskeletal syndromes may be associated with neoplastic diseases. We hereby report a case of sacroiliitis that was diagnosed as Hodgkin's lymphoma during the follow-up process. Though sacroiliitis was confirmed with magnetic resonance imaging (MRI), a diagnosis of malignancy associated with sacroiliitis may be delayed and cause a clinical challenge. We aimed to discuss the presentation of lymphoma with sacroiliac joint involvement and its probable mechanisms and review the literature

An analysis of language and speech disorders in preschool children in Turkey: The case of Beypazarı

The children with early language and speech delay have the risk to face with learning disabilities as well as psychological and behavioral adjustment problems in the preschool period. The aim of this study to analyse the language and speech disoders in the children aged between 3 and 6 years who attend kindergarden. 503 children who attend the kindergarden were determined in Beypazarı. However, 101 children were out of study for various reasons (N:402). The implementation of the study consists of two stages. In the first stage, the language and speech development of the children was questioned. The Turkish Preschool Language Scale–5 (TPLS-5) test was administered to the risky children in the second stage. A moderate (0,300) and a significant correlation (p0) and significant correlation (p<0,01) was found between the chronological and expressive language of the children. The language and speech disorder has an important potential negative effect on families and societies both in the short and the long term. For this reason, it is quite important to follow the language and speech development of children closely in the preschool period

A physiological signal database of children with different special needs for stress recognition

This study presents a new dataset AKTIVES for evaluating the methods for stress detection and game reaction using physiological signals. We collected data from 25 children with obstetric brachial plexus injury, dyslexia, and intellectual disabilities, and typically developed children during game therapy. A wristband was used to record physiological data (blood volume pulse (BVP), electrodermal activity (EDA), and skin temperature (ST)). Furthermore, the facial expressions of children were recorded. Three experts watched the children's videos, and physiological data is labeled "Stress/No Stress" and "Reaction/No Reaction", according to the videos. The technical validation supported high-quality signals and showed consistency between the experts.Scientific and Technological Research Council of Turkey Technology and Innovation Funding Programmes Directorat

Perspectives, needs and expectations of healthcare providers for medical tourism policy: A qualitative study

Medikal turizm, küreselleşme sonucu artan insan hareketliliği, bilişim teknolojilerinin yaygın kullanımı gibi nedenlerle hızla gelişen bir sağlık sektörüdür. Toplumların yaşlanması, sağlık hizmeti maliyetlerinin hızla artması, hizmet almak isteyenler için söz konusu olan uzun bekleme süreleri gibi nedenlerle önemi artan medikal turizm konusunda Türkiye önemli bir destinasyon konumundadır. Halen Sağlık Bakanlığı sorumluluğunda yürütülen medikal turizm hizmetleri için çok sayıda yetkilendirilmiş sağlık kurumu hizmet vermekte, çeşitli ülkelerle ikili anlaşmalar bulunmaktadır. Ne var ki bu konuda henüz bir devlet politikası bulunmamakta, ancak sorunlar ve ihtiyaçlar gündeme geldiğinde bazı düzenlemeler yapılmaktadır. Bu araştırmanın amacı, Türkiye’de ulusal medikal turizmi politikasına yol gösterici olabilmek için bu alanda faaliyet gösteren hizmet sunucularının bakış açılarını, mevcut duruma ilişkin değerlendirmelerini incelemek, ihtiyaç ve beklentilerini tespit etmektir. Bu nitel araştırmada medikal turizm hizmeti sunan kurumlardan 10 yönetici ile yapılan derinlemesine görüşme bulgularına göre, Türkiye’nin bu alanda çok sayıda güçlü yanlarının bulunduğu, çeşitli fırsatlarla karşı karşıya olduğu, ancak, politika ve uygulama eksiklikleri nedeniyle çeşitli sorunların ve tehditlerin de söz konusu olduğu görülmektedir. Özellikle Türkiye’nin coğrafi konumu, nitelikli sağlık insan gücü ve gelişmiş sağlık alt yapısından kaynaklanan güçlü yanlarından etkili biçimde yararlanabilmek için konuya ilişkin yasal boşlukların giderilmesi, medikal turizm hizmetlerinin iyi koordine edilerek denetlenmesi, gerçekçi politikalar oluşturulması gerekliliği ön plana çıkmaktadır.Medical tourism is a rapidly developing health sector due to increased human mobility as a result of globalization and the widespread use of information technologies. Turkey is an important destination for medical tourism, whose importance is increasing due to the aging of societies, the rapid increase in healthcare costs, and the long waiting times for those who want to receive services. Currently, many authorized health institutions provide services for medical tourism services carried out under the responsibility of the Ministry of Health, and there are bilateral agreements with many countries. However, there is no comprehensive state policy on medical tourism yet, and regulations are made when problems and needs arise. To inform national medical tourism policy of Turkey, this study aims to understand the perspectives, needs and expectations of healthcare providers working in this sector. According to the findings of in-depth interviews with 10 managers from medical tourism service provider institutions, this qualitative study shows that Turkey has many strengths in this field, faces various opportunities, but there are also various problems and threats due to policy and implementation shortfalls. To get the most out of strengths arising from Turkey’s geographic location, qualified health workforce and advanced health infrastructure, it is required to fix the legal gaps, coordinate and supervise medical tourism services, and create realistic policies

A research on the facebook post of teacher candidates and the reasons of postingÖğretmen adaylarının facebook paylaşımları ve paylaşım yapma nedenleri üzerine bir araştırma

The main purpose of this current study is determining Facebook usage and posts of teacher candidates and reasons of posting on Facebook. The study is conducted with 21 participants who study at different departments and classes in Mehmet Akif Ersoy University Faculty of Education are participated in this current study.  This study is conducted as case study which is a method of qualitative studies. Data was obtained with a semi structured questionnaire with is combined of 10 questions. In addition to the semi structured questions, participants were asked to if possible to control their posts on Facebook platform in last month. In detail, it was asked how they decided to share these posts on Facebook and what kind of things share on there. According to results, generally participants use Facebook for sharing information, funny videos, following family members and friends and communication with their friends. Participants state that they generally posting on Facebook in order to show their moods to friends tell themselves to others and give social messages. It is suggested that this study can be conducted again with different and more participants who study in different universities. Extended English abstract is in the end of Full Text PDF (TURKISH) file.ÖzetBu çalışmanın amacı yaygın kullanılan sosyal ağlardan biri olan Facebook’un öğretmen adayları tarafından kullanım durumları, öğretmen adaylarının Facebook paylaşımları ve paylaşım yapma nedenlerini ortaya koymaktır.Çalışmaya 2016-2017 eğitim öğretim yılı güz döneminde Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi farklı bölüm ve sınıflarında öğrenim gören ve Facebook’u aktif olarak kullanan 21 öğrenci katılmıştır. Bu çalışmada nitel araştırma yöntemlerinden biri olan durum çalışması deseni kullanılmıştır. Çalışma verileri yarı yapılandırılmış 10 görüşme sorusu ile toplanmıştır. Hazırlanan soruların yanı sıra katılımcıların izinleri doğrultusunda, katılımcılarla birlikte mobil cihazlarından Facebook hesaplarındaki son bir aylık paylaşımları incelenmiş ve katılımcılara Facebook platformunda yapmış oldukları paylaşımları yapmaya nasıl karar verdikleri ve bu paylaşımları yapma amaçları ayrıntılı bir şekilde sorulmuştur. Katılımcıların Facebook’u genel olarak bilgi paylaşımı yapma, komik videolar paylaşma, aile ve arkadaşlarını takip etme ve iletişim kurma amacıyla kullandıkları görülmektedir. Katılımcılar Facebook’ta paylaşımı en çok içinde bulundukları ruh hallerini arkadaşlarına bildirme, kendilerini başkalarına ifade etme ve sosyal mesaj verme amaçlarıyla yapmaktadır. Benzer çalışmaların farklı üniversite ve farklı bölümlerde öğrenim gören daha fazla sayıda katılımcı ile gerçekleştirilmesi önerilmektedir.

The epidemiology, Clinical Manifestations, radiology, microbiology, treatment, and prognosis of echinococcosis: Results of NENEHATUN study

Aim: Echinococcosis, caused by Echinococcus species, is an important zoonotic disease causing major health problems in humans and animals. Herein, we aimed to evaluate the epidemiology, clinical and laboratory parameters, radiological, serological, pathological, and treatment protocols of followed-up cases of hydatidosis. Methods: A total of 550 patients diagnosed with hydatid cyst disease were included in this study. Patients who were positive for one or more of the enzyme-linked immunosorbent assay or indirect hemagglutination test, pathological results, or radiological findings were examined. The data analyzed were collected from nine centers between 2008 and 2020. Records were examined retrospectively. Results: Among the patients, 292 (53.1%) were women and 258 (46.9%) were men. The patients' mean age was 44.4 +/- 17.4 years. A history of living in rural areas was recorded in 57.4% of the patients. A total of 435 (79.1%) patients were symptomatic. The most common symptoms were abdominal pain in 277 (50.4%), listlessness in 244 (44.4%), and cough in 140 (25.5%) patients. Hepatomegaly was found in 147 (26.7%), and decreased breath sounds were observed in 124 (22.5%) patients. Radiological examination was performed in all cases and serological methods were also applied to 428 (77.8%) patients. The most frequently applied serological test was IHA (37.8%). A single cyst has been found in 66% patients. Hepatic involvement occurred in 327 (59.4%), pulmonary involvement was found in 128 (23.3%), whereas both of them were recorded in 43 (7.8%) patients. Splenic involvement was only detected in nine (1.6%) patients. Echinococcus granulosus (72.5%) was most frequently detected. Cyst diameters of 56.9% of the patients were in the range of 5-10 cm. A total of 414 (75.2%) patients received albendazole as an antiparasitic. Mortality was noted in nine (1.6%) patients. Conclusion: Echinococcosis is an important public health problem in Turkey. It can affect the social, economic, and political structures of the community. Public education and awareness are extremely important