KOMPLEKS VE KOMPOUND ODONTOMA, 22 VAKA SUNUMU

Amaç Odontomalar çenelerde en sık görülen odontojenik kökenli iyi huylu tümörlerdir. Yavaş büyürler ve agresif davranış göstermezler. Genellikle asemptomatiktirler ve sıklıkla rutin radyografi sırasında bulunurlar. Kompleks ve kompaund odontoma olarak ikiye ayrılmaktadır. Bu vaka serisinde 8’i komplex 14'ü kompaund, toplam 22 odontoma vakasının cerrahi tedavisinin anlatılması amaçlanmıştır. Olgular Sunumu Yaş aralığı 10-34 arası olan 14’ü kadın 8’i erkek toplam 22 hasta, bölümümüzde gerekli klinik ve radyolojik muayenelerden sonra cerrahi olarak opere edilmiştir. Çıkarılan dokuların histopatalojilerinin, radyolojik ve klinik bulgularla değerlendirilmesi ile 8’inin komplex 14’ünün kompound odontoma olduğu tespit edilmiştir. Bazı vakalarda odontoma ile birlikte gömülü diş alınırken bazı vakalarda diş sürmesinin takibi amacıyla veya çene fraktürü riski sebebiyle etken gömülü dişler bırakılmıştır. İyileşme süresince hastalarda herhangi bir komplikasyon görülmemiştir. Sonuç Odontomalar genellikle asemptomatik görüldükleri için hastaların diş hekimlerine rutin kontrollere gelmeleri, erken teşhiste çok önemlidir. Erken teşhis ile morbidite ve maliyet azaltılabilir

Congenital arterial thrombosis in newborn: A case report

Neonatal thrombosis is a serious event that can cause mortality or severe morbidity. Although catheters are the most common cause of neonatal thrombosis, spontaneous events can also occur. Arterial thrombosis is very rare and accounts for approximately half of all thrombotic events in neonates. Genetic prothrombotic risk factors may affect the occurence of neonatal thrombosis. In this report, a case of left brachial, radial, and ulnar arterial thrombosis associated with methylene-tetrahydrofolate reductase (MTHFR) gene C677T and A1298C polymorphism heterozygosity is presented. Plasma homocysteine level and other prothrombotic components were normal. Standard heparin, aspirin, vitamin B12, B6 and folic acid were initiated for treatment. However, the left arm of the patient was amputated at the shoulder because its capillary stream could not be observed. We suggest that MTHFR gene C677T and A1298C polymorphism heterozygosity might be investigated in neonates with congenital arterial thrombosis in spite of normal serum homocysteine levels. © Trakya University Faculty of Medicine

Aziz Nesin'i idam etmek yetmez

Taha Toros Arşivi, Dosya No: 56-Aziz Nesi

Acutely infected teeth: to extract or not to extract?

Abstract: Not only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics

Anayasal demokrasi yolunda bir adım; 1949 Refik Gür Olayı

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2013.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by İbrahim Mert Öztürk.Öztürk, İbrahim Mert. HIST 200-9ÖZTÜRK HIST 200-9/1 2012-1

Comparison of simultaneous antegrade/vein graft cardioplegia with antegrade cardioplegia for myocardial protection

Antegrade cardioplegic delivery via the aorta ensures distribution of cardioplegic solution through open arteries, but distribution may not be adequate beyond a stenotic coronary artery. This potential problem can be overcome by direct delivery of cardioplegia via a vein graft. The purpose of this study was to compare simultaneous antegrade/vein graft cardioplegia with antegrade cardioplegia during coronary artery bypass surgery. Twenty patients were divided into 2 groups. In group 1, intermittent antegrade cardioplegia was provided (n=10). In group 2, intermittent antegrade cardioplegia was supplemented by antegrade perfusion of vein grafts after distal anastomoses were completed (n=10). Data on enzyme release and hemodynamics were obtained preoperatively, before the induction of anesthesia, just before cross-clamping, immediately after aortic unclamping, and at 1, 6, 12, 24, and 48 h after unclamping. Enzyme release (creatinine phosphokinase-isoenzyme MB, cardiac troponin I, myoglobin) was similar in both groups (P>.05). Furthermore, no significant difference was noted in the incidence of postoperative low cardiac output syndrome, perioperative myocardial infarction, or ventricular arrhythmia (P>.05). In conclusion, both techniques permitted rapid postoperative recovery of myocardial function. Supplementation of antegrade perfusion of vein grafts with antegrade cold blood cardioplegia offered no advantage to study patients. However, hemostasis of a distal anastomosis may be controlled by this technique. ©2006 Health Communications Inc

Intracerebral hemorrhage treated with external ventricular drainage following coronary bypass surgery

Background: Intracerebral hemorrhagic brain injury after open heart surgery is a rare complication. We report a case of acute intraventricular hemorrhage after coronary bypass surgery. Methods: The brain computed tomography revealed intraventricular bleeding in the patient and urgent external ventricular drainage was performed by neurosurgeons. Results: The clinical findings disappeared after the drainage. Conclusion: Early diagnosis and treatment is important in preventing organic brain damage in this complication. © 2007 by Blackwell Futura Publishing, Inc