How doest the retrocecal anatomic localization of the appendix vermiformis affect the prognosis of acute appendicitis today? A comparative prospective study

Appendix vermiformis is found in various anatomical localizations. Localization of the appendix vermiformis has been suggested to affect the clinical findings and outcomes of acute appendicitis. Aimed at investigating the effect of retrocecal localization of appendix vermiformis on the prognosis of acute appendicitis today. This study was started in August 2018 and finished in August 2021. Adult patients of both sexes who were operated in general surgery clinic with a pre-diagnosis of acute appendicitis were included in the study. Anatomic localization of appendix vermiformis were divided into two parts as retrocecal localizations and non-retrocecal localizations. The forms of appendicitis, postoperative complications, and length of hospitalization obtained from retrocecal and non-retrocecal localizations were compared and evaluated. A total of 776 patients were included in the study. Retrocecal localization was found in 15%, and non-retrocecal in 84.9% of the patients. The rate of acute appendicitis was 65.8% in retrocecal localization, 83.1% in non-retrocecal localization, perforated appendicitis at 31.6% in retrocecal localization and 11.2% in non-retrocecal localization. The perforated appendicitis rate was significantly higher in retrocecal localizations (p=.0001). Although postoperative complications were 5.1% in retrocecal appendicitis and 2.4% in non-retrocecal appendicitis, there was no significant difference between them in terms of postoperative complications (p=.105). The mean length of hospital stay was 2.4 days for appendicitis with retrocecal localization and 1.7 days for non-retrocecal localizations. The mean length of hospital stay was also significantly higher in retrocecal localizations (p=.0001). In conclusion, both perforated appendicitis rates and the mean length of hospital stay were higher in appendicitis with retrocecal localization. Therefore, appendicitis with retrocecal localization still negatively affects the prognosis of acute appendicitis today. [Med-Science 2022; 11(4.000): 1516-20

Retrospective analysis of inguinofemoral hernias

We aim to present the operative findings of inguinal and femoral hernias that were operated.The records of 732 patients who underwent surgery for inguinal and femoral hernia between March 2000 and January 2013 were evaluated retrospectively. The number, sex, and age of patients, type and side of hernias, the existence of strangulation, structure, and content of hernia sac were recorded.684 (93.4 %) of patient is male, 48 (6.5 %) of patient is female. The average age was 46.2. The rate of inguinal hernia was 96.7 %. However, the rate of femoral hernia was 3.2 %. Inguinal hernia 97.9 % and femoral hernia 2 % was found among males. Inguinal hernia 79.1 % and femoral hernia 20 % was found among females. Indirect hernia rates were 70.4 % among males and 75 % among females. Direct hernia rates were 20.7 % among males and 4.1 % among females. Hernias were located in 59 % on right-side, in 37 % on left-side, in 3.1 % on bilateral. The strangulated hernia was seen at 3.1 % in all cases. Strangulation rate was higher among women (6.2 % - 2.9 %). The strangulation rate was 16.6 % in femoral hernia, but this ratio was 2.6 % in inguinal hernia. Hernia sac consisted of peritoneum frequently (99.4 %). The structure that was found mostly in hernia sac was omentum majus (40.4 %).Inguinal hernias are encountered more than femoral hernias. The strangulation rate in femoral hernias is higher than in inguinal hernias. Since the strangulation rate is higher in femoral hernias, the surgical urgency of this type of hernias is higher than inguinal hernias. At the same time, because the internal organs can form the hernia sac or the organ inside the sac, the surgeon should pay maximum attention during the operation. [Med-Science 2020; 9(1.000): 86-9

Avaliação da comunicação de psiquiatras com pacientes psicóticos

Evaluation of the physician-patient relationship is very important in determining priorities in medical practice and medicine. For this purpose, in this study the psychiatrist’s communication with psychotic patients as a sensitive group was evaluated. A questionnaire was administered to 210 patients in a psychiatric clinic of Inonu University Hospital in Turkey to determine how the examination is performed in the facility for outpatients in the psychosis unit. According to the study conducted, it was observed that the evaluation score of the psychiatrist's communication with psychotic patients increased positively with increasing consultation duration. Our work is particularly noteworthy because it deals with a sensitive area, such as a group of psychiatric patients. The scores were obtained based on data from the evaluation of the questionnaires, which showed that the communication between the psychiatrist and the psychotic patient was conducted in a sensitive and careful manner, and without ethical problems.La evaluación de la relación médico-paciente es muy importante para determinar las prioridades en la práctica médica y la medicina. Para este propósito, en este estudio se evaluó la comunicación del médico psiquiatra con los pacientes psicóticos como grupo sensible. Se administró un cuestionario a 210 pacientes de una clínica psiquiátrica del Hospital de la Universidad de Inonu en Turquía, para determinar cómo se realiza el examen en el establecimiento para los pacientes externos de la unidad de psicosis. De acuerdo con el estudio realizado, se observó que el puntaje de evaluación de la comunicación del psiquiatra con los pacientes psicóticos se incrementó positivamente al aumentar la duración de la consulta. Nuestro trabajo se destaca particularmente por tratarse de un área sensible, como es un grupo de pacientes psiquiátricos. Los puntajes se obtuvieron basándose en datos de la evaluación de los cuestionarios, que mostraron que la comunicación entre el psiquiatra y el paciente psicótico se realizó de una forma sensible y cuidadosa, y sin problemas éticos.A avaliação da relação médico-paciente é muito importante para determinar as prioridades na prática médica e na medicina. Para este fim, neste estudo foi avaliada a comunicação do psiquiatra com pacientes psicóticos como um grupo sensível. Um questionário foi aplicado a 210 pacientes em uma clínica psiquiátrica do Hospital Universitário Inonu na Turquia para determinar como o exame é conduzido nas instalações para pacientes ambulatoriais da unidade de psicose. De acordo com o estudo realizado, observou-se que a pontuação da avaliação da comunicação do psiquiatra com pacientes psicóticos aumentou positivamente à medida que a duração da consulta aumentava. Nosso trabalho é particularmente notável porque trata de uma área sensível, tal como um grupo de pacientes psiquiátricos. Os resultados foram obtidos com base nos dados da avaliação dos questionários, que mostraram que a comunicação entre psiquiatra e paciente psicótico foi realizada de forma sensível e cuidadosa, e sem problemas éticos

Axillary Artery and Subscapular Artery Variation : A Case Report

A. thoracica superior, the first artery to supply thorax, is a thin vein branching from the first part of a. axillaris. There are two arteries branching from the second part of a. axillaris: One of them is a. thoraco-ac¬romialis, being a short and thick branch, and the other one is a branch also known as a. thoracica lateralis or a. mammaria externa. A. thoracodorsalis is an another vein and proceeds as a continuation of a. subscapularis and accompanies n. thoracodorsalis. Knowing variations other than normal anatomical structure is significantly important for anatomists, clinicians and especially for surgeons. We want to present an axillary artery and subscapular artery variation we have found, by using dissection method, on bilateral upper extremity of a 40-year old, white, male cadaver used for educational purposes by the Department of Anatomy, Faculty of Medicine, Inonu University. [Med-Science 2015; 4(2.000): 2244-51

Environmental biofilm communities associated with early-stage common dentex (Dentex dentex) culture

Aims To describe the biofilm microbiota associated with various feeding phases during larval common dentex (Dentex dentex) culture

An outbreak of scuticociliatosis in cultured common dentex (Dentex dentex) in Turkey

In this study, Miamiensis avidus (syn. Philasterides dicentrarchi) was identified by molecular tools as the causative agent responsible for a disease outbreak in cultured common dentex (Dentex dentex). The outbreak occurred in May when the water temperature was 18 degrees C in a commercial fish farm located in Aegean Region of Turkey. Fifteen moribund cultured common dentex juveniles (10-15 g in weight) were selected from indoor circular tanks of the hatchery and examined. The disease signs in all sampled fish included hemorrhaging on various body surfaces, dorsal fin rot induding skin depigmentation, accumulation of ascitic fluid due to a hyperaemic liver and consequent distended abdominal cavity and an enlarged spleen. Light microscopic examination revealed that the skin of diseased fish was heavily infected with ovoid-shaped, highly motile ciliates, of which some encompassed multiple erythrocytes in their cytoplasm, when observed HE-stained histological sections. The ciliate was identified as Miamiensis avidus by both partial 18S ribosomal RNA (18S rRNA) and cytochrome c oxidase subunit I (COX1) genes sequence analysis, while morphological characterisation was not done. In addition, Vibrio sp. were isolated from the liver of five moribund fish, however this was considered a secondary infection since only one-third of the fish were affected. To our knowledge, this is the first-report of scuticociliatosis caused by Miamiensis avidus in cultured common dentex

Evaluating the Behaviours of Citizens and Physicians During Healthcare System Changes in Turkey

This study may provide insights into the positive and negative perceptions of physicians and citizens in Turkey regarding the Transformation in Health Project.We aimed to evaluate the views of physicians and citizens regarding the changing healthcare system using different questionnaires.We interviewed 1190 actively working physicians and 1997 citizens using face-to-face questionnaires to determine how the changing healthcare system has affected the behaviours of physicians and citizens. When asked whether the behaviours of patients and relatives had improved, 495 physicians (41.6%) answered yes and 580 (48.7%) answered no. When citizens were asked whether the behaviours of physicians had improved, 1399 (70.1%) answered yes and 362 (18.1%) answered no. According to the results of this study, there have been some changes in our healthcare system associated with the Transformation in Health Project. [Med-Science 2016; 5(2.000): 505-18

Changes in transferrin gene expression in sea bass (Dicentrarchus labrax) challenged with Vibrio anguillarum

Vibrio anguillarum expresses several virulence factors and causes hemorrhagic septicemia accompanied by serious losses in marine fish. Transferrin is a glycoprotein, also known as a multitasking protein, which is mainly synthesized by the liver. It has a fundamental role in the immune system. In the present study, the transferrin gene expression of sea bass (Dicentrarchus labrax) was investigated during an experimental infection with V. anguillarum. Fish samples were examined by hematological and serological methods as well as real-time polymerase chain reaction. The infection was performed via water. The sampled fish displayed vibriosis infection symptoms, both internally and externally. The transferrin saturation in the diseased fish serum decreased dramatically and the transferrin gene expression increased during the first 2 days; however, it decreased in the subsequent days

First Isolation of a Flavobacterium johnsoniae like Bacteria from Cultured Russian Sturgeon in Turkey

The aim of this study was to identify the causative agent responsible for low losses in cultured Russian sturgeon (Acipencer gueldenstaedtii) in Turkey. Two outbreaks occurred in the autumn of 2007 and 2008 after heavy rainfall accompanied by a sudden change in water temperature and increased suspended solids. The sturgeons displayed ulcerations, haemorrhage and superficial skin erosions especially on the ventral side including the pectoral and pelvic fins as reported in other studies. Affected fish were lethargic displayed excessive mucus secretion with skin lesions appearing as pale grey spots. Phenotypical characterizations were done according to standard protocols and supplemented with commercial APIZYM, API 20E and API 20NE kits. Sequencing of 16S rDNA PCR products were performed to genetically confirm the identity of the isolated organism

Isolation of Shewanella putrefaciens from Goldfish (Carassius auratus auratus)

In the present study, the etiological agent that caused mortality in goldfish at an aquarium company located in Bursa in northwestern Turkey was identified. Diseased fish were lethargic, displaying a loss of appetite, ascites, and exophthalmia. Internal examination revealed that the kidney was surrounded by exudate and that the spleen and liver were pale. Microbiological examination showed that the kidney, spleen, and liver were infected by gram-negative, cytochrome oxidase, catalase, and H2S positive rod-shaped bacteria identified as Shewanella putrefaciens. Identification of the bacteria was confirmed by 16S rRNA gene sequencing. Histopathological examination of the kidney, spleen, and liver revealed necrosis in kidney tubules and the presence of hepatocytes and hemosiderin in melanomacrophages. According to the disk diffusion method, isolates were sensitive to enrofloxacin (5 mu g), florfenicol (30 mu g), gentamycin (120 mu g), and sulfamehoxazole+ trimethoprim (25 mu g)