The Evaluation of the Effects of Different Patient Information Strategy on Self-Performed Oral Hygiene in a Group of Turkish Population

The aim of this study was to investigate the effects of different patient information strategy on self-performed oral hygiene in a short and intermediate time period in a group of Turkish population. The study population consisted of 105 patient at the same socio-economical level and divided into three groups: Group I, who were not attended any program, group II, who attended only one explanatory session about oral hygiene, and group III, who attended a comprehensive education and motivation session. In order to evaluate the methodology applied, the Quigley-IIcin's plaque index (PI, according to Quigley-1 Icin, 1962) and gingival bleeding index (GI, according to Loc and Silness, 1963) were calculated. All these patients' teeth were scaled at the start of the study. These parameters were determined at die initial and after 1st week, 1st and 3rd and 6th months. The results demonstrated a significant improvement in the PI and GI scores following die use of motivation and education program in the 1st week and 1st month (p<0.01). The level of oral hygiene and gingival health achieved at the fist month was not observed in all 3 groups in the 3rd and 6th months. We found that the comprehensive session used here has also been effective in improving the oral hygiene and reducing the gingival inflammation in the 6" month (p<0.01). In conclusion, the data presented in this paper indicated that the education and motivation program with visual and demonstrated may be suitable alternative program improving the oral hygiene and reducing the gingival inflammation.The aim of this study was to investigate the effects of different patient information strategy on self-performed oral hygiene in a short and intermediate time period in a group of Turkish population. The study population consisted of 105 patient at the same socio-economical level and divided into three groups: Group I, who were not attended any program, group II, who attended only one explanatory session about oral hygiene, and group III, who attended a comprehensive education and motivation session. In order to evaluate the methodology applied, the Quigley-IIcin's plaque index (PI, according to Quigley-1 Icin, 1962) and gingival bleeding index (GI, according to Loc and Silness, 1963) were calculated. All these patients' teeth were scaled at the start of the study. These parameters were determined at die initial and after 1st week, 1st and 3rd and 6th months. The results demonstrated a significant improvement in the PI and GI scores following die use of motivation and education program in the 1st week and 1st month (p<0.01). The level of oral hygiene and gingival health achieved at the fist month was not observed in all 3 groups in the 3rd and 6th months. We found that the comprehensive session used here has also been effective in improving the oral hygiene and reducing the gingival inflammation in the 6" month (p<0.01). In conclusion, the data presented in this paper indicated that the education and motivation program with visual and demonstrated may be suitable alternative program improving the oral hygiene and reducing the gingival inflammation

The effect of local corticosteroid injection on F-wave conduction velocity and sympathetic skin response in carpal tunnel syndrome

The aim of this study was to evaluate the efficacy of steroid injection for the treatment of the carpal tunnel syndrome (CTS), with F-wave parameters and sympathetic skin response (SSR). Seventeen hands of 10 women patients were treated with local steroid injection with 2-month follow-up. All patients underwent single injection into the carpal tunnel. Response to injection was measured nerve conduction studies (NCSs), median nerve F waves, and SSR before and after treatment. To determine the normal values, 42 hands of 21 healthy women were also studied. There was a significant improvement of sensory and motor nerve conduction values when compared to baseline values (P < 0.01). At the end of follow-up period, the median sensory distal latency and the sensory latency differences between the median and the ulnar nerve were improved 35 and 65%, respectively. The maximum, mean F-wave amplitudes and chronodispersion showed a slight improvement with respect to baseline values and controls, but statistical significance was not achieved after treatment. Although no statistically significant improvements were observed in SSR parameters, slightly decreased amplitudes and increased habituation of SSR were noted at the end of the treatment. The present study shows that the local steroid injection results in improvement in NCSs values, but the F-wave parameters were not effectual in short-term outcome of CTS treatment. These findings suggest that the sensory latency differences between the median and the ulnar wrist-to-digit 4 are better parameters in the median nerve recovery after treatment than the median sensory distal latency. Furthermore, the SSR does not seem to be a sensitive method in follow-up of CTS treatment

Effectiveness of a multidimensional approach for prevention of ventilator-associated pneumonia in 11 adult intensive care units from 10 cities of Turkey: Findings of the International Nosocomial Infection Control Consortium (INICC)

Purpose: To evaluate the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional approach on the reduction of ventilator-associated pneumonia (VAP) in adult patients hospitalized in 11 intensive care units (ICUs), from 10 hospitals, members of the INICC, in 10 cities of Turkey. Methods: A prospective active before-after surveillance study was conducted to determine the effect of the INICC multidimensional approach in the VAP rate. The study was divided into two phases. In phase 1, active prospective surveillance of VAP was conducted using the definitions of the Centers for Disease Control and Prevention National Health Safety Network, and the INICC methods. In phase 2, we implemented the multidimensional approach for VAP. The INICC multidimensional approach included the following measures: (1) bundle of infection control interventions, (2) education, (3) outcome surveillance, (4) process surveillance, (5) feedback of VAP rates, and (6) performance feedback of infection control practices. We compared the rates of VAP obtained in each phase. A time series analysis was performed to assess the impact of our approach. Results: In phase 1, we recorded 2,376 mechanical ventilator (MV)-days, and in phase 2, after implementing the multidimensional approach, we recorded 28,181 MV-days. The rate of VAP was 31.14 per 1,000 MV-days during phase 1, and 16.82 per 1,000 MV-days during phase 2, amounting to a 46 % VAP rate reduction (RR, 0.54; 95 % CI, 0.42-0.7; P value, 0.0001.) Conclusions: The INICC multidimensional approach was associated with a significant reduction in the VAP rate in these adult ICUs of Turkey. © 2013 Springer-Verlag Berlin Heidelberg

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

International nosocomial infection control consortium (INICC) report, data summary of 36 countries, for 2004-2009

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

Fuzzy AHP–GOAL Programming Approach for a Supplier Selection Problem

This paper presents an integrated evaluation approach for decision support enabling effective supplier selection and ordering processes in textile industry. The integrated evaluation method in this study includes two phases that consist of fuzzy AHP and goal programming approaches. Supplier evaluation and selection is a multi-criterion decision problem which includes both qualitative and quantitative factors. That’s why; firstly, linguistic variables expressed in trapezoidal fuzzy numbers are applied to assess weights and ratings of supplier selection criteria. Then a hierarchy multiple model based on fuzzy set theory is expressed and the geometric mean method of Buckley is used to aggregate pair wise comparisons. Finally, a goal programming model is built using the goals about coefficients of suppliers, total ordering cost, number of wrong deliveries, total delivery cost under the constraints of required minimum and maximum number of orderings and acceptable quality cost levels of each supplier and demand constraint of the product

Mitral Valve Prolapse (MVP) in dogs: a 12 year long retrospective study by echocardiography

In this study, the prevalence of the mitral valve prolapse (MVP) was investigated in dogs. A total of 284 dogs with various cardiac signs (no complaint or cough, respiratory distress, fever, fainting and limitation of movement) were examined from March 1998 to August 2009 by echocardiography. The MVP prevalence was 70.8% (201 cases): the classical form (leaflet prolapse into the left atrium between 0.5 and 0.8 mm) was observed in 151 dogs and a severe form (leaflet prolapse above 1.0 mm) was found in 50 dogs. Furthermore, 116 dogs with MVP also exhibited a mitral insufficiency. On the other hand, a weak mitral valve prolapse (below 0.5 mm) was also evidenced in 41% (34 cases) of dogs considered as not MVP affected (83 dogs). The MVP incidence was more elevated in animals older than 10 years, in males than in females and in some specific breeds for the classic form, especially in the West Highland White terriers. These results demonstrate the high incidence of the MVP in dogs and the occurrence of a minor form in dogs without clinical signs. emphasizing in this way the pertinence of echocardiography examination in dogs

Expression profiles of critical miRNAs in ovine endometrium during the peri-implantation

22nd Annual Conference of the European-Society-for-Domestic-Animal-Reproduction (ESDAR) -- SEP 27-29, 2018 -- Cordoba, SPAINWOS: 000445201100162European Soc Domest Anim ReprodTUBITAK [214O643]Supported by TUBITAK 214O643