Creutzfeldt-Jacob Disease: a case report

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Evaluating and Optimizing Urban Green Spaces for Compact Urban Areas: Cukurova District in Adana, Turkey

In recent decades, the ever-decreasing number of green spaces have become insufficient to meet public demands in terms of accessibility, spatial distribution and the size of urban green areas. This is mainly due to increasing attention on the issue of accessibility to urban green spaces. This paper aims to quantify accessibility according to existing qualitative and quantitative characteristics of urban green spaces (UGS) in Çukurova district in Adana, Turkey. Firstly, qualitative and quantitative characteristics of UGS are divided into five main categories: area size, amenities of the UGS, transportation, focal points and population density. A set of 59 criteria are used by referring to the literature and expert views. Secondly, the Weighted Criteria Method was used to determine the significance of levels within these criteria and the existing situation of each park was identified and scored via field work. Thirdly, accounts of the distance of UGS service areas distance from people or users were optimized according to the total scores of existing UGS sites. Finally, the service areas of UGS were mapped by using Network Analysis tools. Results highlight some practical implications of optimizing accessibility for urban planning, for instance, specific land uses might be chosen for highly accessible UGS particularly those characterized by their high area size and equipment variety, low population density, and proximity to units

Relationship between development of accessory maxillary sinus and chronic sinusitis

Background: We aimed to investigate whether there is a relationship between development of accessory maxillary osmium (AMO) and chronic sinusitis. Material and Methods: A total of 100 patients who had endoscopic sinus surgery for chronic rhinosinusitis (CRS) constituted the study group while 100 patients who had septoplasty were taken as the control group. The patients were examined for the presence of AMO using rigid endoscope. Results: The prevalence of AMO was 14% in the rhinosinusitis group and 9% in the control group. The difference between the groups was statistically significant (P < 0.05). Conclusion: Our study revealed that AMO prevalence is significantly higher in patients with CRS when compared with the controls. CRS may enhance perforation of fontanelle and formation of AMO

Evaluation of efficacy of oral honey use in adult tonsillectomy patients

Post-tonsillectomy throat pain is one of the most common complication, which leading to delayed recovery and later hospital discharge. This study aims to evaluate the effectiveness of oral honey use on eating, condition and reducing pain with patients have applied tonsillectomy. The study included 72 patients (37 males, 35 females; mean age 26±4.16 years; range 18 to 36 years) who were applied tonsillectomy. Patients were randomized into two groups. The treatment group received postoperatively followed by oral consumption of honey three times daily for five days Patients pain, eating and condition situation was assessed with visual analog scale(VAS), and analgesic intake was recorded during five follow-up periods. There was no statistically different between two groups about postoperative pain at first three days. But the postoperative pain was statically significant less at honey group than the control group. There was also a significant decrease in the number of analgesics taken over the last three control periods in terms of the honey group. The eating situation was statically significant better in the honey group than the control group at all days. The patients condition was also better in the honey group at all days. The result of study, the early postoperative pain was relieved slightly faster in the honey + antibiotic group, which may be attributed to the soothing effect of honey. This situation improves the oral intake of the patients and shortens the recovery process in the postoperative period. [Med-Science 2019; 8(2.000): 360-4

Chronic Myeloid Leukemia Presenting with Visual and Auditory Impairment in an Adolescent: An Insight to Management Strategies

A 15-year-old girl presented with progressive deterioration in vision and hearing over 1 week. A huge spleen was palpated below the left costal margin laying down to inguinal region. Blood count showed hyperleukocytosis with a white blood cell count of 455 × 109/l. Peripheral smear yielded myeloid precursor cells with basophilia. Bone marrow aspiration revealed a blast count of 5% morphologically and 4% by flow cytometry. Fundoscopic examination revealed bilateral retinal exudates, edema and hemorhages. Partial sensorioneural hearing loss was also detected on the right ear. The diagnosis of chronic myeloid leukemia was confirmed by positive t(9;22) by RT-PCR. After commencing on hydroxyurea and intrathecal methotrexate-prednisolone, progressive improvement in hearing and vision was obtained. In our brief report, we aimed to emphasize rare presentation with visual and hearing impairment of chronic myeloid leukemia during childhood, especially in “chronic phase”

Cervical sympathetic chain schwannoma: Two different clinical presentations

In this report we present 2 cervical sympathetic chain schwannoma (CSCS) cases with different clinical presentations, one being a pulsatile neck mass associated with Horner's syndrome and the other being an asymptomatic neck mass. CSCS usually presents as an asymptomatic neck mass and atypical findings such as Horner's syndrome and/or pulsation may occur in rare cases. Pulsatile CSCSs are generally diagnosed as carotid body tumors at initial workup and patients are referred to vascular surgeons. The differences in symptomatology, the preoperative management, and the importance of differential diagnosis are discussed

The Effect of Sumatriptan in lschemic Conditions in the Rat Heart

Objectives: The aim of this study was to investigate the effect of SUM on IR-induced injury in rat heart and its effect on IPC-induced protection. Materials and Methods: The rats were randomly divided into four groups: IR, SUM-IR, IPC, and SUM-IPC. The mean arterial blood pressure and heart rate were recorded to calculate PRP. Standard limb lead 2 ECG were recorded to evaluate arrhythmia parameters. Results: The PRP values in the SUM-IPC group were significantly lower than in the SUM-IR group at the beginning of reperfusion (p<0.05). The incidence of VT in the IPC, SUM-IR, and SUM-IPC groups was significantly lower than in the IR group (p<0.05). VF was only observed in the IR group. Conclusion: SUM protects the heart against IR injury but is not as protective as IPC alone. Although SUM diminishes IPC-induced protection against VT, the preventive effect of SUM against VF may be predictive for cardioprotection in ischemic conditions

Schwannoma originating from the infraorbital nerve: A case report

A 16-year-old female admitted to otolaryngology outpatient clinic with the complaints of pain and replacement of her left eyeball upwards. Radiological imaging demonstrated a solid mass inferior to the left globe. The anterior wall of the maxilla was thinned and the mass pushed the orbital floor inferiorly. Following subciliary incision, the bone over the mass was removed from the orbital rim and the mass was exposed. The mass originated from the infraorbital nerve. The mass was excised and the orbital rim, malar region and the orbital floor were reconstructed by a titanium mesh. The histopathological report was "schwannoma". Seven cases of schwannomas arising from the infraorbital nerve reported in English. literature. In this paper we report a case of infraorbital schwannoma and review the literature. (C) 2005 Elsevier Ireland Ltd. All rights reserved

An atypical esthesioneuroblastoma of the inferior nasal cavity and maxillary sinus: Report of a case

Esthesioneuroblastoma is a rare malignant tumor of the nasal cavity that originates from the olfactory epithelium. In this paper a very rare clinical presentation of this tumor is described. The tumor originated from the maxillary sinus and alveolar process, and was independent of the olfactory region. The patient was a 14-year-old girl presenting with facial swelling and nasal obstruction. Paranasal computed tomography showed a mass filling the right nasal cavity, infiltrating the alveolar process, eroding the anterior wall of the maxilla and invading the subcutaneous tissues of the cheek. Fine-needle aspiration and incisional biopsies identified an esthesioneuroblastoma. After neoadjuvant chemotherapy, we performed a right subtotal and left inferior maxillectomy and reconstructed the maxillary defect with a permanent obturator. At 2 years' follow-up the patient is free of recurrence