Analysis Of Intramuscular Injectıons Admınıstered In A Family Health Center

Objectives: In this study, the objective was to evaluate the intramuscular injections administered to patients admitted to a family health center with sociodemographic characteristics. Materials and Methods: This is a cross-sectional, analytical and, retrospective file review study. The sample population was formed by patients who had intramuscular injections administered between the dates of January 01, 2017 - and December 31, 2019. A total of 5648 injections for 2059 adults/children were evaluated. The data set was analyzed using SPSS 17.0 (IBM, USA) statistical package program. Results: An average of 2.74 injections per person was administered. The rate of myorelaxant injection administration was higher among women (p<0.001), and the rate of antibiotic and analgesic + myorelaxant injection administrations was higher among men (p<0.001 for both). With the increase of age, the rate of analgesic injection administrations increases (p<0.001) and the rate of antibiotic injection administrations decreases (p<0.001). The highest analgesic + myorelaxant injection administration rate was during autumn, and the lowest was during winter (p=0.001). Conclusion: The results showed that the frequency of analgesic, myorelaxant, antibiotic, steroid, vitamin/mineral, hormone and combination drugs used for intramuscular injection were affected by demographic variables such as age, gender and season. Identifying family health center dynamics may contribute to creating rational health policies. © Ankara Medical Journal.All rights reserved

PREVALANCE AND CLINICAL FINDINGS OF PRIMARY HEADACHES IN PEOPLE WITH MULTIPLE SCLEROSIS

Objective: The aim of the study was to investigate the prevalance of primary headache and clinical evaluation Of primary headaches according to the International Headache Society criteria in patients with multiple sclerosis. The relationship between primary headache and multiple sclerosis subtypes, locations of plaques on magnetic resonance of these patients were also investigated

The effects of the epley maneuver for the treatment of BPPV and the role nystagmus direction as an early indicator of successful treatment

Amaç: Benign paroksismal pozisyonel vertigoda (BPPV) Epley manevrası sırasında oluşabilen nistagmusun yönünün tedavi başarısını erken belirlemedeki rolü araştırıldı. Hastalar ve Yöntemler: Bu çalışmada BPPV nedeniyle 47 hastaya (24 erkek, 23 kadın; ort. yaş 46±12; dağılım 29-70) Epley manevrası uygulandı ve olgularda nistagmus oluşup oluşmadığı, varsa yönü gözlendi. Bulgular: Epley manevrası sırasında dokuzunda aynı, yedisinde karşı yönde olmak üzere 16 hastada nistagmus gözlendi. Aynı yönde nistagmus gözlenen yedi hastada (%77.8) tedavi başarılı oldu. Manevra sırasında karşı yönde nistagmus saptanan yedi hastanın hiçbirinde başarı elde edilemedi. Aynı tarafa nistagmus ile tedavi başarısı arasında anlamlı ilişki saptanmaz iken (p=0.625), karşı tarafa nistagmus varlığı ile tedavi başarısızlığı arasındaki ilişki anlamlıydı (p=0.000). Sonuç: Epley manevrası sırasında oluşan nistagmus karşı yönde ise manevranın başarısız olacağı öngörülebilir.Objectives: We investigated the role of the direction of nystagmus that might occur during the Epley maneuver as an early indicator for treatment success in benign paroxysmal positional vertigo (BPPV). Patients and Methods: The study included 47 patients (24 males, 23 females; mean age 46&plusmn;12 years; range 29 to 70 years) who underwent the Epley maneuver for BPPV. The occurrence and the direction of nystagmus were observed. Results: Nystagmus occurred in 16 patients during the maneuver, being ipsilateral in nine patients and contralateral in seven patients. The treatment was successful in seven patients (77.8%) with ipsilateral nystagmus, whereas none of the patients with contralateral nystagmus benefited from the maneuver. While there was no significant relationship between ipsilateral nystagmus and the success of the treatment (p=0.625), a significant correlation was found between contralateral nystagmus and treatment failure (p=0.000). Conclusion: The occurrence of contralateral nystagmus during the Epley maneuver may be a sign of an unsuccessful result

Comparing two acromegalic patients with respect to central corneal thickness, intraocular pressure, and tear insulin-like growth factor levels before and after treatment

The aim of the study was to compare the central corneal thickness (CCT), intraocular pressure (IOP), and tear insulin-like growth factor-1 (IGF-1) levels of 2 patients with acromegaly before and after the surgical treatment of the disease. CCTs, IOP levels, and tear IGF-1 values showed a decrease after the treatment in 2 patients. As we found higher CCT, IOP, and tear IGF-1 levels in the active phase of the disease in two acromegaly patients, detailed information about the activity of the disease may be important before the examination of these patients

Prevalence of incidental paranasal sinuses abnormalities in mri and its relatıonship to patients symptoms

Amaç: Nörolojik ya da orbital hastalık ön tanıları ile beyin, hipofiz veya orbita MR'ı çekilen bir hasta populasyonunda prospektif olarak paranazal sinüs anomalliği sıklığını araştırdık. Yöntem ve Gereçler: Hastalar paranazal sinus anormallikleri ile ilişkili semptomlar varlığı açısından sorgulandı. Toplam 107 hastaya ait T2 ağırlıklı aksiyal MR kesitlerinde paranazal sinüs patolojisi varlığı araştırıldı. Bu sonuçların hasta semptomları ile korelasyonu araştırıldı. Bulgular: En sık anormallik sırasıyla ön etmoid (% 12.1), arka etmoid (% 10.3), frontal (% 4.7), maksiller (% 4.7) ve sphenoid sinus (% 3.7) şeklinde saptandı. Klinik verilerin istatistiksel analizinde paranazal sinus semptom varlığı ile MR'da saptanan anormallik varlığı arasında ilişki saptanmadı. Sonuç: Bu çalışmadan elde edilen bulgular ışığında, MR'da saptanan rastlantısal paranazal sinus patolojileri ile klinik semptomlar arasında ilişki yok denilebilir.Objective: We present a prospective study that determines the prevalence of the paranasal sinus abnormalities in a population undergoing brain, hypophysial and orbital MRI scans for suspected neurological or orbital diseases. Materials and Method: The study patients were asked to a list of symptoms related to paranasal sinus abnormalities. The T2 weighted axial MR scans of 107 patients were then reviewed for evidence of paranasal sinus pathology. These results were then correlated with patient's symptoms. Results: Radiologic abnormalities were most commonly seen in the anterior ethmoid sinuses (12.1 %) followed by the posterior ethmoid (10.3 %), frontal (4.7 %), maxillary (4.7 %) and sphenoid sinuses (3.7 %). Statistical analysis of the clinical data demonstrated no significant relationship between the presence of clinical symptoms of paranasal sinus pathology and abnormalities on MRI scan. Conclusion: Based on the results of this study, incidental abnormalities of the paranasal sinuses found on MRI scan do not seem to be related to clinical symptoms

The value of the Waters' view in the assessment of the maxillary sinus inflamatory mucosal pathology

Amaç: Waters' grafisinin maksiller sinüs mukozal inflamatuar patolojilerinin değerlendirilmesindeki değerinin, güvenilirliğinin ve farklı değerlendiriciler arasındaki tutarlılığının araştırılması. Yöntem ve Gereçler: Sinüzit şüphesi nedeni ile hem Waters' grafisi hem de paranazal sinüs bilgisayarlı tomografisi çektirilen 88 hastanın radyolojik bulguları iki KBB hastalıkları uzmanı ve iki radyolog tarafından değerlendirildi. Her bir hekim için Waters' grafisinin duyarlılığı (sensitivity), pozitif belirleyici değeri (pozitif predictive value), doğruluk (accuracy) değeri ve hekimler arasındaki tutarlılık (interobserver reliability) değeri hesaplandı. Bulgular: Çalışmamızda duyarlılık oranları % 79.5 ile %92.0 (ortalama % 86.8 ± 5.4); pozitif belirleyici değer (PBD) oranları % 85.0 ile % 88.0 (ortalama % 86.67 ± 1.95); doğruluk oranları ise %82.9 ile % 89.0 (ortalama % 86.85 ± 2.7) hekimler arası tutarlılık değeri ise % 64.4 ile % 86.2 arasında değişmektedir. Sonuç: Waters'grafisi maksiller sinüzitin radyolojik tanısında uygun bir teşhis metodudur. BT gibi pahalı ve hastanın daha fazla radyasyon aldığı ileri inceleme yöntemlerinin ise negatif grafiye rağmen klinik şüphenin devam ettiği ya da bir ameliyatın planlandığı ayrıntılı anatomik bilgiye ihtiyaç duyulan hastalarda uygulanması mantıklı bir yaklaşım gibi görünmektedir.Objective: We aimed to investigate the value and the interobserver reliability of the Waters' graphy in the pathogenesis of maxillary sinus mucosal inflamatory conditions. Material and Method: Radiologic findings of 88 patients who had had both Waters' graphy and computed tomography with suspicion of sinusitis were assessed by 2 radiologist and 2 otorhinolaryngologist. The sensitivity, the positive predictive value, accuracy and interobserver reliability of the Waters' graphy were calculated for each observer. Results: The sensitivity, the positive predictive value, accuracy and interobserver reliability of the Waters's graphy changed from 78.5% to 92.0% (mean86.8 &plusmn; 5.4%), 85.% to 88.0% (mean: 86.67 &plusmn; 1.95%) 82.9% to 89.0% (mean: 86.85 &plusmn; 2.7%) and 64.4% to 86.2%, respectively. Conclusion: Waters' graphy is an appropriate method in the radiologic diagnosis of the maxillary sinusitis. It seems resonable that the methods which are more expensive and exposing more radiation to the patient such as CT should be carried out in patients with continuing sinusitis suspicion despite of negative Waters' and in situations of preoperative evaluation

Masseter muscle transposition flap in the reconstruction of the defects of posterior oral cavity

Sunulan bu makalede, retromolar trigon yassı hücreli kanseri nedeniyle ameliyat edilen ve masseter kas transpozisyon flebi ile rekonstrukte edilen bir hastanın sunumu yapılmış, adı geçen bu flebin endikasyonları ve cerrahi teknik özellikleri tartışılmıştır.We report a case who was operated on for his squamous cell carcinoma localized in the retromolar trigon and reconstructed with masseter muscle transposition flap. The indications and surgical technical details of this flap is discussed in this presented report

Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum

OBJECTIVES/HYPOTHESIS: To determine the dimensions of the compensatory hypertrophic inferior turbinate and investigate the radiological changes in the morphology of the conchal bone in patients with septal deviation

Atypical Herpes Simplex Encephalitis With Extratemporal Involvement

Herpes simplex virus (HSV) is recognized as the most common cause of sporadic encephalitis among adults. The combination of magnetic resonance imaging, electroencephalography, and cerebrospinal fluid tests is usually diagnostic. In this article, we describe a case of atypical HSV encephalitis presenting a syndrome of febrile encephalopathy in the absence of focal neurological features, including mental and sensory disturbance, pyramidal signs, ataxia, and cranial nerve deficits, and in which magnetic resonance imaging demonstrated lesions restricted to the parietal and occipital lobes without typical localization of HSV encephalitis in the insula and inferior frontal lobe