Herpes Zoster Ophthalmicus and Lateral Rectus Palsy in an Elderly Patient

Acquired palsy of the lateral rectus presents with horizontal diplopia and has a broad differential. Herpes zoster ophthalmicus- (HZO) related cranial nerve palsy is a transient and self-limiting condition. Systemic antiviral treatment is administered in order to prevent sight-threatening complications. In suspected cases, zosteriform rash should be questioned. One should keep in mind that acquired esotropia in the elderly may sometimes present following HZO

Atypical antipsychotics in treatment of bipolar disorderin special populations

Atypical antipsychotics have increased usage during the last decades.While they were used in treatment resistant schizophrenia patients at thebeginning, they have gained widespread use in treatment of variouspsychiatric disorders including acute schizophrenia, bipolar disorder,psychotic depression, as a first-line or add-on treatment option.Life stages such as pregnancy and nursing, childhood and adolescence,old age have special impacts on the symptoms and prognosis ofdisorders as well as on the treatmant response and side-effects.Psychopharmacological studies have been more commonly conducted inadult populations due to increased awereness and importance of ethicalprinciples and implications, which restrict and even make impossible tostudy the effectiveness of a new agent on special populations.In this article, the use of currently used atypical antipsychotics in Turkeyincluding clozapine, risperidone, olanzapine, and quetiapine in specificpopulations in the treatment of bipolar disorder are reviewed and somepractical issues are represented

What is the Effect of 90-Degree DoublePlate Fixation with Grafting on Healing of Humeral Shaft Non-unions

WOS: 000406500600007Objective: Our aim was to investigate the clinical and radiological outcomes of double-plate fixation with grafting in the treatment of non-union of humeral shaft fractures. Materials and Methods: We performed a retrospective chart review of patients operated between 2006 and 2012 due to humeral shaft non-union. Patients undergoing surgery with double-plate fixation were included and those treated with external fixator, single plate, intramedullary nails and patients with pathological fractures and infected non-unions were excluded. Surgical intervention via anterolateral or posterior approach included radial nerve identification, decortication and reestablishment of medullary canal followed by compression plating with double-plate fixation and frequent application of autogenous grafts or allografts. Main outcome measures were success rate of non-union repair, rate of re-intervention and complications, range of motion, assessment of pain Visual analogue scale (VAS) and function Disabilities of the arm, shoulder and hand (DASH) and overall outcome Stewart-Hundley classification. Results: Ten patients were treated with double-plate fixation. The study group included six females and four males aged 36 to 70 years. Union was achieved within 4.5 and 8 months in all cases. The mean preoperative VAS score of 6.1 decreased to 2, postoperatively, with an associated decrease in the mean DASH score from 74.1 to 23.4. Excellent or good results were obtained in nine cases. There was no incidence of radial nerve palsy or infection. Conclusion: Our study provides level 4 evidence of the effectiveness of treating non-union fractures of the humeral shaft with double-plate fixation and grafting in providing good-to-excellent functional results and high union rate without any significant complication

Facebook overuse and addiction among Turkish adolescents: are ADHD and ADHD-related problems risk factors?

OBJECTIVE: In the last decade, using social network sites (SNSs) has grown and become an integral part of daily routine for adolescents. As known, ADHD is a major public health problem for all addiction types, including the Internet and SNSs addiction. Our aim was to examine the effect of ADHD, impulsivity types, using motivations, internalizing and externalizing symptoms on Facebook (FB) overuse and FB addiction among adolescents. METHODS: Participants were recruited from ADHD and non-ADHD adolescents who were applied to the child and adolescent psychiatry and have an active FB account. We used FB Use and Motivations Form, the Barratt Impulsiveness Scale (BIS), Bergen FB Addiction Scale (BFAS) and Conners-Wells’ Adolescent Self-Report Scale-Long form (CASS:L). RESULTS: Our results indicated that ADHD adolescents have more fake FB accounts, have their own accounts for longer time, are using FB for more motivation types and FB overuse is more frequent than in non-ADHD counterparts. According to the degree of FB use, we have shown that adolescents with FB overuse behaviour have more externalizing symptoms and have higher CASS:L and Barrat impulsivity scores than others. Risk factors for FB overuse are: having a fake FB account and having higher ADHD index scores; risk factors for FB addiction are: higher attentional impulsivity, higher conduct problems scores and higher ADHD index scores. CONCLUSIONS: The results of this study have improved our understanding about the risk factors of a new behavioural addiction type among adolescents

Single-knot running suture anastomosis (one-knot pyeloplasty) for laparoscopic dismembered pyeloplasty: training model on a porcine bladder and clinical results

Objectives The one-knot running ureteropelvic anastomosis is a modification of the single-knot running suture that was previously described for urethrovesical anastomosis. In this study, we present a novel porcine model for laparoscopic pyeloplasty training and report the results obtained in patients who underwent one-knot pyeloplasty

The effects of calcium dobesilate and micronized purified flavonoid fractions on myocardial protection

Background: We aimed to investigate the effects of calcium dobesilate (DOBE) and micronized purified flavonoid fractions (MPFF) on the functions of rat hearts following ischemia and reperfusion