Literatür eşliğinde koksidinia

Koksidinia koksikste veya kuyruk sokumu kemiğinde ağrı demektir. Kuyruk sokumu kemiği guguk kuşunun(cuckoo) gagasına benzetilerek adını yunanca karşılığı olan coccyx'ten almıştır. Dynia bilindiği üzere kronik ağrı d emektir. Oturur durumda düşme sonucu koksikste kırık, çıkık o lması ya da doğum zorlamasıyla veya artroz sonucu koksiksin ucu öne veya yana doğru yer değiştirir ve mobil hale gelir. Koksiks bölgesinde görülen rahatsız edici bu ağrılı klinik tabloya Koksidinia adı verilir. Hasta oturduğu zaman koksiksin ucunun hareketi sonucu şiddetli ağrı ortaya çıkar. Tanı genellikle öykü ile ve anorektoskopinin negatif olması ile konur. Rektal tuşe sırasında koksiksin palpasyonunda ağrılı olduğu saptanırsa koksidinia tanısı kuvvetle muhtemeldir. Daha sonra sıcak oturma banyoları öne rilir. Konservatif tedavinin başarı şansı yüksektir. Ayrıca koksidinia tedavisinde kriyoterapi, termoterapi, TENS gibi fiziksel yöntemler de kullanılır. Hastalar sert zeminlere oturmamalı ve sünger simit şeklinde yastık üzerine otu rmalıdır. Ağrıyı azaltmak için analjezik, non -steroid antien flamatuvar ve myorelaksan ilaçlar verilmelidir. Koksiks üzerine enjeksiyonlar ile ağrı tedavisi denenebilir. Konse rvatif tedavinin başarısız ise ve hastanın günlük yaşamının zorlaştığı durumlarda koksektomi yapılır

Investigating Remote Working Spaces during the COVID-19 Pandemic

The business world has experienced a pandemic for three years, affecting the workforce's productivity and efficiency. Since workers' well-being and satisfaction are crucial to effective workforce management, organizations and authorities make the employee's well-being and satisfaction the primary target to be achieved even in the post-pandemic period. Many countries and organizations have developed strategies to meet the emerging requirements of the business world. Like other countries, many of the workgroups in Türkiye were also forced to adopt working-from-home (WFH) practices. Although a substantial number of research studies were conducted for investigating well-being and productivity, there is still a need for empirical studies investigating WFH satisfaction and the well-being of workers to be used as a reference and guide for research. A survey was designed and implemented among employees from Türkiye to inspect and measure negative and positive relations between the physical work environment, well-being, and satisfaction of WFH workers. Regarding the range of participants, the survey results could be generalized to illustrate challenges, conditions, and aspects of working-from-home practices in Türkiye to define remote working spaces

Challenges in the Diagnosis of Skin Source Basosquamous Cell Carcinoma: A Case Report

One of the most common types of skin cancer is basal cell carcinoma, which is rarely seen to metastasise. This tumour has many histological subtypes, one of which is the rarely seen basosquamous carcinoma. Basosquamous carcinoma is considered an aggressive cancer with an increased risk of metastases. We report a 60 year-old patient who presented with a mass in his parotid gland as a result of fine-needle aspiration biopsy for pleomorphic adenoma, who was diagnosed with basosquamous carcinoma

A simple method to reduce halitosis; tongue scraping with probiotics

PubMed: 31639775Objective: We aimed to assess the effects of probiotic implantation to the dorsum of the tongue against halitosis. Materials and methods: 100 participants were randomly divided into three groups as tongue back scraping (TS), probiotic implantation to the dorsum of the tongue (PB) and mouthwash alone as the control group (MW). Measurements were taken before the treatment, after the first month of treatment and one month after the cessation of treatment. Results: Halimeter, winkel and woodlight scores were evaluated initially, in the first month and after the cessation of the treatment. All of MW measurements showed no difference throughout the study. All of TS measurements decreased significantly in the first month (p < 0.05) but rose again in the final count. All of PB measurements significantly decreased in the first month and kept their low levels after the cessation of the treatment (p < 0.05). Conclusion: Probiotics and tongue scraping are widely used against halitosis but they are not intended to be used together. In this study, we proposed and proved an effective method of probiotic implantation by tongue scraping and showed that halitosis did not recur after the cessation of the treatment. © 2019 IOP Publishing Ltd