Evaluation of significant radiographic findings and their impact on the oral health-related quality of life of patients with complete dentures

Capar, Gonca Duygu (Trakya author)Purpose: The aim of this study was to assess the frequency and location of positive radiographic findings in edentulous patients and to evaluate the oral health-related quality of life (OHRQoL) and complacency of patients with positive radiologic findings. Materials and Methods: A total of 1,349 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system for the presence of retained root fragments, impacted teeth, foreign bodies, radiolucencies, radiopacities, mental foramen at or near the alveolar crest, and maxillary sinus pneumatization. The patients with positive findings were called for a follow-up to take a new panoramic radiograph. The functional status and symptoms of participants were measured with the Oral Health Impact Profile (OHIP-14). Results: At least one or more of the radiographic findings were observed in 35.21% of the evaluated radiographs. The most frequent finding was sinus pneumatization (20.9%). The mean total OHIP score was 9.74 +/- 8.34. There was no statistically significant difference observed for gender, age, education levels, marital status, or having surgical interventions for total OHIP14 scores (P > .05). Conclusion: The results of this study suggest that routine radiographic examination of edentulous patients may not be crucial before rehabilitation, and using a total percentage of positive radiographic findings may result in the exaggeration of the disease risk in edentulous patients

An Analysis of Patients Admitted to the Emergency Department of University Hospital due to Suicidal Attempt

Amaç: Çalışmamızda bir üniversite hastanesi acil servisine intihar girişimiyle başvuran olguların sosyodemografik özelliklerinin, konulan psikiyatrik tanıların, intihar girişim nedenlerinin ve yöntemlerinin ve incelenmesi amaçlanmıştır. Gereç ve Yöntem: Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Hastanesi Acil Servisi tarafından 2010-2013 yılları arasında intihar girişimi nedeniyle psikiyatri konsültasyonu istenen hastaların kayıtları geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya 78 kadın (%63.4), 45 erkek (%36.6) olmak üzere toplam 123 hasta alınmıştır. Hastaların yaş ortalaması 28.42 ± 9.75'dir. Olguların çoğunluğu ilköğretim mezunu (%61), evli (%60), 18-24 yaş (%47) grubundadır. İntihar girişiminde bulunanların 18'i (%14.6) ise daha evvel en az bir kez intihar girişiminde bulunmuştur. İntihar girişimlerinin yaklaşık yarısının (%54.5) psikososyal bir stresi takiben gerçekleşirken, aile içi geçimsizlik (%28.8), hastalık (%13.2) ve ekonomik güçlükler (%6.5) en sık intihar girişim nedenleri olarak sıralanmıştır. Girişimlerin %45.5'i en az bir psikiyatrik tanı alırken, en sık konulan psikiyatrik tanı major depresyon (%20.3) olmuştur. İntihar girişimlerinin çoğunluğu kimyasal madde alımı ile (%57) gerçekleşmiştir. Sonuç: İntihar girişimleri ile ilişkili risk etkenlerinin epidemiyolojik çalışmalarla araştırılması hem tedavi edici, hem de koruyucu sağlık hizmetlerinin gelişmesi açısından önemlidir.Objective: In this study, it is aimed to evaluate the sociodemographic and clinical properties of cases that are admitted emergency service because of suicide attemp. Methods: Medical records of patients reffered to the Psychiatry Clinic at Necmettin Erbakan University Meram Faculty of Medicine between 2010 and 2013 were studied retrospectively. psychiatric diagnose was major depression (20.3%). Usage of toxic substances is the most frequently used method for suicide attempts (57%). Conclusion: To investigate risk factors associated with suicide attempts with epidemiological studies is important for the development of both treatment and preventive health care services

Benign Paroksismal Pozisyonel Vertigolu Hastalarda, Anksiyete, Duygudurum ve Kişilik Bozuklukları

WOS:000450095400009PubMed ID: 30042641Introduction: This study presents the current prevalence of anxiety,mood, and personality disorders as well as factors associated with theexistence of psychiatric disorders in patients with benign paroxysmalpositional vertigo (BPPV).Methods: The study sample comprised 46 patients with BPPV and 74control subjects. Anxiety and mood disorders were ascertained via theStructured Clinical Interview for the Diagnostic and Statistical Manual(DSM) of Mental Disorders, Fourth Edition/Clinical Version. Personalitydisorders were diagnosed via the Structured Clinical Interview for DSM,Revised Third Edition, Personality Disorders.Results: Of the 46 patients, 18 (39.1%) had at least one mood or anxietydisorder and 13 (28.3%) had at least one personality disorder. The mostcommon Axis I and Axis II disorders in the patient group were majordepression in 8 (17.4%) and obsessive–compulsive personality disorderin 10 (21.7%) patients, respectively. It was found that major depression(p0.021), generalized anxiety disorder (p0.026) and obsessive–compulsive personality disorder (p0.001) were more prevalent in theBPPV group compared with the control group.Conclusion: Results suggest that psychiatric disturbances should becarefully checked in patients with BPPV due to the relatively high rateof comorbidity.Amaç: Bu çalışma benign paroksismal pozisyonel vertigo (BPPV)hastalarında psikiyatrik bozuklukların varlığı ile ilişkili faktörlerin veanksiyete, duygudurum ve kişilik bozukluklarının mevcut yaygınlığınısunmaktadır.Yöntem: Araştırma örneklemi 46 BPPV hastası ve 74 kontrol olgusundanoluşmuştur. Anksiyete ve duygudurum bozuklukları Structured ClinicalInterview for the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition/Clinical Version yoluyla tespit edildi. Kişilik bozukluklarıtanısı Structured Clinical Interview for DSM, Revised Third EditionPersonality Disorders ile konuldu.Bulgular: Kırk altı hastanın 18’in (%39,1) de en az bir duygudurum yada anksiyete bozukluğu ve 13’ün (%28,3) de en az bir kişilik bozukluğuvardı. Eksen I ve Eksen II tanıları olarak en sık, sırasıyla 8 (%17,4)hastada majör depresyon ve 10 (%21,7) hastada obsesif kompulsifkişilik bozukluğu vardı. Major depresyon (p:0,021), yaygın anksiyetebozukluğu (p:0,026) ve obsesif kompulsif kişilik bozukluğu (p:0,001)yaygınlığının kontrol grubu ile karşılaştırıldığında BPPV grubunda dahasık görüldüğü bulunmuştur.Sonuç: Sonuçlar; BPPV tanılı hastaların, psikiyatrik bozuklukların yüksekoranlı komorbiditeleri nedeniyle dikkatle değerlendirilmeleri gerektiğiniortaya koymaktadır

Audiological Findings in Otospondylomegaepiphyseal Dysplasia (OSMED) Associated With a Novel Mutation in COL11A2

The aim of the study was to assess the audiological findings of a 4-year-old child with a homozygous COL11A2 mutation and to point out the role of continuous follow-ups in children with craniofacial syndromes after the newborn hearing screening. A 4-year-old boy with otospondylomegaepiphyseal dysplasia (OSMED) was followed up after birth for hearing loss. Transient Otoacoustic Emissions (TEOAEs), Distortion Product Otoacoustic Emissions (DPOAEs), Automated and Clinical Auditory Brainstem Response (AABR and ABR) measurements, Visual Reinforcement Audiometry, immitansmetric measurements and hearing threshold measurements were performed for audiological evaluation. The patient developed sensorineural hearing loss at 11 months of age while his hearing was normal at birth. Because of auditory-verbal training with hearing aids started at 20 months of age, he now has normal verbal communication with his peers. This study clearly demonstrates that hearing loss develops in infancy in patients with OSMED and underscores the importance of continued hearing screening beyond newborn period for early intervention of hearing impairment and communication problems. (C) 2010 Elsevier Ireland Ltd. All rights reserved.Wo