Effect of different impression materials on the marginal fit of frameworks: An in-vitro study

Objectives: The objective of this study was to compare the accuracy of three different impression materials with evaluating the marginal fits of metal frameworks using replica technique.Materials and Methods: A phantom premolar tooth was prepared with a 1 mm circumferential chamfer preparation. Four impression materials: two vinyl polysiloxane (VPS) (Affinis Precious, (Group A); Elite HD, (Group E)), one polyether (Impregum Penta Soft, (Group P)) and one vinyl siloxanether (Identium, (Group I)) were used for producing stone casts of this master model. Twelve measurements per replica were carried out using a light microscope X40 magnification by Leica software, to assess the vertical marginal gap (VMG). Data were analyzed using the analysis of variance followed by Tukey’s test (p=0.05).Results: Specimens of the Group A and I showed significantly lower VMG values than those of Group E and Group P (p<0.001). Differences were not significant between groups A and I, and E and P either (p>0.05).Conclusions: All impression materials were clinically acceptable. As well as composition of the impression materials, size of filler particles and fluid mechanics of flow into very small spaces can be effective on accuracy of the materials

Case Report Lingual Thyroid Excision with Transoral Robotic Surgery

Ectopic thyroid gland may be detected at any place between foramen caecaum and normal thyroid localization due to inadequacy of the embryological migration of the thyroid gland. It has a prevalence varying between 1/10.000 and 1/100000 in the community. Usually follow-up without treatment is preferred except for obstructive symptoms, bleeding, and suspicion of malignity. Main symptoms are dysphagia, dysphonia, bleeding, dyspnea, and obstructive sleep apnea. In symptomatic cases, the first described method in surgical treatment is open approach since it is a region difficult to have access to. However, this approach has an increased risk of morbidity and postoperative complications. Transoral robotic surgery, which is a minimally invasive surgical procedure, has advantages such as larger three-dimensional point of view and ease of manipulation due to robotic instruments. In this report, a case at the age of 49 who presented to our clinic with obstructive symptoms increasing within the last year and was found to have lingual thyroid and underwent excision of ectopic thyroid tissue by da Vinci surgical system is presented

Evaluation of Incidence and Clinical Features of Antibody-Associated Autoimmune Encephalitis Mimicking Dementia

Background. Anti-neuronal autoimmunity may cause cognitive impairment that meets the criteria for dementia. Objective. Our aim was to detect the incidence and clinical features of autoimmune encephalitis imitating clinical findings of primary dementia disorders and to delineate the validity of anti-neuronal antibody screening in dementia patients. Methods. Fifty consecutive patients fulfilling the clinical criteria for primary dementia, 130 control patients, and 50 healthy controls were included. Their sera were investigated for several ion channel and glutamic acid decarboxylase (GAD) antibodies by a cell-based assay, radioimmunoassay, and ELISA, as required. Results. Sixteen patients satisfying dementia criteria had atypical findings or findings suggestive of autoimmune encephalitis. N-methyl-D-aspartate receptor (NMDAR) antibody was detected in a patient with dementia, Parkinsonism, and REM sleep behavior disorder (RBD) fulfilling the criteria for dementia with Lewy bodies (DLB). One control patient with bipolar disease displayed low anti-GAD antibody levels. Conclusions. Our study showed for the first time the presence of parkinsonism and RBD in an anti-NMDAR encephalitis patient mimicking DLB. Although autoimmune encephalitis patients may occasionally present with cognitive decline, most dementia patients do not exhibit anti-neuronal antibodies, suggesting that routine analysis of these antibodies in dementia is not mandatory, even though they display atypical features

Assessment of the requisites of microbiology based infectious disease training under the pressure of consultation needs

<p>Abstract</p> <p>Background</p> <p>Training of infectious disease (ID) specialists is structured on classical clinical microbiology training in Turkey and ID specialists work as clinical microbiologists at the same time. Hence, this study aimed to determine the clinical skills and knowledge required by clinical microbiologists.</p> <p>Methods</p> <p>A cross-sectional study was carried out between June 1, 2010 and September 15, 2010 in 32 ID departments in Turkey. Only patients hospitalized and followed up in the ID departments between January-June 2010 who required consultation with other disciplines were included.</p> <p>Results</p> <p>A total of 605 patients undergoing 1343 consultations were included, with pulmonology, neurology, cardiology, gastroenterology, nephrology, dermatology, haematology, and endocrinology being the most frequent consultation specialties. The consultation patterns were quite similar and were not affected by either the nature of infections or the critical clinical status of ID patients.</p> <p>Conclusions</p> <p>The results of our study show that certain internal medicine subdisciplines such as pulmonology, neurology and dermatology appear to be the principal clinical requisites in the training of ID specialists, rather than internal medicine as a whole.</p

On a subspace training method for dispersive ds-cdma channels

A subspace training method has been proposed for dispersive direct-sequence code division multiple access (DS-CDMA) channels. Its performance was compared to a matched filter receiver. We think that it is not quite fair to compare a minimum mean square error (MMSE) based receiver to a matched filter receiver. For this reason, we further investigate the method demonstrating that its performance significantly falls short of the true MMSE receiver and that it suffers from error floor. We also illustrate that any attempt to fill the gap significantly increases the system complexity and drops the efficiency of the transmission, which were originally mentioned as the advantages of the proposed method...

Comparison of spectral domain optical coherence tomography findings between sickle-cell disease and thalassemic patients

Bu çalışma, 07-11, Mayıs 2017 tarihlerinde Baltimore[Amerika Birleşik Devletler]’de düzenlenen Annual Meeting of the Association-for-Research-in-Vision-and-Ophthalmology (ARVO) Kongresi‘nde bildiri olarak sunulmuştur.Assoc Res Vis & Ophthalmo