An Evaluation of the Apical Seal in Oval-shaped Root Canals Prepared with Either Self-adjusting Files or ProTaper Files

Objective: This study aimed to evaluate the apical seal obtained with lateral compaction of gutta-percha in oval-shaped root canals prepared with either self-adjusting files or ProTaper rotary files. Materials and Methods: Twelve pairs of extracted mandibular premolars with oval-shaped root canals were randomly divided into two groups. The first group was biomechanically prepared with ProTaper files, while the self-adjusting file system was used in the second group. The roots were obturated using cold lateral compaction of gutta-percha. Apical microleakage was measured with the computerized fluid filtration method. The results were analyzed statistically using the Mann-Whitney U test. Results: All of the roots in both groups showed leakage. Group 1 demonstrated significantly less microleakage (p < 0.05). Conclusions: Instrumentation of oval-shaped canals using a self-adjusting file system with cold lateral compaction of gutta-percha demonstrated significantly greater apical microleakage when compared to ProTaper. The apical leakage with different obturation techniques, combined with self-adjusting files, should be evaluated in further studies

Amyloid Goiter Associated with Amyloidosis Secondary to Rheumatoid Arthritis

Amyloidosis refers to a variety of conditions in which amyloid proteins are abnormally deposited in organs and/or tissues. The most common forms of systemic amyloidosis are primary amyloidosis (PA) of light chains and secondary amyloidosis (SA) caused by chronic inflammatory diseases such as rheumatoid arthritis (RA). Although involvement of the thyroid gland by amyloid is a relatively common phenomenon, clinically significant enlargement of the thyroid owing to amyloid deposition is a rare occurrence. In SA, the deposition of amyloid associated (AA) protein is associated with atrophy of thyroid follicles. The clinical picture of these patients is characterized by rapid, painless thyroid gland enlargement which may be associated with dysphagia, dyspnea, or hoarseness. Thyroid function is not impaired in most cases. Although amyloid goitre secondary to systemic amyloidosis due to chronic inflammatory diseases is relatively common, specifically related to RA is much more uncommon one and it is reported less in the literature. In this report, A 52-old-year female patient with amyloid goiter associated with amyloidosis secondary to rheumatoid arthritis is presented

30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data

Background: There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. Materials and methods: This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. Results: In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07). Conclusions: This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts

30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study

Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n = 122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7 ± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 146; 85.9%), only 42.4% (n = 72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n = 9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients

Incidental CT Findings of Patients Who Admitted to ER Following a Traffic Accident

SUMMARYObjectiveThe aim of this study was to investigate and analyze incidental CT findings of traffic injury patients discharged from the ER, and to determine overall notification rates.MethodsAll traffic injury-related patient records between 01.06.2013–01.03.2013 were obtained from Derince Training and Research Hospital Emergency Service using patient files and the hospital database. Brain, thorax and/or abdominal CT images of 340 patients aged between 0 to 84 years were included in the study. ER observation forms were investigated for the patients who had incidental findings on CT scanning and overall notification rates were recorded.ResultsMean age of the 363 cases was 31.2 (SD 17.9, min 0, max 84) and 35.5% of patients were female (n=129) and 64.5% were male (n=234). A total of 537 CT scans were performed on 363 patients. 147, 319 and 71 CT scans were performed on the thorax, brain and abdominal, respectively. 27.3% (n=99) of scan results showed the presence of a coincidental pathology. The most common disease on scans were bone lesions (8%, n=29), followed by sinus abnormalities (7.7%, n=28). Incidental findings ratio in patients aged over 60 was 60.8%, while under 60 was 24.8%. It was found that seven patients (7.1%) were informed about the imaging results.ConclusionMost of the incidental findings were found to be benign; however, 16.5% of them were considered to require in-depth investigation. Further investigations are needed to understand the clinical relevance of these findings and their effects on patients

Screening Cage Culture Fish Species for Organic Chlorinated Pesticide and Polychlorinated Biphenyl Residues in Turkey

Organic chlorinated compounds (aldrin, α-endosulfan, β-endosulfan, 2,4’-DDT, and 4,4’-DDE) and polychlorinated biphenyles (PCB28 and PCB52) were screened in fish culture cages off the Aegean Coast of Turkey. Sea bass (Dicentrarchus labrax) and sea bream (Sparus aurata) were randomly selected from three coastal areas during June-December 2004. Samples of 114 fish were analyzed by gas chromatography (GC) with an electron capture detector and GC-mass spectrometry (GC-MS). No residues exceeding limits established by the European Union Directive were detected. However, 4,4’-DDE was found in 2.63% of the samples. The amounts of residues in all positive samples were lower than the maximum tolerance limits (0.2-1 mg/kg) accepted by the EU Directive. Contamination levels varied with species, ranging 18-200 ng/g wet weight. Other chemicals were not detected in fish samples

Determination of aldicarb, propoxur, carbofuran, carbaryl and methiocarb residues in honey by HPLC with post-column derivatization and fluorescence detection after elution from a florisil column

The aim of this study was to develop an easy analytical method for determining aldicarb, propoxur, carbofuran, carbaryl and methiocarb residues in honey by high performance liquid chromatography with post-column derivatization and fluorescence detection (HPLC/PCD-FL) for routine analysis. A florisil packed column was used in sample preparation step and showed good performance. The recoveries ranged between 72.02 and 92.02% for various spiking levels (50, 100, 200 ng/g). The limits of detection were 4-5 ng/g, depending on different N-methylcarbamate pesticides. The extraction method used in the present study was easy, inexpensive, and rapid. Thus, it could be used efficiently in the routine monitoring studies