Dental Treatment in Patients with Mental Retardation: A Retrospective Study

WOS: 000296212300012Objective: Dental treatments of the patients with mental retardation are often carried out under general anesthesia as a day case due to difficulty of cooperation. In this study, we aimed to analyze retrospectively the patients with mental retardation treated in Ege University School of Dentistry, Oral Surgery Department, General Anesthesia Unit. Material and Methods: Three hundred and thirty patients with mental retardation who had undergone dental treatment at general anaesthesia unit of our department were included in this study. The medical records of the patients were investigated retrospectively. Demographic features, ASA status, comorbidities, dental treatments, duration of intervention, intraoperative and postoperative complications and PAPDSS >= 9 time (Post-Anesthesia Patient Discharge Scoring System) were evaluated and recorded as mean standard deviation or in numbers. Results: Mean age of the 330 patients included in the study was 18.13 +/- 16 years and female to male ratio was 156/174. Two-hundred-seventy-five (83.3%) of the patients were classified as ASA I, and 55 were classified as ASA II (16.7%). Mean duration of surgery was calculated as 99.5 +/- 40.4 minutes and the time needed to become PAPDSS >= 9 was 119.6 +/- 23.6 minutes. Difficulty in endotracheal intubation was observed in six patients and one patient could not be intubated and a wakened. The number of tooth extractions per patient was 3.08 +/- 1.9, and the number of fillings was 2.35 +/- 2. Nausea and vomiting was evident in 28 (8.5%) patients on postoperative follow up. Conclusion: Dental treatments of patients with mental retardation were performed safely under general anaesthesia in an ambulatory setting with appropriate patient selection and anesthesia planning

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

WOS: 000432244600001PubMed ID: 29764480Background: Internal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely arthrocentesis and arthroscopy are promising techniques in the management of internal derangement. However patient selection algorithms, indications for minimally invasive procedures and details of the techniques should be further studied for safe and cost effective management of these cases. This manuscript aims to retrospectively analyze the significance of a stepped surgical treatment approach (arthrocentesis under local anaesthesia as the first line of treatment, followed by arthroscopic lysis and lavage under general anaesthesia in unresolving cases) of internal derangement with or without osteoarthritis. Methods: This is a retrospective cohort study. Case notes of 1414 patients that were managed with a standard protocol were reviewed. Appropriate inclusion and exclusion criteria were set. Thirty-three patients were eligible for inclusion. Parameters recorded were pain-free inter-incisal opening, spontaneous pain, pain on function, difficulty on chewing, and perceived disability on jaw movements. Pre-operative and post-operative (at the end of the follow up period) pain free maximum interincisal opening values were compared with paired t test and the subjective parameters were evaluated with Chisquare analysis. Treatment outcome and success rate according to American Association of Oral and Maxillofacial Surgeons were descriptively shown. Results: Interincisal opening values increased, and the number of patients with severe or medium rated subjective parameters were reduced at discharge. These improvements were found to be statistically significant. Clinical (Wilkes) staging of internal derangement pre-operatively and at discharge remained either unchanged or was lower. Treatment outcome and success according to American Association of Oral and Maxillofacial Surgeons criteria was 94%. Conclusion: The stepped approach for the management of symptomatic internal derangement with or without osteoarthritis is a successful treatment strategy with favourable therapeutic outcomes.national health insuranceAll treatment costs were covered by national health insurance that had no role in collection, analysis, and interpretation of data and in writing the manuscript

Pedobarographic measurements after repair of Achilles tendon by minimal invasive surgery

Objective:The aim of the study was to assess the changes of plantar foot pressures with pedobarography in patients with Achilles tendon repair by minimally invasive surgical technique.Materials and Methods:This retrospective study consisted of 15 consecutive patients who were operated between 2010 and 2012.The mean age was 28.7 years (24-42) and the mean follow-up time was 2.3 years (1.5-3).All patients had sports related Achilles' tendon rupture and all had undergone surgery in 24-48 hours.Peak and mean heel and forefoot pressures in injured extremity were measured by pedobarograph and compared with noninvolved foot.Results:There wasn’t any complication associated with surgery such as wound problems, rerupture or neurologic injury.Only three patients had some numbness at the incision site.When we compare the mean foot pressures between the operated foot and the normal foot, there was no statistical difference about peak and mean heel and forefoot plantar pressure between involved site and non involved site.Conclusions:As a result, Achilles tendon repair with minimal invasive technique and early rehabilitation may prevent changes of plantar foot pressure distribution

Mean platelet volume in brucellosis: correlation between brucella standard serum agglutination test results, platelet count, and C-reactive protein

Background: Brucellosis, a zoonotic infection, was most widely diagnosed by the Brucella standard serum agglutination test (SAT). No previous publication has demonstrated a correlation between the degree of Brucella SAT agglutination positivity and the severity of brucellosis infection

A seven-toed central polydactyl in an adult: A neglected, unclassifiable case

The aim of this study was to present a neglected, unclassifiable case that involved a central type polydactyl adult with 7 toes and metatarsals, 4 cuneiforms and 1 cuboid. A 22 year-old male soldier with a right polydactyl was referred to our hospital. He suffered from the need of excessively wide-shoes and occasional shoe irritation. He was evaluated with plain radiography and 3D tomography. The patient had central-type polydactyl with 7 toes and metatarsals, and 4 cuneiforms and 1 cuboid. Ankles and hind feet were completely normal. All toes were capable of tendon flexion and extension. His medical and family history was unremarkable. We planned to excise the excessive toes and metatarsals, but the patient denied the surgery. We present a very rare case with a central polydactyl having 7 toes and metatarsals, 4 cuneiforms and 1 cuboid. The striking point in our case was that he was a neglected, unclassifiable case. [Arch Clin Exp Surg 2017; 6(1.000): 45-48

Awareness of allergy in Turkey

29th Congress of the European-Academy-of-Allergy-and-Clinical-Immunology (EAACI) -- JUN 05-09, 2010 -- London, ENGLANDYUKSEL, Hasan/0000-0001-9577-8445; Kalpaklioglu, A. Fusun/0000-0002-6548-6932;WOS: 000329462100335…European Acad Allergy and Clin Immuno

Serum nitric oxide, asymmetric dimethylarginine, and plasma homocysteine levels in active Behcet's disease

Aim: Behcet's disease is a relapsing vasculitis characterized by endothelial dysfunction. This study was conducted to determine the levels of nitric oxide (NO) and 2 related parameters, asymmetric dimethylarginine (ADMA) and homocysteine levels, in relation to the pathogenesis of Behcet's disease

The effect of urethroplasty surgery on erectile and orgasmic functions: a prospective study

ABSTRACT Objectives: to examine the effects of urethroplasty surgery on sexual functions by taking into account age, location of stenosis, length of stenosis and surgical technique parameters. Materials and Methods: The prospective study was conducted between January 2015 and August 2017 with 60 cases. Patients were categorized according to age groups (19-65 / 65-75 years), surgery technique and stricture localization and length. Before the urethroplasty operation and postoperative 6th month follow-up, the international index of erectile function (IIEF) form (15 questions), was filled, the relevant domains of sexual function; erectile function (Q1,2,3,4,5,15), orgasmic function (Q9,10) and overall satisfaction (Q13,14) were assessed. Results: The mean age of the cases is 54 ± 13. However, preoperative IIEF, sexual satisfaction and orgasmic function averages of patients with a stenosis segment length of 1-3 cm was found to be significantly higher than that of patients with a stenosis segment length of 4-7 cm. Between stenosis segment length groups, there was no statistical difference in terms of preoperative and postoperative sexual functions. And also, there was no statistically significant change in patients’ preoperative and postoperative sexual function scores in terms of localization of stricture and surgery techniques. However, there were statistically significant change in the postoperative IIEF and sexual satisfaction averages according to preoperative averages. Conclusion: Our study suggests that urethroplasty surgery itself does not significantly affect erectile function, orgasmic function, and general sexual satisfaction regardless of the type of surgery, localization and length of stenosis. Besides, there was a significant decrease in erectile function in senior adults

Environmental Radioactivity and High Incidence Rates of Stomach and Esophagus Cancer in the Van Lake Region: A Causal Relationship?

This study examined the incidence rates of cancer cases (averages for 2006-2010) and relationships with environmental radioactivity levels. Soil and water samples were collected from provincial and district centers of Van city and the outdoor gamma doses were determined using a portable gamma scintillation detector. Gross alpha and beta, (226)Ra, (232)Th, and (40) K activities were measured in both tap water and soil samples. Although high rates of stomach and esophagus cancers have been reported previously in Van the underlying reasons have not hitherto been defined. Incidences of cancers were highest in the Gurpinar (326.0) and Ozalp (377.1) counties (p<0.001). As to the results of the gross alpha and gross beta radioactivity measurements in the drinking water, these two counties also had high beta radionuclide levels: Gurpinar (140 mBq/dm(3)) and Ozalp (206 mBq/dm(3)). Even if within the normal range, a relation between the higher rate of the incidence of stomach and esophagus cancers with that of the higher rate of beta radionuclide activity was clear. On Spearman correlation analysis, the relation between higher beta radionuclide levels and cancer incidence was found to be statistically significant (p<0.01). According to the results of the analysis, Van residents receive an average 1.86 mSv/y annual dose from outdoor gamma radiation, ingestion of radionuclides in the drinking water, and indoor Rn-222 activity. Moreover, gross alpha and beta activities were found to be extremely high in all of the lakes around the city of Van, Turkey. Further investigations with long-term detailed environmental radiation measurements are needed regarding the relationship between cancer cases and environmental radioactivity in the city of Van

Awareness of allergy in Turkey

29th Congress of the European-Academy-of-Allergy-and-Clinical-Immunology (EAACI) -- JUN 05-09, 2010 -- London, ENGLANDWOS: 000329462100335European Acad Allergy and Clin Immuno