The Characteristics of Patients Transferred by Helicopter Ambulance in Erzurum

Objective: To analyze the characteristics of patients transferred by ambulance helicopter in Erzurum. Materials and Methods: We retrospectively evaluated the records of patients transferred by ambulance helicopter between 2009 and 2012. Medical, demographics, geographic and flight data of the patients were all analyzed. Results: A total of 347 (185 male, 162 female) patients were included in the study. 167 patients (48.4%) aged between 18 and 65 years. In the adult patients, the most common diagnoses were medical conditions in 82 (65.6%) men and 43 (34.4%) women. The number of male and female patients transferred during the summer was 64 (35%) and 50 (30.9%); in autumn, 54 (29.5%) and 34 (21%); in winter, 35 (19.1%) and 44 (27.1%); and in the spring, 30 (16.4%) and 34 (21%), respectively. Conclusion: Transferring patients living far from medical centers by air ambulance has become common. Plane and helicopter ambulances have become a part of emergency services. Since evidence was obtained on the outcomes of patients affected positively by helicopter transfer, air health transfer services and the number of air ambulances covered by insurance companies have increased recently

Effect of dental treatment under general anesthesia on oral health related quality of life in children with severe early childhood caries

Giriş ve Amaç: Bu çalışmanın amacı, şiddetli erken çocukluk çağı çürükleri (Ş-EÇÇ) görülen çocuklarda genel anestezi (GA) altında gerçekleştirilen diş tedavilerinin çocukların ağız sağlığı ile ilişkili yaşam kalitesi üzerindeki etkisini (OHRQoL) belirlemektir. Yöntem ve Gereçler: Ş-EÇÇ nedeniyle GA altında diş tedavisi görmüş 72 aydan daha küçük çocuk hastalar ve ebebeynleri bu prospektif çalışmaya dahil edildi. Çocukların ay olarak yaşı, cinsiyeti, Amerikan Anesteziyoloji Derneği (ASA) sınıflamasına göre hasta grubu, dmft indeksi, yapılan tedavi tipleri, işlem süresi, katılımcı ebeveyn bilgileri, ebeveynin eğitim düzeyi gibi demografik bilgiler kaydedildi. Çocukların OHRQoL’sini ölçmek amacıyla Erken Çocukluk Çağı Ağız Sağlığı Etki Ölçeği (ECOHIS), çocukların diş tedavisi öncesinde ve 1 ay sonrasında ebeveynler tarafından yanıtlandı. İstatistiksel analizde bağımsız örneklem t-testi ve Wilcoxon işaretli sıralar testi kullanıldı. Bulgular: Toplam ECOHIS skoru ve alt alanlara ait skorlar, GA tedavisinden sonra istatistiksel olarak anlamlı şekilde azalmıştır (p<0.05). “Çocuk benlik bilinci/sosyal etkileşim’’ ile “aile fonksiyon’’ alt alanlarında orta düzeyde değişim saptanırken diğer alt alanlarda büyük düzeyde değişim saptanmıştır. Tartışma ve Sonuç: Ş-EÇÇ’den yakınan çocuklarda, kapsamlı diş tedavilerinin GA altında gerçekleştirilmesi çocukların OHRQoL’sini ve ebeveynleri olumlu yönde etkilediği tespit edilmiştir.Introduction: This study aims to evaluate oral health related quality of life (OHRQoL) for children requiring dental treatment due to severe early childhood caries (S-ECC) following dental treatment under general anaesthesia (GA). Methods: Child patients under 72 months old who have received dental treatment under GA due to S-ECC, and their parents have been included in this study. Demographic information such as; age of the children in months, gender, The American Society of Anesthesiologists (ASA) physical status, dmft index, treatment types, procedure length, participating parent information, parents’ education level have been recorded. Parents have been asked to fill the Early Childhood Oral Health Impact Scale (ECOHIS) to measure QHRQoL of children on baseline and the following month. Independent samples t-test and Wilcoxon signed rank test have been used for statistical analysis. Results: Total ECOHIS score and scores of subscale domains have reduced following treatment, and this reduction was found statistically significant (p<0.05). A large improvement was observed in all of the domains except the child self-image/social interaction and family function which exhibited a moderate effect size. Discussion and Conclusion: This study concluded that in cases where children suffer from S-ECC, extensive dental treatment under GA effects children’s QHRQoL and their parents positively

Reasons for requesting cone-beam computed tomography in a group of child and adolescent patients: A retrospective study

Amaç: Bu çalışmanın amacı, İstanbul Medipol Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği ABD’ye başvuran çocuk ve ergen hastalarda teşhis ve tedavi amacıyla istek yapılmış konik ışınlı bilgisayarlı tomografilerin (KIBT) kullanım alanlarının retrospektif ola rak incelenmesidir. Gereç ve Yöntemler: Çalışmaya Temmuz 2011- Ocak 2020 tarihleri arasında muayene edilen, teşhis ve tedavi planlaması için KIBT görüntüleri alınmış olan 6-17 yaş arasındaki sis temik olarak sağlıklı hastalar dâhil edilmiştir. KIBT görüntüleri ağız diş ve çene radyolojisi uzmanı tarafından aksiyel, koronal ve sagittal düzlemde 3 boyutlu olarak incelenmiştir. Hastaların yaş, cinsiyet, sis temik durumları ve KIBT isteme nedenleri kaydedilmiştir. Bulgular: Yaşları 6-17 arasında (ortalama 10,45±2,65) değişen, 106’sı (%56,1) erkek, 83’ü (%43,9) kız olmak üzere toplam 189 çocuğun KIBT gö rüntüleri incelenmiştir. En sık KIBT istenme nedeni süpernümerer diş lerin (%37,2) ve sürme gecikmelerinin (%35,9) değerlendirilmesidir. Çocuk diş hekimliğinde; KIBT’ye kist, süpernümerer diş, sürme ge cikmesi, odontoma, kondense osteit, travma, ankiloz, endodontik cer rahi gibi karmaşık tedavi gerektiren olgularda, doğru teşhis ve tedavi planlaması için başvurulmaktadır. Sonuç: Büyüme ve gelişimi devam eden çocuk hastalarda, yüksek radyoduyarlılıkları nedeniyle teşhis ve tedavi planlamasında yalnızca gerekli olduğu durumlarda KIBT’lere başvurulmalıdır.Objective: The aim of this study is to examine retro spectively the usage of cone beam computed tomography (CBCT) for diagnosis and treatment planning of pediatric patients who referred to İstanbul Medipol University Faculty of Dentistry, Department of Pedi atric Dentistry. Material and Methods: Healthy patients aged between 6 and 17 years, who were examined between July 2011 and January 2020, and whose CBCT images were taken for diagnosis and treatment planning, were included in the study. CBCT images were examined in three dimensions in the axial, coronal and sagittal planes by an oral and maxillofacial radiology specialist. The patients’ age, gender, systemic conditions, and reasons for requesting CBCT were recorded. Results: The CBCT images of 106 (56.1 %) boys and 83 (43.9 %) girls; aged be tween 6-17 (mean age 10.45±2.65); a total of 189 children were scanned. The most common reasons for CBCT are supernumerary teeth evaluations (37.2%) and eruption delays (35.9%). In pediatric dentistry, CBCT’s are used for the accurate diagnosis and treatment planning of complex cases such as cyst, supernumerary tooth, eruption delay, odon toma, condensed osteitis, trauma, ankylosis, endodontic surgery. Con clusion: CBCT should be considered only when it is necessary in diagnosis and treatment planning due to high radio-sensitivities of pe diatric patients with ongoing growth and development

Microinfiltracao de ionomero de vidro de alta viscosidade e carbômero de vidro com e sem revestimento antes e depois de envelhecimento hidrotermal

Objective: The objective of this study was to evaluate the microleakage patterns of GIC and GGC with and without their protective surface coatings on enamel and dentin margins before and after aging. Material and Methods: Two rectangular cavities (height: 2 mm; width: 3 mm; depth: 1.5 mm) were prepared on each tooth at the cemento-enamel junction were prepared on human permanent molars (N=56) and the teeth were randomly assigned to be restored with one of the following: a) high viscosity glass-ionomer cement (GIC) (EQUIA Fil, C Corp., Tokyo, Japan) (n=28), b) glass-carbomer cement (GCC) (Glass Carbomer Products, Leiden, The Netherlands) (n=28). Half of the teeth were further divided into two groups where one group received protective surface coating (SC) (G-Coat Plus, GC Corp) (n=14) and the other group did not (n=14). Half of the teeth were stored for 24 hours (n=7), and the other half was thermocycled (5000 cycles, 5-55°C) (n=7). For microleakage analysis, the teeth were immersed in 5% methylene blue dye for 24 hours, sectioned into two equal halves. Microleakage patterns were evaluated using stereomicroscope and scored on a scale of 0-3 (0: No dye penetration, 1: Dye penetration less than half of the axial wall, 2: Dye penetration more than half the axial wall, 3: Dye penetration spreading along the axial wall). Data were analyzed using Kruskal-Wallis tests at the significance level of 0.05. Results: Compared to 24 h storage, after thermocycling, coating on GIC decreased microleakage significantly compared to GCC (p=0.046) but not for GCC. In the thermocycled groups, coated GIC showed significantly less leakage at the enamel margin but no significant difference was found with both GIC and GCC in the dentin margins. Conclusion: The application of surface coating significantly reduced the microleakage scores of GIC but not GCC, within the enamel margins only.Objetivo: O objetivo deste estudo foi avaliar os padrões de microinfiltração de GIC e GGC com e sem seus revestimentos protetores superficiais nas margens de esmalte e dentina antes e após o envelhecimento. Material e Métodos: duas cavidades retangulares (altura: 2 mm; largura: 3 mm; profundidade: 1,5 mm) foram preparadas em cada dente na junção cemento-esmalte de molares permanentes humanos (N = 56), sendo aleatoriamente designados para serem restaurados com um dos seguintes: a) cimento de ionômero de vidro (GIC) de alta viscosidade (EQUIA Fil, C Corp., Tóquio, Japão) (n = 28), b) cimento de vidrocarbômero (GCC) Carbomer Products, Leiden, Holanda) (n = 28). Metade dos dentes foram divididos em dois grupos, onde um grupo recebeu revestimento protetor de superfície (SC) (G-Coat Plus, GC Corp) (n = 14) e o outro grupo não (n = 14). Metade dos dentes foram armazenados por 24 horas (n = 7), e a outra metade foi termociclada (5000 ciclos, 5-55 ° C) (n = 7). Para análise de microinfiltração, os dentes foram imersos em corante azul de metileno a 5% por 24 horas, seccionados em duas metades iguais. Os padrões de microinfiltração foram avaliados usando estereomicroscópio e pontuados numa escala de 0-3 (0: Sem penetração de corante; 1: penetração de corante inferior à metade da parede axial; 2: penetração de corante mais do que metade da parede axial; 3: penetração de corante ao longo da parede axial). Os dados foram analisados pelo teste de Kruskal-Wallis ao nível de significância de 0,05. Resultados: em comparação com o armazenamento de 24 h, após a termociclagem, o revestimento de superfície no GIC diminuiu significativamente a microinfiltração em comparação com o GCC (p = 0,046), mas não para o GCC. Nos grupos termociclados, o GIC revestido apresentou significativamente menos infiltração na margem do esmalte, mas não houve diferença significativa para o GIC e o GCC nas margens dentinárias. Conclusão: A aplicação do revestimento de superfície reduziu significativamente os escores de microinfiltração do GIC, mas não do GCC, apenas nas margens do esmalte

An investigation of the effect of placental growth factor on intrapartum fetal compromise prediction in terminduced high risk pregnancies

Objectives: To date, there is no available test to predict the risk of intrapartum fetal compromise (IFC) during labor, either starting spontaneously or induced due to obstetrics indications. The aim of this study was to examine the effectiveness of placental growth factor (PIGF) in identifying cases that develop intrapartum fetal compromise (IFC) in term high-risk pregnancies induced for labor.Material and methods: This prospective cross-sectional study was conducted on 40 IFC+ cases and 40 IFC- cases withhigh-risk term pregnancy and labor induction started in the Health Sciences University Gazi Yaşargil Training and Research Hospital, between January 2018 and April 2018. Comparisons were made between the groups in respect of placental growth factor (PIGF) levels, and obstetric and neonatal outcomes.Results: The PIGF level was found to be statistically significantly lower in the IFC+ cases compared to the IFC- cases. For a PIGF cutoff value of 32 pg/mL for the prediction of IFC+ cases, sensitivity was 74.4%, specificity 73.2%, NPV 75% and PPV 72.5%, with a statistically significant difference determined between the groups. The IFC+ development risk increased 7.91-fold in patients with PIGF ≤ 32 pg/mL.Conclusions: The PIGF levels in cases of IFC+ high risk pregnancies were found to be statistically significantly lower than those of IFC- cases. However, further, large-scale randomized controlled research is necessary to demonstrate this relationship better

Comparison of The Anxiety Levels Between The Family Members of The Patients Presenting to The Pediatric Trauma Unit and Pediatric Emergency Units

INTRODUCTION: It is not the right behaviour to accept every anxiety pathologically. On the contrary, the sense of anxiety is an indicator of the response of individuals to internal or external changes. More importantly, anxiety is a beneficial affective state for individuals who contribute to the development of self and bodily adaptability to the new environment in which they live. MATERIAL AND METHODS: This is a prospective study. The study was conducted on the parents of the patients who applied to the paediatric emergency department and paediatric trauma units of the emergency department at Atatürk University Faculty of Medicine. Beck Anxiety Scale was administered to one of the relatives who brought the patient to the hospital. Beck anxiety test was filled in by using face-to-face interview method. Pre-defined study forms for patients included in the study were completed. RESULTS: The study was completed with 68 family members in both groups. The values of the patients who were admitted to the paediatric emergency and adult emergency departments on the Beck Anxiety Scale were equal. CONCLUSIONS: family members of paediatric patients admitted to hospital were compared; The family members of the paediatric trauma unit and the family members of the paediatric emergency department have the same level of anxiety

Volume XCI, Number 25, May 12, 1972

In this study, molecularly imprinted polymer membranes were synthesized for the recognition and adsorption of quercetin. For this, quercetin imprinted polymeric membranes [p(HEMA-MAH)] (Poly(2-hydroxyethyl methacrylate-co-N-methacryloly-l-histidinemethylester) were synthesized by UV polymerization technique using HEMA and MAH as monomers. Synthesized polymeric membranes were characterized with SEM, FTIR and swelling test. Characterized membranes were used for the direct adsorption of quercetin in a batch system. Quercetin adsorption conditions were optimized by using the quercetin imprinted polymeric membrane by altering the pH, temperature and initial quercetin concentration of the adsorption medium. Effect of adsorption time was also studied for up to 180 min. The optimum pH and temperature was determined between 4.0 and 45 degrees C. Maximum adsorbed amount of quercetin onto quercetin imprinted poly(HEMA-MAH) membrane was found to be as 299.6 mg/g membrane using the initial quercetin concentration of 2.0 mg/ml. Adsorbed quercetin was desorbed from the polymeric membranes with isopropyl alcohol with desorption yield of 98.3%. and repeated usability of the quercetin imprinted polymeric membranes was fallowed for 7 adsorption/desorption cycles. At the end of the 7(th) reuse, quercetin adsorption capacity of the quercetin imprinted poly(HEMA-MAH) membranes decreased only about 10%

Ektopik Gebelik Olgularında Methotrexatın Tedavi Etkinliğinin Değerlendirilmesi

Aim: Our aim in this study was to assess efficacy of singledose methotrexate (MTX) as medical treatment for ectopic pregnancy (EP) by evaluating the results of patients given this treatment. Materials and Methods: Between September 2016 and August 2017, the treatment outcomes of EP cases treated with MTX at Gazi Yaşargil Training and Research Hospital of Health Sciences University were evaluated retrospectively. Results: In total, 126 cases treated for EP were evaluated and 65 cases were included in the study. In cases administered a single dose of MTX, the success rate was 80%, the failure rate was 13.8%, and the emergency surgery rate was 6.2%. The overall success rate of the medical treatment was 90.7% for a second dose of MTX. An unsuccessful result was considered as less than a 15% reduction in the beta-human chorionic gonadotropin (?-hCG) level between 4 and 7 days after single dose MTX administration. In all cases, the rate of emergency surgery after treatment was 9.3%. Conclusions: In our study, success rates in patients with EP treated with MTX were 80% after a single dose and as high as 90.7% when a second dose was addedAmaç: Bu çalışmadaki amacımız ektopik gebelik’ te (EP) medikal tedavi olarak tek doz methotrexat (MTX) tedavisi verilen olguların sonuçlarının değerlendirilmesidir. Materyal ve Metot: Eylül 2016 ile Ağustos 2017 arasında Sağlık Bilimleri Üniversitesi Gazi Yaşargil Eğitim ve Araştırma Hastanesinde tedavi edilen EP olgularında MTX tedavisi uygulanmış olanların tedavi sonuçları retrospektif olarak değerlendirildi. Bulgular: Çalışmanın yapıldığı tarihler arasında EP nedeniyle tedavi edilen 126 olgu çalışmaya dahil edildi. Tek doz MTX tedavisi başlanan olgularda başarı oranı %80, başarısızlık %13.8 ve acil cerrahi oranı %6.2 olarak gerçekleşti. Tek doz MTX uygulaması sonrasında 4 ve 7 günler arsında betahuman chorionic gonadotropin (?-hCG) seviyesinin %15 ten az düşmesi sonucunda başarısız olarak kabul edilen olgularda yapılan 2. doz MTX sonucunda, medikal tedavinin toplam başarı oranı %90.7 olarak gerçekleşirken, bu olguların tümünde tedavi sonrası acil cerrahi oranı %9.3 olarak gerçekleşti. Sonuç: Çalışmamızda uygun endikasyonla MTX tedavisi uygulanan EP olgularında medikal tedavinin başarı oranı %90.7 gibi oldukça yüksek bir oranda gerçekleşmiş olup olguların sadece %9.3 de MTX tedavisi sonrasında acil cerrahi tedavi gerekmiştir