Türk diş hekimliği fakültesi öğrencilerinde gece yeme sendromu ve ağız sağlığı ilişkileri üzerine çok merkezli araştırma

Objective: Night eating syndrome (NES) is a common eating disorder in which the circadian timing of food intake disturbs. The aim of the present study is to determine the prevalence of NES among dental school students and evaluate its association with body mass index (BMI), smoking status, alcohol consumption, and oral health status. Material and Methods: Night eating questionnaire consisting of 14 questions was conducted on dental school students at 3 universities and a total of 30 points and higher was determined as a cutpoint for NES diagnosis. Demographic status, medical status, BMI, smoking/alcohol consumption, carious/filled teeth, and interval of brushing are recorded. Results: Twelve (3.5%) of the study group among 346 attendants revealed NES diagnosis. Students with NES showed significantly higher average body weight values (p0.05). Smoking rates (91.7%) and alcohol consumption (83.3%) were significantly higher in students with NES (p0,05). GYS olan öğrencilerde sigara içme oranları (%91,7) ve alkol tüketimi (%83,3) anlamlı olarak daha yüksek bulunmuştur (p<0,05). GYS tanılı kişilerde çürük dişlerin sayısı daha fazla, ağız sağlığı durumu ve diş fırçalama alışkanlığı daha kötü bulunmuştur. Sonuç: Bu çalışma, diş hekimliği öğrencilerinde GYS tanısının nispeten düşük olduğu sonucunu göstermiştir. GYS, özellikle sigara içme alışkanlığı ve alkol tüketimi olanlarda bozulmuş ağız hijyeni için bir risk faktörü olabilir. Ağız hijyen bilgisi ve tutumları gece yeme alışkanlıklarının azalmasına katkıda bulunabilir

Tüketim kültürü ve reklamların birey üzerinde doğurduğu zayıflık hissi

Cesur Kılıçaslan, Seher (Arel Author).Tüketim toplumu ya da tüketim kültürü olguları, özellikle 1980’li yıllardan başlayarak adından sıkça söz edilen kavramlar olmuştur. Tüketimin demokratikleştirilerek alt sınıflara açılmasıyla, bu kitlelerde ekonomik ve toplumsal konum bakımından üst konumdakilerin kimliğini kazanabilecekleri yanılsaması yaratılarak, gerçek yaşamda kendilerinden esirgenen doyumların acısının hafifletilmesi sağlanmış, böylelikle tüketim kültürü bir yaşam felsefesi haline getirilmiştir. Mutluluğu ve özgürlüğü tüketimle eşitleyen çok güçlü öyküler vardır – reklamcılık bu görüşün en başta gelen propaganda aracıdır. Reklam sanayisi, kamu bilincini, insanlık tarihinde başka hiçbir kampanyanın yapamayacağı ölçüde değiştirmiş, detaya yönelik daha fazla düşünceyi, çabayı, yaratıcılığı, zamanı ve dikkati çok büyük miktardaki metanın satışına yöneltmiştir. Reklamın kullandığı dil bir tek bireye yöneliktir ancak bir tek bireye denk düşen ve reklamın hedef kitlesini oluşturan birçok birey vardır. Toplumu dönüştürerek (hedef kitlesini) sattığı ürünün tanıtımını destekler ve egemen kültürün geleneklerinin benimsenmesini sağlar. Reklamın tüketimi arttırmaya yönelik etkisine maruz kalan birey, kendisinde ve yaşam koşullarında sürekli eksiklik hisseder; içinde bulunduğu durumla olmak istediği durum arasındaki çelişkiyi her gün yeniden yaşar. Bu ise güçsüzlük algısı doğurur

Evaluation of Implant Survival by Analysing Dental Panoramic Radiographs: 10-Year Retrospective Study

Background/Aim: Panoramic radiographs have been used widely for pre-implant evaluation and the preparation of treatment protocols. Panoramic radiography is often the first choice method for the implant placements because it gives information on the overall shape of the jaws, the position of the maxillary sinus floor and the nasal cavity floor, and vertical position of the mandibular canal and the mental foramen in relation to dental implants. The specific aim of the present study was to evaluate 10-year survival rate of dental implants by analysis of dental panoramic radiographs

Anatomical and Morphological Assessment of Nasopalatine Canal in Pediatric and Adolescent Population via Cone Beam Computed Tomography

Introduction: Anatomical and morphological structure of nasopalatine canal (NPC) is important for surgical techniques carried out on the maxilla. The aim of the present study was to analyze the anatomical and morphological characteristics of the NPC among pediatric and adolescent population using cone beam computed tomography (CBCT). Materials and Methods: A total of 437 cases were analyzed using CBCT images in this retrospective, cross-sectional study. Shape was analyzed as hourglass, cone, funnel, banana, cylindrical, and tree branch like. Number of foramina Stenson (FS) was evaluated through coronal, axial, and sagittal views. Landmark evaluation involved; diameter of FS, diameter of incisive foramen, diameter at the mid-canal length, NPC length, and narrowest buccal bone thickness. Pathology presence near NPC was evaluated to determine alterations on the landmark metrics. Results: Nasopalatine canal shape distribution revealed 32% hourglass, 9.6% conic, 10.8% funnel, 11.9% banana, 29.5% cylindrical and 6.2% tree branch. Number of FS (P = 0.021; P 0.05). Incidence of pathology near NPC is 20.8% and was not affected by gender (P = 0,192; P > 0.05). Conclusions: The current study demonstrates significant variations of NPC morphology among patients. Therefore, CBCT analysis is highly recommended for clinicians to reduce the complications in oral and maxillofacial surgery practices and to provide better surgical outcomes

Anatomical and morphological assessment of nasopalatine canal in pediatric and adolescent population via cone beam computed tomography

Introduction: Anatomical and morphological structure of nasopalatine canal (NPC) is important for surgical techniques carried out on the maxilla. The aim of the present study was to analyze the anatomical and morphological characteristics of the NPC among pediatric and adolescent population using cone beam computed tomography (CBCT). Materials and Methods: A total of 437 cases were analyzed using CBCT images in this retrospective, cross-sectional study. Shape was analyzed as hourglass, cone, funnel, banana, cylindrical, and tree branch like. Number of foramina Stenson (FS) was evaluated through coronal, axial, and sagittal views. Landmark evaluation involved; diameter of FS, diameter of incisive foramen, diameter at the mid-canal length, NPC length, and narrowest buccal bone thickness. Pathology presence near NPC was evaluated to determine alterations on the landmark metrics. Results: Nasopalatine canal shape distribution revealed 32% hourglass, 9.6% conic, 10.8% funnel, 11.9% banana, 29.5% cylindrical and 6.2% tree branch. Number of FS (P = 0.021; P 0.05). Incidence of pathology near NPC is 20.8% and was not affected by gender (P = 0,192; P > 0.05). Conclusions: The current study demonstrates significant variations of NPC morphology among patients. Therefore, CBCT analysis is highly recommended for clinicians to reduce the complications in oral and maxillofacial surgery practices and to provide better surgical outcomes

Bruksizmli Türk üniversite öğrencilerinde stres düzeyleri, uyku kaliteleri ve ağız sağlığına ilişkin yaşam kaliteleri arasındaki ilişki

Objective: This study aimed to investigate the relationship between sleep quality, stress levels, and oral health-related quality of life of university students with self-reported sleep/awake bruxism in Turkey. Materials and Methods: Four anonymous questionnaires [Self-reported bruxism, perceived stress scale (PSS), Pittsburgh sleep quality index (PSQI), and oral health impact profile-14 [(OHIP-14)] were administered to 310 university student volunteers that were randomly selected from the various provinces of Turkey. The participants were required to respond independently to the questionnaires at home and were encouraged to contact the authors for further assistance if needed. Results: Among the study participants, 56.8% were from the school of dentistry and 43.2% from other departments. Of all the participants, 29% had self-reported awake bruxism and 42.3% had self-reported sleep bruxism. A positive correlation was found between the PSS and OHIP-14 results (23.5%) and between the PSQI and PSS (24.6%) results in the students with self-reported awake bruxism (p=0.235, p=0.246; p<0.05). A positive correlation was found between the PSS and OHIP-14 results (23.1%) and between the PSQI and PSS (29.6%) results in the students with self-reported sleep bruxism (p=0.231, p=0.296; p<0.05). Conclusion: Self-reported awake or sleep bruxism was found to be associated with higher stress levels and sleep disturbances and weaker oral health-related quality of life in university students.Amaç: Bu çalışmanın amacı, Türkiye’de gece/gündüz bruksizmi olan üniversite öğrencilerinde uyku kalitesi, stres düzeyi ve ağız sağlığı ile ilgili yaşam kalitesi arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Türkiye’nin çeşitli illerinden rastgele seçilen 310 gönüllü üniversite öğrencisine dört farklı anket [self-reported bruksizm, algılanan stres ölçeği (PSS), Pittsburgh uyku kalitesi indeksi (PUKİ) ve ağız sağlığı etki profili-14 (OHIP-14)] dağıtıldı. Katılımcılardan anketleri evde bağımsız olarak doldurmaları istendi ve gerekirse daha fazla yardım için araştırmacılarla iletişime geçmeleri istendi. Bulgular: Katılımcıların %56,8’i diş hekimliği fakültesinde, %43,2’si diğer bölümlerde öğrenciydi. Öğrencilerin %29’unda gündüz bruksizmi ve %42,3’ünde gece bruksizmi vardı. Gündüz bruksizmi olan öğrencilerde PSS ile OHIP-14 arasında (%23,5) ve PUKİ ile PSS arasında (%24,6) pozitif korelasyon bulundu (p=0,235, p=0,246; p<0,05). Gece bruksizmi olan öğrencilerde PSS ile OHIP-14 arasında (%23,1) ve PUKİ ile PSS arasında (%29,6) pozitif korelasyon tespit edildi (p=0,231, p=0,296; p<0,05). Sonuç: Çalışmamıza göre bruksizmli üniversite öğrencilerinde daha yüksek stres seviyeleri ve uyku bozuklukları ile birlikte ağız sağlığına ilişkin yaşam kalitesinin daha zayıf olduğu görülmektedir

Empirical cefepime+vancomycin versus ceftazidime+vancomycin versus meropenem+vancomycin in the treatment of healthcare-associated meningitis: results of the multicenter ephesus study

Abstract Background Herein, we analyzed the efficacy of main antibiotic therapy regimens in the treatment of healthcare-associated meningitis (HCAM). Materials/methods This retrospective cohort study was conducted in 18 tertiary-care academic hospitals Turkey, India, Egypt and Romania. We extracted data and outcomes of all patients with post-neurosurgical meningitis cases fulfilling the study inclusion criteria and treated with empirical therapy between December 2006-September 2018. Results Twenty patients in the cefepime + vancomycin-(CV) group, 31 patients in the ceftazidime + vancomycin-(CFV) group, and 119 patients in the meropenem + vancomycin-(MV) group met the inclusion criteria. The MV subgroup had a significantly higher mean Glasgow Coma Score, a higher rate of admission to the intensive care unit within the previous month, and a higher rate of antibiot herapy within the previous month before the meningitis episode (p  0.05) among the three cohorts. No regimen was effective against carbapenem-resistant bacteria, and vancomycin resulted in an EOT clinical success rate of 60.6% in the methicillin-resistant staphylococci or ampicillin-resistant enterococci subgroup (n = 34). Conclusions Our study showed no significant difference in terms of clinical success and mortality among the three treatment options. All regimens were ineffective against carbapenem-resistant bacteria. Vancomycin was unsuccessful in approximately 40% of cases involving methicillin-resistant staphylococci or ampicillin-resistant enterococci

Subacute THYROiditis Related to SARS-CoV-2 VAccine and Covid-19 (THYROVAC Study): A Multicenter Nationwide Study.

Context The aims of the study are to compare characteristics of subacute thyroiditis (SAT) related to different etiologies, and to identify predictors of recurrence of SAT and incident hypothyroidism. Methods This nationwide, multicenter, retrospective cohort study included 53 endocrinology centers in Turkey. The study participants were divided into either COVID-19-related SAT (Cov-SAT), SARS-CoV-2 vaccine-related SAT (Vac-SAT), or control SAT (Cont-SAT) groups. Results Of the 811 patients, 258 (31.8%) were included in the Vac-SAT group, 98 (12.1%) in the Cov-SAT group, and 455 (56.1%) in the Cont-SAT group. No difference was found between the groups with regard to laboratory and imaging findings. SAT etiology was not an independent predictor of recurrence or hypothyroidism. In the entire cohort, steroid therapy requirement and younger age were statistically significant predictors for SAT recurrence. C-reactive protein measured during SAT onset, female sex, absence of antithyroid peroxidase (TPO) positivity, and absence of steroid therapy were statistically significant predictors of incident (early) hypothyroidism, irrespective of SAT etiology. On the other hand, probable predictors of established hypothyroidism differed from that of incident hypothyroidism. Conclusion Since there is no difference in terms of follow-up parameters and outcomes, COVID-19- and SARS-CoV-2 vaccine-related SAT can be treated and followed up like classic SATs. Recurrence was determined by younger age and steroid therapy requirement. Steroid therapy independently predicts incident hypothyroidism that may sometimes be transient in overall SAT and is also associated with a lower risk of established hypothyroidism