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Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: aim of this study was to investigate the long-term clinical, functional and oncologic outcomes of patients with aneurysmal bone cyst (ABC). It was also aimed to reveal the effect of treatment options on recurrence and complications. Materials and Methods: Patients who underwent surgical treatment and follow-up with the diagnosis of ACS between 2000 and January 2023 were included in the study. Data were collected retrospectively using the hospital database and patient follow- up files. Only patients with a histologically confirmed diagnosis of ABC and a minimum follow-up period of 12 months were included in the study. Data such as age, gender, side, bone location of the tumor, extremity localization, preferred surgical method (curettage+allograft, curettage+allograft, curettage+autograft, curettage+cement and resection), whether internal fixation was applied, follow-up period, presence of recurrence and date of recurrence were recorded. The last follow-up was performed with the MSTS (Musculoskeletal Tumor Society) scoring system in outpatient clinic controls. On the basis of these data, the clinical, radiological, functional and oncological outcomes of the patients, complication rates, presence of recurrence and factors affecting the occurrence of recurrence were retrospectively analyzed. Results: A total of 103 patients, 51 women and 52 men, were included in the study. The mean follow-up period was 30.94±4.43 months. Recurrence was seen in 24.3% (n=25) of the patients. The age of patients with recurrence was significantly higher than those without recurrence (p<0.001). There was a statistically significant correlation between recurrence and internal fixation (p=0.020). The MSTS scores of patients who underwent internal fixation during surgery were significantly higher than those of patients who did not undergo internal fixation (p<0.001). Conclusions: In conclusion, in line with the data obtained in our study, the choice of treatment for aneurysmal bone cysts depends on localization, size, pathological fracture risk, symptoms and surrounding tissues. We believe that more caution should be exercised in the surgical treatment of ACCs with fracture risk, lower extremity localizations, and patients with incomplete skeletal development. Prevention of recurrence and internal fixation in patients with fracture risk increase patient satisfaction and positively affect functional outcomes. [ABSTRACT FROM AUTHOR]

Copyright of Fenerbahce University Journal of Health Sciences (FBU-JOSH) / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi is the property of Fenerbahce University Journal of Health Sciences (FBU-JOSH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of University of Health Sciences Journal of Nursing is the property of Saglik Bilimleri Universitesi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Bomoi, which were used as statue bases, tombs or votive stones in the Roman Period, were produced in different sizes or forms. With the addition of various decorative elements, it has assumed a character in accordance with its function. The bomos of Agathopodos, which constitutes our study subject, is a rectangular burial bomos with inscriptions on the front face of which the belongings of the deceased are depicted. Today, the ancient city of Aizanoi is located in the Mosaic Bath. When the information we obtained about the deceased, his family and profession, based on the inscription, is considered together with the ornaments on the bomos, the social and economic position of Arkhiatros Agathopodos in the city of Aizanoi, where he lived at the end of the 2nd century AD, became clear. Accordingly, although it is unclear whether the sons who had the tombstone built continued the profession of medicine, it is also possible to obtain information about his wife’s social position from the figures on the bomos, which were also built for his wife Ammia. When the medical instruments, medicine box, probe and scissors on the bomos are examined, it is concluded that Arkhiatros Agathopodos applied drug treatment methods and was experienced in surgical procedures. [ABSTRACT FROM AUTHOR]

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fenerbahce University Journal of Health Sciences (FBU-JOSH) / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi is the property of Fenerbahce University Journal of Health Sciences (FBU-JOSH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Karya Journal of Health Science is the property of Karya Journal of Health Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Craniosynostosis is premature fusion of one or more cranial sutures. In isolated craniosynostosis, surgical procedures are applied to ensure normal brain development and normal cognitive functions, to correct cosmetic deformities in order to prevent psychosocial negative consequences. The fact that they are mostly infants, combined with significant blood loss in the perioperative period, makes these cases challenging for the anesthetist. Ensuring airway safety, coping with metabolic complications related to blood transfusions and infusion of electrolyte fluids, preventing hypothermia, postoperative pain management, treatment of nausea and vomiting are the main subjects of anesthesia management. Excellent results can be obtained with proper preoperative planning, monitoring and timely blood and fluid infusion. [ABSTRACT FROM AUTHOR]

Copyright of Türkiye Klinikleri Journal of Ophthalmology is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Perioperative period is characterized by stressful and rapidly changing physiological responses. During this period, many factors and stimuli lead to the activation of the sympathetic nervous system, causing various hemodynamic changes, mainly tachycardia. Studies showed that stress and hemodynamic changes occurring during this period are associated with increased cardiac damage, morbidity and mortality. Beta blockers can prevent these negative results due to stress, thanks to their sympatholytic effects. Esmolol hydrochloride is a selective β-1 receptor blocker with a rapid onset and very short duration of action. Our aim in this study is to investigate the effect of perioperative esmolol use on perioperative hemodynamics, the amount of inhalation agent and narcotic consumed, and the amount of analgesic drug consumed postoperatively in patients undergoing non-cardiac operation and at moderate-high risk for the development of cardiac events. Materials and Methods: 40 patients undergoing elective grade 3-4 urology and general surgery operations under general anesthesia and have medium-high risk of perioperative cardiac event development according to the revised cardiac risk index and Mangano criteria were included in the study. Patients were randomized to esmolol (n=20) and control group (n=20). Esmolol group was loaded with esmolol 500 µg/kg/min for 1 minute intravenously (i.v.) and maintained as the heart rate to be <80/min., whereas 0.9% NaCl i.v. was given to the control group. Results: There was no significant difference between two groups in terms of age (P=0.910), gender (P=0.519), surgical grade (P=0.288), and ASA scores (P=0.218). However; heart rate (HR) and mean arterial pressure (MAP) decreased significantly after drug loading compared to basal value in esmolol group, whereas there was no significant change in control group. There was no difference between two groups in terms of sevoflurane consumption, but the frequency of additional fentanyl requirement (P=0.047) and the amount of consumed fentanyl (P=0.039) were significantly lower in esmolol group. In the postoperative period, it was detected that HR and MAP values were significantly lower in esmolol group than control group. However, there was no difference between two groups in terms of postoperative pain and morphine consumption. Conclusions: We demonstrated that use of esmolol provides an effective hemodynamic stabilization in the perioperative and postoperative period and reduces the amount of consumed narcotics perioperatively in patients undergoing noncardiac surgery with mediumhigh risk. However, we could not detect a significant effect of esmolol on the amount of consumed inhalation agent and postoperative analgesic use. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health Academics / Sağlık Akademisyenleri Dergisi is the property of Journal of Health Academics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ectopic pregnancy is one of the leading causes of maternal death in early pregnancy. Although it occurs in 1-2% of all pregnancies, the most common site is fallopian tube. Ectopic adrenal tissue is usually seen in neonates and childhood. It is rarely diagnosed in adults. They are often incidentally detected in surgical operations performed for other reasons. In this study, coexistence of tubal ectopic pregnancy and paratubal ectopic adrenal tissue, a rare entity, is presented. [ABSTRACT FROM AUTHOR]

Objective: Tonsillectomy and adenotonsillectomy are the most common otolaryngologic (ENT) surgeries in pediatric and adult age. Bleeding after surgery is the most common and serious complication. In this study, it was aimed to analyze the related factors that affects postoperative bleeding and determine bleeding rates in patients who underwent tonsillectomy surgery in our clinic. Methods: The patients who underwent tonsillectomy surgery in our clinic between January 2018 and September 2019 were included. The study is a retrospective archive study. Data such as age, gender, indication, surgical technique, postoperative bleeding, bleeding occured in which days, recurrent bleeding status, need for blood transfusion, what interventions are made, the presence of underlying bleeding disorder were collected from clinic archieves and hospital records. Results: Consecutive 646 patients were included in the study. The bleeding rate was 7% (n=45). 47.2% of patients were operated with obstructive sleep apnea and 52.2% were operated with recurrent/chronic tonsillitis indication. Postoperative bleeding is significantly more common in adult patients and recurrent tonsillitis indication. 24% of patients admitted with postoperative bleeding were treated under general anesthesia, while blood transfusion required in two patients. There was no mortality in our case serie. Conclusion: Although tonsillectomy is one of the most common operations, postoperative bleeding is common and is stressful for both the patient and the surgeon. The patient's compliance to postoperative follow-up and recommendations is as important as the surgery performed. Patients who come with bleeding after tonsillectomy should be hospitalized and quick and appropriate interventions should be performed. [ABSTRACT FROM AUTHOR]

Operating rooms, where professional groups from different disciplines work, are areas that require fast and accurate decision-making, where tools of different technology are used. Protein and other organic substances are broken down in the tissue exposed to high heat during the surgical procedure and rise with the evaporated water. The content of surgical smoke varies according to the technique of the procedure and the size of the treated tissue. Surgical smoke containing toxic substances settles in different areas in the respiratory system according to the amount of particle size and causes various health problems on health workers. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: We aimed to evaluate the results of operations performed for scaphoid fractures with different indications in our clinic. Material and Method: Forty-seven patients who were operated for scaphoid fractures in the orthopedics and traumatology clinic were included in the study. The effects of surgical technique, fracture location and smoking on union and wrist clinical score were evaluated. Results: Looking at the anatomical locations of the fracture; 5 (10.6%) patients had distal pole fractures, 32 (68.1%) patients had lumbar fractures, 10 (21.3%) patients had proximal pole fractures. When the MAYO scores were examined according to the anatomical regions of the fracture, distal pole fractures were evaluated as excellent-good, lumbar region fractures as good, and proximal pole fractures as good-fair. There was a decrease in MAYO scores of smoking p <0.05 There was no significant correlation between clinic scores according to the surgical procedures performed. Conclusion: Percutaneous surgical method may be preferred in acute fractures, especially in stable non-displaced fractures, but there was no significant difference in clinical scoring with open surgery. It has been observed that the location of the fracture is important in terms of clinical score, and tobacco use negatively affects the union. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pellagra is a multisystemic disease caused by niacin deficiency and characterized by diarrhea, dementia, dermatitis and, death. The lesions appear as hyperkeratotic, sharply demarcated erythematous plaques and bullae symmetrically distributed in photo-exposed areas. Poverty, hunger, anorexia and, alcoholism are among the most common reasons for diminished gastrointestinal (GIS) niacin uptake. Also rarely, GIS operations may end up with niacin deficiency. A 65-year-old man applied to our clinic with complaints of blisters in his feet, discoloration in his face and hands along with a mood alteration. The lesions were violaceous and sharply demarcated in a photosensitive distribution. He had a history of GIS surgery and he was diagnosed with pellagra disease by clinicopathologic evaluation. Pellagra responds excellently to the treatment, but it has a fatal course when overlooked. Herein, we present this case to underline the importance of keeping in mind that pellagra may develop after gastrointestinal surgeries. [ABSTRACT FROM AUTHOR]

There is a link between aging and gastric diseases. The aim of this study was to evaluate the effects of ghrelin on gastric morphology in ovariectomized rats. Materials and Methods: Under ketamine-chlorpromazine anesthesia (100 mg/kg, 0.75 mg/kg), Sprague-Dawley rats (n=12) underwent bilateral ovariectomy, while control group (G1) had shamsurgery (n=6). Four weeks after surgery, half of ovariectomized rats (G3) were treated intraperitoneally with ghrelin (1 mg/kg/week) for 4 weeks, while others (G2) were not treated. Rats were euthanized by cardiac puncture at the end of 8th weeks, and serum levels of estradiol were measured. Gastric tissue was analyzed with light and scanning electron microscopy. Results: Increased body weights in ovariectomized (G2 and G3) rats (p<0.001) recorded at the end of 2 months was not changed with ghrelin. In ovariectomized groups (G2 and G3) serum estradiol levels were reduced (p<0.05) verifying altered gonadal hormone status. Apical mucus cells and gastric pits were observed in regular morphology in sham group while vascular dilatation and degeneration was observed i n o variectomized r ats ( G2 a nd G 3), w hereas i n t he g hrelin g roup ( G3) i t w as g enerally observed similar to sham group (G1). Conclusion: In conclusion, mild dyslipidemia and hepatic degeneration in early post-menopausal period appear to be attenuated by ghrelin treatment, and it is required further investigations. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: Posterior instrumentation and fusion (PEF) is the standard surgical approach and vertebral body tethering (VBT) emerged as an alternative non-fusion technique in the treatment of idiopathic scoliosis. The aim of this study was to compare the correction and health-related life quality of the patients who have undergone PEF and VBT. Materials and Methods: Matched cohorts were obtained among patients whose curves ranged between 40⁰- 70⁰ who had >2 years follow-up. Patients with a lumbar curve included in surgery were excluded. Patients' demographic data, perioperative and follow-up radiographic measurements, and SRS-22 scores were compared. Results: 16 PEF and 18 VBT patients (30F, 4M) were included. The mean age and follow-up were 13.4 (10-17) years and 25.7 (24-32) months. Preoperative upper thoracic, main thoracic (MT), and thoracolumbar (TL) curves were similar among groups. The surgical correction percentage in the MT curve was greater in the PEF group (84%-53%, p<0.001), while the overall correction percentage at two years was similar (80-76%, p=0.616). There was an improvement in self-image and subtotal scores at two years in PEF and VBT groups (p<0.001-p=0.037 and p<0.001-p=0.016). In the PEF group, function scores at six months and two years (p=0.027), pain and sub-total scores at two years (p=0.020, p=0.036) were found to be lower compared to VBT. Conclusion: Following PEF and VBT surgeries, a similar improvement was observed in MT and TL curves. While similar improvement is achieved in SRS22 scores, this improvement is dynamically progressed in VBT. Whether SRS22 scores are better in the VBT group should be examined in larger patient series with longer follow-up. [ABSTRACT FROM AUTHOR]

Objective: Chronic thromboembolic pulmonary hypertension is a chronic progressive disease developing obstruction ocurring in pulmonary vascular bed. Pulmonary endarterectomy is the surgical procedure described in the management of chronic pulmonary hypertension which excises, and removes the obstructing thromboembolic material from the affected vascular structures. Our aim is to share our approaches to the management of anesthesia and complications in pulomanry endarterectomy operations performed in our center. Methods: The data of 200 PEA cases conducted in June 2017-2020 were retrospectively analyzed. The demographic data of the patients, preoperative pulmonary function tests, cardiac catheterization findings, peroperative cardiac output measurement values, aortic cross clamp, extubation, intensive care unit, and hospital stay times and complications were recorded. Results: Average age of the patients’ ages was 50.8 years, and female/male ratio was 108/92. In the thermodilution measurements of the patients after induction, mean values of CO, PVR and mPAP were determined as 4.4 l/min, 594 dyn/s/cm-5, 40 mmHg, respectively. The corresponding measurements made after the sternal closure were stated as 6 l/min, 241 dyn/s/cm-5 and 28 mmHg, respectively. The patients were hospitalized in the intensive care unit for 4 days. In our patient group residual pulmonary hypertension occurred in 21%, reperfusion pulmonary edema in 10% and pulmonary bleeding in 4% of the cases. Conclusion: Only a very few centers in the world are experienced in PEA surgery. Anesthesia management and treatment of the complications of PEA surgery are quite difficult. Therefore, PEA surgery shl be performed in experienced centers. [ABSTRACT FROM AUTHOR]

Objective: Prosthetic vascular graft infections (PVGI) are up-to-date pathologies with challenging and various treatment strategies. In the account of PVGI; there are so many protocols considering diagnosis and treatment with the lack of evidence and proper guideline recommendation. In this study, we evaluated clinical manifestations and treatment outcomes of twenty-three patients with major PVGI. Material and Methods: We retrospectively collected the data of twenty-three patients with major PVGI among three hundred thirty-six patients who have surgically treated for peripheral artery diseases between 2011 and 2018. Demographical parameters, co-existing pathologies, and adverse events were included in our study according to current literature examples. Subgroups were formed by the location of PVGI and the Samson classification. Patients underwent either graft sparing or total graft excision surgical procedures. Early postoperative infection, additional arterial intervention, amputation, prolonged in-hospital stay, and mortality were recognized as adverse events. Results: Five patients were Class III (21.7%), nine patients were Class IV (39.1%) and nine patients were Class V (39.1%) of the Samson classification system. The number of patients with intra-cavitary PVGI is seven (30.4%), peripheral PVGI is sixteen (69.6%). We have found that the existence of perigraft hematoma is related to higher rates of postoperative vascular intervention. C-reactive protein levels are significantly higher in patients with previously implanted Dacron graft. The in-hospital rate of mortality is 17.4%. Conclusion: Multidisciplinary effort to publish a guideline to manage the overall process of PVGI is needed. Close follow-up and early intervention are vital. Top surgical performance should be performed with care and sterility protocols should be applied at maximum. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gender Dysphoria (GD) is a condition which is characterized by incongruence between the experienced gender and the natal sex at least for 6-months, which also causes deterioration of functionality. After psychiatric evaluations, medical treatment for adolescents with GD consists of 3-phases. The first phase is the suppression of puberty with GnRH analogues. In the second phase, cross-sex steroid hormones are added to the GnRH analogue treatment. The final phase is surgical procedures after the age of 18-years and keeping sex hormone levels in normal ranges. Sex reassignment of the individuals with GD is a long and challenging process. However, with an increased social awareness and increased experience at medical clinics, these individuals will have easier access to the necessary treatments. [ABSTRACT FROM AUTHOR]

Cleft lip and palate is a multifactorial disease in which genetic and environmental factors are effective. Cleft lip and palate can also be seen with a syndrome. Speech disorders, hearing problems, dental and orthodontic problems are frequently encountered in these patients as well as psychological incompatibilities. Defects are repaired with a multidisciplinary treatment approach. As a result, it is aimed to solve aesthetic and functional problems. Grafting of the alveolar cleft is a motivation that contributes to the oral rehabilitation of individuals with cleft lip and palate. With grafting, oral hygiene is improved by ensuring the integrity of the tissues and an environment is created for unerupted teeth. In this review, the historical process, benefits, timing of treatment, graft materials, success, surgical procedure and complications of alveolar grafting will be discussed. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study is to determine the diagnostic accuracy, the complication rates and the factors affecting the complications of computed tomography (CT) guided percutaneous transthoracic lung biopsy (PTB). Materials and Methods: We retrospectively evaluated 153 patients who underwent transthoracic CT-guided biopsy. Re-biopsy were performed in 10 patients so that 163 transthoracic CT-guided biopsy were included in this study. Results: Diagnostic results were achieved in 142 of 163 biopsy procedure (87.1%). During or after a biopsy procedure pneumothorax, parenchymal hemorrhage and hemoptysis were developed in 30 (18.4%), 21 (12.8%) and 2 (1.2%) patients respectively. A significant relationship was found between development of pneumothorax with the age of patient, the necrosis inclusion of the lesion, the size of the lesion and the parenchymal distance that was passed. There was a statistically significant correlation between parenchymal hemorrhage with the size of the lesion and the passed parenchymal distance. Conclusion: Computed tomography-guided PTB is a reliable method that reduces the need of invasive surgical procedures with high accuracy and low complication rates in the histopathological diagnosis of thoracic masses. [ABSTRACT FROM AUTHOR]

Orthodontic and surgical procedures used in the treatment of severe skeletal discrepancies exceeding the capacity of orthodontic treatment alone in patients who have completed their growth and development are called orthognathic surgery. As a result of this treatment, it should be aimed to achieve an acceptable and balanced face appearance, masticatory and speaking functions and to solve the chief complaints of the patient. The soft tissues of the face reflect the underlying skeletal structure, so skeletal discrepancies inevitably affect the soft tissues of the face. In recent years, the 'soft tissue paradigm' focusing on the treatment of facial soft tissues in dentofacial problems has begun to be accepted in orthodontics and orthognathic treatments. In soft tissue paradigm, primarily the adaptation and balance of facial soft tissues is aimed at treatment. In this article, a review of the literature on indications, movement capacity and effects of orthognathic surgery on soft tissues is presented. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: The aim of this study was to compare the fibrin tissue adhesive technique with vicryl suture technique in autograft pterygium surgery . Patients and Methods: The files of the patients who underwent surgery between June 2016 and August 2019 were retrospectively reviewed. Seventy two patients (Group 1) who underwent autograft pterygium surgery with vicryl suture technique (Primary pterygium Group 1a, recurrent pterygium Group 1b) and 58 patients who underwent autograft pterygium surgery with fibrin tissue adhesive technique (Primary pterygium Group 2a, recurrent pterygium Group 2b) were included . Results: The mean age of the patients was 47.04±5.70 years (ranging between 37-65) in Group 1 and 47.10±4.88 years (ranging between 38-57) in Group 2. There was not a statistically significant difference in terms of age between two groups (p=0.95). The mean duration of the surgery was 24.91±3.08 min, 25.60±2.20 min, 17.62±2.57 min, and 18.84±2.83 min in groups 1a, 1b, 2a and 2b, respectively. There were statistically significant differences in terms of the duration of the surgery between groups 1a and 1b (p=0.021), groups 2a and 2b (p=0.001), groups 1 and 2 (p<0.001). Recurrence pterygium was found to require more surgery time in both techniques. Postoperative recurrence was not observed in any of the patients. Conclusion: Pterygium surgery with conjunctival autograft is a reliable surgical method with low recurrence rates. The duration of surgery in recurrent pterygium was found to be longer in both surgical techniques. It is concluded that autograft pterygium surgery with fibrin tissue adhesive is the preferred surgical method that shortens the duration of the surgery. [ABSTRACT FROM AUTHOR]

Aim: Although hydatid cyst is an infective disease, its primary treatment is still surgery. At this point, the surgical technique and the scolicidal substance used are important to increase the success rate of the treatment. There is not enough information in the literature to determine the most effective scolicidal substance. Therefore, each clinic can use different agents. In this study, we aimed to find out which of the agents that can be used in the surgical treatment of hydatid cy sts is more ef fective. Materials and Methods: In this study, cyst fluid obtained from patients who were operated on for liver hydatid cyst or treated percutaneously with USG in Gaziantep Un iversity Medical Faculty was used. We investigated the effectiveness of the cyst fluid obtained from patients in a sterile manner and scolicidal agents in an in vitro environment in relation to time. In the effectiveness evaluation, a comparison was made based on the viability of scoleks. Results: We found that all of the agents used in our study were successful at the 20th minute, but the earliest and most ef fective response was obtained with praziquantel. Conclusion: Besides that the obtained findings show the success of praziquantel in killing E. granulosus, they support the studies that suggest its place in medical treatment. Further studies with efficacy-side effect analysis should be conducted to determine the ideal scolicidal substance to be used during both medical and surgical treatment of E. granulosus. [ABSTRACT FROM AUTHOR]

Objective: The method of operation carried out by clip application in the supine position and using a single port for thoracoscopic sympathectomy has been defined in recent years. Since lesser tissue damage occurs with this method, lower perception of pain may be anticipated. The aim of this study is to investigate whether intravenous morphine alone provides effective postoperative analgesia in thoracoscopic sympathectomy performed with clips method using a single port with the patient in the supine position. Method: Files of 28 patients who underwent thoracoscopic sympathectomy between January 2017-December 2019 were retrospectively screened . Intrathecal morphine was administered to a group at a dose of 0.6 mg in 3 mL physiologic saline (Group ITM, n=14), and the other group received IV morphine in the same doses only by the PCA method (Group PCA, n=14). Both groups received postoperative Patient Controlled Analgesia (PCA) with IV morphine, as 1 mg bolus within 30 min-lock- in time. VAS values and postoperative IV total morphine consumption were recorded at the time of extubation and at the 6th, 24th and 48th hours postoperatively Results: Any statistically significant difference was not detected between patient groups as for demographic, and operative data. After extubation and at postoperative 6th hour, pain scores were statistically significantly lower in Group ITM than the Group PCA. Total IV morphine consumption at the postoperative 24th and 48th hours was statistically significant in the Group that did not receive ITM. In the postopoperative 48-hour follow-up, no VAS>4 value was observed in any one of the patients. Any intergroup difference was not detected as for length of hospital stay and complications associated with the method of analgesia used. Conclusion: In conclusion, even though an adequate analgesia is ensured through ITM in thoracoscopic sympathectomy operations realized using clips method and a single port with the patient in the supine position,we think that admiinistration of morphine using IV PCA method may provide clinically acceptable analgesic efficacy, and a regional administration may not be required in patients who will be operated with this surgical technique. [ABSTRACT FROM AUTHOR]

Objective: To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones. Materials and Methods: Between 2012 and 2018, patient data was reviewed retrospectively and 1700 procedures were taken into consideration. Forty-seven anomalous kidney stones were included in the study (group A). In these patients, 18 had calyx diverticulum, 12 had horseshoe kidney, 8 had ureteral duplication, 2 had ectopic kidneys, 1 had malrotation, and 1 had bifid pelvis. After making a matched pair analysis, 47 normal kidney stones with similar demographic and stone characteristics were included in our study (group N). Demographic, stone, intraoperative and postoperative data were recorded. We compared these groups regarding efficiency and safety. Results: Average scope time, hospitalization time, and postoperative double J-stent rate were higher in group A. The difference was statistically insignificant (p>0.05). Ureteral access sheath usage was higher in group N, though the difference was statistically insignificant (p=0.63). Stonefree rates and success rates were higher in group N though the difference was not statistically significant (p>0.05). The rate of complications was statistically significantly higher in group A (p=0.02). Conclusion: RIRS can be used in the management of anomalous kidney stones. It is an efficient and safe method. Prospective and larger patient numbered studies are needed. [ABSTRACT FROM AUTHOR]

Heart failure is an important public health problem associated with morbidity, mortality and health expenditures and there are various options in its treatment. Left ventricular assist devices are a frequently used treatment alternative to heart transplantation in endstage heart failure. Left ventricular assist devices are used both as a temporary treatment until a suitable donor is found in patients who are waiting for a heart transplant, and as a lifelong treatment when the patient is not suitable for a heart transplant. Although the survival rates are quite high in this treatment option, clinical follow-up and systematic care of patients are critical. Although left ventricular assist devices are a life-saving treatment option, these patients may experience some major complications due to advanced heart failure, open heart surgery technique and implanted device. Major complications seen in these patients are bleeding, cardiac arrhythmias, infections and neurological events. These complications affect quality of life and survival. Therefore, management of complications in the postoperative period becomes the focal point in patients who have implanted left ventricular assist device. Although these complications are not easy to manage, nurses should be equipped with advanced knowledge about the causes, symptoms, and appropriate nursing care of these complications. At the same time, nurses need to know about the technology of left ventricular assist devices for the management of these complications. In this article, major complications seen after left ventricular assist device implantation and nursing care are discussed. [ABSTRACT FROM AUTHOR]

Open bite is a very common malocclusion in individuals who need orthodontic treatment and is a problem that should be treated. This problem is divided into two types, skeletal and dentoalveolar origin. When there is no problem in the skeletal structure, insufficient eruption of the anterior teeth, excessive elongation of the posterior teeth or a combination of the two are dentoalveolar origin. Skeletal open-bite malocclusion may occur as a result of insufficient anterior development of the mandibular and maxillary alveolar bones, greater than normal development of the posterior region, or a combination of these. Many etiological factors such as bad habits such as mouth breathing, thumb sucking or the vertical dimension increase of the face are effective in the formation of this problem. The treatment of open bite (this anomaly) becomes a more complex problem with increasing age. Therefore, the etiology should be determined and treated in the early period. In the treatment of this problem, various mobile and fixed orthodontic appliances are used in the early period, while there are many treatment methods such as orthognathic surgical procedures in adult cases. The aim of this review is to present the mechanics used in dental or skeletal open closure patients depending on the pattern of the problem, with the guidance of the literature. [ABSTRACT FROM AUTHOR]

Copyright of Firat Universitesi Saglik Bilimleri Veteriner Dergisi is the property of Firat Universitesiu, Saglik Bilimleri Enstitusu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)