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This research was conducted in order to examine the correlation between work-related stress and meaning of life in association with compassion fatigue of nurses, as well as to determine the factors that affect compassion fatigue. The research is cross-sectional. The population of the research is comprised of nurses working at a university hospital in the east of Turkey. The research was carried out with 336 nurses. "Introductory information form," "Work-related strain inventory," "Professional quality of life scale and compassion fatigue subscale" and "Life attitude profile" were used for data collection. It was identified that correlation between compassion fatigue and attitude to life profile is negative (r = -.542**, p = 0.000), while the correlation between work-related stress and compassion fatigue is positive (r = .204**, p = 0.000). Moreover, it was determined that attitude to life profile, work-related stress, work manner, amount of time working at one occupation, service held and gender have effect on compassion fatigue.

Purpose This study was conducted to evaluate nursing students' views on the COVİD‐19 pandemic and their perceived stress levels. Design and Methods A cross‐sectional design was used to carry out this study. The research was conducted between April and May 2020 with 662 nursing students. Data were collected by an information form developed for the study and the Perceived Stress Scale (PSS). Findings The average score on the PSS was 31.69 ± 6.91, indicating that the students had a moderate level of stress. Significant differences in PSS score were found in terms of age and sex (P

The aim of this study is to recommend an automatic caries detection and segmentation model based on the Convolutional Neural Network (CNN) algorithms in dental bitewing radiographs using VGG-16 and U-Net architecture and evaluate the clinical performance of the model comparing to human observer.A total of 621 anonymized bitewing radiographs were used to progress the Artificial Intelligence (AI) system (CranioCatch, Eskisehir, Turkey) for the detection and segmentation of caries lesions. The radiographs were obtained from the Radiology Archive of the Department of Oral and Maxillofacial Radiology of the Faculty of Dentistry of Ordu University. VGG-16 and U-Net implemented with PyTorch models were used for the detection and segmentation of caries lesions, respectively.The sensitivity, precision, and F-measure rates for caries detection and caries segmentation were 0.84, 0.81; 0.84, 0.86; and 0.84, 0.84, respectively. Comparing to 5 different experienced observers and AI models on external radiographic dataset, AI models showed superiority to assistant specialists.CNN-based AI algorithms can have the potential to detect and segmentation of dental caries accurately and effectively in bitewing radiographs. AI algorithms based on the deep-learning method have the potential to assist clinicians in routine clinical practice for quickly and reliably detecting the tooth caries. The use of these algorithms in clinical practice can provide to important benefit to physicians as a clinical decision support system in dentistry.

Although harmful effects of air pollution on airway diseases are well-established, its effect on allergy still remains unclear. The aim of this study was to examine changes on asthma clinic and oxidant homeostasis due to air pollution between allergic asthma (AA) and non-allergic asthma (NA) phenotypes.This prospective, case-control study included patients with well-controlled asthma under regular treatment (High air pollution exposure resulted to an increase in the frequency of respiratory symptoms and serum inflammation markers in both asthmatic and healthy individuals. Frequency of dyspnea and cough in AA and rhinitis in NA decreased from VThis study demonstrates that air pollution affects both asthma patients and healthy individuals. Through oxidant-antioxidant and thiol pathways, however, it adversely affects respiratory system of asthma patients, at a greater extent, than healthy individuals.

The aim of this study was to determine the effectiveness of ultrasonography (USG) in locating spasm points in the masseter muscle. Fifteen patients with TMJ dysfunction and five healthy controls were included in the study. First clinical examination of TMJ and palpation of masticatory muscles were done. Then, the masseter muscles were examined by USG. A total of 40 masseter muscles were examined within the study. Spasm points were observed as limited isoechogenic areas within normal heterogeneous muscle tissue. Within the 30 masseter muscles of patients with TMJ dysfunction, a total of 14 spasm points were detected clinically and 18 spasm points were detected ultrasonographically. No clinic or sonographic spasm point was detected in the masseter muscles of healthy controls. USG demonstrated in detail the internal structure of the masseter muscle in all patients and provided precise localization of the spasm points on the muscle. This is a preliminary study, showing that changes in muscle internal structure can be visualized with USG.

Radiological examination has an important place in dental practice, and it is frequently used in intraoral imaging. The correct numbering of teeth on radiographs is a routine practice that takes time for the dentist. This study aimed to propose an automatic detection system for the numbering of teeth in bitewing images using a faster Region-based Convolutional Neural Networks (R-CNN) method.The study included 1125 bite-wing radiographs of patients who attended the Faculty of Dentistry of Ordu University from 2018 to 2019. A faster R-CNN an advanced object identification method was used to identify the teeth. The confusion matrix was used as a metric and to evaluate the success of the model.The deep CNN system (CranioCatch, Eskisehir, Turkey) was used to detect and number teeth in bitewing radiographs. Of 715 teeth in 109 bite-wing images, 697 were correctly numbered in the test data set. The F1 score, precision and sensitivity were 0.9515, 0.9293 and 0.9748, respectively.A CNN approach for the analysis of bitewing images shows promise for detecting and numbering teeth. This method can save dentists time by automatically preparing dental charts.

Purpose This study was conducted to evaluate the correlation of neglect and abuse with depression in individuals over 65 years of age. Design and methods This descriptive study included 290 elderly people who were registered at 10 family health centers in Turkey. Findings It was determined that mental health problems were present in the sample, and elderly individuals were exposed to abuse and neglect. The levels of depression were found to be high in elderly individuals with no spouses, low level of education, low income, living with their children and unable to access personalized care. The depression levels were also found to be high in the elderly individuals who were subjected to abuse and neglect. Practical implications Awareness of healthcare professionals is of great importance in preventing abuse and neglect experienced by elderly individuals.

Purpose To compare the outcomes and associated costs of the treatment of mallet fractures with either extension block pinning or open reduction and hook plate fixation. Methods We treated 22 patients for a mallet fracture that involved at least 25% of the distal phalanx articular surface. Three joints demonstrated concomitant volar subluxation. Extension block pinning was used to treat 16 fractures (group 1) and 6 were treated with open reduction and hook plate fixation (group 2). All patients were evaluated at the second, fourth, and sixth weeks after surgery. Collected data included range of motion, extensor lag, and pain status. Patients were asked to grade preoperative and postoperative pain levels on a visual analog scale. Functional outcomes were determined by Crawford criteria. We retrospectively performed a cost analysis using our institutional records. Results Mean follow-up was 12.7 months. Visual analog scale pain scores improved by a similar amount for both groups. Preoperative pain scores were 7.0 for group 1 and 7.5 for group 2. Postoperative levels were 2.0 and 2.0, respectively. Mean extensor lag was identical for both groups, 5°. Mean flexion was 70° for group 1 and 80° for group 2. Based on the Crawford criteria, group 1 had 5 patients rated as excellent, 6 as good, 3 as fair, and 2 as poor. Group 2 outcomes were 2 excellent, 2 good, and 2 fair. Five complications occurred in group 1, and 1 in group 2. Differences noted between groups were not statistically significant. Extension block pinning was more cost-effective than hook plate fixation. Conclusions We find extension block pinning to be an equally effective but more cost-efficient treatment than open reduction and hook plate fixation. Type of study/level of evidence Therapeutic III.

Brain stem epidermoid cysts are extremely rare lesions. Only nine cases have been reported. Management of the epidermoid cyst is decompression of cyst contents and removal of cyst capsule. But in some cases resection of the cyst may result in a poor outcome because of cyst wall adhesion into the brain stem.

Primary cranial Ewing's sarcoma is a very rare malignant tumor. Primary temporal bone Ewing's sarcoma with intraorbital extension is also a very rare condition. In this article we describe a case of primary Ewing's sarcoma of the temporal bone which extended into intracranial, extracranial and intraorbital compartments; manifesting with a swelling in the zygomatic fossa and proptosis of the right eye. The tumor was excised partially, and the patient underwent radiochemotherapy. The patient died 6 months after the therapy, with lung metastasis. The case is discussed with the pertinent literature.