48 research outputs found
A DESCRIPTIVE STUDY: THE USE OF PSYCHOTHERAPY IN THE CLINICAL PRACTICE OF THE MENTAL HEALTH PROFESSIONALS IN TURKEY
No full text20th European Congress of Psychiatry -- MAR 03-06, 2012 -- Prague, CZECH REPUBLIC[Abstract Not Available
Effects on visual function of glistenings and folding marks in AcrySof intraocular lenses
No full textPurpose. To study the effects on visual function of glistenings and folding marks in AcrySofs (Alcon) intraocular lenses (IOLs). Setting. Department of Ophthalmology, Dokuz Eylul University, School of Medicine, Izmir, Turkey
Evaluation of the intraocular pressure in obese adolescents
No full textAim. The aim of this study was to evaluate the intraocular pressure (IOP) levels of children with normal and high Body Mass Index (BMI) and to find out the potential correlation between glaucoma and obesity. Methods. Thirty obese and thirty healty children were enrolled in this study. Physical examinations and anthropometric measurements of all patients and controls were performed. Obesity was defined as a BMI exceeding the 95th percentile for the patients according to age and sex. All participants were underwent a complete eye examination. The results of these measurements were considered for statistical analysis. Results. Mean age was 13.5 +/- 2.1 years in obese group and 13.3 +/- 2.0 years in control group. Mean BMIs were 28.1 +/- 3.9 kg/m(2) and 19.7 +/- 1.2 kg/m(2) in obese and control groups, respectively. No significant difference was found in mean IOP levels of both right and left eyes between two groups (P=0.837 and P=0.755, respectively). There was no significant difference in cup/disc ratios of each eyes and mean central corneal thickness of both right and left eyes between obese patients and controls. In visual field analysis, no statistically significant difference in mean false negativeness and mean false positiveness were found between two groups. There were not also any significant correlations in both mean deviation of each eyes (P=0.78 and P=0.94, respectively) and pattern standart deviation of right and left eyes (P=0.89 and P=0.90, respectively) between obese cases and controls. Conclusion. In this study, there were no significant difference in IOP measurements, central corneal thicknesses, cup/disc ratios and visual field parameters between obese and normal children. No significant correlation was found between obesity and glaucoma or elevated IOP in children
Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy in postmenopausal bleeding
No full textWOS: 000291482900018PubMed ID: 20665218To compare the diagnostic accuracy of transvaginal sonography (TVS), saline infusion sonohysterography (SIS) and hysteroscopy (HS) with respect to pathological diagnosis in the detection of uterine cavity abnormalities associated with abnormal uterine bleeding among postmenopausal women. Being a prospective, investigator-blind trial, the present study was conducted on 137 postmenopausal women, with abnormal uterine bleeding, admitted to the Department of Obstetrics and Gynecology of Istanbul Bilim University, Florence Nightingale Hospital and Fertigyn Woman Health and IVF Center. After TVS, all patients underwent SIS using Cook Soft 500 IVF transfer catheter and HS, consecutively. Sensitivity, specificity, and positive and negative predictive values (PPV and NPV) were calculated to compare the diagnostic accuracy of TVS, SIS and HS. Most commonly encountered endometrial lesions were polypoid lesion (38.0%) and hyperplasia (28.4%) among our study population consisting of 137 women (mean age 61.6 +/- A 9.6 years) in their postmenopausal stage. Overall sensitivity rates were 70.0% for TVS, 89.6% for SIS and 92.3% for HS, while the overall specificity rates were 50.0, 77.3 and 80.7%, respectively. HS had PPV of 96.2% and NPV of 65.3%, whereas PPV was determined to be 80.9 versus 95.3% and NPV was 35.4 versus 58.3% for TVS and SIS, respectively. As an easy to perform, safe and well-tolerated procedure yielding high diagnostic accuracy, saline infusion SIS via this catheter seems to be superior to TVS and very close to HS. It may be used as the primary method for the detection of uterine abnormalities among postmenopausal women with abnormal uterine bleeding
Medical Malpractice Stress Syndrome and Defensive Medicine in Obstetricians and Gynecologists in Turkey
No full textConclusion: Defensive medicine is common among Turkish OB/GYNs, driven by malpractice fears. The study highlights the need for improved support systems, better legal protections, and educational interventions to address defensive practices and reduce malpractice-related stress
Effective classification of Chinese tea samples in hyperspectral imaging
No full textMaximum likelihood and neural classifiers are two typical techniques in image classification. This paper investigates how to adapt these approaches to hyperspectral imaging for the classification of five kinds of Chinese tea samples, using visible light hyperspectral spectroscopy rather than near-infrared. After removal of unnecessary parts from each imaged tea sample using a morphological cropper, principal component analysis is employed for feature extraction. The two classifiers are then respectively applied for pixel-level classification, followed by modal-filter based post-processing for robustness. Although the samples look similar to the naked eye, promising results are reported and analysed in these comprehensive experiments. In addition, it is found that the neural classifier outperforms the maximum likelihood classifier in this context
A combined anatomical variation of inferior epigastric vessels
No full textDuring the routine gross anatomical dissection of the right inguinal region of a 45-year-old male cadaver, a variation was observed both in the inferior epigastric artery and the inferior epigastric vein. In this case, the right inferior epigastric artery originated from the femoral artery 13 mm inferior to the inguinal ligament. Additionally, in this cadaver, the single right inferior epigastric vein drained into femoral vein 8 mm inferior to the inguinal ligament. The distal origin of the inferior epigastric artery from the femoral artery and the lower drainage of the single inferior epigastric vein to the femoral vein must be taken into consideration by surgeons. (Folia Morphol 2012; 71, 4: 267-268
EMLA® does not permit pain-free retrobulbar injection
No full textBackground: Retrobulbar injection can be associated with significant pain, due to both needle insertion and deposition of the local anaesthetic solution. The local anaesthetic cream EMLA(R) (eutectic mixture of local anaesthetics) which contains a mixture of lignocaine and prilocaine has been shown to reduce the pain associated with skin puncture. The efficacy of EMLA(R) in alleviating the pain of retrobulbar injection for cataract surgery was assessed in this study. Methods: In this, randomised double-blind study, EMLA(R) (n = 53) or lignocaine 5% ointment (n = 50) was administered to the inferior orbital margin at least 45 min before retrobulbar block in 103 patients. Pain assessed during retrobulbar block was marked subjectively by the patient on a 10-point numerical rating scale. Results: Median verbal pain scores were 3.0 with an interquartile range of 1.5-6.5 in the control group and 3.50 with an interquartile range of 2.0-6.0 in the EMLA(R) group (P = 0.67). There was no significant difference between the EMLA(R) group and the lignocaine ointment group according to this pain assessment. Conclusion: EMLA(R) does not permit pain-free retrobulbar injection
Predicting immune-related adverse events in patients with melanoma: the role of interleukin-7 rs16906115 polymorphism and lymphocyte dynamics
No full textIntroduction: Immune checkpoint inhibitors (ICIs) have transformed the therapeutic landscape of malignant melanoma; however, they are frequently associated with immune-related adverse events (irAEs). Emerging evidence suggests that genetic predispositions, including interleukin-7 (IL-7) gene variants, may influence the risk of these toxicities. Methods: In this single-center retrospective study, we investigated the potential utility of IL-7 rs16906115 polymorphism and lymphocyte stability index (LSI) in predicting susceptibility to irAEs among 96 melanoma patients treated with ICIs. Results: Genotyping revealed a minor allele frequency of 8.3% for rs16906115. Logistic regression analysis indicated that carriers of the minor allele had a significantly increased risk of all-grade irAEs compared to reference allele carriers (adjusted OR: 3.93; 95%CI:1.13-13.64; p=0.031). Subgroup analyses revealed a significant increase in risk across endocrine, non-cutaneous, multiple, low-grade, and early onset (<3 months) irAEs. While neither baseline lymphocyte count nor LSI predicted overall irAE incidence, an elevated LSI emerged as a key risk factor for early steroid-requiring irAEs (adjusted OR:3.79; 95% CI: 1.14-12.61; p =0.030). Discussion: These findings from a Turkish cohort corroborate earlier European studies suggesting that rs16906115 minor allele carriage may be a genetic risk factor for irAEs. Furthermore, LSI may serve as a dynamic biomarker for predicting early steroid-requiring irAEs. Prospective multicenter studies among diverse populations are warranted to validate these findings.Turkish Society of Medical OncologyThe author(s) declare that financial support was received for the research and/or publication of this article. This work was financially supported by the Turkish Society of Medical Oncology for genetic analysis
