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Anatolian Clinic the Journal of Medical Sciences
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This is an Open Access Journal

Open Access journal
ISSN (Print) 2149-5254 - ISSN (Online) 2458-8849
Published by Hayat Sağlık ve Sosyal Hizmetler Vakfı

[1 journal]

Acceleration of Orthodontic Tooth Movement: An Overview
- Authors: Tugba Haliloglu Ozkan; Selim Arıcı, Enes Özkan
  Abstract: The purpose of orthodontic treatment is to enhance patients’ life quality by improving their dentofacial functions and aesthetics. Minimal histological damage and pain, rapid tooth movement, short treatment duration, and stability of results are the major criteria for successful treatment. In recent years, the demand for orthodontic treatment has been increasing gradually. Prolonged duration of orthodontic treatment affects the psychological motivation of the patients and leads to several undesirable situations, such as caries, gingival recession, and root resorption. Thus, in recent years, related research has investigated the acceleration of orthodontic tooth movement. However, despite the various laboratory and clinical interventions designed to achieve faster tooth movement, uncertainties and unanswered questions about these techniques persist and warrant further investigation. Several surgical techniques as well as physical and chemical applications have been reported by previous studies to accelerate orthodontic tooth movement, most of which have been conducted on animals, with debatable applicability on humans. However, as tooth movement is a multifactorial phenomenon, further research is needed in the future. In this review, we describe the orthodontic tooth movement acceleration methods reported thus far.
  PubDate: Sun, 20 May 2018 00:00:00 +030
Effects of Kinesio Taping Applied to Diaphragm Muscle on Aerobic Exercise
Capacity and Pulmonary Function in Sedentary Individuals
- Authors: Saniye Aydoğan Arslan; Arzu Daşkapan Daşkapan, Nihan Özünlü Pekyavaş, Elif Sakızlı
  Abstract: Aim: In this study, we aimed to determine the short-term effects of diaphragmatic Kinesio taping (KT) on aerobic exercise capacity and pulmonary function in sedentary individuals. Materials and Methods: Sedentary volunteers were included in the study. Participants were randomly divided into two groups: KT group (n =17), and sham KT group (n=19). In order to evaluate submaximal functional capacity and aerobic performance, shuttle run and pulmonary function tests were performed for each participant both prior to and four days after KT. Chest circumference measurement was made for the flexibility of the rib cage. The KT muscle facilitation technique was applied to the diaphragm muscle. Results: Pulmonary function test values showed an increase in FEV1 four days after KT, compared to the values prior to KT (p=0.002). There was statistically significant difference between shuttle run test results (p=0.001) and axillar chest circumference measurements (p=0.045) before and 1 week after KT. Statistically significant difference was also observed concerning FEV1 (p=0.014), FEV1/FVC (p=0.035) results and shuttle run test distance (p=0.009). Discussion and Conclusion: KT applied to the diaphragm muscle improves aerobic performance and pulmonary functions in the short term and when compared to the sham KT group.
  PubDate: Sun, 20 May 2018 00:00:00 +030
A NORMATİVE ASSESSMENT ON POSSIBLE EFFECTS OF PRENATAL TESTS ON PREGNANT
WOMEN, THE DISABLED, AND THE SOCIETY
- Authors: Maide Barış; İlhan İlkılıç
  Abstract: Prenatal testing and diagnostic procedures are a variety of intervention that aim to provide and do provide in utero information about the health of the fetus. These procedures are supported and argued for on grounds that they are beneficent occasionally for the pregnant woman or the society. This study presents a normative analysis on the possible effects of prenatal testing on women, the disabled, and the society, subsequently followed by an inquiry as to whose interests or rights provide the justificatory basis for such intervention.
  PubDate: Sun, 20 May 2018 00:00:00 +030
A Rare Pathogen Isolated from Tracheal Aspirate Culture: Elizabethkingia
Meningoseptica
- Authors: İsmail Davarcı; Mücahide Esra Koçoğlu, Muhterem Duyu, Melike Orkide Taşçılar
  Abstract: In this paper, we report our isolation of Elizabethkingia meningoseptica as a rare pathogen from the tracheal aspirate culture of a pediatric patient diagnosed with biliary atresia type 2 whose general condition had been deteriorating while under follow-up in our intensive care unit. Following the isolation, her condition improved after her treatment was modified in accordance with the related antimicrobial susceptibility test results.
  PubDate: Sun, 20 May 2018 00:00:00 +030
Uterine Prolapse during First Trimester Managed with Vaginal Pessary
- Authors: Ozan Doğan; Alper Başbuğ, Aşkı Ellibeş Kaya, Derya Başbuğ, Çiğdem Pulatoğlu
  Abstract: Uterine prolapse during pregnancy is a rare condition with an estimated incidence of 1:10,000–15,000 pregnancies. Premature labor and delivery are the most prevalent complications in pregnancies with pelvic organ prolapse. Various treatment methods from conservative approaches to surgery are possible. In this paper we report a 27 year-old patient who was treated with Arabin pessary due to uterine prolapse in the first trimester.
  PubDate: Sun, 20 May 2018 00:00:00 +030
Our Therapeutic Approach to Idiopathic Granulomatous Mastitis
- Authors: Süleyman Bademler; Muhammed Zubeyr Ucuncu
  Abstract: Aim: Granulomatous mastitis is a rare disease of the breast. Initial findings during admission can be mistaken for breast cancer. In this study, we aimed to present our experience with idiopathic granulomatous mastitis (IGM). Materials and Methods: Patients who had been treated and followed up after a diagnosis of GM at the surgical clinic of the Istanbul University Institute of Oncology between 2007 and 2017 were categorized into two groups: those who had received steroid treatment only (Group 1), and those who had received steroids in combination with surgical treatment (Group 2). The groups were compared in terms of clinical and demographic characteristics and recurrence rates. Results: We included a total of seventy-nine patients in our study. The mean patient age was 36.41±6.93 years and the mean follow-up 57.34±20.39 months. There was no significant difference between the two groups in terms of mean age, age at menarche, maternal age at first delivery, and the side involved (right, left, bilateral). The disease had recurred in 19 patients in Group 1 while no recurrence had been observed in Group 2 (p=0.001).Discussion and Conclusion: IGM is a disease that is rare but easily mistakable for breast cancer. The diagnosis necessitates confirmation through a biopsy. Steroid therapy combined with surgery can be the first choice in the treatment of this disease, on which no consensus has yet been reached. Such combination is capable of reducing recurrence rates.
  PubDate: Sun, 20 May 2018 00:00:00 +030
An Investigation of WT1 Expression in Colon Polyps
- Authors: Ali Aslan; Havva Erdem, Mürüvvet Akçay Çelik, Arzu Şahin, Soner Çankaya
  Abstract: Aim: Although WT1 was first identified as a tumor suppressor gene affecting Wilms’ tumor development, it has also been reported that its expression increases in certain malignancies such as colon cancer, and that it therefore has oncogenic properties. In this study, we aimed to determine dependence of WT1 expression on patient age and sex, type of pathological diagnosis, and the sample-taking area. Materials and Methods: Paraffin-embedded blocks and pathology reports of 32 patients with colon polyps that had been sent to pathology department were histopathologically reviewed retrospectively. p<0.05 was considered statistically significant. Results: No statistically significant relationship was observed between WT1 expression and the parameters of mean patient age, sex, localization, diameter, and histopathological diagnosis (p=0.235, p=0.423, p=0.338, p=0.719, p=0.338, respectively). However, when OR (odds ratio) values were considered, it was thought that there were clinically significant differences. Positive staining was 4.308 times higher in adenomas (neoplastic group) than in polyps (nonneoplastic group) (OR=4.308), 4,308 times higher in the portion from the transverse colon to the anus than in the transverse colon (OR=4.308), and 2.333 times higher in women than in men (OR=2.333). Discussion and Conclusion: The study findings suggest that there is no statistically significant relationship between presence of WT1 expression in polyps and sex, diagnosis, and sample-taking area, but that there is clinically significant differences when OR values are considered. Detection of benign and precancerous polyps with WT1 expression through routine immunohistochemical examination could contribute to better understanding WT1 immunotherapy and vaccine efficacy in individuals at high risk of developing colonic tumors.
  PubDate: Sat, 19 May 2018 00:00:00 +030
Comments on: The Knowledge Level of Turkish Rheumatoid Arthritis Patients
about Their Diseases
- Authors: Savaş Karpuz
  Abstract: This letter contains a brief comment about the "The Knowledge Levelof Turkish Rheumatoid Arthritis Patients about Their Diseases " thatpresented by Bozbas and Gurer. Inthis trial authors attracts the attention of the readers on patient educationin a chronic disease. Study aimed to assessthe level of disease specific knowledge of the patients with RheumatoidArthritis. Patients with Rheumatoid arthritis (RA) were evaluatedabout the awareness level of patients, and the “Patient Knowledge Questionnairein Rheumatoid Arthritis (PKQ-RA)” was used in this high-quality study. Firstly,studied internal consistency of theTurkish version of PKQ-RA was high with Cronbach’s alpha of 0.71. and according to the results most ofthe patients (86.7%) reported that they had gained the information about RAfrom their physicians. Age, education, socioeconomic status, and familyhistory of disease were associated with the Patients’ knowledge levels. But in conclusion authors unnoticed a previousstudy titled as “The assessment of knowledge level about their disease inpatients with rheumatoid arthritis” and published by Karahan et al. In thisearlier study authors firstly used the Turkish version of the PKQ-RA toevaluate the level of knowledge about the disease of patients with RA. Also,authors reported the very low level of knowledge. These twopapers gain important contribution about the needs of the patient education.Patient education is important step of the treatment in the chronic disease andmore clinical studies need especially from developed countries such as Turkey.
  PubDate: Mon, 23 Apr 2018 00:00:00 +030
An Investigation of Degrees and Possible Biomarkers of Non-Alcoholic Fatty
Liver (NAFL) Disease
- Authors: Abdulhalim Şenyiğit; Bülent Yaprak, Timur Orhanoğlu
  Abstract: Aim: In this study, we aimed to investigate the related biochemical markers and their correlations in non-alcoholic fatty liver (NAFL) disease.Materials and Methods: Patient files of individuals who came to our hospital for routine controls without any complaints were reviewed retrospectively. One hundred and forty-eight individuals (94 females; 54 males) whose ultrasonographic examination revealed varying degrees of NAFL disease constituted the patients group and 149 individuals (76 females; 73 males) whose results were clear the healthy controls group. We reviewed the ultrasonographically determined NAFL disease grades and fasting blood glucose, insulin, HOMA-IR, uric acid, C-reactive protein (CRP), triglyceride, LDL, HDL, TSH, vitamin D, AST, ALT, GGT and ALP values of a total of 297 patients.Results: With respect to sex, NAFL prevalence was significantly higher in the patients group than in the healthy controls for males (p=0.029). Similarly, fasting blood glucose, insulin, HOMA-IR, uric acid, triglyceride, HDL, ALT, AST, GGT and CRP levels were also significantly higher in the patients group. No effect of low HDL and vitamin D levels on NAFL disease grade was observed. Analyses based on NAFL disease grade showed statistically significant difference between the subgroups of disease grade of the patients group in terms of fasting blood glucose, HOMA-IR, ALT, AST and GGT mean values. When the analyses were repeated after the grade 2 and 3 subgroups were combined, there was statistically significant difference between the new grade 1 and 2 subgroups in terms of fasting blood glucose, insulin, HOMA-IR, ALT and GGT mean values. This time there was statistically significant difference in terms of mean insulin levels also, while the difference between the AST levels decreased.Discussion and Conclusion: Our study suggests that apparently healthy individuals also be examined for presence of NAFL disease because timely diagnosis and appropriate management could significantly help prevent complications such as cirrhosis and hepatocellular carcinoma.
  PubDate: Mon, 09 Apr 2018 00:00:00 +030
Nervus suprascapularis compression caused by ganglion cyst: Results of
three different cases and literature review
- Authors: Zeki Taşdemir; Güven Bulut, Engin Eceviz, Nurzat Elmalı
  Abstract: Pressure by a ganglion cyst in the posterior glenohumeral joint on the suprascapular nerve is a rare cause of shoulder pain. In this paper, we aimed to discuss in light of the literature the applicability of various treatment modalities for ganglion cysts compressing the suprascapular nerve. In magnetic resonance (MR) imaging, we observed cystic structures compatible with a ganglion cyst behind the right glenohumeral joint in three patients who had been complaining of shoulder pain with no history of trauma. Conservative and surgical methods have been suggested in the literature to treat ganglion cysts that cause pain and weakness in the glenohumeral joint. It has been observed that arthroscopic repair or removal of the cause of the cyst is successful in decompressing the suprascapular nerve in patients unresponsive to medical treatment. Arthroscopic technique is more advantageous than open surgery, providing less morbidity, faster restoration of functionality, and easier detection and treatment of intraarticular pathologies.
  PubDate: Sun, 08 Apr 2018 00:00:00 +030
Awake Fiberoptic Nasotracheal Intubation of a Patient with Ankylosing
Spondylitis Expected Difficult Intubation
- Authors: Sedat Akbaş; Ahmet Selim Özkan, Muharrem Uçar, Ökkeş Hakan Miniksar, Mahmut Durmuş
  Abstract: Fusion of vertebral bones in ankylosing spondylitis causes flexibility loss in the neck and back. In advanced stages of the disease, airway management can be difficult due to the ankylosis of the cervical, thoracic, and lumbar vertebrae. In this paper, we report the awake fiber–optic nasotracheal intubation of a patient with expected difficult airway due to ankylosing spondylitis, whose extremely limited mouth opening and neck mobility required an urgent tracheostomy, causing respiratory distress.
  PubDate: Thu, 18 Jan 2018 00:00:00 +030