Search results

The videofluoroscopic view of pill swallowing disorder in young patients

Aim: The aim of the study was to evaluate the increasing frequency of pill swallowing disorders in young people, to compare pill intake by measuring fluid, semi-fluid pudding with anatomical and physiological images of videofluoroscopy.

Material and Methods: Twenty patients (eleven females, nine males) between the ages of 20 and 31 who had difficulty swallowing pills were included in the study. In an order of a cup of 20 ml of water, semi-fluid pudding and an opaque capsule were given. The oral, pharyngeal transition times and laryngeal elevation, proximal esophageal sphincter opening amount, upper esophageal opening amount were recorded for each.

Results: There was a statistically strong positive correlation between the total transit time of the pill and the amount of upper esophageal opening. The esophageal opening amount while the liquid intake was found to affect the esophageal opening of pill intake ( p <0, 001). The laryngeal elevations of the pill affected pill oral transit times (p <0, 01). The pill pharyngeal passage time has been found to affect the pill upper esophageal opening amounts (p <0,01).   

Discussion: The increased duration of the oral and pharyngeal phases for pill swallowing was found to be correlated with the amount of upper esophageal opening area, laryngeal elevation, and the prolonged pharyngeal transition time. 

As a new finding, we observed that the fluid oropharyngeal transition times were found to affect pill oropharyngeal transition times. We concluded that the pill could not decrease laryngeal elevation and pharyngeal transit duration.

Download attachments:

The effect of parent and child operational stress on postoperative pain level in children

Aim: Children’s perception of pain may vary depending on defenselessness, negative and exaggerated behavior, level of persuasion, personality characteristics, and previously experienced negative experiences. This study was designed to investigate the relationship between anxiety and postoperative pain perception of children and the family’s anxiety about the child’s pain and negative attitudes on the effects of the pain. 

Material and Methods: Thirty-five patients undergoing appendectomy between August-December 2017 were included in this prospective study. Seven patients were excluded because of incongruity. Face, leg, activity, cry, consolidation (FLACC), preoperative anxiety scale of Yale, and Post-Anesthetic Delirium scale were applied. In the postoperative period, parents and children were asked to complete a pain questionnaire.

Results: It is found that, as family education level increased, the anxiety of both children and parents decreased. The parents were found to have fewer levels of rumination as the level of education increased when the effect of postoperative analgesia selection on the visual analog pain scale (VPS) was investigated, there was a statistically significant difference between pain VPS scores only after surgery. It was found that mothers were more anxious than fathers. A moderately positive correlation was found between the VPS score and the child and parental rumination scale scores. It was seen that the education level of the family had a positive effect on the pain perception of the child. 

Discussion: The results of the surgical experience in the long-term memory revealed that the children had a comfortable postoperative period and that they did not think much about the operation, but that they would be afraid to undergo surgery again.

Download attachments:

Critical analysis of blood parameters in epilepsy patients

Aim: In this study, it was purposed to assign the neutrophil, lymphocyte, and platelet counts, in concur with neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) levels in patients with epilepsy.

Material and Methods: The retrospective study was carried out at the Neurology Department of Ordu Medicalpark Hospital. Data were obtained from the medical records of the patients in the neurology clinic between January 2018 and April 2019. According to ILAE 2017 epilepsy classification criteria, 113 patients were included in the study. Furthermore, 57 healthy individuals received for a check-up were included in the study as the control group. Venous blood samples obtained from the patient and control groups were performed. 

Results: Compared to the control group, WBC, Platelet, neutrophil, and lymphocyte levels were statistically significantly higher in the patient group (p=0.019, p=0.008, p=0.012, p=0.024, respectively). Hematocrit levels were statistically significantly lower in the patient group compared to the control group (p=0.022). Compared to the control group, NLR and PLR levels were statistically significantly higher in the patient group (p=0.016, p=0.010, respectively). The risk factors found to be significantly associated with epilepsy in the regression analysis included WBC, lymphocyte, NLR, and PLR.

Discussion: WBC, platelet, neutrophil, lymphocyte NLR, and PLR levels significantly increased in patients with epilepsy. In addition, the risk factors found to be significantly associated with epilepsy in the regression analysis included WBC, lymphocyte, NLR, and PLR. Broader prospective studies are needed to show the mechanisms between epilepsy and these new inflammatory parameters.

Download attachments:
Page 1 of 556