Search results

Comparison of closed and open reduction in developmental hip dysplasia regarding leg inequality

Aim: The aim of our study is to identify and compare the characteristics of leg length discrepancy in unilateral developmental hip dysplasia patients treated with closed reduction and medial open reduction. Material and Method: Clinical and radiographic data of 108 patients with unilateral developmental hip dysplasia were evaluated retrospectively. Thus, 31 patients (42.5%) were included in closed reduction group (Group 1), and 42 patients (57.5%) were included in the medial open reduction group (Group 2). The mean age of the patients at the time of the treatment in Group 1 was 9.9 ± 4.5 months, and the mean age of the patients in Group 2 was 12.8 ± 5.5 months. Radiography scans were obtained by computed radiography to assess radiological parameters of patients during the final examination. Results: The results showed that both differences in length in Group 1 and Group 2 were mainly due to the femur. Mean extremity length difference of patients in the closed reduction group was close to the difference seen in the normal population. In the group with medial open reduction, a greater difference was found and this difference was statistically significant when compared regarding leg length discrepancy in patients in Group 1 and Group 2. Discussion: In our study, we noticed that in most of our patients, leg length difference was not clinically significant, but in some patients, this difference was approximately two cm. Therefore, we recommend that the patients especially undergoing medial open reduction should be followed for leg length inequality until their skeletal maturity is reached.

Download attachments:

Antimicrobial activities of essential oils on microorganisms isolated from radiation dermatitis

Aim: The aim of this study was to investigate the antimicrobial effect of essential oils obtained from Mediterranean region plants on microorganisms isolated

as secondary skin infections in patients with Grade II and III acute radiation dermatitis. Material and Method: The antimicrobial activity of essential oils,

Origanum vulgare (O. vulgare), Lavandula intermedia (L. intermedia) and Thymus vulgaris (T. vulgaris) were evaluated by broth microdilution method on microorganisms

isolated from 20 patients with Grade II and III radiation dermatitis. Microdilutions had modified according to The Clinical and Laboratory Standards

Institute (CLSI) recommendations and lowest concentration which inhibited growth after incubation was identified as Minimal Inhibitory Concentration (MIC).

The severity degree of acute radiation dermatitis was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03. Results:

Nine pathogenic strains were isolated from 20 samples of the patients. The pathogens isolated from skin swabs of the patients with Grade II and III radiation

dermatitis were Methicillin-resistant Staphylococcus aureus (MRSA), methicillin-sensitive Staphylococcus aureus (MSSA), methicillin-resistant coagulasenegative

Staphylococcus (MRCNS), methicillin-sensitive coagulase-negative Staphylococcus (MSCNS), Klebsiella pneumoniae (K. pneumoniae) and Candida

albicans (C. albicans). Minimal Inhibitory Concentration values of O. vulgare, L. intermedia and T. vulgaris for each isolated microorganisms were found. These

essential oils have been found effective on microorganisms isolated from secondary infections of radiation-related dermatitis. Discussion: Antimicrobial activity

of O. vulgare, L. intermedia and T. vulgaris essential oils on pathogenic microorganisms isolated from radiation dermatitis were determined. Future use of

essential oils in the treatment of acute radiation dermatitis should be considered.

Download attachments:

Time series analysis of the admission to the emergency department due to respiratory and cardiovascular diseases between 2010 and 2014 in Kırklareli, Turkey

Aim: The aim of this study was to estimate the admissions to the emergency department due to cardiovascular and/or respiratory diseases for the next twelve

months. Material and Method: This research was characterized as an ecological study. The data were obtained from the hospital database between years

2010 and 2014. Emergency department admissions (N=148.169) from ≥15 years due to cardiovascular and/or respiratory diseases were evaluated according

to the monthly average. Multiplicative Seasonal Auto-Regressive Integrated Moving Average (SARIMA) modeling method was used for the research. Results:

It is observed that the emergency department admissions display seasonal changes. ARIMA(1,1,2)(1,0,1)12 model (MAPE=98,039) was ascertained to be the

most suitable model with the success of 99.6% in the predictions. It was predicted that the admissions would be higher in the winter period. Model success

for admissions according to disease groups vary between 75.2% and 89.2% and was estimated the highest level of admissions in January and February. The

most suitable models used to estimate the number of admissions were the ARIMA(2,1,3)(1,0,0)12 for respiratory diseases, the ARIMA(2,1,2)(1,0,0)12 for

cardiovascular diseases and the ARIMA(1,1,1)(1,0,0)12 for both for cardiovascular and respiratory diseases. It was estimated that the admissions due to cardiovascular

diseases which had a conjuncture structure would increase mostly in April and the admissions due to respiratory diseases and both of the diseases

would be higher mostly in the winter period. Discussion: SARIMA models are a good prediction model that can be used to estimate emergency department

admissions due to cardiovascular and/or respiratory diseases. The estimations derived comprise a good evidence-based source for policymakers and health

service providers.

Download attachments:
Page 2 of 477