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Öğe Effects of tinnitus masking therapy in tinnitus patients with and without hearing loss(Turgut Özal Medical Center, 2018) Saraç, Elif Tuğba; Arlı, Ali;Aim: The aim of the study is to determine the effects of tinnitus masking therapy on patients with and without hearing loss. Material and Methods: This study includes a total 34 of patients with tinnitus, between 27 and 70 years of age, 16 of whom with and 18 of whom without hearing loss. The patients with and above 25 dB were added to the group without hearing loss and those below 25 dB to the group with hearing loss. The patients had one session each day. Previously determined and appropriate for tinnitus mapping, sound was made to be listened through TDH 39-P model earphones for 30 minutes during the therapy. Before and after the ten-sessions therapies, the effects of masking therapy on the patients were assessed through Tinnitus Handicap Inventory. Result: Tinnitus Handicap Inventory scores were found significantly low in patients with and without hearing loss after tinnitus masking therapy (p =0.026 and p = 0.023). And, in comparison made between the groups, Tinnitus Handicap Inventory scores before and after tinnitus masking therapy were found to be similar(p<0.05). Conclusion: Both groups benefited from masking therapy at similar levels. Tinnitus masking therapy is effective on both patients with and without hearing loss. The success of masking therapy is related to proper patient selection. Regular follow-up is essential.Öğe A significant danger to children : foreign body ingestion(İnönü Üniversitesi, 2018) Çelikkaya, Mehmet Emin; Atıcı, Ahmet; El, ÇiğdemAim: The most important way for children to communicate with their surroundings is to take every substance that they keep in hand to their mouths. Foreign bodies that are ingested can be found anywhere in the gastrointestinal tract. Especially foreign bodies in esophagus may be the cause of morbidity and mortality. For this reason, the ingestion of foreign bodies in children is one of the most important health problems. Material and Methods: Between January 2014 and June 2017, 119 patients, admitted to Mustafa Kemal University [MKÜ] Faculty of Medicine, Department of Pediatric Surgery with foreign body ingestion diagnosis, were retrospectively studied. Patients were evaluated in terms of age, gender, complaints of arrival, ingested foreign body quality, location in the gastrointestinal tract and treatment approaches. Results: Of the patients, 74 were males [62%] and 45 were females [38%]. The mean age of the patients was 4.3 years [6 months-15 years]. Foreign bodies most commonly seen in the esophagus first stenosis in 73 patients [61%].Most commonly complaint at presentation was parental recognition of the ingested object and hypersalivation. The most commonly ingested foreign bodies included coins. Conclusion: Esophagoscopy must be performed foreign bodies in the esophagus should be treated conservatively, in case of clinical suspicion, the possibility of foreign body ingestion must be kept in mind. Education of the parents and taking some precautions where the children play are the most important protective factors.Öğe Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen(Ulusal Travma ve Acil Cerrahi Derneği, 2018) Kılıç, Erol; Uğur, Mustafa; Yetim, İbrahim; Temiz, MuhyittinBACKGROUND: Open abdomen (OA) in which the abdomen is closed with temporary abdominal closure methods is the most effective in patients who develop severe abdominal sepsis or abdominal compartment syndrome. Major techniques used are Vacuum-Assisted Closure Method (VACM) and non-vacuum assisted closure method (NVACM). In the present study, the effects of different abdominal closure methods on morbidity and mortality were evaluated. METHODS: In the study, the temporary abdominal closure methods of the patients with OA during 2013–2016 were studied retrospectively. OA etiopathologies, mortality prediction scores, final abdominal closure periods and methods, hospitalization periods, complications (enteroatmospheric fistula, mesh infection, and incisional hernia), and mortality rates of patients who underwent VACM and NVACM were determined and compared. RESULTS: The present study included 123 patients who underwent VACM (n=65) and NVACM (n=58). There was no difference between the groups in terms of age, gender, and etiopathogenesis (p>0.05). The mean APACHE 4 and Multiple Organ Dysfunction Score (MODS) scores in the VACM/NVACM groups in treatment period were 47/63 and 11/14, respectively (p<0.05). The mean intensive care and hospitalization periods in the VACM/NVACM groups were 11/16 (days) and 22/28 (days), respectively (p<0.05). The collection and abscess development rates in the VACM and NVACM groups were 46.2% and 77.6%, respectively (p<0.05). The rate of enteroatmospheric fistula (EAF) development in the VACM and NVACM groups were 15.4% and 56.9%, respectively (p<0.05). The mean abdominal closure times in the VACM and NVACM groups were 13 and 17 days, respectively (p<0.05). Mortality rate in the VACM and NVACM groups were 18% (n=18) and 55% (n=32), respectively (p<0.05). CONCLUSION: In patients with OA, the temporary abdominal closure technique VACM has lower complication and mortality rates and shorter hospitalization period than other methods. Therefore, it is an effective and safe method for the treatment of OA.
