To report the perioperative complications and clinical outcomes of 50 deep anterior lamellar keratoplasty (DALK) cases.Fifty eyes of 50 patients with pathologies involving the corneal stroma and sparing the Descemet's membrane and endothelium were included consecutively in this prospective, noncomparative interventional case series study. DALK was performed using the big-bubble technique.The most frequent indication for DALK surgery was keratoconus (26 eyes), followed by corneal dystrophy (10 eyes) and superficial corneal scar (14 eyes). The average follow-up period was 12.0 ± 3.9 months. DALK was completed in 41 cases (82%). A big bubble was achieved successfully in 37 cases (74%). Descemet's membrane perforations occurred in 14 (28%) eyes, 8 of which were macroperforation and necessitated conversion to penetrating keratoplasty. Complications tended to decrease throughout the study. Postoperative best-corrected visual acuity of 0.5 or better was present in 30 of 41 (73.2%) eyes that underwent DALK. There was no episode of graft rejection.DALK big-bubble technique may be a valuable procedure during transition from penetrating keratoplasty to anterior lamellar keratoplasty. It provided acceptable visual and refractive outcome even during the learning period in a variety of corneal lesions.
Objective: The place of traditional and complementary medicine (TC of the approaches in T&CM, the highest level of awareness was about 'hypnosis' (67.7%). It was found out that information about T&CM approaches was mostly acquired from the media (32.0%). Of the student opinions about T&CM, 40.7% were positive. The percentage of students thinking that classical medicine and T&CM can be integrated and complement each other was 32.5% (n=149). Most of the students with a family member utilizing T&CM were wishing to work in the health sector in the future (32.1%) (p=0.02) and aiming to have a T&CM-related job more than other participants (32.7%) (p=0.001). Conclusion: The level of awareness about T&CM was found to be low among secondary school students. If health literacy education in schools is organized better, awareness of T&CM may grow.
Ozet Sigara ba¤›ml›l›¤› ulkemiz icin onemli bir halk sal›¤› sorunudur. Tum sigara icenler aras›nda en verimli ve yuz guldurucu sonuclar adolesanlarda al›nabilir. Bu yafl grubunda sigara icmeye bafllayan ki- flilerin ileriki donemde sigaray› b›rakmalar› dier bireylere gore daha zordur ve sigaran›n zararl› etkilerine daha uzun ve youn bir flekilde karfl›laflmaktad›rlar. Sigara b›rakt›rma pratii adolesan bir hastada tedavi onceliklerinden dolay› dier hastalara gore deifliklik gostere- bilmektedir. Bu olgu raporunda OMU Aile Hekimlii ve Sigara B›rak- t›rma Polikliniine sigaray› b›rakmak amac›yla gelen, androjen obe- ziteye sahip adolesan bir hastaya uygulanan multidisipliner yaklafl›m Summary Smoking is a public health problem in our country. Among all smok- ers the most effective and rewarding results could be obtained from adolescents. Adolescents have more difficulties in quitting smoking and are subject to prolonged and denser exposure to negative effects of smoking compared to older age groups. The quittance practice may be different in adolescents because of the differences in treatment priorities compared to older individuals. This case report discusses the multidisciplinary approach to an adolescent smoker with androgenic obesity who applied to the Smoking Cessation and Family Medicine Outpatient Clinic of Ondokuz May›s University Medical School is discussed.
The unintentional omission of medication is one of the most commonly-reported administration errors on hospital wards throughout the world. The omission of a dose of medication can severely harm the patient affected, but to date there is limited evidence about cost-effective means for reducing the incidence of such errors. The current report describes a quality improvement project, conducted on the mental healthcare of older people (MHCOP) wards in East London NHS Foundation Trust, which led to a greater than 90% reduction in the rate of unintentionally omitted doses of medication. The project involved the publication of a fortnightly league table which ranked each of the wards by how many doses they had missed, with the ward missing the fewest doses receiving a prize. PDSA cycles were used to refine the concept, with the final incarnation of the fortnightly league table also incorporating the publication of a poster for each ward which showed how many weeks it had been since the ward missed a dose, and the ward's overall trend in missed doses. The project has resulted in the average missed dose rate on the MCHOP wards decreasing from 1.07% to 0.07%. In real terms, this represents a reduction from an estimated 2878 to 188 missed doses per year on the six MHCOP wards. By greatly reducing the risk of patients experiencing adverse drug events as a result of missed doses, this project has given rise to a potential cost-saving of around £34,000 per year across the wards studied. The use of league tables represents a simple, cost-effective means of tackling the problem of doses of medication being unintentionally omitted on hospital wards.
Apiterapi, arı ve kovan ürünlerinin tedavi amaçlı ilgili uzmanlar tarafından kullanılmasıdır. Tamamlayıcı ve destekleyici bir tedavi yöntemi olan apiterapi ile akut veya kronik birçok hastalık tedavi edilebilir. Ülkemizde henüz apiterapi konusunda yeterli sayıda merkez bulunmamaktadır. Ulusal çerçevede ilk defa düzenlenen Apiterapi Kongresi, ilgili bilim insanlarının çalışmalarını paylaşmaları ve apiterapinin ülkemizdeki konumunu yüceltecek adımları atmaları için iyi bir fırsat olmuştur.
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