The cases of Guillain Barre Syndrome (GBS) have been reported following the coronavirus disease 2019 (COVID-19). Here, we describe a case that evolved from GBS to chronic inflammatory demyelinating ...polyneuropathy (CIDP) after COVID-19 in terms of contributing to the literature due to its different aspects. In the cerebrospinal fluid examination of the acute onset mixed type polyneuropathy case, albuminocytological dissociation was not detected. The patient was given a loading dose and monthly maintenance intravenous immunoglobulin (IVIG) for six months. Blood ferritin levels gradually decreased in parallel with clinical improvement. Four months after the IVIG treatment was terminated, the findings recurred and the CIDP was developed and IVIG treatment was continued. Long-term follow-up of post-COVID-19 GBS patients is important in terms of recurrence and chronicity. Ferritin level may be a biochemical marker in the clinical follow-up of these cases.
Koronavirüs hastalığı 2019’u (coronavirus disease 2019, COVID-19) takiben Guillain Barre Sendromu (GBS) vakaları bildirilmiştir. Burada farklı yönleri nedeniyle literatüre katkı sağlaması açısından COVID-19 sonrası GBS’den kronik inflamatuar demiyelinizan polinöropatiye (chronic inflammatory demyelinating polyneuropathy, CIDP) evrilen bir olguyu tanımladık. Akut başlayan mikst tipte polinöropati olgusunun beyin omurilik sıvısı incelemesinde albüminositolojik dissosiasyon saptanmadı. Hastaya yükleme dozu ve altı ay boyunca aylık idame intravenöz immünglobulin (IVIG) verildi. Kan ferritin düzeyleri klinik iyileşme ile paralel tedricen azaldı. IVIG tedavisi sonlandırıldıktan 4 ay sonra bulgular tekrarladı, CIDP gelişti ve IVIG tedavisine devam edildi. COVID-19 sonrası GBS hastalarının uzun süreli takibi nüks ve kroniklik açısından önemlidir. Bu olguların klinik takibinde ferritin düzeyi biyokimyasal bir belirteç olabilir.
Amaç: Bu çalışmanın amacı sabit ortodontik tedavi görmüş hastaların tedavi sonrası pekiştirme aşamasının hasta perspektifinden değerlendirilmesidir.
Gereç ve Yöntem: Bu araştırma Google formlar ...programı kullanılarak 20 tane anket sorusunu doldurmayı kabul eden 8-18 ve >18 yaş arasındaki 100 hasta üzerinde gerçekleştirilmiştir. Hastaların verdikleri cevaplar doğrultusunda hastaların ortodontik tedavi sonrasında nüks hakkında bakış açıları değerlendirilmiştir. Elde edilen veriler cinsiyet, yaş, eğitim durumu, tedavi şekli gibi kriterlere göre SPSS 21 paket programı aracılığı ile analiz edilmiştir. Değişkenler arasındaki ilişkiye/bağımlılığa ki-kare analizi ile bakılmıştır.
Bulgular: Ortodontik tedavi sonrası dişlerinde bozulma olmadığını düşünen bireylerin %96’sında lingual retansiyon apareyi yapılmıştır. Retansiyon apareyi kırılan hastaların %83.3’ü dişlerinde orta şiddette bozulma olduğunu bildirmiştir (p<0.001). Ortodontik tedavi sırasında braketi kırılan hastalar ile tedavi sonrasında orta şiddette bozulma olması arasında anlamlı bir bağlantı bulunmuştur (%70). Dişlerindeki bozulmayı düzeltmek için şeffaf plak tedavisini kadınlar (%85.7), erkeklere oranla daha fazla tercih ettiğini bildirmiştir (p<0.05).
Sonuç: Ortodontik tedavi sonrası pekiştirme aşamasındaki başarı, hasta kooperasyonu ile bağlantılı olabilir. Çalışmamızda nüks olan hastaların ikinci ortodontik tedavilerde sabit tel tedavisi yerine şeffaf plak tedavilerini tercih ettiği görülmüştür.
Objective: The aim of this study was to evaluate the post-treatment retention phase of the patients, whose orthodontic treatment has been completed, from the patient’s perspective.
Materials and Methods: This study was conducted on 100 patients, between the ages of 8-18 and >18 years, who agreed to fill in 20 questionnaires using the Google forms program. According to the answers given by the patients, the patients' perspectives about relapse after orthodontic treatment were evaluated. The obtained data were analyzed with the SPSS 21 package program according to criteria including gender, age, education level, and treatment type. The relationship/dependency between the variables was examined by chi-square analysis.
Results:
Patients who received fixed retainers after treatment reported a significantly higher retention rate (96.3%). 83.3% of the patients whose retainer was broken reported moderate relapse in their teeth (p<0.001). A significant correlation was found between patients whose brackets were broken during orthodontic treatment and moderate relapse after treatment (70%). Women (85.7%) reported that they preferred clear aligners more than men (p<0.05) to orthodontic retreatment due to relapse.
Conclusions: Success in the post-orthodontic retention phase may be related to patient cooperation. In our study, it was seen that patients with relapse preferred clear aligner treatments instead of fixed orthodontic treatments in the orthodontic retreatments.
Provider: - Institution: - Data provided by Europeana Collections- sündmuses osalenud objekti kommentaar: Toodetud NSV Liidus.- All metadata published by Europeana are available free of restriction ...under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- sündmuses osalenud objekti kommentaar: Nukk-beebi, plastist, kõverate liikuvate käte-jalgadega. Silmad sinised kleebitud mustade ...ripsmetega.- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- sündmuses osalenud objekti kommentaar: Valmistatud NSV Liidus.- All metadata published by Europeana are available free of ...restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- sündmuses osalenud objekti kommentaar: Toodetud SDV-s.- All metadata published by Europeana are available free of restriction under ...the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Nuku pea Tootmiskoondis "Salvo" (valmistaja)
1950
Image
Provider: - Institution: - Data provided by Europeana Collections- sündmuse kommentaar: Tüdruknuku pea, heledate kunstjuustega. Helesinised silmad liiguvad kinni-lahti, maalitud nägu.- All metadata ...published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- sündmuses osalenud objekti kommentaar: Valmistatud SDV-s- All metadata published by Europeana are available free of restriction ...under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
PDF
