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Objectives: The aim of this study was to assess the safety and efficacy of single Judkins left (JL) catheter to view right and left coronary artery in right transradial coronary angiography. Methods: A total of 266 patients underwent coronary angiography from the right radial artery were studied prospectively. Patients with ad-hoc percutaneous coronary intervention (PCI), peripheral angiography, ventriculography or aortography procedures (67 patients) were excluded from the study. Coronary angiography was performed with the JL catheter as single catheter group in 171 of the remaining 199 patients, and with the Judkins right and left catheters as the control group in the other 28 patients. Complications, procedure success, procedure time and fluoroscopy time were evaluated between the two groups. Results: Procedure success were 93% (159/171) in patients with a single catheter group and 96.4% (27/28) in patients with two catheter (Judkins right and left) group (control group) (p = 0.49). Complications (spasm) are the same between the two groups (8 of 171 [4.7%] patients in study group and 1 of 28 [3.6%] patients in control group, p = 0.79). Fluroscopy time in single JL catheter group was significantly higher (6.20 ± 4.97 min vs 3.76 ± 2.78 min, p = 0.01). Conclusions: Single JL catheter using to view right and left coronary artery in right transradial coronary angiography was safe and effective. In our study, the success rate of getting left and right coronary artery images with a single JL catheter as high as 93%. However, insisting on imaging with a single catheter extends the duration of fluoroscopy time.

The facial artery musculomucosal flap (FAMM flap) is a convenient option for covering complicated palatal defects, as it is a local flap inside the oral cavity with good tissue quality and minimal drawbacks. The present prospective study included 17 patients, 7 males and 10 females. Most of the patients had palatal fistulae, after cleft palate surgical repair; only one had a post-traumatic palatal defect. Superiorly based FAMM flaps were used for eight patients, and inferiorly based FAMM flaps were used for nine patients. A speech specialist assessed all patients, postoperatively. The range of follow-up time was from two to four years. In the majority of cases, reconstruction was successful and uneventful. Patients were satisfied regarding oral function. Complications were minor, which include incomplete coverage, bulkiness, temporary hardness and dimpling. The FAMM flap is a very useful, versatile, and technically easy flap for covering difficult palatal defects.

Amaç: Akut ürtike rçocuklarda hastane başvurularının en sık nedenlerinden biridir. Çalışmanın amacı çocuk alerji polikliniğinde akut ürtikertanısı alan hastaların etiyolojik açıdan değerlendirilmesidir.Gereç ve Yöntemler: Çalışmaya 1 Ocak 2016 - 31 Aralık 2016 tarihleri arasında hastanemizin çocuk alerji polikliniklerinde akut ürtikertanısı alan hastalar alındı. Hasta bilgileri dosya kayıtlarından geriye dönük olarak kaydedildi.Bulgular: Çalışmada akut ürtiker tanısı alan 469 hasta değerlendirildi. Hastaların yaş ortancası (min-maks) 7 yıl (2 ay-18 yıl) olup, %48.8’ierkekti. Hastaların % 33.5’inde (n=157) tekrarlayan akut ürtiker öyküsü vardı ve % 20’sine anjiyoödem de eşlik ediyordu. Öyküde tetikleyiciolarak hastaların % 37.5’ünde (n=176) enfeksiyonlar, % 17.9’unda (n=84) ilaç, % 10.9’unda (n=51) besin, % 3.2’sinde (n=15) böcek ısırığıve % 0.2’sinde (n=1) aşı bulunuyordu. Hastalar anamnez, fizik muayene ve laboratuvar bulguları ile değerlendirildiğinde; %59’unda (n=276)tetikleyici saptanamadı ve bu hastalar idiopatik akut ürtiker olarak tanı aldılar. Tetikleyici saptanan hastalarda enfeksiyonlar (% 37.5; n=176)ilk sırada yer alıyordu. Besin ve ilaç alerjisi ise sadece 1’er hastada doğrulandı. Yaş gruplarına gore etiyolojik dağılıma bakıldığında, 12-18yaş grubunda daha çok idiyopatik akut ürtiker, 2 yaş altı grupta ise enfeksiyonla tetiklenen akut ürtiker olduğu görüldü (p=0.009).Sonuç: Akut ürtiker nedeniyle alerji kliniğine başvuran çocuklarda çoğunlukla tetikleyici bulunamamaktadır. Tetikleyici tespit edilebilenhastalarda ise enfeksiyonlar ilk sırada yer almaktadır. Ancak hastaların klinik öykülerinde şüpheli tetikleyici olarak yiyecek veya ilaç(lar) dabulunabilir ve bu hastaların tanısal alerji testleri ile değerlendirilmesi önemlidir. Böylece hastaların yanlış tanı almaları ve gereksiz besin veyailaç kısıtlamaları önlenebilecektir., Objective: Acute urticaria is one of the most common causes of admission to hospitals in children. The aim of the studyis to evaluate the etiology of acute urticaria in patients who admitted to pediatric allergy outpatient clinics.Material and Methods: The patients who were diagnosed as acute urticaria in pediatric allergy outpatient clinicsbetween January 1, 2016 and December 31, 2016 were included in the study. Patient information was recordedretrospectively from medical files.Results: In this study, 469 patients with acute urticaria were evaluated. The median (min-max) age of the patients was7 years (2 months-18 years), and 48.8 % of them were male. Angioedema was accompanying in 20 % of the patients.Recurrent acute urticaria was seen in 33.5 % (n = 157) of the patients. In the history, infections were the triggers in37.5 % (n=176) of the patients, drugs in 17.9 % (n=84), food in 10.9 % (n=51), insect bites in 3.2 % (n=15), and 0.2 %(n=1) of them had the vaccine. When the patients were evaluated with the medical histories, physical examination andlaboratory findings; triggers could not be detected in 59 % (n=276) and these patients were diagnosed as idiopathicacute urticaria. Infections (37.5 %; n=176) were in the first place in patients with triggers. Food and drug allergies wereconfirmed in only one patient each. Considering the etiological distribution according to age groups, it was seen thatidiopathic acute urticaria was more common in the 12-18 age group and infection-associated acute urticaria in thegroup under 2 years old (p=0.009).Conclusion: Mostly, triggers cannot be found in children who apply to the allergy clinic due to acute urticaria. In patientswho can be identified triggers, infections are in the first place. However, patients’ clinical histories may also include food ordrug(s) as a suspected trigger, and it is important to evaluate these patients with diagnostic allergy tests. Thus, misdiagnosisof patients and unnecessary food or drug restrictions would be prevented.

Supplemental Material, sj-pdf-1-vas-10.1177_17085381211024495 for Thoracic endograft placement using a transfemoral snare in a patient with angled aortic arch by Sencer Çamci, Selma Ari, Hasan Ari and Mehmet T Göncü in Vascular

Bu çalışmada 2012 yılında Mersin, Tarsus’un farklı bölgelerinden toplanan Scarabaeidae (Coleoptera) faunasına ait örnekler değerlendirilmiştir. Scarabaeinae ve Dynastinae altfamilyalarından; Euonthophagus, Euoniticellus, Gymnopleurus, Onthophagus ve Pentodon cinslerine ait 6 tür tespit edilmiştir. Çalışma bölgesi faunası için Pentodon algerinus dispar Baudi di Selve, 1870 yeni kayıttır. Her bir türün Palearktik ve Türkiye yayılışları verilmiştir., In this study, samples of the Scarabaeidae (Coleoptera), collected from different regions of Mersin-Tarsus in 2012, were evaluated. Six taxa belong to genera of Euonthophagus, Euoniticellus, Gymnopleurus, Onthophagus and Pentodon were determined. Pentodon algerinus dispar Baudi, 1870 was new record for fauna of study area. Distribution of Palearctic and Turkey for each species were also given.

Dampak Pandemi Covid-19 telah mempengaruhi segala aspek tatanan kehidupan manusia, tidak hanya sebatas aspek kesehatan saja tanpa kecuali termasuk berdampak pada aspek pendidikan. Pemerintah melakukan pembatasan kegiatan pembelajaran untuk menghindari penyebaran covid-19 melalui pembelajaran secara daring. Terdapat banyak media pembelajaran daring yang dapat digunakan seperti Zoom Meeting, WhatsApp, Google Classroom, Google Meeting, Edmodo dan lainnya. Akan tetapi, pendidik guru harus cerdas dan kreatif dalam memilih media pembelajaran yang sesuai. Maka pendampingan dan penguatan kemampuan guru dalam penggunaan media sangat penting dan mendesak untuk dilakukan. Metode yang digunakan dalam pengabdian masyarakat ini adalah metode pengabdian berbasis Service learning. Pengabdian masyarakat yang dilakukan dengan melakukan bimbingan, pelatihan dan pendampingan bagi guru dalam penggunaan media pembelajaran dengan bijak dan cermat. Setelah kegiatan pengabdian dilakukan, dilakukan juga evaluasi terhadap kegiatan bimbingan dan pendampingan penggunaan media dalam pembelajaran bagi guru untuk mengetahui dampak dari kegiatan pengabdian masyarakat yang dilakukan. Berdasarkan hasil evaluasi kegiatan pengabdian masyarakat yang dilakukan bahwa hampir semua (97%) guru madrasah dalam penggunaan media pembelajaran secara daring secara signifikan terjadi peningkatan baik dari aspek pemahaman, pengetahuan dan keterampilan. Dapat dimpulkan kegiatan masayarakat yang dilakukan dapat meningkatkan kemampuan guru dalam penggunaan media pembelajaran secara daring