Volume 6 Issue 2

İstanbul Yeni Yüzyıl Üniversitesi
Yeni Yüzyıl Journal of Medical Sciences

ARTICLES

Periodontal and Oral Status in a Group of Patients With Idiopathic Anterior Uveitis: A Pilot Study

Aim: Uveitis is an inflammatory disease of the middle layer of the eye, and the most common form is anterior uveitis. It has been observed that almost half of the anterior uveitis cases may be idiopathic in origin. Many systemic diseases are associated with the oral cavity. Periodontal diseases are often at the forefront of discussions, particularly in relation to their significant impact on overall health. The term uveitis has been regarded as a primary focus in previous studies on the oral cavity. This discussion focuses on cardiovascular conditions, pregnancy, and diabetes. We believe that evaluations should be considered not only under the disease’s main title, but also according to the anatomy, disease factor, and clinical duration. Therefore, it was thought that this subject should be re-examined, considering the growing knowledge and classifications that have become widespread. The current literature generally belongs to earlier periods and includes only a few recent studies and case reports. Thus, this study aims to investigate possible periodontal-dental factors in a group of patients with idiopathic anterior uveitis. Material- Methods: Thirty patients [15 patients with idiopathic anterior uveitis-study group (SG): 7 female-8 male; 15 healthy control group (CG): 8 female-7 male] were included in this pilot study. For each individual, the gingival index (GI), plaque index (PI), probing depth (PD), and clinical attachment level (CAL), which are used in routine periodontal examination and help to determine periodontal status, were measured. The decayed-missing-filled teeth index (DMFT) was recorded to reveal their current dental status. Mucosal changes (ulceration, hyperplasia, etc.) and abnormal conditions, if any, were noted in the individuals. This study investigated possible differences in periodontal-dental parameters between the SG and CG groups. In statistical evaluations, a p-value of <0.05 was accepted as significant. Results: The mean PI, PD, and CAL values were significantly higher in the SG (p<0.05). GI and DMFT indices failed to show any differences between SG and CG. Conclusion: Current research is exploring the potential connection between idiopathic anterior uveitis and various periodontal parameters. Preliminary findings suggest that there may indeed be a relationship worth investigating further.

Medical Errors from the Perspective of Patients

Aim: Errors that occur occasionally in medical practices can sometimes lead to irreversible consequences. While there is an inherent level of risk and a margin for error in healthcare, these should be minimized as much as possible. Sometimes, news about the implications of medical errors on social media, along with situations that individuals have either experienced or observed, can make people anxious about these mistakes. In this study, patients were surveyed about medical malpractice, and their responses were analyzed. Methods: Quantitative research was conducted using online and face-to-face survey techniques and the data was obtained from people who voluntarily agreed to participate in the study. The population of the study is individuals over the age of 18 who have received health services in Turkey. The research sample consists of 400 participants and the questionnaire form used in the study consists of three parts. The first part includes demographic data and statements about medical malpractice; in the second and third parts, the questionnaire forms consisting of eight judgment statements to determine the approach towards medical error and reasons for medical error, composed of eight judgment statements, which the researcher finalized by using the scale developed by Bilgin and Others (2019) and the statements used by Er and Cezlan (2022) in their research and taking the opinions of experts, was used. Frequency and percentage analysis techniques and chi-square tests were used in the analysis. Results: Most of the 400 participants were male. The education levels were primarily associate degrees and bachelor's degrees. Nearly two-thirds of the participants reported that they are familiar with medical malpractice. However, the majority believe they have not personally experienced medical malpractice. Conclusion: The study revealed that most patients reported understanding a medical error but often confused it with complication. Participants believe that most medical errors can be prevented. Given the study's results, organizing public service announcements and training sessions is essential to increase awareness of medical errors and complications.

Maternal Nutrition and Epigenetic Factors

Nutritional behavior during pregnancy and lactation has a lifetime effect on the offspring phenotype and metabolism. Maternal energy, protein, and micronutrient intake may cause changes in the fetal epigenome. Epigenetic changes that affect gene expression and the lifelong health of the fetus are mediated by DNA methylation, histone modifications, and non-coding RNA (ncRNA). Maternal excess energy and/or insufficient protein intake may lead to metabolic diseases such as obesity, glucose intolerance, and insulin resistance in the offspring later in life. Inadequate intake of folate, B12, choline, and betaine, which are methyl donors and cofactors in one-carbon metabolism, causes low birth weight and decreased cognitive functions of the offspring, while increased homocysteine (Hcy) levels lower psychomotor scores in infants. It also shows a higher risk of psychological problems in childhood, as well as neurotoxic, vasculotoxic, and teratogenic effects. This study will discuss the effects of maternal nutrient intake on epigenetic mechanisms and present a perspective on the effects of maternal methyl donor intake on offspring health.

Modifiable Risk Factors for Pancreatic Cancer: Can the King of Carcinoma Be Avoided?

The Pancreas, a vital organ due to its production of digestive enzymes and regulatory hormones, can be affected by various endocrine and exocrine diseases, including cancer. Pancreatic cancer (PC), which has the lowest 5-year survival rate of approximately 10% among major organ tumors, is an aggressive, late-diagnosed, poor-prognosis type of cancer. PC typically remains asymptomatic until the advanced stage in most patients, making it challenging to reheat. Surgery remains the sole treatment modality with the potential for curative outcomes; however, it is applied only to a small percentage of patients. The risk of PC has been affirmed due to the rise in daily cigarette consumption and smoking duration, whereas quitting smoking yields the contrary effect. Moreover, factors such as higher body mass index, longer-term obesity, history of pancreatitis, excessive alcohol consumption, diabetes, and impaired fasting glucose are all linked to an increased risk of PC. Increasing awareness of genetic predisposition and avoiding such risk factors may significantly help in reducing this disease’s prevalence in society. In addition to conducting extensive research on treatment options, studying modifiable risk factors that help limit PC development is crucial. This review examines recent studies on these risk factors and evaluates their distribution in Turkey. Our analysis suggests—even when other factors are not considered—that the rising rates of obesity, diabetes, and smoking (modifiable risk factors) are likely to lead to an increase in the prevalence of PC in Turkey in the coming years.

ISSN: 2687-5349 / E-ISSN: 2687-5411 / PERIOD: Quarterly / YEAR OF START: 2019 / PUBLISHER: Istanbul Yeni Yuzyil University

Istanbul Yeni Yuzyil University – Journal of Medical Sciences © 2019 is licensed under CC BY-NC-ND 4.0

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