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Artificial Intelligence Technologies in Dentistry 牙科中的人工智能技术
Pub Date : 2021-05-19 DOI: 10.52142/OMUJECM.38.SI.DENT.18
Berkman Albayrak, G. Özdemir, Y. ÖLÇER US, E. Yüzbaşıoğlu
One of the most important actors in the digitization process of our age has been the applications of artificial intelligence (AI). While the weak and strong AI sub-concepts and the different AI models within them are being utilized in many fields such as education, industry and medicine today, the interest of the dentistry field, which has started its integration into the digital world with CAD/CAM technology, in AI is increasing day by day. In different branches of dentistry; AI provides services to clinicians and researchers in many fields such as disease diagnosis, evaluation of the occurrence or recurrence of diseases such as oral cancer, and prediction of success in surgical and prosthetic treatments. In this article, studies in which AI models such as machine learning, convolutional neural network have found research and usage areas on the basis of different branches of dentistry are reviewed.
在我们这个时代的数字化进程中,最重要的参与者之一是人工智能(AI)的应用。虽然弱人工智能和强人工智能子概念以及其中的不同人工智能模型在今天的教育,工业和医学等许多领域得到了应用,但已经开始通过CAD/CAM技术融入数字世界的牙科领域对人工智能的兴趣日益增加。在牙科的不同分支中;人工智能在许多领域为临床医生和研究人员提供服务,如疾病诊断,评估口腔癌等疾病的发生或复发,以及预测手术和假肢治疗的成功。本文综述了机器学习、卷积神经网络等人工智能模型在牙科不同分支的基础上找到的研究和应用领域。
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引用次数: 4
Accuracy And Efficiency Of Digital Implant Planning And Guided Implant Surgery 数字种植体计划和引导种植体手术的准确性和效率
Pub Date : 2021-05-09 DOI: 10.52142/OMUJECM.38.SI.DENT.12
Ceylan ÇİÇEKDAĞI İLHAN, M. Dikmen, E. Yüzbaşıoğlu
Advances in digital technologies offer 3D integrated solutions for digital implnat planning.Virtual implant placement and guided implant surgery are claimed to provide more predictable results even in complicated implant treatments.Technology is now capable to properly transfer the virtually planned optimal positon of implants to reality during surgery.However clinicians have to be aware of the potential deviation factors and risks of the different types of guided surgery systems to reduce the risk of complications.The aim of this review is to evaluate the efficiency and accuracy of different computer-assisted dental implant placement techniques and to discuss potential error sources for each technique.
数字技术的进步为数字化实施规划提供了3D集成解决方案。虚拟种植体放置和引导种植体手术声称提供更可预测的结果,即使在复杂的种植治疗。技术现在能够在手术中正确地转移虚拟计划的植入物的最佳位置。然而,临床医生必须了解不同类型的引导手术系统的潜在偏差因素和风险,以减少并发症的风险。本综述的目的是评估不同的计算机辅助牙种植体放置技术的效率和准确性,并讨论每种技术的潜在误差来源。
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引用次数: 2
Contemporary Imaging Modalities for Temporomandibular Joint 颞下颌关节的现代成像方式
Pub Date : 2021-05-09 DOI: 10.52142/OMUJECM.38.SI.DENT.2
C. Aktuna Belgin, G. Serindere, K. Orhan
There are different imaging methods used in the evaluation of bone structure, disc, ligaments and muscles that make up Temporomandibular Joint (TMJ). The aim of this review is give information about choice of suitable imaging methods for TMJ diseases from past to present. In the past, conventional radiographs have often been used for TMJ imaging, but nowadays magnetic resonance imaging is the gold standard for soft tissue imaging and disc position determination. Another new technology, ultrasonography can be used for disc displacement, effusion, diagnosis of intraarticular defects. Cone beam computed tomography, it is used for the evaluation of cortical and trabecular structure of bone components of TMJ, developmental anomalies and traumatic injuries affecting TMJ, pathological changes such as osteophyte, erosion, fractures, ankylosis, glenoid fossa-condyle relationship. Nowadays, in parallel with the developing technology, a single imaging method is not used for TMJ imaging and evaluation is performed with several imaging methods. Imaging methods should be selected by evaluating the factors such as radiation dose, contribution to diagnosis and treatment plan, easy applicability.
有不同的成像方法用于评估骨结构,椎间盘,韧带和肌肉组成的颞下颌关节(TMJ)。本文综述了过去和现在TMJ疾病的影像学方法的选择。过去,传统的x线片经常用于TMJ成像,但现在磁共振成像是软组织成像和椎间盘位置确定的金标准。另一项新技术,超声可用于椎间盘移位、积液、关节内缺损的诊断。圆锥束ct,用于评价颞下颌关节骨构件的皮质和小梁结构、发育异常和影响颞下颌关节的外伤性损伤、骨赘、糜烂、骨折、强直、关节窝-髁关系等病理改变。目前,随着技术的发展,TMJ的成像不再采用单一的成像方法,而是采用多种成像方法进行评估。影像学方法的选择应综合考虑放疗剂量、对诊断和治疗方案的贡献、适用性等因素。
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引用次数: 0
Digital Smile Design : Predictable Results 数字微笑设计:可预测的结果
Pub Date : 2021-05-09 DOI: 10.52142/OMUJECM.38.SI.DENT.8
Y. ÖLÇER US, E. Yüzbaşıoğlu, Berkman Albayrak, G. Özdemir
Increasing aesthetic preferences and technological changes in dentistry have been planned towards time, resulting in predictable, more aesthetic and more functional results. Firstly, the development of digital dentistry, especially the CAD/CAM systems, following these developments, the ability to make smile designs with the effect of digitalization in anterior restorations led to the emergence of reliable and more guaranteed restorations for both the patient, dentist and dental technician. This review summarizes the information and offers suggestions with features to be considered in digital smile design and digital smile design softwares.
不断增加的审美偏好和牙科技术的变化已经计划到时间,导致可预测的,更美观和更实用的结果。首先,数字牙科的发展,特别是CAD/CAM系统,随着这些发展,能够在数字化的影响下在前牙修复中进行微笑设计,从而为患者,牙医和牙科技术人员带来了可靠和更有保证的修复。本文综述了数字微笑设计和数字微笑设计软件应考虑的特点,并提出了建议。
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引用次数: 0
Direct Digitalization Devices in Today’s Dental Practice: Lab Scanners 直接数字化设备在今天的牙科实践:实验室扫描仪
Pub Date : 2021-05-09 DOI: 10.52142/OMUJECM.38.SI.DENT.11
Ç. Ural, N. Kaleli
Every day, modern dentistry faces with new technologies, which have begun to be used in daily clinical practice, and computer-aided design and computer-aided manufacturing has brought new technologies and opportunities to all fields of dentistry. The first step is acquiring the true data, which belongs to the patients, digitalization of intraoral structures. By acquiring these data, the restorations can be designed and fabricated by using digital workflow. Dentists have two main options for capturing the data from the related surfaces; one is the direct digitalization and the other one is the indirect digitalization process. In the indirect process, extraoral scanners, which are called lab scanners or cast scanners, are used. Every system has different advantages and disadvantages, and the clinicians or dental technicians should know the technology and different features of these devices to choose the optimal device for their workflow.
现代牙科每天都面临着新的技术,这些技术已经开始应用于日常临床实践中,计算机辅助设计和计算机辅助制造给牙科的各个领域带来了新的技术和机遇。第一步是获取属于患者的真实数据,对口腔内结构进行数字化处理。通过获取这些数据,可以利用数字化工作流程设计和制作修复体。牙医从相关表面获取数据有两种主要选择;一种是直接数字化,一种是间接数字化。在间接过程中,使用口外扫描仪,称为实验室扫描仪或铸造扫描仪。每个系统都有不同的优点和缺点,临床医生或牙科技术人员应该了解这些设备的技术和不同的特点,以选择最适合他们工作流程的设备。
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引用次数: 0
Mean platelet volume as a diagnostic parameter of respiratory syncytial virus infection 平均血小板体积作为呼吸道合胞病毒感染的诊断参数
Pub Date : 2021-04-23 DOI: 10.52142/OMUJECM.38.13
Hanife Hilal Andan, T. Tas, G. Dogan, A. Yilmaz
Aim: Our aim was to investigate RSV related parameters by comparing clinical findings and physical examination with routinely ordered whole blood counts and biochemical variables in under two age children hospitalized for lower respiratory tract infections. Methods: The sample consisted of 193 children [RSV positive (n=85), RSV negative (n=108)] with lower respiratory tract infections from May 2010 to May 2013. Sociodemographic findings, chief complaints and physical examination findings were retrospectively evaluated. RSV positive and negative groups were compared using Chi-square test (% 95 Confidence Interval- %95 CI), Mann-Whitney U test (p:0,05). Results: No significant differences were found in demographic variables and treatment decisions between two groups. In RSV positive group, higher hyponatremia (p ≤0.001) and AST values (p=0.003) were found. Decreased MPV were determined 71.8% in RSV positive group. RSV positive patients had decreased MPV values (OR:10.929, 95% CI ). Conclusions: Higher hyponatremia and increased AST values were found to be associated with RSV infection; and decreased MPV was significantly related with RSV infection. This is the second study in literature within our knowledge that found decreased MPV values in RSV positive patients. The mechanism related with decreased MPV, hyponatremia, and increased AST values in RSV infection should be investigated further.
目的:我们的目的是通过比较住院治疗下呼吸道感染的两岁以下儿童的临床表现和体格检查与常规全血细胞计数和生化指标来研究RSV相关参数。方法:选取2010年5月至2013年5月收治的下呼吸道感染患儿193例[RSV阳性(n=85), RSV阴性(n=108)]。回顾性评价社会人口学调查结果、主诉和体格检查结果。RSV阳性组与阴性组比较采用卡方检验(% 95置信区间- %95 CI)、Mann-Whitney U检验(p: 0.05)。结果:两组在人口学变量和治疗决策方面无显著差异。RSV阳性组低钠血症(p≤0.001)和AST升高(p=0.003)。RSV阳性组MPV降低71.8%。RSV阳性患者MPV值降低(OR:10.929, 95% CI)。结论:低钠血症和谷草转氨酶升高与RSV感染有关;MPV降低与RSV感染显著相关。这是我们所知的文献中第二项发现RSV阳性患者MPV值降低的研究。RSV感染中MPV降低、低钠血症和AST升高的相关机制有待进一步研究。
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引用次数: 0
The investigation of the changes in the surface glycoconjugates using two different spheroid models of breast cancer cells and availability assessment of these spheroid models for rapid diagnosis 使用两种不同的乳腺癌球体模型研究表面糖结合物的变化,并评估这些球体模型在快速诊断中的可用性
Pub Date : 2021-04-23 DOI: 10.52142/OMUJECM.38.3.11
Y. Mater, G. Demircan
The importance of early cancer diagnosis has led to development of many different diagnostic methods. In this context, the studies investigating the presence and amount of sugar residues to use as indicators in the identification of cancer cell type have become prominent. In the present study, sialic acids found on the membrane surfaces of ER (+) MCF-7 and ER (-) MDA-MB-231 breast cancer cell lines were labeled using three dimensional (3D) cell culture (Spheroid) model as the closest method to the patient sample, thus its natural environment, among the cell culture methods. These sugar units that play a role in regulation of important immune characteristics such as recognition, binding and metastasis were made visualizable by applying fluorescent-labeled lectins such as FITC-(Wheat Germ Agglutinin) specifically binding to sialic acid units (GlcNAc, Neu5Ac) including particularly s-GlcNAc and FITC-(Maackia Amurensis-Lectin-1) specifically binding to Gals4GlcNAc type sialic acids. These glycan units were specifically labeled with FITC-(Maackia Amurensis-Lectin-1) and FITC-(Wheat Germ Agglutinin) and radiation intensities were analyzed relatively. The two different breast cancer cell cultures were compared with respect to change in the amounts of sialic acid residues containing α-2,3- and α-2,6 bonds using fluorescent-labeled lectins. In the present study, we have performed a precise, accurate and rapid determination of the sugar content in the different breast cancer cell surface lines by means of fluorescent-labeled lectins and carried out a relative comparison between the micrographs.
早期癌症诊断的重要性导致了许多不同诊断方法的发展。在此背景下,研究糖残基的存在和数量作为癌细胞类型鉴定指标的研究变得突出。本研究采用最接近患者样本的三维细胞培养(Spheroid)模型标记ER (+) MCF-7和ER (-) MDA-MB-231乳腺癌细胞系膜表面的唾液酸,是细胞培养方法中最接近患者样本自然环境的方法。这些糖单位在重要的免疫特性(如识别、结合和转移)的调节中发挥作用,通过应用荧光标记的凝集素,如FITC-(小麦芽凝集素)特异性结合唾液酸单位(GlcNAc, Neu5Ac),特别是s-GlcNAc和FITC-(Maackia amurensis -凝集素-1)特异性结合Gals4GlcNAc型唾液酸,使其可视化。用FITC-(Maackia amurenensis -凝集素-1)和FITC-(小麦胚芽凝集素)特异性标记这些聚糖单元,并相对分析辐射强度。用荧光标记凝集素比较了两种不同的乳腺癌细胞培养物中含有α-2,3-和α-2,6键的唾液酸残基数量的变化。在本研究中,我们采用荧光标记凝集素对不同乳腺癌细胞系表面的糖含量进行了精确、准确和快速的测定,并对显微照片进行了相对比较。
{"title":"The investigation of the changes in the surface glycoconjugates using two different spheroid models of breast cancer cells and availability assessment of these spheroid models for rapid diagnosis","authors":"Y. Mater, G. Demircan","doi":"10.52142/OMUJECM.38.3.11","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.11","url":null,"abstract":"The importance of early cancer diagnosis has led to development of many different diagnostic methods. In this context, the studies investigating the presence and amount of sugar residues to use as indicators in the identification of cancer cell type have become prominent. In the present study, sialic acids found on the membrane surfaces of ER (+) MCF-7 and ER (-) MDA-MB-231 breast cancer cell lines were labeled using three dimensional (3D) cell culture (Spheroid) model as the closest method to the patient sample, thus its natural environment, among the cell culture methods. These sugar units that play a role in regulation of important immune characteristics such as recognition, binding and metastasis were made visualizable by applying fluorescent-labeled lectins such as FITC-(Wheat Germ Agglutinin) specifically binding to sialic acid units (GlcNAc, Neu5Ac) including particularly s-GlcNAc and FITC-(Maackia Amurensis-Lectin-1) specifically binding to Gals4GlcNAc type sialic acids. These glycan units were specifically labeled with FITC-(Maackia Amurensis-Lectin-1) and FITC-(Wheat Germ Agglutinin) and radiation intensities were analyzed relatively. The two different breast cancer cell cultures were compared with respect to change in the amounts of sialic acid residues containing α-2,3- and α-2,6 bonds using fluorescent-labeled lectins. In the present study, we have performed a precise, accurate and rapid determination of the sugar content in the different breast cancer cell surface lines by means of fluorescent-labeled lectins and carried out a relative comparison between the micrographs.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"52 1","pages":"266-271"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86709660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antitumoral effects of Santolina chameacyparissus on Non-Small Cell Lung Cancer Cells 金银花对非小细胞肺癌细胞的抗肿瘤作用
Pub Date : 2021-04-23 DOI: 10.52142/OMUJECM.38.3.16
Y. Saygıdeğer, Burcu Saygıdeğer Demir, Tuğba Taşkın Tok, A. Avcı, Aycan Sezan, Oya Baydar, E. Ozyilmaz
Santolina chameacyparissus (Santo) is an evergreen plant which is traditionally used for its anti-inflammatory effects in various diseases. In this study, we aimed to explore the effects of Santo in non-small cell lung cancer cells. We extracted volatile oil from the plant and evaluated cytotoxicity, apoptosis and motility effects of the extract on two non-small cell lung cancer (NSCLC) cell lines; one is a patient derived and the other one is a commercially available. We also identified its components via GS/MS and investigated possible targets of the major components of the plant using qPCR and docking studies. Cytotoxicity tests showed dose dependent cell killing activity and flow cytometry assays exposed apoptotic effects of Santo. The essential oil also remarkably decreased migration rate of A549 cells, therefore we evaluated the expression levels of epithelial to mesenchymal transition related genes E-cadherin and Vimentin ratio, ZEB1 and SNAIL and another motility related gene Ezrin. Santo did not change the expression of EMT related genes but decreased Ezrin levels. According to the results of the GS/MS analysis, Artemisia ketone and Camphor were identified as major molecules of the extract. Docking analysis also revealed that artemisia ketone, the major component of the Santo extract, potentially showed strong binding to the active site of ezrin protein and both artemisia ketone and camphor had ability to bind DNA. The results of the present study indicate that Santo and its components artemisia ketone and camphor are promising anti-cancer agents, and their potential in targeting DNA and oncogenic proteins in the lung cancer cells seems worth to focus on this plant in cancer related drug discovery science.
Santolina chameacyparissus (Santo)是一种常绿植物,传统上因其抗炎作用而被用于治疗各种疾病。在这项研究中,我们旨在探讨Santo在非小细胞肺癌细胞中的作用。我们从该植物中提取挥发油,并评估其对两种非小细胞肺癌(NSCLC)细胞株的细胞毒性、凋亡和运动作用;一种是病人衍生的另一种是市售的。我们还通过GS/MS鉴定了其成分,并利用qPCR和对接研究研究了该植物主要成分的可能靶点。细胞毒性试验显示剂量依赖性细胞杀伤活性,流式细胞术检测显示Santo的凋亡作用。因此,我们对A549细胞上皮向间质转化相关基因E-cadherin和Vimentin ratio、ZEB1和SNAIL以及另一个运动性相关基因Ezrin的表达水平进行了评估。Santo没有改变EMT相关基因的表达,但降低了Ezrin水平。GS/MS分析结果表明,提取物的主要成分为蒿酮和樟脑。对接分析还发现,桑托提取物的主要成分青蒿酮可能与ezrin蛋白活性位点结合较强,青蒿酮和樟脑均具有结合DNA的能力。本研究结果表明,桑托及其成分青蒿酮和樟脑是很有前景的抗癌药物,其靶向肺癌细胞DNA和致癌蛋白的潜力值得在癌症相关药物发现科学中关注。
{"title":"Antitumoral effects of Santolina chameacyparissus on Non-Small Cell Lung Cancer Cells","authors":"Y. Saygıdeğer, Burcu Saygıdeğer Demir, Tuğba Taşkın Tok, A. Avcı, Aycan Sezan, Oya Baydar, E. Ozyilmaz","doi":"10.52142/OMUJECM.38.3.16","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.16","url":null,"abstract":"Santolina chameacyparissus (Santo) is an evergreen plant which is traditionally used for its anti-inflammatory effects in various diseases. In this study, we aimed to explore the effects of Santo in non-small cell lung cancer cells. We extracted volatile oil from the plant and evaluated cytotoxicity, apoptosis and motility effects of the extract on two non-small cell lung cancer (NSCLC) cell lines; one is a patient derived and the other one is a commercially available. We also identified its components via GS/MS and investigated possible targets of the major components of the plant using qPCR and docking studies. Cytotoxicity tests showed dose dependent cell killing activity and flow cytometry assays exposed apoptotic effects of Santo. The essential oil also remarkably decreased migration rate of A549 cells, therefore we evaluated the expression levels of epithelial to mesenchymal transition related genes E-cadherin and Vimentin ratio, ZEB1 and SNAIL and another motility related gene Ezrin. Santo did not change the expression of EMT related genes but decreased Ezrin levels. According to the results of the GS/MS analysis, Artemisia ketone and Camphor were identified as major molecules of the extract. Docking analysis also revealed that artemisia ketone, the major component of the Santo extract, potentially showed strong binding to the active site of ezrin protein and both artemisia ketone and camphor had ability to bind DNA. The results of the present study indicate that Santo and its components artemisia ketone and camphor are promising anti-cancer agents, and their potential in targeting DNA and oncogenic proteins in the lung cancer cells seems worth to focus on this plant in cancer related drug discovery science.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"387 1","pages":"294-300"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79569900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Lance Adams syndrome following post-hypoxic myoclonic status epilepticus in an adolescent patient with chronic renal failure: A case report 兰斯亚当斯综合征后缺氧肌阵挛性癫痫持续状态的青少年患者慢性肾衰竭:一个病例报告
Pub Date : 2021-04-23 DOI: 10.52142/OMUJECM.38.3.32
Muhammed Udurgucu, N. AŞILIOĞLU YENER, Ö. Çelik, Seher ESER KAYIKCI
Myoclonic contractions that may occur after hypoxia might be related to post-hypoxic status epilepticus (PHSE) or Lance Adams syndrome (LAS). It is important to distinguish these two myoclonic conditions in terms of treatment and prognosis. In the literature, both PHSE and LAS have not been reported in pediatric age group including adolescents. Here we report an adolescent case with chronic renal failure who developed PHSE and then LAS after a long-term cardiopulmonary resuscitation.
缺氧后可能发生的肌阵挛性收缩可能与缺氧后癫痫持续状态(PHSE)或兰斯·亚当斯综合征(LAS)有关。在治疗和预后方面区分这两种肌阵挛是很重要的。在文献中,PHSE和LAS均未在包括青少年在内的儿科年龄组中报道。在这里,我们报告了一个青少年慢性肾衰竭的病例,他在长期心肺复苏后发展为PHSE,然后是LAS。
{"title":"Lance Adams syndrome following post-hypoxic myoclonic status epilepticus in an adolescent patient with chronic renal failure: A case report","authors":"Muhammed Udurgucu, N. AŞILIOĞLU YENER, Ö. Çelik, Seher ESER KAYIKCI","doi":"10.52142/OMUJECM.38.3.32","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.32","url":null,"abstract":"Myoclonic contractions that may occur after hypoxia might be related to post-hypoxic status epilepticus (PHSE) or Lance Adams syndrome (LAS). It is important to distinguish these two myoclonic conditions in terms of treatment and prognosis. In the literature, both PHSE and LAS have not been reported in pediatric age group including adolescents. Here we report an adolescent case with chronic renal failure who developed PHSE and then LAS after a long-term cardiopulmonary resuscitation.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"34 1","pages":"379-380"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84771353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening for family functioning and mental health in adolescents with non-cardiac chest pain: A comparison study for a frequently encountered problem 筛查青少年非心源性胸痛的家庭功能和心理健康:一个常见问题的比较研究
Pub Date : 2021-04-23 DOI: 10.52142/OMUJECM.38.3.6
Nursel Akmaz, Hacer ÖRSDEMİR HORTU, K. Eliaçık, Yavuz Demirçelik, Özlem Üzüm, A. Kanık, Barış Güven, T. Demircan, C. Karadeniz, A. R. Bakiler, M. Helvaci
Chest pain is highly prevalent in adolescence, represents a considerable burden for health services, and rarely associated with cardiac disease. Since psychosocial factors are related to chest pain there is a need for exploring the accompanying family functioning and mental health problems in adolescents with non-cardiac chest pain. Here, we assessed these determinants in 68 adolescents with non-cardiac chest pain and 68 age and-sex matched control participants using the 4-item Patient Health Questionnaire-4 for a brief screening for anxiety and depression and the Family APGAR Scale to assess the perception of family functioning. Adolescents with non-cardiac chest pain reported more depression, anxiety, and experienced impaired family functioning (p=0.003, p<0.001, p<0.001). The results indicated that non-cardiac chest pain is a warning sign of an underlying mental health problem with accompanying family issues and it deserves further psychosocial investigation including anxiety, depression, and impaired satisfaction of the adolescents’ family’s responsiveness.
胸痛在青少年中非常普遍,对卫生服务构成相当大的负担,很少与心脏病有关。由于心理社会因素与胸痛有关,因此有必要探讨伴随的家庭功能和青少年非心源性胸痛的心理健康问题。在这里,我们评估了68名患有非心源性胸痛的青少年和68名年龄和性别匹配的对照组参与者的这些决定因素,使用4项患者健康问卷-4进行焦虑和抑郁的简短筛查,并使用家庭APGAR量表评估家庭功能的感知。非心源性胸痛的青少年报告更多的抑郁、焦虑和家庭功能受损(p=0.003, p<0.001, p<0.001)。结果表明,非心源性胸痛是伴随家庭问题的潜在心理健康问题的警告信号,值得进一步的社会心理调查,包括焦虑、抑郁和对家庭反应的满意度受损。
{"title":"Screening for family functioning and mental health in adolescents with non-cardiac chest pain: A comparison study for a frequently encountered problem","authors":"Nursel Akmaz, Hacer ÖRSDEMİR HORTU, K. Eliaçık, Yavuz Demirçelik, Özlem Üzüm, A. Kanık, Barış Güven, T. Demircan, C. Karadeniz, A. R. Bakiler, M. Helvaci","doi":"10.52142/OMUJECM.38.3.6","DOIUrl":"https://doi.org/10.52142/OMUJECM.38.3.6","url":null,"abstract":"Chest pain is highly prevalent in adolescence, represents a considerable burden for health services, and rarely associated with cardiac disease. Since psychosocial factors are related to chest pain there is a need for exploring the accompanying family functioning and mental health problems in adolescents with non-cardiac chest pain. Here, we assessed these determinants in 68 adolescents with non-cardiac chest pain and 68 age and-sex matched control participants using the 4-item Patient Health Questionnaire-4 for a brief screening for anxiety and depression and the Family APGAR Scale to assess the perception of family functioning. Adolescents with non-cardiac chest pain reported more depression, anxiety, and experienced impaired family functioning (p=0.003, p<0.001, p<0.001). The results indicated that non-cardiac chest pain is a warning sign of an underlying mental health problem with accompanying family issues and it deserves further psychosocial investigation including anxiety, depression, and impaired satisfaction of the adolescents’ family’s responsiveness.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"6 1","pages":"241-245"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80210842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Experimental & Clinical Medicine
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