1.Patients' and parents' concerns and decisions about orthodontic treatment.
Fatih KAZANCI ; Cihan AYDOGAN ; Ozer ALKAN
The Korean Journal of Orthodontics 2016;46(1):20-26
OBJECTIVE: Patients' and parents' expectations are important in orthodontic treatment decision making. The literature generally demonstrates the perceived benefits of orthodontic treatment, but patients' and their parents' concerns about orthodontic treatment have not been investigated comprehensively. The aim of this study was to identify patients' and parents' concerns about orthodontic treatment and compare them according to sex, age, and treatment demand level. METHODS: One hundred and eighty-nine children and their parents were interviewed about concerns related to orthodontic treatment. Patients and parents were asked about orthodontic treatment decisions. Answers were recorded as "yes," "no," or "don't know." Chi-squared and Fisher's exact tests were used to compare concerns between age groups, sexes, and treatment demand levels. Kappa statistics were used to assess agreement between patients and their parents. RESULTS: Concerns about orthodontic treatment were gathered under 10 items as follows: "feeling pain," "the appearance of braces," "being teased," "avoiding smiling," "speech problems," "dietary changes," "problems with transportation," "economic problems," "long treatment duration," and "missing school." There was no statistically significant difference in concerns between the sexes or age groups. Some concern items and treatment demand were inversely related in patients. CONCLUSIONS: The results of this study demonstrate patients' and parents' concerns about orthodontic treatment. Differences between the concerns of patients with different treatment demands imply that children might reject orthodontic treatment because of their concerns. Appropriate consultation of patients addressing their concerns may help reduce anxiety and improve the acceptance of treatment.
Anxiety
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Child
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Decision Making
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Humans
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Parents
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Psychology
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Socioeconomic Factors
2.Intraparenchymal Methylene Blue Injection for Sentinel Lymph Node in Breast Cancer Patients does not Interfere with the Pulse Oximetry Readings.
Fatih AYDOGAN ; Ziya SALIHOGLU ; Cihan URAS ; Ilhan KARABICAK ; Varol CELIK ; Ali CERCEL ; Semih BAGHAKI ; Ufuk TOPUZ ; Deniz ATASOY ; Rovnat BABAZADE ; Hilal UNAL
Journal of Breast Cancer 2009;12(1):32-35
PURPOSE: Alteration in oxygen saturation is a side effect of the dye used in sentinel lymph node biopsy. The object of this study was to determine the possible effects of methylene blue on the oxygen saturation in patients undergoing sentinel lymph node biopsy. METHODS: The complete peroperative records of 148 patients who underwent sentinel lymph node biopsy with intraparenchymal injection of methylene blue were reviewed. The data reviewed included the preinjection pulse oximeter saturation readings and the postinjection values until the readings returned to the preoperative levels in the postanesthesia care unit. RESULTS: The pulse oximetry values were recorded preoperatively, after intubation and, at 15, 30, 45, and 60 minutes of the operation. The results showed that methylene blue did not cause any significant changes in oxygen saturation levels. CONCLUSION: We suggest that methylene blue might be preferable for the patients with concomitant disease, and for whom close monitoring of their oxygen saturation is required.
Breast
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Breast Neoplasms
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Humans
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Intubation
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Lymph Nodes
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Methylene Blue
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Nitriles
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Oximetry
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Oxygen
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Pyrethrins
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Reading
;
Sentinel Lymph Node Biopsy