Guven Med and Health Sci
- Pediatrik Beyin Tümörlerinde Gamma Knife
- Intraoral Appliances in the Treatment of Patients with Obstructive Sleep Apnea Syndrome
- Hiccups in Thoracic Surgery Practice
- A Current Treatment Protocol for the Treatment and Prevention of Periodontal and Peri-implant Diseases: Guided Biofilm Therapy
- On Music Therapy, and its Perception
- History of Endocrinology and Metabolic Diseases
- Decision Making and Scientific Approach in Medicine: Introduction, Basic Concepts and a (Local) Model Proposal
Articles
Pediatrik Beyin Tümörlerinde Gamma Knife
Authors: Alp Özgün Börcek
Abstract
Pediatric brain tumors are the second most common tumor type after leukemia in the entire pediatric population. Management of these tumors has many differences from adult tumor management. Due to their unique characteristics, the management of brain tumors in this age requires multidisciplinary approaches consisting of specialized teams. In this review, the uses of Gamma Knife radiosurgery - which is generally used for adult tumors - in childhood are reviewed.
DOI: 10.62351/gmhs.2024.006
Intraoral Appliances in the Treatment of Patients with Obstructive Sleep Apnea Syndrome
Authors: Sıla Burcu Özer Yağcı, Duygu Karakış
Abstract
Obstructive sleep apnea syndrome (OSAS), one of the most common sleep disorders, negatively affects the quality of life of individuals. This review highlights the importance of intraoral appliance therapy that dentists can provide for OSAS, whose etiology and treatment can be complicated.
DOI: 10.62351/gmhs.2024.007
Hiccups in Thoracic Surgery Practice
Authors: Ekin Zorlu1, Berkant Özpolat
Abstract
Hiccups is a physiological reflex experienced by everyone, with no known benefit. While hiccups attacks may be temporary, more than 100 factors have been shown to cause persistent hiccup. Patients presenting with persistent and intractable hiccups must be investigated in detail. Among the causes, idiopathic is the most common. Gastrointerstinal diseases, factors that stimulate the vagus nerve and diaphragm, central nervous system and intrathoracic factors should be primarily investigated. If there is an etiological factor that can be revealed by diagnostic methods, the treatment plan should be aimed to eliminate it. In addition to pharmacotherapy, surgery is an option that provides an effective solution for stubborn and persistent hiccups for which the cause cannot be found.
DOI: 10.62351/gmhs.2024.005
A Current Treatment Protocol for the Treatment and Prevention of Periodontal and Peri-implant Diseases: Guided Biofilm Therapy
Authors: Bülent Kurtiş, Burcu Kutlay Kurtiş
Abstract
Dental biofilm, which is tightly bound to teeth and implant surfaces and proliferates intensively in layers over time, plays an important role in the etiopathogenesis of periodontal and peri-implant diseases due to the large number of pathogenic microorganisms it contains. The first and most important procedure in the treatment of periodontal and peri-implant diseases is the complete elimination and control of the biofilm, also called non-surgical mechanical debridement. Thus, many oral diseases and problems, from periodontal and peri-implant diseases to dental caries and periapical inflammations, can be returned to a healthy state by reducing the microbial load and inflammatory cytokines. In recent years, a new treatment protocol called Guided Biofilm Therapy (GBT) has begun to be implemented, which involves completely cleaning and eliminating the biofilm by means of high-tech devices after making it visible on the tooth and implant surfaces. In scientific studies, it has been determined that the treatment results of GBT are better or equal to tooth surface cleaning and root planing procedures, which have been considered the gold standard for years. In this review article, the GBT protocol applied in the treatment of periodontal and peri-implant diseases will be explained in detail in many aspects.
DOI: 10.62351/gmhs.2024.004
On Music Therapy, and its Perception
Authors: Haydar Sur
Abstract
As music therapy practices become more widespread day by day, music therapy, art therapy, etc. are used to fill the gaps left by classical western medicine. The most important reasons are the demand and promise of complementary approaches and the ability of music therapists to create a market by accessing an effective marketing power. It is necessary to put a perspective on music therapy approaches with the evidence-based medical approach of the 21st century. While examining the relationship of music with human health and medicine, it should be known that music's contribution to human health is one thing, and its contribution to treating sick or injured people is another. It should be assumed that we cannot treat a sick person solely and completely with music, and that we cannot replace scientific medicine with music therapy in any disease. In cases where our classical treatment is incomplete and insufficient, music should be introduced as an additional application that expands the size of our treatment and increases its effect. According to our current evidence-based medical knowledge, music has a real effect on the heart and vessels, brain and nerves, and human psychology. Music therapy has unique contributions to the treatment of some disorders if performed by an expert. When we look at today's practices in Türkiye, it is noticed that every doctor or psychologist who deals with music, or every musician who is interested in human health, is eager to attempt this job. What should be done is; the physician, psychologist or occupational therapist must scientifically learn how to integrate music therapy methods into preventive health care or treatment practices, to document this in an official way and adopt a real professional attitude. It should be well understood that our focus in music therapy practice is therapy, not aesthetic pleasure. The patient's participation in the activity is also desirable, if possible. Music therapy, which we know has great potential in preventive and therapeutic medicine, should be prevented from being squandered by amateur enthusiasm.
DOI: 10.62351/gmhs.2024.003
History of Endocrinology and Metabolic Diseases
Authors: Mustafa Cesur
Abstract
Endocrinology and metabolic diseases is a field of medicine that examines the disorders of the endocrine glands and the hormones physiologically secreted from these glands, as well as disorders related to metabolism. The history of endocrinology is generally divided into three phases. The first stage can be considered as the identification of the components of the endocrine, the second stage as the analytical endocrinology stage, and the third stage as the formation of synthetic endocrinology. The identification of the components of endocrine includes the period when endocrine glands were first described and ends with the emergence of the concept of internal secretion. At the stage of analytical endocrinology, the concept of hormone was introduced and many hormones were identified. During the synthetic endocrinology period, the role of hormones in the formation of diseases began to be investigated and diagnosis and treatment methods were developed during this period. Thomas Addison reported in 1855 that some patients complaining of weakness, vomiting and skin pigmentation were caused by the adrenal gland. This is the first time in history that an endocrine gland secretion deficiency has been demonstrated. Starling described the hormone secretin and derived the word hormone from the Greek verb "to excite" or "to arouse" (ormao). The secretin hormone is the first hormone identified in this context. Harvey W. Cushing first used a new electrosurgical device, now known as Bovie, paving the way for transsphenoidal surgery. Jules Hardy developed selective adenomectomy in pituitary adenomas using a binocular microscope and revolutionized transsphenoidal microsurgery. Insulin, which Banting, Macleod, Best and Coolip played a role in discovering, was used in the treatment of type 1 diabetes and took its place in history as a hormone therapy that completely reversed a life-threatening health condition and prevented certain death. This review includes a look at the history of endocrinology.
DOI: 10.62351/gmhs.2024.002
Decision Making and Scientific Approach in Medicine: Introduction, Basic Concepts and a (Local) Model Proposal
Authors: Doğan Ceyhan
Abstract
Being healthy and accessing the best possible health care is humanity's primary need and right. One of the important issues that determine the health status of individuals and individuals is the scientific basis of reasoning and decision-making processes in medical procedures. Bias found in people's reasoning and decision-making processes; Considering factors such as confounding factors is expected to be useful. In addition, the process of being healthy can be contributed to the process of being healthy through the uncertainties in medicine and the correct thinking methods required to reduce these uncertainties, and healthier methods of obtaining and using information such as Bayesian theory and evidence-based medicine. It should also be expected that the scientific approach used at all stages of the patient-physician relationship will contribute to improving the diagnosis-treatment processes for the benefit of the patient. The development of reasoning, decision-making and scientific processes in healthcare operations has the potential to make a significant contribution to human and public health.
DOI: 10.62351/gmhs.2024.001