IntroductionNeonatal testicular torsion (NTT) includes cases which occur in the first 30 days of life and is divided into two groups as prenatal and postnatal torsion. Prenatal testicular torsion develops in the intrauterine period and its etiology has not been elucidated fully. Prenatal testicular torsion is diagnosed at birth or on the first examination of the baby. In the postnatal testicular torsion, the first examination of the baby is normal and a firm testis is palpated in the follow-up. The incidence of neonatal testicular torsion is 6.1/100 000 (1) and it constitutes 10-22% of childhood testicular torsions (2). Prenatal cases are observed more rarely; there is no information about the incidence. In the literature, less than 200 cases of prenatal testicular torsion have been reported. On physical examination, discolouration in the scrotum and firm testiscle are observed. Only 0-5% of prenatal torsions can be saved (2). However, it should be kept in mind that shortening of the time between the diagnosis and operation is important in terms of saving the testicle in cases of NTT. Here, a newborn who underwent orchiectomy because of prenatal testicular torsion was presented and the importance of detailed examination of the genital organs on the first physical examination was emphasized. CaseThe first and fifth minute Apgar scores of a baby born at the 35th gestational week from the first pregnancy of a 46-year old mother following in vitro fertilization were 8 and 9, respectively. In the prenatal period, the mother had gestational diabetes. The baby was admitted to the Neonatal Intensive Care Unit becasue of respiratory distress and preterm delivery and monitored with mechanical ventilation. On the first physical examination, the body weight was found to be 3 390 g (>97p), the height was found to be 52 cm (>97p), the head circumference was found to be 35.5 cm (>97p). The respiratory rate was 70/min, the heart rate was 140/min, the body temperature was 36.5°C and the blood pressure was measured to be 55/35 mmHg. There was hydrocele in the right scrotum as seen on Figure 1 which was taken after obtaining consent from the family. The right testicle had a size of 10x10 mm. The skin of the left testicle was darker than normal and a firm mass with a size of 15x15 mm was palpated in the scrotum (Figure 1). The left testicle was firmer and located more upwards compared to the right testicle. Paratesticular structures could not be differentiated fully. Since the patient was mechanically ventilated and receiving fentanyl infusion, it could not be fully evaluated if the testicular structures were painful. Other examination findings were normal. In the laboratory tests, complete blood count, blood glucose, blood gases, hepatic and renal functions were found to be normal. Scrotal Doppler ultrasonography revealed that both testicles were in the scrotum, the right testicle had a size of 7x7 mm and AbstractTestis tortion in the newborn (especially antenatal testis tortion) is observed very rarely and constitutes 10-12% of ...
Background: This study examines the frequency of problematic internet use and sleep problems in adolescents aged 14-18 years during the COVID-19 pandemic and identifies the impact of factors such as sociodemographic characteristics, internet habits, changes in daily life, and perceived social support on these problems. Methods: This multicentre study was a questionnaire-based online survey study. The questionnaire included the Young Internet Addiction Scale, the Pittsburgh Sleep Quality Index, and the Multidimensional Scale of Perceived Social Support, as well as questions about demographic information, internet habits, and changes in daily life during pandemic. Several multivariate Backward logistic regression models were run to determine the variables that predicted problematic internet use and poor sleep quality. Results: It was determined that the frequency of problematic internet use was 15.5%, and the frequency of poor sleep quality was 47.8%. Poor sleep quality was found 2.5 times higher in problematic internet users. The perceived social support was found insufficient in adolescents with problematic internet use and poor sleep quality. Various factors such as the excessive use of internet and social media, low school success, lack of physical activity, lack of rules for internet use at home, and worsening of relationships with parents were found to be predictive factors for these problems. Conclusions: Problematic internet use during the pandemic is associated with worsening sleep quality in adolescents. It is important to create special interventions for problematic internet use and sleep problems that develop in adolescents as a result of restrictions during the pandemic. Key Practitioner Message• The restrictions experienced during the COVID-19 pandemic can cause various problems such as problematic internet use and sleep problems in adolescents. However, little is known about the relationship of these problems with perceived social support and changes in daily life. • In this study, poor sleep quality was found higher in problematic internet users. Problematic internet use and related sleep problems were found significant problems in adolescents during the pandemic period, and these problems were observed together with a poor academic performance and lower perceived social support. • Various factors such as the excessive use of internet and social media, low school success, lack of physical activity, lack of rules for internet use at home, and worsening of relationships with parents were found to be predictive factors for these problems. • It is important to establish intervention programs that will improve the daily lives of adolescents who are prone to problematic internet use and sleep problems and increase the social support they receive from family and friends.
Background/aim: This study aimed to evaluate the effects of salbutamol inhaler treatment in an experimentally induced model of pulmonary contusion. Materials and methods: Thirty-two male Wistar albino rats were randomly divided into four groups: the control group (CG), sham group (SG), treatment group 1 (TG1), and treatment group 2 (TG2). Experimental contusion was established by targeting the right lung tissue. After 72 h, histopathological evaluation for the severity of edema, hemorrhage, and leukocyte infiltration was performed in both sides of the lungs. Results: Examination of right lung tissues revealed a significant difference in edema, hemorrhage, leukocyte infiltration, and total lung injury scores between the CG and SG. Both TG1 and TG2 had less edema, hemorrhage, and leukocyte infiltration and lower total lung injury scores compared with the SG. There was no significant difference in edema, hemorrhage, and total lung injury scores between the CG and TG1 or TG2. A significant difference in hemorrhage scores between the SG and TG1 and edema scores between the SG and TG2 was observed, with treatment groups having lower values. A significant difference in total lung injury score was also found between SG and TG1. Conclusion: Salbutamol inhaler therapy during pulmonary contusion may prevent complications by reducing edema, hemorrhage, leukocyte infiltration, and total lung injury score.
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