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    The effect of vitamin D deficiency in patients with trigeminal neuralgia: A case control study
    (2021) Altunkaya Yagci, Neslihan; Demiroz Aslan, Duygu; Durmus, Mahmut
    An association between vitamin D deficiency and chronic pain has been suggested in several observations. The objective of this study was to determine whether there was an interrelation between patients with trigeminal neuralgia and vitamin D levels. This study included 45 patients. All patients were diagnosed with trigeminal neuralgia in the Department of Pain Management. Age, sex, diagnosis year, antiepileptic drug use and medication for trigeminal neuralgia (TN) treatment were obtained and recorded. Patients included in the study were grouped based on the Barrow Neurological Institute Pain lntensity Scale (BNI) as BNI <4 Group 1, BNl > 4 Group 2. Trigeminal neuralgia patient’s quantitative assessment of pain was performed under the supervision of a pain specialist who was blinded to the study. Demographic data were similar in each group. A patient in Group I and 13 patients in Group 2 had interventional pain therapies before blood samples were obtained. The mean level of vitamin D was found as 29.6 + 5.8 ng/ml in Group I and defined as insufficient. The mean level of vitamin D was 12.9 + 5.0 ng/ml in Group 2. The mean level of Vitamin D was significantly lower in patients with a BNI pain intensity value ?4 (p < 0.001). lt is concluded that decreased serum vitamin D concentration was associated with trigeminal neuralgia. Although it is not easy to determine any causal correlation with a cross-sectional case control study, we concluded that vitamin D deficiency, as a risk factor for many acute and chronic diseases, was associated with pain severity in trigeminal neuralgia patients.
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    Evaluation of monitorization in anesthesia applications outside the operating room, compatibility of standard infrastructure and equipment : A survey study
    (2021) Demiroz Aslan, Duygu; Ferlengez, Ayse Gul; Altunkaya Yagci, Neslihan
    We aimed to evaluate the suitability of monitoring, standard infrastructure and equipment in anesthesia applications of anesthesiology reanimation specialists and resident physicians working in Istanbul and increase the awareness of them. 106 anesthesiology reanimation specialists and resident physicians working in Istanbul and Malatya included in the study. The results of the survey consisted of 31 questions were obtained by collecting data via electronic data form on the web. Statistical analysis was used. In our study, the presence of oxygen supply, aspirator and probes in the areas of anesthesia outside the operating room, the presence of light source is sufficient, the most commonly used respiratory parameters of the monitoring methods and cardiovascular monitoring was followed. In these areas it was seen that 94% of the emergency trolleys were found and in the emergency boxes it was seen that the drugs used for cardiac arrhythmia and arrest treatment were usually found. There was a 40% defibrillator and a 60% support team for emergency situations and 56% of the system that could communicate for assistance. 74% of the recovery unit and 37% of the waste gas system were found outside the operating room. We believe that monitoring, compliance of standard infrastructure and equipment are effective to prevent complications in anesthesia outside the operating room applications.