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Is gluteus medius injured in patients treated with a trochanter tip entry intramedullary nail? Clinical, electrophysiological and functional outcomes
No full textObjectives: This study aims to assess the functional outcomes,
static-dynamic postural stability of patients and evaluate
electromyographic activity of gluteus medius (GMed) muscle during gait
and spatiotemporal parameters of gait in patients after antegrade
intramedullary nailing (IMN) of femoral shaft fractures with trochanter
tip entry.
Patients and methods: Sixteen patients (15 males, 1 female; mean age
34.8 +/- 15.2 years; range, 18 to 58 years) who were treated with an
antegrade trochanteric IMN between January 2009 and July 2013 and eight
healthy male controls (mean age 39.3 +/- 9.8 years; range, 27 to 57
years) were included in this retrospective study. Muscle strength,
static and dynamic postural stability and fall risk were evaluated. In
addition, spatiotemporal parameters of gait were assessed using a
validated wireless inertial sensing device and a wireless
electromyography (EMG) device was used to measure electromyographic
activity of GMed muscle in both groups.
Results: There were significant differences in muscle strength,
functional and dynamic balance test scores between operated and intact
sides (one-leg hop test score p=0.009, balance test scores p
0.001-0.033). There were significant differences in functional and
quality of life physical function test scores between groups (one-leg
hop test score p=0.014). However, no significant differences were found
in EMG results, dynamics balance, and statics postural stability test
scores between groups (p>0.05).
Conclusion: After isolated femur fracture, patients treated with
antegrade trochanteric IMN demonstrated good static and dynamic
stability and poor functional outcomes compared to controls. In
conclusion, patients with antegrade trochanteric IMN have good balance
but poor functional performance; however, further studies are needed to
find out the primary reason for these results
Scale Development/Adaptation Studies Conducted within the Scope of Cyber Threats and Information Security Issues
No full textAkut Miyokart Enfarktüsünde Farklı Revaskülarizasyon Yöntemlerinin Sol Ventrikül Fonksiyonları ve Serum sST2 Düzeyleri ile İlişkisi
No full textComparison of oneshape, 2shape and one curve endodontic instruments for debris and irrigant extrusion [Porównanie efektywności usuwania resztek i płynów płuczących z kanałów korzeniowych za pomocą pilników oneshape, 2shape i one curve]
No full textHigh-sensitive troponin T increase after hemodialysis is associated with left ventricular global longitudinal strain and ultrafiltration rate
No full textBackground: Circulating troponin levels are both stable and higher in
patients with end-stage renal disease, even in the absence of acute
coronary syndrome. These patients commonly have underlying cardiac
problems that frequently cause troponin elevation. The effect of
hemodialysis (HD) on troponin levels has not been well elucidated. Thus,
investigated herein is the relationship between the changes in troponin
levels along with left ventricular deformation and volume depletion in
patients with end-stage renal disease.
Methods: Patients included were between 18 and 85 years of age and were
receiving hemodialysis for at least 6 months. High sensitive cardiac
troponin T (hs-cTnT) levels were studied in blood samples taken at the
beginning and end of HD. Two-dimensional speckle tracking strain imaging
was used to evaluate myocardial contractility.
Results: Seventy patients (50.7 +/- 16.9 years of age, 27 women) were
included in study. The mean volume of ultrafiltration was 3260 +/- 990
mL. A significant increase in circulating hs-cTnT levels was observed,
as well as a prominent decrease in left ventricular global longitudinal
strain (GLS) after HD (52.4 +/- 40.2 ng/L vs. 66.8 +/- 48.5 ng/L, p <
0.001 and 20.1 +/- 3.6\% vs. 16.8 +/- 3.8\% p < 0.001, respectively).
Moreover, ultrafiltration rate and GLS were found as the strongest
independent variables in relation to the relative increase in hs-cTnT.
Conclusions: Hemodialysis can cause a significant increase in hsTnT.
This can jeopardize the accuracy of clinical diagnoses based on hs-TnT
measurements. GLS may be used as a determinant of this hs-TnT increase.
The influence of HD on the cardiovascular system should be kept in mind
to prevent unnecessary interventions
Ortaöğretim Öğrencilerinin Kronolojik Düşünme Becerileri ve Bu Becerilerin Sınıf Düzeyine Göre Gelişiminin İncelenmesi
No full textSocioeconomic Factors and Sustainable Forage Crops Production in Turkey Aegean Region: A Multivariate Modeling
No full textThe aim of this study is to evaluate the effect of farmers'
socioeconomic characteristics on sustainable forage crop production
after forage crop subsidies. One of the innovative aspects of the study
is the simultaneous modeling of alfalfa, silage corn and vetch
production efficiency. For this, the multivariate linear regression
model was used. In this way, the effect of socioeconomic characteristics
on production is more clearly demonstrated by taking into account the
dependency structure between forage crop production. For the study, 487
farmers in the Aegean region, where fodder crops can be produced
throughout the year, were interviewed face-to-face and data were
collected through a questionnaire. According to the results obtained, it
was determined that the width of the land had a positive effect on the
increase in alfalfa, silage corn, and vetch production. The number of
animals was found to have a positive effect on alfalfa and silage maize
production growth. The production of alfalfa was higher in rural
farmers, and vetch production was higher in urban farmers. Farmers who
do not have non-agricultural income focused on vetch production, and
farmers with non-agricultural income focused on alfalfa production. It
was seen that the majority of the farmers participating in the study
were primary school graduates and lived in rural areas. In general, a
significant increase was observed in the production of silage corn,
vetch, and alfalfa, respectively. After the subsidies, it was concluded
that this increase in the production of silage corn, vetch, and alfalfa
was not at a level to meet the amount of forage crops needed by animal
husbandry
Empati Yönelimli Siber Zorbalık Psiko-Eğitim Programının Lise 9. ve 10. Sınıf Öğrencilerinin Siber Zorbalık ve Empati Düzeylerine Etkisi***
No full textIdentifying Climate Literacy Competencies: A Delphi Study at the Middle School Level
No full textThis study aimed to identify climate literacy competencies for middle
school students. The study used a descriptive survey design. The data
were collected using the Delphi method. Climate literacy competencies
for middle school students were identified through Delphi questionnaires
administered in three rounds. A panel of experts in social studies,
geography education, and climate science participated in the Delphi
applications. The number of experts was changed in each round. Four
basic levels were defined for the selection of Delphi panelists. Each
level was divided into two categories so that a more detailed and
comprehensive approach to expert selection was used. Measures of central
tendency (mean, median, and mode) and central dispersion (standard
deviation and interquartile range) were used in the data analysis to
reveal the general judgment of the panelists. Expert opinions were
analyzed according to the criteria defined within the scope of the study
and climate literacy competencies were identified for middle school
students. A 70\% consensus was achieved on the entire Delphi procedure
among the panel of experts. The results of the three-round Delphi
exercise showed that climate literacy competencies that middle school
students should have consist of six categories and the items thereof.
Accordingly, these categories are ``concepts related to climate{''},
``basic knowledge of climate{''}, ``knowledge of national and local
climate{''}, ``relationship between climate and life{''}, ``skills{''},
and ``attitudes and values{''}
