Effects of rehabilitation services in probation system on the resocialization process of offenders: Sample Aydın

Bu çalışmada denetimli serbestlik sistemindeki hükümlünün toplumla bütünleşme sürecindeki temel/öncelikli gereksinimlerinin neler olduğunun, denetimli serbestlik sisteminin hükümlüler için ne ifade ettiğinin, belli rehabilitasyon hizmetlerinin hükümlülerin yeniden sosyalizasyon sürecini ne şekilde etkilediğinin belirlenmesi ve bulgular ışığında sistemin katkılarının arttırılabilmesi için öneriler geliştirilmesi amaçlanmıştır. Araştırma grubunu, Aydın Denetimli Serbestlik Müdürlüğünde haklarında denetimli serbestlik hükmü verilmiş 185 kişi oluşturmuştur. Araştırmada, nitel bir sorgulama ve bakış açısından hareketle veri toplama aracı olarak derinlemesine görüşme tekniği kullanılmıştır. Araştırma verileri, haklarında denetimli serbestlik hükmü verilmiş 185 hükümlü ile görüşülerek elde edilmiştir. Araştırma sonucunda, denetimli serbestlik sistemindeki rehabilitasyon hizmetlerinin hükümlülerin yeniden sosyalizasyonu sürecinde etkili olduğu görülmüştür.The study aims to determine what are the priority based needs for a probation offender's integration process with community, what probation system means for the offenders and how certain rehabilitation services effects the socialization process of an offenders, and to submit suggestions in the light of associated findings for improving the contributions of the probation system upon the factors questioned above. Participants have been selected from Aydın Probation Offices where they have been adjudged with probation. In the study, in-depth interview technique has been used as data collection on the basis of a qualitative inquiry and perspective. Research data has been obtained from 185 interviewers adjudged with probation. Research findings indicate that the rehabilitation services in probation system are effective on the resocialization process of probation offenders

Evaluation of specular microscopic results in clear corneal graft after penetrating keratoplasty and deep anterior lamellar keratoplasty

To compare endothelial changes after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK) in clear corneal graft.Methods: In this study, fifty six eyes undergone DALK (DALK Group) and eighty two eyes undergone PK (PK Group) due to various reasons are included. After operation at 1st, 12th, 24th and 36th month central corneal endothelial cell density (CD) and variability coefficient(CV) value examined by specular microscopy of clear graft which have not had additional surgery, greft rejection or glaucoma during follow up period were compared.Results: Endothelial cell density in DALK group were 2426±587 cell/mm² 2289±579 cell/mm², 2222±541 cell/mm², 2175±521 cell/mm², in PK group were 2595±589 cell/mm², 2064±583 cell/mm², 1759±510 cell/mm² 1509±494 cell/mm² at 1st, 12th, 24th and 36th month respectively. Decrease in CD values were 5.9% at 12th month, 7.5% at 24th month and 9.4% at 36th month comparing with first month in DALK group. Decrease in CD values were 18.4% at 12th month, 30.2% at 24th month and 40.3% at 36th month comparing with first month in PK group. Variability coefficient (CV) values in group DALK were 23.3±6.2, 24.2±6.4, 24.2±6.1 and 24.5±5.6 at 1st,12th, 24th and 36th month respectively. Variability coefficient (CV) values in group PK were 19.6±3.4, 23.2±5.4, 25.9±6.2 and 27.5±5.7 at 1st,12th, 24th, and 36th months respectively.Conclusion: More polymegatism and more decrease in endothelial cell density with time were assessed in grafts undergone PK compared with grafts undergone DALK

The effect of Hematoma in muscle flap microcirculation

Free radicals were first mentioned by Healey about the hematoma under skin flaps, trying to explain the blood itself has different effect beyond its space-occupying effect or infection. The aim of this study was to determine whether hematoma. would have any effect on neutrophil behavior in muscle flap microcirculation. Rat cremaster muscle flap model was used for measuring intravital different parameters. We used the rat cremaster muscle flap model for direct observation and measurement of rolling and adhesion

Free rectus abdominis myocutaneous flap with anterior rectus sheath to provide the orbital support in globe-sparing total maxillectomy

Reconstruction after total maxillectomy with preservation of the orbital contents is technically more challenging than when the maxillectomy is combined with orbital exenteration. It results in severe complications if the orbital content is not supported. We would like to introduce a new technique using free rectus abdominis myocutaneous (RAM) flap with anterior rectus sheath to support the orbital content in a patient who underwent globe-sparing total maxillectomy. The large resection of the recurrent maxillary peripheral nerve sheath tumor was performed in a 34-year-old male patient. Right free RAM flap was harvested simultaneously with the tumor resection. The anterior sheath of upper portion of the rectus muscle was also incorporated into the flap. The free edge of the upper anterior rectus sheath was anchored to three different points: Lateral rim, medial rim and the posterior remnant of the bony orbital floor with non-absorbable suture. Consequently, orbital support was achieved with well-vascularized, thin, strong fascia with smooth surface. Right facial artery and vein were chosen as recipient vessel. Duration of the operation was 5.5 hours. Postoperative period was uneventful. Six months after the surgery, the right eye was in good position without inferior dystopia. Eyeball movement could be done without restriction. The patient also denied diplopia. Reconstruction of globe-sparing total maxillectomy defects with free RAM flap with anterior rectus sheath has several advantages that enable the reconstructive surgeon to solve the multiple complex reconstructive task with one flap: 1) elimination of the secondary donor site morbidity; 2) more simply addressing the challenging task of the eye support than the other techniques; 3) obliterating the maxillectomy defect and closing the palate; 4) restoring the large skin defect, and 5) reducing the operation time. It is difficult to conclude that this technique is the best choice in such cases based on a report of the single case. However, presented technique should be kept in mind as a practical and effective reconstructive option in cases that have underwent the total maxillectomy with the preservation of the orbit