Arthroscopic stabilization of anterior shoulder instability using a single anterior portal

Objective: The aim of this study was to compare the effects of the use of a single anterior portal in the arthroscopic surgery treatment of traumatic anterior shoulder instability with those in the literature. Methods: The study included 72 patients (60 males, 12 females; mean age: 23.9 years) who underwent surgery using a single arthroscopic anterior portal for the treatment of traumatic anterior shoulder instability between 2002 and 2011. Clinical outcomes were assessed using the Rowe and Oxford scales, forward flexion range and external rotation limitation. Redislocation was considered failure. Results: Mean follow-up was 49.3 months. Bankart lesion was determined in 38 patients and Bankart and SLAP lesions in 34. An average of 3.7 (range: 2 to 5) anchors were used. Redislocation was observed in 4 (5.6%) patients in the postoperative period. Postoperative Rowe and Oxford scores were 93.4 and 42.6, respectively. Conclusion: Instability surgery performed using a single arthroscopic anterior portal provided findings comparable with the literature regarding clinical outcomes, postoperative shoulder movements and low recurrence rates, emphasizing the importance of appropriate patient selection rather than the number of the portals. The use of a single portal is less invasive and reduces the surgical period

Lyophilised medial meniscus transplantations in ACL-deficient knees: a 19-year follow-up

The treatment of meniscal tears has changed since the early 1980s. Meniscus transplantation emerged as a treatment option during that period. This study aims to present the long-term results of the first lyophilised meniscus allograft transplants in Turkey. Between 1990 and 1992, four transplants of the medial meniscus combined with anterior cruciate ligament (ACL) reconstruction were performed on patients with a history of medial meniscectomy and anterior knee instability at our institution. For all patients who underwent meniscus lyophilised allograft transplantation and revision ACL reconstruction, clinical outcomes were evaluated over a mean period of 19 years of postoperative follow-up by clinical assessment, Tegner score, Lysholm score, Knee Society Score, radiography and magnetic resonance imaging (MRI). The median value of Tegner score was 3 before index surgery and 2.5 at year 19 postoperatively. The median value of Lysholm score was 60.5 before index surgery and 62.5 at year 19. All of the patients had Outerbridge grade IV osteoarthritis by X-ray examination at year 19. Successful meniscus transplantation depends on many factors. This study examines the effect of allografts on these factors and describes experiences with lyophilised allografts in four male patients. IV

Factores de motivación de los maestros en formación para elegir sus profesiones

The purpose of this research is to determine the motivation factors of teacher candidates regarding the teaching profession. For this purpose, this study was designed with a cross-sectional scanning model, since the data collection process was carried out in one go. The study group of the research, which was designed with the phenomenology pattern, which is one of the qualitative research methods, consists of 20 teacher candidates studying in various departments of Atatürk University Kazım Karabekir Faculty of Education in the 2021-2022 academic year. The data obtained with the semi-structured interview form were analyzed with the help of content analysis. According to the results of the research, teacher candidates are more positively motivated by internal factors related to the teaching profession. Almost all of the negative motivational factors are exogenous. It is seen that these motivational factors affect the attitudes and perceptions of teacher candidates towards their profession. It can be ensured that competent teachers who are motivated by their work can be trained by increasing the motivational elements that are seen as positive by the novice teachers and by reducing the elements that are seen as negative. In this way, significant gains can be achieved at the point of achieving educational goals.El propósito de esta investigación es determinar los factores de motivación de los candidatos a docentes respecto a la profesión docente. Para ello, este estudio se diseñó con un modelo de barrido transversal, ya que el proceso de recolección de datos se realizó en un solo momento. El grupo de estudio de la investigación, que se diseñó con el patrón de fenomenología, consta de 20 candidatos a docentes que estudian en varios departamentos de la Facultad de Educación Kazım Karabekir de la Universidad de Atatürk en el año académico 2021-2022. Los datos obtenidos con el formulario de entrevista semiestructurada fueron analizados con la ayuda del análisis de contenido. Según los resultados de la investigación, los candidatos a docentes están más motivados positivamente por factores internos relacionados con la profesión docente. Casi todos los factores motivacionales negativos son exógenos. Se ve que estos factores motivacionales afectan las actitudes y percepciones de los candidatos a docentes hacia su profesión. Se puede asegurar que los docentes competentes que están motivados por su trabajo pueden ser formados aumentando los elementos motivacionales que los docentes novatos ven como positivos y reduciendo los elementos que ven como negativos. De esta manera, se pueden lograr ganancias significativas al punto de lograr las metas educativas

Contraception knowledge status of marriage applicants couples in the Van city

This study was performed to determine ofcontraception knowledge levels and planning contraceptionmethods after marriage that couples have applied tofamily planning center in the Van city.Methods: Study has planned as descriptive manner. Thisstudy was performed on 255 couples who have appliedfor official wedding procedure to Van maternal and childhealth and family planning center between September2010 - January 2011. Participants were determined on avoluntary basis. Questionnaires were filled out by familymedicine face to face with couples.Results: Totally, 21.3% percent of women, 23.5% percentof men have primary school degree. 18% of women,93.4% of men have a profession. 12.1% percent of womenand 12.9% percent of men does not have any knowledgeabout contraceptive and 43% of couples do not consideruse any contraceptive method after marriage. The resultshas shown that when evaluate the couples, in terms ofthe distribution of contraception information, the coupleshave more information about condoms, pills, coil, injectionand withdraw methods then tube ligation, implants,spermicides, vasectomy and the calendar methodsConclusion: Van region has a low socio-economic status.The couples should be informed about family planningbefore marriage, to talk about advantages of collaborationbetween the couples about birth control methodchoice.Key words: Reproductive health, family planning, contraceptio

Clinical evaluation of an antero-medial approach for plate fixation of the proximal humeral shaft

Objective Surgical approach of fractures of the proximal humeral shaft should protect the muscular insertions and the vascularisation of fragments, improving bone union and functional recovery. The aim of this study is to review cases operated with an original anteromedial approach, in cases of specific fractures of the proximal humeral shaft. Materials and methods Prior to clinical application, a cadaveric study was accomplished. Based on the results, six clinical cases had surgery using an approach medial to the biceps and brachialis. The osteosynthesis was performed with locked plates and 4.5 screws. The approach was indicated in fractures presenting with a large lateral wedge including the deltoid muscle insertion. Stable osteosynthesis achieved with this approach allowed early postoperative mobilization of the arm in all cases. Results The case-series consisted of three women and three men with a mean age of 52.1 years (range 38–68). The minimal follow-up was 1 year. Bone union was observed at an average time of 11.2 weeks. There were no intra- or postoperative complications. Discussion Open reduction and internal fixation with compression plating is a standardized and successful procedure in the treatment of humeral fractures. Internal fixation with lateral plating is difficult in the proximal third of the humeral shaft, where the positioning of the implant may hurt the long biceps tendon and the deltoid insertion. This approach was successful and safe in the presented cases. Conclusion The antero-medial approach with metaphyseal locking plate protects the muscular insertions and the vascularisation of the wedge fragment, leading to good results in all the cases in this series

Arthroscopic release of the subscapularis for shoulder contracture of obstetric palsy

Objective Retrospective study of one surgeon’s experience with arthroscopic release in obstetrical brachial plexus palsy. Methods Over a four-year period, 6 patients who presented with a shoulder contracture secondary to obstetric palsy before the age of 8 years were treated arthroscopically. Small arthroscopy instruments, small shaver blades, including a 2.7-mm, 30° angled scope, and 90° radiofrequency probe, were used for this surgery. Patient selection for this approach was based on the lack of bone deformity and targeted soft tissue release. Postoperative brace immobilization for 6 weeks was used in all patients. Functional status of the patients was evaluated pre- and postoperatively with the assessment of external rotation. Results The case series consisted of 2 girls and 4 boys with a mean age of 5.1 years (range, 3–8 years). No patient was lost to follow-up, and all patients completed a minimum 1 year of clinical and radiographic follow-up. Increases in external rotation were observed in all patients. There was no intra- or postoperative complications. Conclusion Arthroscopic treatment of the shoulder contracture in obstetric palsy was found to be a safe and eVective procedure in patients who are likely to undergo future tendon transfer or bone surgery

Evaluation of resistance of Turkish bread wheat (Triticum aestivum) varieties to recently emerged Puccinia striiformis f. sp. tritici races

Using genetic diversity has made significant contribution to stripe rust resistance to improve wheat production. However, rapid evolution of the Puccinia striiformis f. sp. tritici (Pst), and emergence of virulent races can negatively affect the wheat genotypes with race-specific resistance gene(s). In this study, reactions of 130 bread wheat varieties, released from 1931 to 2014, were evaluated to recently emerged Pst races in Turkey, PSTr-6 and PSTr-23, at seedling and adult-plant stages. 65.4% and 67.7% of wheat varieties showed susceptible reaction to PSTr-6 and PSTr-23 at seedling stage, respectively. Moreover, coefficient of infection (CI) values generated by infection type (IT) and disease severity (DS) data demonstrated that PSTr-23 (59.78) was more virulent than PSTr-6 (57.93) at adult-plant stage. In addition to these, the presence of important yellow rust (Yr) genes in these varieties was investigated at molecular level. It was determined that the frequencies of three Yr genes, Yr5, Yr10 and Yr15, among these varieties were 1.5, 6.2 and 3.8%, respectively. However, none of them had Yr36 and only one variety had Yr5+Yr10 combination with frequency of 0.7%. In conclusion, most varieties have not these Yr genes and possess a moderately resistance/susceptible reaction to both races in general. © 2022 Elsevier Lt

Races of Puccinia striiformis f. sp. tritici identified from the coastal areas of Turkey

Stripe rust, caused by Puccinia striiformis f. sp. tritici, is a devastating disease of wheat in Turkey and worldwide. This pathogen can overcome known resistance genes and negatively affect the wheat production. The objectives of this study were to determine the virulence patterns of wheat stripe rust isolates collected from the coastal areas (Aegean and Mediterranean regions) of Turkey, and to examine the genetic diversity of the pathogen populations by simple sequence repeat (SSR) marker analysis. The majority of the isolates collected were virulent at various frequencies on the resistance genes Yr1 (50%), Yr6 (100%), Yr7 (78%), Yr8 (50%), Yr9 (84%), Yr10 (25%), Yr17 (38%), Yr24 (22%), Yr27 (31%), Yr32 (22%), Yr43 (47%), Yr44 (6%), YrSp (41%), YrTr1 (6%), and avirulent on Yr5 and Yr15. Based on the analysis of virulence, all isolates were determined as 25 races and clustered into six virulence groups (VGs). In contrast, the isolates clustered into four molecular groups (MGs) based on genotypic data. All four MGs were found in Aegean region of Turkey, while only three MGs (MG1, MG2 and MG3) were found in the Mediterranean region of the country. Additionally, analysis of molecular variance indicated that 80.9% of genetic variation was found within regions and 19.1% was found between the regions. The results suggest that interregional migration of the pathogen was high. The data can be helpful for the management of stripe rust and understanding the population structure and migration of Pst in Turkey. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group