Ölümsüzlük Arzusu ve Dijital Çağda Yeni Açılımlar: “Upload” Televizyon Dizisi Örneği

Yapay zekanın gelişimiyle bağlantılı olarak, belleğin dijital imkânlarla sanal gerçeklik evrenine aktarılabilmesinin mümkün hale gelmesi olasılığı ve bunun toplumsal sahaya ve din alanına olası yansımaları son günlerde daha sık gündeme gelmeye başlamıştır. Bu çalışmada, dijital çağda ölüm sonrası ve kişinin ölümsüzlük arayışı ile ilintili olarak, ileri teknoloji ve sanal gerçeklik temalarıyla yoğrulmuş bir tür sanal ahiret yaratma girişimini içeren ‘Upload’ TV dizisi araştırma konusu haline getirilmiştir. Araştırmada nitel yöntem esas alınmıştır. Bu çerçevede birinci sezonu on bölümden oluşan dizinin tüm bölümleri veri analizi tekniklerinden betimsel analiz tekniği kullanılarak değerlendirilmiş ve yorumlanmıştır. Araştırma sonucunda dijital dünyaya her yönüyle ayak uydurmuş, ölümü sonrasında sanal cennette varlığını sürdürebileceğine inanan bireylerin karşısında; gelenekçi, yer yer eski kafalı ve dindar olarak tanımlanan bireylerin konumlandırıldığı görülmüştür. İnanan, geçmişin değerlerini taşıyan dindar insan tipi ötekileştirilmiştir. Akılla ve gelişen teknolojiyle ölümlülük yazgısının değişebileceğine yönelik inancın ise pekiştirildiği anlaşılmaktadır. Dizide izleyiciye sunulan toplumsal sistemde, değer bağımsız ve salt ekonomik güçle bir tür sanal ölümsüzlüğe kavuşan şahsiyetler söz konusudur

The evaluation of forensic cases reported due to food poisoning

Objective: In this study it is aimed to examine forensic food poisoning cases and to evaluate the clinical presentation of food poisoning in people within the context of forensic medicine. Methods: In the study, 215 food poisoning cases are evaluated, which applied to the forensic medicine branch office in our city between 01.01.2007 and 31.12.2011. The forensic reports and forensic investigations of these cases are analyzed retrospectively. The cases are examined in terms of gender, age, the type of food consumed, the treatment applied and the result of the forensic report. Results: It is determined that in 83 cases (38.6%) food poisoning was caused by chicken products, and in 178 cases (82.8%) the poisoned people were students. In 3 cases (1.4%) the poisoning was life threatening. For 75 cases (34.9%) no forensic report was prepared in emergency service and among the 140 cases for which a forensic report was prepared, only 3 of the reports were prepared in a correct manner. Conclusions: It is determined that the demographic data of the cases complies with the city where the study was conducted. It is found out that in emergency services the food poisoning cases are usually misevaluated

Test-retest reliability of tetrax® static posturography system in young adults with low physical activity level

Purpose/Background: Assessment of postural sway with force plates can be affected by type of measurement and various clinical parameters such as age and activity level of the individual person. For this reason, variability is detected in postural reactions of healthy subjects without balance impairment. Test-retest reliability of postural sway in adolescent athletes has been measured using a force plate and additional test-retest studies have been suggested for subjects of different age groups with different activity levels. Therefore, the purpose of this research was to assess test-retest reliability of Tetrax (R) Static Posturography in young adults with low physical activity level, and examine the relationship between posturography results and low activity level.Methods: Young adults older than 18 years of age were included in the study. Demographic characteristics of the cases were recorded including age, weight, height, body mass index (BMI, kg/m(2)) and dominant extremity. Number of falls in the previous six months, lower body endurance (sit to stand test) and single-leg eyes closed stance test were recorded. Activity level of participants was determined according to the International Physical Activity Questionnaire (IPAQ). Posturographic evaluation of all volunteers was completed using the Tetrax (R) Interactive Postural Balance System (Sunlight Medical Ltd, Israel). Fall risk and general stability index (SI) calculated by the Tetrax (R) were recorded. Following the first test, measurements were repeated 24 to 48 hours later for reliability purposes.Results: Sixty-five subjects (28 male, 37 female; mean age 22.2 +/- 1.1 years, mean BMI 22.6 +/- 3.3 kg/m(2)) were evaluated. All participants were classified as minimally active according to mean IPAQ score (1042.1 +/- 517.7 [231 -2826] MET-minutes per week). ICC scores between the first and second tests for fall index and total stability index were excellent (ICC2,1 = 0.858, 0.850, respectively). Fall risk determined by using the Tetrax (R) device was negatively correlated with lower body endurance (p=0.001, r=-0.446), vigorous activity score (p=0.011, -0.312) and total activity score (p=0.029, r=-0.271), and positively correlated with single leg stance score (p=0.001, r=0.606). There was a weak correlation between fall risk history and the fall risk determined by using Tetrax (R) device (p=0.04, r=0.255). There were no correlations between fall risk and height, weight, and BMI (p>0.05).Conclusions: The results demonstrated the high test-retest reliability of Tetrax (R) interactive balance system in young healthy adults with low physical activity level. Future studies are needed to determine the effectiveness of increasing physical activity level on postural control

Orthopedic surgeons' view for the prevention of osteoporotic secondary fractures: A survey

Objectives: This study aims to investigate the tendencies related to assessment and treatment modalities administered to patients with osteoporotic fractures by orthopedics and traumatology specialists for the prevention of secondary fractures in our country. Materials and methods: A survey composed of 10 questions was applied in electronic environment to actively practicing 144 orthopedics and traumatology specialists to detect their demographics, protocol they administer for the diagnosis and follow-up of primary osteoporosis, and assessment and treatment modalities they administer for the prevention of secondary fractures. Categorical variables were compared statistically based on duration of specialization, affiliated institution, and academic career along with the descriptive results. Results: Use of the Fracture Risk Assessment Tool (FRAXTM) developed by World Health Organization is limited among orthopedics and traumatology specialists in our country (11%). There was no statistical difference between the groups (p>0.05). The rate of starting the appropriate treatment after hip and vertebral fractures due to osteoporosis was 21%. In addition, 46% of the physicians preferred to wait for the dual-energy X-ray absorptiometry results. Only academic career was statistically significantly different between the groups (p=0.043). Conclusion: In our country, majority of patients who present with osteoporotic hip and vertebra fractures are assessed and treated insufficiently for the prevention of secondary fractures. Supporting our results with clinical studies can accelerate the development of sufficient research and treatment programs for patients with osteoporotic fractures

Relationship of side dominance and ultrasonographic measurements of pronator quadratus muscle along with handgrip and pinch strength

Aims: We ascertained effects of hand dominance in both right and left-handed volunteers on the thickness and cross sectional area (CSA) of pronator quadratus (PQ) muscle as measured by the axial and sagittal views of ultrasound imaging. Secondly, we also aimed to document the extent of the relationship between the PQ measurements and handgrip. Materials and methods: Healthy adults from the volunteer medical staff were included in the study. Handedness was assessed via The Flinders Handedness survey. The sonographic appearance of the PQ was evaluated on sagittal and axial images for both hands. CSA of PQ muscle was digitally drawn and calculated on the axial plane. Handgrip was measured by using adjustable-handle dynamometer. Results: Eighty-nine healthy volunteers were included (54 right and 35 left-handed). Significant difference was detected between dominant and non-dominant hands in CSA and muscle thickness in both right and left-handed volunteers (p<0.05). These measurements were correlated with the handgrip strength (p<0.05, r=0.55, and r=0.43 for right-handed volunteers, r=0.67 and r=0.48 for left-handed volunteers, respectively). There were also significantly high correlations between the measurements of CSA and PQ thickness of the corresponding extremity in both right-handed and left-handed volunteers (p<0.05). Conclusions: A statistically significant difference exists between dominant and non-dominant hands in CSA and muscle thickness measured by US in both right and left handed volunteers, and this is correlated with handgrip strength. Hand dominance should be considered to compare healthy and affected sites during US of PQ while investigating for occult fractures of distal forearm or PQ atrophy due to anterior interosseous nerve injury

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P &lt; 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P &lt; 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Anne ve Çocuklarının Suda Boğulma Yöntemi ile İkili Ölümü Olgu Sunumu

Suda boğulma tarzında ikili ölüm olguları ender görülen olgulardandır. Bu çalışmada, iki çocuğunu suya atarak öldürdükten sonra kendini suya atarak intihar eden anne sunulmuştur. Olgumuzdaki anne, yirmibeş yaşında ve 6 yıllık evli olan bir kadındır. Biri 5 yaşında, diğeri 6 aylık olan çocuklarını suya atarak öldürmüş, kendisi de suya atlayarak intihar etmiştir. Bir annenin çocuklarını suya atarak öldürmesi ve sonrasında kendisinin de suya atlayarak intihar etmesi ender görülen bir durumdur. Gerek olayın oluş şekli, gerekse anneyi intihara götüren sebeplerin tartışılması açısından olgu sunulmaya değer bulunmuştur. Anahtar Kelimeler: Kadına yönelik şiddet, Suda boğulma, Sinayet-intihar, İkili ölüm

Real-time elastography of patellar tendon in patients with auto-graft bone–tendon–bone anterior cruciate ligament reconstruction

Introduction: Patellar tendon donor site has been previously evaluated in patients with auto-graft bone–tendon–bone (BTB) anterior cruciate ligament (ACL) reconstruction using either magnetic resonance imaging or B mode ultrasound. However, donor site patellar tendon strain ratio—reflecting structural features—has not been studied with US elastography. Here, we ascertain real-time elastography properties of patellar tendon donor site and clinical relevance of these properties in patients with auto-graft BTB ACL reconstruction in the postoperative period. Methods: Patients who underwent ACL reconstruction using BTB autograft were evaluated. Demographic, operative and clinical data (severity of pain, Lysholm Knee score, sit to stand test, packages/year for smoking amount) were noted. Patellar tendons of the operated knees were evaluated by ultrasound (length and thickness) and sonoelastography (strain ratio). The healthy knees of the patients constituted the control group. Results: Eighteen patients (17 M, 1 F; mean age 30.9 ± 7 years) were evaluated. Mean postoperative follow-up period was 22.1 ± 2.6 (range 18–26) months. Patellar tendons were shorter and thicker on the operated side when compared with the contralateral side (both p = 0.001). Patellar tendon strain ratios of the operated side were lower than the contralateral side (harder tendon on operated side). While there was no correlation between strain ratios and clinical variables (age, BMI, postoperative time, severity of pain, Lysholm score, all p values > 0.05), significant negative correlations were detected between strain ratios of proximal, middle and distal thirds of operated side and amount of smoking (p = 0.008, r = −0.607, p = 0.009, r = −0.598, p = 0.023, r = −0.533, respectively). Conclusion: Patellar tendons on the operated sides seemed to thicken and shorten with decreased strain ratios at the donor side compared to the healthy side at an average of 2-year follow-up in patients with ACL reconstruction using BTB autograft, and amount of smoking had negative relationship with strain ratio of donor patellar tendon. © 2016, Springer-Verlag Berlin Heidelberg

Effects of cigarette smoking on elastographic strain ratio measurements of patellar and achilles tendons

Objectives - The aim of this study was to explore the sonographic and elastographic properties of patellar and Achilles tendons in smoking and nonsmoking otherwise healthy adults. Methods - We conducted a level 3 case-control analytical study. Smoking and nonsmoking volunteers (>18 years) without musculoskeletal system disorders were included in the study. Demographic characteristics and smoking habits (pack-years) were recorded. Proximal, middle, and distal third thicknesses of the patellar and Achilles tendons were measured by B-mode sonography. Strain ratio measurements of the same regions were measured by real-time ultrasound elastography. Results - A total of 69 participants (57 male and 12 female; mean age ± SD, 35.5 ± 7.8 years) were evaluated in the study. Smoking (n = 35) and nonsmoking (n = 34) groups had no significant differences in terms of age, body mass index, sex, and activity level (all P > .05). Proximal, middle, and distal thirds of the patellar and Achilles tendons were significantly thinner in the smoking group (all P < .05). Furthermore, strain ratio measurements in the same regions were significantly lower in the smoking group (all P < .05). Patellar tendon thicknesses and strain ratios had negative correlations with the smoking amount (all P < .05). Conclusions - Thickness and strain ratio measurements of patellar and Achilles tendons were reduced (thinner and harder tendons) in smokers. Clinical implications of these morphologic and elastographic changes should be investigated in future studies. © 2016 by the American Institute of Ultrasound in Medicine

Sonoelastographic Evaluation Of The Distal Femoral Cartilage In Patients With Anterior Cruciate Ligament Reconstruction

Objectives: This study aims to evaluate sonoelastographic properties of the distal femoral cartilage in patients with anterior cruciate ligament (ACL) reconstruction. Patients and methods: Demographic characteristics and operative data of 28 patients (27 males, 1 female; mean age 31.7 +/- 7.1 years; range 22 to 48 years) with unilateral ACL reconstruction were evaluated. Reconstruction was performed with patellar tendon graft in 22 patients (78.6%) and hamstring tendon graft in six patients (21.4%). Lysholm knee score was used for functional evaluation and chair stand test was used for lower extremity strength. Medial, intercondylar, and lateral distal femoral cartilage thicknesses of operated knees and healthy knees were measured with B-mode ultrasound, while strain ratios were measured with real time sonoelastography. Results: Postoperative mean follow-up duration was 20.4 +/- 9.8 months. Mean Lysholm knee and patient satisfaction scores were 88.0 +/- 8.5 and 8.2 +/- 1.8, respectively. Cartilage thicknesses were similar between operated and healthy knees (all p>0.05). Sonoelastographic strain ratio of medial distal femoral cartilage in operated knees was significantly higher (softer cartilage) (p=0.026). There was a negative correlation between strain ratio difference of medial cartilage of operated knees and lower extremity muscle strength (p=0.009, r=-0.487). Conclusion: While there was no difference for cartilage thickness between operated and healthy knees in B-mode ultrasound evaluation, detection of sonoelastographic strain ratio changes in medial distal femoral cartilage on the operated sides may indicate early structural changes following ACL reconstruction. Further studies are required to highlight the clinical effects of this relationship between the changes in cartilage structure and sonoelastography features.WoSScopu