The effect of hallux valgus surgery on quality of life

Background: Health-related quality of life (QOL) is defined as a patient’s subjective perception of his or her own health. Insufficient data exist on QOL of patients who undergo a hallux valgus (HV) operation. We used a 36-item short form survey (SF-36) to measure QOL of such patients. Our aim was to evaluate the effect of HV on QOL and to identify QOL determinants. Methods: Fifty patients who underwent surgery for HV between 2015 and 2017 were included in the study. The SF-36 questionnaire was applied to the patients before and after surgery. Patients’ medical records were examined to identify possible factors affecting QOL such as age, gender, body mass index, duration of symptoms, or smoking. Results: The mean age of the patients was 55.6 6 3.8 years, and 42 of the 50 patients were women. The mean duration of disease was 12 6 3.7 years. The surgery improved QOL scores for general health, emotional well-being, role limitations due to personal or emotional problems, physical functioning and bodily pain. However, the changes in scores for vitality and social functioning were not statistically significant. Lower postoperative QOL scores for emotional well-being and bodily pain were significantly associated with age and duration of the symptoms. Compared to the mean QOL of healthy adult Turkish population, all scores in subdimensions were lower. Conclusions: This study shows that HV in adults has a negative impact on general health, bodily pain, physical functioning, physical and emotional well-being rather than social well-being and vitality

Does THA affect sexual dysfunction in female patients with DDH?

Background: Sexual health, aside from reproduction, plays an important role in physical, intellectual, emotional and social facets of life. Developmental dysplasia of the hip (DDH) is a chronic orthopedic disease that has negative physical, social, and mental/spiritual effects, and lowers quality of life. However, no studies exist in the literature that focus on sexual function and health in patients with DDH. Methods: The preoperative and postoperative 6th month and 1st year sexual functions of women who underwent surgical treatment (total hip arthroplasty) for DDH (Crowe 1e4) (n:50) and their spouses (n:30) were evaluated with Arizona Sexual Experience scale (ASEX) questionnaire which evaluates sexual function in 5 categories such as desire, arousal, erection/lubrication, orgasm, and satisfaction. Results: The ASEX scores were 22.3 ± 3.5 preoperatively, 17.8 ± 2 at the 6th postoperative month, and 14.8 ± 1.3 at the 1st postoperative year. The decrease in the average score showed that sexual dysfunction existed in the preoperative period and sexual function was positively affected in the postoperative period over time. The ASEX scores of the patients younger than 35 in the postoperative 6th month had higher scores (P ¼.29). The sexual life of the husbands was not affected by the wives’ surgery, even though their spouses had a chronic condition causing functional difficulties. Conclusion: This study showed that the sexual life of women with DDH, who had been treated with total hip arthroplasty, was positively affected, whereas their husbands were unaffected. Further studies focusing on the effect of physiological and emotional factors, in addition to the surgical treatment, on sexual function are needed

The effects of total knee arthroplasty on sleep quality

Introduction: Symptomatic osteoarthritis is one of the most common indications for total knee arthroplasty (TKA) operations. Pain in every stage of the disease causes sleep disturbances in patients. The primary objective of this study was to evaluate the effect of TKA on the quality of sleep in patients with symptomatic osteoarthritis. Materials and Methods: This retrospective, descriptive study was performed on 80 patients diagnosed with symptomatic osteoarthritis who underwent TKA. The patients responded to the Pittsburgh Sleep Quality Index (PSQI), which is widely used to evaluate sleep quality. Additionally, the effects of demographic and clinical variables such as age, gender, body mass index, smoking and alcohol consumption were also evaluated before and after surgery. Results: There was no correlation between demographic variables and PSQI scores pre- and postoperatively. There was a decrease in sleep quality on the sixth postoperative week compared to the preoperative period however this difference was not statistically significant. On the other hand, there was a statistically significant difference between preoperative and postoperative sixth month PSQI scores. Mean values of overall sleep quality and daily function were significantly higher in the postoperative sixth compared to the preoperative period (p<0.001) Conclusion: Treatment of symptomatic OA with TKA will improve sleep quality in the long term

Long-term results of total hip arthroplasty with transverse subtrochanteric shortening osteotomy in developmental high dislocation of the hip

In this study we aim to evaluate the functional and clinical results and complications of developmental high-dislocated hips after subtrochanteric transverse shortening osteotomy. The femoral osteotomies all fixed axially and rotationally by rectangular cementless stem. The acetabular components placed to the true acetabulum. Results of 50 primary cementless total hip arthroplasties in 28 patients all having Crowe 4 high dislocations were evaluated. Arthroplasties were performed in combination with a subtrochanteric transverse shortening osteotomy and Zweymüller femoral stem without any fixation instruments for the osteotomy. The acetabular component placed at the level of anatomic hip center. The mean follow-up was 102 months (72-132 months). The mean Harris Hip Score increased from 24.03 to 82.88 points at the time of final follow-up. Ten of the 50 hips had early or late minor complications and/or reoperations including debridement and irrigation. None of the subtrochanteric osteotomies were followed for nonunion or malunion, and there were no complications concerning the femoral site throughout the postoperative follow-up period

Internal party democracy in Turkey: theory, prospect and problems

This thesis aims to analyse the theory of internal party democracy (IPD) and mainly tries to show hypothetical connection between broad political problems of Turkey and party-level ones. The main question of this thesis is whether there is connection between wider problems of Turkish Politics and party-level ones or not. To answer this, the thesis firstly explains the importance of political parties for democracies by showing that the political parties are requisites for consolidated democracies. Secondly, the study explains why ‘internal party democracy’ is a need for consolidated democracy and what ‘internal party democracy’ means by focusing on different components which are participation, representation, competition, autonomy and transparency as core values. Thirdly, the analytical framework of this study has been developed by using Rahat and Shapira’s Internal Party Democracy Index (2017) to create Turkey-specific methodology. Justice and Development Party (AKP), Republican People’s Party (CHP), Nationalist Movement Party (MHP), People’s Democratic Party (HDP) and Good Party (İP) are analyzed by applying this framework with 5 different components. The study has introduced that each political party has different strengths and weaknesses related to the components of internal party democracy and resulted in having different levels of IPD for each political party. Nevertheless, this study has also found out that wider political problems of Turkey are also same at the political party-level

Strategic Excellence in Post-Digital Ecosystems: A B2C Perspective

The basic production of the digital economy is knowledge. As it becomes more important, traditional factors like labor and capital become less so. As technological innovation changes the nature of employment, the conversion of labor to consumption becomes increasingly difficult. E-commerce is the most important driving force of the digital economy. Using technology and information networks effectively allows brands or companies to effect rapid changes in competitive markets. The emergence of neo-consumers calls for a higher order of information exchange and interaction. Companies must reasses their complete business processes in a holistic way to ensure market prominence in an economy driven by social networks and communication. This book deals with the new concepts determining the future path of the digital economy and aims at providing a new perspective to the field.https://digitalcommons.unl.edu/zeabook/1062/thumbnail.jp

Okul yöneticilerinin liderlik stilleri ile beden eğitimi öğretmenlerinin örgütsel bağlılıkları arasındaki ilişki

The purpose of this study is to identify the relationship between school administrators&rsquo; leadership style and physical education teachers&rsquo; organizational commitment. The population of the study comprised 291 physical education teachers working in Sakarya and Bartın cities in 2009-2010 education year. In order to identify school administrators transformational and procedural leadership styles, Multifactor Leadership Questionnaire 5-x short (MLQ) was used. Organizational Commitment Scale which was developed by Balay was used to measure the organizational commitment levels of physical education teachers (Balay, 2000a &amp; Balay, 2000b). In order to analyze the data collected for the study, several statistical techniques such as descriptive statistical analyses, variance analysis, correlation analysis and multiple regression analysis were used. As a result of the study, according to physical education teachers&rsquo; perceptions, school administrators &ldquo;usually&rdquo; demonstrate transformational leadership behaviors and &ldquo;sometimes&rdquo; demonstrate procedural leadership behaviors. Physical education teachers show lower organizational commitment in the compliance sub-dimension, moderate organizational commitment in the identification sub-dimension and higher organizational commitment in the internalization sub-dimension. When sub-dimensions of physical education teachers&rsquo; organizational commitment and sub-dimensions of schools administrators&rsquo; leadership styles are examined, transformational leadership has 1-a negative moderate significant relationship with adaptation, 2-a positive moderate significant relationship with identification and 3-a positive high significant relationship with internalization. School administrators&rsquo; procedural leadership sub-dimension has a positive high significant relationship with only internalization sub-dimension of physical education teachers&rsquo; organizational commitment.Bu araştırmanın amacı, okul y&ouml;neticilerinin liderlik stilleri ile Beden Eğitimi &ouml;ğretmenlerinin &ouml;rg&uuml;tsel bağlılıkları arasındaki ilişkinin belirlenmesidir. Araştırma evrenini Sakarya ve Bartın İllerinde 2009-2010 eğitim-&ouml;ğretim yılında g&ouml;rev yapan 291 beden eğitimi &ouml;ğretmeni oluşturmaktadır. Araştırma verilerinin toplanmasında okul y&ouml;neticilerinin d&ouml;n&uuml;ş&uuml;mc&uuml; ve işlemci liderlik stillerini belirlemek i&ccedil;in Multifactor Leadership Questionnaire 5-x short (MLQ) anketi kullanıldı. Beden Eğitimi &ouml;ğretmenlerinin &ouml;rg&uuml;tsel bağlılığı &ouml;l&ccedil;mek i&ccedil;in Balay&rsquo;ın geliştirdiği &Ouml;rg&uuml;tsel Bağlılık &Ouml;l&ccedil;eği kullanılmıştır (Balay,2000a, Balay,2000b). Tanıtıcı İstatistik&icirc; Analizler, Varyans Analizi, Korelasyon analizi ve &Ccedil;oklu Regresyon Analizi tekniklerinden yararlanılmıştır. Araştırma sonucunda beden eğitimi &ouml;ğretmenlerinin algılarına g&ouml;re, okul y&ouml;neticileri d&ouml;n&uuml;ş&uuml;mc&uuml; liderlik davranışlarını &ldquo;genellikle&rdquo; sergiledikleri ve işlemci liderlik davranışlarını&nbsp; &ldquo;ara sıra&rdquo; sergiledikleri g&ouml;r&uuml;lm&uuml;şt&uuml;r. Beden eğitimi &ouml;ğretmenlerinin &ouml;rg&uuml;tsel bağlılıklarına ait bulgularda; uyum alt boyutunda d&uuml;ş&uuml;k d&uuml;zeyde, &ouml;zdeşleşme alt boyutunda orta d&uuml;zeyde ve i&ccedil;selleştirme alt boyutunda ise y&uuml;ksek d&uuml;zeyde bağlılık yaşadıkları g&ouml;r&uuml;lmektedir. Beden eğitimi &ouml;ğretmenlerine ilişkin &ouml;rg&uuml;tsel bağlılık alt boyutları ile okul y&ouml;neticilerinin liderlik stilleri alt boyutları arasında; 1-d&ouml;n&uuml;ş&uuml;mc&uuml; liderlik ile uyum arasında negatif y&ouml;nl&uuml; orta d&uuml;zeyde, 2- &ouml;zdeşleşme ile pozitif y&ouml;nde orta d&uuml;zeyde, 3-i&ccedil;selleştirme alt boyutu ile y&uuml;ksek d&uuml;zeyde pozitif y&ouml;nde anlamlı bir ilişki olduğu ortaya &ccedil;ıkmıştır. Okul y&ouml;neticilerinin işlemci liderlik alt boyutuyla beden eğitimi &ouml;ğretmenlerinin &ouml;rg&uuml;tsel bağlılıkları arasında sadece i&ccedil;selleştirme alt boyutu arasında y&uuml;ksek d&uuml;zeyde ve pozitif y&ouml;nde anlamlı bir ilişki ortaya &ccedil;ıkmıştır

OBTAINING OF HELPFULNESS VALUE IN THE SECONDARY EDUCATION MATHEMATICS CURRICULUM BY CREATIVE DRAMA ACTIVITIES

“Values Education”, which added to Mathematics Teaching Program at the Turkish Academic Year of 2017-2018, is revised and updated as “Our Values” on January of 2018. “Our Values” based on a grown value system that aims to maintain the existence of societies preserve the unity and togetherness of societies and have the real educational success like every stage of individuals’ life. The Ministry of National Education has determined the base values, which should be gained during the education of Mathematics, as justice, friendship, honesty, patience, respect, love, responsibility, patriotism and helpfulness. The aim of this study is making the students realize their own values and making them gain the helpfulness values by using creative drama activities during the education of Mathematics. In this study, “helpfulness value”, which is under the topic of “Our Values” of Mathematics Teaching Program, was tried to put into practise by creative drama activities. In the study, experimental method which contains pretested and postested control group is used in order to show the behaviour difference between experimental group, which activity based creative drama method was applied, and the control group, which activity based creative drama method was not applied. This study is designed as a controlled experimental study with pretest-posttest. The group of study was consisted 106 students, which studying in 3 different provinces (Aydın, Afyon, Uşak) in the same region. Both experimental and control group was consisted by 53 students. In the study, data were collected from “helpfulness scale” which developed by Demirci (2017). As a result of the study, the helpfulness scale score of experimental group, which activity based creative drama was applied is high but there is no meaningful difference between helpfulness scale scores of experimental group and control group.  Article visualizations

EVALUATION OF THE CASES WITH TUBOOVARIAN ABSCESSES

Amaç: Kliniğimizde Tuboovarian Abse nedeniyle cerrahi operasyon uygulanan hastalarınretrospektif olarak araştırılarak, klinik ve laboratuar sonuçlarını, uygulanan tedaviyöntemlerini ve gelişen komplikasyonlarını incelemektir.Gereç ve yöntem: Ocak 2003 - Mart 2007 tarihleri arasında tuboovarian abse tanısıile opere edilen 39 hasta retrospektif olarak incelendi. Hastaların klinik ve laboratuarsonuçları, uygulanan operasyon yöntemleri ve gelişen komplikasyonlar kaydedildi.Bulgular: Hastaların %71,7'si multipardı. Hastaların başlıca şikayetleri pelvik ağrı(%92,3) ve ateş (%69,6)'idi. Rahim içi araç kullanımı prevelansı %48,7, son 6 ay içindegeçirilmiş intrauterin veya intraabdominal operasyon prevelansı %33,3 ve pelvikinflamatuar hastalık prevelansı %28,2 olarak saptandı. Klinik bulgu olarak; %69,2 hastada38,3ËšC üzerinde ateş, %64,1 hastada lökositoz, %92,3 hastada yükseksedimentasyon hızı, %89,7 hastada C-reaktif protein yüksekliği tespit edilmiştir. Doğurganlığınıkorumak isteyen hastalara abse drenajı uygulandı. TOA drenajı yapılan hastalarınoranı %71,8 idi. Kullanılan rezektif cerrahi yöntemler arasında; total abdominalhisterektomi oranı (%12,8), unilateral salpingoooferektomi oranı (%10,3), bilateralsalpingoooferektomi oranı (%5,1) saptandı. Hastaların 5'inde (%12,8) intra-operatifkomplikasyon olarak barsak hasarı gelişirken, 4 hastada (%10,3) postoperatif komplikasyonolarak yara yeri enfeksiyonu ve atelektazi gelişti.Sonuç: TOA'yi takip eden yüksek morbidite ve azalmış fertilite oranları nedeniyle erkentanı ve cerrahi müdahale oldukça önemlidir.Objective: The aim of study is retrospective evaluation of the clinical and laboratoryresults, the treatments and complications in patients who were managed for tuboovarianabscess (TOA) clinic in our department.Materials and method: The records of 39 patients who has operated with thediagnosis of tuboovarian abscess between January 2003 and March 2007 were studiedretrospectively. The patients clinical and laboratory results, operational methods appliedand the complications raised were recorded.Results: 71.7% of the patients were multipar. The main complaints of the patientswere pelvic pain (92.3%) and fever (69.6%). Prevelance of intrauterine device (IUD)usage, intrauterin or intraabdominal operations applied in the last 6 months, previouspelvic inflamatuary disease (PID) were as 48.7%, 33.3 %, 28.2%. As clinical andlaboratory signs; in 69.2 % of patients high axillary fever (>38.3ºC), in %64.1 of patientsleukocytosis, in 92.3 % of patients high sedimentation rate and in 89.7 % of patientshigh C-Reactive Protein (CRP) detected. For the patients who would like to preservereproductivity; TOA abscess drainage is applied with a ratio of 71.8%. As resectivesurgery methods that were applied; total abdominal hysterectomy ratio was 12.8 %,unilateral salphingoophorectomy ratio was 10.3 %, bilateral salphingoophorectomy ratiowas 5.1%. Intraoperative complications were observed in 5 (12.8%) patients (bowelinjury) where as postoperative complication were observed in 4 (10.3%) patients(wound enfection and atelectasia).Conclusion: Due to minimizing decreased fertility and high morbidity following TOA; itis important for the women health to apply early diagnosis and early surgery

Diabetes mellitusun tanı, tedavi ve izlemi

Diabetes mellitus toplumda çok yaygın görülen, akut ve kronik komplikasyonları ile toplum sağlığını yakından ilgilendiren kronik metabolik bir hastalıktır. Ülkemizde ve dünyada görülme sıklığının yıllar içinde giderek artıyor olması, farklı organ sistemlerini etkileyen komplikasyonlara yol açması, diabetes mellitusu tüm branşlardaki hekimleri ilgilendiren bir hastalık haline getirmektedir. Diabetes mellitus hastalığını erken tanımak, doğru şekilde tiplendirmesini yapmak ve gerekli tedavileri gecikmeden etkin şekilde uygulamak hastanın daha sağlıklı bir yaşam sürmesi için çok önemlidir. Diyabetin en iyi şekilde tedavi ve takibi için çalışmalar sürekli devam etmekte ve konu güncelliğini her zaman korumaktadır. Bu kitapta hekimlerin diabetes mellitusun tanı, tedavi ve izleminde yeterli ve güncel bilgi düzeyine sahip olmaları ve bu halk sağlığı sorununun çözümüne katkıda bulunmaları hedeflenmiştir