Comparison of cases with and without carpal tunnel release in volar plate fixation of AO type 23-B and 23-C fractures

Aim: To compare the functional results and the frequency of carpal tunnel syndrome between patients who underwent Open reduction internal fixation(ORIF)+carpal tunnel release(CTR) and those who underwent isolated open reduction internal fixation in AO 23 B and C type fractures. Methods: Patients with AO Type 23-B1, 23-B2, 23-B3, 23-C1, 23-C2, and 23-C3 fractures who underwent ORIF were included in the study. The patients who underwent ORIF were divided into two groups: those who underwent CTR and those who did not. The patients’ VAS scores and Patient-Rated Wrist Evaluation (PRWE) scores were evaluated on postoperative day 1,  month one,  month three,  month six, and month twelve. Results: Eighty-two patients were included in the study. ORIF+CTR was performed in 46 patients, and isolated ORIF was performed in 36 patients. CTS symptoms were observed in 6 patients in the group that only underwent ORIF at postoperative three months. At the 6-month control EMG, CTS was detected in 5 out of 6 patients where only ORIF was performed. Conclusion: Concomitant CTR during ORIF in AO type 23B and 23C fractures is an effective surgical treatment procedure in preventing the development of CTS. &nbsp

NUTRITION ATTITUDES AND INFORMATION LEVELS OF FOOTBALL REFEREES

This study aims at revealing the changes in nutrition attitude and knowledge levels of football referees. 130 referees actively serving as Candidate, Provincial and Regional Referees in Izmir, Konya, Aksaray and Niğde provinces constituted the sample group of the study. The personal information form was used in obtaining the socio-demographic information and the nutrition knowledge and attitude scale developed by Ertürk (2010) was used in determination of the nutrition attitude and knowledge. The variance and homogeneity of the data were tested, "Independent Samples t Test" was used for binary comparisons, "One Way Anova" for differences between groups in multiple comparisons, and "Tukey" test for the determination of variation sources. The nutritional attitudes of the provincial and district referees were higher than those of the candidate referees and the nutritional information of the candidate referees were higher than the provincial and district referees and this change was statistically found to be significant (P <0.05). While no change due to the gender factor was observed, nutrition information of the referees received nutrition lessons was found to be higher than the referees who did not, and this change was statistically found to be significant (P <0.05). No difference was found in nutritional attitudes and knowledge of the referees depending on factors such as age, income, sibling, years of service, and level of education. As a result, it can be said that candidate referees who have just started their duties have more nutrition knowledge than provincial and district referees, and provincial and district referees have better nutrition attitudes than candidate referees. Football referees are thought to be an important issue in renewing their nutritional attitudes and knowledge in order to improve their performance and quality of life.  Article visualizations

Clinicopathological Evaluation of Disseminated Metastases of Transmissible Venereal Tumor in a Spayed Bitch

Background: Although transmissible venereal tumor (TVT, transmissible venereal sarcoma, Sticker’s sarcoma) that affects dogs and other canids can be seen in many countries, it especially emerges in the countries which homeless dog population is very high. Female dogs are more susceptible than males. Transmissible venereal tumor is usually transmitted to genital organs during coitus and occasionally by social behavior such as sniffing and licking. The tumor is generally observed in the posterior part of the vagina. The tumor usually appears in various sizes, in the appearance of cauliflower, red and fragile. Metastases are rarely reported in cases with TVT. Metastases have been detected in lung, liver, tonsils, skin, lymph nodes, muscles, spleen. The diagnosis of transmissible venereal tumor is achived by considering the history of the animal, gross lesions, cytological examination and histopathology. Chemotherapy is frequently used in the treatment of TVT. In addition, radiotherapy, cryosurgery, surgical incision and immunotherapy are rarely applied for treatment. Chemical agents such as doxorubicin, vincristine sulfate, cyclophosphamide, methotrexate are preferred for chemotherapy.Case: Metastases to all mammary lobes, cervix uteri, neck, skin, gluteal muscles, the oropharyngeal region, and primary vaginal mass were described in spayed bitch, a 10-year old and mixed breed. The clinical examination manifested, fragile and hemorrhagic masses which resemble cauliflower in the vagina, neck, and inguinal region. Furthermore firm and multilobular masses in all mammary lobes, oropharyngeal region, and gluteal muscles of right leg were detected. Firstly, vaginal cytology was performed in order to confirm. In vaginal cytology, round to polyhedral shaped transmissible venereal tumor cells including cytoplasmic vacuoles and polychromatic nuclei were identified. Histopathologically, solid areas included oval- to round-shaped cells with prominent, hyperchromatic nuclei in all masses. Also, some of them comprised mitotic figures in their nuclei. In general, the tumor cells were separated by thin fibrous septa. Additionally, the cells were completely infiltrated to the mammary gland. In contrast, oropharyngeal and subdermal region of neck consisted more solid areas under the epidermis. There was lymphocyte infiltration at the periphery of the cells. For gluteal mass, TVT cells were confined in muscle bundles. Transmissible venereal tumor cases are often located in genital organs and their metastases are rarely encountered in comparison with other tumors. In this case report, metastases to cervical tissue, neck skin, oropharyngeal mucosa and gluteal muscles, mammary lobes are found.Discussion: When the sexual activity is high, the incidence of TVT increases. It especially develops in bitches in estrus. Breed, sex and age are not a cause of predisposition for TVT. Transmissible venereal tumors’ malignancy can increase in some cases, although TVT is known as a benign tumor. Prevalence of metastases was found fairly low in the studies. Metastases to mammary region, to subcutaneous region, to brain, to eye, to lung, to uterus, to ovary, to liver, to spleen have been reported. In conclusion, even if a bitch is acyclic, transmissible venereal tumor can be developed and thus the risk of its disseminated metastasis must be considered. Moreover, since the masses have not regresed for a long time, this situation may be related to severe immunosupression in the bitch

The Effect of Size and Clinical Staging of Mammary Tumors on Blood Parameters in Bitches

Background: Mammary tumors are the most common type of tumor in female dogs and account for 50% of all tumors in dogs. The clinical prognosis of canine mammary tumors is strongly affected by the size, stages, histological type, and grade of tumor; mitotic index; and nearby and distant metastasis. In canine mammary tumors, it is recommended that prognostic evaluation should also include complete blood count, serum biochemistry, and blood gases in addition to tumor size and stage. This study aimed to investigate the effect of tumor size, volume, and clinical stage on complete blood count, blood gas analysis, and serum biochemical parameters in bitches with mammary tumors and the correlation between them. Materials, Methods & Results: The study included a total of 18 bitches of different breeds, aged 6-15 years, of which 12 had mammary tumors and 6 were healthy. Thoracic X-rays were performed on bitches with mammary tumors in ventrodorsal and laterolateral positions to evaluate lung metastasis. Blood samples were collected from the cephalic vein from bitches in both groups in 2 different tubes (with plastic gel and ethylenediaminetetraacetic acid), 5 mL each, to perform complete blood count and evaluate blood gases and serum biochemical parameters. Blood samples were collected from the animals at the time of initial examination without any intervention. Analysis of the blood showed that bitches with mammary tumors had decreased levels of RBC, HCT, HGB, potassium, TCO2, base excess, THbc, and ALT enzyme activity and increased levels of lactate, total protein, cholesterol, triglyceride, LDL, uric acid, and ALP and LDH enzyme activities compared with those in the control group. Furthermore, the dogs with a primary tumor of > 5 cm were found to have significantly higher levels of WBC, lactate, total protein, triglyceride, LDL, uric acid, and ALP and LDH enzyme activities and significantly lower levels of RBC and THbc compared with those in the control group. Bitches with tumors in multiple mammary lobes were found to have significantly higher levels of WBC, total protein, triglyceride, LDL, and ALP and LDH enzyme activities and significantly lower levels of RBC, HCT, HGB, TCO2, THbc, and ALT enzyme activity compared with those in the control group. Based on the laboratory findings and approval of the owners of the dogs, mammary tissues containing the tumor and lymph nodes were surgically removed. After the operation, the removed mammary tissues were evaluated for size and volume. Clinical staging of the tumors was performed based on the size of the primary tumor (T), nearby lymph nodes (N), and metastasis (M) in accordance with the criteria set by WHO. Clinical staging of the tumors was, thus, based on the tumor, nodes, and metastases (TNM) score obtained according to the following system: Stage I: T1N0M0, Stage II: T2N0M0, Stage III: T3N0M0, Stage IV: TanyN1M0, Stage V: Made as TanyNanyM1. Discussion: Mammary tumors are the most common type of neoplasm in bitches and, thus, cause serious problems in veterinary medicine. Tumors are significantly correlated with better prognosis compared with larger tumors. Based on this finding, this study investigated the effect of size, volume, and stage of mammary tumors in bitches on some blood parameters and the correlation between them. It was, thus, concluded that clinical staging and evaluation of blood parameters could be useful in the diagnosis, treatment, and prediction of prognosis in canine mammary tumors. This study found that bitches with mammary tumors exhibited significant changes in their blood parameters (complete blood count, blood gas analysis, and serum biochemistry). The results obtained from this study may contribute to the development of approaches to the diagnosis, prediction of prognosis, and treatment of canine mammary tumors. Keywords: blood gas analysis, complete blood count, dogs, mammary tumor, serum biochemistry, tumor volume

Recent tectonic features of the central part Bolu-Corum of the North Anatolian Fault

After the 1999 Izmit and Düzce earthquakes, the earth science studies increase on the NAF to better understand mechanism and to monitor the motion of it. Monitoring such motion can be achieved by the instrumental tools or techniques like GPS, InSAR, LIDAR, creep meter, etc. The GPS observations showed that while the NW-SE trending section of the NAF between Karlıova and Vezirköprü has nearly strike slip mechanism, the NE-SW trending section of the NAF between Vezirköprü and Bolu has transpressive character. While the fault-parallel velocities have been estimated from just a few GPS vectors available in the region, little is known about the fault-perpendicular component of the regional velocity. The rate of conversion and how it varies along strike are not known due to the sparsely distributed GPS benchmarks in the region. At the same time, the aseismic fault creep determined using InSAR has needed to proof and improve by other techniques and tools. For this propose the new project has been started to determine quantitatively the rate of convergence and its variation along segment of the NAF between Bolu and Çorum. In this study, we focus on the Bolu-Çorum segment of the NAFZ using GPS technique. The main aim of this study is determination of creep rate with geodetic measurements and combination of the data obtained from seismology, geodesy and geophysics to understand fault mechanism. Therefore, in this paper we discuss tectonic phenomena on the central part of the NAFZ and present the first results of the projec

Burden and Depressive Symptoms Associated with Adult-Child Caregiving for Individuals with Heart Failure

Background. The primary purpose of this study was to investigate adult-child caregiver burden in heart failure (HF) patients. Secondary purpose of the study was to identify the possible influencing factors for caregiver burden and depressive symptoms in a young adult-child caregiver group. Methods. A total of 138 adult-child caregivers and 138 patients with HF participated in this study. Caregivers' burden, depressive symptoms, and anxiety levels were assessed by using Zarit Caregiver Burden Scale (ZCBS), Beck Depression Inventory, and State-Trait Anxiety Inventory, respectively. Results. The mean ZCBS scores of the female caregivers were significantly higher than male caregivers. Approximately one-third of the adult-child caregivers had at least mild depressive symptoms. Caregivers with higher depressive symptoms had higher levels of caregiver burden. There were positive correlations between caregiving time, severity of depressive symptoms, and perceived caregiver burden. There was a negative correlation between education level of caregivers and perceived caregiver burden. Age, socioeconomic level, and marital status of patients were affecting factors for depressive symptoms in caregivers. Among caregiver characteristics, gender, marital status, and ZCBS scores seem to influence the depression in caregivers. Conclusions. The study findings suggest significant levels of burden and depressive symptoms even in adult-child caregivers of HF patients