COMPARISON OF CHANGES IN THE ANKLE AFTER UNICONDYLAR KNEE ARTHROPLASTY AND HIGH TIBIAL OSTEOTOMY

Objectives: We aimed to compare the changes in the coronal alignment of the ankle joints and their clinical effects after high tibial osteotomy (HTO) and unicondylar knee arthroplasty (UKA). Methods: 50 HTO and 54 UKA patients who were operated on for medial knee osteoarthritis between 2013 and 2018 were retrospectively evaluated. The hip-knee-ankle angle (HKA), the medial proximal tibial angle (MPTA), the tibial plafond inclination (TPI) and the talar inclination (TI) angles were measured before and after operation. Visual analog scale (VAS), short form 36 (SF-36), and ankle-hindfoot scale (AHS) scores of both groups were evaluated and recorded. Results: Angular changes in the HKA, MPTA, TPI and TI values showed significantly greater values in the HTO group (p<0.001). When asymptomatic and symptomatic cases were compared, it was found that changes in the HKA, TPI and TI values were significantly greater in symptomatic cases in the HTO group (p<0.05). A significant decline was observed in the VAS, SF-36 and AHS scores in the HTO group in the postoperative period (p<0.05). In intergroup evaluations, a significant decline was detected in pain and functional scores of the HTO group when compared to the UKA group (p<0.05). Conclusion: Unicondylar knee arthroplasty can be a good alternative to HTO in selected cases for postoperative ankle complaints.Level of Evidence III; Therapeutic Studies Investigating the Results of Treatment

Evaluation of 86 Patients Whom Death While Being Followed up with Pre-Diagnosis of Covid-19

The Coronavirus-19 pandemic continues at full speed, and the number of patients who die from Covıd-19 is increasing. It was aimed to evaluate the demographic information and laboratory findings of 86 patients who died while being followed up in our hospital with a pre-diagnosis of Covıd-19. Identifying these characteristics of deceased patients will be essential to guide clinicians in identifying critically ill patients. Data on demographic information, comorbidities, time from hospitalization to death, molecular test results, thorax CT findings, biochemical findings, culture, antibiotic susceptibility, and the given treatments of the cases were collected from the electronic system Kastamonu Training and Research Hospital. While the RT-PCR test of 21 of the cases was positive, in 9 of the cases, control PCR tests were negative after a while. The CT results of 18 of the 21 initially RT-PCR positive cases were compatible with Covid-19, and the CT result of 3 could not be reached. When the blood test results of the cases were examined, neutrophil increase, white blood cell increase, lymphocyte reduction, and inflammatory markers increase were determined. A total of 43 bacterial growths were found in 21 cases. It has been observed that deaths in patients who were followed up with the pre-diagnosis of Covıd-19 generally occur in older people, males, and those with underlying diseases. It was thought that the cause of death could be underlying diseases, pathologies caused by inflammation, and secondary bacterial infections in addition to viral infection. Clinicians should be more careful about elderly patients, patients with secondary bacterial infections, or patients with neutrophilia, lymphopenia

Analysis of the coracoid morphology with multiplanar 2D CT and its effects on the graft size in the Latarjet procedure

Purpose: In this study, we aimed to reveal the individual differences regarding the size of the coracoid and their effects on the classical and modified Latarjet procedures. Methods: Computed tomography images of 120 patients (mean age: 41.18 +/- 12.01 years) without shoulder complaints or shoulder instability were evaluated retrospectively. The glenoid width, the surgical graft length, and the coracoid total length, width, and thickness were measured using the multiplanar reconstruction method on the Sectra Picture Archiving and Communications System (PACS) system. Age, gender, side, the dominant hand, and the height of the patients were recorded and the correlations between them were investigated. On the created hypothetical model, the current size of the coracoid was evaluated to determine what size of glenoid defects it could repair by employing the classical and the modified Latarjet techniques. Results: There was no significant difference between the right-hand-dominant group and the left-hand-dominant group in terms of coracoid measurement results (p > 0.05). Again, there was no statistically significant difference between the right and the left side regarding the coracoid size (p > 0.05). A positive correlation could be detected only between age and the coracoid width and thickness (p < 0.05). A positive correlation was also found between the glenoid width and the coracoid width and thickness in both shoulders (p < 0.001). Coracoid thickness could fill in the defects that amounted to 40% of the glenoid width, while the coracoid width could fill in for the defects that were 50% of the glenoid width in both genders. Conclusion: Our study showed that hand dominance and side were not effective on the coracoid dimensions. In addition, it has been shown that the coracoid dimensions did not have a significant effect in the choice of Latarjet technique in terms of defect repair and that repair rates of up to 40% could be achieved in glenoid defects with both techniques

Distribution of Gram Negative Isolates in Blood Cultures and Their Antibiotic Resistance

AimIn our study, we aimed to report the distribution as well as antimicrobial susceptibility profiles of negative bacteria in the blood cultures in our hospital in order to direct the clinicians.Materials and MethodsWe worked with blood cultures which were sent to our microbiology laboratory between 2014 and 2015 by using automated blood culture system.The identification of isolates and the antibiotic susceptibilities were controlled by using conventional automated methods. Antibiotic susceptibility was determined according to the recommendations of Clinical and Laboratory Standards Institute.ResultsAccording to our results, the most frequently isolated bacteria from patient blood cultures were E. coli (32.1%), Acinetobacter spp. (%26.1), K. pneumoniae (17.1%) and P. aureuginosa (9.5%) respectively. The 38% of the E. Coli isolates, 62% of K. pneumonia isolates, 63% of P. aureuginosa isolates, %86 of Acinetobacter spp. isolates were isolated from samples which were obtained from intensive care units.All isolates were susceptible to colistin. E. coli isolates were mostly susceptible to imipenem and amikacin; Pseudomonas spp. isolates were mostly susceptible to amikacin and gentamicin; Acinetobacter spp. isolates were mostly susceptible to amikacin and trimethoprim-sulfamethoxazole; and K. pneumonia isolates were mostly susceptible to imipenem and amikacin.ConclusionWe found interesting results related to the high antibiotic resistance rates particularly against Acinetobacter spp. isolates and the abundance of gram negative bacteria in blood cultures obtained from inpatients in the intensive care units. It will be beneficial to determine the types of bacteria in blood cultures and their antibiotic susceptibilities in order to direct the empirical antibiotic use in hospitals

Distribution of Gram Negative Isolates in Blood Cultures and Their Antibiotic Resistance

Amaç Çalışmamızda ampirik tedavi gereken durumlarda klinisyenlere yol gösterebilmesi amacıyla hastanemizde kan kültürlerinde üreyen gram negatif bakterilerin dağılımının ve antimikrobiyal duyarlılık profillerinin ortaya konması amaçlandı. Materyal ve Metot Mikrobiyoloji Laboratuvarı’na 2014-2015 yılları arasında gönderilen kan numuneleri, otomatize kan kültür sistemi ile çalışıldı. İzolatların identifikasyonu ve antibiyotik duyarlılıkları konvansiyonel ve otomatize yöntemler. Sonuçlar Clinical and Laboratory Standards Institute kriterlerine göre incelendi. Bulgular Çalışmamızda gram negatif bakteriler arasında en sık izole edilenleri sırasıyla E. coli (%32,1) Acinetobacter spp. (%26,1), K. pneumoniae (%17,1) ve P. aureuginosa(%9,5) olarak saptandı. Kan kültürlerinde üremiş olan E. coli izolatlarının % 38 i, K. pneumoniae izolatlarının %62 si P. aureuginosa izolatlarının %63 ü, Acinetobacter spp. izolatlarının %86 sı yoğun bakım servislerinden izole edilmiştir. Tüm izolatların en duyarlı olduğu antibiyotik kolistin olmakla birlikte E. coli izolatlarının en duyarlı olduğu antibiyotikler imipenem ve amikasin, Pseudomonas spp. izolatlarının en duyarlı olduğu antibiyotikler amikasin ve gentamisin,Acinetobacter spp. izolatlarının en duyarlı olduğu antibiyotikler amikasin ve timetropim sülfametaksazol, K. pneumoniae izolatlarının en duyarlı olduğu antibiyotikler ise imipenem ve amikasin olarak saptanmıştır. Sonuç Özellikle Acinetobacter spp. izolatlarına karşı görülen yüksek direnç oranları ve yoğun bakım ünitelerinde yatan hastalardan izole edilmiş olan gram negatif bakterilerin çokluğu dikkat çekmiştir. Hastanelerde ampirik antibiyotik kullanımında yol gösterici olması açısından kan kültürü örneklerinde üremiş olan bakterilerin ve antibiyotik duyarlılıklarının belirlenmesi faydalı olacaktır.Aim In our study, we aimed to report the distribution as well as antimicrobial susceptibility profiles of negative bacteria in the blood cultures in our hospital in order to direct the clinicians. Materials and Methods We worked with blood cultures which were sent to our microbiology laboratory between 2014 and 2015 by using automated blood culture system.The identification of isolates and the antibiotic susceptibilities were controlled by using conventional automated methods. Antibiotic susceptibility was determined according to the recommendations of Clinical and Laboratory Standards Institute. Results According to our results, the most frequently isolated bacteria from patient blood cultures were E. coli (32.1%), Acinetobacter spp. (%26.1), K. pneumoniae (17.1%) and P. aureuginosa (9.5%) respectively. The 38% of the E. Coli isolates, 62% of K. pneumonia isolates, 63% of P. aureuginosa isolates, %86 of Acinetobacter spp. isolates were isolated from samples which were obtained from intensive care units.All isolates were susceptible to colistin. E. coli isolates were mostly susceptible to imipenem and amikacin; Pseudomonas spp. isolates were mostly susceptible to amikacin and gentamicin; Acinetobacter spp. isolates were mostly susceptible to amikacin and trimethoprim-sulfamethoxazole; and K. pneumonia isolates were mostly susceptible to imipenem and amikacin. Conclusion We found interesting results related to the high antibiotic resistance rates particularly against Acinetobacter spp. isolates and the abundance of gram negative bacteria in blood cultures obtained from inpatients in the intensive care units. It will be beneficial to determine the types of bacteria in blood cultures and their antibiotic susceptibilities in order to direct the empirical antibiotic use in hospitals

The Useage Possibility of Tuysuz Willage's Basalt in Wall-Tile Glazes

Bu çalışmada Osmaniye İli'ne bağlı Tüysüz Köyü'nden alınan bazalt tüfünün duvar karosu sırlarında renklendirici olarak kullanılabilirliği araştırılmıştır.%80-85 oranında şeffaf ve opak frite, % 10-15 oranında bazalt tüfü eklenerek sır hazırlanmıştır ve duvar karosu bünyesi dolomit, mermer, kaolen ve kil karışımlarından elde edilmiştir. Bazalt katkısıyla elde edilen sırlar kullanılarak çok sayıda deneme yapılıp, açık sarıdan koyu kahveye değişen geniş bir renk yelpazesi üretilmiş, ancak burada sadece 4 örnek ele alınmıştır. Sırlanmış örnekler 1000 °C ve 1150 °C sıcaklıklarda pişirilip, sıcaklığın renk üzerindeki etkileri gözlenmiştir. Ayrıca gerçekleştirilen ısı mikroskobu, su emme, ısıl şok dayanımı ve renk ölçüm testleri, bazalt esaslı sırların endüstriyel uygulamalar açısından uygun olduğunu göstermiştir.The usage possiblity of basaltic tuff, collected from Tüysüz village of Osmaniye town in wall tile glaze as a coloring agent was studied. Glaze was prepared by adding 80 85 % transparent and opaque frit and 10-15 % basaltic tuff.and the wall tile body obtain from the mixture of dolomite, marble, kaolinite and clay. With several experiments conducted by the basalt added glazes, a wide spectrum of colors varying from pale yellow to dark brown were obtained, however hereby only the results belonging to four of them are reported. Glazed samples were fired at 1000 °C and 1150 °C and the effect of temperature on color formation was determined. Hot stage microscope, water absorption, thermal shock resistance and color measurement analyses were undertaken on selected samples. Result revealed that basaltic glazes are suitable for industrial glaze applications

Kahramanmaraş Sütçü İmam Üniversitesi Tarım ve Doğa Dergisi

This study was carried out to determine quality, yield and yield components and suggesting suitable maize varieties for the region. The research was laid out as randomized complete block design with four replications in 2015 maize growing season in Diyarbakır GAP International Agricultural Research and Training Center. PR31D24, Kalipso, 70MAY82, Suerto, P1921, DKC6724 grain maize varieties with different properties were used as material. According to the obtained results, there were significant differences among varieties in terms of ear length, ear diameter, stem diameter, the number of ear per plant, kernel/ear rate, 1000 kernel weight, grain moisture at harvesting, starch rate, crude fat rate and hectoliter. The P1921 variety sustained the highest yield of 1518.10 kg da-1

Investigation of the excitation functions for some medical radioisotopes production

One of the main application fields of nuclear technology is medicine and radioisotopes are used in medicine. Production of those radioisotopes is important and in the production processes the cross section must be known. All the production of radioisotope used in medicine is based on the nuclear reactions means they are not natural. The decay time of produced radioisotopes is important as from production to hospital can take time and thus generally generator is used to produce some radioisotopes. Radioisotopes are widely produced in reactors or cyclotron type accelerator. Type of radioisotopes direct way to be used in production processes. Thus obtaining of cross section becomes crucial. For this purposes the theoretical calculation cross section of some radioisotopes used in medicine will be calculated in this study. The calculations will be done using Monte Carlo code of TALYS 1.

Investigation of the excitation functions for some medical radioisotopes production

One of the main application fields of nuclear technology is medicine and radioisotopes are used in medicine. Production of those radioisotopes is important and in the production processes the cross section must be known. All the production of radioisotope used in medicine is based on the nuclear reactions means they are not natural. The decay time of produced radioisotopes is important as from production to hospital can take time and thus generally generator is used to produce some radioisotopes. Radioisotopes are widely produced in reactors or cyclotron type accelerator. Type of radioisotopes direct way to be used in production processes. Thus obtaining of cross section becomes crucial. For this purposes the theoretical calculation cross section of some radioisotopes used in medicine will be calculated in this study. The calculations will be done using Monte Carlo code of TALYS 1.

Correlation between red blood cell distrubition width and glycated hemoglobin in diabetic and nondiabetic patients

Aim ― Our aim in this study is evaluating the red blood cell distrubition width (RDW) and glycated hemoglobin (HbA1C) relation in nondiabetic and diabetic people who applied to our hospital and showing the usability in disease follow-up. Material and Methods ― Main data of this research is the data of patients (diabetic and nondiabetic) who applied to internal diseases polyclinic between July 1, 2013 and November 31, 2014 and whose RDW, HbA1C, white blood cell, hemoglobin, and hematocrit were controlled. 82 diabetic and 32 nondiabetic patients were included in this study. Results ― No statistically significant difference was observed between the diabetic and nondiabetic groups in age, male and female distribution and RDW. No statistically significant correlation was observed between RDW and age and HbA1C in order in the nondiabetic group. While a correlation which is statistically significant and in the same direction was determine between age and RDW among the diabetic group, a statistically significant correlation was not between HbA1C and RDW. Among all cases a correlation which is statistically meaningful and in the same direction was detected between age and RDW. But a statistically significant correlation was not found between HbA1C and RDW among all cases. Conclusion ― According to the available results, no statistically significant correlation was determined between HbA1C and RDW in the nondiabetic patients, diabetic group or in total. But in order to provide more clearance, we believe that studies with more patients would be useful