Sense of place in the changing process of house form: Case studies from Ankara, Turkey

This paper aims to investigate the impact of typomorphological changes of residential environments on residents’ sense of place’. Seven housing developments representing different types introduced in Ankara, Turkey since the late 19th-century are selected as case studies. Their morphological characters at the building, street and neighbourhood scales are examined, and typological transformations among the cases in terms of the degrees of continuity are identified. The paper proposes a conceptual model consisting of ten indicators to assess sense of place at the building, street and neighbourhood scales of the residents of the seven cases. The scores of sense of place are generated through structured interviews with the residents and analysed in SPSS. The results show that sense of place is negatively affected by typomorphological changes over time, particularly when mutational changes occur. Continuity in typomorphological transformation helps to maintain sense of place at a desirable level. Furthermore, physical changes at the street and neighbourhood scales have larger impact on sense of place than that at the building scale. The research thus suggests that planning and design should be responsive to traditional types in residential development, particularly at the street and neighbourhood scales to maintain residents’ sense of place

Çekiç parmak deformitesinde cerrahi tedavi sonuçları

Amaç: Çekiç parmak deformitesi yaygın bir yaralanmadır ve ekstansiyon eksikliğiyle sonuçlanan, genellikle ekstansiyonda parmak ucunun doğrudan darbe alması sonrası fleksiyona zorlanması ya da parmakta distal interfalangeal (DİF) eklemin laserasyonu sonucu oluşur. Yaralanma tendonun kesilmesi , distal falanks kırığı sonucu olabilir ve splintleme veya cerrahi olarak tedavi edilebilir. Metod: Ocak 2006- Ocak 2011 yılları arasında 53 çekiç parmak deformitesi kliniğimizde tedavi edildi. 41 hasta (açık yaralanması olmayan) konservatif metodlarla (plastik ve aluminyum stack splintleme) tedavi edildi. 16’sında başarılı sonuç elde edildi. Konservatif tedaviden fayda görmeyen 25 hasta ve açık yaralanması olan 12 hasta cerrahi olarak tedavi edildi. Y ve H tipi insizyonlar kullanıldı. Sonuçlar: Çalışmaya 38 çekiç parmak deformitesi olan 37 hasta(25 erkek, 12 kadın, 30.8 yaş ortalaması ve 2-64 yaş aralığı) dahil edildi. Crawford kriterlerine göre 30 hasta (%81.1) mükemmel, 4 hasta (%10.8) iyi, 2 hasta (%5.4) orta ve 1 hasta (%2.7) kötü sonuç olarak değerlendirildi. 1 hastada yüzeyel enfeksiyon, 1 hastada cilt nekrozu ve 1 hastada rekürren deformite oluştu. Tartışma: Çekiç parmak deformitesi minör yaralanma gibi görünmesine rağmen hastaların dörtte birinde yaralanmanın 6 haftalık dönemde işgücü kaybına neden olduğu bildirilmiştir. Ayrıca travmadan itibaren spor gibi aktivitelerden kaçınılmalıdır. Biz bu çalışmada açık yaralanması olan ve kapalı yöntemlerden fayda görmeyen çekiç parmak deformitesi olan hastaları cerrahi olarak tedavi ettik. Açık redüksiyon ve K teli tespiti etkili ve kolay metoddur.Introduction: Mallet finger is a common injury and is frequently the result of direct trauma to the tip of an extended finger (forced flexion) or secondary to a laceration over the dorsal distal interphalangeal (DIP) joint of a digit, resulting in a DIP extensor lag. The injury may result from either tendon disruption or a fracture of the distal phalanx and can be treated by splinting or surgery. Method: Between January 2006 and January 2011, 53 mallet finger were treated in our clinic. We treat 41 patients (without open injury) conservative methods (plastic stack splinting and aluminum stack splinting). In 16 of these; we had succesfull results. Of those 25 patients who failed with conservative treatment and 12 patients who had open wounds were treated by surgical methods. We used Y or H type incisions on DIP joint. Results: The study involved 37 patients (25 males, 12 females; mean age years; range 2 to 64 years) with 38 mallet finger deformity. 25 patients (male (%67.6), 12 patients female ( %34.4) (one of them bilateral) who had poor results were and also 12 patiens who had open injury treat with surgical treatment. Conclusion: Although mallet finger might appear as a minor injury, over a quarter of the patients with a mallet injury have been reported to be off work during a 6-week period. In addition, activities, such as sports, are often avoided during the first weeks after the trauma (3). An anatomical reduction is essential in mallet fractures. Open reduction and internal K-wire fixation can be preferred due to its low complication rate and ease of application in patients whose mallet deformity cannot be treated by closed reduction

Comparison of monoplanar versus biplanar medial opening-wedge high tibial osteotomy techniques for preventing lateral cortex fracture

The purpose of this study was to investigate the mechanical strength of both monoplanar and biplanar medial opening-wedge high tibial osteotomy (MOWHTO) procedures and assess the risk of lateral cortex disruption for both techniques. Twelve synthetic tibia models with cortical shells were used as test models. Saw cuts for monoplanar MOWHTO and biplanar MOWHTO were generated on the test models in equal numbers (n = 6 for both groups). Wedge opening load and wedge gap distance were evaluated via compressive tests. The mean gap distance just before the lateral cortex fracture in the monoplanar group was 14.7 +/- 2.9 mm, which was significantly narrower than that in the biplanar group of 19.1 +/- 2.0 mm (p = 0.015). The mean load just before the occurrence of lateral cortex fracture of 32.4 +/- 3.2 N in the monoplanar osteotomy group was significantly lower than that in the biplanar osteotomy group of 111.8 +/- 9.3 N (p = 0.009). Performing a MOWHTO via the biplanar rather than the monoplanar technique allows larger-sized wedges to be opened with less risk of lateral cortical fracture. Thus, larger gaps can be opened and higher angle corrections can be achieved using the biplanar osteotomy procedure. From a clinical viewpoint, the biplanar osteotomy technique reduced the risk of lateral cortical hinge fracture during MOWHTO

Between honour and dignity : Kurdish literary and cinema narratives and their attempt to rethink identity and resistance

Based on Kwame A. Appiah’s take on the moral revolution as well as on the concept of moral imagination, this chapter analyses selected Kurdish literary and cinema narratives. It shows that while the traditional honour relied on courage and faithfulness, the understanding of dignity developed by modern narratives recognises the value of life and elevates love for human life as a guiding moral principle. This process engages many traditional motives which have been updated according to the needs of modern society. The chapter also links postcolonial approaches with the recent studies on dehumanisation and suggests that reading Kurdish narratives through the lens of moral imagination can assist in overcoming the entrenched dehumanisation of the Kurds