66 research outputs found

    Early clinical and radiological results of minimally invasive total hip replacement

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    Introduction It is critical to achieve both proper component positioning and intact muscle balance if satisfactory results are to be attained after total hip replacement (THR). There have been fewer studies on minimally invasive (MI) THR than standard approaches. The objective of this paper is to present the early clinical and radiological results of posterolateral MI THR. Materials and methods The retrospective analysis of the records of patients undergoing posterolateral MI THR surgery between 2011 and 2014 was the basis of this study. 73 hips of 68 patients were included in the study. The acetabular component and femoral stem positions were measured on plane X-rays. Data on preoperative and postoperative hemoglobin and hematocrit values, as well as transfusion amounts, were also studied. The clinical evaluations were carried out with Harris Hip Scores. Results The mean HHS at the 3rd postoperative month was 87.60 (±7.70). Of the 73 cases, 61 were within the Lewinnek safe zone. The mean PMFA was 88.12 (±7.63°), which is within the normal ranges. The mean postoperative hemoglobin value was 9.7 g/dl (±1.3) and the mean postoperative hematocrit value was 29.8% (±3.8). A nondisplaced proximal femoral fracture line was evident on the early postoperative X-ray of one patient. One patient experienced early dislocation caused by acetabular component malpositioning and an early acetabular cup revision was necessary. Conclusion MI posterior approach for THR is a method in which the prosthetic components can be properly placed. Posterolateral MI approaches are safe when THR is performed, and afford satisfactory results. © 2016 Delhi Orthopedic Associatio

    An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance

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    PURPOSE OF THE STUDY The most commonly used technique for fixation of the femoral neck fractures is percutaneous osteosynthesis with cannulated screw under fluoroscopy guidance. Osteosynthesis performed under single-fluoroscopic guidance requires continuous repositioning the fluoroscope to obtain biplane imaging. This study aimed to evaluate whether there is a statistically significant difference between the osteosynthesis procedures performed under guidance of single-fluoroscopy and double fluoroscopy with respect to radiation emission safety and treatment parameters for fixation of femoral neck fractures. MATERIAL AND METHODS This retrospective study included 35 patients operated for femoral neck fracture between December 2013 and October 2017. Osteosynthesis was performed in 21 of these patients using cannulated screw under guidance of single-fluoroscopy whereas other 14 patients underwent same type of osteosynthesis assisted by double-fluoroscopy. The parameters of these two groups such as duration of surgery preparation, duration of the surgery, duration of radiation exposure, collo-diaphyseal angle and Harris hip score values were recorded. RESULTS No significant difference was found between the groups regarding time for surgery preparation (p > 0.05). On the other hand, duration of surgery and overall duration of radiation exposure were found 14 (p 0.05). CONCLUSIONS Use of double-fluoroscopy significantly reduces time of surgical duration and also level of radiation exposure in surgery of femoral neck fractures

    A research on effect of surface treatment conditions on flammability and water repellency properties of drapery fabrics produced from micro polyester yarns

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    Flame retardancy and water repellency are frequently applied finishing processes for drapery fabrics. These two treatments should require special attention when they are applied consecutively. This research aims to investigate the effect of sequential finishing processes by utilizing of different flame retardant chemical ratio (0, 60 and 90 g/l) and fluorocarbon based water repelling substance ratio (0, 10 and 30 g/l) on hydrophobic, flammability, air permeability and stiffness properties of the drapery fabrics. According to the results of statistical analyses, it was determined that fabric burning behaviour, air permeability and stiffness properties were significantly influenced from the process types with different finishing substance ratios and from the weft yarn density as well as from the interaction of process type and weft yarn density at 0.05 significance level. Additionally, process type was a significant factor on water repellency of drapery samples however weft yarn density and the interaction of weft yarn density and the process type were not influential factors on water repellency at significance level of 0.05. For both warp and weft fabric directions, lowest damage zone at the length and width with the ignition source was obtained from the samples which were only treated with flame retardancy process without water repellency (90-0 coded process). The most satisfying results in terms of water repellency were obtained from the samples treated with 60-30 coded process where 60 g/l FR and 30 g/l water repellent chemical substances were utilized respectively. Drapery fabrics treated with 60-0 coded process revealed the best windproof feature indicating the lowest air permeability. © 2020, © 2020 The Textile Institute

    Investigation of the comfort properties of traditional woven fabrics with different structural parameters

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    Turkish traditional Buldan weavings are known as special fabrics in terms of providing comfortable clothes which are known to be natural and healthy in Denizli, Turkey. The research presented in this paper assesses the effects of different fabric structural parameters of Buldan fabrics on comfort properties such as thermal resistance, thermal absorptivity, water vapour permeability and air permeability. Five different Buldan fabrics woven with different fabric structural parameters were produced. According to test results, cotton/Tencel Buldan fabrics indicated similar comfort properties with the 100% cotton Buldan fabric properties. Additionally, the lowest thermal absorptivity was observed from 100% cotton Buldan fabrics which give the warmth feeling among the evaluated samples. © 2020 Inst. Nat. Cercetare-Dezvoltare Text. Pielarie. All rights reserved

    Minimal social interactions and life satisfaction: the role of greeting, thanking, and conversing

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    Recent studies have highlighted the subjective well-being benefits of minimal social interactions (i.e., interactions with weak ties and strangers). However, the empirical work to date has primarily focused on minimal social interactions that involve conversations and relied on Western samples. In this research, we examined not only conversations but also momentary interactions (i.e., greeting and thanking) in a large, nationally representative, non-WEIRD sample from Turkey (N = 3,266). We used an instrumental variable approach to provide evidence for the direction of the association between minimal social interactions and life satisfaction. We also investigated the robustness of this approach by replicating one of our key findings in a very large, English-speaking, convenience sample (N = 60,141). Across the two samples, we found that having conversations with strangers and weak ties, as well as simply greeting and thanking weak ties, predicted greater life satisfaction

    Management of neuraxial anaesthesia for emergent caesarean section for placenta previa

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    Abnormal placental attachments, such as placenta accreta, increta or percrata, can result in increased morbidity and mortality because of the risk of severe postpartum haemorrhage. We aimed to present the management of spinal anaesthesia and surgical approach for emergent caesarean section because of vaginal bleeding in a multiparous pregnant woman with placenta previa at 36 weeks' gestation. Hyperbaric bupivacaine 12 mg, fentanyl 10 μg and morphine 150 μg were intrathecally administered for spinal anaesthesia. Oxytocin, methyl ergonovin and tranexamic acid were administered after umbilical cord clamping. Breech delivery of the baby was provided by a vertical incision to the uterus for avoiding placental harm. Subtotal hysterectomy was performed leaving the placenta in situ. Two units of red blood cells were transfused during the operation, lasting approximately 40 min. The patient was uneventfully discharged on the postoperative fourth day. In conclusion, a single-shot spinal anaesthesia was successfully maintained without conversion to general anaesthesia until the end of the hysterectomy in the patient in whom placenta increta was observed during caesarean delivery

    MONITORING OF GLACIERS ON HORSESHOE ISLAND, ANTARCTICA BASED ON A DEEP LEARNING APPROACH FROM HIGH-RESOLUTION ORTHOPHOTOS (TAE-6 & TAE-7)

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    Global climate change is a phenomenon that seriously affects the balance of a wide variety of ecosystems and is the intense focus of climate scientists and environmental researchers. In this context, periodic monitoring of glacier areas in terms of a better understanding of atmosphere-ocean interactions; thus, predicting the effects of climate change and planning against future threats by evaluating environmental impacts is an important research area. Especially the polar regions, where the melting of glaciers and the rise of sea levels are visibly observed, are important for climate scientists in providing crucial observations to understand and predict global climate change. In this study, within the scope of the international bilateral cooperation project carried out in cooperation with Istanbul Technical University (ITU) and the Bulgarian Academy of Sciences (BAS) (Project No: 121N033), the spatial changes in snow/glacier areas obtained from UAV Photogrammetry products generated during the 6th and 7th Antarctic National Science Expeditions. Snow/glacier areas were segmented with the K-Net deep learning approach which has been previously tested for accuracy and provides glacier mapping with accuracy metrics over 99%, on the high spatial resolution orthophotos produced during the two periods. The snow/glacier areas difference between the two periods were calculated and compared and water bodies which are critical areas, were specifically examined. The result of this comparison shows that the glacier area decreased by approximately 11% in just 1 year. However, to better understand these changes in snow/glacier areas, the region needs to be observed closely for longer time periods. It is thought that future studies will contribute to efforts to manage global environmental impacts and cope with climate change by focusing on monitoring and better understanding changes in these critical regions
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