Awareness and Prevalence of Traditional and Complementary Medicine in Patients’ Application to Orthopedics and Traumatology Outpatient Clinic

Purpose: The objective of this study was to assess the awareness of complementary and alternative medicine practices and the frequency of their utilization among patients attending an orthopedic outpatient clinic. Materials and Methods: Patients who presented to the orthopedics outpatient clinic of the University Hospital between November 15 and December 30, 2022, were invited to participate in this study. A questionnaire containing 16 questions about eight different traditional and complementary approaches, designed to determine patients' knowledge of and attitudes toward each of these practices, was administered by the responsible physician through face-to-face interviews. The questionnaires were administered to 637 volunteers. The results were recorded, and statistical analysis was applied. Results: The volunteers were % 54.7 male and 45.3.2% female participants. The mean age of the participants was 41.52±16.349. It was determined that gender (p=0.3) and education level (p=0.207) did not affect awareness of traditional treatment. However, it was determined that the settlement area affected the awareness of traditional treatment (p<0.05). Conclusions: The popularity of traditional treatment methods and practices is steadily increasing. The public needs more professional health service providers to reach such treatment approaches and raise awareness. Despite this, it was observed that awareness was low among patients who applied to the orthopedics outpatient clinic. There is a need to educate professional health service providers to facilitate public access to these treatment approaches and to enhance social awareness

Evaluation of Dynamic Foraminal Stenosis with Positional MRI in Patients with C6 Radiculopathy-Mimicking Pain: A Prospective Radiologic Cohort Study

Objective. Patients with a C6 radiculopathy-mimicking complaint are always in the gray zone if the diagnosis is not clear. The aim of the study is to make the diagnosis clear if the neck and shoulder pain is caused by a dynamic stenosis of the neural foramen at the C5-C6 level. Methods. Patients with a C6 radiculopathy-mimicking complaint were included in the study. Patients had a cervical spine magnetic resonance imaging (MRI) at the normal limits, or a minimal protrusion at the C5-C6 level underwent a dynamic MRI procedure. We measured the foraminal area and spinal cord diameter (SCD) at the C5-C6 level by using the PACS system ROI irregular are determination integral embedded to PACS. Inter- and intraobserver reliability of measurements was evaluated. Results were analyzed statistically, and a p value< 0.05 was accepted as statistically meaningful. Results. A total of 23 patients between January 2019 and June 2019 were included in the study. There were 10 men and 13 women, and the mean age was 41.3 (range 33-53). Foraminal area decrease at C5-C6 in extension and increase in flexion when compared with the neutral position was statistically significant (p[removed]0.05). Interobserver and intraobserver reliability of measurements were classified as in almost perfect agreement. Conclusions. Our present work presented dynamic and positional foraminal changes in MRI with radiculopathy-mimicking patients. Soever, we did not find a difference between the clinical complaint side and the opposite side in radiculopathy-mimicking patients. Cervical radiculopathy pain should not be attributed only to foraminal sizes. PACS embedded irregular area measurement integral allows the easy measure of a big number of patients without additional set-up and digital work requirements. © 2022 Ozcan Kaya et al

Mppt Control for PV Systems with Analytical Analysis Fractional Open Circuit Voltage Method

Abstract— In this study, analytical resolved fractional open circuit voltage (FOCV) maximum power point tracking (MPPT) method is presented. The proposed method is obtained by calculating it by utilizing the single diode circuit of the PV module, while measuring the open circuit voltage (Voc) by interrupting the power of other open circuit voltage methods. Vmpp is obtained by multiplying the obtained Voc voltage with the coefficient. The voltage variation (E) is obtained by the subtraction between the panel voltage (Vpv) and the Vmpp voltage. It is applied as an input to the PI controller by multiplying the Ki factor to limit the voltage variation (E). The PI Controller generates the required duty cycle for the DC-DC converter. The most important advantage of this method is acquaring open circuit voltage without power interruption. The proposed method operated effectively at different radiation and temperature values. For the proposed method, it has simulated in Matlab/Simulink program using SHARP NDQ295 model PV panel

Autologous segmental tibia bone transfer in the treatment of distal tibia Gustilo-Anderson type-III open fracture: A case report

Introduction: We present the results of a two-stage reconstruction performed with autologous segmental tibia bone transfer on a distal tibia Gustilo-Anderson type-IIIC open fracture in this paper. Our aim is to discuss the results of this surgery, potential failures and complications in our procedures, and ways to protect against osteolysis. Presentation of case: A 20-year-old male who has undergone surgery in our clinic for a Gustilo-Anderson type-III open fracture of the left tibia using autologous tibia segmental bone transfer. The first operation consisted of removing the exposed bony fragment and placing it in the abdominal wall. Fifty days after the first operation, an intramedullary nailing operation was performed using the autologous bone fragment kept in the abdominal wall. Before the final procedure, we assessed the viability of the bone fragment using scintigraphy as well as the paprika sign was observed on the fragment during operation. Patient was seen in follow-up every three weeks to evaluate for successful osteosynthesis; however, osteolysis eventually established in the 7th month of follow-up. Discussion: Specific treatment modalities with each having different advantages and disadvantages are a matter of debate in tibia fractures with bone and soft tissue loss. To our knowledge, there are no such cases reported in the literature of autologous tibia bone transfer for osteosynthesis with the fractured bone segment temporarily being stored inside the abdominal wall for nutritional supplementation. Conclusion: The osteosynthesis with autologous tibia bone transfer may be employed by saving the segment inside abdominal wall, if suitable conditions are provided