Quality of Life Evaluation Through a Single-Item "Daily Prosthesis Usage Time" in Individuals with Lower-Limb Amputation

Introduction The purpose of this study was to identify the relation of daily prosthesis usage time (DPUT) of individuals with amputation with quality of life (QoL) questionnaires. Methods The research was carried out on 125 individuals with amputation. Prosthetic-related parameters were searched, as well as demographic data. A generic (Nottingham Health Profile [NHP]) questionnaire and a questionnaire specific to individuals with amputation (Trinity Amputation and Prosthesis Experience Scales [TAPES]) QoL measurements were used. Results Ninety-one males and 28 females with a mean age of 42.4 ± 14.7 years participated in the study. The average DPUT was 11.1 ± 4.4 hrs/d. Study results showed that there was significant correlation between both of the QoL questionnaires (NHP and TAPES) and DPUT. High correlation was determined between DPUT and NHP total score and NHP-Pain, and very high correlation was found between DPUT and NHP-Physical Activity subscale. A moderate negative correlation was found between DPUT and NHP-Energy Level, NHP-Emotional Reaction, NHP-Social Isolation, and NHP-Sleep. A moderate negative correlation was found between DPUT and TAPES-Activity Restriction. A high correlation was found between DPUT and residual limb pain, prosthetic satisfaction, time interval after amputation, and number of prosthetic fittings. A moderate correlation was found between DPUT and walking aids, whereas a poor relationship was shown between phantom pain and DPUT. Conclusions This study showed that "the average DPUT"may be used in terms of short assessment of QoL of individuals with amputation. The outcomes of this study pointed out that especially prosthetic-related parameters affected the QoL in individuals with amputation. In problems resulting from routine assessment and questionnaires having so many items, a single-item question, "the average DPUT,"may be used effectively in a shorter period and is helpful for organizing a rehabilitation program. Clinical Relevance A single-item question, "The average daily prosthesis usage time (DPUT),"be used effectively in a shorter assessment of quality of life of individuals with amputation and is helpful for organizing a rehabilitation program. © Lippincott Williams & Wilkins

Determination of Some Properties of Turkish Delight Produced by the Addition of Pomegranate Juice

In this study, it is aimed to produce Turkish delight by using fresh squeezed pomegranate juice obtained from two different sour and sweet pomegranate varieties in 20% and 30% of the water to be used in the formulation. Water soluble dry matter, pH, total acidity, total phenolic substance, total anthocyanin, colour, hardness value, water activity of Turkish delight added pomegranate juice were analysed and the samples were sensory evaluated. Soluble solids dry matter values of Turkish delight were; 71.25-81.90 °Brix; pH values; 3.50-4.78, hardness values; 0.75-1.64 N, total acidity values; 0.042-0.240g/100g, L values; 27.43-43.94, a* values; (-0.66)-(+14.45) and b* values; (-1.67)-(+4.08), the amount of the total phenolic matter; 201.33-760.33 mg GAE/kg, the amount of total anthocyanin; 10.01-42.15 mg Cy-3Gluc/kg determined, respectively. When the results of the sensory evaluation were examined, the highest average score in terms of many features was obtained with a sweet pomegranate juice (300 ml) obtained with hydraulic press. It can be concluded that the products rich in functional components and preferred by consumers can be produced

Determination of some physicochemical properties of honeys from Tokat region and their compliance with the Turkish Food Codex

Bu çalışmada; bitki çeşitliliğinin oldukça fazla olduğu Tokat ili ve ilçelerinden temin edilen balların bazı fiziksel ve kimyasal özellikleri belirlenmiştir. 2019 ve 2020 yıllarında 12 ilçeden temin edilen (toplam 24 adet) çiçek balı örneklerinin Türk Standartları (TS) 3036 Bal Standardı ve uluslararası standartlarda kabul görmüş analiz metotları ile yapılan bazı fizikokimyasal, pestisit ve mineral analizleri sonuçlarının Türk Gıda Kodeksi (TGK) Bal Tebliği’ne (2020/7) uygunlukları incelenmiştir. Bal örneklerinde nem miktarı %13,0-20,0; serbest asitlik 26±0,12-48±0,16 meq/kg; elektriksel iletkenlik 0,33-0,86 mS/cm; Hidroksimetilfurfural (HMF) miktarı 0,05-8,69 mg/kg; prolin değeri 422,56-1222,56 mg/kg; diastaz sayısı 0,0-10,9; protein ve ham bal Δ13 C farkı-0.84-1.23; C4 şeker oranı %0,0-5,26; sakkaroz miktarı %0,30- 1,96; früktoz+glikoz miktarı %62,54-76,67; früktoz/glikoz oranı 0,98-2,62 olarak belirlenmiştir. Bal örneklerinde toplam üç numunede pestisit tespit edilmiştir. Bunlar triamenol+triadimefon, metrafenone, cypermethrin, boscalid, deltamethrin, kresoxim methyl olup üç örnekte sınır değerleri aşılmış olup, diğer örneklerde ise limit değerleri aralığındadır. Balların mineral içerikleri (mg/kg); çinko (Zn) 0,0-24,306; nikel (Ni) 0,0-2,906; krom (Cr) 0,0- 3,850; mangan (Mn) 0,0-4,660; bakır (Cu) 0,0-17,099; kurşun (Pb) içeriği 0,314-2,729 aralığında tespit edilmiştir. Örneklerin toplam fenolik madde miktarları 254,14-776,94 μg GAE/g bal; serbest radikali giderme aktivitesi 129,47-587,37 μg TE/g bal; katyon radikali giderme aktivitesi 93,33-1187,78 μg TE/g bal aralıklarındadır.In this study; some physical and chemical properties of honey taken from the districts of Tokat province, where plant diversity is quite high, were determined. Results of some physicochemical, pesticide, and mineral analyses conducted with Turkish Standards (TS) 3036 Honey Standard and internationally accepted analysis methods of flower honey samples (24 in total) obtained from 12 districts in 2019 and 2020 Turkish Food Codex (TGK) Honey Communique (2020/7) has been investigated for compliance. Moisture content in honey samples is 13.0-20%; total acidity 26 }0.12- 48 }0.16 meq/kg; electrical conductivity 0.33-0.86 mS/cm; the amount of hydroxymethylfurfural (HMF) 0.05-8.69 mg/kg; proline value 422.56-1222.56 mg/kg; diastase number 0.0-10.9; protein and raw honey Δ13 C difference -0.84-1.23; C4 sugar content 0.0-5.26%; amount of sucrose 0.30-1.96%; fructose+glucose amount 62.54-76.67%; fructose/glucose ratio was determined as 0.98-2.62. Pesticides were detected in a total of three samples in honey samples. These are triamenol+triadimefon, metrafenone, cypermethrin, boscalid, deltamethrin, and kresoxim methyl. In three samples, the limit values are exceeded, and in the other samples, the limit values are in the range. Mineral content of honey (in mg/kg); zinc (Zn) 0.0-24.306; nickel (Ni) 0.0-2.906; chromium (Cr) 0.0-3.850; manganese (Mn) 0.0-4.660; copper (Cu) 0.0-17.099; lead (Pb) content was determined in the range of 0.314-2.729. The total phenolic content of the samples was 254.14-776.94 μg GAE/g honey; free radical scavenging activity was 129.47-587.37 μg TE/g honey; cation radical scavenging activity was in the range of 93.33-1187.78 μg TE/g honey

Prosthetic Rehabilitation of A Child with Transfemoral Amputation Who Had Congenital Insensitivity to Pain with Anhidrosis

Congenital insensitivity to pain with anhidrosis is a rare autosomal-recessive disorder characterized by systemic anhidrosis, insensitivity to pain, mental retardation, osteomyelitis, and joint deformities which could result in amputations. Prosthetic rehabilitation is important in patients who had congenital insensitivity to pain with anhidrosis associated with amputation. In this case report, we discuss the effects of anhidrosis, insensitivity to pain and other symptoms on prosthetic fitting and rehabilitation. Turk J Phys Med Rehab 2011;57 Suppl 2: 366-8.Wo

PREPARING THE QUESTIONNAIRE TO DETERMINE THE FUNCTIONAL LEVEL IN CHILDREN WITH LIMB LOSS/DEFICIENCY AND PRE-OUTCOMES

Purpose: To prepare an authentic scale for child amputees and to determine the functional level of amputee children with their prosthesis. Methods: Children with limb loss/deficiency (n = 20) aged between 6-12 years who used their prosthesis at least for 1 year were enrolled in this study. The second group consisted of healthy children (n = 25). Twenty-two disabled children with physically disabled and attending to special education school were enrolled to the control group. All the children were assessed with the Functional Level Determining Scale (FLDS) designed for the children between 6-12 ages. Results: Demographic characteristics such as age, sex and body mass index were same for each group (p > 0.05). Although the scores of FLDS were in similar in the groups of amputee and healthy children (p > 0.05), their scores were higher than the children who had physical disabled (p < 0.05). When the children with limb loss/deficiency were divided into two group as acquired and congenital, the congenital group were more functional (p < 0.05). The children who used prosthesis for longer term were more successful in the activities (p < 0.05). Although there is no difference statistically, the scale was recorded as sensitive to speed in functional activities. Discussion: Regardless of the cause or level of amputation, amputation less affects than other physical disabilities on functional level. Early prosthetic applications contribute to the functional level of children. This outcome is thought that the scale is contributed to determine the functional level in children with limb loss/deficienc

Evaluation Of Functionality In Acquired And Congenital Upper Extremity Child Amputees

Objective: The aim of this study was to evaluate the functional level of children with congenital and acquired upper limb loss after a rehabilitation program. Methods: This study included a total of 40 children, aged 8 to 17 years with upper limb loss. Children were divided into two groups; congenital amputees (n=20) and acquired amputees (n=20). The children underwent prosthetic fitting, prosthetic training and rehabilitation. The Child Amputee Prosthetics Project - Functional Status Inventory (CAPP-FSI) and Prosthetic Upper Extremity Functional Index (PUFI) were used at the initial visit to the prosthetic unit without prosthesis, 3 weeks after the prosthetic training and 6 months after discharge with and without prosthesis. The results with and without the prosthesis were compared between the acquired and congenital amputee groups. Results: There were significant differences in all tests performed at the baseline, at the 3rd week, and at the 6th month without prosthesis and at the 3rd week and at the 6th month with prosthesis (p<0.05). The congenital group received higher scores in the CAPP-FSI and PUFI at the baseline, at the 3rd week and at the 6th month (p<0.05). Patients in the congenital group used their prostheses for 8 hours a day and the acquired group for 4 to 8 hours. Conclusion: Daily prosthesis usage time and the child's experience with the prosthesis during daily activities are the determining factors for the functional level in upper limb child amputees. Functionality may improve based on these factors.WoSScopu

Do mobility and life setting affect falling and fear of falling in elderly people?

The aim of this study is to determine the differences between falling and mobility among elderly people in different settings. This investigation included 41 elderly people living in a retirement village and 45 elderly people in community dwellings. Subjects were assessed in terms of mobility and activities of daily living, falling, and fear of falling. There were significant differences between groups in terms of age, mobility, and activities of daily living (P .05). This study shows that along with several factors, such as mobility, the life style of elderly people, which is shaped by their living conditions, has an impact on falling

sj-jpeg-1-otj-10.1177_15394492221123521 – Supplemental material for A Modified Version of the Forgotten Joint Score–12 in Lower Limb Amputees: Validity and Reliability Study

Supplemental material, sj-jpeg-1-otj-10.1177_15394492221123521 for A Modified Version of the Forgotten Joint Score–12 in Lower Limb Amputees: Validity and Reliability Study by Gökhan Karakaş, Aykut Özçadırcı and Semra Topuz in OTJR: Occupation, Participation and Health</p

Comparison of upper limb burn injury versus simulated pathology in terms of gait and footprint parameters

WOS: 000496927900021PubMed: 31683183Background: Little is known about whether a simulated upper limb condition reflects a real (burn-injury) upper limb pathology in terms of gait/footprint parameters. Research question: the main aim of this study was to investigate the differences in these parameters between two conditions (real-simulation). Methods: the study included burn patients (n = 30) and a control group of 30 healthy subjects. Gait and footprint parameters were evaluated using the GAITRite electronic walkway. Kinesiophobia and pain were assessed with the Tampa Kinesiophobia Scale and Visual Analog Scale, respectively. Gait evaluation of the control group was performed randomly in two conditions:1. Normal arm swing (control group) 2. Elbow flexed at 90 degrees with a bandage (simulated group). Results: Step and stride length in the burn group were significantly shorter than in the other groups (p < 0.05). Stance phase was significantly higher while swing phase, velocity and cadence were lower in the burn group (p < 0.05). Peak time in the midfoot for both sides were significantly higher in the burn group (p < 0.05). Peak time in the hindfoot for the affected side was significantly lower while peak time in the hindfoot for the intact side was significantly higher in the burn group compared to the simulated group (p < 0.05). There were significant correlations between pain, kinesiophobia and velocity, and cadence in the burn group (p < 0.05). Significance: Compared to the other groups, patients with burn injury have different gait/footprint parameters due to increased pain and kinesiophobia. To determine the effects of upper limb injury and arm swing on gait parameters, a real pathology should be considered rather than a simulated pathology