Deprem Sonrası Omurilik Yaralanması: Fizyoterapi ve Rehabilitasyonun Rolü

This review examines the crucial role of physiotherapy and rehabilitation in the management of post-earthquake spinal cord injuries (SCI). After an earthquake, patients with SCI require specialized and intensive rehabilitation programs to promote recovery, prevent complications, and enhance their quality of life. This article reviews the pathophysiology of post-earthquake SCI, the various clinical and functional assessments used to evaluate severity, and the different treatment options available including pharmacotherapy, surgical interventions, and rehabilitation. This review discusses the challenges and barriers faced by patients and healthcare providers, the expected outcomes and prognosis for patients, and the key findings and recommendations for future research and practice. The review emphasizes the importance of an individualized physiotherapy and rehabilitation approach to the management of post-earthquake SCI

Coronavirus Disease (COVID-19) Pandemic and Telerehabilitation

Koronavirüs hastalığı (COVID-19) oldukça bulaşıcı bir hastalık olduğu için ülkelerin sağlık sistemlerine ciddi bir yük bindirmiş ve toplumun yaşam biçiminde ciddi değişikliklere neden olmuştur. COVID-19 pandemisi, telerehabilitasyon uygulamalarının önemini daha da ön plana çıkarmıştır. Telerehabilitasyon, rehabilitasyon hizmetlerinin bilgi ve iletişim teknolojileri kullanılarak uzaktan sunulması olarak tanımlanabilir. COVID-19 pandemisinde bulaş riskinin en aza indirilmesi için sosyal hayatın kısıtlanmasıyla bireylerin fiziksel aktivite düzeyleri azalmış, hasta bireylerin rehabilitasyon hizmetlerine ulaşması ciddi düzeyde kısıtlanmıştır. Ayrıca, COVID-19’un ciddi bulaş riski nedeniyle rehabilitasyon profesyonelleri bu hastaların tedavisinde risk altına girmiştir. Bu durumlar göz önünde bulundurulduğunda pek çok otorite tarafından telerehabilitasyon uygulamalarının yaygınlaştırılması gerektiği vurgulanmaktadır. Bu derlemede, telerehabilitasyonun tanımı yapılmış, güncel kanıtları, avantajları ve dezavantajları sunularak COVID-19 pandemisindeki önemi tartışılmıştır.As coronavirus disease (COVID-19) is highly contagious, it has put a severe burden on the healthcare systems of countries and has caused critical changes in social life. The COVID-19 pandemic has highlighted the importance of telerehabilitation practices. Telerehabilitation can be defined as the remote delivery of rehabilitation services using information and communication technologies. To minimize the risk of transmission in the COVID-19 pandemic, the restriction on social life has decreased the physical activity levels of individuals, and the access of individuals with disabilities to rehabilitation services has been severely restricted. Besides, the rehabilitation professionals are at risk while treating their patients due to the severe risk of transmission of COVID-19. Considering these circumstances, the need to promote telerehabilitation practices has been highlighted by many authorities. This review has made the definition of telerehabilitation, presented its current evidence, advantages, and disadvantages, and discussed its importance in the COVID-19 pandemic

Telerehabilitasyon: Deprem Sonrası Rehabilitasyon İçin Umut Vadeden Bir Çözüm

Telerehabilitation, the use of telecommunication technologies to provide rehabilitation services to individuals remotely, has emerged as a promising solution for postearthquake rehabilitation. Earthquakes can cause severe physical and psychological damage, and the affected individuals often require rehabilitation services to recover. However, the traditional delivery of rehabilitation services may not be feasible in postearthquake scenarios due to the destruction of infrastructure and limited availability of healthcare providers. Telerehabilitation offers a cost-effective and accessible alternative for providing rehabilitation services in such situations. This review article explores the current state of telerehabilitation in post-earthquake scenarios. It discusses the advantages and challenges of telerehabilitation and presents examples of successful implementation in earthquake-affected areas. The article also examines the effectiveness of telerehabilitation in various domains. The article highlights the importance of proper planning and infrastructure for successful implementation of telerehabilitation. It also emphasizes the need for training healthcare providers and patients to effectively use telecommunication technologies for rehabilitation services. The advantages of telerehabilitation, including cost-effectiveness and accessibility, make it a viable alternative to traditional rehabilitation services. However, successful implementation requires proper planning, infrastructure, and training. Further research is needed to explore the effectiveness of telerehabilitation in various post-earthquake scenarios and to address its ethical and legal implications

Translation, cross-cultural adaptation, reliability, and convergent and known-group validity of the Turkish full version of the Hip Disability and Osteoarthritis Outcome Score in patients with hip osteoarthritis

Objectives: The study aimed to culturally adapt the full version of the Hip Disability and Osteoarthritis Outcome Score (HOOS) into Turkish and evaluate its reliability and validity. Patients and methods: Patients with hip osteoarthritis were included in the methodological crosscultural adaptation study between May 2022 and December 2022. We translated and adapted the HOOS into a Turkish version and validated it in a cohort of native Turkish-speaking patients with hip osteoarthritis. The HOOS includes five subscales named symptoms, pain, activities of daily living (ADL), sport and recreation (Sport/Rec), and quality of life (QoL). The psychometric properties of the Turkish HOOS were assessed. The reliability was investigated using test-retest reliability (intraclass correlation coefficient; ICC) and internal consistency methods (Cronbach’s alpha). The convergent validity of the Turkish HOOS was evaluated by testing the predefined hypotheses using the correlations with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the European Quality of Life Scale (EQ-5D-3L), a generic QoL scale. Results: A total of 202 patients (131 females, 71 males; mean age: 55.2±9.7 years; range, 50 to 70 years) were recruited for the study. Cronbach’s alpha values for each subscale of the HOOS were as follows: symptoms=0.76, pain=0.94, ADL=0.96, Sport/Rec=0.87, QoL=0.78, and total score=0.98, indicating it has high internal consistency. For all subscales and total score of the HOOS, the ICC values were between 0.77 and 0.86, indicating good to excellent test-retest reliability. All correlations between each subscale and total score of the Turkish HOOS, WOMAC, and EQ-5D-3L were moderate to strong. Therefore, 23 predefined hypotheses out of 24 were confirmed with a confirmation rate of 96%, indicating the Turkish version of the HOOS had adequate convergent validity. Conclusion: This study shows that the Turkish version of the HOOS has a convergent and knowngroup validity, internal consistency, and test-retest reliability. It can be used to assess the patient's perception of their hip and associated difficulties, as well as their symptoms and functional limitations

EFFECT OF BIOMASS AT DIFFERENT GROWTH STAGE ON GRAIN YIELD AND QUALITY IN BREAD WHEAT (Triticum aestivum L.) GENOTYPES

The aim of this research was to determine the effects of location, genotypes and the interaction of location x genotypes on biomass, canopy temperature, yield and some of the quality traits of the bread wheat genotypes under field conditions. Thus, it was established with 25 genotypes in randomized completely blocks design with 4 replications at 3 locations in Trakya Region, Turkey, in 2013-2014 growing season. Grain yield, biomass, canopy temperature, plant height, 1000-kernel weight, test weight, and relationship among these characters were investigated. For determining biomass of the genotypes, data was taken at three plant growth stages; tillering, shooting and heading. Combined analysis of variance across three locations revealed highly significant variation among wheat genotypes for grain yield, biomass of stem elongation, heading stage and canopy temperature. The mean yield of the genotypes was 723.0 kg da-1, and the highest yields were obtained from Entry 22 with 826.3 kg da-1. The highest biomass was scaled in Entry-9 during threeplant growth stages. Additionally, a positive correlation was observed between grain yield and biomass in tillering, shooting, and heading growth stages of the genotypes. These results indicated that higher biomass at early plant growth stage was more significant for yield potential. There was detected slightly negative relationship between canopy temperature and biomass, and grain yield. It could be that the canopy temperatures of genotypes were measured lower during the increasing of biomass in plant development. During tillering stage, higher biomass promoted to plant height and positively affected protein ratio, values of gluten and sedimentation. In shooting phase of genotypes, biomass positively affected and increased in 1000-kernel weight, protein ratio, gluten value and sedimentation value, as well. But increasing in biomass during heading stage, negatively affected and decreased in canopy temperature, 1000-kernel weight, test weight, protein ratio, gluten index and sedimentation value

DIFFERING IN AGRONOMIC AND QUALITY CHARACTERS IN SOME BACKCROSS–DERIVED LINES IN BREAD WHEAT (Triticum aestivum L.) GENOTYPES

The backcrossing method remains an efficient tool for transferring genes into established crop varieties. In this study; we were focused on evaluating the selected some backcross lines for yield, grain-quality traits and some agronomic traits under field condition. The experiment was conducted using 15 genotypes in randomized completely blocks design with four replications in Trakya ARI experimental field, during 2009-2010 and 2010-2011 growing years. Grain yield, days of heading and maturing, plant height and some quality parameters and relationship among these parameters were investigated. According to results, there was statistically difference among genotypes in terms of yield and other investigated characters, except for 1000-kernel weight, test weight. Grain yields decreased in Pehlivan, Aldane, Tekirdağ and Dropia backcross lines. It was determined that TKW increased in the backcross derived lines of the Gelibolu, Dropia and Prostor, gluten value increased in Pehlivan and Tekirdağ cultivars. Backcross line for gluten index of the Pehlivan, Aldane, Gelibolu, Prostor and Dropia cultivars highly increased compared with other components. Sedimentation values of the backcross lines of cultivars decreased in Prostor and increased in Pehlivan, Gelibolu and Dropia. The strongly negative correlations were measured between grain yield and days of maturing (r=-0.689**), plant height (r=-0.655**), and lodging resistant (r=-0.743**). Also, grain yield was negatively correlated with protein ratio (r=-0.608*), gluten value (r=-0.541*), and days of heading (r=-0.607*). The negative correlations were found between grain yield and 1000-kernel weight, test weight, hardness, sedimentation, and winter-kill, as well. The strong positive correlations were measured between protein ratio and gluten, hardness, sedimentation, days of heading and maturing, plant height, and lodging resistant. Grain hardness in genotypes increased with the extension of maturation period of the genotypes. Plant height in genotypes strongly correlated with grain yield, protein ratio, gluten value, gluten index, days of heading and maturing

¿La aplicación de pegamento de fibrina perivascular tiene un efecto preventivo del daño endotelial en el injerto de vena safena? Un modelo experimental

Background. The effect of tissue adhesives on coronary grafts in cardiac surgery is a controversial issue. Objective. The aim of this study is to investigate the effect of fibrin glue (FG) applied around the saphenous vein grafts (SVG) in preventing cellular damage resulting from intraluminal pressure increase. Methods. Twenty volunteer patients were included in this ex vivo study. The SVGs remained after coronary artery bypass grafting were connected to the arterial line of the cardiopulmonary bypass circuit. The grafts were divided into two segments and one segment received perivascular FG applied whereas the other part was used plain. SVGs were kept in circulation at 120 mmHg pressure 250 mL/min flow rate for 60 min. The tissues were sent for histopathological examination to determine the endothelial damage. Results. Endothelial damage was more pronounced in the control group when compared with the FG group. In the FG group, no damage was seen in 13 samples and no Type 3 endothelial damage was observe whereas Type 1 injury was detected in seven specimens, Type 2 injury was observed in seven specimens, and Type 3 injury was detected in two specimens in the control group. Conclusion. Perivascular application of FG on the SVG showed a protective effect against endothelial damage resulting from increased intraluminal pressure.Antecedentes. El efecto de los adhesivos tisulares sobre los injertos coronarios en cirugía cardíaca es un tema controvertido. Objetivo. Investigar el efecto del pegamento de fibrina aplicado alrededor de los injertos de vena safena para prevenir el daño celular resultante del aumento de la presión intraluminal. Método. En este estudio ex vivo fueron incluidos 20 pacientes voluntarios. Los injertos de vena safena que quedaron después del injerto de derivación de la arteria coronaria se conectaron a la línea arterial del circuito de derivación cardiopulmonar. Los injertos se dividieron en dos segmentos y a uno de ellos se le aplicó pegamento de fibrina perivascular, mientras que la otra parte se usó sola. Los injertos de vena safena se mantuvieron en circulación a una presión de 120 mmHg y una velocidad de flujo de 250 ml/min durante 60 minutos. Los tejidos se enviaron para examen histopatológico para determinar el daño endotelial. Resultados. El daño endotelial fue más pronunciado en el grupo de control ue en el grupo de pegamento de fibrina. Se observó lesión de tipo 2 en siete muestras del grupo de pegamento de fibrina y lesión de tipo 3 en dos muestras del grupo de control. Conclusiones. La aplicación perivascular de pegamento de fibrina en los injertos de vena safena mostró un efecto protector contra el daño endotelial resultante del aumento de la presión intraluminal

The Determination of the Effect of Cover Crop Before Sunflower Production on Seed Yield, the Application of Nitrogen Rate and Water Content in the Soil in Trakya Region

DergiPark: 245925trakyafbdTrakya koşullarında, buğday hasadından sonra ayçiçeği ekilinceye kadar olan ara dönemde toprakta yeşil örtü oluşturularak erozyonun önlenmesi ve ot üretilmesi amacıyla, Macar fiği (Vicia pannonica L.) yetiştirilmiştir. Ön bitki fiğ, yeşil ot elde etmek için, ilkbaharda Nisan ayının ikinci yarısı ve Mayıs ayının ilk yarısı olmak üzere iki faklı zamanda biçilmiştir. Baklagil yem bitkisi yetiştirilen bu sistemde ayrıca ayçiçeğine uygulanacak azot miktarını belirlemek amacıyla, alt-alt parsellere 0-5-10-15 kg/da saf azot dozları uygulanmıştır. Yapılan toprak nemi ölçümlerinde, ön bitki toprak nemini azaltmış ve kayıp nem yaz yağışlarıyla karşılanamadığı için, ayçiçeği verimini düşürmüştür. Bu verim düşüklüğü, ön bitkinin hasadı geciktikçe artış göstermiştir. Bu nedenle ön bitki hasat edilmiş parsellerden elde edilen ayçiçeği verimi, sürülü parsellere nazaran daha düşük olmuştur. Yapılan ekonomik analiz sonucuna göre; ön bitkisi olarak yetiştirilen fiğden elde edilen ot geliri; ayçiçeği verim düşüklüğünü karşılamakta ve artı gelir sağlamaktadır. Ayçiçeği parsellerine uygulanan farklı azot dozları neticesinde, azot ile verim arasında önemli bir ilişki bulunmamıştır. Buğday-ayçiçeği münavebe sistemindeki ara dönemde, ayçiçeğinden önce ön bitki yetiştirilmesi durumunda ön bitkilerin erken hasadından sonra ekilen ayçiçeklerinin verimi, geç hasat edilene nazaran daha yüksek olmuştur. Araştırma sonuçlarına göre yapılan kâr-zarar analizi sonucunda, kış dönemi yağış durumu normal olduğunda, Trakya bölgesinde ayçiçeğinden önce ön bitki olarak Macar fiği yetiştirilmesi, kârlı bir yöntem olarak bulunmuşturThe Hungarian vetch (Vicia pannonica L.) planted to prevent erosion with setting the green cover on the soil surface and to produce forages for animal feed. The cover crop was cut twice as early and late cutting in the spring. The nitrogen doses were 0-5-10-15 kg per da before sunflower planting to determine of the optimum nitrogen rate. The sunflower (Helianthus annuus L.) yield was decreased due to cover crop planting and the seed yield decreased when harvest being late. Due to soil water uses, sunflower yield was lower than ploughed plots. However; these yield losses were compensated from forage crops production with getting extra income based on economical analysis. There were no significant difference between nitrogen doses and any positive increase on seed yield in normal rainy winter season. On the other hand, high sunflower yields were obtained from early cover crop harvesting so early sunflower planting in the experiment. Based on economical analysis results of the research; cover crop planting before sunflower production in the wheat-sunflower rotation system were found as profitable method especially in rainy winter seasons in Trakya regio

Dual‐task difficulties as a risk factor for unemployment in people with multiple sclerosis

Background No study has investigated the impact of dual-tasking difficulties as a risk factor for unemployment in people with multiple sclerosis (pwMS). The aim was to examine the influence of dual-task performance on employment status and work difficulties and to identify the predictors of employment status in pwMS. Methods Eighty-four pwMS, including 42 employed and 42 unemployed, participated in the study. Dual-task difficulties were assessed using the Dual-task Impact on Daily-living Activities-Questionnaire (DIDA-Q), while dual-task performance was evaluated through the 30-second Walk Test and Nine-Hole Peg Test, incorporating a cognitive task. Walking and cognitive function were also measured. Results Employed pwMS had better scores in walking, cognitive function, single and dual-task performance than unemployed pwMS (p < .05). Lower scores in walking (odds ratio [OR] = 1.81, p < .001) and upper extremity-related (OR = 1.44, p = .019) dual-task performance and higher scores in the cognitive subscale of the DIDA-Q questionnaire (OR = 1.20, p = .037) were significantly associated with higher odds of being unemployed. Among employed pwMS, DIDA-Q subscales showed moderate-to-strong correlations with MSWSDQ-23 scores. The other variables showed weak-to-moderate correlations with subscale and total scores of MSWSDQ-23. Conclusion Cognitive function, as opposed to motor function, has been found to be a significant predictor of unemployment in pwMS

Factors associated with citation rates of the articles: Sample of the Turkish journal of physiotherapy and rehabilitation Makalelerin atıf sayılarıyla ilişkili etkenler: Türk Fizyoterapi ve rehabilitasyon dergisi örneği

© 2018 University and Research Librarians Association (UNAK). All rights reserved.In this study, the citation rates and related factors of the articles were examined as a sample of Turkish Journal of Physiotherapy and Rehabilitation. The sample of the study consists of 148 articles published between 2006 and 2013. The following data were collected in relation to the publications: Turkish and English title, number of characters in Turkish and English titles, presence of punctuation marks in the title, year of publication, number of authors, first and responsible author's institution information, number of institutions, publication language, country, article type, study design, and sample size. It was determined that 66.9% of the studies were written in Turkish and most of them had a cross-sectional study design (58.1%). Twenty-seven percent of the articles were found to have no citation. The median number of citations was found as 2. Articles with shorter Turkish and English titles and a larger sample size were found to be more cited. It was found that articles written in English have a significantly higher number of citations than Turkish articles. It was found that the presence of a punctuation mark in the title, the first and responsible author's institution, county, and study design was not related to the citation rate. It is hoped that the findings obtained from this study will guide the authors at the stage of writing and the editors and reviewers at the stage of selection and evaluation of the articles