Comparison of Mulligan Bent Leg Raise and Sustained Natural Apophyseal Glides techniques in chronic low back pain

Amaç: Çalışmada Mulligan Bent Leg Raise (BLR) ve Sustained Natural Apophyseal Glides (SNAGS) tekniklerinin kronik bel ağrısındaki etkinliğinin karşılaştırılması amaçlandı.Yöntem: Çalışmaya yaşları 25-55 arasında, spesifik olmayan bel ağrısı şikâyeti en az 3 aydır devam eden 45 birey alındı. Hastalar randomize bir şekilde, Kontrol grubu (n=15), Mulligan BLR grubu (n=15) ve Mulligan SNAGS grubu (n=15) olarak 3’e ayrıldı. Her 3 gruba uygulanan klasik elektroterapi yöntemlerine ilave olarak BLR grubuna Mulligan BLR tekniği, SNAGS grubuna Mulligan SNAGS tekniği uygulandı. Hastaların dinlenme ve hareket durumundaki ağrısı görsel analog skala ile, lumbar bölge eklem hareket açıklığı inklinometre ile, esneklik değerlendirmesi Schober ve parmak-zemin testi ile ve fonksiyonel düzeyleri Oswestry Bel Ağrısı Anketi ile tedavi öncesi ve sonrasında değerlendirildi.Bulgular: Tedavi sonrasında tüm gruplarda istirahat ve hareket esnasında ağrı şiddetlerinde ve Schober testi sonuçlarında anlamlı fark belirlendi (p<0,05). SNAGS grubundaki olguların eklem hareket açıklıklarındaki artış diğer gruplara göre anlamlı olarak daha yüksek bulundu (p<0,05). SNAGS grubundaki parmak zemin testindeki değişimin diğer gruplara göre anlamlı olarak daha yüksek olduğu belirlendi (p<0,05). Oswestry skalası sonuçları karşılaştırıldığında, BLR grubundaki değişim diğer gruplara kıyasla anlamlı olarak daha yüksekti (p<0,05).Sonuç: Mulligan mobilizasyon teknikleri ağrı azalmasında, eklem hareket açıklığı, esneklik ve fonksiyonelliğin artmasında etkili bulundu. Mulligan mobilizasyon grupları karşılaştırıldığında BLR grubunun fonksiyonelliği arttırmada SNAGS grubuna göre daha etkili olduğu, SNAGS grubunun eklem hareket açıklığı ve esnekliği arttırmada BLR grubuna göre daha etkili olduğu belirlendi.Purpose: The aim of this study was to compare the effectiveness of Mulligan Bent Leg Raise (BLR) and Sustained Natural Apophyseal Glides (SNAGS) techniques in chronic low back pain.Methods: Forty-five individuals between the ages of 25-55 who had nonspecific low back pain at least 3 months were included in the study. The patients were randomly divided into 3 groups as Control group (n= 15), Mulligan BLR group (n= 15) and Mulligan SNAGS group (n= 15). In addition to the classical electrotherapy methods applied to all 3 groups; Mulligan BLR technique was applied to BLR group and Mulligan SNAGS technique was applied to SNAGS group. Patients’ pain at rest and in motion was evaluated with visual analog scale, lumbar range of motion with inclinometer, flexibility assessment with Schober and finger-floor test, and functional levels with Oswestry Low Back Pain Questionnaire before and after treatment.Results: After treatment, a significant difference was determined in pain intensity during rest and movement and in the results of Schober test in all groups (p<0.001). The increase in range of motion of the patients in the SNAGS group was found to be significantly higher than the other groups (p<0.05). It was determined that the change in finger ground test in the SNAGS group was significantly higher than the other groups (p<0.05). When Oswestry results were compared, the change in the BLR group was significantly higher than the other groups (p <0.05).Conclusion: Mulligan mobilization techniques were found effective in reducing pain, increasing range of motion, flexibility, and functionality. When the Mulligan mobilization groups were compared, it was determined that the BLR group was more effective in enhancing functionality than the SNAGS group, and the SNAGS group was more effective in enhancing joint range of motion and flexibility than the BLR group

Nursing care given with NANDA, NOC and NIC classification systems in line with the model for nursing based on activities of living: Example of COVID-19 case

T Pandemiye neden olan koronavirüs hastalığı-2019’un yoğun bakım gereksinimini artırması sonucu, hemşirelerin nitelikli bakım için model ve sınıflama sistemlerini kullanması gerekmektedir. Bu olgu sunumunda amaç, pandemi yoğun bakım ünitesinde yatan bir hastanın, Yaşam Aktivitelerine Dayalı Hemşirelik Modeli doğrultusunda Kuzey Amerika Hemşirelik Tanı Derneği-Uluslararası [North American Nursing Diagnosis Association-International (NANDA-I)], Hemşirelik Sonuçları Sınıflaması [Nursing Outcomes Classification (NOC)] ve Hemşirelik Girişimleri Sınıflaması [Nursing Interventions Classification (NIC)] sistemleri ile verilen hemşirelik bakımının planlanması, uygulanması ve değerlendirilmesini sunmaktır. Araştırmacılar tarafından 30 gün boyunca izlenen olgunun hemşirelik bakımı, 17 NANDA-I tanısı, 23 NIC girişimi ve 17 NOC sonucunu içermektedir. Olgu, ilk yatış günü ve taburculuk öncesi gün olmak üzere 2 kez değerlendirilmiştir. Uygulanan girişimler sonrası NOC puanı en fazla artan tanının “Bozulmuş Spontan Solunum”, hiç değişim gözlenmeyen tanının ise “Bozulmuş Sözel İletişim” olduğu görülmüştür. Sonuçlar doğrultusunda, hemşirelik sınıflama sistemlerinin hastayı sistematik ve bütüncül olarak ele aldığı, tanılamada, uygun girişimlerin seçilmesinde, sonuçlarının değerlendirilmesinde kolaylık sağladığı görülmüştürAs the coronavirus disease-2019 causing the pandemic increases demand for intensive care, nurses should use models and classification systems for qualified care. This case report’s aim is to plan nursing care provided by North American Nursing Diagnosis Association-International (NANDA-I), Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) systems with Nursing Model Based Life Activities for a patient in pandemic intensive care unit, to present its implementation and evaluation. The care of case which was followed up by the researchers for 30 days, included 17 NANDA-I diagnoses, 23 NIC interventions and 17 NOC results. The case was evaluated twice, first day of hospitalization and day before discharge. After interventions, it was observed that the highest NOC score was “Impaired Spontaneous Respiration” and no change was “Impaired Verbal Communication”. Conclusion, it was observed that the nursing classification systems examined patient systematically and holistic, facilitated diagnosis, selection of appropriate interventions, and evaluation of results

3-Year Follow-Up of Nonextraction Crowded Cases Treated With the Damon System

Objective:The aim of this retrospective study was to investigate treatment efficiency and 3-year follow-up stability of the Damon system by evaluating peer assessment rating (PAR) index, posteroanterior-lateral cephalometric changes, and the intercanine and intermolar widths.Materials and Methods:Fifty-five patients treated with a 0.022-inch slot Damon D3 MX bracket system were evaluated in this study. Cephalometric radiographs, dental models, and PAR scores were measured and evaluated pretreatment (T1), posttreatment (T2), and 3 years after treatment (T3). Repeated-measures analysis of variance (ANOVA)/paired t test were performed to evaluate the differences between the periods.Results:The mean PAR score of 34.75 at T1 was reduced to 3.35 and 3.05 at T2 and T3, respectively, succeeding in a 90.35% reduction with treatment. At T1–T2 and T1–T3, maxillary intercanine and intermolar width and mandibular intercanine width increased significantly. Although intercanine and intermolar widths decreased in both arches at T2–T3, only maxillary intercanine width showed a small, but statistically significant decrease (0.09 mm, p=0.001). Value of SNB angle, Md1-NB (mm), Md1-NB (degrees), and E plane-lower lip increased significantly at T1–T2 and T1–T3. Therefore, treatment resulted in mandibular incisor and lower lip proclination. All of the posteroanterior cephalometric changes were statistically significant except facial width changes at T1–T2.Conclusions:This study represented satisfactory results and a good follow-up stability with the Damon system. The Damon system can be used for nonextraction treatment in patients with moderate crowding

Investigation of the effect of using custom made insoles on plantar load distribution, foot posture and pain in heavy metal workers

Amaç: Ayak deformiteleri; ağrı, ayak fonksiyonelliğinde kısıtlanma, taban basıncının dengesiz dağılımı gibibirçok olumsuz etkiye neden olmaktadır. Oluşan bu olumsuz etkiler tendon, ligament, kas, sinir ve kemik-eklemdokularını ilgilendiren sorunlar ortaya çıkararak zincir şeklinde tüm vücudu etkiler. Kişiye özel üretilen tabanlıklarayak deformitelerinin meydana getirdiği negatif etkiler büyük oranda azaltılabilmektedir. Çalışmamızın amacı ağırhadde işçilerinde kişiye özel üretilen tabanlık kullanımının plantar yük dağılımı, ayak postürü ve ağrı üzerine olanetkisini incelemekti.Gereç ve Yöntem: Çalışmaya bir fabrikada ağır hadde işçisi olarak çalışan 89 bireyden dahil edilme kriterlerineuyan 25 kişi çalışmaya alındı. Deformitelere özgü bilgisayar destekli tasarım ve üretim yöntemiyle tabanlıkuygulaması yapıldı. Bireylerin sosyodemografik bilgileri kaydedildi. Plantar yük dağılımı çıplak ayak ile statikpedobarografik cihazı (Sensörmedica, İtalya), ayak postürü “ Ayak Postür İndeksi” ve ağrı “McGill Ağrı Anketi”ile değerlendirildi. Ölçümler, müdahalenin başında yapılan anlık ölçüme ek olarak 4’ncü hafta ve 8'inci haftasonunda tekrarlandı.Bulgular: Bireylerin anlık, 4.hafta ile 8'inci hafta ölçümleri karşılaştırıldı. Ön ayak yük dağılımlarında anlamlıazalma (p<0,05) ve arka ayak yük dağılımlarında anlamlı artma bulundu (p<0,05). Ayak postür indeksi medyanlarıarasında pozitif yönde anlamlı fark bulundu (p=0,022). Mcgill-Melzack Ağrı Anketi’ sonuçlarında ağrıda azalmayönünde anlamlı bir fark bulundu (p<0,001).Sonuç: Kişiye özel tabanlık kullanımının plantar yükün dengeli dağılımını sağlamada, ayak postürünü düzeltmedeve ağrıyı azaltmada etkili olduğu görüldü.Purpose: Foot deformities cause many negative effects such as pain, limitation in foot functionality, unbalanced distribution of plantar pressure. These negative effects create problems involving tendons, ligaments, muscles, nerves, and bone-joint tissues, affecting the whole body in the form of a chain. Custom made insoles can reduce the negative effects of foot deformities to a great extent. The aim of our study was to examine the effect of using custom made insoles on plantar load distribution, foot posture, and pain in heavy metalworkers. Materials and Methods: Of the 89 individuals working as heavy rolling mill workers in a factory, 25 people who met the inclusion criteria were included in the study. Insoles were applied using a computer-aided design and production method specific to deformities. Sociodemographic information of the individuals was recorded. Plantar load distribution was evaluated with bare feet using a static pedobarographic device (Sensörmedica, Italy), foot posture with the “Foot Posture Index” and pain with the “McGill Pain Questionnaire”. Measurements were repeated at the end of the 4th and 8th week in addition to the instantaneous measurement performed at the beginning of the intervention. Result: Individuals' instantaneous, 4th week and 8th week measurements were compared. There was a significant decrease in forefoot load distribution (p <0.05) and a significant increase in hindfoot load distribution (p <0.05). A positive significant difference was found between the foot posture index medians (p = 0.022). A significant difference was found in the direction of pain reduction due to the results of the Mcgill-Melzack Pain Questionnaire (p <0.001). Results: It was observed that the use of custom made insoles was effective in providing a balanced distribution of plantar load, correcting the foot posture, and reducing pain

Investigation of the effect of different eye exercises on hypermetropia in school-aged children: A randomized single-blind trial

To investigate the effect of different eye exercises on hypermetropia in school-aged children and to determine whether exercise protocols have superiority to each other. 60 hypermetropia school-aged children were randomly assigned to three groups: Bates Exercise Group (BEG), Convergence Exercise Group (CEG) and Oculo-Motor Exercise Group (OMEG). Outcome measures included sciascopy, Snellen chart and The Pediatric Quality of Life Inventory Version 4.0(PedsQI4.0). All three groups were given home exercises which warranted eye exercises twice a day, repeated 10 times daily for 6 weeks. CEG showed a statistically significant effect on visual acuity for the right and left eye (p=0.004, p=0.014, respectively) and Pediatric Quality of Life Inventory (p<0.05). In the OMEG, there was a statistically significant effect on visual acuity for the left eye (p=0.011) and Pediatric Quality of Life Inventory (p<0.05). Conclusion: Eye exercises, especially those such as convergence and oculomotor exercises could be reliably performed for the treatment of hypermetropia in school-aged children

Theory and application for the system of fractional Burger equations with Mittag leffler kernel

Inc, Mustafa/0000-0003-4996-8373; Korpinar, Zeliha/0000-0001-6658-131X; Bayram, Mustafa/0000-0002-2994-7201WOS:000492837900025In this work, the system of fractional Burger differential equations are presented as a new fractional model for Atangana-Baleanu fractional derivative with Mittag leffler kernel. The approximate consequences are analysed by applying an recurrent process. The existence and uniquenes of solution for this system is discussed. In order to appear the effects of several parameter and variables on the movement, the approximate results are showed in graphics and are compared with obtained solutions for two different derivative in tables. (C) 2019 Elsevier Inc. All rights reserved

Optical solitons for the fractional (3+1)-dimensional NLSE with power law nonlinearities by using conformable derivatives

Inc, Mustafa/0000-0003-4996-8373WOS:000580438500005In this paper, the process of the extended direct algebraic method (EDAM) is used to obtain the optical solitons in fractional (3 + 1)-dimensional nonlinear Schrodinger equation through the conformable derivative. Firstly, this fractional equation is changed into the ordinary differential equation by using the wave variables transformation. Then, new several forms of optical solitons are obtained by using EDAM.King Saud University, Riyadh, Saudi ArabiaKing Saud University [RSP-2020/158]B. Almohsen is Supported by Researchers Supporting Project Number (RSP-2020/158), King Saud University, Riyadh, Saudi Arabia