Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery

Aim: To investigate the complications that occur in our patients who underwent thoracic surgery, as well as the relationship between postoperative pain and complications. Method: Of the 117 patients who underwent surgery between January 2018 and December 2018, there were 99 patients with pain and the other parameters whose data’s were complete. Medical records of the patients were investigated in terms of age, gender, smoking status and frequency, diagnosis, treatment, length of stay in the hospital, postoperative complications and visual analog scale (VAS). The postoperative complications and VAS values were compared statistically. Results: The mean age of the patients was 50.52±18.46 years, 26 (26.3%) patients were female and 73 (73.7%) were male. The average length of stay in hospital was 4.08±3.06 days and average pain severity was 3.92±2.07. The most common diagnosis in our cases was lung cancer, and the most common complication was prolonged air leakage. There was a significant relationship between the severity of pain and the presence of postoperative complications in our patients (p=0.001). However, the correlation relationship was found to be low (r=0.322). Conclusion: The results of our study revealed that optimal postoperative pain control is an important factor for preventing postoperative complications

Evaluation of fatigue-related kinesiophobia and associated factors in individuals with lung cancer with and without respiratory comorbidity

Aim: To investigate fatigue-related kinesiophobia and associated factors in individuals with lung cancer. Methods: A total of 52 individuals were included in the study and the individuals were divided into two groups, each consisting of 26 individuals. Charlson comorbidity index, Brief Fatigue Inventory, modified Medical Research Council dyspnea scale, Tampa Kinesiophobia Scale-Fatigue are applied as data collection tools. Results: The individuals in the study had similar demographic characteristics. There was no difference between the groups in the study in terms of fatigue-related kinesiophobia. There was a difference between the pain and performance status of the individuals in the study in activities of daily living (p<0.05). Conclusion: At the end of this study, it was observed that individuals with lung cancer with respiratory comorbidity had worse pain, fatigue and performance values in activities of daily living, while kinesiophobia values related to fatigue were similar

Effects of Quadriceps Muscle Strength and Kinesiophobia on Health Related Quality of Life in Elderly Women and Men with Chronic Obstructive Pulmonary Disease

ozel, alp/0000-0002-1215-7051WOS: 000450536200013Objective: The aim of this study was to investigate the effects of quadriceps muscle strength and kinesiophobia on health-related quality of life in elderly women and men with chronic obstructive pulmonary disease. Methods: After recording the socio -demographic information of individuals, the Visual Analogue Scale (VAS) for pain status, the modified Medical Research Council Scale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint George Respiratory Questionnaire (SGRQ) for health-related quality of life, and manual dynamometer were used to measure for muscle strength of quadriceps. Results: Seventeen (37.8%) of the 45 participants were female. The mean age and body mass index of females were 71.59 +/- 4.84 years and 28.75 +/- 6.71 kg/m(2), respectively. Kinesiophobia averages were 47.47 +/- 7.40 and 41.89 +/- 7.65 in women and men, respectively, and SGRQ((Symptom)) scores were 75.97 +/- 15.87 and 63.89 +/- 18.54 in women and men, respectively. Statistical analysis showed that there was a significant difference between men and women between kinesiophobia and SGRQ((symptom)) (p0.05). Conclusion: In elderly individuals with COPD, kinesiophobia is an important factor affecting the quality of life and is recommended to increase physical activity, and monitor the physiological, emotional well-being in order to improve quality of life

Comparative evaluation of various miniplate systems for the repair of mandibular corpus fractures

Miniplates have been used during the last decade to facilitate stability between bony fragments in the maxillofacial region and are currently the preferred surgical method for the fixation of fractures and osteotomies. The aim of this study was to evaluate and compare the biomechanical behaviors of six different types of miniplates used to reconstruct mandibular body fractures: Group 1 (straight, 2 holes, 12.0 ram spacing), Group 2 (straight, 4 holes, 9.0 spacing), Group 3 (straight, 6 holes, 9.0 mm spacing), Group 4 (L-shaped, 4 holes, 9.0 mm spacing, right hand plate), Group 5 (Y-shaped, 5 holes, 12.0 mm spacing), and Group 6 (double Y-shaped, 6 holes, 9.0 mm spacing). Thirty bovine hemimandibles and a custom-made 3-point biomechanical test frame mounted on a Shimadzu universal test machine were used to evaluate the six different miniplate systems. Results revealed that Group 1 (straight, 2 holes, 12.0 mm spacing) and Group 4 (9.0 mm spacing, right hand plate) had the lowest biomechanical stability, whereas Group 6 (6 holes, 9.0 ram spacing) had the highest biomechanical stability. Group 6 also provided statistically greater resistance to displacement than Group 1 and Group 4

Near-surface geophysical methods for investigating the Buyukcekmece landslide in Istanbul, Turkey

In this study, near-surface geophysical techniques are used to investigate the physical characteristics of the Buyukcekmece landslide (Istanbul, Turkey). The Buyukcekmece landslide has continuous activity at a low velocity and is classified as a complex mechanism. It includes rototranslational parts, several secondary scarps, several landslide terraces, and evidence of two earth flows. It mainly develops in the clayey layers of the Danismen Formation. According to our findings, P-wave velocities ranging from 300 m/s to 2400 m/s do not provide notable discrimination between sliding mass and stable soil. They show variations in blocks reflecting a complex structure. We obtained the S-wave velocity structure of the landslide up to 80 m by combining the analysis of MASW and ReMi. It is clear that S-wave velocities are lower in the landslide compared to those of the stable area. Identical S-wave velocities for the entire area at depths higher than 60mmay point out the maximumthickness of the landslide mass. Resonance frequencies obtained from the H/V analysis of the landslide area are generally higher than those of the stable area. The depths computed by using an empirical relationship between the resonance frequency and the soil thickness point out the failure surfaces from 10 to 50 m moving downslope from the landslide crown area. The resistivity values within the landslide are generally lower than 30 © m, i.e., a typical value for remolded clayey debris. The geophysical results reflect an overview of the geological model, but the complexity of the landslide makes it difficult to map the landslide structure in detail

Biology of stem cells in human umbilical cord stroma: In situ and in vitro surveys

Cells in the umbilical cord stroma have gained attention in recent years; however, differentiation to certain lineages in humans has been demonstrated in few studies. Unlike bone marrow MSCs, human umbilical cord stroma cells (HUC-SCs) are far from being well characterized. This study attempts to describe proliferation, structural, and differentiation properties of these cells to account for their exceptional nature in many aspects. Cellular dynamics, cellular structure, and the degree of transformations during expansion and differentiation into mesenchymal and neuronal lineages were examined in vitro over a 10-month period. Comparisons with human bone marrow MSCs regarding differentiation were performed. HUCSCs in culture revealed two distinct cell populations, type 1 and type 2 cells, that possessed differential vimentin and cytokeratin filaments. Corresponding cells were encountered in cord sections displaying region-specific localization. alpha-Smooth muscle actin and desmin filaments, which were evident in cord sections, diminished through passages. No difference was noted regarding type 1 and type 2 cells in differentiation to chondrogenic, adipogenic, and osteogenic lineages, whereas a preferential differentiation was noted in neuronal lineage. Relative success was achieved by production of chondrocytic spheres and osteogenic monolayers, whereas adipocytes were immature compared with bone marrow MSCs. The presence of neuronal markers suggests that they transform into a certain state of maturity under neurogenic induction. Conclusively, HUCSCs retain their original phenotype in culture without spontaneous differentiation, have a limited lifespan, and bear multipotent stem cell characteristics. Given these characteristics, they may be generally considered progenitor cells if manipulated under appropriate conditions and deserve further study to be potentially used in cell-based therapies