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Demirci AN, İncebay Ö, Köse A. Evaluation of quality and readability of internet information on voice disorders. Public Health 2024; 226:1-7. [PMID: 37979233 DOI: 10.1016/j.puhe.2023.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 09/20/2023] [Accepted: 10/09/2023] [Indexed: 11/20/2023]
Abstract
OBJECTIVES The purpose of this study is to evaluate the readability and quality of Internet information related to vocal health, voice disorders and voice therapy. STUDY DESIGN This is a cross-sectional study. METHODS Eighty-two websites were included. Websites were then analyzed; their origin (clinic/hospital, non-profit, government), quality (Health On the Net [HON] certification and DISCERN scores) and readability (Ateşman readability formula and Bezirci-Yılmaz new readability formula) were assessed. Statistical analysis was used to examine differences between website origin and quality and readability scores and correlations between readability instruments. RESULTS Of the 82 websites, 93% were of private clinic/hospital, 6% were of non-profit organisation and 1% were of government. None of the 82 websites were HON certification, and the mean score of the item determining the general quality measure in DISCERN was 1.83 in a five-point scale. The mean of Ateşman readability formula value was calculated as 50.46 (±8.16). This value is defined as 'moderately hard' according to the readability scale. The average of Bezirci-Yılmaz new readability formula value is 13.85 (±3.48). This value is defined as 13th and 14th grade. CONCLUSIONS The quality of Internet-based health information about the voice is generally inadequate, and the sites examined in this study may be limited due to high readability levels. This may be a problem in people with poor literacy skills. For this reason, it is very important for speech and language therapists and other health professionals to evaluate and monitor the quality and readability of Internet-based information.
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Affiliation(s)
- A N Demirci
- Department of Speech and Language Therapy, Hacettepe University Faculty of Health Sciences, Hacettepe, Ankara, Turkey.
| | - Ö İncebay
- Department of Speech and Language Therapy, Hacettepe University Faculty of Health Sciences, Hacettepe, Ankara, Turkey
| | - A Köse
- Department of Speech and Language Therapy, Hacettepe University Faculty of Health Sciences, Hacettepe, Ankara, Turkey
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Batur A, Arslan V, Engin MÇ, Arslan Ş, Köse A. Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Jt Dis Relat Surg 2022; 34:144-150. [PMID: 36700276 PMCID: PMC9903102 DOI: 10.52312/jdrs.2023.879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 11/14/2022] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVES This study aims to compare three glenohumeral dislocation (GHD) reduction techniques in terms of pain and reduction time and to offer clinicians an idea of the selection of the most appropriate technique. PATIENTS AND METHODS This multi-center, prospective, randomized clinical study included a total of 90 patients (55 males, 35 females; median age: 29 years; range, 22 to 41 years) who had isolated anterior GHD without complication between December 2019 and December 2021. The patients were divided into three equal groups (traction-countertraction [TCT], external rotation [ExR], and Cunningham) using the block randomization method, and reductions were performed. Pre-reduction, intra-reduction, and post-reduction Visual Analog Scale (VAS) scores, reduction times, success rates, and complication rates were analyzed. RESULTS There was no statistically significant difference among the groups in terms of age (p=0.414), sex (p=0.954), pre-reduction VAS (p=0.175), and post-reduction VAS (p=0.204). The median intra-reduction VAS values in the TCT, the external rotation, and the Cunningham groups were 8 (range, 7 to 9), 5 (range, 4 to 7), and 4 (range, 2.75 to 5), respectively (p<0.001). The median reduction time and IQR were 105 (range, 82.5 to 120) sec for TCT, 270 (range, 232.5 to 300) sec for ExR, and 630 (range, 540 to 780) sec for Cunningham (p=0.001). CONCLUSION The fastest, but most painful technique is TCT, while the longest and the least painful technique is Cunningham. An inverse relationship is found between time and pain. Based on these findings, it seems to be reasonable to leave the choice of the ideal reduction technique to the clinician. The clinician should choose the technique to be used according to the conditions in the emergency department.
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Affiliation(s)
- Ali Batur
- Hacettepe Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, 06230 Altındağ, Ankara, Türkiye.
| | - Volkan Arslan
- Department of Emergency Medicine, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
| | - Muhammet Çağatay Engin
- Department of Orthopedics and Traumatology, Atatürk University, Faculty of Medicine, Erzurum, Türkiye
| | - Şenol Arslan
- Department of Emergency Medicine, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
| | - Ahmet Köse
- Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
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Köse A, Bal M. SYNTHESIS, STRUCTURE AND PHOTOLUMINESCENCE PROPERTIES OF A Cd2+ COMPLEX OF A PYRIDINE-BIS-BENZIMIDAZOLE LIGAND. J STRUCT CHEM+ 2022. [DOI: 10.1134/s0022476622120095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Ayas MS, Kalkışım M, Turgut MC, Dincer R, Aslan O, Öner K, Köse A. Analysis of Clinical Outcomes in Pediatric Distal Tibia Triplanar Fractures Treated Surgically and Conservatively. Cureus 2021; 13:e20723. [PMID: 35111420 PMCID: PMC8790107 DOI: 10.7759/cureus.20723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2021] [Indexed: 12/12/2022] Open
Abstract
Purpose We aimed to analyze the clinical and functional outcomes of patients who underwent surgery or received conservative treatment to look into the impact of treatment methods on clinical outcomes. Methods A retrospective study was performed on 25 patients with a minimum one-year follow-up. Patients were divided into two groups based on joint and physis displacement measured on preop CT images. Patients with a displacement of > 2 mm underwent surgery, while those with a displacement of < 2 mm received conservative treatment. The clinical results were assessed using the Ankle-Hindfoot Scale developed by the American Orthopedic Foot and Ankle Society (AOFAS) and the Modified Weber Protocol (MWP). Results The sample consisted of 14 patients who underwent surgery and 11 patients who received conservative treatment. The surgical group had a mean follow-up of 36.79±14.43 months, while the conservative group had a mean follow-up of 31.82±13.55 months. The surgical and conservative groups had a postop 1st-year AOFAS score of 96.64±3.54 and 93.64 ± 4.69, respectively. The difference was statistically insignificant (p > 0.05), but the surgical group had higher scores numerically. The surgical and conservative groups had a postop 6th-month AOFAS score of 84.64±1.64 and 80.82±2.85, respectively. The difference was statistically significant (p < 0.05). Conclusion The results of both surgical treatment and conservative treatment are satisfactory. Especially, surgical treatment should not be avoided in patients requiring surgery with a displacement of more than 2 mm and surgeons may consider surgery for better clinical outcomes and earlier rehabilitation in the treatment of triplane fractures.
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Köse D, Köse A, Halıcı Z, Çadırcı E, Tavacı T, Gürbüz MA, Maman A. Bosentan, a drug used in the treatment of pulmonary hypertension, can prevent development of osteoporosis. Iran J Basic Med Sci 2021; 24:922-927. [PMID: 34712422 PMCID: PMC8528255 DOI: 10.22038/ijbms.2021.54152.12172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 06/15/2021] [Indexed: 11/29/2022]
Abstract
Objective(s): We examined the antiosteoporotic effect of bosentan (Bose) by radiographic, histopathological, and molecular methods. Materials and Methods: Rats were divided into 4 groups of 8 rats each: one control (Sham), one osteoporosis only (OP), and two osteoporosis groups treated with Bose doses of 50 and 100 mg/kg (OP+Bose50, OP+Bose100). Six weeks later, Bose was administered for eight weeks to animals undergoing ovariectomy. The left femoral bone of the rats was evaluated in vitro after surgical removal. Bone mineral density (BMD) was analyzed by Dual-energy X-ray absorptiometry (DEXA). Endothelin 1 (ET-1), ET-A, and ET-B expressions were examined by real-time polymerase chain reaction (real time-PCR). In addition, bone tissue was evaluated histopathologically. Results: Compared with the osteoporosıs group, Bose significantly increased BMD values at both 50 and 100 mg/kg doses. ET-1 mRNA levels were significantly higher in the OP group than in the Sham group, while ET-1 mRNA levels were significantly lower in Bose treatment groups. ET-A mRNA levels were significantly lower in the OP group than in the Sham group, while ET-A mRNA levels were significantly higher in Bose treatment groups. Histopathological results supported the molecular results. Conclusion: Our study is the first to demonstrate the molecular, radiological, and histopathological effects of Bose in preventing osteoporosis in rats.
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Affiliation(s)
- Duygu Köse
- Clinical Research, Development and Design Application, and Research Center, Ataturk University, Erzurum, Turkey, 905074704150
| | - Ahmet Köse
- University of Health Sciences, Faculty of Medicine, Department of Orthopedics And Traumatology, Erzurum, Turkey, 905066330520
| | - Zekai Halıcı
- Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, Turkey, 905323868884
| | - Elif Çadırcı
- Faculty of Medicine, Department of Pharmacology, Atatürk University, Erzurum, Turkey, 905362328001
| | - Taha Tavacı
- Faculty of Medicine, Department of Pharmacology, Atatürk University, Erzurum, Turkey, 9005059177816
| | - Muhammed Ali Gürbüz
- Faculty of Medicine, Department of Histology And Embryology Department, Atatürk University, Erzurum, Turkey, 905522265686
| | - Adem Maman
- Faculty of Medicine, Department of Nuclear Medicine, Atatürk University, Erzurum, Turkey, 905063661925
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Yıldız V, Köse A, Aydın A, Dinçer R, Baydar M, Ayas MS. Clinical and radiological results of three different techniques for fixation of the olecranon osteotomy in the surgical treatment of distal humerus fractures: A retrospective comparison of plate-screw, tension band and intramedullary nail. Acta Orthop Traumatol Turc 2021; 55:410-416. [PMID: 34730527 DOI: 10.5152/j.aott.2021.20440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim of this study was to compare clinical and radiological results of three different techniques (plate-screw, tension band, and intramedullary nail) in the fixation of olecranon osteotomy in patients with intercondylar fracture of the distal humerus surgically treated by the olecranon osteotomy approach. METHODS Between January 2010 and December 2018, the study was initiated with 52 patients who underwent an olecranon osteotomy approach for an AO Type C distal humerus fracture. Thirty-seven patients (19 male, 18 female) who had regular control data and a final control examination were included in the study. In osteotomy fixation, we used tension band (K wire cerclage + Screw cerclage) in 20 patients, plate-screw in eight patients, and intramedullary nail fixation in nine patients. The functional evaluation included a measurement of the range of joint motion (flexion, extension, supination, pronation); MAYO elbow performance score; disabilities of the arm, shoulder, and hand (DASH) score; and comparative grip strength measurement, and a subjective pain assessment was performed using the visual analogue scale. RESULTS The mean duration of follow-up was 44 (12-84) months. The mean time to union was 14 (7-32) weeks in patients that achieved union. The mean DASH score was 22 (0-72.7), the meanMAYOelbow performance score was 84 (35-100), and the mean VAS score was 3 (1-7). The mean grip strength was 32 (8-64) kgw in the treated extremity and 37 (17-70) kgw in the intact extremity. No statistically significant difference was detected between olecranon osteotomy fixation methods (tension band, plate-screw osteosynthesis, and intramedullary nailing) in terms of union time, DASH score, MAYO scale score, VAS score, extension, supination, and pronation (P > 0.05). The average grip strength (kgw) was lower than that in the uninvolved extremity, and this ratio was statistically significant (P = 0.04). CONCLUSION The results of this study have shown that successful and comparable radiological and functional outcomes can be obtained by all the three different olecranon osteotomy techniques in the surgical treatment of intercondylar fracture of the distal humerus. LEVEL OF EVIDENCE Level III, Therapeutic Study.
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Affiliation(s)
- Vahit Yıldız
- Department of Orthopedics and Traumatology, Adnan Menderes University, School of Medicine Hospital, Aydın, Turkey
| | - Ahmet Köse
- Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Ali Aydın
- Department of Orthopedics and Traumatology, Atatürk University, School of Medicine Hospital, Erzurum, Turkey
| | - Recep Dinçer
- Department of Orthopedics and Traumatology, Süleyman Demirel University, School of Medicine Hospital, Isparta, Turkey
| | - Mehmet Baydar
- Department of Hand Surgery, Health Sciences University, Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, İstanbul, Turkey
| | - Muhammet Salih Ayas
- Department of Orthopedics and Traumatology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
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Yuksel N, Köse A, Fellah MF. The supramolecularly complexes of calix[4]arene derivatives toward favipiravir antiviral drug (used to treatment of COVID-19): a DFT study on the geometry optimization, electronic structure and infrared spectroscopy of adsorption and sensing. J INCL PHENOM MACRO 2021; 101:77-89. [PMID: 34121921 PMCID: PMC8179711 DOI: 10.1007/s10847-021-01087-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 05/29/2021] [Indexed: 01/02/2023]
Abstract
While the world is in search of a vaccine that can cure COVID-19 disease, favipiravir is the most commonly used antiviral drug in the treatment of patients during the pandemic process. In this study, we investigated the host-guest interaction between the popular supramolecule calix[4]arene derivatives and the favipiravir drug by using the DFT (Density Functional Theory) method. The B3LYP hybrid method and 6-31G (d,p) basis set were utilized to determine the optimized structures of the host and guest molecules and their complexes. The negative adsorption energy (∆E) and adsorption enthalpy (∆H) calculated for the complexes formed between calix[4]arene compounds and favipiravir drug molecule mentioned that adsorption of favipiravir molecule was an exothermic process on calix[4]arene structures. On the other hand, among the calixarene derivatives in the study, Gibbs free energy change (∆G) value for the adsorption was only negative on calix[4]arene4 molecule. The infrared spectroscopy (IR) calculations were performed by examining the C=O, O-H and NH2 vibrational frequencies to see the adsorption behavior in the favipiravir-calix[4]arene complex. After adsorption of the favipiravir molecule, HOMO-LUMO gap values decreased significantly for the structures and therefore electrical conductivity increased proportionally. In addition, sensor response factors, Fermi energy levels and workfunction changes of calix[4]arene derivatives were calculated and examined. Charge transfer between the four calix[4]arene compounds and the favipiravir molecule has occurred after adsorption. This attributes that calix[4]arene derivatives can be used as a well-suited favipiravir sensor (electronic and workfunction) and adsorbent at room temperature. Based on the calculations made to see the solvent effect on the adsorption of favipiravir it was determined that it did not affect the interaction between the drug molecule and the calix[4]arene compound too much and the adsorption energy turned into a slightly less negative value.
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Affiliation(s)
- Numan Yuksel
- Department of Chemical Engineering, Bursa Technical University, Mimar Sinan Campus, 16310 Bursa, Turkey
| | - Ahmet Köse
- Department of Chemical Engineering, Bursa Technical University, Mimar Sinan Campus, 16310 Bursa, Turkey
| | - M. Ferdi Fellah
- Department of Chemical Engineering, Bursa Technical University, Mimar Sinan Campus, 16310 Bursa, Turkey
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Turgut M, Engin M, Toy S, Köse A. Carpal tunnel surgery 5-year follow-up results; Pitfalls in Surgery and Atypical Carpal Tunnel Syndrome. Do We Do It Right? Hand Microsurg 2021. [DOI: 10.5455/handmicrosurg.80137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Köse D, Köse A, Halıcı Z, Gürbüz MA, Aydın A, Ugan RA, Karaman A, Toktay E. Do peripheral melatonin agonists improve bone fracture healing? The effects of agomelatine and ramelteon on experimental bone fracture. Eur J Pharmacol 2020; 887:173577. [PMID: 32949602 DOI: 10.1016/j.ejphar.2020.173577] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 09/14/2020] [Accepted: 09/15/2020] [Indexed: 12/15/2022]
Abstract
Melatonin improves fracture healing, but the long-term use of melatonin seems impracticable in the treatment of fracture due to side effects caused by hormonal stress on chronological rhythm. Ramelteon (RAMEL) and agomelatine (AGO) are non-selective peripheral melatonin receptor (MT) agonists. This study investigated the effects on bone fracture healing of these MT agonists, which do not affect the central nervous system. The rats were divided into 6 groups, including Group 1 (SHAM): sham operated group; Group 2 (FRACTURE): femoral fracture control; Group 3 (FR + AGO30): femoral fracture + agomelatine 30 mg/kg; Group 4 (FR + AGO60): femoral fracture + agomelatine 60 mg/kg; Group 5 (FR + RAMEL3): femoral fracture + ramelteon 3 mg/kg; and Group 6 (FR + RAMEL6): femoral fracture + ramelteon 6 mg/kg. After 21 days, the rats were subjected to X-ray imaging. Bone healing was evaluated with hematoxylin-eosin (HE) staining. Messenger RNA (mRNA) expressions of bone formation markers, such as bone alkaline phosphatase (ALP), osteocalcin (OC), and osteopontin (OP), were evaluated by real-time polymerase chain reaction (RT-PCR) and with immunohistochemistry (IHC) staining. The radiographic fracture healing scores were statistically significantly higher in the FR + AGO60 group and the FR + RAMEL3 group than in the FRACTURE group. The histopathology and molecular results supported the radiographic results. It was shown that agomelatine and ramelteon increase bone fracture healing, leading to the conclusion that a preference for agomelatine, an antidepressant, and ramelteon, a sleep aid, will increase bone fracture healing in patients with fractures.
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Affiliation(s)
- Duygu Köse
- Faculty of Medicine, Department of Pharmacology, Ataturk University, Erzurum, Turkey.
| | - Ahmet Köse
- Department of Orthopedics and Traumatology, Erzurum Regional Education and Research Hospital, Turkey
| | - Zekai Halıcı
- Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, Turkey
| | - Muhammed Ali Gürbüz
- Faculty of Medicine, Department of Histology and Embryology Department, Ataturk University, Erzurum, Turkey
| | - Ali Aydın
- Faculty of Medicine, Department of Orthopedics and Traumatology, Ataturk University, Erzurum, Turkey
| | - Rüstem Anıl Ugan
- Faculty of Pharmacy, Department of Pharmacology, Ataturk University, Erzurum, Turkey
| | - Adem Karaman
- Faculty of Medicine, Department of Radiology, Ataturk University, Erzurum, Turkey
| | - Erdem Toktay
- Faculty of Medicine, Department of Histology and Embryology Department, Kafkas Univeristy, Kars, Turkey
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Topal M, Köse A. Surgical management of Rockwood type 3 acromioclavicular joint injuries: a retrospective comparison of outcomes of suture anchor fixation and double-button fixation techniques. Medicine (Baltimore) 2020; 99:e20312. [PMID: 32481315 PMCID: PMC7249899 DOI: 10.1097/md.0000000000020312] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The treatment of type 3 acromioclavicular joint injuries has still controversial issues. In this retrospective study, we aimed to compare the radiological and functional outcomes of the suture anchor and double-button fixation methods for the treatment of type 3 acromioclavicular joint injuries.This study included 20 patients who underwent suture anchor (9 patients) and double-button fixations (11 patients) for isolated type 3 acromioclavicular dislocation. Injuries were classified according to the Rockwood Classification System. Coracoclavicular(CC) distances and anterior translation have been measured pre-operatively and at the 12th month follow-up. Functional evaluation was performed using the DASH, and Constant-Murley scores of the patients were recorded at the12th-month follow-up.The mean age of the patients was 37 (22-50) years in Group 1(double-button group) and 39 (24-56) years in Group 2(suture anchor group). All of the patients were male. There was no statistically significant difference between the DASH and Constant-Murley scores of the 2 groups (P > .05). The mean DASH score of the patients evaluated at the postoperative 12th month was 6.65 (0-38.3) in Group 1 and 2.48 (0-4.2) in Group 2. The mean Constant-Murley score of the patients evaluated at the postoperative 12th month was 89,6 (50-98) in Group 1 and 93,6 (90-98) in Group 2. Comparison of the pre- and post-operative CC distances and pre- and post-operative anterior translation distances of both groups revealed that there was no statistically significant difference between groups regarding postoperative CC distances and anterior translation distances (P > .05).Suture anchor and double-button techniques are reliable treatment methods that are not superior to one another and can yield excellent functional outcomes.
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Affiliation(s)
- Murat Topal
- Kastamonu University Medical Faculty Department of Orthopaedics and Traumatology
| | - Ahmet Köse
- Sağlik Bilimleri University Erzurum Regional Research and Training Hospital Department of Orthopaedics and Traumatology, Turkey
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Köse A, Engin MÇ, Topal M, Köse M, Şencan A. Ekstraartiküler Proksimal Falanks Kırıklarında Kapalı Redüksiyon ve Kirschner Teli Tespitin Klinik ve Radyolojik Sonuçları. Mustafa Kemal Üniversitesi Tıp Dergisi 2019. [DOI: 10.17944/mkutfd.468120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Christensen GL, Halgreen JR, Milenkovski M, Köse A, Quardon N, Jørgensen NR. Bone turnover markers are differentially affected by pre-analytical handling. Osteoporos Int 2019; 30:1137-1141. [PMID: 30680430 DOI: 10.1007/s00198-019-04837-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 01/02/2019] [Indexed: 12/19/2022]
Abstract
UNLABELLED Given that bone turnover markers are often shipped to central laboratories, it is essential to be aware of factors that will affect stability. We have evaluated how sample type, time before separation of blood samples, and time between separation and analysis affect the stability of four bone turnover markers. INTRODUCTION Bone turnover markers are often shipped to central laboratories for analysis, which require knowledge of the stability of the markers of interest in different sample materials. The aim of the current study was to evaluate how time before separation of blood samples and time between separation and analysis affect the stability of four bone turnover markers in serum and plasma samples. METHODS Serum, EDTA, and Lithium heparin (LiHep) plasma samples from seven osteoporosis patients and three healthy controls were collected and stored at room temperature for up to 72 h before separation and analysis. After separation, samples were stored at room temperature for up to 72 h and re-analyzed. The bone turnover markers N-terminal pro-collagen type 1 extension pro-peptide (P1NP), bone-specific alkaline phosphatase (BAP), C-terminal teleopeptide cross links of collagen type 1 (CTX), and osteocalcin (OC) were analyzed using the automated iSYS IDS platform. RESULTS P1NP and BAP were stable in both plasma and serum for 72 h before centrifugation. CTX levels were higher in EDTA plasma at all time points compared to LiHep plasma and serum. The use of EDTA plasma prolonged the stability of CTX as compared to LiHep plasma and serum. Osteocalcin showed high tendency to degrade in all sample types and concentrations were significantly lower after 24 h of storage. CONCLUSIONS For the bone turnover markers P1NP and BAP, the use of both plasma and serum is recommended. Samples for CTX analysis should be taken as EDTA plasma. Samples for osteocalcin analysis can be taken in either type of plasma or serum, but should be analyzed within 3 h or preserved at - 18 °C.
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Affiliation(s)
- G L Christensen
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark
| | - J R Halgreen
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark
| | - M Milenkovski
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark
| | - A Köse
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark
| | - N Quardon
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark
| | - N R Jørgensen
- Department of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark.
- OPEN, Odense Patient Data Explorative Network, Odense University Hospital/Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.
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Köse A, Topal M, Aydın A, Ezirmik N, Yıldırım Ö, Ayas M. Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing. Hand Microsurg 2019. [DOI: 10.5455/handmicrosurg.36294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Ayas M, Mataracı C, Öner K, Okutan A, Köse A, Yıldız M. Reconstruction of the unstable dorsal PIP fracture-dislocation with hemi-hamate autograft; Clinical experience, Result analysis, Minimum 18 month follow-up. Hand Microsurg 2019. [DOI: 10.5455/handmicrosurg.37941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Köse A, Topal M, Engin MÇ, Şencan A, Dinçer R, Baran T. Comparison of low-profile plate-screw and Kirschner-wire osteosynthesis outcomes in extra-articular unstable proximal phalangeal fractures. Eur J Orthop Surg Traumatol 2018; 29:597-604. [PMID: 30426217 DOI: 10.1007/s00590-018-2342-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Accepted: 11/03/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND We aimed to present the radiological and clinical results of Kirschner-wire (K-wire) fixation and low-profile plate-screw fixation applied to unstable proximal phalangeal fractures without extension to the joint. METHODS Clinical and radiological data of 22 patients who underwent fixation with open reduction and low-profile 1.5-mm titanium mini plate and unlocked screws and 18 patients who underwent fixation with K-wire due to closed, unstable extra-articular proximal phalangeal fractures were retrospectively examined. All evaluation and statistical analyses were based on sixth postoperative month evaluation parameters. Active and passive metacarpophalangeal joint and interphalangeal joint range of motions, total joint range of motion, measurement of grip strength for fractured and healthy hands, visual analog scoring, disabilities of the arm, shoulder, and hand scores, measurement of distance between the pulpa and palmar curve in the operated finger, Belsky score, reoperation, and complications were evaluated. RESULTS Radiological union was achieved in all patients in a mean duration of 4.2 (3-6) weeks. When the functional results of the patients were evaluated, the mean active metacarpophalangeal joint flexion was 87.3° (75°-90°), mean proximal interphalangeal joint flexion was 94.3° (65°-100°), mean distal interphalangeal joint flexion was 77.6° (75°-80°), and mean total range of motion was 259° (210°-270°). The grip strength of the fractured hand was 52.7 (40-58) kgW, whereas that of the healthy hand was 54.4 (42-60) kgW. The mean value of visual analog score was 0.8 (0-2), mean score for disabilities of the arm, shoulder, and hand was 7 (2-27), and mean distance between the finger pulpa and finger curve was 3 (0-8) mm. CONCLUSION Plate-screw osteosynthesis in the extra-articular, unstable fractures of the proximal phalanx, which is "small" compared with the body but has a "major function" for the hand and upper extremity, allows for rigid fixation, short immobilization, and early motion in spiral/oblique-fragmented fractures. K-wire fixation, an alternative treatment modality, applied to selected fracture patterns with appropriate indications can achieve good-excellent results radiologically and functionally.
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Affiliation(s)
- Ahmet Köse
- Department of Orthopedics and Traumatology, Health Sciences University, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
| | - Murat Topal
- Department of Orthopedics and Traumatology, Kastamonu University, Kastamonu, Turkey
| | | | - Ayşe Şencan
- Department of Orthopaedics and Traumatology, Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, Health Sciences University, İstanbul, Turkey
| | - Recep Dinçer
- Department of Orthopedics and Traumatology, Health Sciences University, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Tuncay Baran
- Department of Orthopedics and Traumatology, Gölcük State Hospital, Kocaeli, Turkey
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Öztürk İA, Turğut MC, Engin MÇ, Köse A, Baran T, Şencan A. Pulpa Replantasyonu. Olgu sunumu. Acta Medica Alanya 2018. [DOI: 10.30565/medalanya.381817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Abstract
AIM This study investigated the occupational health risk factors among nurses who work in public hospital surgical units. BACKGROUND Nursing has a significant place in healthcare systems around the world. Surgical units are environments with certain risks, especially because of the possibility of exposure to various chemical, biologic or physical hazards. METHODS This study was conducted with 229 nurses who were working in the 11 surgery units of a big university hospital. In this cross-sectional study, a personal information form and an occupational risk factors scale were administered to respondents. We performed factor and reliability analyses for the scale; the overall reliability of the 41 items was α = 0.924, and the factor analysis found the scale was feasible. RESULTS Biologic and psychological risk factor levels were found to be high. Physical, chemical, ergonomic and radiation risk factor levels were moderate. The general occupational risk factor score was moderate. Nurses working night duty were confronted with physical and psychological risk factors at a higher rate compared with those working in the daytime. CONCLUSION Reported occupational health problems by nurses were correlated with the descriptive properties of the nurses including age, sex, marital status, education level, working hours, mode of working and status of occupational health and safety training. IMPLICATIONS FOR NURSING Nurses experience different occupational risks. If these risks are identified, healthier working environments can be provided to the nurses by taking necessary precautions. IMPLICATIONS FOR SOCIAL POLICY The health care provided by nurses who work in a healthy environment would be more efficient and of better quality, which will result in better economic and social outcomes for individual and communities.
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Affiliation(s)
- F Azizoğlu
- Environmental Management Section, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - A Köse
- Faculty of Business Administration Department of Finance, Istanbul University, Istanbul, Turkey
| | - H Gül
- Public Health Department, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
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Öztürk İA, Köse A, Engin MÇ, Topal M, Bilge A. Brakial Arter Kateterizasyonu Sonucu Oluşan Bilateral Pembe Nabızsız El. Acta Medica Alanya 2018. [DOI: 10.30565/medalanya.373777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Köse A, Aydın A, Ezirmik N, Yıldırım ÖS. A comparison of the treatment results of dpen reduction internal fixation and intramedullary nailing in adult forearm diaphyseal fractures. ULUS TRAVMA ACIL CER 2018; 23:235-244. [PMID: 28530778 DOI: 10.5505/tjtes.2016.66267] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND We compared the union and functional results of intramedullary nailing and open reduction internal fixation treatment applied to adults with a forearm diaphysis fracture (fracture of the radius and/or ulna). METHODS We retrospectively examined 90 patients with completed skeletal maturation who were surgically treated for a forearm diaphyseal fracture. Patients with a Monteggia Galeazzi and ipsilateral upper extremity fracture and those with an open epiphyseal line, Type 3 open fracture, pathological fracture, or brain trauma were excluded from the study. Open reduction and internal fixation (ORIF) was applied to 42 patients (plate group), and intramedullary nailing was performed in 48 patients (intramedullary nailing group). Both treatment groups were compared with respect to time to union, joint range of motion, operating time, grip strength, Grace-Eversman criteria, and complications. RESULTS The mean operating time was 63.29 (range, 40-100) min in the plate group and 46.02 (range, 17-85) min in the intramedullary nailing group. The mean time to union was 13.19 (range, 10-20) and 10.85 (range, 8-20) weeks, respectively. While a statistically significant difference was determined between groups with respect to operating time and time to union, no difference was determined in the Grace-Eversman evaluation criteria, forearm supination, pronation degrees, and grip strength. CONCLUSION The results of this study showed a significant difference in the intramedullary nailing treatment with respect to time to union, operating time, and amount of bleeding compared with the ORIF treatment. However, no difference was determined in the functional evaluation criteria. Thus, both treatment methods are acceptable in the treatment of forearm diaphyseal fractures in adults with skeletal maturation.
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Affiliation(s)
- Ahmet Köse
- Department of Orthopedics, Erzurum Regional Training and Research Hospital, Erzurum-Turkey.
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Uymur EY, Köse A, Gür STA, Dinçer R, Topal M. Elbow Posterolateral Dislocation Accompanying Flexor Group Origo Rupture without Fracture - A Case Report. J Orthop Case Rep 2018; 8:15-17. [PMID: 29854685 PMCID: PMC5974669 DOI: 10.13107/jocr.2250-0685.978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION We wished to present a case that had elbow posterolateral dislocation accompanying complete medial collateral ligament rupture(MCLR) and complete flexor group origo rupture (FGOR) without fracture. CASE REPORT A30-year-old man came to emergency department after falling on the outstretched palm. After first physical examination and radiologic searches, elbow joint posterolateral dislocation was diagnosed. Together with sedoanalgesia, elbow dislocation was reduced, and instability evaluation by applying varus and valgus stress tests was performed. Positive valgus stress test and palpation sign which indicated soft tissue damage on the medial side of elbow were determined. Control roentgenograms showed no osseous pathology. By magnetic resonance imaging, elbow dislocation diagnosis accompanying MCLR and FGOR without fracture was confirmed. Using medial approach, ruptured MCL and elbow FGO repairing procedures were performed. CONCLUSION The complications of elbow dislocation without fracture, which is barely seen, should be treated through appropriate treatment strategies after meticulous physical examination and radiologic evaluation. Hence, possible sequelae could be prevented or satisfactory results could be obtained.
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Affiliation(s)
- Erdem Yunus Uymur
- Department of Orthopedics and Traumatology, Region Research and Education Hospital, Erzurum, Turkey
| | - Ahmet Köse
- Department of Orthopedics and Traumatology, Region Research and Education Hospital, Erzurum, Turkey
| | - Sultan Tuna Akgöl Gür
- Department of First Aid and Emergency Clinic, Region Research and Education Hospital, Erzurum, Turkey
| | - Recep Dinçer
- Department of Orthopedics and Traumatology, Region Research and Education Hospital, Erzurum, Turkey
| | - Murat Topal
- Department of Orthopedics and Traumatology, Region Research and Education Hospital, Erzurum, Turkey
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Öztürk İA, Köse A, Engin MÇ, Topal M, Dinçer R. Elde Nörofibrolipom. Mustafa Kemal Üniversitesi Tıp Dergisi 2017. [DOI: 10.17944/mkutfd.368953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Öztürk İA, Engin MÇ, Köse A, Topal M, İpteç M. KARPAL TÜNEL SENDROMU OLAN BİR HASTADA STEROİD ENJEKSİYONUNUN KOMPLİKASYONU OLARAK "PERİTENDİNÖZ FİBROZİS". Mustafa Kemal Üniversitesi Tıp Dergisi 2017. [DOI: 10.17944/mkutfd.369203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Köse A, Topal M, Dinçer R. An Uncommon Fracture of the Thumb: Two Cases of Sesamoid Fracture. J Hand Microsurg 2017; 10:59-60. [PMID: 29706742 DOI: 10.1055/s-0037-1608746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 10/23/2017] [Indexed: 10/18/2022] Open
Affiliation(s)
- Ahmet Köse
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, Yakutiye/Erzurum, Turkey
| | - Murat Topal
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, Yakutiye/Erzurum, Turkey
| | - Recep Dinçer
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, Yakutiye/Erzurum, Turkey
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de Graeff N, Savelkoul C, Köse A, Ghaly M, Hoffer CBM, Tjan DHT. [Culturally sensitive communication in end-of-life care: the care for Muslim patients as an example]. Ned Tijdschr Geneeskd 2017; 161:D1410. [PMID: 28745252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Suffering and death are an inevitable part of life. In our increasingly multicultural society, healthcare professionals are frequently confronted with ideas on suffering and death that are different from their own. As Muslims are the largest migrant group in the Netherlands, this article focuses specifically on their perspective, illustrated by a clinical case. The different experience of these phenomena, influenced by culture and religion, can lead to confusion and frustration for patients, their relatives, and healthcare professionals alike. It is essential that healthcare professionals are aware of both their own views and those of the patient, and have some knowledge of other cultures and religions. Healthcare professionals can use cultural (self-)reflection and culturally sensitive communication, examples of which are provided in this article, to build mutual trust and understanding. This may improve the patient-physician relationship and may make end-of-life communication, complex as it will ever be, a little more comprehensive.
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Affiliation(s)
- N de Graeff
- Ziekenhuis Gelderse Vallei, afd. Intensive Care, Ede
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Topal M, Köse A, Dinçer R, Baran T, Köse M, Çağatay Engin M. Os subtibiale: Mimicking medial malleolar fracture. Am J Emerg Med 2016; 35:940.e1-940.e3. [PMID: 28169040 DOI: 10.1016/j.ajem.2016.12.073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Accepted: 12/29/2016] [Indexed: 11/28/2022] Open
Abstract
There are numerous sesamoids and accessory ossicles around the foot which can easily be misdiagnosed as fractures. Os subtibiale is a very rare normal variant of the medial malleolus which is usually diagnosed incidentally in routine ankle radiographs. In this report, we present a case series of 3 patients with os subtibiale who were admitted to the emergency department with ankle sprains and misdiagnosed as medial malleolar fractures. We would like to raise awareness to the very rare and usually asymptomatic os subtibiale as a diagnostic pitfall.
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Affiliation(s)
- Murat Topal
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Turkey.
| | - Ahmet Köse
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Turkey
| | - Recep Dinçer
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Turkey
| | - Tuncay Baran
- TC SB SBÜ Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Turkey
| | - Mehmet Köse
- Atatürk Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Turkey
| | - M Çağatay Engin
- Atatürk Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Turkey
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Abstract
BACKGROUND The aim of the present study was to evaluate functional and cosmetic outcomes of adult patients who underwent intramedullary nailing with newly designed intramedullary radius nails for isolated radius diaphyseal fractures. METHODS Seventeen adult patients who had undergone intramedullary nailing for radius diaphyseal fractures were retrospectively evaluated. Patients with isolated radius diaphyseal closed fractures were included. Closed reduction was achieved in all patients. Wrist and elbow ranges of movement were calculated at final follow-up. Grip strength was calculated using a hydraulic hand dynamometer. Maximum radial bowing (MRB) and maximum radial bowing localization (MRBL) were calculated for treated and uninjured arms. Functional evaluation was performed using Grace-Eversman evaluation criteria and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score. RESULTS Of the 17 patients with isolated radius diaphyseal fractures evaluated, 11 (64.7%) were male and 6 (35.3%) were female, with a mean age of 35.76 years (range: 23-61 years). Fractures were right-sided in 11 (64.7%) and left-sided in 6 (35.3%) patients. Mean time to bone union was 10.2 weeks (range: 8-20 weeks). Mean supination was 75.35º (range: 67º-80º), pronation was 85.18º (range: 74º-90º). According to Grace-Eversman evaluation criteria, results were excellent in 16 (94%) and good in 1 (6%) patient. Mean DASH score was 12.58 (3.3-32.5). CONCLUSION The gold-standard treatment of adult isolated radius diaphyseal fractures is plate and screw osteosynthesis. However, intramedullary nailing of isolated radius fractures is a good alternative treatment method, with excellent functional results and union rates similar to those of plate and screw osteosynthesis.
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Affiliation(s)
- Ahmet Köse
- Department of Orthopaedics and Traumatology, Horasan State Hospital, Erzurum-Turkey.
| | - Ali Aydın
- Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey
| | - Naci Ezirmik
- Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey
| | - Murat Topal
- Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey
| | - Cahit Emre Can
- Department of Orthopaedics and Traumatology, Çankırı State Hospital, Çankırı-Turkey
| | - Sinan Yılar
- Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey
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Abstract
OBJECTIVE This study aims to evaluate the results of intramedullary nail treatment in surgical treatment of adult displaced radius and ulna diaphyseal fractures. PATIENTS AND METHODS Eighteen patients (36 forearm fractures) who underwent intramedullary nail treatment due to radius and ulna fractures were retrospectively analyzed. Adult patients with displaced forearm double fractures were included in this study. Patients with open physeal lines, pathological fractures, Monteggia and Galeazzi fractures, distal radioulnar joint instability, bilateral fractures and bone loss were excluded. RESULTS Thirteen patients were male (72.2 %) and five were female (27.8 %). Average age of the patients was 35.16 (18-63). Twelve patients (66.7 %) suffered right and six patients (33.3 %) left forearm fractures. Average follow-up period was 77.7 (55-162) weeks, average bleeding amount was 51.11 (15-100) ml, average time to bone union was 11.3 (8-20) weeks, average surgery time was 61.94 (45-80) min and average fluoroscopy time was approximately 2 (1-5) min. According to Grace-Eversman criteria, results were excellent in 14 (77.8 %) patients, good in 3 (16.8 %) and acceptable in 1 (5.6 %). Average DASH questionnaire score was 15.15 (4-38.8). There was no iatrogenic vascular, neural and bone injury during surgery. There was late rupture of extensor pollicis longus tendon in one patient, 4 months after surgery. CONCLUSION Intramedullary fixation method has advantages, such as closed application, short surgery period, good cosmetic results and early return to movement. We think intramedullary fixation method may be used as an alternative treatment method to plate osteosynthesis in surgical treatment of radius and ulna diaphyseal fractures.
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Affiliation(s)
- Ahmet Köse
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
| | - Ali Aydın
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
| | - Naci Ezirmik
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
| | - Cahit Emre Can
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
| | - Murat Topal
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
| | - Tugay Tipi
- Department of Orthopaedics and Traumatology, Medical School, Atatürk University, Erzurum, 25240 Türkiye
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Armagan E, Almacıoglu M, Yakut T, Köse A, Karkucak M, Köksal O, Gorukmez O. Cathecol-O-methyl transferase Val158Met genotype is not a risk factor for conversion disorder. Genet Mol Res 2013; 12:852-8. [DOI: 10.4238/2013.march.19.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Yiş U, Yüksel CN, Köse A, Erdoğan S. Evaluation of cases with impaired state of consciousness: Gaziantep Children's Hospital experience. Turk J Pediatr 2012; 54:30-34. [PMID: 22397039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The aim of this study was to characterize the etiology, course and prognosis in children admitted to a pediatric intensive care unit (PICU) of Gaziantep Children's Hospital for impaired state of consciousness. Three hundred and eighty cases were evaluated. Convulsions (44%; n=170) were the leading cause of the impaired state of consciousness followed by poisonings, envenomation, infection, metabolic disease, electrical injury, hepatic encephalopathy, intracranial hemorrhage, brain tumor, and drowning. The diagnosis was definite in 95% (n=359) and probable in 5% (n=21) of cases. Twenty-seven (7%) patients died with impaired state of consciousness. We suggest that defining the causes of impaired state of consciousness in a specific region will help physicians to evaluate the patients faster and in a more systemic manner. Since most of the causes seem to be preventable, appropriate education programs and policies should be provided for improving sanitation and socioeconomic conditions.
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Affiliation(s)
- Uluç Yiş
- Gaziantep Children's Hospital, Gaziantep, Turkey
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Turhan S, Arıkan IH, Oğuz F, Özdemir T, Yücel B, Varinlioğlu A, Köse A. Car-borne survey of natural background gamma dose rate in Çanakkale region, Turkey. Radiat Prot Dosimetry 2012; 148:45-50. [PMID: 21362693 DOI: 10.1093/rpd/ncq593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Natural background gamma radiation was measured along roads in the environs of Çanakkale region by using a car-borne spectrometer system with a plastic gamma radiation detector. In addition, activity concentrations of ²³⁸U, ²²⁶Ra, ²³²Th and ⁴⁰K in soil samples from the Çanakkale region were determined by using a gamma spectrometer with an HPGe detector. A total of 92,856 data of the background gamma dose rate were collected for the Çanakkale region. The background gamma dose rate of the Çanakkale region was mapped using ArcGIS software, applying the geostatistical inverse distance-weighted method. The average and population-weighted average of the gamma dose are 55.4 and 40.6 nGy h⁻¹, respectively. The corresponding average annual effective dose to the public ranged from 26.6 to 96.8 µSv.
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Affiliation(s)
- S Turhan
- Department of Physics, Faculty of Science and Letters, University of Nevsehir, 50300 Nevsehir, Turkey.
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Şakrak T, Köse A, Karabağli Y, Koçman A, Özbayoğlu A, Çetįn C. Rat Tail Revascularization Model for Advanced Microsurgery Training and Research. J Reconstr Microsurg 2011; 27:391-6. [DOI: 10.1055/s-0031-1281519] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Erdal R, Ozdemir FN, Akgün S, Noyan T, Haksever A, Köse A. Improved survival rates at Başkent University hemodialysis centers through continuous quality improvement. Transplant Proc 2002; 34:2035-6. [PMID: 12270304 DOI: 10.1016/s0041-1345(02)02842-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- R Erdal
- Başkent University Faculty of Medicine, Ankara, Turkey
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Abstract
BACKGROUND Behçet's disease is a chronic, relapsing disease, about which information on its clinical course in juveniles is only available from small groups of patients. MATERIALS AND METHODS Patients suffering from Behçet's disease who had their first lesion at or before the age of 16 were evaluated in terms of: age at onset, mucocutaneous signs, and findings related to systemic involvement. Ninety-five patients, evaluated as having juvenile Behçet's disease (JBD), were detected among 1784 Turkish Behçet's patients. The mean age of these 95 patients (51 boys or men, 44 girls or women) who had JBD was 26.8 +/- 7.1 years. RESULTS The difference between sexes in terms of age at onset, development period of second lesions, and systemic involvement was not found to be significant in JBD. Patients were divided into two groups, one showing severe disease (N = 27) and the other mild disease (N = 68). There was no significant difference between the two groups with respect to age, age at onset, and sex distribution. The interval between the development of the first and second lesions was shorter in the patient group with severe disease (P < 0.001) and the development of second lesion was most frequently seen in the first 5 years (P < 0.05). Systemic involvement developed also in a shorter time in the group with the severe disease (P < 0.01) and was most frequently encountered during the first 5 years (P < 0.05). Conversely, patients with the mild disease developed systemic involvement more frequently after 6 years or later. CONCLUSIONS Severe Behçet's disease in children and juveniles shows no age or sex predilection, but leads to an earlier recurrence and more severe systemic signs than the mild form.
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Affiliation(s)
- R Sarica
- Department of Dermatology, Istanbul University, Turkey
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Azizlerli G, Sarica R, Köse A, Ovül C, Kavala M, Kayabali M, Erkan F, Kural Z. Interferon alfa-2a in the treatment of Behçet's disease. Dermatology 1996; 192:239-41. [PMID: 8726638 DOI: 10.1159/000246374] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND There is no definite treatment for Behçet's disease. New drugs are being evaluated in cases unresponsive to conventional treatment modalities. OBJECTIVE In this study we investigated the efficacy of interferon alfa-2a on skin lesions in 18 Behçet's disease patients who had predominantly mucocutaneous involvement. METHODS Eighteen patients with Behçet's disease were treated with interferon alfa-2a at 3 million IU/day in the first week (three times a week), 6 million IU/day in the second week (three times a week), 9 million IU/day in the third week and thereafter (three times a week). Interferon alfa-2a was administered subcutaneously for a total of 12 weeks. RESULTS At the end of the treatment the efficacy of the drug was found to be good in 9 patients and very good in 7 patients. Interferon alfa-2a is particularly effective in skin manifestations such as genital ulceration and erythema-nodosum-like lesions. It was also found to be effective in systemic manifestations such as fever, diarrhea and eye involvement. CONCLUSION Our results indicate that interferon alfa-2a is a promising drug in the treatment of Behçet's disease.
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Affiliation(s)
- G Azizlerli
- Department of Dermatology, Istanbul Medical Faculty, Istanbul University, Turkey
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Varinlioğlu A, Topcuoğlu S, Köse A, Kopya AI, Uzun O, Azar A, Karal H. Levels of cesium radionuclides in mosses in the eastern Black Sea area of Turkey. J Radioanal Nucl Chem 1994. [DOI: 10.1007/bf02165773] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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