Digital Commons Network^™

Family Separation And The Impact Of Digital Technology On The Mental Health Of Refugee Families In The United States: Qualitative Study, Sayyed Fawad Ali Shah, Julia Meredith Hess, Jessica R. Goodkind

Research, Publications & Creative Work

Background: Conflicts around the world have resulted in a record high number of refugees. Family separation is a critical factor that impacts refugee mental health. Thus, it is important to explore refugees’ ability to maintain contact with family members across the globe and the ways in which they attempt to do so. It is increasingly common for refugees to use information and communication technologies (ICTs), which include mobile phones, the internet, and social media sites, such as Facebook, WhatsApp, Skype, and Viber, for these purposes.

Objective: The aim of this study was to explore refugees’ perceptions of the …

Clinical Experts Statement: The Definition, Prescription, And Application Of Cupping Therapy, S. Andrew Cage, Diana M. Gallegos, Brian Coulombe, Brandon J. Warner

Clinical Practice in Athletic Training

No abstract provided.

Point-Of-Care Assessment At A Free, Out-Of-Hours Orthopedic Clinic, Whitney M. Graves, Zachary K. Winkelmann, Kenneth E. Games

Clinical Practice in Athletic Training

Access to healthcare is a challenge for many Americans living in rural communities. Hospital systems have created programs and developed models to improve access to care. However, documentation of the role of these clinics serving different populations and various types of communities is quite scarce. The purpose of this article is to describe the patient satisfaction and procedures assessed at the point-of-care during a 14-week, out-of-hours free orthopedic clinic in the Southeastern United States. One hundred and twenty-nine patients attended the orthopedic clinic and completed a patient satisfaction survey following their patient encounter. At the end of the 14-week, 89% …

Graston Technique® As A Treatment For Patients With Chronic Plantar Heel Pain, Troy R. Garrett, Peter J. Neibert

Clinical Practice in Athletic Training

Use of Instrument-Assisted Soft Tissue Massage has increased in popularity, and the plantar fascia is a superficial tissue that may benefit from this treatment. The objective of this study was to determine the effectiveness of Graston Technique® (GT) for decreasing pain and increasing function in participants with chronic plantar heel pain over a six-week period. A single blind, pretest-posttest control/comparison group design, with a sample of 22 adults (5 males, 17 females) was utilized. Participants were assigned to three groups: GT/stretching, effleurage/stretching, and stretching only. After completion, effleurage/stretching and stretching only groups were later offered GT with posttest scores recorded. …

Treatment Of Scapular Dyskinesis With Reflexive Neuromuscular Stimulation: A Case Report, Alli Z. Powell, Russell T. Baker

Clinical Practice in Athletic Training

Scapular dyskinesis is an abnormal movement of the scapula due to poor motor control of the surrounding musculature and can lead to other glenohumeral pathologies. The pathology results in the lateral tilting of the scapula during many glenohumeral joint movements and weight-bearing activities of the upper extremity (i.e., plank). The typical conservative treatment protocol focuses on strengthening surrounding musculature and is often a lengthy protocol. A weakness of strengthening protocols is the failure to address the motor function of targeted muscles at the level of the central nervous system (CNS) to restore dynamic stability and motor control. Reactive Neuromuscular Stabilization …

The Mulligan Concept In The Treatment Of Anterior Knee Pain, Karla S. Judge, Alan Nasypany, Russell T. Baker, James May

Clinical Practice in Athletic Training

The purpose of the disablement model case study was to describe the case of a collegiate basketball player suffering from anterior knee pain (AKP). The patient had been experiencing AKP while participating in pre-season basketball related activities (playing, weight lifting, and conditioning) for approximately six weeks. As the intensity increased, the pain became intolerable. Previously, the patient had missed a significant amount of off-season workouts due to surgery for an upper extremity injury sustained during the competitive season. The patient reported tenderness at the inferior pole of the patella, and at the tibial tuberosity. There was no joint line tenderness, …

Mesenchymal Stem Cells: Sources, Clinical Applications And Outcomes For Common Musculoskeletal Conditions, Steven Boyton, Lindsey Clemensen

Clinical Practice in Athletic Training

Background: The clinical use of Mesenchymal Stems Cells (MSC) in musculoskeletal medicine has become increasingly recognized in the medical field as a promising treatment modality. MSCs have been defined as spindle shaped cells that are capable of rapid proliferation and self-renewal contained within several tissues including bone marrow, synovial and adipose tissue, blood and periosteum. MSCs are currently being used in clinical trials for musculoskeletal purposes including the enhancement of tissue regeneration, bone and cartilage defects and tissue repair. Currently a variety of stem cell products, methods and applications are being used which can provide many misconceptions for the most …

Pelvic And Sacral Size Dimorphism And Allometry In Two Predatory Carnivores With Different Life Histories And Locomotory Adaptations, Alexander Csanady, Peter Krisovsky, Ladislav Hloska

Turkish Journal of Zoology

Sexual size dimorphism (SSD) of the wolf and the lynx was evaluated for 15 pelvic and sacral variables in 48 specimens from the Western Carpathians. Our data confirmed small male-biased SSD in the pelvic and sacral bones for both species. We suggest that this can be explained by the need for a compromise between requirements for locomotion and giving birth. We also confirmed that significant differences exist between the species in the size of the pelvic and sacral bones. We discuss our findings in light of the species? different life histories.

All Aspects Of The Toxic Effects Of Lipopolysaccharide On Rat Liver And The Protective Effect Of Vitamin E And Sodium Selenite, Di̇lek Pandir, Sedat Per, Züleyha Doğanyi̇ği̇t, Fati̇h Oğuz Bekdemi̇r, Gülşi̇fe Gök, Ali̇ Demi̇rbağ

Turkish Journal of Zoology

This work was planned to research the effects of lipopolysaccharide (LPS) and/or vitamin E (VE) and sodium selenite (SS), which have antioxidant properties, administered to the liver tissue of male rats. For this purpose, histopathology, immunohistochemistry, antioxidant capacity, terminal deoxynucleotidyl transferase (TdT) dUTP nick-end labeling assay, liver function, and DNA structure tests were performed. The lipid profile was also evaluated in this study. Rats that were administered LPS were treated with VE and/or SS. The liver function tests and lipid profile parameters showed statistically significant changes and histological alterations in the LPS treated groups. The number of cells entering apoptosis …

Heavy Metal Accumulation As A Threat To The Endangered Egyptian Vulture(Neophron Percnopterus L.) In Turkey, Eli̇f Yamaç, Menekşe Özden, Sunay Balaban, Semra Malkoç

Turkish Journal of Zoology

Due to anthropogenic activity, most vulture species are threatened. Neophron percnopterus, the Egyptian vulture, is a vulture species with a declining population. One of the most important factors threatening the species is exposure to chemicals. The second largest population of this bird species is found in Turkey. Accumulation of heavy metals for this species has not been investigated. The aim of this study was to detect and measure As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn values in the feathers of Neophron percnopterus. Calamis and vane, which are different part of the feathers, were analyzed separately with ICP-OES. According …

Neuroprotective Role Of Delta Opioid Receptors In Hypoxic Preconditioning, Şevi̇n Güney, Si̇bel Di̇ncer, Güleser Göktaş, Gülnur Take Kaplanoğlu

Turkish Journal of Medical Sciences

Background/aim: The purpose of the present study was to explore the neuroprotective role of delta opioid receptors (DOR) in the rat cortex in hypoxic preconditioning. Materials and methods: Rats were randomly divided into 8 groups: control (C), sham (S), hypoxic preconditioning (PC), severe hypoxia (SH), PC + SH, PC + SH + Saline (PS), PC + SH + DPDPE (DPDPE, selective DOR agonist), PC + SH + NT (NT, Naltrindole, selective DOR antagonist). Drugs were administered intracerebroventrically. Twenty four h after the end of 3 consecutive days of PC (10% O2, 2 h/day), the rats were subjected to severe hypoxia …

Seasonal, Sex Variations In Vitamin D Levels And Their Association With Pulmonary Function In Children With Asthma, Şebnem Özdoğan

Turkish Journal of Medical Sciences

Background/aim: We aimed to examine the seasonal and sex variations in vitamin D levels in children with asthma and their associations with lung function. Materials and methods: We conducted a cohort study involving children aged 7?17 years old with asthma. Vitamin D levels were obtained and pulmonary function tests (PFTs) were performed in winter months (December, January, and February) and at the end of summer (August, September, and October). Seasonal and sex variations in vitamin D levels and lung function were examined. Results: A total of 56 children (26 males, mean age: 11.93 ± 1.8) were enrolled. The mean vitamin …

A Novel Marker Relationship Between Carotid Intima-Media Thickness And Disease Activity Score-28 In Patients With Rheumatoid Arthritis: Human Endothelial Cell-Specific Molecule-1, Göksel Tuzcu, Ali̇ Uğur Uslu, Ayça Tuzcu, Rabi̇a Aydoğan Baykara, Ahmet Omma, Adem Küçük

Turkish Journal of Medical Sciences

Background/aim: Human endothelial cell-specific molecule-1 (endocan) is a marker of vascular endothelial dysfunction that may be used in the evaluation of inflammatory-associated atherosclerotic lesions. Endocan may be a marker for the evaluation of atherosclerosis and disease activity in rheumatoid arthritis (RA) patients.Materials and methods: We included 39 RA patients assessed according to the American College of Rheumatology/European League Against Rheumatology 2010 diagnostic criteria and recruited 30 age- and sex-matching healthy subjects for the control group.Results: Endocan values were 14.11 ± 3.27 for the RA patients and 12.10 ± 2.92 for the controls. The endocan values of the patients were significantly …

The Role Of Right Ventricular Volumes And Inferior Vena Cava Diameters In The Evaluation Of Volume Status Before Colonoscopy, Şule Arican, Ramazan Dertli̇, Çağdaş Dağli, Gülçi̇n Hacibeyoğlu, Mustafa Koyuncu, Ahmet Topal, Sema Tuncer Uzun, Mehmet Asil

Turkish Journal of Medical Sciences

Background/aim: Ultrasonographic measurements of inferior vena cava (IVC) diameters and right ventricle (RV) volumes are important tools for the evaluation of intravascular volume. The current study investigates the association of IVC diameters and RV volumes before colonoscopy in prediction of postanesthesia hypotension.Materials and methods: Seventy patients scheduled for colonoscopy were included in the study. Preoperatively, expirium (dIVC max) and inspirium (dIVC min) IVC diameters were measured using M-mode ultrasonography and the collapsibility index (IVC-CI) was calculated. Ventricular volumes and areas were also measured using transthoracic echocardiography. Postanesthesia hypotension was defined as mean arterial blood pressure of 30% in the mean …

Initial Regional Evaluation Of The Cystic Fibrosis Newborn Screening Program: Data From The Mediterranean Coast Of Turkey, Abdurrahman Erdem Başaran, Ayşen Başaran, Di̇lara Fatma Kocacik, Özgül Alper, Deni̇z Acican, Ayşen Bi̇ngöl

Turkish Journal of Medical Sciences

Background/ aim: Since January 2015, the Cystic Fibrosis Newborn Screening (CFNS) program has been implemented in Turkey. We aimed to evaluate the demographic, clinical, and laboratory data of cases referred from the CFNS program and to determine the most suitable cut-off value for immunoreactive trypsinogen (IRT)-1 and immunoreactive trypsinogen (IRT-2) that are used in the CFNS program in Turkey. Materials and methods: A total of 156 Turkish Caucasian subjects were determined as positive cases during 3 years, from January 2015 to January 2018, and were referred to the pediatric pulmonology clinics of Akdeniz University Hospital, Antalya, Turkey, for the national …

The Validity And Reliability Of The Turkish Version Of The Physical Activity Scale For Individuals With Physical Disabilities (Pasipd), Kardem Ulaş, Semra Topuz, Gönül Horasan

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to assess the validity and reliability of Turkish translation of thePhysical Activity Scale for Individuals with Physical Disabilities (PASIPD) in a disabled Turkish population.Materials and methods: Following the translation protocol of the PASIPD, the Turkish version of the PASIPD, Short Form-36, and International Physical Activity Questionnaire were administered to 198 developmentally and physically disabled individuals.Results: The Turkish version of the PASIPD was found to be reliable. The domains of the Turkish version of the PASIPD were also found to be valid. Four factors were obtained from the questionnaire. The ICC was 1.0 since …

The Effect Of Parathyroidectomy On Bone Mineral Density In Primary Hyperparathyroidism, Mustafa Çalişkan, Selvi̇han Beysel, Muhammed Kizilgül, Mustafa Özbek, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: This study aimed to investigate the change in bone mineral density (BMD) before and 1 year after parathyroidectomy in patients with primary hyperparathyroidism (PHPT). Materials and methods: The clinical and biochemical parameters and DEXA screening of patients with symptomatic PHPT (n = 28) and asymptomatic PHPT (n = 63) were investigated before and 1 year after parathyroidectomy. Results: Patients with symptomatic PHPT had a higher prevalence of nephrolithiasis (18.2% vs. 4.6%, P = 0.032) when compared to the prevalence in patients with asymptomatic PHPT. The prevalence of osteoporosis in the lumbar spine (63.0% vs. 37.5%, P = 0.026) and …

Clinical Results Of Intradiscal Hydrogel Administration (Gelstix) In Lumbar Degenerative Disc Disease, Ayşegül Ceylan, İbrahi̇m Aşik, Güngör Enver Özgenci̇l, Burak Erken

Turkish Journal of Medical Sciences

Background/aim: Degenerative disc disease (DDD) is one of the main causes of lower back pain. In this study, we evaluate the efficacy of percutaneous intradiscal GelStix administration in patients with discogenic pain due to lumbar DDD who were unresponsive to conservative methods.Materials and methods: A total of 29 patients were included in the study, which took place between 2013 and 2017. Sedation was performed in the prone position in the operating room, and a C-arm was located so as to provide a lateral view of the surgical field. A 22-G, 3.5-inch needle was inserted into the center of the disc …

Pipeline Flex Embolization Device (Ped Flex) For The Treatment Of Intracranial Aneurysms: Periprocedural Outcomes And First-Year Angiographic Results, Şükrü Oğuz, Ömer Naci̇ Tabakci, Ender Uysal, Eser Bulut, Hasan Di̇nç

Turkish Journal of Medical Sciences

Background/aim: The Pipeline Flex Embolization Device (PED Flex) is a new updated version of the PED classic that incorporates a new delivery system to allow facilitation of stent deployment, resheathing, and removal of the capture coil. This study evaluated the PED Flex in terms of the technical aspects of the procedure and first-year follow-up results. Materials and methods: This retrospective study involved prospectively collected data from May 2015 to August 2017. The primary endpoint was technical aspects of the procedure, and the secondary endpoint was first-year follow-up results. Results: Forty-nine patients with 59 target intracranial aneurysms were enrolled. Patients' mean …

The Effect Of Pregabalin On Tourniquet-Induced Ischemia-Reperfusion Injury:A Prospective Randomized Study, Ömer Karaca, Hüseyi̇n Ulaş Pinar, Ahmet Fevzi̇ Özgür, Sevsen Kulaksizoğlu, Rafi̇ Doğan

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to investigate the efficacy of pregabalin on ischemia-reperfusion injuries.Materials and methods: Fifty-four patients were randomly assigned into 2 groups. A 150-mg tablet of pregabalin was given the night before and then 1 h before the operation for patients in Group P (pregabalin group, n = 27). A placebo was given to patients in Group C (control group, n = 27) at the same times. After combined spinal-epidural anesthesia was performed, venous blood samples were taken before tourniquet inflation (t1), just before tourniquet deflation (t2), and 20 min after tourniquet deflation (t3) for the …

Abdominal Girth Has A Strong Correlation With Actual And Ultrasound Estimated Epidural Depth, Mehmet Cantürk, Nazan Kocaoğlu, Meltem Hakki

Turkish Journal of Medical Sciences

Background/aim: This study aimed to assess the correlations of actual epidural depth (ND) and ultrasound estimated epidural depth in the paramedian sagittal oblique plane (ED/PSO) and transverse median plane (ED/TM) with the abdominal girth (AG), body mass index (BMI), and weight of patients. Materials and methods: One hundred and thirty patients of either sex scheduled for unilateral inguinal hernia repair were enrolled. ED/PSO and ED/TM were assessed with a 2-5 MHz curved array probe at the L3-4 intervertebral space. The epidural needle was marked with a sterile marker upon locating the epidural space. The ND was assessed by measuring the …

Assessment Of The Visual Pathways In Patients With Neurofibromatosis-1 By 3s-Space Technique With 3-Tesla Mri, Özge Saraç, Oktay Algin, Mehmet Beyazal, Fatma Banu Anlar, Ali̇ Varan, Adi̇le Tülay Kansu

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the size/tortuosity of the optic nerve (ON) and the dilatation of the ON sheath (ONS) in neurofibromatosis type 1 (NF-1) patients with 3T-MRI, and to assess the usefulness of 3D-SPACE in imaging the optic pathway, ON, and ONS in NF-1 patients. Materials and methods: Twenty consecutive NF-1 patients without optic pathway glioma (OPG) (Group 1), 16 consecutive NF-1 patients with OPG (Group 2), and 19 controls were included in this study. The thickness and tortuosity of the ON and the diameter of the ONS were measured on STIR and 3D-SPACE images. Results: The thickness of …

Can We Predict Patients That Will Not Benefit From Invasive Mechanical Ventilation? A Novel Scoring System In Intensive Care: The Imv Mortality Prediction Score (Impres), Tevfi̇k Özlü, Mehtap Pehli̇vanlar Küçük, Akin Kaya, Esra Yarar, Sami̇ Cenk Kirakli, Özlem Şengören Di̇ki̇ş, Hale Kefeli̇ Çeli̇k, Serdar Özkan, Hayri̇ye Bektaş Aksoy, Ahmet Oğuzhan Küçük

Turkish Journal of Medical Sciences

Background/aim: The present study aimed to define the clinical and laboratory criteria for predicting patients that will not benefit from invasive mechanical ventilation (IMV) treatment and determine the prediction of mortality and prognosis of these critical ill patients. Materials and methods: The study was designed as an observational, multicenter, prospective, and cross-sectional clinical study. It was conducted by 75 researchers at 41 centers in intensive care units (ICUs) located in various geographical areas of Turkey. It included a total of 1463 ICU patients who were receiving invasive mechanical ventilation (IMV) treatment. A total of 158 parameters were examined via logistic …

Neutrophil-To-Lymphocyte Ratio, Monocyte-To-Lymphocyte Ratio, And Platelet-To-Lymphocyte Ratio In Different Etiological Causes Of Thyrotoxicosis, Işilay Taşkaldiran, Tülay Omma, Çağatay Emi̇r Önder, Sevde Nur Firat, Gönül Koç, Mustafa Kemal Kiliç, Şeri̇fe Mehli̇ka Kuşkonmaz, Cavi̇t Çulha

Turkish Journal of Medical Sciences

Background/aim: The most common causes of thyrotoxicosis include Graves' disease (GD), toxic multinodular goiter (TMNG), toxic adenoma (TA), and subacute granulomatous thyroiditis (SAT). In our study, we aimed to see whether neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) may be helpful in the differential diagnosis of these diseases.Materials and methods: We retrospectively analyzed the hospital records of the Endocrinology Clinic of our hospital between 2016 and 2019. We included data from 66 GD, 37 TA, and 35 SAT patients. We compared the data with those of 35 healthy subjects as controls.Results: NLR, MLR, …

Development And Psychometric Testing Of The Family Functioning Questionnaire In Rehabilitation (Ffqr), Hati̇ce Abaoğlu, Esra Aki

Turkish Journal of Medical Sciences

Background/aim: The present study aimed to develop a reliable and valid assessment tool for measuring family functioning in rehabilitation. Materials and methods: Semistructured interviews were performed with 100 rehabilitation professionals working in pediatrics to identify the feature to be measured. The items determined with the qualitative analysis of the data were presented to 14 experts and content validity was provided. The questionnaire created based on the judgments of the experts was administered to 440 parents of children with special needs. Results: After validity and reliability analysis, the final version of the questionnaire comprised 48 items with four factors identified as …

The Effect Of N-Acetylcysteine On Inflammation And Oxidative Stress In Cisplatin-Induced Nephrotoxicity: A Rat Model, İnayet Güntürk, Cevat Yazici, Sema Kader Köse, Fatma Dağli, Bi̇lal Yücel, Arzu Hanim Yay

Turkish Journal of Medical Sciences

Background/Aim: Cisplatin is a highly effective chemotherapeutic agent used in the treatment of solid organ cancers. Besides its chemotherapeutic effectiveness, cisplatin administration is associated with numerous side effects. Of those, the most clinically significant and common effect is nephrotoxicity. Recent studies reported that oxidative stress and inflammation are probably the most important mechanisms that contribute to the nephrotoxicity. N-acetylcysteine (NAC) is an antioxidant and antiinflammatory agent. In the present study, the effects of NAC on cisplatin-induced nephrotoxicity were investigated. Materials and methods: Rats were divided into four groups each including eight rats: CONT, NAC-250, CP, and CP+NAC. Rats in experimental …

Cover And Contents

Turkish Journal of Medical Sciences

No abstract provided.

Radiographic Comparison Of Cervical Spine Motion Using Lma Fastrach, Lma Ctrach, And The Macintosh Laryngoscope, Gözde İnan, Nurdan Bedi̇rli̇, Zerri̇n Özköse Şatirlar

Turkish Journal of Medical Sciences

Background/aim: The optimal technique for airway management in patients with cervical pathology remains unclear. Intubating laryngeal mask airway devices such as LMA CTrach and LMA Fastrach have not been compared for cervical spine (C-spine) movements in the context of cervical pathology. The present study aimed to determine upper C-spine movements by radiography during intubation with different devices as well as comparing the duration and success of intubation in cervical surgery.Materials and methods: Sixty patients scheduled for elective cervical surgery were registered in this prospective, randomized study. Patients with cervical trauma/injury, previous neck surgery, and body mass index (BMI) of >35 …

The Effect Of Hyperglycemic Peak Induced By Oral Glucose Tolerance Test On The Oxidant And Antioxidant Levels, Teki̇n Yildirim, Ayşe Yeşi̇m Göçmen, Zeynep Tuğba Özdemi̇r, Eli̇f Börekci̇, Eli̇f Turan, Yalçin Aral

Turkish Journal of Medical Sciences

Background/aim: The possibility of adverse effects of the oral glucose tolerance test (OGTT) carried out for the screening of gestational diabetes among pregnant women and fetuses is a frequently discussed topic. The purpose of this study was to investigate the effects of the hyperglycemia peak during OGTT on the levels of oxidants and antioxidants in the body.Materials and methods: Eighty individuals who applied to the Outpatient Clinic with suspected diabetes and OGTT indication were included in the study. Glucose, total oxidant capacity status (TOS), total antioxidant capacity (TAS), superoxide dismutase (SOD), and lipid hydroperoxide (LOOH) levels were tested on blood …

Role Of Aortic Stiffness And Inflammation In The Etiology Of Young-Onset Hypertension, Serkan Gökaslan, Çi̇ğdem Özer Gökaslan, Emi̇n Demi̇rel, Sefa Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: Young-onset hypertension is a form of condition diagnosed in patients aged below 40. Cytokines such as interleukin (IL)-6 and also MCP-1 may play a role in the development of arterial hypertension. Aortic stiffness can be detected by measuring pulse wave velocity (PWV). We aimed to explore the relationship between inflammation and aortic stiffness and investigate their roles in the etiology of young-onset hypertension.Materials and methods: We enrolled 16 patients diagnosed with young-onset hypertension and 16 volunteers without hypertension. The plasma levels of MCP-1 and IL-6 were determined using an enzyme-linked immunosorbent assay and quantitative enzyme-linked immunoassay, respectively. Carotid-femoral PWV …