PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection

Permanent URI for this collectionhttps://hdl.handle.net/20.500.14517/21

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Asymmetric Sinus Excision and Primary Closure With Additional Skin Excision Technique. Effect of Reduction of Dead-Space With Karydakis Modification
(Edizioni Luigi Pozzi, 2019) Kartal, Abdulcabbar; Yalcin, Metin; Oter, Volkan; Ferhatoglu, Murat Ferhat; Uzunkoy, Ali
OBJECTIVE: Pilonidal sinus is one of the common diseases, although there is still no gold standard of treatment available. The aim of this study was to reduce the residual dead-space volume with a modification following the standard Karydakis procedure. METHODS: A total of 100 patients were included in a randomised controlled trial, who were divided into two groups. Each group included 50 patients, and the patients in Group-I were treated with the new technique, whereas in Group-2, the standard Karydakis technique was performed. In the new technique, following total sinus excision, an advancement tissue flap was performed using additional skin excision, in order to reduce the dead-space volume. RESULTS: There was no significant difference in terms of sex, age, and sinus volume. Operation time was longer in first group (p=0,002). Seroma formation rate was higher in the secound group (p=0.036). There was no significant difference in terms of soft tissue infection (p=0.339) and wound dehiscence (p=0.218). The mean follow-up period was 30 months and no recurrence was observed in both groups. CONCLUSIONS: The results of the study suggest that this technique may be considered as an alternative surgical method in pilonidal sinus surgery.
Analysis of Morphological Parameters in Pelvic Radiography and Hip Mri : a Practical Reporting Recommendation
(Acta Medica Belgica, 2021) Cicek, Esin Derin; Cevik, Halime
Although numerous criteria have been proposed to define abnormal hip morphology, mostly used in the diagnosis of femoroacetabular impingement, it is not a practical approach to measure all of these parameters in all cases without clinical suspicion. In this study, our aim was to develop an evaluating and reporting standardization for routine hip examinations to define both hip morphology and impingement. A total of 108 patients with routine hip magnetic resonance imaging (MRI) and antero-posterior pelvic radiograph (PR) were included in this retrospective study. Alpha angle (AA), acetabular depth (AD), acetabular protrusion, acetabular anteversion, collodiaphyseal angle (CDA), lateral center-edge angle (LCEA) and Tonnis angle (TA) were measured. The differences and associations between these parameters were evaluated according to imaging modality or plane, and sex. Although a significant difference has been found between the axial AA and the coronal AA mean values measured on MRI, there was also a strong correlation. Coronal measurements were significantly higher. AA values measured in PR and coronal MRI were comparable. Males had higher AA in both planes as compared to females. There were no significant differences between CDA values in MRI and PR. There was a significant difference and a moderate correlation between AD values in MRI and PR. We suggest that routine reports should include a measurement of AA in two planes, and measurement of CDA in PR or MRI. Due to the difference in AD between MRI and radiography, LCEA or TA may represent better alternatives. Checking for a negative Tonnis sign would represent a practical approach.
Evidence for the Higgs Boson Decay To a Z Boson and a Photon at the Lhc
(Amer Physical Soc, 2024) Aad, G.; Abbott, B.; Abeling, K.; Abicht, N. J.; Abidi, S. H.; Aboulhorma, A.; Zhokin, A.
The first evidence for the Higgs boson decay to a Z boson and a photon is presented, with a statistical significance of 3.4 standard deviations. The result is derived from a combined analysis of the searches performed by the ATLAS and CMS Collaborations with proton -proton collision datasets collected at the CERN Large Hadron Collider (LHC) from 2015 to 2018. These correspond to integrated luminosities of around 140 fb-1 for each experiment, at a center -of -mass energy of 13 TeV. The measured signal yield is 2.2 +/- 0.7 times the standard model prediction, and agrees with the theoretical expectation within 1.9 standard deviations.
Tolerability To Paracetamol and Preferential Cox-2 Inhibitors in Patients With Cross-Reactive Nonsteroidal Anti-Inflammatory Drugs Hypersensitivity
(Asia Pacific Assoc Allergy, Asthma & Clinical Immunology, 2020) Terzioglu, Kadriye; Sancar, Ozgur; Ekerbicer, Hasan Cetin; Ozturk, Raziye Tulumen; Epozturk, Kursat
Background: Acetylsalicylic acid/aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used drugs that may cause hypersensitivity reactions in a substantial proportion of patients. Physicians ought to be aware of these situations. Objective: We aimed to present the clinical characteristics and rates of tolerability to cyclooxygenase (COX)-2 inhibitor analgesics in patients who had admitted due to multiple cross-reactive type of NSAID hypersensitivity. Methods: The files of the patients who had admitted with multiple NSAIDs-induced symptoms were investigated retrospectively. Age, sex, underlying diseases, clinical manifestation, skin test results, and drug provocation test results were analyzed. Results: In 105 patients with multiple cross-reactive type of NSAID hypersensitivity, we found the rate of cross-reactivity to any of the relatively safe alternatives including paracetamol, meloxicam, and nimesulide to be 16.1%. The rate of cross-reactivity to these relatively safe drugs was significantly higher in patients with a history of anaphylaxis induced by NSAID intake (p= 0.006). Conclusion: The diagnosis of COX-1-mediated multiple NSAID hypersensitivity can be often established with a detailed history. Although rare, severe hypersensitivity reactions may be observed in these patients. Undesired situations for both patients and physicians may be avoided by testing relatively safe paracetamol and COX-2 inhibitors in experienced centers.
The Test-Retest Reliability and Concurrent Validity of 360° Turn Test in Patients With Knee Osteoarthritis
(Taylor & Francis Ltd, 2024) Yarar, Haci Ahmet; Narin, Selnur; Erduran, Mehmet; Gurbanov, Iftikhar
PurposeThe aim of this study is to determine whether the 360 degrees turn test is a reliable and valid evaluator that can be used to assess dynamic balance in patients with early (radiographic grades I and II) and advanced (radiographic grades III and IV) knee osteoarthritis.Materials and MethodsThis study is a methodological research. For the test time and step count of 360 degrees turn test; test-retest reliability were determined by calculating the intraclass correlation coefficient and concurrent validity in patients with knee osteoarthritis was investigated by correlation with the timed up and go test time.ResultsThe final analysis was made on 117 participants. The intraclass correlation coefficient values for the test time and step count of 360 degrees turn test in patients with early knee osteoarthritis are 0.931 and 0.902, respectively, while they are 0.923 and 0.943 in patients with advanced knee osteoarthritis. The Pearson correlation coefficients between the time and step count of 360 degrees turn test and the test time of the timed up and go test in patients with early knee osteoarthritis, respectively; while they are 0.547 and 0.388, the correlation in patients with advanced knee osteoarthritis are 0.697 and 0.700, respectively (p < 0.01).ConclusionsThe 360 degrees turn test is a evaluator that has excellent test-retest reliability and moderate to strong concurrent validity in patients with both early and advanced knee osteoarthritis and can be used in the assessment of dynamic balance in this population.
Comparison of Posterior and Antero-Lateral Renal Tumors in Retroperitoneal Laparoscopic Partial Nephrectomy: a Propensity Score Matching Analysis
(Codon Publications, 2023) Anil, Hakan; Yildiz, Ali; Guzel, Ahmet; Akdemir, Serkan; Karamik, Kaan; Arslan, Murat
This study aimed to compare the antero-lateral and posterior localized renal masses in laparoscopic partial nephrectomy with the retroperitoneal approach in terms of operative, functional, and oncological outcomes. Patients who underwent retroperitoneal laparoscopic partial nephrec-tomy by a single surgeon between January 2013 and January 2021 were included in the study. A one-to-one propensity score matching (PSM) analysis was conducted to obtain two balanced groups. The patients were divided into two groups as posterior and antero-lateral according to the localization of the mass. A total of 239 patients were included in the PSM analysis, with 65 patients allocated to each group. The mean operative time was 79.2 & PLUSMN; 11.2 min in the posterior group, while it was 90.0 & PLUSMN; 11.6 min in the antero-lateral group (P < 0.001). Warm ischemia time was 15.9 & PLUSMN; 2.4 min in the posterior group and 18.6 & PLUSMN; 2.7 min in the antero-lateral group (P < 0.001). The median decrease in eGFR at 1 year was 4.8 (IQR, 2.9-6.9) mL/min in the posterior group and 5.0 (IQR, 2.8-11) mL/min in the antero-lateral group (P = 0.219). The warm isch-emia time and clamping technique were found to be significant factors for predicting eGFR change after surgery (13:0.693, 95% CI: 0.39-0.99, P < 0.001; 13:6.43, 95% CI: 1.1-11.7, P = 0.017, respectively). We report that retroperitoneal laparoscopic partial nephrectomy provided longer warm ischemia and operative time for antero-lateral renal masses than posterior masses. However, long-term oncological and functional results were similar for both localizations.
Comparison of Three Different Modalities for the Treatment of Bladder Calculi by Size
(Sage Publications Ltd, 2022) Yildiz, Ali; Anil, Hakan; Erol, Ibrahim; Karamik, Kaan; Ercil, Hakan
Purpose: Treatment recommendations for kidney or ureteral stones are based on stone size; however, this is uncertain for bladder stones. This study aims to determine the best approach to bladder stones based on their size. Materials and methods: We retrospectively analyzed 401 patients with bladder stones. Patients were divided into three different groups according to stone size (11-20 mm, 21-30 mm, 31-40 mm as groups 1, 2, and 3 respectively). Patients had transurethral cystolithotripsy (TUCL), percutaneous cystolithotripsy (PCCL), and open cystolithotomy (OCL) performed. Results: Stone fragments were removed completely in all patients. When catheter time, postoperative stay, and hematocrit decrease values were compared, the results were significantly higher for OCL in all three groups (p: 0.001). When the relationship between stone sizes and operation time is evaluated, TUCL had shorter operation times (34.1 +/- 10.6 min) in group 1. However, TUCL had longer operation times in group 2 and group 3 compared to OCL and PCCL. Conclusion: TUCL may be preferable due to better postoperative outcomes and shorter operative time for <= 2 cm stones. As the stone size increases, PCCL is more favorable in terms of operation time.
Exploring Task Completion Times and Text Performance in Pedestrians in Single and Dual-Tasking: Comparative Analysis of Laboratory and Outdoor Environments
(Sage Publications inc, 2024) Girgin, Nuray; Okudan, Begum; Celebi, Sadik Emre; Dundar, Selim
Background: Increased cell phone use causes individuals to divide their attentional resources between dual tasks in daily life. It is emphasized that this divided attention negatively affects task performance and makes pedestrian cell phone use an increasing safety concern. There is a lack of research on how dual tasks involving cell phone use affect pedestrian movements in laboratory and real-world settings and the time saved by text messaging while walking. Object & imath;ve: The main purpose of this study is to investigate how dual-tasking affects pedestrians by analyzing task completion time and texting performance, as well as investigating potential gender differences. Methods: 119 students were included in the study. Expanded-Timed Up and Go Test was applied as a single task 1. As a single task 2; text messaging was used on a mobile phone. Dual-task was defined as performing both tasks simultaneously. All evaluations were recorded both in the laboratory and outdoor environment. Results: Between all parameters, task completion times showed a significant difference in favor of dual-task in both environments (p <= 0.05). There was no significant difference in texting performance when comparing the results of two environments (p >= 0.05). Performing texting and walking tasks simultaneously resulted in approximately 43-45% time savings. Conclus & imath;ons: However, dual-task increases events such as falling or hitting other pedestrians. We recommend that pedestrians do not endanger their health and the health of other pedestrians to save more or less time.
Test of Lepton Flavor Universality in B± → K± Μ+μ- and B± → K± E+ E- Decays in Proton-Proton Collisions at √s=13 Tev
(Iop Publishing Ltd, 2024) Hayrapetyan, A.; Tumasyan, A.; Adam, W.; Andrejkovic, J. W.; Bergauer, T.; Chatterjee, S.; Zhokin, A.
A test of lepton flavor universality in B-+/- -> K +/- mu(+) mu(-) and B-+/- -> (K)+/- e(+) e(-) decays, as well as a measurement of differential and integrated branching fractions of a nonresonant B-+/- -> K-+/- mu(+)mu(-) decay are presented. The analysis is made possible by a dedicated data set of proton-proton collisions at root s = 13 TeV recorded in 2018, by the CMS experiment at the LHC, using a special high-rate data stream designed for collecting about 10 billion unbiased b hadron decays. The ratio of the branching fractions B(B-+/- -> K-+/- mu(+) mu(-)) to B(B-+/- -> K-+/- e(+) e(-)) is determined from the measured double ratio R(K) of these decays to the respective branching fractions of the B-+/- -> J/psi K-+/- with J/psi -> mu(+)mu(-) and e(+) e(-) decays, which allow for significant cancellation of systematic uncertainties. The ratio R(K) is measured in the range 1.1 < q(2) < 6.0 GeV2, where q is the invariant mass of the lepton pair, and is found to be R(K) = 0.78(-0.23)(+0.47), in agreement with the standard model expectation R(K) approximate to 1. This measurement is limited by the statistical precision of the electron channel. The integrated branching fraction in the same q(2) range, B(B-+/- -> K-+/- mu(+) mu(-)) = (12.42 +/- 0.68) x 10(-8), is consistent with the present world-average value and has a comparable precision.
New Structures in the J/Ψj Mass Spectrum in Proton-Proton Collisions at √ S=13 Tev
(Amer Physical Soc, 2024) Hayrapetyan, A.; Tumasyan, A.; Adam, W.; Andrejkovic, J. W.; Bergauer, T.; Chatterjee, S.; Zhokin, A.
A search is reported for near-threshold structures in the J=psi J=psi invariant mass spectrum produced in proton-proton collisions at ffiffi s p 1/4 13 TeV from data collected by the CMS experiment, corresponding to an integrated luminosity of 135 fb-1. Three structures are found, and a model with quantum interference among these structures provides a good description of the data. A new structure is observed with a local significance above 5 standard deviations at a mass of 6638 thorn 43 -38 ostat thorn thorn 16 -31 osyst thorn MeV. Another structure with even higher significance is found at a mass of 6847 thorn 44 -28 ostat thorn thorn 48 -20 osyst thorn MeV, which is consistent with the Xo6900 thorn resonance reported by the LHCb experiment and confirmed by the ATLAS experiment. Evidence for another new structure, with a local significance of 4.7 standard deviations, is found at a mass of 7134 thorn 48 -25 ostat thorn thorn 41 -15 osyst thorn MeV. Results are also reported for a model without interference, which does not fit the data as well and shows mass shifts up to 150 MeV relative to the model with interference
The Effect of Muscles in the Treatment of Lower Limb Lymphedema: Respiratory Muscles or Leg Muscles
(Springer, 2025) Akgul, Ahmet; Mazi, Ilknur; Aydin, Gamze; Yavuz, Mumine; Yeldan, Ipek
Purpose This study aimed to compare the effects of manual lymphatic drainage and bandaging (MLDB) combined with calf muscle exercise training (CMT) and/or inspiratory muscle training (IMT) on edema, muscle strength, functional capacity, functionality, and quality of life (QoL) in patients with secondary lower limb lymphedema (LLL). Method A total of 76 patients (mean age: 47.06 +/- 16.16 years; 84.2% female) with LLL were included in the study and randomized into four groups: MLDB alone (Group 1), MLDB + CMT (Group 2), MLDB + IMT (Group 3), and MLDB + CMT + IMT (Group 4). The training programs were administered for 30 min per day, five days per week, over three weeks. Edema was assessed using circumference measurements (CM) and tissue dielectric constant (TDC). Muscle strength was evaluated using maximum inspiratory/expiratory pressure (MIP/MEP) and a dynamometer. Functional capacity was assessed with the 6-Minute Walk Test (6MWT), functionality with the Lower Extremity Functional Scale (LEFS), and QoL with the Lymphedema Quality of Life Scale (LYMQOL). Results In the intra-group analyses, all assessments improved in all groups, except for MIP, MEP, and gastrocnemius muscle strength in Group 1 and MIP in Group 2 (p < 0.05). In the inter-group analyses, Group 3 showed the largest effect sizes (ES) for reductions in TDC (ES: 2.34) and improvements in LYMQOL (ES: 1.74), MEP (ES: 1.46), and LEFS (ES: 1.44) (p < 0.001 for all). Group 4 had the largest ES for increases in MIP (ES: 1.42, p < 0.001). Group 2 showed the largest ES for improvements in gastrocnemius muscle strength (ES: 1.41, p < 0.001). However, there were no significant differences among the groups in CM or 6MWT results (p > 0.05). Conclusion Compared to enhancing leg muscle strength, improving respiratory muscle function in addition to MLDB had a greater impact on reducing edema and enhancing functionality and QoL. Trial Registration Number NCT05609526. Registration Date: 14.11.2022.
Autoimmune Encephalitis and Musicogenic Epilepsy: a Case of Gad65 Antibody-Associated Seizure
(Wiley, 2025) Mohammadi-Asl, Ali; Bahadori, Amir Reza; Sabzgolin, Iman; Davari, Afshan; Razmafrooz, Mohammad; Tafakhori, Abbas; Ranji, Sara
Musicogenic epilepsy (ME) is a rare form of reflex epilepsy with a prevalence of 1 in 10,000,000. Recent research suggests a potential link between ME and autoimmune encephalitis, particularly involving glutamic acid decarboxylase 65-isoform (GAD65) antibodies. A 48-year-old female presented with a one-year history of music-triggered seizures. Her episodes were characterized by an initial aura followed by unresponsiveness and oral automatisms. Electroencephalography revealed abnormalities in the left anterior temporal lobe and temporal leads. Laboratory studies showed positive anti-GAD65 antibodies. The patient was treated with a combination of antiepileptic medication (Lamotrigine) and corticosteroids and intravenous immunoglobulin. This case contributes to the growing evidence supporting an association between ME and autoimmune mechanisms, particularly GAD65 antibody-mediated autoimmunity. It highlights the importance of screening autoimmune factors in ME patients and highlights the need for further research into targeted treatment strategies.
Can Super Resolution Via Deep Learning Improve Classification Accuracy in Dental Radiography
(Oxford Univ Press, 2025) Celik, Berrin; Mikaeili, Mahsa; Genc, Mehmet Z.; Celik, Mahmut E.
Objectives Deep learning-driven super resolution (SR) aims to enhance the quality and resolution of images, offering potential benefits in dental imaging. Although extensive research has focused on deep learning based dental classification tasks, the impact of applying SR techniques on classification remains underexplored. This study seeks to address this gap by evaluating and comparing the performance of deep learning classification models on dental images with and without SR enhancement.Methods An open-source dental image dataset was utilized to investigate the impact of SR on image classification performance. SR was applied by 2 models with a scaling ratio of 2 and 4, while classification was performed by 4 deep learning models. Performances were evaluated by well-accepted metrics like structural similarity index (SSIM), peak signal-to-noise ratio (PSNR), accuracy, recall, precision, and F1 score. The effect of SR on classification performance is interpreted through 2 different approaches.Results Two SR models yielded average SSIM and PSNR values of 0.904 and 36.71 for increasing resolution with 2 scaling ratios. Average accuracy and F-1 score for the classification trained and tested with 2 SR-generated images were 0.859 and 0.873. In the first of the comparisons carried out with 2 different approaches, it was observed that the accuracy increased in at least half of the cases (8 out of 16) when different models and scaling ratios were considered, while in the second approach, SR showed a significantly higher performance for almost all cases (12 out of 16).Conclusion This study demonstrated that the classification with SR-generated images significantly improved outcomes.Advances in knowledge For the first time, the classification performance of dental radiographs with improved resolution by SR has been investigated. Significant performance improvement was observed compared to the case without SR.
Evaluation of the Performance of Large Language Models in Clinical Decision-Making in Endodontics
(BMC, 2025) Ozbay, Yagiz; Erdogan, Deniz; Dincer, Gozde Akbal
Background Artificial intelligence (AI) chatbots are excellent at generating language. The growing use of generative AI large language models (LLMs) in healthcare and dentistry, including endodontics, raises questions about their accuracy. The potential of LLMs to assist clinicians' decision-making processes in endodontics is worth evaluating. This study aims to comparatively evaluate the answers provided by Google Bard, ChatGPT-3.5, and ChatGPT-4 to clinically relevant questions from the field of Endodontics. Methods 40 open-ended questions covering different areas of endodontics were prepared and were introduced to Google Bard, ChatGPT-3.5, and ChatGPT-4. Validity of the questions was evaluated using the Lawshe Content Validity Index. Two experienced endodontists, blinded to the chatbots, evaluated the answers using a 3-point Likert scale. All responses deemed to contain factually wrong information were noted and a misinformation rate for each LLM was calculated (number of answers containing wrong information/total number of questions). The One-way analysis of variance and Post Hoc Tukey test were used to analyze the data and significance was considered to be p < 0.05. Results ChatGPT-4 demonstrated the highest score and the lowest misinformation rate (P = 0.008) followed by ChatGPT-3.5 and Google Bard respectively. The difference between ChatGPT-4 and Google Bard was statistically significant (P = 0.004). Conclusion ChatGPT-4 provided more accurate and informative information in endodontics. However, all LLMs produced varying levels of incomplete or incorrect answers.
Evaluation of Colour Stability, Water Sorption and Solubility of No-Cap Flowable Bulk Fill Resin Composites
(BMC, 2025) Omeroglu, Merve Kutuk; Hekimoglu, Huseyin Can
Background: The aim of this study is to investigate the colour stability, water absorption, and solubility values of low viscosity bulk fill resin composites that do not require an additional layer in comparison with high viscosity and low viscosity bulk fill resin composites used as a base. Methods: In the present study, four different bulk fill resin composites were used: Charisma Bulk Flow One (Kulzer), Estelite Bulk Fill Flowable (Tokuyama), X-tra Base (VOCO), Filtek One Bulk Fill (3M ESPE). The resin composites were prepared as disc-shaped samples with a diameter of 5 mm and a thickness of 4 mm, then polymerized using a LED light device (Elipar DeepCureS, 3M ESPE). The samples were kept in artificial saliva and coffee solution for 28 days to determine water absorption, solubility levels and triangle E values, with measurements taken on days 7, 14, 21 and 28. Water absorption and solubility levels were calculated based on ISO4049:2009 specification, and mean colour change values were calculated based on CIEDE2000 formula. Repeated Measures ANOVA, along with post hoc Bonferroni, Tamhane, and Adjusted Bonferroni tests, were used for the statistical evaluation of the data (p < 0.05). Results: Among all composite groups at all time intervals, Charisma Bulk Flow One composite showed the highest water absorption, solubility, and discolouration values. Conclusion: The water absorption, solubility and discolouration values of the resin composites used in this study were affected by the amount of filler in the resin structure. The clinical applicability of low-viscosity bulk-fill resin composites that do not require an additional capping layer should be carefully reassessed.
Primary Failure of Eruption: a Rare but Desperate Condition for Orthodontic Treatment
(Galenos Publ House, 2025) Soz, Yaren; Savkan, Ipek; Biren, Sibel; Acar, Zeynep Ahu
Tooth eruption is a highly complex mechanism that is controlled by many factors. Various mechanical, systemic, or genetic factors can cause eruption disorders. Primary failure of eruption (PFE) is known as an eruption disorder occurring due to non-syndromic genetic factors. It is frequently seen in the first and second molars and causes posterior open bite. It can be observed unilaterally or bilaterally. Studies show that mutations in many different genes that control the tooth eruption mechanism, mainly the PTH1R and KMT2C genes, constitute the genetic basis of PFE. Primary eruption disorders are very difficult to treat. It is known that the application of active orthodontic forces causes local ankylosis in the tooth and the failure of the tooth to return to its normal position. For this reason, determining the correct diagnosis and treatment method is very important. Although there are different treatment methods, the results of research about the success of these treatment methods are quite limited. This review aims to explain the etiology, diagnosis, and treatment of PFE in light of current genetic studies.
Early Mobilization After Anatomical Lung Resection With Thoracotomy
(Edizioni Minerva Medica, 2025) Unaldi, Hatice Eryigit
In the past, patients who underwent thoracic surgery were advised to rest, recover, and save energy, avoiding engaging in tiring physical activity. Postoperative rest-centered management of patients following anatomical resection can cause pulmonary and cardiovascular complications. Inability to cough, not deep breathing, dysfunctional diaphragm, pain and lying down cause lung atelectasis, pneumonia, and respiratory failure. Early postoperative mobilization's effects on mental or physical recovery and morbidity rate are unclear. Although advanced technological developments, thoracotomy is still the main incision for thoracic surgery. Lung resection and thoracotomy reduce the quality of patients' daily ambulatory activities. The exercise was shown to have anti-inflammatory effects. Anxiety, fear, and pain activate the same brain regions. Postoperative early mobilization could reduce anxiety and help to reduce the intensity of pain. Many different procedures that stop bed rest, start mobilization, and the walking distance or number of steps during postoperative the first mobilization are applied in the departments of thoracic surgery. How many meters the patient can walk and how many steps he/she needs to take are variable. Protocols to facilitate and enforce early mobilization would be beneficial. Early mobilization can reduce the rate of postoperative complications and length of hospital. Early mobilization as soon as possible within the first 24 his supported as safe and acceptable in literature.
Effects of Neural Mobilization on Respiratory Parameters, Pain, Range of Motion, and Neck Awareness in Patients With Chronic Neck Pain: a Randomized Controlled Trial
(Sage Publications inc, 2025) Tunc, Elif; Atici, Emine
Background: Chronic neck pain (CNP) does not have a direct effect on breathing, but movements are restricted due to pain, and kyphotic posture may make movement of the diaphragm difficult. Objective: This study aimed to determine the effects of neural mobilization (NM) on respiratory functionss in patients with chronic neck pain. Methods: Overall, 26 patients with CNP were randomly assigned to two groups: NM (10 sessions) or control. In these participants, pain intensity was first assessed using a Visual Analog Scale (VAS). Next, the active range of motion (ROM) of the cervical joint was measured. Following this, respiratory function was evaluated using spirometry, which included parameters such as Forced Expiratory Volume in 1 s (FEV1), Forced Vital Capacity (FVC), and the FEV1/FVC ratio. Finally, neck awareness was assessed using the Fremantle Neck Awareness Questionnaire (FreNAQ). Results: There was a significant difference in terms of pain intensity (p < 0.05) and range of motion of the neck joint in both groups after treatment (p < 0.05). In addition, there was a significant difference between the two groups in terms of respiratory function tests (p = 0.001) and neck awareness (p = 0.001). Conclusion: The results of our study suggest that the use of NM treatment in addition to conventional physiotherapy in patients with chronic neck pain has beneficial effects on respiratory functions, joint range of motion, pain, and neck awareness.
The Effect of Different Surface Treatments and Adhesive Systems on Shear Bond Strength in Universal Nanohybrid Composite Resin Repair
(BMC, 2025) Omeroglu, Merve Kutuk; Cam, Melek; Dogruer, Isil; Kaynar, Zeynep Buket
Background The aim of this study is to evaluate the effect of different surface treatments and adhesives on shear bond strength (SBS) in the repair of composite resin restorations. Methods In this study, 60 discs (2 mm x 10 mm) were prepared using a universal nanohybrid composite resin (GrandioSo, Voco, Germany). The discs were aged by exposure to 5000 thermal cycles between 5 and 55 degrees C for 30 s with an immersion procedure. Then samples were divided into 3 groups (n:20) according to the surface treatments (Group 1: no surface treatment, Group 2: roughening by bur, Group 3: roughening by Er, Cr: YSGG laser). Subsequently, the specimens were classified into two groups (n:10) according to the adhesive systems; a two-step self-etch adhesive (Clearfil SE bond (SE)), or a universal adhesive (Scotchbond Universal Plus (SB)). After surface treatments and adhesive applications, the same universal nanohybrid composite resin with a height of 2 mm and a diameter of 3 mm was placed in the center of the samples. The samples were then submitted to the SBS test using universal testing equipment (Autograph AGS-X; Shimadzu, Kyoto, Japan) with a crosshead speed of 1 mm/min. The failure modes were examined using a stereomicroscope. The surface topography of the roughened and fractured surfaces resin composite (n = 1) was assessed using scanning electron microscopy (SEM). Analyses were performed using IBM SPSS 25 programme (p < 0.05). Results The highest bond strength was observed in the laser + SE group (22.69 +/- 4.49), while the lowest was recorded in the control + SE group (14.12 +/- 3.00). In the SE adhesive group, no significant difference was found between the laser + SE and bur + SE groups (p > 0.05). Similarly, in the SB adhesive group, there were no significant differences among the surface roughening procedures (p = 0.078). Additionally, no significant differences were observed between the adhesives according to various surface roughening procedures. The failure mode was predominantly cohesive in old composites. Conclusion The bond strength can be improved by surface treatments such as diamond burs, Er, Cr: YSGG laser application for better bonding strategies in the repair of nanohybrid resin composite restorations. There was no statistically significant difference in bond strength between the adhesives tested in this study.
Examining the Burnout of Audiologists in Türkiye Relationships With Quality of Work Life and Psychological Well-Being
(Amer Speech-Language-Hearing Assoc, 2025) Akbulut, Ahmet Alperen; Demirel, Aysenur Karaman; Sacli, Yeter; Satici, Sema; Ozcan, Ahsen Kartal; Ciprut, Ayca
Purpose: Although burnout among audiologists has been studied in various countries, there is no research yet that examines this issue in T & uuml;rkiye, where working conditions and sociodemographic factors may differ from those in other countries. Considering the unique working conditions and sociodemographic factors, this study aimed to investigate the burnout levels of Turkish audiologists. Additionally, this study will explore the impact of various sociodemographic variables on burnout, work-related quality of life, and depression to gain a deeper understanding of the specific challenges faced by audiologists in T & uuml;rkiye. Method: A total of 193 audiologists, with a median age of 27 (interquartile range: 25-29) years, working in different working areas, such as clinical practice, academic institutions, rehabilitation centers, and amplification services in T & uuml;rkiye, were included. Audiologists were invited to participate in this study via several online forums and hospital notice boards. All participants completed the sociodemographic data form and then the Maslach Burnout Inventory (MBI), Work- Related Quality of Life Scale (WRQoL), and Beck Depression Inventory (BDI). Results: Differences between MBI, WRQoL, and BDI scores were analyzed according to gender, level of education, area of work, and title of audiologist. There are significant differences in the subscale scores of the MBI and WRQoL scales and in the BDI scores between groups according to gender, education, and area of work. There are also significant differences in BDI scores according to title. There is a significant correlation between the MBI, WRQoL, and BDI scores of audiologists. Conclusions: This study represents the initial exploration of burnout, quality of work life, and depression levels among audiologists employed in T & uuml;rkiye. A low quality of work life can increase the risk of burnout and depression. Enhancements in the work environment can lessen burnout and depression while also improving employees' general quality of life.

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