DSpace@Hitit: Hitit University Institutional RepositoryDSpace dijital arşiv sistemi toplar, depolar, dizinler, korur ve dijital araştırma materyallerini dağıtmaya aracılık eder.http://earsiv.hitit.edu.tr:80/xmlui2024-03-28T08:18:51Z2024-03-28T08:18:51ZKüreselleşme ve DinÇoştu, Yakuphttps://hdl.handle.net/11491/88052024-03-20T11:15:16Z2023-01-01T00:00:00ZKüreselleşme ve Din
Çoştu, Yakup
Küreselleşme sürecinin birey ve toplum üzerinde sosyolojik yansımaları din ve dinsel alanda da gözlemlenmektedir. Özellikle 11 Eylül 2001 olay’ı ve akabindeki gelişmeler, küreselleşme-din ilişkisinin popülerliğini artırmış, akademik ve kamusal söylemin konuya olan ilgisini yoğunlaştırmıştır. Bu çalışmada, öncelikli olarak küreselleşme olgusuna yönelik anlama biçimi ele alınmıştır. Daha sonra, küreselleşme-din ilişkisi ve bu ilişkinin karşılıklı sonuçları üzerinden hareketle analizler yapılmıştır. Anılan hususlar makro-sosyolojik bir perspektifte deskriptif olarak ele alınmış ve tartışılmıştır.
2023-01-01T00:00:00ZLong-term outcomes of percutaneous release technique or open for trigger finger in diabetic patientsDündar, Abdulrahimİpek, DenizKaya, Şehmuzhttps://hdl.handle.net/11491/88042024-02-07T10:17:33Z2023-01-01T00:00:00ZLong-term outcomes of percutaneous release technique or open for trigger finger in diabetic patients
Dündar, Abdulrahim; İpek, Deniz; Kaya, Şehmuz
Aims: Trigger finger is seen more often in diabetic patients and can lead to more serious postoperative complications compared to non-diabetic patients. The aim of this study was to compare the outcomes of open and percutaneous release techniques in diabetic patients.
Methods: This retrospective study included 62 patients who met the study criteria. Of these patients, 32 underwent open release surgery and 30 underwent percutaneous release with an 18-gauge needle. The patients were evaluated retrospectively in respect of the data on first presentation preoperatively and at postoperative follow-up examinations at 3 weeks, 6 months and 1 year. A retrospective examination was made of the demographic data, Visual Analog Scale (VAS) scores preoperatively, at 6 and 12 months postoperatively, recurrence rates at the end of 6 months and 1 year, the Quinnell grading scale at the end of 1 year, wound site infection, tendon damage and neurovascular complications. VAS scores and the Quinnell grading scale were used for clinical evaluation.
Results: The data of a total of 62 patients were statistically analyzed in the study, with 32 (51.6%) in the Open group and 30 (48.4%) in the Percutaneous group. The mean age of the patients was 58.97±7.51 (min-max: 45-72) years. The distributions of trigger finger and Quinnell grading system scores were statistically similar between the groups (P=0.974, P=0.279, respectively). The recurrent triggering rate at the 6th and 12th month was significantly higher in the Percutaneous group (P=0.049, P=0.049, respectively). The average return to work duration in the Percutaneous group (1.70±0.75) was significantly shorter than that in the Open group (3.88±1.21) (P<0.001). Pre-op, Post-op 6th and 12th month VAS scores did not significantly differ between the groups (P=0.466, P=0.356, P=0.175, respectively).
Conclusion: Although satisfactory results were obtained with both percutaneous and open release techniques in the patients with diabetes in this study, the percutaneous release technique was seen to be a method which can be easily performed in an outpatient setting and had fewer complications.
2023-01-01T00:00:00ZClinical and Radiological Results of Patients Treated with Talon Distalfix Femoral Intramedullary Nail for Femoral Shaft FracturesDündar, Abdulrahimİpek, DenizZehir, SinanKaya, Şehmuzhttps://hdl.handle.net/11491/88032024-02-07T10:05:12Z2023-01-01T00:00:00ZClinical and Radiological Results of Patients Treated with Talon Distalfix Femoral Intramedullary Nail for Femoral Shaft Fractures
Dündar, Abdulrahim; İpek, Deniz; Zehir, Sinan; Kaya, Şehmuz
Objective: Talon distalfix intramedullary nails have been developed as a solution to the technical difficulties experienced during the placement of locking screws. We aimed to evaluate the radiological and clinical results of retractable talon distal fix for the treatment of femoral shaft fractures. Material and Method: Between January 2017 and January 2022, 28 patients with femoral shaft AO type 32-A and B fractures were treated with Talon distalfix nails. AO Type 32-A and B fractures were included in the study. Demographic characteristics, follow-up times, ASA of Anesthesiologists classification and fracture type were recorded. The duration of the operation, intraoperative blood loss, fluoroscopy time (in min), and time to bone union were recorded. General and technical complications (nonunion, malunion, malrotation, and shortening) were evaluated. Clinical functional outcomes were evaluated using the Knee Injury and the Osteoarthritis Outcome Score Physical Function Shortform (KOOS-PS), Hip Injury and Osteoarthritis Outcome Score Physical Function Shortform (HOOS-PS) and Thoresen criteria. Results: A total of 28 patients (11 female and 17 male) were included in the study. The mean age was 46.8 years and the mean follow-up was 23.7 months. The mean time to bone union was 22.6 weeks. No nonunion was observed in any of the patients. The mean hospital stay was 3.4 days and the mean Body Mass Index was 24.2. The mean operation time was 40.3±3.4 minutes and the mean scope time was 26.9 seconds. The mean KOOS-PS score and HOOS-PS were 83.4 and 85.6, respectively. Conclusion: Talon distalfix nails can be safely used in AO type A-B fractures of the midshaft femur. Talon distalfix nail application provides advantages including shorter operation times, less radiation exposure, fewer surgical incisions, and less blood loss. In addition, it should be emphasized that the union time is prolonged compared with that of conventional nails; Amaç: Talon distalfix intramedüller çiviler, distal kilitleme vidalarının yerleştirilmesi sırasında yaşanan teknik zorluklara çözüm olarak geliştirilmiştir. Femur şaft kırıklarının tedavisinde geri çekilebilir Talon distalfix çivisinin radyolojik ve klinik sonuçlarını değerlendirmeyi amaçladık. Gereç ve Yöntem: Ocak 2017-Ocak 2022 tarihleri arasında femur şaft AO tip 32-A, B kırığı olan 28 hasta Talon distalfix çivileri ile tedavi edildi. AO Tip 32-A, B kırıkları çalışmaya dahil edildi. Demografik özellikler, takip süreleri, ASA sınıflaması ve kırık tipleri kaydedildi. Ameliyat süresi, intraoperatif kan kaybı, floroskopi süresi (dakika cinsinden) ve kemik kaynamasına kadar geçen süre kaydedildi. Genel ve teknik (kaynamama, yanlış kaynama, malrotasyon ve kısalık) komplikasyonlar değerlendirildi. Klinik fonksiyonel sonuçlar Diz Yaralanması ve Osteoartrit Sonuç Skoru Fiziksel Fonksiyon Kısa Skoru (KOOS-PS), Kalça Yaralanması ve Osteoartrit Sonuç Puanı Fiziksel Fonksiyon Kısa Skoru (HOOS-PS) ve Thoresen kriterleri kullanılarak değerlendirildi. Bulgular: Çalışmaya toplam 28 hasta (11 kadın, 17 erkek) dahil edildi. Ortalama yaş 46,8 yıl, ortalama takip süresi 23,7 ay idi. Ortalama kemik kaynama süresi 22,6 hafta idi. Hiçbir hastada kaynamama gözlenmedi. Ortalama hastanede kalış süresi 3,4 gün, ortalama Body Mass Index 24,2 idi. Ortalama ameliyat süresi 40,3±3,4 dakika, ortalama skopi süresi ise 26,9 saniye idi. Ortalama KOOS-PS skoru ve HOOS-PS skoru sırasıyla 83,4 ve 85,6 idi. Sonuç: Talon distalfix çiviler femur orta şaft AO tip A-B kırıklarında güvenle kullanılabilir. Talon distal fiks çivi uygulaması daha kısa ameliyat süreleri, daha az radyasyona maruz kalma, daha az cerrahi kesi ve daha az kan kaybı gibi avantajlar sağlar. Bununla birlikte kaynama süresinin geleneksel çivilere göre daha uzun olduğu akılda tutulmalıdır.
2023-01-01T00:00:00ZAcetabular fractures from Judet and Letournel to the present: Research trends and global outcomes with bibliometric analysis during 1980 to 2022Dündar, Abdulrahimİpek, DenizKaya, Şehmuzhttps://hdl.handle.net/11491/88022024-02-07T08:31:36Z2023-01-01T00:00:00ZAcetabular fractures from Judet and Letournel to the present: Research trends and global outcomes with bibliometric analysis during 1980 to 2022
Dündar, Abdulrahim; İpek, Deniz; Kaya, Şehmuz
Fractures of the acetabulum are one of the most challenging injuries treated by orthopedic surgeons. However, a bibliometric analysis has not been performed in the literature on acetabular fractures, which seriously affect the quality of life of patients. The aim of this study was to summarize the bibliometric and intellectual structure, and determine and map the most recent trends on the topic of acetabular fractures by analyzing the social and structural relationships between the different research components of articles published on the acetabular fractures. 1599 articles on acetabular fractures published between 1980 and 2022 were extracted from the Web of Science (WoS) database and analyzed. Bibliometric visualization maps were used to reveal trending topics, citation analyses, and international collaborations. Spearman correlation analysis was performed for correlation investigations. The trend in the expected number of articles to be published over the next few years was displayed using the exponential smoothing estimator. The top 3 contributing countries to the literature were United States of America (USA) (551, 34.4%), China (170, 10.6%), and Germany (160, 10%). The most active author was Berton R. Moed (n = 29) and the most active institution was the University of California System (n = 41). A high-level statistically significant correlation was found between the number of articles on the topic of acetabular fractures published by nations and the gross domestic product (GDP) and GDP per capita values of those countries (R = 0.719, P < .001; R = 0.701, P < .001, respectively). The trending topics researched in recent years were 3D printing, 3-dimensional printing, outcomes, Open Reduction and Internal Fixation (ORIF), mortality, Kocher-Langenbeck, Pararectus approach, tranexamic acid, transfusion, epidemiology, fracture mapping, modified Stoppa approach, post-traumatic osteoarthritis, pelvis fracture, pelvic trauma, fracture reduction, and pelvic ring injury. The leading countries in research on the subject of acetabular fractures were seen to be western countries with large economies (especially the USA, European countries, and Canada) and China, India and Turkey.
2023-01-01T00:00:00Z