Amaç: Kronik böbrek yetmezliği (KBY) , böbrek fonksiyonlarının geri dönüşsüz olarak bozulması olarak tanımlanmaktadır. Bu çalışmada KBY nedeni ile hemodiyaliz (HD) tedavisi alan kadın ve erkek hastalarda D Vitamini düzeyinin ayak hareketleri üzerindeki etkisini araştırıldı. Materyal ve Metot: Çalışmaya bilgilendirilmiş gönüllü onam formunu imzalayan, 40-90 yaş arası, haftada 3 kez düzenli olarak HD tedavisi alan,40 erkek ve 40 kadın, toplam 80 HD hastası alındı. Biyokimyasal olarak D Vitamini düzeyi, element düzeyleri ve Parathormon (PTH) seviyeleri hastaların dosyaları incelenerek kaydedildi. Manuel gonyometre kullanılarak ayak bileği plantar fleksiyon, inversiyon ve eversiyon hareket eklem açıları ölçüldü Bulgular: Yaş ortalaması kadınlarda 61,69 ± 15,07 yıl iken erkeklerde 61,49 ± 15,12 yıldır. Serum D vitamini düzeyi açısından cinsiyetler arasındaki fark istatiksel açıdan anlamlı bulunmadı (p>0,05). BKİ değişkenine göre kadınlar ve erkekler arasında istatistiksel olarak anlamlı farklılık bulundu (p
Abstract Aim: In this study, the effects of the addiction level of smartphone use in university students on the range of motion and proprioception of the dominant hand, wrist ROM (range of motion), and thumb ROM were investigated. Materials and Methods: Wrist and thumb ROMs were measured with a manual goniometer with a sensitivity of 1 degree, and hand grip strength was measured with a hand grip dynamometer in a total of 100 volunteer university students with a mean age of 18-25. Smartphone Addiction Scale-Short Form (SAS-SF) and Patient Rated Wrist and Hand Evaluation (PRWHE) questionnaire were applied to the students. Statistical analyzes were made using the SPSS 25 program. Results: The students’ usage time of smartphones and addiction levels do not affect the hand grip strength; the increase in smartphone addiction statistically correlates with the right thumb flexion (0,016) and abduction ROMs (0,015), statistically correlated with increased pain level in daily life and statistically correlated with the decrease of the wrist radial deviation ROM (0,009). As the duration of smartphone use increases, the error rate in right thumb abduction proprioception statistically increases (0,027). In addition, we determined the statistically correlations in both thumb flexion and abduction movements. Conclusion: We determined that the excessive usage of smartphones affects the ROM of thumb flexion and abduction, the ROM of wrist radial deviation, and the proprioception of thumb abduction, and it does not affect the hand grip strength. The findings of our research will be a source for future studies.
Objective: The use of technological devices for more than a certain number of hours in daily life causes some anatomical changes in the human body. The aim of this study was to determine the changes that may occur in the range of motion in the wrist depending on the duration of computer use and to perform examinations on the wrist. Material and Method: In the study conducted on university students, a questionnaire was used to obtain demographic information, a tape measure, a manual muscle test, and a universal goniometer with a sensitivity of 1 degree, and measurements were made with 198 volunteer participants. The data and analysis of the study were performed and evaluated with SPSS (Statistical Program in Social Sciences) 25 program. Results: In this study conducted on university students, an increase in radial and ulnar deviation degrees due to computer use was found (p<0.05). A statistically significant difference was found between the groups (those who used computers for less than 3 hours and more than 3 hours) according to the E-sports (E: Electronic) status of the participants (p<0.05). There was no statistically significant difference between the groups (those who used computers for less than 3 hours and more than 3 hours) in wrist circumference measurement (p>0.05). Conclusion: We believe that knowing the radial and ulnar goniometric angles of the wrist will guide clinicians in wrist fractures and wrist analysis.
AİM: The merger of the fifth lumbar vertebrae with the first sacral vertebrae is called the sacralization of the lumbar vertebrae. The purpose of this study, changes in os sacrum with sacralization were detected and morphometric measurements were made. Material and Methods: Measurements on a total of 30 sacrum bones in the laboratory from the Department of Anatomy were carried out using a digital plot with a sensitivity of 0.01 millimeters (mm). Os sacrum measurements were taken. Results: In one of the examined sacrums, it was found that tuberositas ossis sacri had the form of a pit, and on the underside of it there was a pronounced groove. The processus transverse of the last lumbar vertebra, which fused with the os sacrum, was not noticeably fused. Partial sacralization was detected in the linea transversa at the anterior junction of the os sacrum and the last lumbar vertebra. In the sacrums examined, 21 of them were found to have four foramina sacralias, 9 of them were found to be variated, and five of them were found to be foramina sacraliae, and these bones were found to be varied. Measurements of the right and left foramen were taken and the MLU and MTU values of the variated and normal sacrums and MLU and MTU values were not statistically significant (p
Medulla spinalis duyu ve motor bilgilerin beyin ile çevresel sinir sistemi arasındaki iletişimini sağlayan merkezi sinir sistemine ait bir oluşumdur. Spinal kord yaralanmalarında bu iletişim bozularak hastada duyu ve/veya motor işlev kayıpları ortaya çıkabilmektedir. Yaralanma sonrası medulla spinalisin onarımı için travma bölgesinde aksonların remiyelinizasyonları ve traktusların yeniden büyümesi gerekmektedir. İskeleler aksonların rejenerasyonunu yönlendirip nöronların onarım sürecini hızlandırmaktadır. Kolajenler, hücre adezyonunu ve işlevlerini destekleyen doğal yapısı nedeniyle iskele çalışmalarında sıklıkla kullanılmaktadır. Yapılan hayvan ve insan çalışmaları kolajen temelli nörorejen iskelelerin duyusal ve motor düzeyde anlamlı kazanımlar sağladığını göstermektedir. Dünya çapında önemli morbidite ve mortalite nedenlerinden olan spinal kord yaralanmalarında bu gibi kazanımlar umut vericidir. Bu derlemede medulla spinalis yaralanmaları, mekanizması ve yaralanma sonrası nörorejen iskele uygulamalarını incelemeyi amaçladık.
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