bluuebunny/crossref_metadata_2025 huggingface dataset:
Who owns the name of a place? On place branding and logics in two villages in Galicia, Spain
Authors: Jiménez-Esquinas Guadalupe , Sánchez-Carretero Cristina
Published: March 2017

This article deals with the marketing strategies employed to promote the name of a place in a global context of heritage propertisation. Drawing on ethnographic fieldwork in two sites on the ‘Costa da Morte’ in Galicia, northwest of Spain, this article analyses the discourses and practices employed to commoditise place names and the strategies regarding place branding. In particular, two strategies are contemplated: first, the creation of a name to refer to a whole area, which is the case of the ‘Costa da Morte’, and, second, the name branding processes of two of the better-known villages on this coastline. Camariñas is developing a registered trademark for bobbin lace protection and the village of Finisterre is promoting the ‘End of the World’ as a tourist destination. This article focuses on the mechanisms by which place branding discourses and practices permeate various social agents and the naturalisation process of place branding structuring logics.
Enhancing language and print-concept skills by using interactive storybook reading in kindergarten
Authors: Nevo Einat , Vaknin-Nusbaum Vered
Published: March 2017

The effectiveness of a short interactive storybook-reading intervention programme delivered by a kindergarten teacher to develop language and print-concept skills was examined in 30 Hebrew-speaking kindergarten children exhibiting different levels of emergent literacy skills. Post-intervention, the intervention group showed a clear advantage over a control group on most measures, including vocabulary, morphology, phonological awareness and print concepts. Pre-test motivation to read was predictive of post-test performance in these same language and print-concept skills. The study suggests that a short intervention programme, using stories and embedded activities, can enhance language and print concepts in kindergarten children; and that motivation to read is equally important in the development of their language and literacy abilities.
Impressions of using the Cohen-Mansfield Agitation Inventory as an outcome measure: Lessons learnt for future clinical researchers (innovative practice)
Authors: Brett Lindsey , Traynor Victoria , Meedya Shahla , Stapley Paul
Published: March 2017

The Cohen-Mansfield Agitation Inventory was a tool originally developed for use in research to measure agitation and subsequently used in clinical settings. It was the primary outcome measure for a randomised controlled trial which evaluated the effects and feasibility of a physiotherapist-led physical exercise intervention on agitation and physical performance of individuals living with dementia in nursing homes. The study produced weak results in regards to the Cohen-Mansfield Agitation Inventory due to small sample size and perceived issues with the use of the Cohen-Mansfield Agitation Inventory. Therefore, the focus of this paper is consideration of the identified issues by the research team: learnt effect and Hawthorn effect, misunderstanding of behaviours and inaccurate recall and observation. It is important that tools originally developed for research are still valid and reliable in the clinical setting.
CommViz: Visualization of semantic patterns in large social communication networks
Authors: Verspoor Karin , Ofoghi Bahadorreza , Robles Granda Marlene
Published: March 2017

We introduce CommViz, an information visualization tool that enables complex communication networks to be explored, exposing trends and patterns in the data at a glance. We adapt a visualization approach known as hive plots to reflect the semantic structure of the networks, a generalization we call semantic hive plots. The method efficiently organizes and provides insight into complex, high-dimensional communication data such as email and messages on social media. We present the architecture of the CommViz tool and its application to the Enron email corpus as a case study, demonstrating how the structure of the visualization enables investigation of patterns and relationships in a large set of messages. We also provide a user study performed with Amazon Mechanical Turk that shows the value of the tool for certain complex data interrogations and further show how the incorporation of semantic structure on semantic coordinates can also be applied to parallel coordinates visualization. The integration of the social network characteristics with semantic attributes of the underlying data in a single visualization is, to our knowledge, a novel contribution of the work. The tool can be accessed at http://commviz.eng.unimelb.edu.au . Code is available at https://bitbucket.org/readbiomed/commviz . The Enron email corpus is available from http://bailando.sims.berkeley.edu/enron_email.html .
Modification of a personal dosimetry device for logging melanopic irradiance
Authors: Price LLA , Lyachev A
Published: March 2017

Performance characterisations were carried out before and after a modification to the optics of the Condor Instruments’ ActTrust light and activity data loggers to improve the spectral performance for measuring melanopic-weighted irradiance in non-visual studies. The results confirm the intended improvement, so that the device provides the best-known single-sensor match to the melanopic response. In addition, the device includes a separate sensor which remained well-matched for illuminance logging.
Various plus unique: Viral protein U as a plurifunctional protein for HIV-1 replication
Authors: Soper Andrew , Juarez-Fernandez Guillermo , Aso Hirofumi , Moriwaki Miyu , Yamada Eri , Nakano Yusuke , Koyanagi Yoshio , Sato Kei
Published: March 2017

Human immunodeficiency virus type 1 (HIV-1), the causative agent of acquired immunodeficiency syndrome, encodes four accessory genes, one of which is viral protein U (Vpu). Recently, the study of Vpu has been of great interest. For instance, various cellular proteins are degraded (e.g. CD4) and down-modulated (e.g. tetherin) by Vpu. Vpu also antagonizes the function of tetherin and inhibits NF-κB. Moreover, Vpu is a viroporin forming ion channels and may represent a promising target for anti-HIV-1 drugs. In this review, we summarize the domains/residues that are responsible for Vpu’s functions, describe the current understanding of the role of Vpu in HIV-1-infected cells, and review the effect of Vpu on HIV-1 in replication and pathogenesis. Future investigations that simultaneously assess a combination of Vpu functions are required to clearly delineate the most important functions for viral replication.

Impact statement

Viral protein U (Vpu) is a unique protein encoded by human immunodeficiency virus type 1 (HIV-1) and related lentiviruses, playing multiple roles in viral replication and pathogenesis. In this review, we briefly summarize the most up-to-date knowledge of HIV-1 Vpu.
The rise and fall of human rights in English education policy? Inescapable national interests and PREVENT
Authors: Bowie Robert A
Published: March 2017

The article interprets changes in human rights education in English school policy on values which have increasingly been framed by PREVENT and a move from international to national expressions of values. It reveals the extent of the impact and nature of this change on human rights education in school policy for the first time. It reports changes from minimal to maximal expectations compounded by an increased focus of school performance. It illustrates the extent to which values are politically framed and significantly how recently ‘sudden’ political changes in the United Kingdom can be seen as part of a change trend which is almost 10 years old. It draws on Schwartz’s theoretical structure of values, Baxi’s conceptualisation of rights and Lohrenscheit’s notion of learning about and learning for human rights as these, respectively, reveal conceptual clarity in values, human rights and pedagogy.
Sibling interaction as a facilitator for talent development in sport
Authors: Taylor Robin D , Collins Dave , Carson Howie J
Published: March 2017

While current research has begun to address parental influences on talent development in sport, sibling interaction remains relatively under-examined. Therefore, this study aimed to explore the underpinning mechanisms through which sibling interaction impacts on talent development. Retrospective phenomenological interviews were conducted with four sets of siblings ( n = 9), where at least one sibling had competed to an elite level. Findings revealed several higher order themes that impacted positively on the talented athletes’ development: regularity of interaction in sport, emotional interpersonal skills, rivalry, resilience, co-operation and separation. Separation appeared as the athlete reached elite status, suggesting that these former mechanisms primarily impact during the development phase. Such findings support and extend the sibling, elite sport and talent development literature and provide valuable insight for both practitioners and academics. Importantly, coaches should consider a sibling’s role as an important mechanism outside of the formal coaching structure for talent development.
Normative and Distinctive Accuracy in Situation Perceptions
Authors: Rauthmann John F. , Sherman Ryne A.
Published: March 2017

To what extent do people achieve accuracy in judging others’ situations? Based on interpersonal perception models, we propose that ex situ raters may attain accuracy by judging the psychological characteristics of a situation that in situ raters have experienced according to a normative and distinctive characteristics profile. Biesanz’ social accuracy model (SAM) provides a flexible crossed-effects random coefficient modeling framework that can be applied to situation perception data. By targeting characteristics profiles with the analytical unit of the ex situ rater-situation dyad, the extent of and variation in normative and distinctive accuracy of ex situ raters can be estimated and explained by personality correlates to quantify “the good ex situ rater.” We demonstrate an SAM approach to situational accuracy with real in situ and ex situ data (402 ex situ raters judged 10 situations on 8 characteristics) and sketch future research.
Limitations of PET-PEESE and Other Meta-Analysis Methods
Authors: Stanley T. D.
Published: March 2017

A novel meta-regression method, precision-effect test and precision-effect estimate with standard errors (PET-PEESE), predicts and explains recent high-profile failures to replicate in psychology. The central purpose of this article is to identify the limitations of PET-PEESE for application to social/personality psychology. Using typical conditions found in social/personality research, our simulations identify three areas of concern. PET-PEESE performs poorly in research areas where there are only a few studies, all studies use small samples, and where there is very high heterogeneity of results from study to study. Nonetheless, the statistical properties of conventional meta-analysis approaches are much worse than PET-PEESE under these same conditions. Our simulations suggest alterations to conventional research practice and ways to moderate PET-PEESE weaknesses.
Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis
Authors: Yassa Rafik RD , Khalfaoui Mahdi Y , Veravalli Karunakar , Evans D Alun
Published: March 2017

Objective

The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections.

Design

A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data.

Setting

UK University Teaching Hospital

Participants

All patients ( n = 460) presenting across a single year study period with a confirmed hip fracture.

Outcome measures

The presence of pre-operative urinary tract infection, the timing of surgical intervention, the occurrence of post-operative surgical site infection and the pathogens identified.

Results

A total of 367 patients were operated upon within 24 hours of admission. Urinary infections were the least common cause of delay. A total of 99 patients (21.5%) had pre-operative urinary tract infection. Post-operatively, a total of 57 (12.4%) patients developed a surgical site infection. Among the latter, 31 (54.4%) did not have a pre-operative urinary infection, 23 (40.4%) patients had a pre-operative urinary tract infection, 2 had chronic leg ulcers and one patient had a pre-operative chest infection. Statistically, there was a strong relationship between pre-operative urinary tract infection and the development of post-operative surgical site infection ( p-value: 0.0005).

Conclusion

The results of our study indicate that pre-operative urinary tract infection has a high prevalence amongst those presenting with neck of femur fractures, and this is a risk factor for the later development of post-operative surgical site infection.
The effectiveness of telemedicine in the management of chronic heart disease – a systematic review
Authors: Kruse Clemens S , Soma Mounica , Pulluri Deepthi , Nemali Naga T , Brooks Matthew
Published: March 2017

Objective

The primary objective of this systematic review is to assess the effectiveness of telemedicine in managing chronic heart disease patients concerning improvement in varied health attributes.

Design

This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard.

Setting

We adopted a logical search process used in two main research databases, the Cumulative Index to Nursing and Allied Health Literature and PubMed (MEDLINE). Four reviewers meticulously screened 151 abstracts to determine relevancy and significance to our research objectives. The final sample in the literature review consisted of 20 articles.

Main outcome measures

We looked for improved medical outcomes as the main outcome measure.

Results

Our results indicated that telemedicine is highly associated with the reduction in hospitalisations and readmissions (9 of 20 articles, 45%). The other significant attributes most commonly encountered were improved mortality and cost-effectiveness (both 40%) and improved health outcomes (35%). Patient satisfaction occurred the least in the literature, mentioned in only 2 of 20 articles (10%). There was no significant mention of an increase in patient satisfaction because of telemedicine.

Conclusions

We concluded that telemedicine is considered to be effective in quality measures such as readmissions, moderately effective in health outcomes, only marginally effective in customer satisfaction. Telemedicine shows promise on an alternative modality of care for cardiovascular disease, but additional exploration should continue to quantify the quality measures.
Early Results of the Medial Approach for Arthroscopic-Assisted Fixation of Lateral Tibial Plateau Fractures
Authors: Erden Tunay , Batar Suat , Uzer Gökçer , Kurdal Demet Pepele , Elmalı Nurzat
Published: March 2017

The use of arthroscopy in the management of tibial plateau fractures is not a particularly new concept. It has been used successfully for Schatzker types I–III fractures. In addition to evaluating the fracture itself, it is easier to evaluate the other intraarticular structures. Coventionally, reduction for lateral tibial plateau fractures have been performed through a laterally based metaphyseal window, which is not without limitations, including difficulty with reduction of the fracture, as well as bone grafting though the resultant short subchondral tunnel. Also, there is a risk of lateral vascular supply distrubtion because of same side fracture. A medially based metaphyseal window to approach lateral tibial plateau fractures allows for minimal insult to the soft tissues, with advantageous ease of reduction and grafting through a longer tunnel for subchondral support. We aimed to present our initial experiences in twelwe cases approaching lateral tibial plateau fractures through a medial metaphyseal window.

Material-Methods:

Our series involves 12 patients with 7 Schatzker type II, 3 Schatzker type I, and 2 Schatzker type III fractures. There were 8 males and 4 females. The average age at the time of surgery was 37 (25-57) years. All of the patients underwent plain radiography and BT in each knee Time from injury to surgery was 6.2 days. Follow up was 18 months (9-22 months).Firstly diagnostic arthroscopy was performed. Concomittant pathology was adreessed as needed. There was 3 lateral meniscus tear that treated with partial meniscectomy. An ACL guide pin was placed percutaneously anteromedial tibia approximately 9 cm distal to the joint line. Once stisfactory positioning a cortical window 1x2 cm. made around the guide pin. Reduction was accomplished with a bone tamp that fits easily into the tunnel. Screws were used as rafters to support the articular surface and subchondral bone. We used in 7 patients lateral plate and screws and in 5 patients only screws. Care was taken to keep pump pressure at approximately 40 millimeters of mercury for alleviate the risk of compartment syndrome.

Results:

No complications related to the procedure were observed. No secondary loss of reduction was observed in radiological controls. Functional assessment according to HSS of the patients were excellent in 5 cases, good in 5 cases and fair 2 cases.

Discussion:

Because depressed fragments are elevated from distal cortical windows, the importance of an intact, or easily restored, “cortical envelope” is paramount. This case series showed satisfactory early clinical results. [Figure: see text][Figure: see text]
The Effects of Tunnel Position in Patients Who Underwent the Anterior Cruciate Ligament Reconstruction with Transfix Method on the Clinical and Functional Results
Authors: Öz Tayyar Taylan , Akan Kaya , Esenkaya İrfan , Erinç Samet , Özturan Burak , Yayla Mehmet Ali
Published: March 2017

Objective:

The aim of this study is to analyse the effects of femoral and tibial tunnel localization in the sagittal plane in the patients who underwent the anterior cruciate ligament reconstruction with transfix method in our clinic on the clinical and functional results.

Methods:

36 patients underwent the anterior cruciate ligament reconstruction performed by different surgeons with the same method between January 2010 and December 2014 in Istanbul Medeniyet University Goztepe Training and Research Hospital Orthopaedics and Traumatology Clinic. Femoral and tibial tunnel localization was conducted on the lateral radiography of the knee of the patients. The clinical evaluations of the patients were carried out with lysholm score, IKDC score, tegner activity score, extensor and flexor measured by CYBEX CSMI dynamometer for muscular strength loss.

Results:

It was observed that femoral tunnel positions of 47.2% (n=17) of the patients were at the intended location while the ones of 52.8% (n=19) were in anterior. Tibial tunnel positions of 52.8% (n=19) of the patients were at the intended location while the ones of 33.3% (n=12) were in anterior, and the ones of 13.9% (n=5) were in posterior. The postoperative lysholm scores of F (+) T (+) group were significantly higher than F (+) T (-) (p=0.004), F (-) T (+) (p=0.004) and F (-) T (-) (p=0.004) groups. The postoperative IKDC score normality of F (+) T (+) group were significantly higher than F (-) T (+). The postoperative tegner measurements of F (+) T (+) group were significantly higher than F (-) T (+). The measurements of extensor deficit of F (+) T (+) (p=0.022) group and F (+) T (-) (p=0.049) group were significantly lower than F (-) T (-) group. The measurements of flexor deficit of F (+) T (+) group were significantly lower than F (-) T (+) (p=0.011) group and F (-) T (-) (p=0.040) group and F (+) T (-) group of flexor deficit measurements significantly lower than F (-) T (+) group (p=0.028) (p<0.05).

Conclusion:

Misplacement of femoral and tibial tunnels has negative effects on clinic functional results. While misplacement of tibial tunnel can be tolerated better, the placement of femoral tunnel in anterior cannot be tolerated and has further effects on the results.
Is it possible to avoid posterior tibial slope increase in open-wedge high tibial osteotomy?
Authors: Kaya Hüseyin , Kayabiçer Elcil , Daştan Ali Engin , Taşkıran Emin
Published: March 2017

Aim:

Posterior tibial slope has shown to be increased with open-wedge high tibial osteotomy (OWHTO) which may lead to an increase in loading of the anterior cruciate ligament and causing patellofemoral problems in return. In this case series, patients with an OWHTO performed posteromedial to the medial collateral ligament (MCL), keeping it intact was investigated. The aim of this study was to evaluate the influence of this technique on the posterior tibial slope.

Methods:

Thirty knees (15 right, 15 left) of 28 patients (22 women, 6 men) with a mean age of 53.57±5.9 years who had an OWHTO between January 2014 and February 2016 were included in this study. Surgical technique: A proximal tibial osteotomy is performed posteromedial to MCL keeping it intact. Following the osteotomy, distraction is also performed from the posteromedial aspect of tibia. Fixation is achieved utilizing TomoFix plate. Radiological evaluation: Preoperative and postoperative mechanical axes (MA) were measured on standard weight bearing long axis x-rays. Preoperative and postoperative posterior tibial slope angles were measured on lateral x-rays using three different Methods: the angles between medial tibial plateau and (1) posterior tibial cortex, (2) tibial proximal anatomical axis, and (3) posterior fibular cortex were measured. The correlations of three different measurement methods were analyzed. Patients were grouped according to preoperative MA deviations and postoperative MA changes (either <10º or >=10º). The posterior tibial slope changes were compared between groups. Statistical analyses: All statistical analyses were performed utilizing SPSS 18.0.

Results:

Mean preoperative and postoperative MA deviations were 9.81°±4.94° and -2.72°± 2.69° respectively. The mean correction angle of MA of lower extremity was 12.62°±4.58°. The three methods used to measure the posterior tibial slope angles were found to be highly correlated with each other ((1) and (2) r=0.961; (1) and (3) 0.906; (2) and (3) 0.934; p values <0.0001). Preoperative mean posterior tibial slope angles were 9.50º±4.47°, 11.51º± 4.50°, and 10.80º±4.58°; postoperative angles were 6.10º±4.23°, 8.78º±4.57° and 8.11º±4.55°, respectively. Posterior tibial slope angle was significantly decreased postoperatively with respect to all three methods (p <0.0001). The changes in the posterior tibial slope was not statistically significant between the groups with preoperative <10º and >=10º deformities (p values 0.861, 0.723, 0.727, respectively).

Conclusions:

Posterior tibial slope was found to be decreased with this posteromedial OWHTO technique. This technique offered the advantage of preserving the posterior tibial slopes postoperatively even in highly deformed knees which necessitated higher degrees of corrections in the mechanical axes.
Transtibial repair in medial meniscus root avulsions; 2 years clinical results
Authors: Kaya Alper , Ülkü Tekin Kerem , Karagüven Doğaç , Kocaoğlu Barış
Published: March 2017

Introduction:

Medial meniscus posterior root avulsion injuries exhibited a similar extent of increasing contact pressure and decreasing contact area, as that in the total meniscectomized knee and resulting articular cartilage loss in medial compartment of the knee joint. Although partial meniscectomy is the traditional treatment in symptomatic posterior root avulsions, this method can not restore cartilage loss. The recommended surgical treatment for posterior root avulsions is repair in non degenerated knees.

Patients and methods:

Arthroscopic transtibial repair was performed in 11 patients who were diagnosed as symptomatic posterior root avulsions with clinical examination and magnetic resonance imaging findings and minimum 2 years results were evaluated. There were 8 women and 3 men, and the mean age of the patients were 51 (46-58). The mean time interval between injury and surgery was 4 weeks (5 days and 8 weeks). Conservative treatment was given to all of patients except one, and surgical treatment was performed for patients whose mechanical sypmtoms and pain weren’t relieved at the end of conservative treatment. The repair method was arthroscopic pull-out technique with fixation of the posterior attachment area through a tibial tunnel. Walking 4-6 weeks non-weight bearing with two crutches and physical treatment was given that includes muscle strengthening and range of motion exercises. Patients were evaluated with preoperative and 2 years postoperative Lysholm knee scores, clinical examination and radiographic changes.

Results:

Mean Lysholm scores were increased preoperative from 55 to postoperative 86 that was found statictically significant. In ten patients complaints were resolved after surgical treatment and daily living began normally after surgery. In one patient arthroscopic partial meniscectomy was done due to rerupture after five months from index surgery. In two patients medial joint space narrowing was found radiologically at the end of two years but there were no clinical complaints.

Conclusions:

Repair must be considered in symptomatic medial meniscus posterior root avulsions also in older age if there is no degenerative osteoarthritis. The root tear that has similar effects as total meniscectomy will cause cartilage loss if not treated.
Meta-analysis of epidural analgesia versus peripheral nerve blockade after total knee joint replacement
Authors: Toner Ethan , Elmuntasar Ahmed , Mceleny Dearbhla , Gerrard Adam Daniel , Hajibandeh Shahab , Hajibandeh Shahin
Published: March 2017

Background:

Postoperative pain after major knee surgery can be severe. Our aim was to compare the outcomes of epidural analgesia and peripheral nerve blockade (PNB) in patients undergoing total knee joint replacement (TKR). Moreover, we aimed to compare outcomes of adductor canal block (ACB) with those of femoral nerve block (FNB) after TKR.

Methods:

We conducted a systematic search of electronic information sources, including MEDLINE; EMBASE; CINAHL; and the Cochrane Central Register of Controlled Trials (CENTRAL). We applied a combination of free text and controlled vocabulary search adapted to thesaurus headings, search operators, and limits in each of the above databases. Pain intensity assessed on visual analogue scale (VAS), nausea and vomiting, systolic hypotension, and urinary retention was the reported outcome parameters.

Results:

We identified 12 randomised controlled trials (RCTs) comparing outcomes of epidural analgesia and PNB reporting a total of 670 patients. There was no significant difference between two groups in VAS scores at 0–12 h (MD -0.48; 95% CI -1.07–0.11, P = 0.11), 12–24 h (MD 0.04; 95% CI -0.81–0.88, P = 0.93), and 24–48 h (MD 0.16; 95% CI -0.08–0.40, P = 0.19). However, epidural analgesia was associated with significantly higher risk of postoperative nausea and vomiting (RR 1.65; 95% CI, 1.20–2.28, P = 0.002), hypotension (RR 1.76; 95% CI, 1.26–2.45, P = 0.0009), and urinary retention (RR 4.51; 95% CI, 2.27–8.96, P<0.0001) compared to PNB. Moreover, pooled analysis of data from 6 RCTs demonstrated no significant difference in VAS score between ACB and FNB at 24 h (MD -0.00; 95% CI, -0.56–0.56, P = 0.99) and 48 h (MD -0.06; 95% CI, -0.14–0.03, P = 0.23).

Conclusions:

PNB is as effective as epidural analgesia for postoperative pain management in patients undergoing TKR. Moreover, it is associated with significantly lower postoperative complications. ACB appears to be an effective PNB with similar analgesic effect to FNB after TKR. Future RCTs may provide better evidence regarding knee range of motion, length of hospital stay, and neurological complications.
Superior labrum almost always tears following subscapularis injuries
Authors: Çetinkaya Mehmet , Ataoğlu Muhammet Baybars , Özer Mustafa , Ayanoğlu Tacettin , Kaptan Ahmet Yiğit , Kanatlı Ulunay
Published: March 2017

Purpose and Hypothesis:

The subscapularis tendon is the major medial support of the long head of biceps tendon (LHBT). Thus, tears of subscapularis may cause biceps tendon subluxation or dislocation. A subluxated biceps tendon may cause a superior labrum injury because of the changed direction of the biceps tendon pulling vector. The purpose of this study is to express the frequency of superior labrum anterior posterior (SLAP) lesions accompanying subscapularis tears.

Methods:

The digital files of 2010 patients who underwent shoulder arthroscopy were reviewed retrospectively. 141 videos of 141 patients with subscapularis tear were examined in terms of superior labrum and biceps tendon injuries by one of the authors in this study. The results were compared with those of all the 2010 patients who underwent shoulder arthroscopy for any reason. The statistical analysis was made with a statistics programme by the Independent Samples T-Test.

Results:

There were 113 videos on which the superior labrum and LHBT could be examined precisely. Mean age was 57.8 and 66% of the patients were female. 96.4% of the 113 patients were having a SLAP lesion. 10.6% of those were SLAP I and 89.4% were SLAP II lesion. Out of 2010 patients, the SLAP lesion ratio was 32.2% of which 4.9% were SLAP I. That difference between the patients with and without subscapularis tear was statistically significant.

Conclusions:

Following the loss of medial support, the LHBT and its pulling vector subluxate anteriorly resulting in a tear of the superior labrum from anterior to posterior. In this study, SLAP lesions were strongly correlated with subscapularis tears as well. Furthermore, the synovial hypertrophy initiated after a superior labrum pathology at superior aspect of the glenoid spreads over the LHBT. An inflamed LHBT firstly degenerates, and then ruptures. According to this study, tears of subscapularis should be repaired when encountered in order to prevent the upcoming secondary intra-articular disorders. [Figure: see text]
The relationship between pectoralis minor length, scapular muscle endurance and core endurance in athletes
Authors: Seven Gamze Çobanoğlu , Zorlular Ali , Keklik Sinem Suner , Akaras Esedullah , Gökdoğan Çağatay , Polat Elif Aygün , Kafa Nihan , Güzel Nevin Atalay
Published: March 2017

Objective:

The purpose of this study was to identify relationships between core endurance, scapular muscle endurance and pectoralis minor length in athletes.

Methods:

69 professional athletes in different branches (44 men, 25 women, mean age 20.41±5.72, height 176.0±0.1, and weight 68.2±12.8) were included to this study. Pectoralis minor length was measured in supine. In this position linear distance from treatment table to posterior aspect of the acromion was measured. Core endurance was evaluated using Mcgill Core Endurance Tests. Scapular muscle endurance was assessed with scapular endurance test. Statistical analysis was performed using the statistical software SPSS.

Results:

Spearman correlation analysis results showed that there was correlation between pectoralis minor length and scapular muscle endurance (r=0.281, p<0.05). A positive correlation was found between pectoralis minor length and core endurance (r= 0.517, p<0.05). There was correlation between scapular muscle endurance and core endurance (r=0.524, p<0.05).

Conclusions:

In this study, it was shown that there were statistically significant relationship between pectoralis minor length, scapular muscle endurance and core endurance. Pectoralis minor length affects scapula biomechanics. Change in scapula biomechanics may cause reduction in scapular muscle endurance. It may affect core endurance via kinetic chain. Therefore, it can be suggested pectoralis minor stretching should be integrated to normal sports specific training programmes in professional athletes.
Arthroscopic Treatment of Focal Osteochondral Lesions of the First Metatarsophalangeal Joint
Authors: Kuyucu Ersin , Gülenç Barış , Erdil Mehmet , Kocabey Yavuz
Published: March 2017

Background:

This study aimed to assess the arthroscopic treatment, one of the surgical treatment options, for early grade focal osteochondral lesions of the first MTP joint, and to determine the impact of the arthroscopic microdrill hole surgery on foot function and daily life in a patient group with failed conservative treatment.

Materials-Methods:

This prospective study reviewed 27 patients having hallux rigidus with osteochondral injury of the first MTP joint who were operated with first MTP joint arthroscopy. Six patients had Coughlin-Shurnas grade 4 hallux rigidus and were excluded from the study; 5 patients were excluded due to having an arthroscopic kissing lesion, and 3 patients were excluded for not having attended regular follow-up after third month. After excluding the above patients, the study was completed with 14 patients

Results:

The mean hallux vagus angle was 13.29⁰ (±1.93 SD) and the mean intermetatarsal angle was 9.14⁰ (±0.86 SD). Apart from joint arthroscopy, no soft tissue procedure and/or any procedure requiring osteotomy was intended in any patient. The median operative duration was 27.8 (19-56) minutes.The patients had mean preoperative VPS and AOFAS-Hallux scores of 8.14±0.86 SD and 48.64±4.27, respectively; the corresponding postoperative values of both scores were 1.86±0.66 SD and 87.00±3.70. Both VPS and AOFAS-Hallux scores changed significantly (p<0.01)

Discussion:

In this prospective study we explored the impact of arthroscopic microdrill hole surgery on foot functions and daily life activities in patients with focal osteochondral lesions of the first MTP joint. Our results indicated significant improvements in VAS and AOFAS scores with this treatment. The micro drill technique we applied in this study is based on the principle of opening 4-6-mm long tunnels to enable stem cells to migrate to the defected area and achieve cure by differentiation in full-thickness chondral injuries with exposed subchondral bone.In conclusion, arthroscopic microhole drill technique can be applied with impressive functional scores and without any complication in persons who failed conservative therapy for hallux rigidus with focal chordal injury, a common foot problem. There is a need for comparative studies with long follow-up period in this field.
Determination of the relationship between the wrist isokinetic muscle strenght and the grip strength in tennis players aged between 12-14
Authors: Akınoğlu Bihter , Kocahan Tuğba , Yıldırım Necmiye Ün , Soylu Çağlar , Hasanoğlu Adnan
Published: March 2017

Aim:

The purpose of this study is to determine the relationship between isokinetic wrist muscle strenght and grip strength in tennis players aged between 12-14.

Methods:

This study was carried out with the participation of 9 (3 female and 6 male) tennis players aged between 12-14 (means 13,22±0,83). Weight, height, body mass index and dominant extremity of the players were recorded. İsokinetic measurement was performed with Isomed 2000® device. İsokinetic testing protocol; before the test all players performed the wrist flexion and extension isokinetic test with the 5 repeating at 90 º/sec as a warm-up and for comprehenting the test. Then, wrist flexion and extension concentric-concentric strength measurements were performed with the 5 repeating at 60 º/sec and with the 15 repeating at 240 º/sec with the angle between 50 degrees of wrist flexion and 60 degrees of wrist extension and peak torque values were recorded. Standard Jamar® Dynamometer was used for grip strength measurements. Grip strenght was performed firstly in sitting position, which is the position of standard measurement. Secondly, in standing position, the elbow was in full ekstansion and the forearm was in neutral position. Thirdly, in standing position the wrist was positioned approximately 30° extension and 10° ulnar deviation. This test was repeated 3 times in all test position and the mean of three scores were recorded. Firstly, the dominant hand, then the non-dominant hand was evoluated. They were allowed to rest for 30 seconds between each grip measurement. Correlation between peak tork of isokinetic muscle strenght and grip strength was done having been used Spearman correlation test.

Findings:

It was determined that there was a significant positive relation between wrist flexion-extension isokinetic muscle strength and grip strenght in tennis players aged between 12-14. Clinically, grip strength measured in the standard sitting position was found more as compared to the other positions but these values were not statistically significant (p>0,05). Accordingly, grip strength measured in the standard sitting position correlated with much more of the parameters which we evaluated for isokinetic muscle strength comparing to grip strenght measured in the other two positions (p<0,05).

Results:

It was concluded that isokinetic muscle strength of wrist can be affected by grip strength, therefore measurement needs to be done in the sitting position which maximum grip strength may reveal. [Table: see text]
The effects of shoulder and scapular region rigid taping and kinesio taping on scapular dyskinesis and pectoralis minor shortness in overhead athletes
Authors: Özer Sibel Tekeli , Gülpınar Damla , Yeşilyaprak Sevgi Sevi
Published: March 2017

Objective:

The aim of the study was to investigate the effects of shoulder and scapular region rigid taping and kinesio taping on scapular dyskinesis and pectoralis minor shortness in overhead athletes.

Method:

This study included 72 overhead athletes. The athletes were randomly divided into four groups: kinesio taping (shoulder and scapular region) was applied to Kinesio Taping Group (KB), rigid taping (shoulder and scapular region) was applied to Rigid Taping Group (RB), placebo kinesio taping was applied to Placebo Taping Group (PB). Control group received no tape. Demographic data of overhead athletes, anthropometric characteristics, pain severity and injury background were evaluated before taping. Pectoralis minor shortness (Pectoralis Minor Index) and scapular dyskinesis (Scapular Dyskinesis Test) were evaluated before taping, immediately after (30-minutes) taping and after 48 hours of use within 12-24 hours. Control group was evaluated at the same periods.

Results:

Before taping; demographic, anthropometric and sports-related characteristics were similar in groups and there was no statistically difference (p>0.05). It was determined that Pectoralis Minor Index (PMI) and scapular dyskinesis improved immediately after taping and after 48 hours of use in KB and RB (p<0.05). There were no significant differences after taping for PMI among groups (p>0.05).

Conclusion:

Kinesio taping and rigid taping seems to have positive effects on scapular dyskinesis and pectoralis minor shortness in overhead athletes. Future studies on larger sample size are needed to verify the differences of the effects of these taping techniques between placebo or controls.
The Comparison of The Effectiveness of Physical And Electrotherapy Modalities Versus Home Exercises Program on Frozen Shoulder
Authors: Yıldız Abdurrahim , Kuş Gamze , Mustafaoğlu Rüstem , Argut Sezen Karabörklü
Published: March 2017

Aim:

In addition to exercise, physical and electrotherapy modalities such as hotpack, ultrasound and TENS is often applied on frozen shoulder rehabilitation in clinics. The aim of this study was to compare the effectiveness of electrotherapy modalities versus home exercises program in addition to standard physical therapy in both groups on frozen shoulder rehabilitation.

Methods:

24 patients diagnosed with frozen shoulder were included in this study. Patients were randomly assigned to Group I (Standard program + electrotherapy, n = 12) and Group II (standard program + home exercise program, n = 12). Standard program consisted of shoulder joint mobilization and shoulder muscles.stretching and strengthening exercises (30 minutes). In addition to this program, Group 1 received Hotpack, ultrasound and TENS for 30 minutes. Group II was given a 30-minute home program including Wand exercises, isometric strengthening and self stretching exercises in addition to standart program. Treatment was applied five day a week for 3 weeks. Patients level of pain, functional state, level of depression and sleep quality evaluated before and after treatment by the Visual Analogue Scale (VAS), the Disabilities of the Arm, Shoulder and Hand (DASH), the Beck Depression Inventory (BDI) and the Pittsburgh Sleep Quality Index (PSQI) respectively. The data were analyzed using the SPSS 20.0 software. The intra-group variations were analyzed using Wilcoxon’s signed-rank test, while inter-group comparisons were drawn using the Mann-Whitney U-test.

Result:

Study was completed total 22 patients (mean age: 55.2 ± 10.4 years; BMI = 27.7 ± 3.9 kg / m2, 15 women) Group I (n = 12) and Group II (n = 10). VAS-resting (p = 0.011; p = 0.015), VAS-activity (p = 0.005; p = 0.002), BDI (p = 0.012; p = 0.004) and the DASH (p = 0.005 and p = 0004) found a statistically significant improvement in both intra-group change. VAS-night (p = 0.039) and sleep quality (p = 0.047) was found a significant improvement only in Group I. But there was no statistically significant difference between the groups in any parameter (p> 0.05).

Conclusion:

However VAS-night and sleep quality improved in electrotherapy in terms of intra group change, there was no significant difference between the groups in any parameter. Therefore, we believe that the choice of home exercise program applied in addition to the exercise programwould be more advantageous in terms of cost-effectiveness and time instead of electrotherapy modalities.
The Relationship Between Endurance Of Periscapular Muscles, Anaerobic Performance And Agility In Professional Athletes
Authors: Zorlular Ali , Çobanoğlu Gamze , Keklik Sinem Suner , Gökdoğan Çağatay Müslim , Akaras Esedullah , Polat Elif Aygün , Kafa Nihan , Güzel Nevin Atalay
Published: March 2017

Objective:

The purpose of this study was to identify relationships between endurance of periscapular muscle, anaerobic performance and agility in professional athletes.

Methods:

70 professional basketball, volleyball, and handball players (male: 25 female: 45 age 20.41±5.72, BMI: 21.70±2.51) were included to this study. Anaerobic performance was assessed with vertical jump test. Periscapular muscles endurance was evaluated using scapular muscle endurance test and agility was measured hexagonal obstacle test. Statistical analysis was performed using the statistical software SPSS 22.

Results:

Spearman correlation analysis results showed that there was positive significant correlation between anaerobic performance and endurance of periscapular muscles (p<0.05 r=0.341). A negative significant relationship was demonstrated between anaerobic performance and agility (p<0.05 r=-0.332), and between agility and endurance of periscapular muscles (p<0.05 r=-0.334).

Discussion:

The scapula acts as an axis, transmitting the power and high energy of the lower extremities and trunk to the upper extremities. The muscles surrounding the scapula provide proximal stability for the upper extremity and act as a fix while the distal part is moving. When weakness of scapular musculature has occurred, normal scapular positioning and mechanics may be altered. Therefore, scapular stabilization failure may lead to poor anaerobic performance. These results indicate that periscapular muscle endurance affects anaerobic and agility performance in sports.
Qualifications of Safe Return to Play Criteria
Authors: Ercan Sabriye , Demir Hilmi Mustafa , Baygül Yurdagül , Turgay Ozan , Atay Tolga , Çetin Cem
Published: March 2017

Anterior cruciate ligament (ACL) injury has various negative implications for thigh muscle function, including reduction of muscle strength and instability of torque. Conservative treatment and / or surgical procedures may be preferred by considering patient’s age, activity level, additional injury and the patient’s expectations. Aim of ACL surgery in athletes is to allow a safe return to preoperative activity level. Literatures have shown different criterias about returning to sports. Some of these criterias are time after surgery, negative Lachman and Pivot shift tests, range of motion, extension/flexion muscle strength of the knee, functional knee tests and lower limb symmetry indexes. Although these criteria provide, second-injury risks are high within 2 years of primary ACL reconstruction. The risk of re-injury rates for the ACL vary between 0 and 19% for the ipsilateral side and between 7 and 24% for the uninjured contralateral knee. The purpose of this study was to investigate value of knee function between the return to normal knee function following ACL reconstruction (ipsilateral and uninjured contralateral side) and the healthy knees, and present recommendation for reduce the risk of rerupture. Totally 14 healthy male and 15 male patients who had unilateral ACL reconstruction, followed knee rehabilitation programme regularly and returned to normal knee function following after minimum 8th month the operation participated in the study. We applied Tegner activity level, Lysholm knee score, operated, intact and healthy knee range of motion, one leg hop test, flamingo balance test, isokinetic muscle strength test and proprioception test in the study. No statistically significant differences were found in the demographic data, activity level, and knee score between groups (p>0,05). The test that assesses passive joint position sense at 30˚ showed statistically signiﬁcant differences between operated and intact non-operated knee (p<0,05). This data was better at operated knee. There were statistically significant differences in functional tests, isokinetic hamstring muscle test at operated knee and proprioception test between patients and control groups (p<0,05). Arthrogenic muscle inhibition occurs bilaterally after unilateral ACL ruptures. Thus, normal lower limb symmetry determined by tests. On the other hand; muscle strength, motor coordination, proprioception and knee function may be insufficient compared to healthy control groups. For this reason, we should consider that it is important to improve bilateral lower extremity functions at ACL rehabilitation program. [Table: see text]