TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Long-Stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-Term Clinical Outcomes(Galenos, 2021-04-09) Çekok, Kübra; Biçen, Çağdaş; Akdemir, Mehmet; Türken, Mehmet Aykut; Çekok, Fatma Kubra; Bıcen, Ahmet CagdasObjective: Hip fracture treatment in elderly patients remains challenging. This study aimed to evaluate short-term clinical results of long-stem cementless arthroplasty in elderly patients with femoral neck and intertrochanteric fractures. Materials and Methods: We collected data of patients we treated with long-stem cementless arthroplasty between January 2011 and December 2019 due to hip fractures. This study included 48 patients (>= 65 years of age) with femoral neck and intertrochanteric fractures. The patients underwent either bipolar or total hip arthroplasty. A 2-year follow-up was conducted in all the patients. Outcomes were evaluated with the Harris hip score (HHS), Koval categories, complications and hip and mid-thigh pain. We compared clinical results of patients with femoral neck fractures and those with intertrochanteric fractures. Results: The mean follow-up period was 57 (34-92) months. Sixteen patients had femoral neck fractures and 32 had intertrochanteric fractures. No difference in demographic characteristics and comorbidities was noted between groups. The mean preoperative Barthel index of activities of daily living score was 79. At the last follow-up, the mean HHS of the control group was 77 and the mean Koval categories score was 3. Revision surgeries were conducted in two patients due to dislocation. Infection was observed in one patient and was treated by debridement and anti-biotherapy. Implant loosening and periprosthetic fractures were not noted. Conclusion: With fair outcomes, long-stem cementless arthroplasty is a potential treatment for hip fractures in elderly patients. A longer follow-up to evaluate the efficacy of these prostheses is warranted.Article Citation - WoS: 2Citation - Scopus: 3Legal Awareness of Elderly About Abuse and Neglect(Gunes Kitabevi Ltd Sti, 2016) Sisli, Zeynep; Kizil, Melahat; Ustunkarli, Nursun; Şemin, Makbule İlgiIntroduction: The weakness and dependence of elders may expose them to abuse and neglect more than other age groups. This research aimed to evaluate legal awareness of elderly about which behaviors of abuse and neglect could be considered as criminal. Materials and Method: A questionnaire was administered during face-to-face interviews to 74 elderly people (>65 years of age) in a nursing home in Izmir. The statistical analysis of data was evaluated by SPSS 21. Results: Majority of the participants demonstrated legal awareness regarding physical and psychological behaviors that could be considered criminal, whereas many were unaware that these behaviors could be considered criminal even when the perpetrator acts unintentionally. Most of the participants were aware of increased penalties in cases where abuse or neglect is committed against those unable to defend themselves because of age; and for cases of torment. However it is also seen that many of them did not apply to legal ways when they experienced that type of behaviors. Conclusion: It is important to increase awareness regarding the criminal nature of abuse and neglect against elderly and to establish effective and easily accessible legal assistance.Article Citation - Scopus: 2Protecting Older Workers' Health in Legal Terms Comparatively European Eacquis in the Light of Ilo R162(Gunes Kitabevi Ltd Sti, 2020-09-30) Sisli, ZeynepIntroduction: This article discusses the specific laws, regulations, and recommendations aimed at protecting older workers against occupational accidents and illnesses and whether they are properly regulated by Turkish legislation compared with the European Union acquis, in order to protect older workers against discrimination, and to make their working conditions more appropriate for their ages, in the light of International Labour Organization Recommendation No. 162. Materials and methods: This conceptual article was prepared by evaluating the legal framework for protection of the occupational health and safety of older Turkish workers, through a comparison of Turkish law, International Labour Organization Recommendation No. 162, and the European Union acquis, and consideration of the facts reported in the relevant literature, using the document analysis method. Results and Conclusion: Neither Turkish labour law nor European Union acquis include sufficient regulation to protect the health and safety of older workers at work. Older workers' health should be protected specifically by social law, without driving them to poverty. Changes in the regulation of working conditions that would be supported by the social security system have been proposed to protect the health of older workers as a specially protected group.Article Citation - WoS: 1Citation - Scopus: 1Prevalence of Physical Restraint: a Cross-Sectional Observational Study(Gunes Kitabevi Ltd Sti, 2020-09-30) Soylemez, Burcu Akpinar; Kucukguclu, Oziem; Ozkaya, Bilgehan; Ozgul, Ecem; Akpinar Söylemez, BurcuIntroduction: Physical restraint (PR) is commonly used in healthcare institutions worldwide and controversial strategies in the medical field. The purpose of this study was to determine the PR prevalence in adult patients at a university hospital in Turkey. Materials and Methods: An observational and cross-sectional design was carried out. Prevalence rates were computed. A total of 6698 patients in 30 units were evaluated at 10 unit visits between July-September 2018. Patient and PR information form was used. Two researchers visited the units and proceeded with data collection. The study population consisted of all patients who were present in the hospital on the day of data collection. Results: Among 6698 patients, 287 (4.3%) patients were restrained. The highest overall prevalence of 69.6% was in the surgical intensive care unit (ICU). The main reasons reported for using restraints were the prevention of pulling out medical devices (47 %). Age (p = 0.000) and units (e.g., surgical units, ICUs) (p = 0.000) were statistically significant predictors of PR. Age (p = .000) and units (p =.000) were statistically significant predictors of PR. The results show that for every additional 0.038 year in patients age, the patient becomes 1.038 times more likely to be restrained. Conclusion: In Turkey, the rate of application of PR is similar to that of world figures. Age is a very important variable in the use of PR. As they get older, their risk of being exposed to PR increases.