ABSTRACT BACKGROUND: The talus is the most proximal bone of the ankle and supports the body’s weight. Although its anatomical position and biomechanical role have been widely described, evidence regarding the morphometric characteristics of the talar articular facets is limited. OBJECTIVE: We aimed to classify the articular facets of the talus and perform morphometric analyses to provide data relevant to orthopedic surgery, rehabilitation, forensic medicine, kinesiology, and anthropometry. METHODS: In this descriptive anatomical study, a total of 50 dry taluses (29 left, 21 right) of unknown age and gender, acquired from the anatomy laboratories of the Yozgat Bozok and Erciyes universities, were examined. Joint types were classified according to the parameters of the Boyan classification as types A, B, or C, and 16 morphometric measurements were performed. Linear measurements were obtained using a digital caliper, and the angle between the collum tali and corpus tali was measured using a goniometer. Data were analyzed using GraphPad Prism 9; right-left comparisons were made using Student’s t-test, with p < 0.05 considered significant. RESULTS: Of the taluses, 82% were classified as Type B (B1, 30%; B2, 52%), 14% as Type A (A3, 8%), and 4% as Type C; no Type A4 talus was observed. The right-left differences in anterior-posterior length and transverse width parameters were not significant. However, the lateral articular facet height, caput tali width, talus height, and collum tali angle showed statistically significant differences (p < 0.05). CONCLUSION: Right-left asymmetries and variations in the type of joint were identified in talus morphometry. Differences in the collum tali angle and joint morphology are important for surgical applications, prosthesis design, and biomechanical analyses. The findings support the anatomical variations described in the literature.
ABSTRACT BACKGROUND: Acute pancreatitis is an important cause of morbidity and mortality among patients presenting to the emergency department with abdominal pain. OBJECTIVES: In this study, we aimed to compare the diagnostic performance of the Bedside Index for Severity in Acute Pancreatitis (BISAP) and Emergency Department SpO2, Age, and Systemic Inflammatory Response Syndrome (ED-SAS) score for predicting severe acute pancreatitis (SAP) in older patients diagnosed with acute pancreatitis in the emergency department. The predictive performances of inflammatory markers, including the neutrophil-to-lymphocyte ratio, systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and pan-immune-inflammation value, were also evaluated. DESIGN AND SETTING: This retrospective cohort study was conducted at a tertiary hospital in Türkiye. METHODS: Factors associated with SAP were evaluated using univariate and multivariate binary logistic regression analyses; odds ratios with 95% confidence intervals were calculated. RESULTS: The study included 400 older patients with acute pancreatitis (SAP group, n = 80; non-SAP group, n = 320). The neutrophil-to-lymphocyte ratio, SII, SIRI, pan-immune-inflammation value, ED-SAS score, and BISAP showed good discrimination for SAP, yielding area under the receiver operating characteristic curve values of 0.82, 0.83, 0.85, 0.86, 0.81, and 0.82, respectively. In the multivariate analysis, an SII of > 5796.25 (odds ratio, 13.59), SIRI of > 11.79 (odds ratio, 7.57), ED-SAS score of > 1 (odds ratio, 5.41), and BISAP of > 1 (odds ratio, 2.91) remained independently associated with SAP. CONCLUSION: The SII, SIRI, ED-SAS score, and BISAP may support early risk stratification for SAP in geriatric pancreatitis. These parameters should be interpreted alongside clinical assessment rather than used as stand-alone diagnostic criteria.
BACKGROUND: Despite the increasing emphasis placed on holistic care in healthcare, the impact of spiritual well-being on postoperative outcomes is unclear, particularly in patients who have undergone abdominal surgery. The postoperative period is characterized by significant physical and psychological stress. OBJECTIVE: To examine the relationship between spiritual well-being, surgical fear, and the quality of postoperative recovery in patients undergoing abdominal surgery. DESIGN AND SETTING: Descriptive and correlational study. METHODS: A total of 116 patients participated in the study. Data were collected using the Descriptive Characteristics Form, Three-Factor Spiritual Well-Being Scale, Surgical Fear Questionnaire, and Quality of Recovery-40 Questionnaire. We evaluated the relationships between patients' levels of spiritual well-being, their fear of surgery, and the quality of postoperative recovery. RESULTS: Patients reported high spiritual well-being and low levels of surgical fear; the mean Quality of Recovery-40 Questionnaire score was 109.36 +/- 8.52, below the theoretical midpoint of the scale. Correlation analysis revealed no statistically significant relationship between spiritual well-being and surgical fear (rho = 0.02, p = 0.83) or postoperative quality of recovery (rho = 0.12, p = 0.2). No significant relationship was found between surgical fear and quality of recovery (rho = 0.11, p = 0.23). CONCLUSION: Spiritual well-being was not significantly associated with surgical fear or postoperative quality of recovery among patients undergoing abdominal surgery. These findings suggest that, although spirituality may contribute to patients' internal coping processes, it may not directly influence immediate postoperative outcomes. Further studies involving diverse patient populations and longitudinal designs are needed to better understand the relationship between spirituality, psychological responses, and recovery outcomes in surgical care.
BACKGROUND: Beh & ccedil;et's disease (BD) can affect the urogenital system in men, leading to conditions such as epididymitis, urethritis, cystitis, and dorsal penile vein thrombosis. A high incidence of erectile dysfunction (ED) in BD patients has been previously reported; however, the role of vascular involvement in ED is unclear. OBJECTIVES:To investigate the effect of vascular involvement on ED in male patients with BD. METHODS: Ninety-seven patients diagnosed with BD (mean age, 40.4 +/- 10.7 years; disease duration, 12.5 +/- 9.6 years) were included in the study and divided into the vascular and non-vascular groups. The presence and severity of ED were assessed using the International Index of Erectile Function-5 (IIEF-5), with a score of <= 21 indicating the presence of ED. Patients with ED underwent corpus cavernosum electromyography and penile color Doppler ultrasonography to diagnose ED. RESULTS: Half of all patients with BD (n = 49, 50.5%) were found to have ED. No significant difference in the presence of ED was observed between the two groups (vascular group: n = 24, 49% vs. non-vascular group: n = 25, 52.1%; p = 0.76). The proportion of patients with peak systolic velocities of less than 30 cm/s was significantly higher in the vascular group than in the non-vascular group (n = 12, 80% vs. n = 2, 22.2%; p = 0.01). No significant between-group difference was found in corpus cavernosum electromyography results (p > 0.05). CONCLUSIONS: ED is common in patients with BD, and arterial ED is more prevalent among those with vascular involvement. Sexual dysfunction, which is less frequently screened for in patients with BD, should be thoroughly monitored; early intervention is recommended.
