Explore the vast range of titles available.

Scapular-retraction exercises are often prescribed to enhance scapular stabilization. To investigate upper trapezius (UT), middle trapezius (MT), and lower trapezius (LT) activities and UT/MT and UT/LT ratios during scapular-retraction exercises with elastic resistance at different shoulder-abduction angles. Descriptive laboratory study. Biomechanical analysis laboratory. Thirty-five asymptomatic individuals. Surface electromyography was used to evaluate UT, MT, and LT activities during the scapular-retraction exercise at 0°, 45°, 90°, and 120° of shoulder abduction. The mean muscle activity ranged from 15.8% to 54.7% maximal voluntary isometric contraction (MVIC) for UT, 30.5% to 51.6% MVIC for MT, and 21.4% to 25.5% MVIC for LT. A significant muscle × angle interaction was found (P < .001). Post hoc analysis revealed that the MT was more activated than the UT and LT during both retraction at 0° (P < .001 and P = .01, respectively) and 120° (P = .03 and P = .002, respectively). During retraction at 45° and 90°, the LT generated less activity than the UT (P = .02 and P = .03, respectively) and MT (P < .001 and P = .002, respectively). Further, UT/MT and UT/LT ratios during retraction at 0° were lower than at 45° (P = .03 and P = .001, respectively) and 90° (P < .001 and P < .001, respectively). Retraction at 90° resulted in a higher UT/LT ratio than at 45° (P = .004) and 120° (P = .004). Due to less UT relative to MT activity, retraction at 0°, 45°, and 120° can be preferable in early shoulder training or rehabilitation. Additionally, retraction at 90° was the most effective exercise in activating all parts of the trapezius muscle.

Scapular retraction exercises are often prescribed to enhance scapular stabilization. To investigate the upper trapezius (UT), middle trapezius (MT), lower trapezius (LT) activities, and UT/MT and UT/LT ratios during scapular retraction exercise with elastic resistance at different shoulder abduction angles. Descriptive laboratory study. Biomechanical analysis laboratory. Thirty-five asymptomatic individuals. Surface electromyography was used to evaluate UT, MT, and LT activities during the scapular retraction exercise at 0º, 45º, 90º, and 120º shoulder abductions. The mean muscle activity ranged from 15.8%-54.7% maximum voluntary isometric contraction (MVIC) for UT, 30.5%-51.6% MVIC for MT, 21.4%-25.5% MVIC for LT. A significant \"muscle×angle\" interaction was found (p<0.001). Post hoc analysis revealed that the MT was significantly more activated than UT and LT during both retraction at 0º (p<0.001; p=0.01, respectively) and 120º (p=0.03; p=0.002, respectively). During retraction at 45º and 90º, the LT generated significantly lower activity than the UT (p=0.02; p=0.03, respectively) and MT (p<0.001; p=0.002, respectively). Besides, UT/MT and UT/LT ratios during retraction at 0º were significantly lower than 45º (p=0.03; p=0.001, respectively) and 90º (p<0.001; p<0.001, respectively). Retraction at 90º resulted significantly higher UT/LT ratio than 45º (p=0.004) and 120º (p=0.004). Due to lower UT activity relative to MT, retraction at 0º, 45º, and 120º can be preferred in early shoulder training or rehabilitation. Additionally, retraction at 90º was the most effective exercise in activating entire trapezius muscle parts.

Background This study aims to evaluate the reliability of panoramic imaging in assessing styloid process (SP), using cone beam computed tomography (CBCT) as the reference standard. CBCT is preferred for assessing SP as it displays the dimensions and morphology of the SP without superimpositions. Methods SP elongation, calcification type (type 1: elongated, type 2: pseudoarticulated, type 3: segmented, and type 4: distant), and calcification pattern (calcified outline, partially calcified, nodular, and completely calcified) were evaluated on both panoramic and CBCT images of the same 407 patients. All measurements were recorded for the left and right sides independently. The efficacy of panoramic imaging in assessing SP was analysed through sensitivity, specificity, positive predictive value, and negative predictive value, accompanied by their 95% confidence intervals, with a significance threshold of about 0.05 for all studies. Results There were 113 (27.8%) male and 294 (72.2%) female, for a total of 407 patients with a median age of 43 years (18–69). The prevalence of elongated SP was 43.5% in panoramic images, whereas in CBCT images, it was 52.6%. When compared to CBCT imaging, panoramic imaging exhibited good specificity, with values of 81.2% on the right side and 83.7% on the left side, but demonstrated low sensitivity, recording 67.3% on the right side and 64.4% on the left side. Conclusions Almost one-third of the elongated SP cases were detected as false negative in panoramic images. Considering these findings, it is advisable to assess the region using CBCT in situations where SP examination is critical.

The wall-slide exercise is commonly used in clinic and research settings. Theraband positioning variations for hip exercises have been investigated and used, but Theraband positioning variations for upper extremity wall-slide exercises, although not commonly used, have not been examined. To evaluate the effect of different Theraband positions (elbow and wrist) on the activation of the scapular and shoulder muscles in wall-slide exercises and compare these variations with each other and with regular wall-slide exercises for the upper limbs. Descriptive laboratory study. University laboratory. A total of 20 participants (age = 23.8 ± 3 years, height = 176.5 ± 8.14 cm, mass = 75.3 ± 12.03 kg, body mass index = 24.23 ± 4.03) with healthy shoulders. Participants performed wall-slide exercises (regular and 2 variations: Theraband at the elbow and Theraband at the wrist) in randomized order. Surface electromyographic activity of the trapezius (upper trapezius [UT], middle trapezius [MT], and lower trapezius [LT]), infraspinatus, middle deltoid (MD), and serratus anterior (SA) muscles. Regular wall-slide exercises elicited low activity in the MD and moderate activity in the SA muscles (32% of maximal voluntary isometric contraction [MVIC] in the SA), whereas the Theraband-at-elbow and Theraband-at-wrist variations elicited low activity in the MT, LT, infraspinatus, and MD muscles and moderate activity in the SA muscle (46% and 34% of MVIC in the SA, respectively). The UT activation was absent to minimal (classified as 0% to 15% of MVIC) in all wall-slide exercise variations. The Theraband-at-wrist variation produced lower UT:MT, UT:LT, and UT:SA levels compared with the regular wall-slide exercise and Theraband-at-elbow variation. In shoulder rehabilitation, clinicians desiring to activate the scapular stabilization muscles should consider using the Theraband-at-wrist variation. Those seeking more shoulder-abduction activation and less scapular stabilization should consider using the Theraband-at-elbow variation of the upper extremity wall-slide exercise.

Context: The wall slide exercise is commonly used in clinic and research settings. Theraband positioning variations for hip exercises are investigated and used, but theraband positioning variations for upper extremity wall slide exercise, though not commonly used, are not investigated. Objective: To investigate the effect of different theraband positions (elbow and wrist) on scapular and shoulder muscles' activation in wall slide exercises and compare them to the regular wall slide exercise for the upper limbs. Study Design: Descriptive Laboratory Study. Setting: University Laboratory Patients or Other Participants: 20 participants with healthy shoulders Interventions: Participants performed regular and two different variations of wall slide exercises (theraband at wrist and theraband at elbow) in randomized order. Main Outcome Measures: Surface EMG activity of the trapezius muscles (upper [UT], middle [MT], and lower trapezius [LT]), infraspinatus (IS), middle deltoid (MD), and serratus anterior (SA). Results: Regular wall slide exercise elicited low activity in MD and moderate activity in SA muscles (32% MVIC), while theraband at wrist and elbow variations elicited low activity in MT, LT, IS, and MD muscles and moderate activity in SA muscles (46% and 34% MVICs, respectively). UT activation was absent to minimal (0–15% MVIC) in all wall slide exercise variations. Theraband at wrist produced lower UT/MT, UT/LT, and UT/SA levels. Conclusion: In shoulder rehabilitation, clinicians desiring to activate scapular stabilization muscles should consider using theraband at wrist variation; clinicians desiring to achieve more shoulder abduction activation and less scapular stabilization should consider theraband at elbow variation of upper extremity wall slide exercise.

Background This study aimed to evaluate the relationships among nutritional intake, malnutrition, and growth and development in children under 2 years of age with esophageal atresia. Methods A survey was administered to the parents of healthy children and children with esophageal atresia who were followed up at Ankara City Hospital Pediatric Surgery Polyclinic. Nutrition education was provided, a follow-up visit was scheduled three months later, and the assessments were repeated. Results The study included 20 children with esophageal atresia and 40 controls under 2 years of age. Height-for-age, weight-for-age and head circumference measurements were significantly lower in children with esophageal atresia than in the control group ( p  < 0.05). At the second interview, triceps skinfold thickness for age and mid-upper arm circumference for age were also significantly lower in children with esophageal atresia compared to control group ( p  < 0.05). Statistically significant differences were observed in dietary and food consistency preferences, eating status, and swallowing function ( p  < 0.05). In addition, according to the Pediatric Eating Assessment Tool-10 and Screening Tool for Risk of Impaired Nutritional Status and Growth, a high prevalence of swallowing disorders and a moderate risk of malnutrition were identified in children with esophageal atresia ( p  < 0.05). At the end of follow-up, significant increases in weight-for-age and height-for-age z scores were observed over time in children with esophageal atresia ( p  < 0.05). Furthermore, the percentages meeting daily requirements for protein, carbohydrates and dietary fiber increased over time ( p  < 0.05). Swallowing symptoms improved over time in children with esophageal atresia, and their current dietary patterns remained significantly different from those of the control group ( p  < 0.05). Conclusions Appropriate nutritional support delivered with a multidisciplinary approach and long-term follow-up can help children to achieve a growth rate appropriate for their peers.

The eye is one of our five sense organs, where optical and neural structures are integrated. It works in synchrony with the brain, enabling the formation of meaningful images. However, lack of function, complete absence or structural abnormalities of cone cells in the cone cells in the retina causes the emergence of types of Color Vision Deficiency (CVD). This deficiency is characterized by the lack of clear vision in the use of colors in the same region of the spectrum, and greatly affects the quality of life of the patient. Therefore, it is important to develop filters that enable colors to be combined successfully. In this study, an original filter design was improved, built on a five-stage systematic structure that complements and supports itself. But optimization regarding performance value needs to be tested with objective methods independent of human decision. Therefore, in order to provide performance analyses based on objective evaluation criteria, original and enhanced images simulated by patients with seven different Color Vision Deficiency (CVD) types were classified with the MobileNet transfer learning model. The classification results show that the developed final filter greatly improves the differences in color perception levels in both eyes. Thus, color stimulation between the two eyes is more balanced, and perceptual symmetry is created. With perceptual symmetry, environmental colors are perceived more consistently and distinguishably, and the visual difficulties encountered by color blind individuals in daily life are reduced.

In this study, a functional fermented beverage enriched with gamma‐aminobutyric acid (GABA) was produced. To achieve this, the prebiotic abilities of pectin obtained from pomegranate peel and its enzymatic hydrolysates were evaluated. Additionally, a functional fermented beverage enriched with GABA was produced by fermenting carrot juice with pectin hydrolysates. First, pectin was obtained at a yield of 8.91% from pomegranate peels. Pectinase‐catalyzed hydrolysis of the obtained pectin was applied using different enzyme concentrations and hydrolysis times, and the effect of these hydrolysates on the growth of Levilactobacillus brevis was determined. Although the Fourier transform infrared (FT‐IR) spectra of the resulting hydrolysates were similar, their degree of esterification compared to that of pectin was statistically different (p < .05). Considering the viability analysis and GABA production of L. brevis in the liquid medium supplemented with pectin or its hydrolysate, the hydrolysate obtained by treatment with 400 μL enzyme for 2 h and having a high glucose content (216.80 mg/100 g) was selected for application in fermented carrot juice. During fermentation (24, 48, and 72 h), a remarkable change was observed, especially in the amounts of lactic acid and malic acid, while the amount of GABA in carrot juice varied between 25 and 46 mg/mL and increased with the increase in hydrolysate concentration. It was observed that the total phenolic content and antioxidant activity of carrot juice were highly affected by the hydrolysate concentration. This study demonstrated that pectin hydrolysate obtained from food waste could be a potential prebiotic and could be used in the production of a functional beverage with improved GABA content. Pectin extracted from industrial pomegranate waste was enzymatically hydrolyzed and applied as a prebiotic in carrot juice fermentation. Added pectin hydrolysate improved bioactive components’ concentrations, i.e., phenolic compounds, organic acids, and gamma‐aminobutyric acid.