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The association of proximal femur geometry with hip fracture risk

We aimed to discuss the risk assessments of patients with hip fractures due to the fall‐related moderate or minimal trauma and compare them with non‐fractured control patients by bone mineral density (BMD) and proximal femur geometric measurements to assess whether geometric measurements of femoral dimensions were associated with femoral strength and hip fracture risk. Forty‐two osteoporotic patients with proximal femur fracture and 40 osteoporotic non‐fractured age and gender‐matched controls were included in the study. Lunar DXA was used for BMD measurements and proximal femur geometric measurements were performed manually on direct X‐rays as hip axial length (HAL), femoral length (FL), and femoral neck width (FW). The trochanteric and total BMD values of the fracture group were significantly lower than the control group. There was a significant increase in FW/FL ratio in the fracture group that would be of specific importance for guidance: if FL values did not increase as did FW, it would point out a risk for fracture. The trochanteric BMD values were correlated with all increased measurements in the control group. There are genetically determined adaptive differences among individuals concerning bone morphology and bone mineral distribution. These different adaptations result in different bone strengths and fracture formation risk. Clin. Anat. 21:575–580, 2008.

Gönüllülük” kan merkezlerine başvuruda fark yaratır mı? 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Ozet Amac: Ankara’da bir universite hastanesinin kan merkezinde ve Kizilay’a bagli bazi merkezlerde yapilmis olan bu arastirmanin iki amaci bulunmaktadir. Amaclardan ilki kan bagisinda bulunanlarin sosyo-demografik ozelliklerinin, kan bagisiyla ilgili bilgi ve tutumlarinin, onlari “gonullu” olmaya iten motivasyonel sebeplerin belirlenmesidir. Ikinci amac ise bu iki farkli kurumda (universite hastanesi ve Kizilay Kan Merkezi) bagis yapan kisiler arasinda “gonullu bagiscilik” acisindan fark olup olmadiginin belirlenmesidir. Yontem: Arastirmanin verileri Ankara’da bir universite hastanesinin kan merkezi ve Kizilay’a bagli bazi merkezlerde 01-05 Ekim 2012 tarihleri arasinda toplanmistir. Bu merkezlere basvuran kisilerde; kan bagisinda bulunma, calismaya katilmayi kabul etme ve sozlu iletisim kurulabilme sartlari aranmistir. Calismaya katilmayi kabul eden 277 kisi arastirma anketini cevaplamistir. Verilerin analizinde SPSS 15.0 paket programi kullanilmistir. Tanimlayici istatistiklere ek olarak Ki kare testi, t testi, Fisher’in kesin testi, Mann Whitney U testi ve ANOVA kullanilmistir. Bulgular: Katilimcilarin %85.2’si erkektir. Katilimcilarin calisma esnasindaki bagista bulunma nedenleri arasinda en sik olan akrabalarindan/ tanidiklarindan birinin ihtiyaci olmasidir (%57.0). Katilimcilarin %80.9’u daha once en az bir kez kan bagisinda bulunmustur. Gonullu olarak kan bagislayanlarin yuzdesi Kizilay’a bagli merkezlerde (%93.0) universite hastanesine (%7.4) gore daha yuksektir. Sonuc: Halka kan bagisinin onemi anlatilmali, halkin kan bagisi konusundaki yanlis inanislari duzeltilmeli ve akillardaki soru isaretleri giderilmelidir. Halki kan bagisinda bulunmaya tesvik edebilmek icin kampanyalar yapilmali ve sivil toplum orgutlerinin kan bagisi konusuna egilmeleri saglanmalidir. Anahtar Kelimeler: Kan bagisi, bagisci, gonullu bagisci Does volunteerism make any difference to admissions to blood centers: An evaluation from admissions to two selected blood centers in Ankara Aim: This study, conducted in Ankara between October 1-5 at a university hospital blood center and in Kizilay blood centers has two aims. The first one was to determine the socio-demographic characteristics of the blood donors, their knowledge and attitudes regarding blood donation and their motivations . The second aim was to determine whether there was a difference in voluntary donations between the two institutions. Materials and Methods: Data were collected between October 1-5 at a university hospital’s blood center and two of Kizilay’s blood centers in Ankara. Inclusion criteria consisted of blood donation, verbal consent to participate in the study and verbal communication. Two hundred and seventy-seven blood donors agreed to participate in the study and completed the study questionnaire. Statistical analysis was performed by SPSS 16.0. Descriptive analysis, Chi-square test, Fisher’s exact test, t test, Mann Whitney U test and ANOVA were used. Results: Eighty-five point two percent of the participants were male. The most common reason for blood donation at the time of the study was the need of a relative/friend (57.0%). Eighty point nine percent of the participants had donated blood previously. The percentage of those donating blood on a voluntary basis was higher at Kizilay blood centers (93.0%) than at the university hospital (7.4%). Conclusion: The importance of blood donation should be promoted and the wrong beliefs among the community about blood donation should be corrected. Campaigns encouraging people to donate blood should be organized and non-governmental organizations should be provided to deal with blood donation. Key words: Blood Donation, Blood Donor, Voluntary Blood Donor