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Background: Pain-related symptoms are thought to affect motor imagery abilities adversely., Primer Study Objective: The study aimed to examine motor imagery ability and its association with pain, functional status, neck awareness, and depression in individuals with chronic neck pain., Design and Setting: A cross-sectional study, single-center., Participants: 60 individuals with chronic neck pain, aged between 18 and 65 years, were recruited., Intervention: Demographic data was recorded, pain and disability were evaluated using the Visual Analogue Scale and Neck Disability Index, motor imagery ability using Kinesthetic and Visual Imagery Questionnaire-20, and mental chronometry. Grip strength, cervical muscle endurance, upper limbs' functionality, neck awareness, and depression levels were assessed using a hydraulic hand dynamometer, cervical muscle endurance tests, Upper Extremity Functional Index-15, Fremantle Neck Awareness Questionnaire, and Beck Depression Inventory, respectively., Primary Outcome Measures: Motor imagery ability, neck pain, functional status, neck awareness, and depression levels., Results: Of the 60 individuals (mean age 51.60 ± 11.70 years), 83% (n = 50) were female. The Kinesthetic and Visual Imagery Questionnaire-20 score (mean 68.62 ± 27.02) was weakly correlated with Visual Analogue Scale-night (r = 0.332), duration of pain (r = -0.264), cervical extensor muscle endurance (r = -0.270) and Fremantle Neck Awareness Questionnaire (r = -0.295) (P < .05). Weak to moderate correlations were found between the individuals' mental chronometry task scores and Neck Disability Index, Fremantle Neck Awareness Questionnaire, Beck Depression Inventory, and grip strength (P < .05). The regression analysis indicates that motor imagery ability can explain pain intensity, cervical extensor endurance, neck awareness, and depression level (P < .05)., Conclusion: Individuals with chronic neck pain showed an impaired motor imagery ability which was associated with pain, functional status, neck awareness, and depression levels. Thus improving motor imagery ability may contribute to better functional outcomes and psychosocial status in these individuals., Clinical Trial Number: NCT06502236.

Context: The impact of forced migration on the mental health of refugee men is far-reaching and compounded by gendered masculinity, which shapes men's access to employment and other resources. A gap in knowledge exists on the broader determinants of refugee men's mental health., Methodology: Using community-based participatory action research and the arts-based method of photovoice, this study advances knowledge about the gendered impacts of forced migration from the perspective of ( n = 11) Syrian refugee men in the Canadian context. Theoretical approaches of intersectionality and masculinity were applied to understand how power relations shape Syrian men's identities, their access to employment, and impacts on their mental health., Analysis and Results: Syrian men's identities were marginalized by working in low-wage jobs because of inequitable policies that favored Canadian experience and credentialing assessment processes that devalued their knowledge. Multiple and overlapping factors shaped Syrian men's mental health including language and literacy barriers, time and stage of life, isolation and loneliness, belonging and identity, and gender-based stress. Caring masculinities performed through fathering, cultural connection, and service-based work promoted agency, hope, and resilience., Conclusions: Public health and community-based pathways must adopt gender-responsive and intersectional approaches to policy and practice. Peer-based programs may mitigate harmful forms of masculinity and promote transformative change to support refugee men's mental health.

Background: The aim of this study was to create AO 44A1, 44B1, and 44C1 fractures using finite element analysis to determine the stability of Kirschner wire, intramedullary screw, and plate-screw fixation methods in fracture., Methods: Using finite element analysis, the postreduction behavior of AO 44A1, 44B1, and 44C1 fractures with Kirschner wire, intramedullary screw, and plate-screw fixation methods was analyzed and compared in terms of displacement and stress., Results: The lowest amount of displacement was provided with the intramedullary screw method in AO 44A1 and 44B1 fractures and with the 4-mm Kirschner wire method in AO 44C1 fractures. The total displacement of the intramedullary screw system used for fixation in AO 44A1, 44B1, and 44C1 fractures was lower., Conclusions: According to finite element analysis results, the lowest amount of displacement was obtained with intramedullary screw fixation in AO 44A1 and 44B1 fractures, and 4-mm Kirschner wire fixation was achieved in AO 44C1 fractures.

The COVID-19 pandemic, which first spread to the People of Republic of China and then to other countries in a short time, affected the whole world by infecting millions of people and have been increasing its impact day by day. Hundreds of researchers in many countries are in search of a solution to end up this pandemic. This study aims to contribute to the literature by performing detailed analyses via a new three-staged framework constructed based on data envelopment analysis and machine learning algorithms to assess the performances of 142 countries against the COVID-19 outbreak. Particularly, clustering analyses were made using k-means and hierarchic clustering methods. Subsequently, efficiency analysis of countries were performed by a novel model, the weighted stochastic imprecise data envelopment analysis. Finally, parameters were analyzed with decision tree and random forest algorithms. Results have been analyzed in detail, and the classification of countries are determined by providing the most influential parameters. The analysis showed that the optimum number of clusters for 142 countries is three. In addition, while 20 countries out of 142 countries were fully effective, 36% of them were found to be effective at a rate of 90%. Finally, it has been observed that the data such as GDP, smoking rates, and the rate of diabetes patients do not affect the effectiveness level of the countries., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2020 Elsevier B.V. All rights reserved.)

Yapıcıoğlu-Yıldızdaş H, Ece Ü, Sucu M, Yurdakul G, Şimşek H, Özlü F. Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy. Turk J Pediatr 2017; 59: 724-727. Twin reversed arterial perfusion syndrome is mostly seen in monochorionic diamniotic twin pregnancies with an estimated incidence of 1/9500-11000 pregnancies. One of the twins is acardiac with various abnormalities especially with upper part of the body, and mortality is 100%. The other twin functions as a pump twin and mostly has polyhydramnios and heart failure; and mortality rate is high due to prematurity and heart failure. Herein we report a TRAP syndrome and the prognosis of pump twin who was born at 30 weeks gestational age.