Admission monocyte to high density lipoprotein cholesterol ratio predicts amputation in patients undergoing embolectomy for acute lower extremity ischemia.

OBJECTIVE: Acute limb ischemia is a common clinical manifestation of embolism or thrombosis, which can lead to amputation. Increasing evidence suggests that various biomarkers can predict amputation at the time of admission. Identifying an easily obtainable and inexpensive indicator has always been a major objective. The aim of this study was to determine the predictive value of the admission monocyte count to the HDL-C ratio for a lower extremity amputation in patients undergoing embolectomy for acute limb ischemia. PATIENTS AND METHODS: This retrospective, single-center study included 269 patients who underwent an emergent embolectomy. The study population was divided into two groups according to early amputation: the non-amputation group (n = 220) and the amputation group (n = 49). Two groups were compared based on various data. RESULTS: According to the multivariate regression analysis, patients with a higher CRP and MHR have a significantly higher amputation rate (HR: 1.148; CI: 1.075-1.225; p < 0.001 and HR: 1.547; CI: 1.003-2.387; p = 0.04, respectively). Patients with arterial back bleeding have a significantly lower amputation rate (HR: 0.106; CI: 0.02-0.558; p = 0.008). CONCLUSIONS: Our study demonstrated that preoperative CRP, MHR, and no arterial back bleeding after surgery were found to be independent predictors of amputation as a poor prognostic factor within 30 days after an embolectomy.

Risks of graphene nanomaterial contamination in the soil: evaluation of major ions.

Soils are facing new environmental contaminants, such as nanomaterials. While these emerging contaminants are increasingly being released into soil, their potential impact on this medium and their effect on soil's major chemical components (e.g., sulfate, nitrate, ammonia, and phosphate) have yet to be examined, as well as their relation with microbial toxicity. Herein, column experiments were conducted to investigate the behavior of major ions under 10 and 200 mg/L multiple contaminations of graphene nanomaterials in agricultural and undisturbed soils, as well as the retention of the graphene nanomaterials in the soil and their effect on soil zeta potentials throughout the column. Moreover, to evaluate the impact of the risks of graphene nanomaterial contamination on soil major ions, the present study also examines the bacterial toxicity. The results showed that graphene retention was influenced the soil zeta potentials. Graphene also influenced the concentrations of the major ions in soil and the order of the influence degree was sulfate > phosphate > ammonia > nitrate. The changes of the major ions in soil by the exposure of graphene nanomaterials have also affected the response of selected bacteria.

Characterization of antimicrobial activities of olive phenolics on yeasts using conventional methods and mid-infrared spectroscopy.

Olive fruit is very rich in terms of phenolic compounds. Antimicrobial activities of various phenolic compounds against bacteria and fungi are well established; however, their effects on yeasts have not been examined. Aim of this study was to investigate the antimicrobial effects induced by olive phenolic compounds, including tyrosol, hydroxytyrosol, oleuropein, luteolin and apigenin against two yeast species, Aureobasidium pullulans and Saccharomyces cerevisiae. For this purpose, yeasts were treated with various concentrations (12.5-1000 ppm) of phenolic compounds and reduction in yeast population was followed with optical density measurements with microplate reader, yeast colony forming units and mid-infrared spectroscopy. All phenolic compounds were effective on both yeasts, especially 200 ppm and higher concentrations have significant antimicrobial activity; however, effects of lower levels depend on the type of phenolic compound. According to mid-infrared spectral data, significant changes were observed in 1200-900 cm-1 range corresponding to carbohydrates of yeast structure as a result of exposure to all phenolic compounds except tyrosol. Spectra of tyrosol and luteolin treated yeasts also showed changes in 1750-1500 cm-1 related to amide section and 3600-3000 cm-1 fatty acid region. Since phenolic compounds from olives were effective against yeasts, they could be used in food applications where yeast growth showed problem. In addition, FTIR spectroscopy could be successfully used to monitor and characterize antimicrobial activity of phenolic compounds on yeasts as complementary to conventional microbiological methods.

The effects of tranexamic acid and 6% hydroxyethyl starch (HES) solution (130/0.4) on postoperative bleeding in coronary artery bypass graft (CABG) surgery.

BACKGROUND: The addition of 6% hydroxyethyl starch (HES) into Ringer lactate priming solution may have adverse effects on hemostasis in patients undergoing coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB) with or without the use of tranexamic acid. METHODS: In a prospective, randomized clinical trial, 132 patients were assigned to receive 20 ml/kg of Ringer priming solution with or without tranexamic acid (TA) (Group RS-TA, n=34 and Group RS-noTA, n=32) or 10 ml/kg of 6% HES plus 10 ml/kg of RS priming solution with or without intravenous tranexamic acid (Group HES-TA, n=35 and Group HES-noTA, n=31). Estimated blood loss, chest tube drainage, amount of blood products, hemoglobin, hematocrit, platelet and coagulation parameters were examined before and 24 hour after surgery. RESULTS: For Group HES with tranexamic acid, when compared to other groups, estimated blood loss, postoperative 24 hour drainage loss and blood product transfusions were less (P=0.023; P=0.003; P=0.001; respectively) and hemoglobin, hematocrit values at 12 and 24 hours after surgery increased in comparison to other groups (P=0.041, P=0.034, P=0.004, P=0.001; respectively). Platelet concentrations were similar between groups (P>0.05). CONCLUSIONS: In CABG, the administration of tranexamic acid in HES 130/0.4 prime solution study group decreased estimated blood loss and chest tube drainage in comparison to patients receving Ringer prime solution with or without tranexamic acid postoperatively however, no effects on renal functions or postoperative complications were shown.

A new approach for the determination of sulphur in food samples by high-resolution continuum source flame atomic absorption spectrometer.

The new approach for the determination of sulphur in foods was developed, and the sulphur concentrations of various fresh and dried food samples determined using a high-resolution continuum source flame atomic absorption spectrometer with an air/acetylene flame. The proposed method was optimised and the validated using standard reference materials, and certified values were found to be within the 95% confidence interval. The sulphur content of foods ranged from less than the LOD to 1.5mgg(-1). The method is accurate, fast, simple and sensitive.

Does early use of bilevel positive airway pressure (bipap) in cardiothoracic intensive care unit prevent reintubation?

INTRODUCTION: Non-invasive ventilation (NIV) is a preferred treatment in acute respiratory failure after operations. Our aim is to investigate the success of early use of bilevel positive airway pressure (BIPAP) after cardiac or thoracic surgeries to prevent reintubation. METHODS: In a prospective randomized study, 254 patients were divided into two groups depending on the time period between extubation and the application of BIPAP. In Group 1 BIPAP was applied after extubation within 48 hours after surgery following fulfilling of acute respiratory failure criterias whereas, in Group 2, BIPAP was applied one hour after extubation for two episodes of 20 minute duration and 3 hours apart. Arterial blood gas values (pH, PaO2, PaCO2) at first and fourth hour after BIPAP were collected. RESULTS: In comparison between groups, no significant differences were observed for arterial blood gas values of pH and PaCO2 at baseline, one and four hours after BIPAP (p > 0.05) however, the PaO2 values at one and four hours after BIPAP were significantly better in Group 1 in comparison to Group 2 (p < 0.001, p < 0.001; respectively). Reintubation rate was 14 patients (11%) in Group 1 and 7 patients (5.5%) in Group 2 (p = 0.103). CONCLUSIONS: The early and prophylactic use of BIPAP after cardiac or thoracic operations did not provide diminished rates in the postoperative complications such as reintubation.

Multidisciplinary approach to delayed treatment of traumatic teeth injuries involving extrusive luxation, avulsion and crown fracture.

A 12-year-old boy with extrusion of the maxillary right central incisor, uncomplicated fracture of the left central incisor, avulsion of the mandibular right and left central incisors, and crown fracture of the mandibular right lateral incisor presented to the Kocaeli University Department of Pediatric Dentistry 20 days after sustaining the traumatic injuries. Orthodontic repositioning of the extrusive maxillary right central incisor was planned. Additionally, this tooth was necrotic and needed root canal treatment. The maxillary left central incisor and right mandibular lateral incisor were necrotic and needed root canal treatment. The orthodontic and endodontic treatments were successfully performed simultaneously. Restoration of the fractured mandibular right lateral incisor and maxillary left central incisor was completed with resin composite. Subsequent to orthodontic and endodontic treatment, prosthodontic rehabilitation was performed. At the two-year followup, the teeth appeared normal and the patient had no complaints.

A practical method for the determination of sulphur in coal samples by high-resolution continuum source flame atomic absorption spectrometry.

Sulphur in coal was determined using a high-resolution continuum source flame atomic absorption spectrophotometer (HR-CS-FAAS) with actylene/air flame. The C-S absorption band at 258.056 nm was found the most suitable analytical line with respect to sensitivity and spectral interferences. The instrumental parameters were optimized. The coal samples were dried and dissolved using microwave-assisted digestion technique. The validity of the method was tested using standard reference material and certified values were found in the limits of 95% confidence level. Since the concentrations of matrix elements of coal other than carbon are low enough not to cause any spectral interferences, the linear calibration method was applied in all quantifications without any problem. The calibration standards were prepared in sulphuric acid. The method was accurate, fast, simple and sensitive. The limit of detection (LOD, 3δ, N=10) and the limit of quantification (LOQ, 10δ, N=10) were found to be 0.01 and 0.03% (w/w), respectively. The sulphur concentrations of various kinds of the coal samples received around Turkey were determined. The sulphur contents of the coal samples were ranged from ≤ LOQ to 1.2%.

Modeling inactivation kinetics of liquid egg white exposed to UV-C irradiation.

The efficiency of UV-C irradiation as a non-thermal pasteurization process for liquid egg white (LEW) was investigated. LEW inoculated with Escherichia coli K-12 (ATCC 25253), pathogenic strain of Escherichia coli O157:H7 (NCTC12900) and Listeria innocua (NRRL B33314) were treated with UV light using a bench top collimated beam apparatus. Inoculated LEW samples were exposed to UV-C irradiation of known UV intensity of 1.314mW/cm(2) and sample depth of 0.153cm for 0, 3 5, 7, 10, 13, 17 and 20min. The populations of E. coli K-12, E. coli O157:H7 and L. innocua were reduced after 20min of exposure by 0.896, 1.403 and 0.960logCFU respectively. Additionally, the inactivation data obtained for each strain suspended in LEW was correlated by using Weibull (2 parameter), Log-Linear (1 parameter), Hom (2 parameter) and modified Chick Watson (2 parameter) models. The inactivation kinetics of E. coli K-12, E. coli O157:H7 and L. innocua were best described by modified Chick Watson model with the smallest root mean squared error (RMSE) (R(2)> or =0.92).

A novel slurry sampling analysis of lead in different water samples by electrothermal atomic absorption spectrometry after coprecipitated with cobalt/pyrrolidine dithiocarbamate complex.

A preconcentration/separation technique based on the coprecipitation of lead with cobalt/pyrrolidine dithiocarbamate complex (Co(PDC)(2)) and subsequently its direct slurry sampling determination by electrothermal atomic absorption spectrometry (AAS) was described. For this purpose, at first, lead was coprecipitated with cobalt/pyrrolidine dithiocarbamate complex formed using ammonium pyrrolidine dithiocarbamate (APDC) as a chelating agent and cobalt as a carrier element. The supernatant was then separated and the slurry of the precipitate prepared in Triton X-100 was directly analyzed by electrothermal atomic absorption spectrometry with respect to lead concentration. The effects of experimental conditions on coprecipitation of lead with gathering precipitate as well as homogeneity and stability of the slurry were investigated. After the optimization of experimental parameters, a 100-fold enrichment of the analyte with quantitative recovery (>90%) and high precision (<10% R.S.D.) were obtained. By using the proposed technique, the lead concentrations in heavy matrices of Certified Sea-water and wastewater samples could be practically and rapidly determined in the range of 95% confidence level. The detection limit of the described method for lead using sample-matching blanks was 1.5 ng/L (3 sigma, N=10).

Perineural pethidine: effects of different doses on nerve conduction.

Forty healthy young volunteers were divided randomly into four equal groups. 2 ml of solutions of pethidine (meperidine) in concentrations of 0.5%, 1% and 1.5% were given to three groups of 10 subjects: a fourth group received saline. Sensory evoked responses obtained via surface electrodes from both sural nerves simultaneously in the pethidine groups and unilaterally in the control group, were evaluated for latency, conduction velocity and amplitude. Sensory changes at the innervation zone were monitored by means of a pinprick. All recordings were obtained prior to injection and at 5 min intervals for 30 min. Concentrations of 1% and 1.5% pethidine were associated with significantly lower amplitudes and with hypoalgesia. Other parameters did not change.

Temperature effects on nerve conduction studies in patients with carpal tunnel syndrome.

This study was done to evaluate the effect of rising temperature on nerve conduction parameters in 22 patients with carpal tunnel syndrome (CTS). We wanted to find out whether diseased nerves responded to temperature rise in a different manner from normal controls. For this purpose a group of 20 healthy individuals were also tested. With rising temperature motor nerve conduction velocities increased, whereas latencies, amplitudes and duration of the compound muscle action potential decreased in both groups. These changes were not statistically significant between the two groups. Sensory nerve conduction parameters yielded basically similar findings except for a significantly smaller reduction in amplitude of the compound nerve action potential (CNAP) in the CTS group (p < 0.005). We conclude that there is a different response in the sensory CNAP amplitude between normal and CTS groups, but the same nerve conduction correction formulae for temperature can be used in CTS patients as in normal individuals in the event of low skin temperature.

Electrophysiological spectrum of inclusion body myositis.

We present electrodiagnostic data on 30 patients with inclusion body myositis (IBM) in order to better delineate its electrophysiological features. Comprehensive electromyography (EMG) and nerve conduction studies (NCS) were performed in all cases. Twelve patients had single fiber electromyography (SFEMG). EMG showed abundant short-small motor unit potentials (MUP) with fibrillations and positive sharp waves in 56.6% of patients, and a mixed pattern of large and small MUP in 36.7%. In 6.7%, only "neurogenic" features were seen. NCS were slow in 33.3%. SFEMG revealed a mildly abnormal jitter and a slightly increased fiber density. IBM demonstrates a heterogeneous EMG profile. A pattern of large and small MUP is highly suggestive of IBM but is seen in only about one third of cases.

[The importance of nutrition in maternal health and economy in nutrition]. / Ana sagliginda beslenmenin önemi ve ekonomik beslenme.

Iron requirement of women in child bearing age are higher than normal level. During pregnancy and lactation women also need extra food to meet the increasing iron and other nutrient requirements. When women can not meet these requirements, they use their own tissues. This in turn cause deteriation of mother and child health. In our country, one third of mothers have various health problems and half of them are anemic. The principal factors for nutritional and health problems are poverty, lack of nutritional knowledge, frequent pregnancy and child birth. Effective and continuing nutrition education, beside supplementary food aid for poor mothers will help to improve nutritional and health status of mothers and children.

Visual evoked potentials in diabetes mellitus.

25 diabetic patients have been studied in order to investigate the possible effects of the disease on the central nervous system by means of pattern shift visual evoked potentials. Patients with diabetic retinopathy, glaucoma and cataract were excluded from the study. Results obtained from a control group of 30 normal subjects were compared to those of the patient group in which sural nerve conduction velocities have also been determined to see whether there is a correlation between peripheral and central involvement of the nervous system. In diabetic patients latency prolongation in the P100 and N140 components were observed. The N90-N140 interpeak latency was also prolonged. In addition, in patients with longstanding diabetes mellitus the incidence of VEP abnormalities was found to be high. Pathologic changes in VEP latencies did not show any correlation with sural nerve conduction abnormalities.