Relationship between leukocyte, neutrophil, lymphocyte, platelet counts, and neutrophil to lymphocyte ratio and polymerase chain reaction positivity.

BACKGROUND: Exposure to viral or bacterial pathogens increases the number of neutrophils with a relative decrease in lymphocytes, leading to elevated neutrophil to lymphocyte ratio (NLR). This study aimed to investigate whether differences in NLR among real-time polymerase chain reaction (PCR)-positive and -negative patients presenting with a prediagnosis of COVID-19 pneumonia could be useful in the differential diagnosis. METHODS: The study included 174 patients admitted because of suspected COVID-19 infection between March and April 2020. Patients were divided into two groups: PCR-negative and PCR-positive. Hemogram, NLR, urea, creatinine, aspartate aminotransferase, alanine aminotransferase, bilirubin, ferritin, D-dimer, C-reactive protein, procalcitonin, troponin, and coagulation parameters were analyzed. RESULTS: On comparison of laboratory parameters between both groups at presentation, PCR-positive patients were significantly more likely to have leukopenia (p < 0.001), thrombocytopenia (p = 0.006), neutropenia (p < 0.001), lymphopenia (p = 0.001), and increased NLR (p = 0.003). Furthermore, PCR-positive patients showed significant elevations of ferritin (p = 0.012) and procalcitonin (p = 0.038) and significant lower potassium levels (p = 0.05). CONCLUSION: COVID-19 pneumonia has become a major global health problem. Early diagnosis and treatment of these patients are crucial, as COVID-19 pneumonia shows a rapid progression in most cases. Thus, leukopenia, thrombocytopenia, elevated NLR, and elevated ferritin may be useful as supplementary diagnostic tests in these patients, which may allow early initiation of treatment and may contribute to preventing progression in patients with abnormal results.

Factors Associated with High-grade Smear Positivity Levels in Pulmonary Tuberculosis

ABSTRACT Objective: The high-grade level of smear acid-resistant bacilli (ARB) positivity has been linked to increased infectiousness in pulmonary tuberculosis (TB). The ability to predict infectiousness is important in the management of the disease. The present study aimed to investigate the relationship between smear results, the clinical features, and the levels of radiological involvement of TB. Methods: A total of 245 cases diagnosed with pulmonary TB were admitted to the study. Data including age, sex, case definition, numbers and characteristics of symptoms, smear results, smear positivity grades, and levels of radiological involvement were recorded. Relations between smear results and other data were determined via cluster tree and regression analysis. Results: The group with only coughing had higher rates of both positive smear and high smear positivity levels (p = 0.014 and p = 0.02, respectively) compared to the group without coughing. Similarly, the groups with moderate or high radiological involvement showed significantly higher rates of both positive smear and high smear positivity level when compared to the group exhibiting low radiological involvement (p < 0.001). Conclusion: Patients with coughing and a moderate to high level of radiological involvement should be closely monitored due to their high-level risk of transmission.

The localization of CD3, CD79a, CD68 and S100 protein immunoreactive cells in hemal nodes of Saanen goat (Capra hircus).

We investigated the structure of hemal nodes in Saanen goats using immunohistochemical staining. We examined the distribution of CD3 positive T lymphocytes, CD79a positive B lymphocytes, CD68 positive macrophages and S100 protein positive follicular dendritic cells. Hemal nodes of six healty adult female goats were used. Hemal nodes were removed from the thoracic and abdominal cavities. The oval to round hemal nodes were observed especially between the abdominal aorta and vena cava, and near the kidneys and adrenal glands. Tissue sections were stained with Crossmon's modified triple stain to demonstrate general histological structure. The avidin-biotin-peroxidase technique using anti-CD3, anti-CD79a, anti-CD68 and anti-S100 primary antibodies was used for immunohistochemistry. Many CD3 positive T lymphocytes were found in the germinal center of the lymph follicles and in the lymphatic cords of hemal nodes; CD3 positive cells also were observed in the sinuses. CD79a and CD68 positive cells were found at the germinal center of the lymph follicles. In the lymph follicles near the subcapsular sinuses, CD79a and CD68 positive cells were found especially in e areas bordering the mantle zone. S100 positive cells were found in the lymph follicles, lymphatic cords and sinuses.

The distribution and heterogeneity of mast cells in tongue from five different avian species.

This study was conducted with the aim of determining the morphology, distribution and heterogeneity of mast cells in the tongues of seagull (Larus fuscus), common buzzard (Buteo buteo), goose (Anser anser), white stork (Ciconia ciconia) and Gerze rooster. The study used five samples of tongue material from each of the healthy adult avian species. The samples were fixed in 10% neutral-buffered formalin (NBF) solution, then, after routine tissue follow-up, the samples blocked with paraplast. Cross-sections with 5-6 µm of thickness were stained with the 0.5% toluidine blue and alcian blue/safranin O (AB/SO). In all five avian species, it was found that the mast cells were in different sizes and round, oval or spindle-shaped based on their place of distribution. Mast cell numbers were determined in stained with toluidine blue, examined ×40 objectives in a 1 mm2 area. It was observed that mast cell density in subepithelial lamina propria and microscopic papilla was higher in the tongues of all species. Mast cell distribution and heterogeneity varied through the tongue, and there were more mast cells in the dorsal side of the tongue than the ventral side. The highest amount of mast cells was found in the tongue of the Gerze rooster among all five species. In the tongue cross-sections stained with the combined method of alcian blue/safranin O (AB/SO), the mast cells were stained as AB (+), SO (+) and AB/SO (+) (mixed).

Immunohistochemical study on roe deer haemal nodes.

BACKGROUND: The aim of this study was to investigate the immunohistochemical characteristics of the haemal nodes located in the abdominal and thoracic cavities in roe deer (Capreolus capreolus). MATERIALS AND METHODS: In this study, 2 adult male and 2 adult female roe deers in addition to 2 roe deer foetuses at the late foetal stages were used. The avidin-biotin-peroxidase technique was applied to anti-CD3, anti-CD79acy, anti--macrophage, anti-S100 primary antibodies. RESULTS: Positive results were gained for all the antibodies used. Many CD3 positive T-lymphocytes were seen in the lymphoid tissue areas of the foetal haemal nodes, in the germinal centre of the lymph follicles of the adult haemal nodes and in their lymphatic cords. CD79acy positive cells were less in number while S-100 protein was positive in both lymph follicles and in sinuses of the adult haemal nodes. In foetal haemal nodes, cells positive for S-100 protein were more prevalent in the sinuses. For the MAC387 primary antibody, there were positive macrophages seen in the capsule and trabeculae of the haemal nodes, located denser in males. Macrophage cells in the lymphoid structures and granulocytes in the sinuses of the haemal nodes of both adults and foetuses were positive for MAC387. CONCLUSIONS: This study is the first one to define the detailed structural features immunohistochemically in the haemal nodes of the roe deer. Even it's concluded that the results were similar with the other ruminants, it's also pointed out that there are certain differences among the foetal, adult male and female haemal nodes of the roe deer. (Folia Morphol 2018; 77, 2: 266-271).

New method for estimating the volume and volume fractions of the nasal structures in the goose (Anser anser domesticus) using computed tomography images.

1. The conchae within the nasal cavity of poultry are important for water and energy conservation, but have not been experimentally evaluated. The aim of the present study was to determine the accuracy of volume and volume fraction estimates of the conchae, nasal septum and nasal cavity. 2. The nasal cavities of 7 adult goose heads were scanned using computed tomography (CT), with images sampled randomly at a 1/5 sampling fraction. Physical sections were obtained from the same samples, using an electric saw that had an adjustable section range, and provided 14 to 15 sections with a thickness of 2.5 mm. The section surface areas of the nasal cavity, nasal septum and conchae were estimated using the Cavalieri principle. Results obtained using the CT and physical section images were compared. Volumes and volume fractions obtained from the physical sections were accepted as the gold standard and differences in the CT images were determined. 3. Multiplication of the data obtained on the CT images with the deviation percentage of the physical sections produced normalised values. No differences were observed between the gold standard data and the CT images. While it was possible to normalise the obtained data using the gold standard values, the raw data could also be used for comparative studies because the deviations from normal would be similar for all groups. 4. Our study showed that the nasal structures could be estimated in vivo using CT images.

Morphology of haemal nodes in the roe deer (Capreolus capreolus).

The present study was aimed at the determination of the morphology of haemal nodes in the roe deer (Capreolus capreolus). The morphology of haemal nodes located in the abdominal and thoracic cavities of six roe deer (two adult male, two adult female and two foetuses) was studied by gross inspection and histological methods. Oval- and round-shaped haemal nodes with colours varying from pink to dark red were observed particularly between the abdominal aorta and caudal vena cava, and at the beginning of the main branches of the abdominal aorta. These nodes, having connection only with blood vessels, were covered with a thin or thick capsule of connective tissue in the foetus and the adult respectively. Trabeculae were not observed in foetal nodes. In adults, the capsule, trabeculae and, in particular, the sinuses were strongly supported by reticular fibres and cells. The morphology of these nodes displayed similarity to that of other ruminant species.

Persistent cloaca, fused kidneys, female pseudohermaphroditism and skeletal anomalies in a simmental calf.

A 5-day-old Simmental calf was referred to our department for atresia ani and postural abnormalities caused by skeletal deformities. The calf had a short and deviated tail and a bowed hind limb. The calf appeared like a male because of the prepuce and penis located just near the teats and the absence of female external genitalia. During the necropsy, a horseshoe kidney, single ureter that originated from the kidney, and bilateral uterine horns with one ovary each were detected. The ureter, blind-ended large intestine, and bilateral uterine horns were connected to a dilated cloaca having two sacs, which were filled with a yellowish brown viscous fluid admixed with meconium and urine. Skeletal deformities found included scoliosis, partial synostosis of vertebrae, deviation of rudimentary sacrum and coccygeal vertebrae, and narrowed pelvic cavity. This is the first report of an anomalous combination including urogenital, large intestinal, and skeletal deformities in cattle.

The gross anatomy of larynx, trachea and syrinx in the long-legged buzzard (Buteo rufinus).

Five long-legged buzzards (Buteo rufinus), weighing 475-570 g, were used in this study. It was determined that long-legged buzzards' larynx is composed of three different cartilages. Among these cartilages, the cricoid and procricoid cartilages were single and the arytenoid cartilage was double. The partially ossified corpus and ala of the cricoid cartilage were connected with cartilaginous plate. Trachea was formed up of complete cartilage circles. The tracheal cartilages were notched in dorsal and ventral directions and a number of the tracheal cartilages inter-mingling one another were between 89-96. Syrinx, which was covered with the inter-clavicular air sac, was in contact with basis cordis. It was observed that there is tracheobronchial type syrinx in long-legged buzzard and this syrinx is formed by two different cartilage groups named as the cartt. tracheosyringeales and cartt. bronchosyringeales. The first cartilage rings of the cartt. tracheosyringeales formed the tympanum. The tympanum, cartt. tracheosyringeales and cartt. bronchosyringeales were created of three, two or three and four cartilage rings, respectively. Membrana tympaniformis lateralis and medialis, two pairs of thin membranes constituting voice formation, also determined in long-legged buzzard. Membrana tympaniformis lateralis was observed to be very short between the first and second cartilage rings of cartt. bronchosyringeales. Although the instrictic syringeal muscles were not present in long-legged buzzard, the sternotracheal and tracheolateral muscles, expressed as extrinsic syringeal muscles, were evident. In this study, which is expected to give contribution to veterinary anatomy literature, the similarities and differences in larynx, trachea and syrinx of long-legged buzzard with other bird species were exposed.

The gross anatomy of the cranial cervical ganglion in the guinea pig (Cavia porcellus).

The right and left cranial cervical ganglia in the heads of 10 adult guinea pigs (5 male, 5 female) were dissected in detail. The cranial cervical ganglion (CCG) was located on the caudo-ventral aspect of the distal ganglion of the vagus nerve, and medial to the digastric and styloglossal muscles. It was present also ventral to the tympanic bulla, ventro-lateral to the longus capitis muscle, and between the ascending pharyngeal and the internal carotid arteries. The branches of the CCG included the internal and external carotid nerves, the jugular nerve and connecting branches to the pharynx, vagus, glossopharyngeal, accessory, cranial laryngeal, first and second cervical nerves, and vessels in the carotid body region. The number of nerves ramifying from the CCG of the guinea pig varied among cases. Compared to other species, there are also differences in the number of nerve branches and the course patterns. No sex differences are present as far as the guinea pig CCG is concerned.

[Cytomegalovirus infection of allografted kidneys in children].

The study was based on 90 puncture bioptats of transplanted kidneys, received from 67 patients (33 males and 34 females) aged 8 to 18 or 14.1 +/- 4.7 years. The puncture biopsies were performed 8 days to 7 years after renal transplantation. In addition to histological techniques, the researchers used immunoperoxidase method with monoclonal antibodies to CMV-E and CMV-L antigens. The immunohistochemical method of CMV infection diagnostics revealed CMV infection in 15 (17.5%) of the bioptats of the renal allografts. The risk of CMV infection in renal transplants increases during the late postoperative period in the presence of chronic pathology (chronic nephropathy or chronic glomerulonephritis), especially in combination with late acute allograft rejection crises.

Morphometric study of the intraorbital muscles (musculi bulbi) in New Zealand rabbit.

Eight female New Zealand rabbits were used. The bulbus oculi was removed bilaterally from orbita then intraorbital muscles were revealed by dissection and their length and breadth and the distance of the muscle insertion to the corneal limbus were measured. Junction formations of the insertion tendon of intraorbital muscle to the sclera were identified.

Arterial supply of the superior cervical ganglion in the guinea-pig (Cavia porcellus).

The vascularization of the cranial cervical ganglion [superior cervical ganglion (SCG)] of 10 adult guinea-pigs (Cavia porcellus) was investigated by latex injection and dissection techniques. Compared with other species, there were differences in the arterial supply of SCG and in the number of branches originating from these vessels. The SCG received arterial blood from branches of the ascending pharyngeal and internal carotid arteries. In addition, it was demonstrated that the superior thyroid and occipital arteries contribute rarely to the vascularization of the SCG.

Facial bones of long-legged buzzard (Buteo rufinus).

The department of National Parks and Protection of Wild Nature sent five (two males, three females) adult long-legged buzzards for investigation of their deaths to Ankara University Veterinary Faculty. Facial bones of buzzards were evaluated. Distinguishing facial features such as strong os premaxillare, cavum nasale filled with spider webbing-like structures, prominent os prefrontalis and processes, H-shaped paraglossum were determined. In this study, we investigated the anatomic properties of facial bones in long-legged buzzard. We also aimed to identify the data using these bones in order to separate different bird species.

First description and morphology of haemal nodes in piglets (Sus scrofa domestica).

In this study, the presence of haemal nodes, previously recognised especially in ruminants, was determined for the first time in piglets. The morphology of haemal nodes located in the abdominal cavity of seven piglets was studied by gross inspection and by histological methods. Haemal nodes reddish in colour and oval or round in shape were observed on the thin branches originating from the caudal and cranial mesenteric arteries. These nodes, having connection only with blood vessels, were covered with a thin connective tissue capsule. The haemal nodes had a hilus at the entrance of which large blood vessels were seen. These blood vessels extended into the inside of the nodes through trabeculae. Afferent and efferent lymph vessels were not observed in the haemal nodes. The nodes contained many sinuses formed by reticular fibres and reticular cells and filled by red blood cells. In the haemal nodes, lymphocytic infiltration was more commonly seen than lymph follicles.

Macro anatomical investigations of the cranial cervical ganglion in domestic pig (Sus scrofa domesticus).

In this study, the left and right cranial cervical ganglia (ganglion cervicale craniale) of eight young (four male, four female) domestic pigs weighing around 70-80 kg were inspected macro anatomically. The cranial cervical ganglion (CCG) was found cranio-ventrally of the distal ganglion of the vagus nerve, medial of the jugular process extremity, ventral of the atlas, dorsal of the epiglottis base and medial of the common root (CR) established by the internal carotid and occipital arteries. The internal carotid nerve and jugular nerve ramified from the cranial part of CCG. The jugular nerve gave branches that merged with the vagus and glossopharyngeal nerves. Other nerve branches originating from the cranial part of the ganglion reached to the external carotid artery and CR. The internal carotid nerve varied among cadavers in number of branches (two to four). These branches did not travel along the side of the internal carotid artery. The central part of CCG gave thin nerve branches that reached to various anatomical structures including the first and second cervical nerves, wall of the pharynx, accessory nerve, hypoglossal nerve, vagus nerve, external carotid artery and CR. The caudal part of CCG gave nerve branches that merged with the vagus, cranial laryngeal nerves, and common carotid artery. The external carotid nerves, which were two or three in number, also originated from the caudal part of CCG. In conclusion, the nerves ramifying from CCG of the pig varied in number among cadavers. Compared with literature raised in other species, there are also differences in number of nerve branches and course pattern of these nerves.

Subgross investigation of vessels originating from arcus aortae in guinea-pig (Cavia porcellus).

The vessels that originate from the aortic arch were studied in 16 adult guinea-pigs. Two major vessels, the left subclavian artery and the brachiocephalic trunk, were easily identified as they were branching off from the aortic arch. The brachiocephalic trunk, at first branched off to the left common carotid artery and continued as a common trunk, which was then divided into the right subclavian artery and the right common carotid artery. The left subclavian artery branched off to the following vessels: the costacervical trunk, the internal thoracic artery, a common trunk from which the dorsal scapular artery and the vertebral artery originated, and the superficial cervical artery. The right subclavian artery branched off to the bronchoesophageal artery (in five cadavers), the caudal thyroid artery (in three cadavers) and the tracheal artery (in three cadavers) in addition to the above vessels. There were two vertebral arteries branching off to the right subclavian artery in all dissected cadavers. However, only 10 cadavers had two vertebral arteries originating from the left subclavian artery. The first vertebral artery originated from the common trunk, whereas the second vertebral artery arose from the dorsal scapular artery. The second vertebral artery entered the foramen transversarium of the seventh cervical vertebrae and anastomosed with the first vertebral artery just before entering the foramen transversarium of the sixth cervical vertebrae.

N-(p-Chlorophenyl)-3,3-diphenyl-4-(beta-phenylstyryl)azetidin-2-one.

In the title compound, C(35)H(26)ClNO, the four-membered beta-lactam ring is essentially planar, with a maximum deviation of 0.012 (1) A for the N atom. The C-C bond lengths in the beta-lactam ring are 1.591 (2) and 1.549 (2) A. The two phenyl rings attached to the beta-lactam ring are nearly perpendicular to each other [83.2 (1) degrees ].