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Hançer Arslan G, Arslan M, Aran OT, Özberk EH, Baydan Aran M. Effectiveness of the sternocleidomastoid muscle contraction asymmetry and filter: cervical vestibular evoked myogenic potential. J Laryngol Otol 2024; 138:410-415. [PMID: 37581001 DOI: 10.1017/s0022215123001366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
OBJECTIVE This study aimed to determine the precautions that can be taken to increase the reliability of the vestibular evoked myogenic potentials test without being affected by the asymmetry of the sternocleidomastoid muscle and the issues that should be considered in the interpretation of vestibular evoked myogenic potential results if these precautions are not taken. METHOD Individuals with sternocleidomastoid muscle activity of less than 30 μV in cervical vestibular evoked myogenic potential testing and an asymmetry ratio of more than 0.35 were excluded. In our study, individuals were divided into different groups according to sternocleidomastoid muscle asymetry. RESULTS A total of 53 individuals were included in the study. Intergroup comparisons were made to determine the effect of electromyogram scaling and filter use on amplitude asymmetry ratio according to sternocleidomastoid muscle asymmetry. CONCLUSION Keeping the sternocleidomastoid muscle asymmetry not exceeding 10 μV maximises the reliability of cervical vestibular evoked myogenic potentials. As a result of our study, it can be concluded that in clinical applications the asymmetry should not exceed 20 μV.
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Affiliation(s)
- G Hançer Arslan
- Department of Audiometry, Vocational School of Health Services, Trakya University, Edirne, Turkey
| | - M Arslan
- Department of Audiology, Faculty of Health Sciences, Trakya University, Edirne, Turkey
| | - O T Aran
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - E H Özberk
- National Foundation for Educational Research, London, UK
| | - M Baydan Aran
- Department of Audiology, Faculty of Health Sciences, Ankara University, Ankara, Turkey
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Asghar M, Khan N, Fatima M, Arslan M, Davies SJ, ul Haque N. Feasibility of replacing fish oil with sunflower oil on the growth, body composition, fatty acid profile, antioxidant activity, stress response, and blood biomarkers of Labeo rohita. PLoS One 2024; 19:e0299195. [PMID: 38483972 PMCID: PMC10939255 DOI: 10.1371/journal.pone.0299195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 02/07/2024] [Indexed: 03/17/2024] Open
Abstract
A 90-day study was conducted to investigate the effects of substituting sunflower oil (SFO) for fish oil (FO) on various parameters in Labeo rohita (initial weight 18.21 ± 0.22 g). Five experimental diets with different levels of SFO (up to 7%) substitution for FO (0%, 25%, 50%, 75%, and 100%) were formulated, ensuring equal levels of nitrogen and lipids. The results indicated that even with 100% substitution of SFO with FO, there were no significant differences (P>0.05) were observed in growth performance. The survival rate (SR), hepato-somatic index (HSI), and viscero-somatic index (VSI) as well as whole-body composition were also nonsignificant by SFO substitution. However, the fatty acid profiles in both muscle and liver were influenced (P<0.05) by dietary substitution. Saturated fats (SFA) decreased, while monounsaturated fats (MUFA), and linoleic acid (LA) increased (P<0.05). On the other hand, the contribution of linolenic acid (ALA), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA) decreased (P<0.05) as the amount of SFO in the diet increased. Hematology parameters, including red blood cells (RBCs), hemoglobin (Hb), and hematocrit (Hct), were not affected. Globulin (GLO) levels decreased significantly (P<0.05), while alanine transaminase (ALT) and aspartate transaminase (AST) activity showed nonsignificant increases (P>0.05). Total protein (TP) increased (P<0.05) at 100% SFO inclusion in the diet, and albumin (ALB) levels increased (P<0.05) at 75% and 100% SFO inclusion in the diet. Cholesterol (CHOL), triacylglycerol (TG), and high-density lipids (HDL) were not significantly affected (P>0.05), while low-density lipids (LDL) were significantly increased (P<0.05) compared to the control group. Cortisol (CORT) and glucose (GLU) levels showed nonsignificant (P>0.05) changes. Superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and catalase (CAT) activities in the liver and serum were not significantly (P>0.05) affected, while malondialdehyde (MDA) status was significantly (P<0.05) reduced. In conclusion, the fatty acid profile of the muscle and liver of fish was modified by the diets, and FO can be substituted with SFO up to 100% for L. rohita, which is beneficial for growth and immunity while marinating the lipid contents in fish. Our study revealed that fully replacing fish oil with SFO shows promise in fully replacing FO without compromising the growth and overall health status of the fish.
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Affiliation(s)
- Muhammad Asghar
- Department of Fisheries and Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Noor Khan
- Department of Fisheries and Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Mahroze Fatima
- Department of Fisheries and Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Murat Arslan
- Department of Aquaculture, Faculty of Fisheries, Ataturk University, Erzurum, Turkey
| | - Simon John Davies
- Aquaculture Nutrition Research Unit, ANRU, Carna Research Station, School of Natural Sciences and Ryan Institute, University of Galway, Carna, Co., Galway, Ireland
| | - Naveed ul Haque
- Department of Animal Nutrition, University of Veterinary and Animal Sciences, Lahore, Pakistan
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Bano S, Khan N, Fatima M, Khalique A, Arslan M, Nazir S, Asghar M, Khizar A, Davies SJ, Wan AHL. Enhancing farmed striped catfish (Pangasianodon hypophthalmus) robustness through dietary β-glucan. PLoS One 2024; 19:e0298414. [PMID: 38483918 PMCID: PMC10939287 DOI: 10.1371/journal.pone.0298414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 01/24/2024] [Indexed: 03/17/2024] Open
Abstract
β-glucan is a well-documented feed additive for its potent immunostimulatory properties in many farmed fish species. This study examined how it can also be a promising growth promoter, modulate antioxidant enzyme activities, and act as an anti-stress agent in striped catfish (Pangasianodon hypophthalmus). A 12-week feeding experiment was untaken to determine the effects of dietary β-glucan supplementation at graded levels (0, 0.5, 1.0, and 1.5 g kg-1). Measured indicators suggest that a dietary inclusion level of 1.5 g kg-1 β-glucan gave the highest positive responses: weight gain (120.10 g fish-1), survival (98.30%), and lower FCR (1.70) (P<0.05). Whole body proximate analysis had only revealed that crude protein was significantly affected by the dietary inclusion of β-glucan (P<0.05), with the highest protein content (19.70%) being in fish that were fed with 1.5 g kg-1 β-glucan. Although other inclusion levels (i.e., 0.5 and 1 g kg-1) of β-glucan did not enhance body protein content (P>0.05). The assessment of fatty acid composition in muscle, liver, and adipose tissues showed modifications with the inclusion of β-glucan. Antioxidative-related enzyme activities (inc. catalase, glutathione peroxidase, and superoxide dismutase) that were measured in the liver had higher levels when fed with β-glucan inclusion diets (P<0.05). Following the feed trial, fish were subjected to crowding stress treatment. It was subsequently found that catfish fed with β-glucan-based diet groups had lower levels of blood stress-related indicators compared to the control group with no dietary β-glucan. The use of 1.5 g kg-1 of dietary β-glucan resulted in the lowest measured levels of cortisol (43.13 ng mL-1) and glucose (50.16 mg dL-1). This study has demonstrated that the dietary inclusion of β-glucan can have functional benefits beyond the immunological enhancements in striped catfish. Furthermore, its use can increase production levels and mitigate the stress associated with intensive farming practices.
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Affiliation(s)
- Sheeza Bano
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Noor Khan
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Mahroze Fatima
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Anjum Khalique
- Department of Animal Nutrition, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Murat Arslan
- Department of Aquaculture, Faculty of Fisheries, Ataturk University, Erzurum, Turkey
| | - Sadia Nazir
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Muhammad Asghar
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Ayesha Khizar
- Department of Fisheries & Aquaculture, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Simon John Davies
- Aquaculture and Nutrition Research Unit (ANRU), Carna Research Station, Ryan Institute and School of Natural Sciences, University of Galway, Carna, Connemara, Co. Galway, Ireland
| | - Alex H. L. Wan
- Aquaculture and Nutrition Research Unit (ANRU), Carna Research Station, Ryan Institute and School of Natural Sciences, University of Galway, Carna, Connemara, Co. Galway, Ireland
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Khan MT, Mehmood S, Arslan M, Azhar M, Asad T, Raziq F, Liaqat S, Gondal MA, Rauf M, Nazir S, Faran G, Abbasi F, Farooq Z, Iqbal ZM, Qumar M, Wadood F, Raja IH, Ali H, Abbas G, Bughio E, Magsi AS, Younas U, Arshad MA, Rehman MF. Organoleptic characteristics and compositional profile of meat of growing Japanese quail fed different levels of poultry byproducts compost. BRAZ J BIOL 2023; 83:e274040. [PMID: 37937627 DOI: 10.1590/1519-6984.274040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 07/28/2023] [Indexed: 11/09/2023] Open
Abstract
The poultry industry generates a lot of waste, including dead birds, manure, and poultry litter. Poultry waste should never be disposed of improperly because it can seriously harm the environment. The waste can be recycled as a feedstock for use in poultry feed by composting the litter and deceased birds. The compositional profile and organoleptic properties of the meat of growing Japanese quail were examined over the course of a 4-week trial to ascertain the effect of adding compost to the diet. In a completely randomized design (CRD), 1200 newly hatched quail chicks (Coturnix coturnix japonica) were divided into five treatment groups (diets with 0, 2.5, 5, 7.5, and 10% compost), each consisting of 40 birds with six replicates. The addition of compost to the diet had no noticeable effects on the organoleptic qualities of appearance, color, aroma, taste, texture, juiciness, tenderness, and acceptability (P>0.05). The compositional profile characteristics for chicks given compost at any level compared to chicks fed the control diet showed no differences (P>0.05). These findings suggest that the sensory characteristics and compositional profile of growing meat quails can be maintained when fed diets including up to 10% compost.
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Affiliation(s)
- M T Khan
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - S Mehmood
- University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Production, Lahore, Pakistan
| | - M Arslan
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - M Azhar
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - T Asad
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - F Raziq
- Livestock and Dairy Development Department (Extension), Khyber Pakhtunkhwa, Pakistan
| | - S Liaqat
- The Islamia University of Bahawalpur, Faculty of Veterinary and Animal Sciences, Bahawalpur, Pakistan
| | - M A Gondal
- Cholistan University of Veterinary and Animal Sciences, Institute of Continuing Education and Extension, Bahawalpur, Pakistan
| | - M Rauf
- Cholistan University of Veterinary and Animal Sciences, Faculty of Veterinary Science, Department of Pathology, Bahawalpur, Pakistan
| | - S Nazir
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Meat Technology, Bahawalpur, Pakistan
| | - G Faran
- The Islamia University of Bahawalpur, Institute of Biochemistry, Biotechnology and Bioinformatics, Department of Biochemistry, Bahawalpur, Pakistan
| | - F Abbasi
- The Islamia University of Bahawalpur, Department of Zoology, Faculty of Chemical and Biological Sciences, Bahawalpur, Pakistan
| | - Z Farooq
- Cholistan University of Veterinary and Animal Sciences, Department of Zoology, Faculty of Biosciences, Bahawalpur, Pakistan
| | - Z M Iqbal
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M Qumar
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Animal Nutrition, Bahawalpur, Pakistan
| | - F Wadood
- Cholistan University of Veterinary and Animal Sciences, Department of Theriogenology, Faculty of Veterinary Science, Bahawalpur, Pakistan
| | - I H Raja
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Animal Nutrition, Bahawalpur, Pakistan
| | - H Ali
- Office of Human and Animal Food Operation , Food Safety Officer, Springfield, IL, USA
| | - G Abbas
- Riphah College of Veterinary Sciences, Department of Animal Production, Lahore, Pakistan
| | - E Bughio
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Poultry Production, Sakrand, Pakistan
| | - A S Magsi
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Dairy Technology, Sakrand, Pakistan
| | - U Younas
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M A Arshad
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - M F Rehman
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
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Khan MT, Mehmood S, Asad T, Azhar M, Arslan M, Raziq F, Liaqat S, Raja IH, Gondal MA, Rauf M, Nazir S, Faran G, Nisa Q, Abbasi F, Farooq Z, Iqbal ZM, Qumar M, Wadood F, Abbas G, Bughio E, Magsi AS, Younas U, Arshad MA. Assessing effect of feeding poultry byproducts compost on organoleptic characteristics and compositional profile of meat of broiler chickens. BRAZ J BIOL 2023; 83:e275633. [PMID: 37937630 DOI: 10.1590/1519-6984.275633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 08/07/2023] [Indexed: 11/09/2023] Open
Abstract
Large amounts of waste, including dead birds, manure, and poultry litter, are produced by the poultry industry. Poultry waste should be disposed of properly to avoid major pollution and health risks. Composting litter and dead birds could be an option to recycle the waste and use in poultry feed. A study was conducted to investigate the effects of feeding composted poultry waste on the organoleptic qualities and compositional profile of the meat of broiler chickens. A total of 300 day-old broiler chicks (500-Cobb) were randomly allocated to five treatment groups replicated six times with 10 birds each, under a completely randomized design (CRD). Five iso-caloric and iso-nitrogenous diets including composted poultry byproducts at concentrations of 0, 2.5, 5, 7.5, and 10% were fed ad libitum to the birds from day 0 to day 35. The sensory grading and meat composition profile of 500 Cobb broiler chickens were tested at 35 days of age. The findings showed that there were no variations in the sensory profiles of the meat from birds given various diets (P>0.05). Although the results were somewhat lower for the chicks fed compost-containing diets than for the control group, this difference was deemed to be insignificant (P>0.05). Similarly, there were no variations in the compositional profile values of the meat between meat from birds fed various diets (P>0.05). These findings imply that broiler chickens may be raised on diets containing up to 10% poultry byproduct compost without any negative impacts on the meat's sensory quality or composition. Additionally, using compost into broiler diets may help to lower the cost of feed.
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Affiliation(s)
- M T Khan
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - S Mehmood
- University of Veterinary and Animal Sciences, Department of Poultry Production, Faculty of Animal Production and Technology, Lahore, Pakistan
| | - T Asad
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - M Azhar
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - M Arslan
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - F Raziq
- Livestock and Dairy Development Department (Extension), Khyber Pakhtunkhwa, Pakistan
| | - S Liaqat
- The Islamia University of Bahawalpur, Faculty of Veterinary and Animal Sciences, Bahawalpur, Pakistan
| | - I H Raja
- Cholistan University of Veterinary and Animal Sciences, Department of Animal Nutrition, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - M A Gondal
- Cholistan University of Veterinary and Animal Sciences, Institute of Continuing Education and Extension, Bahawalpur, Pakistan
| | - M Rauf
- Cholistan University of Veterinary and Animal Sciences, Faculty of Veterinary Science, Department of Pathology, Bahawalpur, Pakistan
| | - S Nazir
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Meat Technology, Bahawalpur, Pakistan
| | - G Faran
- The Islamia University of Bahawalpur, Department of Biochemistry, Institute of Biochemistry, Biotechnology and Bioinformatics, Bahawalpur, Pakistan
| | - Q Nisa
- University of Veterinary and Animal Sciences, Department of Pathology, Lahore, Pakistan
| | - F Abbasi
- The Islamia University of Bahawalpur, Faculty of Chemical and Biological Sciences, Department of Zoology, Bahawalpur, Pakistan
| | - Z Farooq
- Cholistan University of Veterinary and Animal Sciences, Faculty of Biosciences, Department of Zoology, Bahawalpur, Pakistan
| | - Z M Iqbal
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M Qumar
- Cholistan University of Veterinary and Animal Sciences, Department of Animal Nutrition, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - F Wadood
- Cholistan University of Veterinary and Animal Sciences, Faculty of Veterinary Science, Department of Theriogenology, Bahawalpur, Pakistan
| | - G Abbas
- Riphah College of Veterinary Sciences, Department of Animal Production, Lahore, Pakistan
| | - E Bughio
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Poultry Production, Sakrand, Pakistan
| | - A S Magsi
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Dairy Technology, Sakrand, Pakistan
| | - U Younas
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M A Arshad
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
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Özkarakaş H, Tekgül ZT, Arslan M, Bilgin MU, Eker HE, Okur O, Çalık B. Does Maintaining a Targeted Abdominal Perfusion Pressure Reduce Renal Damage in Patients with Septic Shock?: A Randomized, Controlled, and Open-label Study. Balkan Med J 2023; 40:415-421. [PMID: 37721127 PMCID: PMC10613750 DOI: 10.4274/balkanmedj.galenos.2023.2023-5-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 08/12/2023] [Indexed: 09/19/2023] Open
Abstract
Background Increased intra-abdominal pressure (IAP) in patients admitted to the intensive care unit leads to reduced abdominal perfusion pressure (APP), causing circulatory insufficiency and organ failure. Aims To investigate the effect of maintaining a targeted APP on renal injury and the effect of increased IAP on the mortality rate in patients with septic shock. Study Design Randomized, controlled, open-label study. Methods A total of 72 patients were randomly divided into two groups (MAP65 or APP60). The MAP target for patients in the MAP65 group (n = 36) was 65 mmHg according to the Surviving Sepsis Guidelines. In the APP60 group (n = 36), the target APP was set to > 60 mmHg. The glomerular filtration rate (GFR), inotrope consumption, and IAP were recorded daily. The need for renal replacement therapy, decrease in GFR, and 30- and 90-day mortality rates were compared between the two groups. Results In both the groups, the IAP was statistically similar (p = 0.458). The decreased in GFR was similar in both groups during the first 2 days. From day 3, there was a more statistically significant rapid decline in GFR in the MAP65 group than in the APP60 group. The GFR p-values on the 3rd, 4th, and 5th days were 0.040, 0.043, and 0.032, respectively. Eight patients (22.2%) in the MAP65 group and three patients (8.3%) in the APP group required renal replacement therapy (p = 0.101). The 30-day mortality rates in the MAP65 and APP60 groups were 61.1%, and 47.7%, respectively (p = 0.237). The 90-day mortality rates in the MAP65 and APP60 groups were 66.7% and 66.7%, respectively (p = 1). Conclusion Setting an APP target limited the reduction in GFR. The mortality rates were similar in the two groups and there was no difference in the rate of end-stage renal failure between the groups.
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Affiliation(s)
- Hüseyin Özkarakaş
- Clinic of Intensive Care, University of Health Sciences Türkiye, İzmir Bozyaka Trainig and Research Hospital, İzmir, Türkiye
| | - Zeki Tuncel Tekgül
- Clinic of Intensive Care, University of Health Sciences Türkiye, İzmir Bozyaka Trainig and Research Hospital, İzmir, Türkiye
| | - Murat Arslan
- Clinic of Intensive Care, University of Health Sciences Türkiye, İzmir Bozyaka Trainig and Research Hospital, İzmir, Türkiye
| | - Mehmet Uğur Bilgin
- Clinic of Anesthesiology and Reanimation, Helios Klinikum Schleswig, Teaching Hospital for the University of Kiel, Kiel, Germany
| | - Hazal Ezgi Eker
- Clinic of Anesthesiology and Reanimation, İzmir Bayındır State Hospital, İzmir, Türkiye
| | - Onur Okur
- Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Prof. Dr. Cemil Taşcıoğlu Training and Research Hospital, İstanbul, Türkiye
| | - Bülent Çalık
- Clinic of Intensive Care, University of Health Sciences Türkiye, İzmir Bozyaka Trainig and Research Hospital, İzmir, Türkiye
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Anıl H, Yıldız A, Güzel A, Akdemir S, Karamık K, Arslan M. Comparison of Posterior and Antero-Lateral Renal Tumors in Retroperitoneal Laparoscopic Partial Nephrectomy: A Propensity Score Matching Analysis. J Kidney Cancer VHL 2023; 10:9-16. [PMID: 37457633 PMCID: PMC10338714 DOI: 10.15586/jkcvhl.v10i3.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 06/19/2023] [Indexed: 07/18/2023] Open
Abstract
This study aimed to compare the antero-lateral and posterior localized renal masses in laparoscopic partial nephrectomy with the retroperitoneal approach in terms of operative, functional, and oncological outcomes. Patients who underwent retroperitoneal laparoscopic partial nephrectomy by a single surgeon between January 2013 and January 2021 were included in the study. A one-to-one propensity score matching (PSM) analysis was conducted to obtain two balanced groups. The patients were divided into two groups as posterior and antero-lateral according to the localization of the mass. A total of 239 patients were included in the PSM analysis, with 65 patients allocated to each group. The mean operative time was 79.2 ± 11.2 min in the posterior group, while it was 90.0 ± 11.6 min in the antero-lateral group (P < 0.001). Warm ischemia time was 15.9 ± 2.4 min in the posterior group and 18.6 ± 2.7 min in the antero-lateral group (P < 0.001). The median decrease in eGFR at 1 year was 4.8 (IQR, 2.9-6.9) mL/min in the posterior group and 5.0 (IQR, 2.8-11) mL/min in the antero-lateral group (P = 0.219). The warm ischemia time and clamping technique were found to be significant factors for predicting eGFR change after surgery (β:0.693, 95% CI: 0.39-0.99, P < 0.001; β:6.43, 95% CI: 1.1-11.7, P = 0.017, respectively). We report that retroperitoneal laparoscopic partial nephrectomy provided longer warm -ischemia and operative time for antero-lateral renal masses than posterior masses. However, long-term oncological and functional results were similar for both localizations.
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Affiliation(s)
- Hakan Anıl
- Department of Urology, Adana Seyhan State Hospital, Adana, Turkey
| | - Ali Yıldız
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
| | - Ahmet Güzel
- Department of Urology, Aydın State Hospital, Aydın, Turkey
| | - Serkan Akdemir
- Department of Urology, Private Tınaztepe Hospital, İzmir, Turkey
| | - Kaan Karamık
- Department of Urology, Korkuteli State Hospital, Antalya, Turkey
| | - Murat Arslan
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
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Anıl H, Güzel A, Yıldız A, Akdemir S, Karamık K, Arslan M. Predictive factors affecting morcellation efficiency in holmium laser enucleation of the prostate. Investig Clin Urol 2023; 64:388-394. [PMID: 37417564 DOI: 10.4111/icu.20220361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 01/23/2023] [Accepted: 04/03/2023] [Indexed: 07/08/2023] Open
Abstract
PURPOSE To determine the factors affecting morcellation efficiency in holmium laser enucleation of the prostate (HoLEP) surgery. MATERIALS AND METHODS Patients who underwent HoLEP surgery by a single surgeon between 2018 and 2022 were included in the study. Our primary outcome of interest in this study was morcellation efficiency. The effect of preoperative and perioperative variables on morcellation efficiency was evaluated with linear regression analysis. RESULTS A total of 410 patients were included in the study. The mean morcellation efficiency was 6.95±1.70 g/min. Univariable and multivariable linear regression analysis was performed to identify factors affecting morcellation efficiency. Presence of the "beach ball" effect (small, round prostatic tissue fragments that are fibrotic and difficult to morcellate), the learning curve, resectoscope sheath type, prostate-specific antigen (PSA) density, morcellated tissue weight, and the presence of prostate calcification were found to be independent predictive factors (β=-1.107, 95% CI: -1.59 to -0.55, p<0.001; β=-0.514, 95% CI: -0.85 to -0.17, p=0.003; β=-0.394, 95% CI: -0.65 to -0.13, p=0.003; β=-0.302, 95% CI: -0.59 to -0.09, p=0.043; β=0.062, 95% CI: 0.05 to 0.06, p<0.001; β=-0.329, 95% CI: -0.55 to -0.10, p=0.004; respectively). CONCLUSIONS This study reports that presence of the beach ball effect, the learning curve, small resectoscope sheath, PSA density, and presence of prostate calcification negatively affect morcellation efficiency. On the contrary, morcellated tissue weight has a linear relationship with morcellation efficiency.
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Affiliation(s)
- Hakan Anıl
- Department of Urology, Adana Seyhan State Hospital, Adana, Türkiye.
| | - Ahmet Güzel
- Department of Urology, Aydın State Hospital, Aydın, Türkiye
| | - Ali Yıldız
- Department of Urology, Okan University Hospital, Istanbul Okan University, Faculty of Medicine, Istanbul, Türkiye
| | - Serkan Akdemir
- Department of Urology, Private Tınaztepe Hospital, İzmir, Türkiye
| | - Kaan Karamık
- Department of Urology, Kemer State Hospital, Antalya, Türkiye
| | - Murat Arslan
- Department of Urology, Okan University Hospital, Istanbul Okan University, Faculty of Medicine, Istanbul, Türkiye
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9
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Kankaynar M, Ceyhun HA, Baran A, Sulukan E, Yildirim S, Bolat İ, Toraman E, Nadaroglu H, Arslan M, Ceyhun SB. The anxiolytic and circadian regulatory effect of agarwood water extract and its effects on the next generation; zebrafish modelling. Comp Biochem Physiol C Toxicol Pharmacol 2023; 269:109621. [PMID: 37023882 DOI: 10.1016/j.cbpc.2023.109621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 03/24/2023] [Accepted: 03/29/2023] [Indexed: 04/08/2023]
Abstract
Anxiety is one of the most common psychiatric symptoms worldwide. Studies show that there is an increase of >25 % in the prevalence of anxiety with the onset of the COVID-19 pandemic process. Due to the various side effects of drugs used in the treatment of anxiety, interest in natural therapeutic alternatives has increased. Agarwood is a plant used as a natural therapeutic due to its sedative effect as well as many effects such as antioxidant and antibacterial. Although there are many studies with agarwood, comprehensive behavioral studies, including the next generation, are limited. In present study, zebrafish fed with diets containing 10-100 ppm water extract of Agarwood (AWE) for 3 and 8 weeks were exposed to predator stress using Oscar fish in order to test the potential anxiolytic effect of AWE. At the end of the period, zebrafish exposed to predator stress were subjected to anxiety and circadian tests. Histopathological evaluation and immunofluorescent analyzes of BDNF and 5HT4-R proteins were performed in the brains of zebrafish. The effects on the next generation were examined by taking offspring from zebrafish. According to the results, it was observed that AWE had a healing effect on anxiety-like behaviors and on the disrupted circadian rhythm triggered by the predatory stress it applied, especially in the 8 weeks 100 ppm group. Interestingly, it was also found to be effective in offspring of zebrafish fed diets with AWE.
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Affiliation(s)
- Meryem Kankaynar
- Aquatic Biotechnology Laboratory, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Department of Nanoscience and Nanoengineering, Graduate School of Natural and Applied Science, Atatürk University, Erzurum, Turkey
| | - Hacer Akgül Ceyhun
- Department of Psychiatry, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Alper Baran
- Aquatic Biotechnology Laboratory, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Department of Food Quality Control and Analysis, Technical Vocational School, Atatürk University, Erzurum, Turkey
| | - Ekrem Sulukan
- Aquatic Biotechnology Laboratory, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Aquaculture Department, Fisheries Faculty, Atatürk University, Erzurum, Turkey
| | - Serkan Yildirim
- Department of Pathology, Faculty of Veterinary, Atatürk University, Erzurum, Turkey
| | - İsmail Bolat
- Department of Pathology, Faculty of Veterinary, Atatürk University, Erzurum, Turkey
| | - Emine Toraman
- Department of Molecular Biology and Genetics, Faculty of Science, Atatürk University, Erzurum, Turkey
| | - Hayrunnisa Nadaroglu
- Department of Nanoscience and Nanoengineering, Graduate School of Natural and Applied Science, Atatürk University, Erzurum, Turkey; Department of Food Technology, Technical Vocational School, Atatürk University, Erzurum, Turkey
| | - Murat Arslan
- Aquaculture Department, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Department of Aquaculture Engineering, Graduate School of Natural and Applied Science, Atatürk University, Erzurum, Turkey
| | - Saltuk Buğrahan Ceyhun
- Aquatic Biotechnology Laboratory, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Department of Nanoscience and Nanoengineering, Graduate School of Natural and Applied Science, Atatürk University, Erzurum, Turkey; Aquaculture Department, Fisheries Faculty, Atatürk University, Erzurum, Turkey; Department of Aquaculture Engineering, Graduate School of Natural and Applied Science, Atatürk University, Erzurum, Turkey.
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10
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Aykanat IC, Balci M, Kilinckaya MF, Akdemir S, Senel C, Guzel O, Aslan Y, Turhan T, Arslan M, Guneri C, Tuncel A. Effect of the Ureteral Access Sheath Size on Acute Kidney Injury Biomarkers in Retrograde Intrarenal Surgery: A Prospective, Randomized Study. Urol Int 2023:1-6. [PMID: 36944319 DOI: 10.1159/000529688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 02/06/2023] [Indexed: 03/23/2023]
Abstract
INTRODUCTION The aim of the study was to investigate the effect of the diameter of the ureteral access sheath (UAS) used during RIRS on kidney injury based on acute kidney injury (AKI) biomarkers. METHODS This prospectively randomized controlled study included a total of 125 patients divided into three groups: group 1 (n = 52) in which a 12/14 Fr UAS was used, group 2 (n = 52) in which a 9.5/11.5 Fr UAS was used, and group 3 (n = 21) that was designed as the control group with no urogenital disease history. Urine samples were collected preoperatively and at the postoperative second and 24th hours after surgery and analyzed for AKI using the urinary kidney injury molecule-1 (uKIM-1), N-acetyl-ß-D-glucosaminidase, and neutrophil gelatinase-associated lipocain biomarkers. RESULTS In group 1, there was no statistical change in any of the three AKI biomarkers at the postoperative second or 24th hour compared to the preoperative period. In group 2, the values of all three AKI biomarkers were statistically significantly increased at the postoperative second and 24th hours compared to the preoperative period while no statistical difference was observed between the two postoperative evaluation times. At the postoperative second hour, the uKIM-1 value was statistically significantly higher in group 2 compared to group 1 (p = 0.043). CONCLUSIONS The results of our study showed that AKI was not observed in RIRS performed with a 12/14 Fr UAS while the use of a 9.5/11.5 Fr UAS resulted in AKI according to the assessment of the related biomarkers.
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Affiliation(s)
| | - Melih Balci
- Department of Urology, University of Health Sciences School of Medicine, Ankara State Hospital, Ankara, Turkey
| | | | - Serkan Akdemir
- Tinaztepe Galen Hospital, Department of Urology, Izmir, Turkey
| | - Cagdas Senel
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | - Ozer Guzel
- Department of Urology, University of Health Sciences School of Medicine, Ankara State Hospital, Ankara, Turkey
| | - Yilmaz Aslan
- Department of Urology, University of Health Sciences School of Medicine, Ankara State Hospital, Ankara, Turkey
| | - Turan Turhan
- Department of Biochemistry, University of Health Sciences School of Medicine, Ankara State Hospital, Ankara, Turkey
| | - Murat Arslan
- Tinaztepe Galen Hospital, Department of Urology, Izmir, Turkey
| | - Cagri Guneri
- Liv Hospital Ankara, Department of Urology, Ankara, Turkey
| | - Altug Tuncel
- Department of Urology, University of Health Sciences School of Medicine, Ankara State Hospital, Ankara, Turkey
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11
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Sorgun MH, Özaydin Aksun Z, Erdoğan S, Arslan M, Gursoy Coruh A, Kuru Oz D, Özyüncü N, Peker E, Tulunay Kaya C, Yavuz K, Erdoğan M, Togay Işıkay C. The Effects of "Transient Ischemic Attack Unit" on Early Diagnosis and Treatment of Stroke and Other Vascular Events. tnd 2022. [DOI: 10.4274/tnd.2022.80932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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12
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Yildiz A, Keskin S, Arslan M. Retroperitoneal laparoscopic partial nephrectomy: A comparison of posterior and anterior renal masses. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00124-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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13
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Guzel A, Anıl H, Yildiz A, Arslan M. Comparison of functional outcomes of On-clamp versus Off-clamp method in retroperitoneal laparoscopic partial nephrectomy. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00121-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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14
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Ozkarakas H, Arslan M, Bilgin MU, Ari A, Ertem NA, Tekgul ZT. Success of the Cytokine Absorption Therapies in COVID-19 Patients Diagnosed with Cytokine Release Syndrome. J Coll Physicians Surg Pak 2022; 32:451-454. [PMID: 35330516 DOI: 10.29271/jcpsp.2022.04.451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 01/21/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To compare the effects of cytokine absorption therapy with a resin-based cytokine absorption cartridge to tocilizumab treatment in critically ill COVID-19 patients diagnosed with cytokine release syndrome (CRS). STUDY DESIGN A descriptive study. PLACE AND DURATION OF STUDY University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey from April 2020 to April 2021. METHODOLOGY Twenty-four intensive care unit (ICU) patients were included in the study. Inclusion criteria were diagnosis of severe COVID-19, diagnosis of CRS and age of older than 18 years. Exclusion criteria were pregnancy, malignancy, prior COVID-19 vaccination, procalcitonin levels higher than 2 ng/ml and life-threatening comorbidities before ICU admission. Twelve patients received tocilizumab and the other 12 patients received cytokine absorption therapy. The groups were compared for clinical outcomes and inflammatory markers (CRP, fibrinogen, ferritin, D-dimer). RESULTS Inflammatory markers showed smilar changes with both treatments, mostly toward improvement, on the same post-treatment days. The mortality rate was 58% (seven patients) in the cytokine absorption group and 50% (six patients) in the tocilizumab group (p = 0.682). CONCLUSION It was found that the cytokine absorption therapy reduces inflammatory mediators in intubated and critically ill Covid-19 patients similar to tocilizumab treatment, and both treatments have comparable clinical outcomes. KEY WORDS SARS-CoV-2, Cytokine release syndrome, Chemokines, Absorption, Tocilizumab.
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Affiliation(s)
- Huseyin Ozkarakas
- Department of Anesthesiology and Reanimation, Intensive Care Unit, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Murat Arslan
- Department of Anesthesiology and Reanimation, Intensive Care Unit, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Mehmet Ugur Bilgin
- Department of Anesthesiology and Reanimation, Intensive Care Unit, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Alpay Ari
- Department of Infectious Diseases, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Nuri Arda Ertem
- Department of Anesthesiology and Reanimation, Intensive Care Unit, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Zeki Tuncel Tekgul
- Department of Anesthesiology and Reanimation, Intensive Care Unit, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
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15
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Yildiz A, Akdemir S, Anil H, Guzel A, Arslan M. Comparison of Perioperative Outcomes and Urethral Complications Between Using 24-French and 26-French Resectoscope Sheaths in Holmium Laser Enucleation of the Prostate. Haseki 2022. [DOI: 10.4274/haseki.galenos.2022.8104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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16
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Tuncel A, Aykanat C, Akdemir S, Oksay T, Arslan M, Başboga S, Aslan Y, Balci M, Guzel O. Comparison of holmium laser enucleation with bipolar transurethral enucleation of the prostate in patients with benign prostatic hyperplasia: Results of a multicentre study. Andrologia 2022; 54:e14420. [PMID: 35285532 DOI: 10.1111/and.14420] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 02/28/2022] [Accepted: 03/03/2022] [Indexed: 01/04/2023] Open
Abstract
To assess the efficacy and morbidity of the holmium laser enucleation of the prostate and bipolar transurethral enucleation of the prostate in patients with benign prostatic hyperplasia. The study included 60 (55%) and 49 (45%) patients who underwent laser and bipolar enucleation of the prostate respectively. According to the perioperative data, except for length of hospital stay and enucleated prostate weight, all the remaining parameters were similar between the groups. There were significant differences between the preoperative and the postoperative third and 12th month voiding parameters in both groups. In the laser group, the maximum urine flow rate value was better than the bipolar group at the postoperative third and 12th months. However, we did not find any statistically significant difference between the groups in terms of the serum prostate-specific antigen level, International Prostate Symptom Score and postvoid residual urine volume at the postoperative third and 12th months. Our results show that both laser and bipolar techniques are effective minimally invasive surgical treatment options for men with benign prostatic hyperplasia. When compared to bipolar technique, laser technique provides shorter hospital stay, more prostatic tissue enucleation and better maximum urine flow rate values.
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Affiliation(s)
- Altug Tuncel
- Department of Urology, Ankara State Hospital, University of Health Sciences School of Medicine, Ankara, Turkey
| | - Can Aykanat
- Department of Urology, Ministry of Health, Yozgat State Hospital, Yozgat, Turkey
| | - Serkan Akdemir
- Department of Urology, Tinaztepe Health Group Hospital, Izmir, Turkey
| | - Taylan Oksay
- Department of Urology, Suleyman Demirel University School of Medicine, Isparta, Turkey
| | - Murat Arslan
- Department of Urology, Okan University School of Medicine, Istanbul, Turkey
| | - Serdar Başboga
- Department of Urology, Ankara State Hospital, University of Health Sciences School of Medicine, Ankara, Turkey
| | - Yilmaz Aslan
- Department of Urology, Ankara State Hospital, University of Health Sciences School of Medicine, Ankara, Turkey
| | - Melih Balci
- Department of Urology, Ankara State Hospital, University of Health Sciences School of Medicine, Ankara, Turkey
| | - Ozer Guzel
- Department of Urology, Ankara State Hospital, University of Health Sciences School of Medicine, Ankara, Turkey
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17
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Shafiq M, Khan MT, Rehman MS, Raziq F, Bughio E, Farooq Z, Gondal MA, Rauf M, Liaqat S, Sarwar F, Azad A, Asad T, Arslan M, Azhar M, Kamal RMA, Shakir M. Assessing growth performance, morphometric traits, meat chemical composition and cholesterol content in four phenotypes of naked neck chicken. Poult Sci 2022; 101:101667. [PMID: 35131639 PMCID: PMC8883059 DOI: 10.1016/j.psj.2021.101667] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 12/07/2021] [Accepted: 12/09/2021] [Indexed: 11/18/2022] Open
Abstract
The present study was conducted to assess the growth performance, morphometric traits, muscle chemical composition and cholesterol content in four phenotypes of naked neck chicken (black, white-black, light brown and dark brown). A total of 320-day-old chicks, 80 from each phenotype, were randomly stratified into 20 replicates (16/replicate), according to a completely randomized design. The results showed higher final body weight, weight gain, and better FCR in both light brown and dark brown phenotypes whereas time of gains was found to be greater in dark brown phenotype. Keel length and shank circumference were greater in dark brown whereas wing spread was found to be higher in light brown phenotype. Drumstick circumference and body length did not show any significant differences (P > 0.05) across the phenotypes. Dry matter was found to be higher in white black, crude protein in black, white black and dark brown, moisture in light brown, and cholesterol content in black whereas ether extract and ash content were found to be greater in black and white black phenotypes. In conclusion, both light brown and dark brown phenotypes showed superior growth performance and morphometric traits. Similarly, from a health point of view, the dark brown and light brown phenotypes seem superior because their cholesterol content was low. Thus, it is strongly recommended that there should be a conscious effort to improve economically important traits of the light and dark brown birds to be used as dual-purpose slow growing chicken, especially in developing countries.
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Affiliation(s)
- M Shafiq
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
| | - M T Khan
- Department of Poultry Science, Faculty of Animal Production and Technology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan.
| | - M S Rehman
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
| | - F Raziq
- Department of Livestock and Dairy Development (Extension), KPK, Pakistan
| | - E Bughio
- Department of Poultry Production, Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Sakrand 67210, Pakistan
| | - Z Farooq
- Department of Zoology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - M A Gondal
- Institute of Continuing Education and Extension, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - M Rauf
- Department of Pathology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - S Liaqat
- Faculty of Veterinary and Animal Sciences, The Islamia University of Bahawalpur 63100, Pakistan
| | - F Sarwar
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
| | - A Azad
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
| | - T Asad
- Department of Poultry Science, Faculty of Animal Production and Technology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - M Arslan
- Department of Poultry Science, Faculty of Animal Production and Technology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - M Azhar
- Department of Poultry Science, Faculty of Animal Production and Technology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur 63100, Pakistan
| | - R M A Kamal
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
| | - M Shakir
- Livestock and Dairy Development Department, Poultry Research Institute, Rawalpindi 46300, Pakistan
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18
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Arslan M, Boersma E, Dedic A, Dubois EA. Development and internal validation of a practical model to identify observe patients of the European Society of Cardiology 0/1-hour algorithm at low risk of a coronary diagnosis. Cardiology 2022; 147:251-260. [PMID: 35196652 PMCID: PMC9393837 DOI: 10.1159/000523718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 01/25/2022] [Indexed: 11/19/2022]
Abstract
Background Patients with suspected non-ST-elevation acute coronary syndrome (NSTE-ACS) assigned to the “observe” zone of the European Society of Cardiology (ESC) 0/1-h algorithm form a heterogeneous group known to have an unfavourable prognosis. We aim to elucidate the clinical characteristics and management of these patients and generate a model that is predictive of a coronary diagnosis at index visit to the emergency department (ED). Methods A retrospective observational cohort study, including adult patients presenting to the ED with suspected NSTE-ACS assigned to the “observe” zone of the ESC 0/1-h algorithm. Multivariable logistic regression analysis was performed for the prediction of a coronary diagnosis. Internal validation was performed using bootstrap resampling. Results A total of 750 patients were included; mean age 66 ± 13 years, 35% women, 50% with prior history of coronary artery disease (CAD). In 372 (50%) patients a diagnosis was established within 30 days of index presentation, of whom 169 (45%) patients had a coronary-related event. Multivariable logistic regression analysis generated a 12-point risk score incorporating 5 variables for the prediction of such event, including type of angina, chest pain occurring during inspiration, prior history of CAD, ST-segment deviation on electrocardiogram, and estimated glomerular filtration rate <60. The final model had an optimism-corrected c-statistic of 0.78 (95% confidence interval [CI]: 0.74–0.82). A score <6 ruled out a coronary event in 276 (37%) patients, with a sensitivity and negative predictive value of 90% (95% CI: 84–94) and 94% (91–96), respectively. Conclusion A score <6 identifies patients at low risk of a coronary diagnosis and can guide clinical decision-making in choosing the appropriate diagnostic test.
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Affiliation(s)
- Murat Arslan
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
- *Murat Arslan,
| | - Eric Boersma
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Admir Dedic
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Eric A. Dubois
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Intensive Care, Erasmus University Medical Centre, Rotterdam, The Netherlands
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19
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Ofori‐Mensah S, Yıldız M, Arslan M, Ünal Şengör GF, Kahraman T, Gelibolu S, Kaplan Ç. Replacement of Fish Oil by ALA‐Rich Vegetable Oils in Diets of Gilthead Sea Bream: Effect on Final Eating Quality. EUR J LIPID SCI TECH 2022. [DOI: 10.1002/ejlt.202100251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Samuel Ofori‐Mensah
- Department of Aquaculture and Fish Diseases Institute of Graduate Studies in Science and Technology Istanbul University Esnaf Hastanesi 4. Kat Fatih İstanbul 34116 Turkey
| | - Mustafa Yıldız
- Department of Aquaculture and Fish Diseases Faculty of Aquatic Sciences Istanbul University Ordu Cad. No: 8 Laleli Istanbul 34134 Turkey
| | - Murat Arslan
- Department of Aquaculture Faculty of Fisheries Atatürk University Erzurum 25240 Turkey
| | - Gülgün F. Ünal Şengör
- Department of Fisheries Seafood Processing Technology Faculty of Aquatic Sciences Istanbul University Ordu Cad. No: 8 Laleli Istanbul 34134 Turkey
| | - Tolga Kahraman
- Department of Food Hygiene and Technology Faculty of Veterinary Medicine Istanbul University Avcılar Istanbul Turkey
| | - Serap Gelibolu
- Mediterranean Fisheries Research Production and Training Institute Demre Antalya Turkey
| | - Çağlayan Kaplan
- Mediterranean Fisheries Research Production and Training Institute Demre Antalya Turkey
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Lopes LR, Losi MA, Sheikh N, Laroche C, Charron P, Gimeno J, Kaski JP, Maggioni AP, Tavazzi L, Arbustini E, Brito D, Celutkiene J, Hagege A, Linhart A, Mogensen J, Garcia-Pinilla JM, Ripoll-Vera T, Seggewiss H, Villacorta E, Caforio A, Elliott PM, Beleslin B, Budaj A, Chioncel O, Dagres N, Danchin N, Erlinge D, Emberson J, Glikson M, Gray A, Kayikcioglu M, Maggioni A, Nagy KV, Nedoshivin A, Petronio AS, Hesselink JR, Wallentin L, Zeymer U, Caforio A, Blanes JRG, Charron P, Elliott P, Kaski JP, Maggioni AP, Tavazzi L, Tendera M, Komissarova S, Chakova N, Niyazova S, Linhart A, Kuchynka P, Palecek T, Podzimkova J, Fikrle M, Nemecek E, Bundgaard H, Tfelt-Hansen J, Theilade J, Thune JJ, Axelsson A, Mogensen J, Henriksen F, Hey T, Nielsen SK, Videbaek L, Andreasen S, Arnsted H, Saad A, Ali M, Lommi J, Helio T, Nieminen MS, Dubourg O, Mansencal N, Arslan M, Tsieu VS, Damy T, Guellich A, Guendouz S, Tissot CM, Lamine A, Rappeneau S, Hagege A, Desnos M, Bachet A, Hamzaoui M, Charron P, Isnard R, Legrand L, Maupain C, Gandjbakhch E, Kerneis M, Pruny JF, Bauer A, Pfeiffer B, Felix SB, Dorr M, Kaczmarek S, Lehnert K, Pedersen AL, Beug D, Bruder M, Böhm M, Kindermann I, Linicus Y, Werner C, Neurath B, Schild-Ungerbuehler M, Seggewiss H, Pfeiffer B, Neugebauer A, McKeown P, Muir A, McOsker J, Jardine T, Divine G, Elliott P, Lorenzini M, Watkinson O, Wicks E, Iqbal H, Mohiddin S, O'Mahony C, Sekri N, Carr-White G, Bueser T, Rajani R, Clack L, Damm J, Jones S, Sanchez-Vidal R, Smith M, Walters T, Wilson K, Rosmini S, Anastasakis A, Ritsatos K, Vlagkouli V, Forster T, Sepp R, Borbas J, Nagy V, Tringer A, Kakonyi K, Szabo LA, Maleki M, Bezanjani FN, Amin A, Naderi N, Parsaee M, Taghavi S, Ghadrdoost B, Jafari S, Khoshavi M, Rapezzi C, Biagini E, Corsini A, Gagliardi C, Graziosi M, Longhi S, Milandri A, Ragni L, Palmieri S, Olivotto I, Arretini A, Castelli G, Cecchi F, Fornaro A, Tomberli B, Spirito P, Devoto E, Bella PD, Maccabelli G, Sala S, Guarracini F, Peretto G, Russo MG, Calabro R, Pacileo G, Limongelli G, Masarone D, Pazzanese V, Rea A, Rubino M, Tramonte S, Valente F, Caiazza M, Cirillo A, Del Giorno G, Esposito A, Gravino R, Marrazzo T, Trimarco B, Losi MA, Di Nardo C, Giamundo A, Musella F, Pacelli F, Scatteia A, Canciello G, Caforio A, Iliceto S, Calore C, Leoni L, Marra MP, Rigato I, Tarantini G, Schiavo A, Testolina M, Arbustini E, Di Toro A, Giuliani LP, Serio A, Fedele F, Frustaci A, Alfarano M, Chimenti C, Drago F, Baban A, Calò L, Lanzillo C, Martino A, Uguccioni M, Zachara E, Halasz G, Re F, Sinagra G, Carriere C, Merlo M, Ramani F, Kavoliuniene A, Krivickiene A, Tamuleviciute-Prasciene E, Viezelis M, Celutkiene J, Balkeviciene L, Laukyte M, Paleviciute E, Pinto Y, Wilde A, Asselbergs FW, Sammani A, Van Der Heijden J, Van Laake L, De Jonge N, Hassink R, Kirkels JH, Ajuluchukwu J, Olusegun-Joseph A, Ekure E, Mizia-Stec K, Tendera M, Czekaj A, Sikora-Puz A, Skoczynska A, Wybraniec M, Rubis P, Dziewiecka E, Wisniowska-Smialek S, Bilinska Z, Chmielewski P, Foss-Nieradko B, Michalak E, Stepien-Wojno M, Mazek B, Lopes LR, Almeida AR, Cruz I, Gomes AC, Pereira AR, Brito D, Madeira H, Francisco AR, Menezes M, Moldovan O, Guimaraes TO, Silva D, Ginghina C, Jurcut R, Mursa A, Popescu BA, Apetrei E, Militaru S, Coman IM, Frigy A, Fogarasi Z, Kocsis I, Szabo IA, Fehervari L, Nikitin I, Resnik E, Komissarova M, Lazarev V, Shebzukhova M, Ustyuzhanin D, Blagova O, Alieva I, Kulikova V, Lutokhina Y, Pavlenko E, Varionchik N, Ristic AD, Seferovic PM, Veljic I, Zivkovic I, Milinkovic I, Pavlovic A, Radovanovic G, Simeunovic D, Zdravkovic M, Aleksic M, Djokic J, Hinic S, Klasnja S, Mircetic K, Monserrat L, Fernandez X, Garcia-Giustiniani D, Larrañaga JM, Ortiz-Genga M, Barriales-Villa R, Martinez-Veira C, Veira E, Cequier A, Salazar-Mendiguchia J, Manito N, Gonzalez J, Fernández-Avilés F, Medrano C, Yotti R, Cuenca S, Espinosa MA, Mendez I, Zatarain E, Alvarez R, Pavia PG, Briceno A, Cobo-Marcos M, Dominguez F, Galvan EDT, Pinilla JMG, Abdeselam-Mohamed N, Lopez-Garrido MA, Hidalgo LM, Ortega-Jimenez MV, Mezcua AR, Guijarro-Contreras A, Gomez-Garcia D, Robles-Mezcua M, Blanes JRG, Castro FJ, Esparza CM, Molina MS, García MS, Cuenca DL, de Mallorca P, Ripoll-Vera T, Alvarez J, Nunez J, Gomez Y, Fernandez PLS, Villacorta E, Avila C, Bravo L, Diaz-Pelaez E, Gallego-Delgado M, Garcia-Cuenllas L, Plata B, Lopez-Haldon JE, Pena Pena ML, Perez EMC, Zorio E, Arnau MA, Sanz J, Marques-Sule E. Association between common cardiovascular risk factors and clinical phenotype in patients with hypertrophic cardiomyopathy from the European Society of Cardiology (ESC) EurObservational Research Programme (EORP) Cardiomyopathy/Myocarditis registry. Eur Heart J Qual Care Clin Outcomes 2022; 9:42-53. [PMID: 35138368 PMCID: PMC9745665 DOI: 10.1093/ehjqcco/qcac006] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 02/02/2022] [Accepted: 02/04/2022] [Indexed: 12/15/2022]
Abstract
AIMS The interaction between common cardiovascular risk factors (CVRF) and hypertrophic cardiomyopathy (HCM) is poorly studied. We sought to explore the relation between CVRF and the clinical characteristics of patients with HCM enrolled in the EURObservational Research Programme (EORP) Cardiomyopathy registry. METHODS AND RESULTS 1739 patients with HCM were studied. The relation between hypertension (HT), diabetes (DM), body mass index (BMI), and clinical traits was analysed. Analyses were stratified according to the presence or absence of a pathogenic variant in a sarcomere gene. The prevalence of HT, DM, and obesity (Ob) was 37, 10, and 21%, respectively. HT, DM, and Ob were associated with older age (P<0.001), less family history of HCM (HT and DM P<0.001), higher New York Heart Association (NYHA) class (P<0.001), atrial fibrillation (HT and DM P<0.001; Ob p = 0.03) and LV (left ventricular) diastolic dysfunction (HT and Ob P<0.001; DM P = 0.003). Stroke was more frequent in HT (P<0.001) and mutation-positive patients with DM (P = 0.02). HT and Ob were associated with higher provocable LV outflow tract gradients (HT P<0.001, Ob P = 0.036). LV hypertrophy was more severe in Ob (P = 0.018). HT and Ob were independently associated with NYHA class (OR 1.419, P = 0.017 and OR 1.584, P = 0.004, respectively). Other associations, including a higher proportion of females in HT and of systolic dysfunction in HT and Ob, were observed only in mutation-positive patients. CONCLUSION Common CVRF are associated with a more severe HCM phenotype, suggesting a proactive management of CVRF should be promoted. An interaction between genotype and CVRF was observed for some traits.
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Affiliation(s)
- Luis R Lopes
- Corresponding author. Tel: +447765109343, , Twitter handle: @LuisRLopesDr
| | - Maria-Angela Losi
- Department of Advanced Biomedical Sciences, University Federico II, Corso Umberto I, 40, Naples 80138, Italy
| | - Nabeel Sheikh
- Department of Cardiology and Division of Cardiovascular Sciences, Guy's and St. Thomas’ Hospitals and King's College London, Strand, London WC2R 2LS, UK
| | - Cécile Laroche
- EORP, European Society of Cardiology, Sophia-Antipolis, France
| | | | | | - Juan P Kaski
- Institute of Cardiovascular Science, University College London, Gower St, London WC1E 6BT, UK,Centre for Inherited Cardiovascular Diseases, Great Ormond Street Hospital, London WC1N 3JH, UK
| | - Aldo P Maggioni
- EORP, European Society of Cardiology, Sophia-Antipolis, France,Maria Cecilia Hospital, GVM Care&Research, Via Corriera, 1, Cotignola 48033 RA, Italy
| | - Luigi Tavazzi
- Maria Cecilia Hospital, GVM Care&Research, Via Corriera, 1, Cotignola 48033 RA, Italy
| | | | - Dulce Brito
- Serviço de Cardiologia, Centro Hospitalar Universitário Lisboa Norte, Lisbon 1169-050, Portugal,CCUL, Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz MB, Lisbon 1649-028, Portugal
| | - Jelena Celutkiene
- Clinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Universiteto g. 3, Vilnius 01513, Lithuania,State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | | | - Ales Linhart
- 2nd Department of Internal Cardiovascular Medicine, General University Hospital and First Medical Faculty, Charles University, Opletalova 38, Prague 110 00, Czech Republic
| | - Jens Mogensen
- Department of Cardiology, Odense University Hospital, J. B. Winsløws Vej 4, Odense 5000, Denmark
| | - José Manuel Garcia-Pinilla
- Unidad de Insuficiencia Cardiaca y Cardiopatías Familiares. Servicio de Cardiología. Hospital Universitario Virgen de la Victoria. IBIMA. Málaga and Ciber-Cardiovascular. Instituto de Salud Carlos III. Madrid, Spain
| | - Tomas Ripoll-Vera
- Inherited Cardiovascular Disease Unit Son Llatzer University Hospital & IdISBa, Palma de Mallorca, Spain
| | - Hubert Seggewiss
- Universitätsklinikum Würzburg, Deutsches Zentrum für Herzinsuffizienz (DZHI), Comprehensive Heart Failure Center (CHFC), Am Schwarzenberg 15, Haus 15A, 97078 Wurzburg, Germany
| | - Eduardo Villacorta
- Member of National Centers of expertise for familial cardiopathies (CSUR), Cardiology Department, University Hospital of Salamanca. Institute of Biomedical Research of Salamanca (IBSAL), CIBERCV, Salamanca, Spain
| | | | - Perry M Elliott
- Institute of Cardiovascular Science, University College London, Gower St, London WC1E 6BT, UK,St. Bartholomew's Hospital, Barts Heart Centre, Barts Health NHS Trust, Whitechapel Rd, London E1 1BB, UK
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Turan K, Yayla ME, Arslan M, Tokgoz Yilmaz S, Okatan E, Turgay M, Meco C. Audiological Involvement in Patients with Systemic Sclerosis. Mod Rheumatol 2021; 32:1094-1101. [PMID: 34850918 DOI: 10.1093/mr/roab107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 08/14/2021] [Accepted: 11/08/2021] [Indexed: 11/14/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate hearing loss in patients diagnosed with SSc (systemic sclerosis) and to investigate the relation between hearing loss, subtypes of the disease, its duration and clinical findings, and antibody positivity. METHODS The study included 47 patients with SSc and 44 healthy controls. Audiometric, tympanometric and otoacoustic emission measurements were applied to both groups. RESULTS The evaluation of the participants medical history showed that among the patients with SSc, 19.1% experienced ear fullness, 27.7% experienced vertigo and 36.2% experienced tinnitus. Hearing loss was detected in 23.4% of the patients with SSc. The corresponding result was 4.3% in the control group with a statistically significant difference (p = 0.001). Transient evoked otoacoustic emission (TEOAE) amplitude values were significantly lower in the patients both ears with SSc than the control group (p < 0.005). Duration of disease was significantly longer and DLCO (diffusing capacity of the lungs for carbon monoxide) values were significantly higher in the patients with SSc and sensorineural hearing loss. CONCLUSIONS The present study found that the incidence of hearing loss was significantly higher in the study group than healthy control group. In addition to other organ involvements, cochlear involvement occurs in these patients, and further studies are required.
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Affiliation(s)
- Kubra Turan
- Department of Internal Medicine, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Mucteba Enes Yayla
- Department of Rheumatology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Murat Arslan
- Department of Otolaryngology, Speech Hearing and Balance Disorders Center, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Suna Tokgoz Yilmaz
- Department of Otolaryngology, Speech Hearing and Balance Disorders Center, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ercan Okatan
- Department of Rheumatology, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey
| | - Murat Turgay
- Department of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Cem Meco
- Department of Otolaryngology, Head and Neck Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.,Department of Otorhinolaryngology Head and Neck Surgery, Salzburg Paracelsus Medical University, Salzburg, Austria
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Arslan M, Schaap J, Van Gorsel B, Budde RP, Bekkers SC, Van Cauteren YJ, Damman P, Habets J, Dubois EA, Dedic A. Coronary CT angiography for improved assessment of patients with acute chest pain and low-range positive high-sensitivity troponins: study protocol for a prospective, observational, multicentre study (COURSE trial). BMJ Open 2021; 11:e049349. [PMID: 34663657 PMCID: PMC8524275 DOI: 10.1136/bmjopen-2021-049349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION Current evaluation of patients suspected of a non-ST-elevation acute coronary syndrome (NSTE-ACS) involves the use of algorithms that incorporate clinical information, electrocardiogram (ECG) and high-sensitivity cardiac troponins (hs-troponins). While primarily designed to rule out NSTE-ACS safely, these algorithms can also be used for rule in of NSTE-ACS in some patients. Still, in a substantial number of patients, these algorithms do not provide a conclusive work-up. These patients often present with an atypical clinical profile and low-range positive hs-troponin values without a characteristic rise or fall pattern. They represent a heterogeneous group of patients with various underlying conditions; only a fraction (30%-40%) will eventually be diagnosed with a myocardial infarction. Uncertainty exists about the optimal diagnostic strategy and their management depends on the clinical perspective of the treating physician ranging from direct discharge to admission for invasive coronary angiography. Coronary CT angiography (CCTA) is a non-invasive test that has been shown to be safe, fast and reliable in the evaluation of coronary artery disease. In this study, we will determine the usefulness of CCTA in patients with acute chest pain and low-range positive hs-troponin values. METHODS AND ANALYSIS A prospective, double-blind, observational, multicentre study conducted in the Netherlands. Patients aged 30-80 years presenting to the emergency department with acute chest pain and a suspicion of NSTE-ACS, a normal or non-diagnostic ECG and low-range positive hs-troponins will be scheduled to undergo CCTA. The primary outcome is the diagnostic accuracy of CCTA for the diagnosis of NSTE-ACS at discharge, in terms of sensitivity and negative predictive value. ETHICS AND DISSEMINATION This study was approved by the Medical Research Ethics Committee of Erasmus Medical Center in Rotterdam, the Netherlands (registration number MEC-2017-506). Written informed consent to participate will be obtained from all participants. This study's findings will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER ClinicalTrials.gov (NCT03129659).
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Affiliation(s)
- Murat Arslan
- Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
- Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
| | | | | | - Ricardo Pj Budde
- Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
- Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
| | | | | | - Peter Damman
- Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Jesse Habets
- Radiology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Eric A Dubois
- Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
- Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Admir Dedic
- Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
- Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
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Arslan M, Schaap J, Moelker A, Rood PPM, Boersma E, Nieman K, Dubois EA, Dedic A. Coronary CT angiography for suspected acute coronary syndrome: sex-associated differences. Neth Heart J 2021; 29:518-524. [PMID: 34357558 PMCID: PMC8455783 DOI: 10.1007/s12471-021-01607-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2021] [Indexed: 12/12/2022] Open
Abstract
Aim The optimal diagnostic test in the work-up of suspected acute coronary syndrome (ACS) may differ between men and women. The aim of this study was to compare sex-associated differences between using a diagnostic strategy including early coronary computed tomography angiography (CCTA) and standard of care (SOC). Methods In total, 500 patients who presented with symptoms suggestive of ACS at the emergency department were randomised between a diagnostic strategy supplemented with early CCTA and SOC. Results Women were generally older than men (mean ± standard deviation 56 ± 10 vs 53 ± 10 years, p < 0.01) and were less often admitted to hospital (33% vs 44%, p = 0.02). Obstructive coronary artery disease on CCTA (> 50% luminal narrowing) was less frequently seen in women (14% vs 26%, p = 0.02), and ACS was diagnosed less often in women (5% vs 10%, p = 0.03). Women underwent less outpatient testing when early CCTA was used in the emergency department evaluation of suspected ACS (p = 0.008). Conclusion Women had a lower incidence of obstructive CAD on CCTA and were less often admitted to hospital than men. They were subjected to less outpatient testing when early CCTA was used in the emergency department evaluation of suspected ACS. Supplementary Information The online version of this article (10.1007/s12471-021-01607-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- M Arslan
- Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands.
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.
| | - J Schaap
- Department of Cardiology, Amphia Hospital, Breda, The Netherlands
| | - A Moelker
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | - P P M Rood
- Department of Emergency Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | - E Boersma
- Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | - K Nieman
- Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
- Departments of Cardiovascular Medicine and Radiology, Stanford University School of Medicine and Cardiovascular Institute, Stanford, CA, USA
| | - E A Dubois
- Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands
- Department of Intensive Care, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | - A Dedic
- Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
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Arslan M, Schaap J, Rood PP, Nieman K, Budde RP, van Dalen BM, Attrach M, Dubois EA, Dedic A. Undetectable High-Sensitivity Troponin T as a Gatekeeper for Coronary Computed Tomography Angiography in Patients Suspected of Acute Coronary Syndrome. Cardiology 2021; 146:713-719. [PMID: 34148041 PMCID: PMC8743909 DOI: 10.1159/000517897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 05/06/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The aim of this study was to characterize the safety and efficiency of a strategy employing the limit of detection (LoD) of high-sensitivity troponin T (hs-TnT) as a gatekeeper for coronary computed tomography angiography (CCTA) in suspected acute coronary syndrome (ACS) patients in the emergency department (ED). METHODS We included suspected ACS patients who underwent CCTA and were evaluated with hs-TnT. Patients were categorized as below the LoD and at or above the LoD. The primary outcome was 30-day major adverse cardiac events (MACEs), defined as all-cause mortality, ACS, or coronary revascularization. RESULTS The study population consisted of 177 patients (mean age 55 ± 10 years, 50.3% women), and 16 (9.0%) patients reached the primary outcome. None of the patients died, while 13 had an adjudicated diagnosis of ACS, and 3 underwent elective coronary revascularization. There were 77 patients (44%) with an hs-TnT value below the LoD (MACEs; n = 1 [1.3%]) and 100 (56%) with at or above the LoD levels (MACEs; n = 15 [15%]). None of 67 patients with an hs-TnT value below the LoD and <50% stenosis on CCTA experienced MACEs. Out of the 10 patients with an hs-TnT value below the LoD and ≥50% stenosis on CCTA, 1 patient underwent elective percutaneous coronary revascularization. In patients with an hs-TnT value at or above the LoD, 74 patients had <50% stenosis on CCTA, and 2 patients (3%) were diagnosed with myocardial infarction without obstructive coronary artery disease confirmed on invasive angiography. Thirteen (50%) patients with an hs-TnT value at or above the LoD and ≥50% stenosis on CCTA experienced MACEs (11 ACS and 2 elective percutaneous coronary revascularizations). CONCLUSION Our findings support that implementing the LoD of hs-TnT as a gatekeeper may reduce the need for CCTA in suspected ACS patients in the ED.
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Affiliation(s)
- Murat Arslan
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Jeroen Schaap
- Department of Cardiology, Amphia Ziekenhuis, Breda, The Netherlands
| | - Pleunie P.M. Rood
- Department of Emergency Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Koen Nieman
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Ricardo P.J. Budde
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Bas M. van Dalen
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Cardiology, Franciscus Gasthuis, Rotterdam, The Netherlands
| | - Mohamed Attrach
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Eric A. Dubois
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Intensive Care, Erasmus University Medical Centre, Rotterdam, The Netherlands
| | - Admir Dedic
- Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
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Yıldız A, Anıl H, Akdemir S, Aksaray EE, Ateş M, Arslan M. Extraperitoneal Laparoscopic Versus Transperitoneal Robot-Assisted Laparoscopic Approaches for Extended Pelvic Lymph Node Dissection During Radical Prostatectomy. J Laparoendosc Adv Surg Tech A 2021; 32:355-359. [PMID: 33960836 DOI: 10.1089/lap.2021.0174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: We aim to directly compare the feasibility and safety of extended pelvic lymph node dissection (PLND) during transperitoneal robotic-assisted radical prostatectomy (Tp-RARP) and extraperitoneal laparoscopic radical prostatectomy (Ep-LRP). Materials and Methods: We retrospectively identified the prospectively maintained database records of 162 patients diagnosed with prostate cancer (PC) who underwent Ep-LRP or Tp-RARP with extended PLND. Patients with risk of nodal metastases over 5% according to Briganti nomogram received extended PLND. All data analyzed in this study were based on the documentation in our PC database including age, body mass index, Charlson comorbidity index score, preoperative prostate-specific antigen, history of abdominal surgery, biopsy Gleason score, total operation time, postoperative pelvic drainage time, pathological results, lymph node yield (LNY), percentage lymph node involvement (%LNI), and perioperative complications. Patients were followed up for biochemical recurrence in the postoperative period. Results: Eighty-two of the 162 enrolled patients were in group 1 (Ep-LRP+PLND) and 80 were in group 2 (Tp-RARP+PLND). There were no statistically significant differences between the groups regarding preoperative demographics and clinical characteristics. The median LNY was 17 (range 8-27) and 17.5 (range 10-29) in groups 1 and 2, respectively, and no statistically significant difference was found. There was no significant difference between the groups in terms of biochemical recurrence-free survival with mean follow-up of 44.8 months after radical surgery. Conclusion: Our results support the view that extended PLND through the Ep-LRP approach is a feasible and safe procedure without compromising oncological efficacy compared with a similar template attempted during Tp-RARP. Clinical Trial Registration number is 01/21-2.
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Affiliation(s)
- Ali Yıldız
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
| | - Hakan Anıl
- Department of Urology, Adana Seyhan State Hospital, Adana, Turkey
| | - Serkan Akdemir
- Department of Urology, Tınaztepe Galen Hospital, İzmir, Turkey
| | - Eren Erdi Aksaray
- Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
| | - Mutlu Ateş
- Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
| | - Murat Arslan
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
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Yıldız A, Akdemir S, Anıl H, Arslan M. Safety and Efficacy of High-Powered Holmium Laser Enucleation of the Prostate within 1-3 Weeks Following Prostate Biopsy. Urol Int 2021; 105:852-857. [PMID: 33780959 DOI: 10.1159/000514422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 01/09/2021] [Indexed: 11/19/2022]
Abstract
PURPOSE We aim to document the feasibility, perioperative safety, and the 12-month efficacy of holmium laser enucleation of the prostate (HoLEP) within 1-3 weeks following transrectal ultrasound (TRUS)-guided prostate biopsy. METHODS Data of the patients who underwent HoLEP following TRUS-guided prostate biopsy between March 2017 and July 2020 were analyzed retrospectively. Patients were divided into 2 groups: group 1 had undergone HoLEP in the early period after TRUS-guided prostate biopsy, while group 2 patients were biopsy-naive ("control group"). All patients were assessed preoperatively by a physical examination with the digital rectal examination; time from biopsy to HoLEP; measurement of Qmax, postvoiding residual volume, and prostate volume by transabdominal ultrasonography; serum prostate-specific antigen level, the International Prostate Symptom Score (IPSS); the International Index of Erectile Function-5 questionnaire; and urine analysis. The patients were reevaluated at 3- and 12-month follow-up. Perioperative and postoperative complications were documented according to the modified Clavien-Dindo System. RESULTS Group 1 comprised 66 patients with a mean age of 67.3 ± 6.7 (range, 53-86) years, and group 2 comprised 114 patients with a mean age of 69.4 ± 9.4 (range, 36-95) years. The operation, enucleation, and morcellation efficiencies were not statistically significant between the groups. Preoperative Qmax and IPSS values were significantly improved after HoLEP surgery in the 3rd and 12th months in all patients. Our complication rates were similar in both groups. CONCLUSION High-powered HoLEP using 140 W energy within 1-3 weeks following TRUS-guided prostate biopsy is a feasible procedure with high enucleation efficiency, low perioperative morbidity, and excellent functional outcomes. A recent TRUS-guided prostate biopsy is not a contraindication to HoLEP.
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Affiliation(s)
- Ali Yıldız
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
| | - Serkan Akdemir
- Department of Urology, Private Tinaztepe Hospital, Izmir, Turkey
| | - Hakan Anıl
- Department of Urology, Adana City Training and Research Hospital, Adana, Turkey
| | - Murat Arslan
- Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey
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Yıldız A, Akdemir S, Anıl H, Arslan M. Watt matters: Safety and efficacy of using a 140-W high-powered holmium laser for enucleation of the prostate (HoLEP). Turk J Urol 2021; 47:131-136. [PMID: 33819443 DOI: 10.5152/tud.2021.20558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 02/01/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study aimed to assess the perioperative and the 12-month efficacy and safety of 140 W high-powered holmium laser for enucleation of the prostate (HP-HoLEP) for the treatment of benign prostatic obstruction. MATERIAL AND METHODS The data of 540 patients who underwent HoLEP by a single surgeon were analyzed retrospectively. Preoperative evaluation included a physical examination with a digital rectal examination, measurement of maximum urinary flow rate (Qmax), postvoid residual volume (PVR) and prostate volume by transabdominal ultrasonography, serum prostate-specific antigen (PSA), international prostate symptom score (I-PSS) and international index of erectile function-5 (IIEF-5) questionnaires, and urine analysis. Morcellation, enucleation, and operation efficiencies were calculated with the resected weight divided by morcellation, enucleation, and operative times, respectively. The patients were reassessed at 1, 3, 6, and 12 months after surgery by I-PSS, IIEF-5, Qmax, PSA, and the occurrence of complications. RESULTS The mean operative time was 65.2±20.9 minutes. The mean enucleation time and efficiency were 53±15.1 minutes and 1.72±0.4 g/min, respectively. The mean morcellation time and efficiency were 12.3±15.1 minutes and 7.4±3.2 g/min respectively. Clavien grade 1 complications were observed in 102 (18.9%) patients, Clavien grade 2 complications in 20 (3.7%) patients, and Clavien grade 3b complications in 23 (5.4%) patients. I-PSS, Qmax, and IIEF-5 at postoperative 1, 3, 6, and 12 months were significantly better than baseline results. CONCLUSION Our study demonstrated that 140 W HP-HoLEP can be performed with high enucleation efficiency, low perioperative and postoperative complication rates, and excellent functional results.
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Affiliation(s)
- Ali Yıldız
- Department of Urology, Okan University Hospital, Faculty of Medicine, İstanbul, Turkey
| | - Serkan Akdemir
- Department of Urology, Private Tınaztepe Hospital, İzmir, Turkey
| | - Hakan Anıl
- Department of Urology, Adana City Training and Research Hospital, Adana, Turkey
| | - Murat Arslan
- Department of Urology, Okan University Hospital, Faculty of Medicine, İstanbul, Turkey
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Gunseren KO, Akdemir S, Çiçek MC, Yıldız A, Arslan M, Yavaşcaoğlu İ, Vuruskan H. Holmium Laser Enucleation, Laparoscopic Simple Prostatectomy, or Open Prostatectomy: The Role of the Prostate Volume in terms of Operation Time. Urol Int 2020; 105:285-290. [PMID: 33227804 DOI: 10.1159/000511637] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 09/11/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION To compare the prostate removal speeds of 3 enucleation techniques and to evaluate how the operating times change depending on the prostate volume. METHODS Medical records of patients with 80-g or larger prostates who underwent holmium laser enucleation of the prostate (HoLEP), laparoscopic simple prostatectomy (LSP), or open prostatectomy (OP) due to medical treatment-resistant benign prostatic hyperplasia (BPH) were reviewed retrospectively. Patients were classified into 3 groups according to the surgical procedure. Age, BMI, prostate weights, total operation times, prostate removal speeds, hospitalization and catheterization days, complications, and improvements on functional outcomes in the 3rd month of follow-up were compared between groups. In addition, the association between prostate weight and total operation time was analyzed for each group. RESULTS HoLEP, LSP, and OP groups consisted of 60, 61, and 37 patients, respectively. While HoLEP was similar to OP in terms of prostate removal speed and total operation time, LSP was statistically slower and required more operation time than HoLEP and OP. There was a relationship between prostate weight and total operation time only in HoLEP. CONCLUSION LSP, one of the enucleation techniques in the treatment of large prostates, was slower and required more operation time than HoLEP and OP in terms of total operation time and prostate removal speed. HoLEP seems going to be the fastest candidate for the rapid removal of large prostates in the future.
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Affiliation(s)
- Kadir Omur Gunseren
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey,
| | | | - Mehmet Cagatay Çiçek
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Ali Yıldız
- Department of Urology, Faculty of Medicine, Istanbul Okan University, Istanbul, Turkey
| | - Murat Arslan
- Department of Urology, Faculty of Medicine, Istanbul Okan University, Istanbul, Turkey
| | - İsmet Yavaşcaoğlu
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Hakan Vuruskan
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
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Arslan M, Li H, Lee H, Mikula M, Ahn S. Calretinin-Positive Mucosal Innervation (C-mi) as a Potential Biomarker to Predict Fibrosis in Crohn’s Disease (CD): A Pilot Study. Am J Clin Pathol 2020. [DOI: 10.1093/ajcp/aqaa161.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction/Objective
There is no reliable biomarker to predict the degree of fibrosis in CD. Quantification of C-mi has been used as a surrogate for enteric neural structures in Hirschsprung disease. The quantity of C-mi at the proximal margin may correlate with the degree of fibrosis in resected CD.
Methods
Ileocolonic resection cases for 20 CD and 3 trauma (control) were retrieved. Cases with severe mucosal inflammation at the margins were excluded. The proximal and distal margin sections were subjected to calretinin immunohistochemistry. Random mucosal images were captured from scanned slides (x200, JPEG), submucosa was edited out, and C-mi was calculated by image processing and analysis. rC-mi was defined as the mean C-mi of proximal margin normalized by that of distal margin. Cases with rC-mi less than the mean rC-mi + 2 SD of the controls were excluded. The maximum thicknesses of submucosa and muscularis propria were measured at the most stenotic site, microscopically. Pearson’s correlation test and Student’s t-test were performed to correlate the parameters and compare the means, respectively.
Results
A total of 216 images were captured (mean 9.3 images per case; range 7 to 10). The mean rC-mi of CD (1.26) was greater than the controls (mean 0.43) (p<0.05). The mean rC-mi + 2 SD of the control group was 0.91, thus 2 CD cases were excluded from final analysis. The rC-mi of CD showed an inverse relationship with maximum submucosal thickness (mean 3.4 mm, range 0.2 to 5.9) at the site of stenosis (r=-0.47; p<0.05), but not with muscularis propria.
Conclusion
The rC-mi of CD was inversely correlated with submucosal fibrosis. Altered stromal integrity, impaired intercellular signaling, progressive reduction and loss of telocytes induced by submucosal fibrosis may reduce the regenerative capacity of enteric neural structures in CD. Therefore, a decreasing trend in rC-mi may predict fibrosis progression in CD.
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Affiliation(s)
- M Arslan
- Pathology and Laboratory medicine, Albany Medical Center, Albany, New York, UNITED STATES
| | - H Li
- Pathology and Laboratory medicine, Albany Medical Center, Albany, New York, UNITED STATES
| | - H Lee
- Pathology and Laboratory medicine, Albany Medical Center, Albany, New York, UNITED STATES
| | - M Mikula
- Albany Medical College, Albany, New York, UNITED STATES
| | - S Ahn
- GE Global Research, Niskayuna, New York, UNITED STATES
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Li H, Arslan M, Fu Z, Lee H, Mikula M. Family History of Crohn’s Disease (CD) May Be a Risk Factor for Developing de novo CD following Ileal Pouch Anal Anastomosis (IPAA) for Ulcerative Colitis (UC). Am J Clin Pathol 2020. [DOI: 10.1093/ajcp/aqaa161.328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction/Objective
A subset of patients with an established diagnosis of UC develops signs of CD (de novo CD) following IPAA. While the etiology and risk factors of de novo CD remain largely unknown, preliminary studies have shown controversial results regarding family history of inflammatory bowel disease (IBD) and smoking history.
Methods
Patients that underwent IPAA for UC, with at least 1 year of follow-up, were identified (n=161; 1996 to 2018). We retrospectively reviewed the electronic medical records. Patients that were diagnosed with de novo CD during the follow-up period were further identified. Smoking history and family history of IBD were evaluated. Chi square test was performed to compare the frequencies. Odds ratio (OR) and 95% confidence intervals (CIs) were estimated by logistic regression model. P<0.05 was considered statistically significant.
Results
29 de novo CD were identified. At the time of proctocolectomy, the family history of IBD and smoking history was documented in 152 UC patients including 27 that subsequently developed de novo CD. 23 of 152 had a family history of IBD (12 UC, 9 CD and 2 IBD, NOS). 19/129 (14.7%) UC patients without a family history of any type of IBD, 4/9 (44.4%) with a family history of CD, and 4/12 (33.3%) with a family history of UC developed de novo CD. Patients with a family history of CD were more likely to develop de novo CD post IPAA than those without a family history of any type of IBD (OR 4.63, 95% CI 1.14-18.82, p=0.03). Family history of UC did not correlate with development of de novo CD (OR 2.90; 95% CI 0.79-10.57, p=0.108). At the time of proctocoletomy, 11 were current smokers, 25 were former smokers, and 116 never smoked. In de novo CD group, there were 4/27 (14.8 %) former smokers and 23/27 (85.2 %) never smokers. No de novo CD patient was current smoker. In the UC group that remained as UC following IPAA, 11/125 (8.8%) were current smokers, 21/125 (16.8 %) former smokers, and 93/125 (74.4 %) were never smokers. Current smoking status was not associated with development of de novo CD (p = 0.214).
Conclusion
Family history of CD may be a risk factor for developing de novo CD following IPAA for UC. Current smoking status was not associated with development of de novo CD following IPAA for UC.
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Affiliation(s)
- H Li
- Pathology, Albany Medical Center, Albany, New York, UNITED STATES
| | - M Arslan
- Pathology, Albany Medical Center, Albany, New York, UNITED STATES
| | - Z Fu
- Pathology, Albany Medical Center, Albany, New York, UNITED STATES
| | - H Lee
- Pathology, Albany Medical Center, Albany, New York, UNITED STATES
| | - M Mikula
- Albany Medical College, Albany, New York, UNITED STATES
- E. Lee, Department of Surgery, Albany Medical Center, Albany, New York, UNITED STATES
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Yıldız M, Ofori-Mensah S, Arslan M, Ekici A, Yamaner G, Baltacı MA, Tacer Ş, Korkmaz F. Effects of different dietary oils on egg quality and reproductive performance in rainbow trout Oncorhynchus mykiss. Anim Reprod Sci 2020; 221:106545. [PMID: 32861109 DOI: 10.1016/j.anireprosci.2020.106545] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Revised: 07/09/2020] [Accepted: 07/10/2020] [Indexed: 11/24/2022]
Abstract
The study was conducted to evaluate effects of different dietary oils on egg quality and reproductive performance in rainbow trout. Broodfish (≈ 870 g) were fed four iso-nitrogenous and iso-lipidic diets differing in lipid sources: fish oil (FO), linseed oil (LO) and sesame oil (SO) as well as a commercial trout diet (CD) for about 5 months prior to spawning. Growth performance did not differ among the trout in the treatment groups. Mean diameter, volume and weight of eggs did not differ among the dietary treatments. Absolute fecundity, relative fecundity and gonadosomatic index were not affected by dietary treatment. A sub-set of eggs from females fed the experimental diets were fertilized to assess the reproductive performance of broodfish. When diets were fed, devoid of fish oil, fertilization rates were 89.2 ± 5.8 and 92.1 ± 4.9 %, eyeing rates were 87.3 ± 5.3 and 84.1 ± 4.4 % and hatching rates were 81.2 ± 4.3 and 78.3 ± 3.4 % in LO and SO fed fish, respectively. Fatty acid content of the eggs from broodstocks with a different nutritional history was affected by the dietary lipid sources. Eicosapentaenoic acid (EPA), arachidonic acid (ARA), and docosahexaenoic acid (DHA) concentrations in females fed vegetable oil based diets were greater than the dietary concentrations. Overall, results from the present study indicate there can be inclusion of LO or SO as dietary lipid sources without compromising egg quality and reproductive performance. Furthermore, there is efficient bioconversion of 18C fatty acids to 20-22 C fatty acids in rainbow trout.
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Affiliation(s)
- Mustafa Yıldız
- Istanbul University, Faculty of Aquatic Sciences, Department of Aquaculture and Fish Diseases, Ordu Cad., No: 200, 34470, Laleli-Fatih, Istanbul, Turkey.
| | - Samuel Ofori-Mensah
- Istanbul University, Institute of Graduate Studies in Science and Engineering, Department of Aquaculture and Fish Diseases, Vezneciler-Fatih, Istanbul, Turkey
| | - Murat Arslan
- Ataturk University, Faculty of Fisheries, Department of Aquaculture, 25240, Erzurum, Turkey
| | - Aygül Ekici
- Istanbul University, Faculty of Aquatic Sciences, Department of Aquaculture and Fish Diseases, Ordu Cad., No: 200, 34470, Laleli-Fatih, Istanbul, Turkey
| | - Güneş Yamaner
- Istanbul University, Faculty of Aquatic Sciences, Department of Aquaculture and Fish Diseases, Ordu Cad., No: 200, 34470, Laleli-Fatih, Istanbul, Turkey
| | - M Ali Baltacı
- Istanbul University, Faculty of Aquatic Sciences, Sapanca Inland Waters Research Center, Kurtköy, Sapanca, Adapazari, Turkey
| | - Şeyda Tacer
- Ataturk University, Faculty of Fisheries, Department of Aquaculture, 25240, Erzurum, Turkey
| | - Fatih Korkmaz
- Ataturk University, Faculty of Fisheries, Department of Aquaculture, 25240, Erzurum, Turkey
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Tuncel A, Langenhuijsen J, Erkan A, Mikhaylikov T, Arslan M, Aslan Y, Berker D, Ozgok Y, Gallyamov E, Gozen AS. Comparison of synchronous bilateral transperitoneal and posterior retroperitoneal laparoscopic adrenalectomy: results of a multicenter study. Surg Endosc 2020; 35:1101-1107. [PMID: 32152673 DOI: 10.1007/s00464-020-07474-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Accepted: 02/19/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Different techniques for laparoscopic adrenalectomy have been proposed with the lateral transperitoneal approach and posterior retroperitoneal approach being the two more frequently minimally invasive surgeries in most of the clinics. There are no sufficient studies in which the results of lateral transperitoneal and posterior retroperitoneal approaches in synchronous bilateral laparoscopic adrenalectomy have been compared. In the current study, we aimed to report our multicenter results of the lateral transperitoneal and posterior retroperitoneal synchronous bilateral laparoscopic adrenalectomy experience in patients who had different bilateral adrenal pathologies and to compare the outcomes of these two different operative procedures. METHODS Between 2012 and 2018, a total of 52 patients with a mean age of 43.5 years underwent simultaneous bilateral laparoscopic adrenalectomy at 6 different centers. Twenty-seven and 25 patients underwent bilateral lateral transperitoneal and posterior retroperitoneal laparoscopic adrenalectomy, respectively. Patients' age, gender, body max index, operative indications, mass size, operation time, blood loss, length of hospitalization, intraoperative and postoperative complications and pathology reports were analyzed. RESULTS Synchronous bilateral transperitoneal group was younger than synchronous posterior retroperitoneal group (37 years vs. 50.4 years.) (p: 0.001). Posterior retroperitoneal group had significantly decreased operating time and less blood loss than transperitoneal group. No significant difference was found with regard to postoperative hospital stay, perioperative and postoperative complications between two groups. Majority of the histopathological results were adrenal hyperplasia associated with Cushing's disease (61.5%). Less frequent pathological results were adrenal adenoma and pheochromocytoma (15.4% and 13.5%, respectively). During the follow-up period, no recurrence or disease-related mortality was observed in the patients. CONCLUSION Our results shows that shorter operative time and less bleeding can be achieved with posterior retroperitoneal approach in synchronous bilateral laparoscopic adrenalectomy. In our series, intraoperative and postoperative complication rates were similar between both surgical approaches.
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Affiliation(s)
- Altug Tuncel
- Department of Urology, Ankara Numune Research and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Johan Langenhuijsen
- Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Anil Erkan
- Department of Urology, Ankara Numune Research and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Taras Mikhaylikov
- Department of Urology, Moscow Central Aviation Hospital, Moscow, Russia
| | - Murat Arslan
- Department of Urology, Okan University, Istanbul, Turkey
| | - Yilmaz Aslan
- Department of Urology, Ankara Numune Research and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Dilek Berker
- Department Endocrinology and Metabolism Diseases, Ankara Numune Research and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Yasar Ozgok
- Department of Urology, Yuksek Ihtisas University, Ankara, Turkey
| | - Eduard Gallyamov
- Department of Urology, Moscow Central Aviation Hospital, Moscow, Russia
| | - Ali Serdar Gozen
- Department of Urology, SLK Kliniken, University of Heidelberg, Heilbronn, Germany.
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Sivgin V, Yalcin G, Kucuk A, Sezen SC, Afandiyeva N, Arslan M. Effects of fullerenol nanoparticles on kidney tissue in sevoflurane‑treated rats. BRATISL MED J 2020; 121:117-121. [PMID: 32115963 DOI: 10.4149/bll_2020_015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
AIM The aim of this study is to demonstrate whether fullerenol C60 protects renal injury in sevoflurane‑administered rats. METHOD Rats (n: 24) were randomly divided into four groups: Control (Group C), Fullerenol C60 (Group F), Sevoflurane (Group S), Fullerenol C60-Sevoflurane (Group FS). Thirty minutes before the procedure, Fullerenol C60, 100 mg/kg, was administered intraperitoneally. Sevoflurane (2.3 %) was applied for 3 hours to rats in S and FS groups. Biochemical and histopathological parameters were analyzed in renal tissue samples. Kruskal-Wallis and Mann-Whitney U tests were used in statistical analyzes. RESULTS Malondialdehyde (MDA) level and catalase (CAT) enzyme activity in Group S were significantly higher than that in all other groups. Paraoxanase (PON) enzyme activity in Group S was significantly lower than in Groups C and FS. The histopathological examination showed that vascular vacuolization and hypertrophy (VVH) and lymphocyte infiltration (LI) were significantly higher in the Group S compared to the Group C. CONCLUSION Renal histopathology revealed that the administration of Fullerenol C60 prior to sevoflurane inhalation reduced oxidative stress and partially corrected the damage caused by anesthesia. We concluded that Fullerenol C60 has a renal protective effect in rats when administered before sevoflurane anesthesia (Tab. 2, Fig. 4, Ref. 40).
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Pekparlak A, Tamer Ö, Kanmazalp S, Berber N, Arslan M, Avcı D, Dege N, Tarcan E, Atalay Y. Synthesis, crystal structure, spectroscopic (FT-IR, 1H and 13C NMR) and nonlinear optical properties of a novel potential HIV-1 protease inhibitor. Chem Phys Lett 2020. [DOI: 10.1016/j.cplett.2020.137171] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kavurmacı Ö, Zorlu E, Tekgül ZT, Arslan M, Özkarakaş H. Management of pneumothorax in covid-19 pandemic: a report of two cases. Curr Thorac Surg 2020. [DOI: 10.26663/cts.2020.00021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Dedic A, Arslan M, Alpert JS. Up-Front Noninvasive Imaging in Low-Risk NSTEMI. J Am Coll Cardiol 2019; 74:2478-2479. [DOI: 10.1016/j.jacc.2019.06.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 06/10/2019] [Indexed: 11/28/2022]
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Arslan M, Schaap J, Rood PP, Nieman K, Budde RP, Attrach M, Dubois EA, Dedic A. HEART score improves efficiency of coronary computed tomography angiography in patients suspected of acute coronary syndrome in the emergency department. Eur Heart J Acute Cardiovasc Care 2019; 9:23-29. [PMID: 31647305 PMCID: PMC7008554 DOI: 10.1177/2048872619882424] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Aims: Coronary computed tomography angiography is increasingly employed in the emergency department for suspected acute coronary syndrome patients. The HEART score has been proposed for initial risk stratification in these patients. The aim of this study was to investigate the diagnostic value and efficiency of the HEART score before coronary computed tomography angiography. Methods and results: We included patients suspected of acute coronary syndrome who underwent coronary computed tomography angiography in the emergency department. Based on the HEART score, patients were stratified as low-risk (HEART≤3), intermediate-risk (HEART4–6) and high-risk (HEART≥7). We assessed coronary computed tomography angiography for the presence of significant coronary artery disease (>50% stenosis). The primary outcome, the level of major adverse cardiac events, was a composite endpoint of all-cause mortality, acute coronary syndrome or coronary revascularisation within 30 days. The study population consisted of 340 patients (mean age: 55.6±10.1 years, 44.7% women), major adverse cardiac events occurred in 45 (13.2%) patients. The incidence of major adverse cardiac events in patients stratified as low-risk (35.0%), intermediate-risk (56.8%) and high-risk (8.2%) was 3.4%, 12.4% and 60.7%, respectively. All four low-risk patients with major adverse cardiac events had a HEART score of three. An algorithm where coronary computed tomography angiography is reserved for patients with HEART 3–6 resulted in a sensitivity of 97.8%, specificity of 84.1%, negative predictive value of 99.6% and positive predictive value of 48.4%, while reducing the need for coronary computed tomography angiography by 22% (n=75). Conclusion: The predictive value of coronary computed tomography angiography for 30-day major adverse cardiac events in suspected acute coronary syndrome patients is good, and reserving coronary computed tomography angiography for HEART score 3–6 patients reduces the number of needed coronary computed tomography angiograms without affecting diagnostic accuracy.
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Affiliation(s)
- Murat Arslan
- Department of Cardiology, Erasmus Medical Centre, The Netherlands.,Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, The Netherlands
| | - Jeroen Schaap
- Department of Cardiology, Amphia Ziekenhuis, The Netherlands
| | - Pleunie Pm Rood
- Department of Emergency Medicine, Erasmus Medical Centre, The Netherlands
| | - Koen Nieman
- Department of Cardiology, Erasmus Medical Centre, The Netherlands.,Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, The Netherlands
| | - Ricardo Pj Budde
- Department of Cardiology, Erasmus Medical Centre, The Netherlands.,Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, The Netherlands
| | - Mohamed Attrach
- Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, The Netherlands
| | - Eric A Dubois
- Department of Cardiology, Erasmus Medical Centre, The Netherlands
| | - Admir Dedic
- Department of Cardiology, Erasmus Medical Centre, The Netherlands.,Department of Radiology and Nuclear Medicine, Erasmus Medical Centre, The Netherlands
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Affiliation(s)
- Idoko John Bush
- Department of Computer Engineering, Applied Artificial Intelligence Research Center, Near East University, North Cyprus, Turkey
| | - Rahib Abiyev
- Department of Computer Engineering, Applied Artificial Intelligence Research Center, Near East University, North Cyprus, Turkey
| | - Murat Arslan
- Department of Computer Engineering, Applied Artificial Intelligence Research Center, Near East University, North Cyprus, Turkey
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Yis U, Arslan M, Guleryuz H. EP.106Hypertrophic neuropathy of the sciatic nerve. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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40
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Ozer A, Comu FM, Kucuk A, Kilic Y, Alkan M, Oktar L, Arslan M, Ozturk L. Effects of dexmedetomidine and thymoquinone on erythrocyte deformability in lower limb ischemia reperfusion injury in streptozotocin-induced diabetic rats. ACTA ACUST UNITED AC 2019; 119:642-645. [PMID: 30345772 DOI: 10.4149/bll_2018_115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE In this study we aimed to evaluate the effect of dexmedetomidine and thymoquinone on erythrocyte deformability in lower limb ischaemia-reperfusion (IR) injury in streptozotocin-induced diabetic rats. MATERIAL AND METHODS Thirty Wistar albino rats were equally divided into 5 groups (n = 6); randomized control group (Group C), diabetes control group (Group DC), DIR group (Group DIR), DIR group with thymoquinone 25 mg.kg‒1 intraperitoneally (Group DIRT) and Group DIR with dexmedetomidine 100 µg.kg‒1 intraperitoneally (Group DIRD). Erythrocyte packs were prepared from heparinized blood samples and deformability measurements were performed. RESULTS IR significantly increased the relative resistance, a marker of erythrocyte deformability when compared to control group (p < 0.05). There were significant differences among the groups in comparisons with ANOVA test (p < 0.0001). Comparisons of the groups DIRD and DIRT revealed similar results (p = 0.824). The values of Group DIR were significantly higher than those of the control, DC, DIRD and DIRT groups (p < 0.0001, p = 0.001, p = 0.004, p = 0.002, respectively). The values of the DC, DIR, DIRD and DIRT groups were significantly higher than those of the control group (p < 0.0001, all). CONCLUSION Erythrocyte deformability may cause more problems in microcirculation. Dexmedetomidine and thymoquinone may be useful in reducing the adverse effects of this type of injury (Fig. 1, Ref. 41).
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41
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Kartal H, Erer D, Oktar GL, Zor MH, Arslan M, Akkan K. Ultrasound-accelerated catheter-assisted thrombolytic therapy applicatıons in deep vein thrombosis. Niger J Clin Pract 2019; 22:399-405. [PMID: 30837430 DOI: 10.4103/njcp.njcp_27_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Ultrasound-accelerated catheter-directed thrombolysis (UCT) increases the invasion of thrombolytic agent into the thrombus using ultrasonic energy, provides less infusion of thrombolytic agent, reduces complication, and post-thrombotic syndrome (PTS) development rates. For these reasons, this procedure is a promising method for the treatment of deep vein thrombosis (DVT). Materials and Methods Patients diagnosed with DVT by ultrasonography (USG) who underwent UCT between May 2013 and August 2014 at Gazi University Hospital Cardiovascular Surgery Clinic were included in the study. The demographic characteristics and postoperative acute and long-term patency rates and deep venous insufficiency rates were evaluated retrospectively to determine the efficacy of the UCT procedure. Patients were classified as acute, subacute, and chronical DVT according to the onset of complaints. The efficacy of the UCT procedure was assessed by Doppler USG performed 6 months and 2 years after the procedure, and patients were re-evaluated for deep venous insufficiency and thrombus findings to determine the relationship between UCT procedure and deep venous insufficiency. Results In acute phase, 57.1% (n = 8) complete and 35.7% (n = 5) partial openings were obtained. No complete patency was obtained in any of the subacute patients. However, partial openness rate was 60%. In patients admitted during the chronic period, complete patency was obtained in 20% (n = 8) and partial openings in 60% (n = 3). Although thrombolysis success was not considered as statistically significant, the success rate was numerically higher in the acute phase. Conclusion As a result, UCT applications provide thrombolysis especially in acute deep vein thrombosis, preventing deep venous insufficiency and especially post-thrombotic syndrome formation. UCT prevents bleeding complications by keeping thrombolytic amount low and can be used as an endovascular method of high safety in patient population with high bleeding complications such as patients with malignancies.
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Affiliation(s)
- H Kartal
- Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - D Erer
- Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - G L Oktar
- Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - M H Zor
- Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - M Arslan
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - K Akkan
- Department of Radiology, Faculty of Medicine, Gazi University, Ankara, Turkey
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42
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Arslan M, Dedic A, Boersma E, Dubois EA. SERIAL HIGH-SENSITIVITY CARDIAC TROPONIN T MEASUREMENTS TO RULE OUT ACUTE MYOCARDIAL INFARCTION AND A SINGLE HIGH BASELINE MEASUREMENT FOR SWIFT RULE-IN: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)30890-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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43
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Arslan M, Balkan B, Yektaş A, Sabaz S, Yıldırım K, Hergünsel GO. İnferior vena kava kollapsibilite indeksi (İVCCİ), pasif bacak kaldırma testi (PBKT), santral venöz basınç (CVP), laktat ve veno-arterial karbondioksit farkının (ΔpCO2) kritik yoğun bakım hastalarında korelasyonunun araştırılması. Ege Tıp Dergisi 2019. [DOI: 10.19161/etd.418066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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44
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Arslan M, Öçmen E, Duru S, Şaşmaz B, Özbılgın Ş, Hepağuşlar H. Respiratory mechanics with volume-controlled auto-flow ventilation mode in cardiac surgery. Saudi J Anaesth 2019; 13:40-45. [PMID: 30692887 PMCID: PMC6329235 DOI: 10.4103/sja.sja_615_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Aim: We aimed to investigate the changes in respiratory mechanics in adult patients undergoing open heart surgery (OHS) while using volume-controlled auto-flow (VCAF) ventilation mode. Materials and Methods: After obtaining ethics committee's approval and informed consent, 30 patients (17 males and 13 females; mean age: 57.3 ± 17.0 years; mean weight; 74.9 ± 13.6 kg) scheduled for OHS were enrolled. Mechanical ventilation was carried out using VCAF mode (VT: 5–8 mL/kg, I/E: 1/2, 10 ± 2 fr/min). Values of dynamic compliance (Cdyn) and resistance (R) were obtained at six time points (TPs). Normally distributed variables were analyzed with repeated measure of analysis of variance and Bonferroni tests. For abnormally distributed variables, Friedman variance analysis and Wilcoxon signed-rank tests were used. Values were expressed as mean ± standard deviation. P value <0.05 was considered significant. Results: Cdyn (mL/mbar) and R (mbar/L/s) values were as follows – (1) before sternotomy (S): 49.9 ± 17.1 and 7.8 ± 3.6; (2) after S: 56.7 ± 18.3 and 7.1 ± 3.7; (3) after S and after sternal retractor placement: 48.7 ± 16.1 and 8.3 ± 4.4; (4) after weaning from cardiopulmonary bypass and following decannulation while retractor was in place: 49.6 ± 16.5 and 8.1 ± 4.0; (5) after retractor removal: 56.5 ± 19.6 and 7.4 ± 3.7; and (6) after sternal closure: 43.1 ± 14.2 and 9.6 ± 9.1, respectively. Significant differences were observed in Cdyn and R between; first and second TPs, second and third TPs, fourth and fifth TPs, and fifth and sixth TPs. Also, significant difference in Cdyn was found between first and sixth TPs, but it was not found in R. Conclusion: Cdyn decreases, but R remains the same in cardiac surgical patients when mechanical ventilation is performed with VCAF ventilation mode. Additionally, Cdyn is negatively affected by the presence of sternal retractor and the sternal closure in OHS.
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Affiliation(s)
- Murat Arslan
- Department of Anesthesiology and Reanimation, Intensive Care Unit, Medical School, Ege University, Izmir, Turkey
| | - Elvan Öçmen
- Department of Anesthesiology and Reanimation, Medical School, Dokuz Eylül University, Izmir, Turkey
| | - Seden Duru
- Division of Anesthesiology and Reanimation, Medicalpark Hospital, Izmir, Turkey
| | - Belkis Şaşmaz
- Division of Anesthesiology and Reanimation, Gaziemir Nevvar Salih İşgören State Hospital, Izmir, Turkey
| | - Şule Özbılgın
- Department of Anesthesiology and Reanimation, Medical School, Dokuz Eylül University, Izmir, Turkey
| | - Hasan Hepağuşlar
- Department of Anesthesiology and Reanimation, Medical School, Dokuz Eylül University, Izmir, Turkey
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Arslan M, Dedic A, Boersma E, Dubois EA. Serial high-sensitivity cardiac troponin T measurements to rule out acute myocardial infarction and a single high baseline measurement for swift rule-in: A systematic review and meta-analysis. Eur Heart J Acute Cardiovasc Care 2019; 9:14-22. [PMID: 30618277 PMCID: PMC7008551 DOI: 10.1177/2048872618819421] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Aims: The purpose of this study was to determine (a) the ability of serial high-sensitivity cardiac troponin T measurements to rule out acute myocardial infarction and (b) the ability of a single high baseline high-sensitivity cardiac troponin T measurement to rule in acute myocardial infarction in patients presenting to the emergency department with acute chest pain. Methods and results: Embase, Medline, Cochrane, Web of Science and Google scholar were searched for prospective cohort studies that evaluated parameters of diagnostic accuracy of serial high-sensitivity cardiac troponin T to rule out acute myocardial infarction and a single baseline high-sensitivity cardiac troponin T value>50 ng/l to rule in acute myocardial infarction. The search yielded 21 studies for the systematic review, of which 14 were included in the meta-analysis, with a total of 11,929 patients and an overall prevalence of acute myocardial infarction of 13.0%. For rule-out, six studies presented the sensitivity of serial measurements <14 ng/l. This cut-off classified 60.1% of patients as rule-out and the summary sensitivity was 96.7% (95% confidence interval: 92.3–99.3). Three studies presented the sensitivity of a one-hour algorithm with a baseline high-sensitivity cardiac troponin T value<12 ng/l and delta 1 hour <3 ng/l. This algorithm classified 60.2% of patients as rule-out and the summary sensitivity was 98.9% (96.4–100). For rule-in, six studies reported the specificity of baseline high-sensitivity cardiac troponin T value>50 ng/l. The summary specificity was 94.6% (91.5–97.1). Conclusion: Serial high-sensitivity cardiac troponin T measurement strategies to rule out acute myocardial infarction perform well, and a single baseline high-sensitivity cardiac troponin T value>50 ng/l to rule in acute myocardial infarction has a high specificity.
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Affiliation(s)
- M Arslan
- Department of Cardiology, Erasmus Medical Centre, The Netherlands
| | - A Dedic
- Department of Cardiology, Erasmus Medical Centre, The Netherlands
| | - E Boersma
- Department of Cardiology, Erasmus Medical Centre, The Netherlands.,Department of Clinical Epidemiology, Erasmus Medical Centre, The Netherlands
| | - E A Dubois
- Department of Cardiology, Erasmus Medical Centre, The Netherlands
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Erkent FD, Isik B, Kucuk A, Ozturk L, Neselioglu S, Dogan HT, Guney S, Arslan M. Effects of recurrent sevoflurane anesthesia on cognitive functions with streptozotocin induced Alzheimer disease. BRATISL MED J 2019; 120:887-893. [DOI: 10.4149/bll_2019_149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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47
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Oktay K, Ozsoy KM, Dere UA, Cetinalp NE, Arslan M, Erman T, Guzel A. Spontaneous regression of lumbar disc herniations: A retrospective analysis of 5 patients. Niger J Clin Pract 2019; 22:1785-1789. [DOI: 10.4103/njcp.njcp_437_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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48
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Tatar T, Polat Y, Comu FM, Kartal H, Arslan M, Kucuk A. Effect of cerium oxide on erythrocyte deformability in rat lower extremity ischemia reperfusion injury. ACTA ACUST UNITED AC 2018; 119:441-443. [PMID: 30160134 DOI: 10.4149/bll_2018_080] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Cerium oxide is the oxide form of cerium, which has protective effects in ischemia reperfusion (I/R) injury. The purpose of our study was to look into the effects of this rare-earth metal on erythrocyte deformability in rat lower extremity I/R injury model. MATERIALS AND METHODS We used 24 Wistar albino rats as subjects in our study. They were divided into 4 groups; randomized control group (group C; n = 6), cerium oxide group 0.5 mg.kg-1, intraperitoneal (group CO; n = 6), I/R group (group I/R; n = 6) and I/R group with cerium oxide 0.5 mg.kg-1 intraperitoneally (group I/R-CO; n = 6). Erythrocyte packs were prepared from heparinized blood samples and deformability measurements were performed. RESULTS We obtained similar results from the control and I/R-CO groups (p = 0.158). The results in I/R group were evidently higher than those of the control, CO, and IR-CO groups (p < 0.0001, p < 0.0001, p = 0.001, respectively). CONCLUSION We detected unfavorable effects of I/R on erythrocyte deformability, which may impair blood flow and hence tissue perfusion in infrarenal rat aorta. We also found that cerium oxide had beneficial effects by reversing undesirable effects of I/R. Further studies with larger volume are required to support our promising results (Fig. 1, Ref. 24).
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49
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Gunes I, Kartal H, Dursun AD, Sungu N, Polat YS, Erkent FD, Arslan M, Kucuk A. Effects of apelin-13 on myocardial ischemia reperfusion injury in streptozotocine induced diabetic rats. ACTA ACUST UNITED AC 2018; 119:348-354. [PMID: 29947234 DOI: 10.4149/bll_2018_065] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
AIM We want to investigate the protective effects of apelin-13 on myocardial ischemia reperfusion (I/R) injury. MATERIAL AND METHODS 30 Wistar Albino rat were divided into 5 groups (n:6), namely control group (C), diabetes group (D), diabetes+apelin-13 group (DA), diabetes+I/R group (DIR) and diabetes I/R+apelin-13 group (DIR-A). Rats were subjected to 30‑min ischemia and 90‑min reperfusion. Biochemical and histopathological parameters were measured. RESULTS Caspase-3 enzyme activity was significantly higher in the DIR group than in the C, DA, and DIR-A groups. The intensity of caspase 3 enzyme activity was significantly higher in the I/R group than in all other groups. Inflammation and vascular dilatation were found significantly higher in the DIR group than in all other groups. Congestion was significantly higher in the DIR group than in the C and D groups. TOS enzyme activity was significantly higher in the DIR group than in the C, DA and DIR-A groups. TAS enzyme activity was significantly lower in the DIR group than in the C and DIR-A groups. CONCLUSION We believe that the protective effects of apelin-13 in ischemia-reperfusion injury and its use indications can be demonstrated in detail as long as the findings we have reached in our study are supported by other studies (Tab. 2, Fig. 10, Ref. 43).
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Barlas F, Aydindogan E, Arslan M, Timur S, Yagci Y. Gold nanoparticle conjugated poly(p
-phenylene-β-cyclodextrin)-graft
-poly(ethylene glycol) for theranostic applications. J Appl Polym Sci 2018. [DOI: 10.1002/app.47250] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- F.B. Barlas
- Department of Biochemistry; Faculty of Science, Ege University; 35100 Bornova, Izmir Turkey
| | - E. Aydindogan
- Department of Biochemistry; Faculty of Science, Ege University; 35100 Bornova, Izmir Turkey
| | - M. Arslan
- Department of Chemistry; Faculty of Science and Letters, Istanbul Technical University; 34469 Maslak, Istanbul Turkey
| | - S. Timur
- Department of Biochemistry; Faculty of Science, Ege University; 35100 Bornova, Izmir Turkey
- Central Research Testing and Analysis Laboratory Research and Application Center; Ege University; 35100 Bornova, Izmir Turkey
| | - Y. Yagci
- Department of Chemistry; Faculty of Science and Letters, Istanbul Technical University; 34469 Maslak, Istanbul Turkey
- Chemistry Department; King Abdulaziz University, Faculty of Science; Jeddah Saudi Arabia
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