Application of non-destructive analysis methods in TENMAK-PAF

Development of non-destructive analysis systems at the R&D beamline of the Proton Accelerator Facility of the Turkish Energy, Nuclear and Minerals Research Agency (TENMAK-PAF) is described in this work. The proton beam from the cyclotron with energy between 15-30 MeV and current between 0.1 μA-1.2 mA is modified with several components and subsystems to be suitable for the application of non-destructive analysis methods. Certified reference materials (CRM) and samples with different properties were irradiated under vacuum in the irradiation chamber with the new system. Particle Induced X-ray Emission (PIXE) and Particle Induced Gamma ray Emission (PIGE) spectra of these samples were obtained with appropriate radiation detectors and measurement systems. The results of PIXE analyses and X-ray fluorescence (XRF) spectrometry were compared. PIXE and PIGE results are in good agreement with the certified values for the CRMs. This work constitutes the first reported application of non-destructive ion beam analysis methods in TENMAK-PAF and in Türkiye.

Investigation of adsorption potential of acid violet 90 dye with chitosan/halloysite/boron nitride composite materials

In this study, composite adsorbents consisting of a mixture of chitosan (CTS), boron nitride (h-BN) and halloysite (HNT) were used for the adsorption of Acid Violet 90 (AV90) dye in a batch system. Adsorbents CTS, CTS/HNT, CTS/h-BN and CTS/h-BN/HNT beads were prepared by simple dropping method and dried in a freeze dryer. The beads were characterized by FT-IR, SEM and zeta potential analysis. The effects of pH (2-8) and dye concentration (50-250 mg/L) on AV90 adsorption properties of beads were investigated. In addition, Langmuir, Freunlich, Temkin and Henry adsorption isotherm models were used to examine the dye adsorption mechanism. It was observed that the Langmuir and Freundlich adsorption isotherm models were in good agreement with the experimental data. In the dye concentration range studied, the qm values of CTS, CTS/h-BN1, CTS/h-BN3, CTS/HNT/h-BN1, CTS/HNT/h-BN3, CTS/HNT obtained from the Langmuir isotherm model was 27.62, 17.80, 10.11, 8.71, 32.57, 19.96 mg/g, respectively. Pseudo-first order, pseudo-second order and intra-particle diffusion kinetic models were used to examine the adsorption kinetics of adsorbents. As a result, it is thought that the use of this study in the field of dye adsorption can be an innovative and important study.

Effects of adenosine triphosphate, Lacidipine, and Benidipine on 5-fluorouracil-induced kidney damage in rats

OBJECTIVE

In the present study, the protective effects of adenosine triphosphate (ATP), Benidipine, and Lacidipine on potential kidney damage induced by 5-fluorouracil (5-FU) were investigated in rats.

MATERIALS AND METHODS

Totally 48 rats were divided into 8 groups: healthy (HG), 5-FU (FUG), ATP+5-FU (AFU), Benidipine+5-FU (BFU), Lacidipine+5-FU (LFU), ATP+Benidipine+5-FU (ABFU), ATP+Lacidipine+5-FU (ALFU) and Benidipine+Lacidipine+5-FU (BLFU). In a 10-day period, ATP (4 mg/kg) was administered intraperitoneally, and Benidipine (4 mg/kg) and Lacidipine (4 mg/kg) were administered orally once a day. On days 1, 3, and 5, 5-FU (100 mg/kg) was administered intraperitoneally one hour after the drug was administered. Afterward, the rats were euthanized, and kidney tissues were removed. An analysis of malondialdehyde, total glutathione, superoxide dismutase, and catalase was performed on tissues, as well as a histopathological examination. A creatinine and blood urea nitrogen analysis were performed on blood samples.

RESULTS

It was revealed that 5-FU decreased the amount of total glutathione, superoxide dismutase, and catalase activities in rat kidney tissues and increased malondialdehyde. Further, increased serum creatinine and blood urea nitrogen levels, as well as histopathological examination of kidney tissues, were found in the 5-FU group. ATP+Benidipine and ATP treatments were the most effective in preventing both biochemical and histopathological changes induced by 5-FU. A treatment with Benidipine improved biochemical and histopathologic data, but not to the same extent as a treatment with ATP+Benidipine and ATP. As a result of Lacidipine+ATP combination, 5-FU-induced biochemical changes in kidney tissue were partially inhibited, but the degree of histopathologic damage remained unchanged. Neither Benidipine+Lacidipine nor Lacidipine showed a protective effect on both biochemical changes and histopathologic damage.

CONCLUSIONS

It may be possible to prevent nephrotoxicity by adding ATP + Benidipine or ATP to 5-FU treatment.

Effects of FSH Administered in Different ways on Superovulation Response and Blood FSH Levels in Cows

Bu çalışmada adjuvan kullanılarak tek doz Subkutan (SC) FSH uygulamasının ve adjuvan kullanılmadan tek doz epidural FSH uygulamasının kan FSH düzeyleri ve süperovülasyon yanıtı üzerine etkilerinin belirlenmesi amaçlanmıştır. Holştayn inekler (n:18) süperovülasyon prosedürü için üç gruba ayrıldı (n = 6). Gruptaki (İM) hayvanlara 4 gün süreyle 12 saat arayla İntramusculer (IM) azaltıcı FSH (Stimufol, 500 μg domuz FSH ve 100 μg domuz LH, Ulg FMV, Liège, Belçika) dozları verildi. (E) grubundaki hayvanlara epidural aralığa FSH (500 µg) verildi. (SC) grubundaki hayvanlara, 10 mL Montanide ISA 206 adjuvanı içinde FSH eklenerek hazırlanan bir karışım Subkutan (SC) ile uygulandı. Overdeki CL sayısı ultrasonografik yöntemle ölçüldü ve 4 CL varlığına göre süperovülasyon belirlendi. FSH ölçümü için tüm hayvanlardan V. jugularis'ten kan örnekleri alındı. Serum FSH (pFSH) seviyeleri ELISA ile belirlendi. Grup 1'deki tüm hayvanlar, süperovülasyon prosedüründen sonra süperovülasyon tepkisine (4>CL) sahipti. 2. grupta sadece bir hayvan yanıt verdi. Grup 3'te, altı hayvandan dördü yanıt verdi. Kan örneklerinin FSH analizinden sonra, IM ve SC uygulamaları arasındaki fark istatistiksel olarak önemsiz iken, IM ve epidural uygulamalar arasındaki fark istatistiksel olarak anlamlıydı. SC ve epidural uygulamalar arasındaki fark önemsizdi.

Modeling leaf area index using time-series remote sensing and topographic data in pure Anatolian black pine stands

We aimed to map and analyze LAI by using Landsat 8 and Sentinel-2 time series and the corresponding ground measurements collected in pure Anatolian black pine [Pinus nigra J.F. Arnold ssp. pallasiana (Lamb.) Holmboe] stands within seven-month (from June to December) period. A total of 30 sample plots were selected and seven-month changes of LAI values were determined through hemispherical photography for each sample plot. Remote sensing (reflectance values and vegetation indices obtained from Landsat-8 and Sentinel-2) and topographic (elevation, aspect, and slope) data were used to model the LAI for each month using multiple linear regression (MLR) method. Additionally, the data for all months were combined and modeled. In this case, autoregressive modeling techniques were used to solve the temporal autocorrelation problem. Our study indicated that the models developed from Sentinel-2 give more successful results than Landsat 8 on monthly LAI models. The most successful models were obtained in June by using the reflectance values (R adj 2  = 0.39, RMSE = 0.3138 m2 m-2), reflectance values-topographic data (R adj 2  = 0.59, RMSE = 0.3174 m2 m-2), vegetation indices-topographic data (R adj 2  = 0.82, RMSE = 0.2126 m2 m-2), and reflectance values-vegetation indices-topographic data (R adj 2  = 0.93, RMSE = 0.1060 m2 m-2). Among the autoregressive modeling techniques, the highest success was obtained with the Landsat 8 OLI using the moving average (2) procedure (R2 = 0.56). This study is significant that it is the first to analyze the monthly effect on LAI modeling and mapping in pure Anatolian black pine stands using both reflectance values, vegetation indices, and topographic data.

Fertility protective effect of taxifolin in cisplatin-induced ovarian damage

OBJECTIVE

The aim of our study was to investigate the protective effect of taxifolin on ovarian damage and reproductive dysfunction created by cisplatin administration.

MATERIALS AND METHODS

A total of 36 albino Wistar female adult rats were equally divided into 3 groups as cisplatin administered only (CIS), taxifolin+cisplatin (T+C) and healthy control group (HG). Taxifolin 50 mg/kg was administered orally by gavage in the T+C (n=12) group. In the HG (n=12) and CIS (n=12) groups, the same volume of distilled water as a solvent was orally administered. One hour after administration of taxifolin or distilled water, animals in the T+C and CIS groups were injected with cisplatin at a dose of 2.5 mg/kg intraperitoneally. This procedure was repeated once a day for 14 days. Six animals from each group were sacrificed on day 15, and their ovaries were removed for histopathological and biochemical analysis. Ovarian tissue malondialdehyde (MDA), total Glutathione (tGSH), Nuclear Factor-Kappa B (NF-kB), Tumor Necrosis Factor-α (TNF-α), Interleukin 1 beta (IL-1β), and Interleukin-6 (IL-6) levels were measured. The remaining animals (n=6 in each group) were kept in the laboratory with mature male rats for two months to breed.

RESULTS

CIS administration led to an increase in inflammatory molecules and membrane lipid peroxidation products, and decreased the synthesis of antioxidant molecules. Compared to the CIS group, the ovarian tissue MDA, NF-kB, TNF-α, IL-1β and IL-6 levels were found to be significantly decreased in the T+C group (p<0.001 for all comparisons). On the other hand, the tGSH levels of the T+C group were significantly higher than the CIS group (p<0.001). Milder ovarian necrosis, fibrosis and follicle damage were detected in animals which were given taxifolin. Four out of the six rats (67%) treated with taxifolin gave birth within 27 days.

CONCLUSIONS

We demonstrated, for the first time, that taxifolin ameliorates cisplatin-induced ovarian injury by decreasing MDA and proinflammatory cytokines and increasing the antioxidant enzyme. The fact that more than half of the animals receiving taxifolin became pregnant suggests that the cytoprotective effect of taxifolin is strong enough to preserve fertility.

POS1071 DETERMINATION OF THE RELIABILITY AND VALIDITY OF THE BETY-BIOPSYCHOSOCIAL QUESTIONNAIRE IN PATIENTS WITH A DIAGNOSIS OF PSORIATIC ARTHRITIS

Background:

In the literature, there is a lack of questionnaires, which is evaluate patients with psoriatic arthritis (PsA) from a biopsychosocial perspective.

Objectives:

This study was planned to examine the reliability and validity of the BETY- Biopsychosocial Questionnaire (BQ) in individuals diagnosed with PsA.

Methods:

Test-retest method was used to examine the reliability of the BETY-BQ. In comparing the reliability of test-retest results, intraclass coefficient (ICC) was checked. For the internal consistency analysis of the BETY-BQ, the total score of the responses given to the first filled scale was calculated and the Cronbach’s Alpha coefficient was found. Psoriatic Arthritis Quality of Life Questionnaire (PsAQoL), Health Assessment Questionnaire (HAQ), Hospital Anxiety and Depression Scale (HADS) and Short Form-36 (SF-36) were used in the validity study of 150 individuals with PsA included in the study.

Results:

Test-retest method and intraclass coefficient were examined for reliability analysis (for 30 patients). The correlation (r = 0.844, p <0.001) of the answers given to the BETY-BQ by individuals with 30 PsA after one week interval was very high. While the ICC coefficient (0.915, p <0.001) showed excellent reliability. The Cronbach’s Alpha coefficient (0.940) was examined for internal consistency and the internal consistency of the scale was also found to be excellent. As a result of statistical analysis, the correlation between the scales used and the BETY-BQ was found between r = -0.432 and 0.807 (p <0.001).

Conclusion:

With this study, it was concluded that the BETY-BQ is a reliable and valid assessment tool in individuals diagnosed with PsA, and is also a biopsychosocial tool that can be used to evaluate individuals with PsA.

References:

[1]Unal E, Arin G, Karaca Nb, Kiraz S, Akdoğan A, Kalyoncu U, et al. Romatizmali hastalar için bir yaşam kalitesi ölceginin gelistirilmesi: madde havuzunun olussturulmasi. Journal of Exercise Theraphy and Rehabilitation. 2017;4(2):67-75.

[2]Husni ME, Merola JF, Davin S. The psychosocial burden of psoriatic arthritis. Semin Arthritis Rheum. 2017;47(3):351-60

Disclosure of Interests:

None declared.

FRI0619-HPR INVESTIGATION OF THE RELATIONSHIP BETWEEN BIOPSYCHOSOCIAL STATUS AND QUALITY OF LIFE, EMOTION - STATUS AND FUNCTIONALITY IN INDIVIDUALS WITH PSORIATIC ARTHRITIS

Background:

Due to the chronic processes of rheumatological diseases, patients’ biopsychosocial effects are revealed.

Objectives:

The aim of this study is to evaluate the biopsychosocial status of individuals diagnosed with psoriatic arthritis; to examine the relationship between quality of life, emotion - status and functionality.

Methods:

105 individuals were included in the study. To evaluate the biopsychosocial situation, BETY-BQ (Bilişsel Egzersiz Terapi Yaklaşimi – Biopsychosocial Questionnaire)(1); Psoriatic Arthritis Quality of Life (PsAQoL) Scale to assess quality of life; For the emotion-status assessment; Hospital Anxiety and Depression Scale (HADS-A, HADS-D); Health Assessment Questionnaire (HAQ) was used for functionality. Pearson Correlation Analysis was used in statistical analysis.

Results:

Descriptive data of the individuals participating in the study were recorded (Table 1).While BETY-BQ was highly correlated with PSAQoL Scale(r = 0.826, p <0.001), moderate correlations were found with HADS-A and HADS-D (HADS-A (r = 0.618, p <0.001), HADS-D (r = 0.507, p <0.001)). Low correlation was found between BETY-BQ and HAQ (r = 286, p = 0.003) (Table 2).

Table 1.

Descriptive Statistics

MinimumMaximumMeanStandart DeviationAge (years)206044.9811.04Height (cm)145.00190.00165.618.88Weight (kg)4413875.5417.36VKI(kg/m2)17.8549.0027.546.02Table 2.PsAQoLHADS-AHADS-DHAQBETY-BQr 0.826**p<0.001r=0.618**p<0.001r=0.507**p<0.001r=286**p=0.003

** Correlation is significant at the 0.01 level (2-tailed)

Conclusion:

In this study, it was found that BETY-BQ is a scale that can be used in total to evaluate the quality of life, emotion-status level and functionality of individuals diagnosed with PsA. It was thought that BETY-BQ could be considered and preferred by clinicians when individuals with PsA should be evaluated from a biopsychosocial point of view.

References:

[1] Unal E, Arin G, Karaca Nb, Kiraz S, Akdogan A, Kalyoncu U, et al. Development of a quality of life measurement for rheumatic patients: item pool construction Journal of Exercise Therapy and Rehabilitation. 2017; 4 (2): 67-75.

Disclosure of Interests:

Senem Bulut: None declared, Edibe Ünal: None declared, Aykut Özçadirci: None declared, Umut Kalyoncu Consultant of: Abbvie, Amgen, Janssen, Lilly, Novartis, UCB

Comparison of the Effects of Amitriptyline and Flunarizine on Weight Gain and Serum Leptin, C Peptide and Insulin Levels when used as Migraine Preventive Treatment

The tricyclic antidepressant amitriptyline (AMT) and the calcium channel blocker flunarizine are frequently used in the preventive treatment of migraine, but the side-effect of prominent weight gain that frequently emerges during preventive treatment of migraine with these agents often leads to the discontinuation of therapy. In this study, we aimed to investigate the possible relationship between the weight gain associated with the use of these agents and serum levels of leptin, C-peptide and insulin in patient with migraine. Forty-nine migraine patients with a body mass index (BMI) < 25 and without any endocrinological, immunological or chronic diseases were randomly divided into two groups, receiving AMT or flunarizine. There was a statistically significant increase in serum levels of leptin, C-peptide, insulin and measures of BMI in both groups when measured at the 12th week of therapy compared to their respective basal levels. To our knowledge this is the first study investigating the effects of AMT and flunarizine on serum leptin levels in preventive use of migraine treatment. A result from this study indicates that AMT and flunarizine may cause leptin resistance possibly by different mechanisms and thereby result in increase in serum leptin levels and BMI.

Saccharomyces boulardii CNCM I-745 reduces the duration of diarrhoea, length of emergency care and hospital stay in children with acute diarrhoea

Evidence from the literature has shown that Saccharomyces boulardii provides a clinically significant benefit in the treatment of acute infectious diarrhoea in children. In this multicentre, randomised, prospective, controlled, single blind clinical trial performed in children with acute watery diarrhoea, we aimed to evaluate the impact of S. boulardii CNCM I-745 in hospitalised children, in children requiring emergency care unit (ECU) stay and in outpatient settings. The primary endpoint was the duration of diarrhoea (in hours). Secondary outcome measures were duration of hospitalisation and diarrhoea at the 3rd day of intervention. In the whole study group (363 children), the duration of diarrhoea was approximately 24 h shorter in the S. boulardii group (75.4±33.1 vs 99.8±32.5 h, P<0.001). The effect of S. boulardii (diarrhoea-free children) was observed starting at 48 h. After 72 h, only 27.3% of the children receiving probiotic still had watery diarrhoea, in contrast to 48.5% in the control group (P<0.001). The duration of diarrhoea was significantly reduced in the probiotic group in hospital, ECU and outpatient settings (P<0.001, P<0.01 and P<0.001, respectively). The percentage of diarrhoea-free children was significantly larger after 48 and 72 h in all settings. The mean length of hospital stay was shorter with more than 36 h difference in the S. boulardii group (4.60±1.72 vs 6.12±1.71 days, P<0.001). The mean length of ECU stay was shorter with more than 19 h difference in the probiotic group (1.20±0.4 vs 2.0±0.3 days, P<0.001). No adverse effects related to the probiotic were noted. Because treatment can shorten the duration of diarrhoea and reduce the length of ECU and hospital stay, there is likely a social and economic benefit of S. boulardii CNCM I-745 in adjunction to oral rehydration solution in acute infectious gastroenteritis in children.

A cartridge based sensor array platform for multiple coagulation measurements from plasma

This paper proposes a MEMS-based sensor array enabling multiple clot-time tests for plasma in one disposable microfluidic cartridge. The versatile LoC (Lab-on-Chip) platform technology is demonstrated here for real-time coagulation tests (activated Partial Thromboplastin Time (aPTT) and Prothrombin Time (PT)). The system has a reader unit and a disposable cartridge. The reader has no electrical connections to the cartridge. This enables simple and low-cost cartridge designs and avoids reliability problems associated with electrical connections. The cartridge consists of microfluidic channels and MEMS microcantilevers placed in each channel. The microcantilevers are made of electroplated nickel. They are actuated remotely using an external electro-coil and the read-out is also conducted remotely using a laser. The phase difference between the cantilever oscillation and the coil drive is monitored in real time. During coagulation, the viscosity of the blood plasma increases resulting in a change in the phase read-out. The proposed assay was tested on human and control plasma samples for PT and aPTT measurements. PT and aPTT measurements from control plasma samples are comparable with the manufacturer's datasheet and the commercial reference device. The measurement system has an overall 7.28% and 6.33% CV for PT and aPTT, respectively. For further implementation, the microfluidic channels of the cartridge were functionalized for PT and aPTT tests by drying specific reagents in each channel. Since simultaneous PT and aPTT measurements are needed in order to properly evaluate the coagulation system, one of the most prominent features of the proposed assay is enabling parallel measurement of different coagulation parameters. Additionally, the design of the cartridge and the read-out system as well as the obtained reproducible results with 10 μl of the plasma samples suggest an opportunity for a possible point-of-care application.

Evaluation of the effect of selective serotonin reuptake inhibitors on bone mineral density: an observational cross-sectional study

Sixty patients diagnosed with generalized anxiety disorder and treated with either paroxetine, sertraline, or citalopram for at least 12 months were enrolled in this study, and the bone mineral density (BMD) of the patients was compared with that of 40 healthy volunteers. Selective serotonin reuptake inhibitor (SSRI) therapy in generalized anxiety disorder was found to be related with decreased BMD values.

INTRODUCTION

The objectives of this study were to evaluate the effect of SSRI therapy on BMD in postmenopausal women diagnosed with generalized anxiety disorder (GAD) and to identify the effects of the duration of disease and treatment on risk factors for osteoporosis.

METHODS

Sixty patients diagnosed with GAD and treated with paroxetine, sertraline, or citalopram from the SSRI group for at least 12 months were enrolled. Social demographic features, the Hamilton Anxiety Scale (HAS) results, and the Hamilton Depression Scale (HDS) scores of all the patients were assessed. The BMD of the patients was measured by dual-energy X-ray absorptiometry (DXA) at the femoral and lumbar regions. The patients were divided into three groups which are the paroxetine, sertraline, and citalopram groups. The BMD of the patients was compared with that of 40 healthy volunteers.

RESULTS

The L2-L4, total lumbar vertebrae, femoral intertrochanteric, total femoral Z-scores, and femoral Ward's region T-scores of the treatment group were lower than the median T- and Z-scores of the control group (p < 0.05). Of the treatment groups, the femoral neck, trochanteric and intertrochanteric T- and Z-scores, total femoral T- and Z-scores, and femoral Ward's T- and Z-scores of the sertraline group were significantly lower than the BMD values measured at the identical regions in the paroxetine and citalopram groups (p < 0.05).There was a significant negative correlation between the duration of treatment and the BMD values.

CONCLUSION

SSRI therapy in GAD was found to be related with decreased BMD values. Further randomized controlled studies are warranted to determine whether SSRI use is a risk factor for osteoporosis; such studies should investigate these factors by performing BMD assessments before treatment.

Installation and measurement capacity of 3 × 592 GBq 241Am–Be neutron irradiation cell

In this study, the installation and measurement capacity of the neutron irradiation system are investigated. First of all an irradiation geometry enabling optimum irradiation was designed for three 241Am–Be sources each of it having 592 GBq activity. Neutron irradiation system was installed after design and optimization of the system including the design of appropriate moderator and shielding were completed. Radiation safety standards of the Neutron Research Laboratory fulfilling the requirements of national regulation were achieved with unique configuration of the shielding materials. In this study the results of qualitative and quantitative detection limits obtained for Na, Al, Cl, K, Ti, V, Mn, Fe, Co, Cu, Zn, Ga, Ge, As, Se, Br, Rb, Sr, Y, Mo, Ru, Ag, Cd, In, Sb, I, Cs, Ba, La, Ce, Pr, Nd, Sm, Eu, Gd, Dy, Ho, Yb, Lu, Hf, W, Pt, Au, Th and U elements by using the neutron irradiation cell comprising 3 × 592 GBq 241Am–Be isotopic neutron source are presented and discussed.

The HN method for slab albedo problem for linearly anisotropic scattering

The HN method is used to calculate the reflection and transmission coefficients for a parallel plane media with linearly anisotropic scattering. The method depends on the use of the angular distributions of the method of elementary solutions. The ortogonality relations of the singular eigenfunctions together with the values of the angular distributions at the boundaries of the given medium lead to the solution of the problem. It is shown that the method leads to concise equations and to fast converging numerical results.

The effects of different expansions of the exit distribution on the extrapolation length for linearly anisotropic scattering

HN and singular eigenfunction methods are used to determine the neutron distribution everywhere in a source-free half space with zero incident flux for a linearly anisotropic scattering kernel. The singular eigenfunction expansion of the method of elementary solutions is used. The orthogonality relations of the discrete and continuous eigenfunctions for linearly anisotropic scattering provides the determination of the expansion coefficients. Different expansions of the exit distribution are used: the expansion in powers of μ, the expansion in terms of Legendre polynomials and the expansion in powers of 1/(1 + μ). The results are compared to each other. In the second part of our work, the transport equation and the infinite medium Green function are used. The numerical results of the extrapolation length obtained for the different expansions is discussed.

Application of the HN method to radiative heat transfer for a non-conservative slab

The HN method is used to calculate the partial fluxes relevant to radiative transfer in a plane parallel medium for linearly anisotropic scattering with specularly and diffusely reflecting boundaries. The solutions are obtained for the non-conservative case. The numerical values of the heat flux functions at the boundaries of the medium are calculated for the two source functions. The numerical results and the convergence of the HN method are compared with earlier results.

Effects of strong correlations on the disorder-induced zero-bias anomaly in the extended Anderson-Hubbard model

We study the effect of strong correlations on the zero-bias anomaly (ZBA) in disordered interacting systems. We focus on the two-dimensional extended Anderson-Hubbard model (EAHM) on a square lattice. The EAHM has both on-site and nearest-neighbour interactions and randomly chosen site energies. We use a mean-field theory that incorporates strong correlations and treats the disorder potential exactly. We use a simplified atomic-limit approximation for the diagonal inelastic self-energy that becomes exact in the large-disorder limit, and the off-diagonal self-energy is treated within the Hartree-Fock approximation. The validity of these approximations is discussed in detail. We find that strong correlations have a significant effect on the ZBA at half-filling, and enhance the ZBA gap when the interaction is finite ranged.

The effects of intrathecal levobupivacaine and bupivacaine in the elderly

The objective of this study was to compare the block durations and haemodynamic effects associated with intrathecal levobupivacaine or bupivacaine in elderly patients undergoing transurethral prostate surgery. Eighty patients were prospectively randomised to receive plain 1.5 ml levobupivacaine 0.5% (group levobupivacaine) or 1.5 ml plain bupivacaine 0.5% (group bupivacaine) in combination with fentanyl 0.3 ml (15 microg) for spinal anaesthesia. The time to reach T10 and peak sensory block level, and to maximum motor block were significantly shorter in group bupivacaine compared to group levobupivacaine (p < 0.05). Peak sensory block level was also significantly higher in group bupivacaine. In group bupivacaine, mean arterial pressure was significantly lower than group levobupivacaine, starting from 10 min until 30 min after injection (p < 0.05). Hypotension and nausea were less common in group levobupivacaine than group bupivacaine (p < 0.05). Because of the better haemodynamic stability and fewer side-effects associated with levobupivacaine, it may be preferred for spinal anaesthesia in elderly patients.

On the concentration-induced growth of nonionic wormlike micelles

We present a comprehensive study of the concentration-induced growth of nonionic wormlike micelles in dilute solutions, below the overlap concentration, where we combine static and dynamic light scattering and NMR self-diffusion. The data are analyzed in detail in terms of the number-averaged contour length, assuming an exponential size distribution, as predicted by theory, and that the micellar flexibility can be described by the wormlike chain model with a certain persistence length. A very good agreement between the different experimental methods is obtained. The number-averaged contour length increases with increasing micelle volume fraction. The data are consistent with a power law, where the power law exponent is in the range 0.5-0.8, depending on the system. The result is in reasonable agreement with the theory of living polymers.

A comparative ID migraine screener study in ophthalmology, ENT and neurology out-patient clinics

Migraine is more likely to be misdiagnosed in patients with comorbid diseases. Not only primary care physicians, but also specialists might misdiagnose it due to the lack of diagnostic criteria awareness. The ID migraine test is a reliable screening instrument that may facilitate and accelerate migraine recognition. This study aimed to compare the prevalence and characteristics of migraine in a large sample of patients admitted to clinics of ophthalmology (OC), ear, nose and throat diseases (ENTC) and neurology (NC), as well as to validate the use of the ID migraine test in OC and ENTC settings. This was a multicentre (11 cites) study of out-patients admitting either to NC, ENTC or OC of the study sites during five consecutive working days within 1 week. From each of the clinics, 100 patients were planned to be recruited. All recruited patients were interviewed and those having a headache complaint received an ID migraine test and were examined for headache diagnosis by a neurologist, blinded to the ID migraine test result. A total of 2625 subjects were recruited. Only 1.3% of OC patients and 5.4% of ENTC patients have been admitted with a primary complaint of headache, whereas the percentage of NC patients suffering from headache was 37.6%. Whereas 138 patients (19.3%) in OC, 154 (17.3%) in ENTC and 347 (34%) in NC were found to be ID migraine test positive, 149 patients (20.8%) in OC, 142 (16%) in ENTC and 338 (33.1%) in NC were diagnosed with migraine. The sensitivity, specificity, and positive and negative predictive ratios of the ID migraine test were found to be similar in all clinics. An important fraction of the patients admitted to NC, as well as to OC and ENTC, for headache and/or other complaints were found out to have migraine by means of a simple screening test. This study validated the ID migraine test as a sensitive and specific tool in OC and ENTC, encouraging its use as a screening instrument.

Sclerosing stromal tumor of the ovary: a case report

A case of a rarely occurring ovarian tumor, sclerosing stromal tumor of the ovary, in an 11-year-old girl treated laparoscopically is described.

The place of computed tomography as a guidance modality in percutaneous nephrostomy: analysis of a 10-year single-center experience

BACKGROUND

Percutaneous nephrostomy (PCN) has been established as an effective technique for urinary decompression or diversion. This procedure may be performed with the guidance of fluoroscopy, ultrasonography, a combination of fluoroscopy and ultrasonography, computed tomography (CT), or magnetic resonance imaging.

PURPOSE

To retrospectively review experience with CT-guided PCN over a 10-year period in a single center.

MATERIAL AND METHODS

All CT-guided PCN procedures performed in adults at our institution between 1995 and 2005 were evaluated. In 882 patients, 1113 nephrostomy catheters were inserted. Interventional radiologists or radiology residents under direct attending supervision inserted all catheters. During the PCN procedure, bleeding, sepsis, and injuries to adjacent organs were regarded as major complications. Clinical events requiring nominal therapy with no sequelae were regarded as minor complications.

RESULTS

PCN procedures were performed via 1-3 punctures in patients with grades 0-1 and 2 hydronephrosis, and via 1-2 punctures in patients with grade 3 hydronephrosis. They were carried out with a procedure time ranging from 9 to 26 min. All PCNs were considered as technically successful, and no major complications were observed. There were minor complications including transient macroscopic hematuria (28.6%, 19.9%, and 4.9% in patients with hydronephrosis grades 0-1, 2, and 3, respectively) and perirenal hematomas in a total of eight patients. No patient required additional intervention secondary to complications of the PCN procedure.

CONCLUSION

CT-guided PCN is an efficient and safe procedure with major and minor complication rates below the accepted thresholds. It can be used for the management of patients requiring nephrostomy insertion in inpatient settings, and might be a preferable procedure in patients with minimal or no dilatation of the renal pelvis.

Left main stem disease in a patient with Takayasu's arteritis

Takayasu's arteritis is a chronic vasculitis of unknown aetiology involving the aorta and its main branches, the pulmonary and coronary tree. Women are affected more often than men (80 to 90% of the cases) with an age onset between 10 and 40 years. This case report demonstrates the limitations of exercise testing and stress echocardiography in diagnosing the extent of coronary artery disease in patients with inflammatory disease in the left main stem coronary artery. (Neth Heart J 2007;15:260-2.).

Extracorporeal shock wave treatment for defective nonunion of the radius: a rabbit model

PURPOSE

To investigate the effect of extracorporeal shock wave treatment (ESWT) on bony union using volume analysis of the callus mass by computed tomography and histology.

METHODS

Both radii of 13 rabbits were osteotomised and a defective bony nonunion created by placing a polyethylene pad between the osteotomy site for 40 days. Nonunion was confirmed by radiography using Lane-Sandhu criteria. ESWT (14 kW, 0.46 mJ/mm(2), 1000 shock waves) was applied to the right radius of the rabbits. The left radius served as a control. Five rabbits were killed 4 weeks after ESWT (group 1) and 8 after 6 weeks (group 2). Volume analysis of the callus mass was performed using computed tomography and the bone healing process was assessed by histology.

RESULTS

In group 1, callus volume on the treated side was invariably greater than that on the control side; the difference being statistically significant (p=0.032). In group 2, the callus volume of the treated side was greater than that of the control side, except in rabbits 4 and 9. Only after excluding the findings from the latter did the difference attain statistical significance (p=0.020). Histology confirmed that the bone-healing process was faster in the treated side.

CONCLUSION

ESWT enhanced the bone-healing process by increasing both volume and speed of callus formation.

Effect of short-term finasteride therapy on peroperative bleeding in patients who were candidates for transurethral resection of the prostate (TUR-P): a randomized controlled study

In the present study we aimed to demonstrate the efficacy of short-term pretreatment with finasteride in patients undergoing transurethral resection of the prostate (TUR-P). For this purpose 40 patients with BPH, who were candidates for TUR-P, were randomized into two groups. The first group (n=20) received 5 mg finasteride/day for 4 weeks prior to surgery and the second group (n=20) remained as the control. Patients who underwent prior prostate or urethral surgery and had a diagnosis of prostate cancer or chronic renal failure, patients who received finasteride, aspirin, coumadin or similar anticoagulant drugs prior to surgery and patients who had capsule perforations or open sinuses during the surgery were excluded from the study. All patients had a normal digital rectal examination and PSA values less than 4 ng/ml. As we look at the results there was no statistically significant difference between the finasteride group and control group regarding age, IPSS, PSA, prostate volumes, preoperative serum hemoglobin, hematocrit values and mean operating times and used irrigating fluids. The total amount of bleeding and bleeding per gram resected tissue were significantly lower in the finasteride group regardless of prostate volume. Furthermore the decrease in the hemoglobin and hematocrit values was higher in the control group. As a conclusion four weeks of finasteride pretreatment provided a significant decrease in peroperative bleeding regardless of prostate volume without any major side effects.

Hydatid cyst of the rib with intramedullary involvement

Osseous localization is uncommon for a hydatid cyst. We present a case of a hydatid cyst with rib involvement spreading through the bone marrow in a 62-year old woman.

The H- and T-reflex response parameters of long- and short-distance athletes

It is well known that the training level of a muscle belongs to the parameters that affect the H-reflex response amplitude. The aim of this study was to investigate the effects of training type on H- and T-reflex response parameters. For this purpose, 20 long-distance athletes (group I, test group), 18 short-distance athletes (group II, test group) and 20 non-trained subjects (group III, control group) were involved in this study in which the H- and T-reflex amplitude and latency values were measured. The H-reflex amplitude and latency values found in groups I, II and III were 3.64 +/- 0.28 mV and 26.88 +/- 1.45 ms, 3.17 +/- 0.26 mV and 26.19 +/- 1.89 ms, and 6.07 +/- 0.34 mV and 26.77 +/- 1.32 ms, respectively. The T-reflex amplitude and latency values of the groups I, II and III were 3.30 +/- 0.18 mV and 32.01 +/- 1.02 ms, 3.11 +/- 0.20 mV and 31.47 +/- 1.16 ms, 4.24 +/- 0.21 mV and 31.47 +/- 1.16 ms, respectively. There was no statistically significant difference between the groups with respect to latencies of H- and T-reflexes (p>0.05). In both test groups, the amplitudes of the H-reflex and T-reflex were significantly smaller than the control group (p<0.05). The results of this study suggest that training of muscles affect the H- and T-reflex response parameters.

Sociodemographic and clinical characteristics of patients with conversion disorder in Eastern Turkey

BACKGROUND

Conversion disorder (CD) is a common disease and its importance still continues in Turkey and particularly in Eastern Turkey. The aim of this study is to examine sociodemographic and clinical characteristics of CD.

METHOD

Among 198 consecutive patients having CD diagnosed by structured DSM-III-R clinical interview, the psychosocial characteristics of the patients were clinically investigated.

RESULTS

The most common subtype of CD was non-epileptic seizure (NES) (41.4 %). The psychosocial stress factors were found in the initiation or at the last episode of the disorder (88.9 %). The most prominent problem related with primary support group was traumatic event (37.9 %) followed by problems associated with migration and related economical problems which are the most important problems of the study area. The incidence of depressive disorders was high in patients with CD, and the histrionic personality disorder was the most prominent personality pathology among the patients. Direct referral to psychiatry clinics appeared to be low (12.1 %).

CONCLUSION

Our findings have shown that traumatic events may have an important role in the occurrence, severity and duration of CD, and most of the patients seek help from religious healers. The study has also revealed that lower education level and socioeconomic and sociocultural problems may play a role in the occurrence of the disorder as well as regarding its course.

Spinal subarachnoid hemorrhage complicating oral anticoagulant therapy

Spinal subarachnoid hemorrhage (SAH) is rare clinical entity possible owing to the diluting and fibrinolytic effects of cerebrospinal fluid (CSF). When it occurs, it is most commonly encountered in the thoracic segment of the subarachnoid space. We present a case of a 50-year-old man who sustained spinal SAH in the cervical and thoracic segments related to anticoagulant therapy. He progressed to significant neurological deficit since he was inoperable, an observation that supports the need for decompression surgery. We should be aware of potential hematomyelia should a patient on anticoagulant therapy develop neurological symptoms localized to the spinal cord. When available, magnetic resonance (MR) imaging is the modality of choice to diagnose and follow-up spinal SAH.

The value of routine antibiotic prophylaxis in mandibular third molar surgery: acute-phase protein levels as indicators of infection

Postoperative infections in the oral region are usually caused by anaerobic bacteria. While some authors claim that routine antibiotic prophylaxis is necessary after third molar surgery, others do not recommend this practice. The major subject of controversy is what constitutes postoperative infection. Previous studies that have examined the benefit of routine antibiotic prophylaxis have used several clinical symptoms (pain, swelling, and trismus) as indicators of infection; however, these clinical symptoms may be vague and unreliable, and cannot be evaluated scientifically. As a result, their use has only sparked more debate in this area of research. The present study assessed the value of routine antibiotic prophylaxis in impacted mandibular third molar surgery using acute-phase protein levels as potential indicators of early and late postoperative infection. Specifically, serum levels of C-reactive protein and alpha-1 antitrypsin were measured preoperatively and postoperatively in patients who received either prophylactic antibiotics or placebos. The results revealed no statistically significant difference between treated and control patients in terms of incidence of postoperative infection.

Relationship between interleukin-6 levels in gingival crevicular fluid and periodontal status in patients with rheumatoid arthritis and adult periodontitis

BACKGROUND

The aim of this study was to determine and compare interleukin-6 (IL-6) levels in gingival crevicular fluid (GCF) and clinical periodontal findings in patients with rheumatoid arthritis (RA) and adult periodontitis (AP).

METHODS

A total of 45 patients divided into 3 groups (15 patients with RA and AP, 15 patients with AP, and 15 periodontally healthy subjects) were included in this study. Plaque index (PI), gingival index (GI), sulcus bleeding index (SBI), probing depth (PD), and attachment level (AL) values for each patient were recorded. Enzyme-linked immunosorbent assay for quantitative detection of IL-6 in each GCF sample was employed.

RESULTS

No significant difference could be detected between the RA and AP groups in the mean clinical parameter data except PI. Although the mean GCF IL-6 level in the RA group was the highest, no significant difference could be found among the groups. There was only a strong negative correlation between GCF IL-6 levels and GI scores in the RA group.

CONCLUSIONS

In the patients with RA, despite increased local tissue destruction potential due to autoimmunity and higher PI levels than in the AP patients, our findings suggest that medication including corticosteroid and non-steroidal anti-inflammatory drugs may decrease gingival inflammation, but the synthesis and degradation of IL-6 in gingival tissue of RA patients may be different. To our knowledge, this study is the first report determining GCF IL-6 levels in RA patients.

Successful out-of-hospital cardiopulmonary resuscitation: what is the optimal in-hospital treatment strategy?

The aim of the study was to evaluate prognostic factors in patients after successful out-of-hospital resuscitation (sOHR) within 30 min after admission. A prognostic scoring scale in patients surviving OHR was analysed. We also studied the effect of these predictive factors and the in-hospital treatment (percutaneous transluminal coronary angioplasty (PTCA) vs. thrombolysis) on mortality. We performed a retrospective analysis of the emergency medical system forms and medical files of 72 consecutive patients aged > or =18 years with sOHR. Of these 72 patients 37 (51%) met the electrocardiographic and enzymatic criteria for acute myocardial infarction (AMI). Ten of the 37 AMI patients (27%) underwent acute PTCA as primary treatment and seven patients (19%) received thrombolytic therapy for AMI despite prolonged (mean 24+/-13 min) cardiopulmonary resuscitation (CPR). The remaining 20 patients had no specific infarct treatment. Despite successful PTCA, in eight out of ten patients, their mortality in hospital was 60% (6/10). Mortality in the thrombolysis group was 57% (4/7). For the remaining 20 MI-patients the mortality was 65% (13/20). Univariate and multivariate analyses were performed to design a weighted prognostic scoring system. The Glasgow coma scale (GCS) was the strongest independent predictor (r=0.76, P< or =0.001) for in-hospital death.

CONCLUSIONS

in-hospital mortality after successful OHR seems to largely depend on neurological status at admission and much less on the specific treatment of myocardial infarction. The prognostic scoring system accurately predicted the in-hospital mortality and can be used for early treatment stratification; however, it should be proven in a prospective study.

Effects of combined shear and thermal forces on destruction of Microbacterium lacticum

A twin-screw extruder and a rotational rheometer were used to generate shear forces in concentrated gelatin inoculated with a heat-resistant isolate of a vegetative bacterial species, Microbacterium lacticum. Shear forces in the extruder were mainly controlled by varying the water feed rate. The water content of the extrudates changed between 19 and 45% (wet weight basis). Higher shear forces generated at low water contents and the calculated die wall shear stress correlated strongly with bacterial destruction. No surviving microorganisms could be detected at the highest wall shear stress of 409 kPa, giving log reduction of 5.3 (minimum detection level, 2 x 10(4) CFU/sample). The mean residence time of the microorganism in the extruder was 49 to 58 s, and the maximum temperature measured in the end of the die was 73 degrees C. The D(75 degrees C) of the microorganism in gelatin at 65% water content was 20 min. It is concluded that the physical forces generated in the reverse screw element and the extruder die rather than heat played a major part in cell destruction. In a rotational rheometer, after shearing of a mix of microorganisms with gelatin at 65% (wt/wt) moisture content for 4 min at a shear stress of 2.8 kPa and a temperature of 75 degrees C, the number of surviving microorganisms in the sheared sample was 5.2 x 10(6) CFU/g of sample compared with 1.4 x 10(8) CFU/g of sample in the nonsheared control. The relative effectiveness of physical forces in the killing of bacteria and destruction of starch granules is discussed.

Late bleb-related endophthalmitis after trabeculectomy with mitomycin C

To present two cases of delayed-onset postoperative endophthalmitis following trabeculectomy combined with mitomycin C for secondary glaucoma after penetrating keratoplasty. We retrospectively evaluated two patients with late endophthalmitis after trabeculectomy combined with intraoperative mitomycin C application. Both patients underwent trabeculectomy for uncontrolled glaucoma following penetrating keratoplasty and they developed thin-walled cystic blebs. Intraocular pressure was normal, and grafts remained clear postoperatively. Severe endophthalmitis with hypopyon developed at 3 and 7 months postoperatively. Both patients had concomitant bleb infection. They underwent vitreous sampling and intravitreal injection of vancomycin and amikacin and were given topical fortified and systemic antibiotic therapy. Intravitreal injection was repeated once in both patients. Cultures grew Streptococcus pneumonias in one and Staphylococcus aureus in the other. Although the treatment of endophthalmitis was successful in both patients, only one of them achieved useful vision (20/40). For the other patient who had been infected with S. pneumoniae, vision was light perception. Delayed-onset endophthalmitis following trabeculectomy with mitomycin C application is a severe and vision threatening complication. It seems that the development of thin cystic filtering blebs secondary to intraoperative mitomycin C application may be a predisposing factor for bleb-related late endophthalmitis.

The correlation of gingival crevicular fluid interleukin-8 levels and periodontal status in localized juvenile periodontitis

Localized juvenile periodontitis (LJP) is an early-onset periodontal disease characterized by progressive bone loss involving the permanent first molar and incisor teeth. Approximately 70% to 75% of LJP patients have impaired neutrophil chemotaxis towards a number of chemoattractants including N-formyl-methionyl-leucyl-phenyl-alanine, complement fragment C5a, leukotriene B4, and interleukin 8 (IL-8). The aim of the present study was to observe the role of IL-8 in the pathogenesis of LJP. Fourteen individuals who were systemically and periodontally healthy and 24 systemically healthy individuals diagnosed with LJP (based on the results of clinical periodontal assessments and radiographic examination) were recruited for this study. Gingival crevicular fluid (GCF) samples were obtained from anterior teeth in each subject before treatment. After evaluation of GCF amount from paper strips, enzyme-linked immunoabsorbent assay was employed to determine the amount of IL-8 in GCF. The amount and concentration of IL-8 measured was 894.5 +/- 435 pg, and 445.3 +/- 468 pg/microl for the experimental group and 747.3 +/- 543 pg and 684.7 +/- 548 pg/microl, for the control group. The correlation among the levels of cytokine and clinical parameters was assessed. It was observed that the concentration of IL-8 demonstrated a negative correlation with gingival index in the LJP group. In addition, no significant correlation was found among the total amount and concentration of IL-8, GCF volume, and clinical parameters in the control group. IL-8 is thought to enhance host defense mechanisms against gram-negative bacteria, thus providing protection against periodontal infections. Our data demonstrate that, when both the total amount and concentration of IL-8 are taken into consideration, no significant difference between LJP and healthy subjects is shown. This may indicate a less active IL-8 production compared with healthy subjects in spite of the dense Gram bacterial stimulation in LJP.