Effects of Temperature During Rearing and Crating on Stress Parameters and Meat Quality of Broilers

Two trials were conducted to study the effects of heat stress during rearing (trial 1) and crating (trial 2) on broiler stress parameters and fear, breast meat quality, and nutrient composition. The relationships between stress parameters and meat quality traits were also determined. Trial 1 consisted of 3 temperature treatments from 3 to 7 wk: control (temperature was 22 degrees C); diurnal cyclic temperature (temperature was 28 degrees C from 1000 to 1700 h and 22 degrees C from 1700 to 1000 h); and constant high temperature (34 degrees C; temperature was 34 degrees C). In trial 2, broilers from the control and 34 degrees C groups in trial 1 were used. Broilers in each group were placed in transport cages. The 9 cages from the control group were divided into 3 groups and placed into 3 rooms at 15, 22, or 34 degrees C for 2 h. The 3 cages from the 34 degrees C group were also held in the room at 34 degrees C (34-34 degrees C). Diurnal cyclic temperature had no effect on BW up to 5 wk of age. The effect of 34 degrees C constant temperature on BW of broilers increased with age. Plasma levels of glucose and albumin increased by 34 degrees C, but no dramatic change in levels occurred when those broilers were crated at 34 degrees C. The heterophil:lymphocyte (H:L) was higher for the 34-34 degrees C broilers and the control broilers in the 34 degrees C room than those from the 22 and 15 degrees C room. Breast muscle glycogen level decreased in broilers reared under diurnal cyclic or high temperatures. A lower pH and higher lightness (L*) and redness values and redness:yellowness were found in meat for broilers from both 34 degrees C and 34-34 degrees C groups. Higher H:L was associated with breast muscle pH according to first-order polynomial regression. The H:L had a significant effect on L* values, which were described by a second-order polynomial regression. Blood glucose level was positively correlated with L* and redness values. Duration of tonic immobility was neither influenced by rearing and crating temperatures nor associated with meat quality parameters.

Reproducibility of corneal flap thickness in laser in situ keratomileusis using the Hansatome microkeratome

PURPOSE

To evaluate the reproducibility of flap thickness during laser in situ keratomileusis (LASIK) and to analyze the effect of preoperative central corneal thickness and corneal keratometric power on flap thickness.

SETTING

Department of Ophthalmology, Cerrahpasa Medical School, Istanbul, Turkey.

METHODS

One hundred forty eyes with a mean preoperative pachymetry of 554.4 microm +/- 36.3 (SD) and a mean keratometry of 43.5 +/- 1.9 diopters had LASIK using the Hansatome automated microkeratome (Bausch & Lomb Surgical) and a 193 nm argon-fluoride excimer laser (Summit SVS Apex Plus). The 180 microm microkeratome plate was used in all procedures. Corneal thickness was measured with an ultrasonic pachymeter (Advent, Mentor O&O Inc.) before and during the flap procedure, and the difference was taken as flap thickness. The data were analyzed using a 1-tailed t test and Pearson correlation coefficient.

RESULTS

The mean flap thickness was 120. 8 +/- 26.3 microm. There was a low correlation between baseline central corneal thickness and corneal flap thickness (P =.6, r = 0. 046). There was no correlation between preoperative keratometry and flap thickness (P =.01, r = 0.203).

CONCLUSIONS

The Hansatome microkeratome does not always produce a corneal flap of the intended thickness. Factors other than keratometry and pachymetry must affect flap thickness.

Hospital-acquired infections following the 1999 Marmara earthquake

In this study, medical records of all casualties admitted to our hospital following the Marmara earthquake, which struck northwest Turkey and resulted in the destruction of several towns in the Marmara region, were evaluated retrospectively. The time buried under the rubble, demographic data, type of medical and surgical therapies performed, type of injury and data on infection were analysed. Between 17 August and 25 September 1999, 630 trauma victims were received at our hospital and 532 (84%) of them were hospitalized. The mean age of hospitalized patients (312 males, 220 females) was 32 years (2-90 years). Two hundred and twenty patients were hospitalized for more than 48 h. Forty-one of them (18.6%) had 43 hospital-acquired infection (HAI) episodes, which were mostly wound infections (46.5%). A total of 143 culture specimens was collected and 48 yielded the following potential pathogens: 15 Acinetobacter baumanii (31.2%), nine Staphylococcus aureus (18.7%), seven Pseudomonas aeruginosa (14.6%), six Escherichia coli (12.5%), six Klebsiella pneumoniae (12.5%), two Stenotrophomonas maltophilia (4.2%) and three various Pseudomonas spp. (6.3%). All S. aureus strains were found to be resistant to methicillin in vitro. Two strains of A. baumannii and one P. aeruginosa were found to be resistant to all antimicrobials including carbapenems. Fifty-three victims died (10%) and 36 of those died during the first 48 h because of severe injuries and multi-organ failure. After 48 h of hospitalization, the mortality rate was significantly higher in those patients with HAI (14/41) than those without (3/179) (34.1% vs. 1.7%, P<0.05). In conclusion, trauma is the significant factor associated with HAI and a high incidence of Acinetobacter strains was responsible for HAI in trauma patients.

Responses to heat stress in commercial and local broiler stocks. 1. Performance traits

1. This study investigated effects of conditioning at 5 d of age and food restriction during a hot period on responses to prolonged heat stress of two fast (G1 and G2) and one slower-growing (G3) broiler stocks. 2. Chicks from each stock were divided into 3 groups: control, conditioned (chicks exposed to 36 degrees C for 24 h at 5 d of age) and food restricted (during the heat stress food was withdrawn 2 h before the hot period and chicks were fed between 17.00 and 08.00 h). Prolonged heat stress was induced daily from 28 to 49 d by heating until the ambient temperature reached 32 degrees to 35 degrees C between 10.00 and 17.00 h. 3. Body weights, mortality and rectal temperatures were lower and food conversion higher for stock G3 than G1 or G2. 4. Management procedures used in this study improved food conversion and lowered mortality without affecting body weight. Rectal temperatures of the treated groups were similar to those of the controls.

Season by genotype interaction related to broiler growth rate and heat tolerance

A study was conducted to evaluate the effect of genotype by environment (G x E) interaction on the performance of commercial broilers. Temperate and hot environments were established by making use of the natural climatic differences between spring and summer in western Turkey. The experimental population was produced by a full-pedigree, randomly assigned mating scheme consisting of 29 sires and five dams per sire. The sires were considered genotypes, and the G x E interaction was evaluated by regressing sire breeding values in summer on those estimated from their spring offspring. The correlation between the two seasons for weight gain from 0 to 4 wk of age was r = 0.26, significantly lower than rho = 1 (the expectation when there is no G x E interaction). This correlation was even negative (although not significantly lower than rho = 0) for weight gain (WG) from 4 to 7 wk of age and BW at 7 wk of age. Genotype by season ANOVA also revealed highly significant G x E interaction effects on all traits. These interactions suggest the presence of substantial genetic variation in the magnitude of heat tolerance. It appeared that this variation was not random, but rather related to growth potential, where genotypes that gain more weight in the spring tended to gain less weight under the hot conditions of summer.

Characteristics of falling in patients with stroke

OBJECTIVE

To identify the risk factors for falling after stroke, to establish the relation with lesion localisation, and to evaluate the incidence of falling.

METHODS

The falling history and the mood of 293 patients with stroke were investigated by a standard questionnaire. Other information (time since stroke, risk factors, and CT) about patients was obtained from their hospital records.

RESULTS

Increasing age, depression, and heart disease were significant risk factors for falling (heart disease had a negative influence). A right hemispheric infarct was significantly more common among the falling group.

CONCLUSION

This study suggests clues for possible modifications of the management of patients with stroke during the recovery period.

Comparative evaluation of three commercial broiler stocks in hot versus temperate climates

Hot climate is a major limiting factor of broiler production in tropical and subtropical regions. The use of standard stocks in hot climates may result in large economic losses because genotypes selected in temperate climates may respond differently to the high ambient temperatures in hot regions or seasons. The summer and fall in Izmir, Turkey, provided the natural hot and temperate climates, respectively, for this study. Broiler chicks were obtained from three commercial stocks, all bred in temperate climates. Male and female chicks, 60 per pen, were housed in four pens per stock per season. Individual BW was determined at hatch, and at 4 and 7 wk of age. Feed consumption and efficiency were determined per pen. Feathering was scored at 4, 5, and 6 wk of age. Body temperature was measured twice on three birds per sex per pen, 16 h and immediately before slaughter, and feather weight was determined for each of these birds. The two seasons clearly differed in ambient temperature at the broiler house, and consequently, BW at 7 wk was significantly lower in the summer than in the fall in all stocks, with an average reduction of 23%. The season effect was largest (33.5%) on BW gain from 4 to 7 wk, along with 23 and 15% reductions in feed consumption and efficiency, respectively, during these 3 wk. A significant season by stock interaction was detected for BW gain from 0 to 4 wk and 4 to 7 wk. The three stocks exhibited similar 4- to 7-wk BW gains under the temperate fall climatic conditions, but differed significantly in the summer. These differences were not related to normal differences in feather coverage or body temperature, suggesting that standard broiler stocks must be tested in hot climates in order to find the one most suited to these conditions.

Evidence for Borrelia burgdorferi in morphea and lichen sclerosus

BACKGROUND

Borrelia burgdorferi (Bb) infection has been implicated in the development of morphea and lichen sclerosus; however, conflicting results have been reported with different investigational methods from different regions. We looked for evidence of Bb in patients with morphea and lichen sclerosus by polymerase chain reaction (PCR) analysis of of skin biopsy samples.

METHODS

Formalin-fixed, paraffin-embedded skin biopsy samples from 10 patients with morphea and 12 patients with lichen sclerosus were investigated by PCR analysis for the presence of Bb.

RESULTS

The presence of Bb DNA was demonstrated in three of 10 patients with morphea and six of 12 patients with lichen sclerosus by nested PCR.

CONCLUSIONS

The data obtained in this study suggest that Bb may play a role in the etiopathogenesis of both morphea and lichen sclerosus at least in the western parts of Turkey.

Optical coherence tomography for evaluation of anatomical changes in the cornea after laser in situ keratomileusis

PURPOSE

To examine the use of optical coherence tomography (OCT) in evaluating anatomical changes after laser in situ keratomileusis (LASIK) and complications related to the interface and corneal flap.

SETTING

Istanbul University Eye Research Center and Department of Ophthalmology, Cerrahpasa Medical School, Istanbul, Turkey.

METHODS

Eleven eyes of 11 patients who had myopic LASIK were included in the study. Mean age of the 7 men and 4 women was 29.4 years +/- 6.9 (SD). Cases analyzed included uneventful LASIK (4 eyes), epithelial ingrowth (5 eyes), and flap striae (2 eyes). Corneas were examined by OCT (Humphrey Systems).

RESULTS

Optical coherence tomography resolved corneal flap and residual stromal layers in all cases. The mean thickness of the corneal flap and residual stroma was 138.2 +/- 16.5 microm and 321.7 +/- 32.1 microm, respectively. Interface between the corneal flap and residual stroma was shown by OCT. Optical coherence tomography revealed that the eye with flap striae had flap displacement undetected by biomicroscopy. Epithelial ingrowth was shown as a highly reflective area.

CONCLUSION

Optical coherence tomography appears to be a promising method for evaluating anatomical changes in the cornea after LASIK.

Pre- and postnatal conditioning induced thermotolerance on body weight, physiological responses and relative asymmetry of broilers originating from young and old breeder flocks

The present experiment was conducted to examine the effects of pre- and postnatal conditioning to induce thermotolerance in broilers hatching from eggs orginating from younger and older breeder flocks. From each flock, 500 eggs were randomly divided into 2 groups and incubated at standard (SIT) and high (HIT) temperatures. At hatch, chicks were allotted to 36 floor pens. At 5 d of age 3 pens per parent age per incubation temperature were heat conditioned (C) for 24 h. At 21 d of age, 3 pens per parent age per incubation temperature were kept under standard (S) rearing temperatures, whereas the remaining broilers (including C) were moved to a heated room (H). Thus, there were 3 groups from 21 to 49 d including S, H, and C+H. The results indicated that to incubate eggs from younger parents at HIT before conditioning at 5 d may reduce deleterious effects of heat stress on body weight at slaughter age. However, HIT temperature decreased slaughter weight of broilers from older parents regardless of rearing temperature. Although conditioning did not prevent increments in rectal temperatures of broilers after 1 wk of heat stress (28 d), adaptation occurred thereafter for broilers from younger parents but not for broilers from older parents. Incubation temperature had no effect on plasma glucose, creatine kinase, uric acid, or triiodotryronine (T3) levels at d 21. There were no differences at 22, 25, or 28 d for T3 concentrations between the H and C+H groups. Overall relative asymmetry was not influenced by treatments on d 49. The results suggest that although pre- and postnatal conditioning may help broilers cope with heat stress, age of parent plays a major role in the ability of broilers to thermoregulate. This is especially the case for broilers originating from younger parents.

Interobserver reliability of the Nail Psoriasis Severity Index

BACKGROUND

Because the Psoriasis Area and Severity Index (PASI) does not consider the severity of nail disease, a scale that assesses the extent of involvement of psoriatic nails is needed. A new grading system, the Nail Psoriasis Severity Index (NAPSI) has been proposed.

AIMS

The purpose of this study was to assess the interobserver reliability of NAPSI. Methods. The nail features of 25 patients with psoriasis with nail involvement were evaluated and graded by three dermatologists for total NAPSI scores and nail scores. The quadrants of all nails were examined for the presence of matrix and bed features. Total NAPSI score (0-160) of patients and nail score (0-32) of the individual nails were calculated. Interobserver reliability assessments were performed by computing intraclass correlation coefficients (ICC; two-way mixed model, consistency definition).

RESULTS

The ICC((3,1)) results for total NAPSI score and nail score were found to be 0.781 and 0.649, respectively. The ICC((3,1)) for nail-bed and nail-matrix features were 0.869 and 0.584, respectively, in the total NAPSI scoring system, and 0.705 and 0.603, respectively, in the nail scoring system.

CONCLUSION

Moderate to good agreement of scoring with the NAPSI was determined among the observers in this study. Our results suggest that scoring for nail-bed features seems to be more reliable than scoring for nail-matrix features.

AgBase: supporting functional modeling in agricultural organisms

AgBase (http://www.agbase.msstate.edu/) provides resources to facilitate modeling of functional genomics data and structural and functional annotation of agriculturally important animal, plant, microbe and parasite genomes. The website is redesigned to improve accessibility and ease of use, including improved search capabilities. Expanded capabilities include new dedicated pages for horse, cat, dog, cotton, rice and soybean. We currently provide 590 240 Gene Ontology (GO) annotations to 105 454 gene products in 64 different species, including GO annotations linked to transcripts represented on agricultural microarrays. For many of these arrays, this provides the only functional annotation available. GO annotations are available for download and we provide comprehensive, species-specific GO annotation files for 18 different organisms. The tools available at AgBase have been expanded and several existing tools improved based upon user feedback. One of seven new tools available at AgBase, GOModeler, supports hypothesis testing from functional genomics data. We host several associated databases and provide genome browsers for three agricultural pathogens. Moreover, we provide comprehensive training resources (including worked examples and tutorials) via links to Educational Resources at the AgBase website.

Effects of strain, maternal age and sex on morphological characteristics and composition of tibial bone in broilers

1. This study was to determine the effects of strain, age of the maternal flock and sex on morphological characteristics and composition of tibial bone of broilers from hatch to 48 d of age. 2. A total of 600 chicks was obtained from 2 strains of broiler breeder flocks (150/chicks/strain/maternal age). Maternal flock age was classified as young (32 to 35 weeks of age) or old (56 to 58 weeks of age). Birds were reared under standard feeding and lighting regimes. 3. On day 1, 16, 32 and 48, twelve birds were selected at random from each maternal group, strain and sex and killed. The wet bone weight and volume were measured. Morphological characteristics of tibia were determined using radiography. Bone breaking strength was tested. Tibia dry matter, ash content, mineral density and collagen level were determined. 4. A quadratic increase occurred with increase in age of broilers for all variables, except proximal width, medial cortex thickness and distal condyle width which increased in a linear manner. 5. Maternal age had a significant effect only on the variably measured at the time of hatch. On day of hatch bone weight, ash content and bone volume were affected by maternal age, but the extent of this also depended on the strain. 6. The differences observed between strains for bone anatomy and bone mineralisation during the rapid growth period of 16 d were not significant at later ages, with the exception of bone volume. Differences between sexes were evident from 16 to 49 d of age with females having lower values.

Characterization of the Maize Chitinase Genes and Their Effect on Aspergillus flavus and Aflatoxin Accumulation Resistance

Maize (Zea mays L.) is a crop of global importance, but prone to contamination by aflatoxins produced by fungi in the genus Aspergillus. The development of resistant germplasm and the identification of genes contributing to resistance would aid in the reduction of the problem with a minimal need for intervention by farmers. Chitinolytic enzymes respond to attack by potential pathogens and have been demonstrated to increase insect and fungal resistance in plants. Here, all chitinase genes in the maize genome were characterized via sequence diversity and expression patterns. Recent evolution within this gene family was noted. Markers from within each gene were developed and used to map the phenotypic effect on resistance of each gene in up to four QTL mapping populations and one association panel. Seven chitinase genes were identified that had alleles associated with increased resistance to aflatoxin accumulation and A. flavus infection in field grown maize. The chitinase in bin 1.05 identified a new and highly significant QTL, while chitinase genes in bins 2.04 and 5.03 fell directly beneath the peaks of previously published QTL. The expression patterns of these genes corroborate possible grain resistance mechanisms. Markers from within the gene sequences or very closely linked to them are presented to aid in the use of marker assisted selection to improve this trait.

Twist1 Activation in Muscle Progenitor Cells Causes Muscle Loss Akin to Cancer Cachexia

Cancer cachexia is characterized by extreme skeletal muscle loss that results in high morbidity and mortality. The incidence of cachexia varies among tumor types, being lowest in sarcomas, whereas 90% of pancreatic ductal adenocarcinoma (PDAC) patients experience severe weight loss. How these tumors trigger muscle depletion is still unfolding. Serendipitously, we found that overexpression of Twist1 in mouse muscle progenitor cells, either constitutively during development or inducibly in adult animals, caused severe muscle atrophy with features reminiscent of cachexia. Using several genetic mouse models of PDAC, we detected a marked increase in Twist1 expression in muscle undergoing cachexia. In cancer patients, elevated levels of Twist1 are associated with greater degrees of muscle wasting. Finally, both genetic and pharmacological inactivation of Twist1 in muscle progenitor cells afforded substantial protection against cancer-mediated cachexia, which translated into meaningful survival benefits, implicating Twist1 as a possible target for attenuating muscle cachexia in cancer patients.

Performance of naked neck and normal broilers in hot, warm, and temperate climates

Chickens suffer at high ambient temperatures because their feather coverage hinders internal heat dissipation. Naked neck broilers (Na/na) and their normally feathered sibs (na/na) were evaluated in three natural climates. Three experiments were conducted in Turkey, during the summer in the extremely hot region of Adana (Ad-Sm), and in the moderate region of Izmir during the spring (Iz-Sp) and summer (Iz-Sm), always following the same experimental protocol. Ambient temperatures averaged 19, 28, and 32 C in Iz-Sp, Iz-Sm, and Ad-Sm, respectively. About 300 birds per genotype were included in each experiment. Feather weight was lower by about 20% in Na/na broilers than in na/na ones, independent of climate, sex, and age (6 or 7 wk). The Na/na broilers exhibited higher breast weight in all cases, from 2.5 to 10.9% higher than their na/na counterparts. Body weight gain from 4 to 7 wk (BWG4-7) clearly reflected the differences in ambient temperature among climates. The effect of the Na/na genotype on BWG4-7 interacted with climate and sex. In the hottest climate (Ad-Sm), both male and female Na/na broilers exhibited a highly significant advantage over their na/na counterparts. In the more moderate climate (Iz-Sm), the Na/na genotype exhibited superior growth only among males, and the magnitude of this advantage was lower than in Ad-Sm. In the cool temperate climate (Iz-Sp), BWG4-7 and BW7 (BW at 7 wk) means were similar for both genotypes. In Iz-Sp, feed efficiency (FE) of the Na/na birds was lower by about 4%, but in the two summer climates (Iz-Sm and Ad-Sm), FE of the Na/na birds was about 9% higher than that of their na/na counterparts. Body temperature was lower in the Na/na broilers than in their na/na counterparts; in all cases, the difference increasing with ambient temperature. The results indicate that the reduction in feather coverage provided relative heat tolerance, and therefore, under hot climates the Na/na broiler were superior to their normally feathered counterparts. It is concluded that naked neck broilers should be preferred in hot climates.

Decreased Tear Secretion After Laser in situ Keratomileusis for High Myopia

PURPOSE

To investigate the changes in tear secretion and tear film stability after excimer laser in situ keratomileusis (LASIK) for high myopia.

METHODS

One eye of 28 patients underwent unilateral LASIK for the correction of myopia with spherical equivalent refractions ranging from -6.37 to -18.25 D (mean, -11.98 +/- 3.45 D). Schirmer tear test values without anesthesia at 5 minutes and tear break-up time values were measured 4 weeks after LASIK. Unoperated contralateral eyes were used as a control for each patient. The Schirmer tear test and tear break-up time values were analyzed statistically using the independent t-test.

RESULTS

The mean Schirmer tear test value was 16.17 +/- 2.50 mm in the operated eyes and 21.07 +/- 7.03 mm in the unoperated (control) eyes of the same patients (P = .001). The mean tear break-up time value was 21.0 +/- 3.55 seconds in the operated eyes and 21.27 +/- 6.79 seconds in the control eyes (P = .85).

CONCLUSION

Tear secretion decreased following LASIK probably due to decrease in corneal sensitivity, but tear film stability appeared unaltered.

Characterization of yield stress and slip behaviour of skin/hair care gels using steady flow and LAOS measurements and their correlation with sensorial attributes

Gels made with three different polymers widely used as rheology modifiers in cosmetic formulations (cross-linked poly(acrylic acid), cross-linked poly(maleic acid-alt-methyl vinyl ether) copolymer and cross-linked poly(acrylic acid-co-vinyl pyrrolidone) copolymer) were characterized by rheological and sensory evaluation methods to determine the relationship between sensorial perception and corresponding rheological parameters. Both conventional rheological characterization methods and a more recent method, Fourier Transform Rheology with Large Amplitude Oscillatory Flow data (LAOS), were utilized to characterize the material with and without wall slip. Sensorial analyses were implemented in vivo to evaluate the perceived ease of initial and rub-out spreadability, cushion, pick-up and slipperiness attributes of the gels. Results were statistically analysed by both variance (ANOVA) and principle component analysis (PCA). Sensorial panel testing characteristics discriminated the three materials, and PCA analyses revealed that sensory attributes could be well predicted by rheological methods. Rheological experiments, without wall slip, revealed that gel strength in the linear viscoelastic region (LVR) and yield stress of these materials are similar, but exhibit significantly different wall slip and thixotropy behaviour in the low shear rate region under wall slip conditions. Above the critical shear rate, which corresponds to the yield stress, all tested materials did not slip and behaved as conventional, shear thinning polymeric fluids. In particular, the rheological parameters and sensorial perception of the 1% cross-linked vinyl pyrrolidone/acrylic acid copolymer were significantly affected by wall slip and/or thixotropy-related shear banding phenomena.

Evaluation of dermoscopic and histopathologic features and their correlations in pigmented basal cell carcinomas

BACKGROUND

Because of their clinical similarities, pigmented basal cell carcinomas (BCCs) can be confused with melanocytic pigmented lesions especially with melanoma. Since special dermoscopic features have been described for pigmented BCCs, dermoscopy is accepted as a useful tool for the diagnosis of pigmented BCCs.

OBJECTIVE

To investigate dermoscopic and corresponding histopathologic features of BCCs and to evaluate their correlations in pigmented BCCs.

METHODS

In this study, 32 pigmented BCCs in 30 patients whose diagnoses were confirmed with clinical and histopathologic features were included. Before the histopathologic evaluation, the lesions were analysed for dermoscopic features. Histopathologic correlations of dermoscopic features of BCCs and the localization of pigment accumulation in tumour mass were investigated.

RESULTS

In addition to ulceration, large grey-blue ovoid nests, multiple grey-blue globules, maple leaf areas and arborizing telangiectasia; dermoscopically yellow-brown, whitish-yellow, and black-dark brown colour showed statistically significant correlation with their histopathologic counterparts (P < 0.05). Whitish veil, which is among dermoscopic features of BCCs, did not show significant correlation with its histopathologic counterpart (P > 0.05). It was histopathologically determined that pigmentation is found within the tumour mass as well as in the tumour stroma and in the hyperplastic epidermal melanocytes.

CONCLUSIONS

Ulceration, large grey-blue ovoid nests, multiple grey-blue globules, maple leaf-like areas and arborizing telangiectasia, which are specific dermoscopic features for the diagnosis of pigmented BCC, were found to correlate with their histopathologic counterparts. In conclusion, dermoscopy can be described as a valuable tool for the diagnosis of pigmented basal cell carcinomas.

Bufavirus genotype 3 in Turkish children with severe diarrhoea

Recently a parvovirus called bufavirus (BuV) has been implicated as a causative agent of diarrhoea. To further reveal the epidemiology and genetic characteristics of BuV, this study was performed in Turkish children with diarrhoea. BuV was detected in 1.4% (8/583) of stool samples. All stool samples from healthy children (n = 148) were negative for BuV. Diarrhoea in BuV-positive patients was severe and occurred mainly during the colder months of the year. Complete genome sequences were generated from four BuVs. Only BuV3 was found, which was genetically and phylogenetically similar to Bhutanese BuV3, indicating that BuV3 is prevalent in Asian countries.

Magnetic resonance imaging of patients with cervicogenic headache

Cervicogenic headache (CH) is a syndrome which is postulated to originate from nociceptive structures in the neck or head. The anatomical neck or head structures that are responsible for the pain in CH have not been clearly identified, but the pain in these patients probably originates from the structures of the cervical spine. In this study, cervical MRI were studied in 22 patients with cervicogenic headache and 20 control patients who did not have any disease which may effect the bone and muscle structures of cervical region. MRI imaging of cervical vertebra showed a disc bulging in 10 (45.4%) out of 22 patients with CH and in 9 (45.0%) of 20 controls (P > 0.05). The distribution of pathological lesions in patients and controls were not significantly different (P > 0.05). As a result, MRI may not be an adequate method to detect pathological findings underlying the aetiology of CH such as nerve roots, intervertebral joints and periosteum.

Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: comparison with normal reproductive age women

The objective of the study was to analyse and compare demographic characteristics and clinical outcomes of pregnancies in adolescent, advanced age and normal reproductive age women. All completed pregnancies in a 6-month period, registered by the family practitioners in Denizli province, were included into the study. A face-to-face questionnaire was used to gather information. Participants were asked for demographic information, pregnancy outcome and obstetric history, obstetric and neonatal problems. Overall 5,882 pregnancies in different age groups: 296 (5%) adolescent (< 20-years-old); 4,957 (84.3%) normal reproductive age (20-35-years-old) and 629 (10.7%) advanced age (> 35-years-old ) (group III), were included into the study. Adolescent women had a lower educational status (p < 0.01), and family played a major role in decision of marriage (p < 0.01). Birth weight of the baby was lower in adolescents (p < 0.01). While adolescents tended to deliver vaginally (OR = 1.9, p < 0.01), elderly women were more prone to operative delivery (OR = 1.2, p < 0.05). Risk of caesarean section rate was higher in elderly nulliparous women (OR = 2.2, p 0.01). The number of spontaneous and induced abortions were increased with age (p < 0.01). Antenatal problems were seen least frequently in normal reproductive age women. Both antenatal (OR = 1.7, p < 0.01) and neonatal problems (OR = 1.5, p < 0.05), were significantly higher in advanced age pregnancy. It was concluded that with sufficient antenatal care, adolescent pregnancy is not associated with an increase in adverse pregnancy outcome, except low birth weights. Advanced maternal age is more likely to be associated with increased obstetric, maternal and neonatal complications.

Effects of retainers on the articulation of speech

Articulation abilities of 15 patients were evaluated at the end of orthodontic treatment with the initiation of removable upper and lower retainer wear. A test of articulation, based on consonants and vowels (cv), (vcv), (vc), (cvc) nonsense syllables, was used to evaluate the articulatory distortions with no retainers and with maxillary and mandibular retainers worn respectively and together. The test was performed (a) on the first day, (b) 24 hours later, and (c) 1 week later. Statistically significant articulatory distortions with the /t/ and /d/ sounds on the first day with upper retainer only and with both retainers worn together were noted. Also significant distortion of the /k/ sound with both retainers worn was observed. These distortions, due to the wearing of retainers, decreased to an insignificant level or disappeared completely on the seventh day showing the ability of tongue adaptation in a very short period of time.