148 research outputs found
A comparison of two conjunctival rotation autograft techniques in primary pterygium surgery.
PURPOSE: To compare the effects of 90° and 180° conjunctival rotational autograft (CRA) techniques used in primary pterygium surgery.
METHODS: Forty-five patients were included in this retrospective study. Visual acuity (VA), corneal topography, and auto-refractometer measurements, as well as detailed biomicroscopic examinations, were performed preoperatively and postoperatively. During surgery, the pterygium tissue was excised then rotated 90° in Group 1 and180° in Group 2, after which it was sutured to the bare sclera. Pterygium recurrence was defined as corneal invasion ≥1 mm.
RESULTS: Group 1 consisted of 21 patients with a mean age of 45.1 ± 11.8 years, while Group 2 comprised 24 patients with a mean age of 47.9 ± 13.8 years. The pterygia in Group 1 were graded as more advanced than those in Group 2. A similar number of recurrences were observed in Group 1 (14.3%) and in Group 2 (16.7%). There was no statistically significant difference in terms of the preoperative and postoperative VA and astigmatism values between the two groups. There was a statistically significant improvement in the postoperative VA and astigmatism values in Group 1 and in the postoperative astigmatism values in Group 2. Although postoperative redness was more common in Group 1, no statistically significant difference was found between the groups.
CONCLUSION: BothCRA techniques can be successful in patients for whom it is desirable to avoid a conjunctival autograft and for patients without high cosmetic expectations
Evaluation of paediatric blunt abdomen trauma patients presenting to the emergency room
INTRODUCTION: In paediatric cases, trauma remains the most cause of morbidity and disability. Although abdominal trauma is observed less frequently in paediatric cases than isolated head trauma, it is still the leading cause of morbidity and mortality among children. Previous studies at the national level have either focused on blunt abdominal trauma in all age groups or other traumas at paediatric level. The studies targeting solely paediatric abdominal blunt trauma cases have not yet been evaluated. The aim of this study was to analyse and report the demographic characteristics, causes of trauma, developed pathologies, treatment approaches, and mortality rates in patients presenting to our emergency department with blunt abdominal trauma.
MATERIAL AND METHODS: The present study was designed as a retrospective study of 36 paediatric patients admitted to the Emergency Department of Kars Harakani State Hospital with blunt abdominal trauma between 2018 and 2019.
RESULTS: In the abdominal region, the most commonly injured organ was the liver (22 cases, 52.4%), while 13 (31%) cases had splenic trauma. Thirty-one (73.8%) patients had other body injuries in addition to the abdominal trauma, the most common of which were fractures (15 patients, 35.7%) and lung traumas (12 patients, 28.6%).
CONCLUSIONS: The organs that are damaged during the injury and the parameters that can be used to detect them provide important data for the rapid interference and treatment of life-threatening situations.
The effect of COVID-19 infection on retinal nerve fiber layer and ganglion cell complex layer thicknesses
Aim: To evaluate the possible effects of SARS-CoV-2 infection on retinal nerve fiber layer (RNFL) and ganglion cell complex layer (GC-IPL) thicknesses.
Method: Patients who had been infected by SARS-CoV-2 and hospitalized because of severe pneumonia were found out from the database of COVID-19 pandemic hospital and formed the patient group. The control group was composed of non-COVID-19 age-matched subjects. The mean and fragmented RNFL and GC-IPL thicknesses were measured by optical coherence tomography (OCT), and compared between two groups, statistically.
Results: Patient group 34 eyes of 34 subjects (18 male, 16 female) and 31 eyes of 31 subjects (14 male, 17 female) in the control group were enrolled. The mean age and gender were not statistically different between groups (p:0.56, 0,57, respectively).A statistically significant difference was not found between groups in terms of mean, superior, inferior, temporal, nasal RNFL thicknesses and mean superior, inferior, temporal, and nasal GC-IPL thicknesses.
Conclusion: The mean and fragmented RNFL and GC-IPL thicknesses measured by OCT were not statistically different in patients who had moderate disease course and recovered from COVID-19 infection
CYTOTOXIC AND GENOTOXIC EVALUATION OF SOME NEWLY SYNTHESIZED SULFONAMIDE DERIVATIVES
In the present study, it was aimed to assess the genotoxic potentials of [4,4-Dimethyl-2,6dioxocyclohexylidene) methylamino) benzene sulfonamide] (2b) and [4-((1,3-Dimethy1-2,4,6trioxo-tetrahydropyrimidin-5(6H)-ylidene) methyla mino) benzenesulfonamide] (2e) compounds which were synthesized considering that they may be used as drug raw materials and detected to inhibit human carbonic anhydrase I, II isoenzymes. For this purpose, chromosomal aberration, micronucleus and comet tests were implemented in human peripheral blood lymphocytes. 2b was used at the concentrations of 2.12, 1.06, 0.53 mu g/mL. 2e was used at the concentrations of 2.52, 1.26, 0.63 mu g/mL for these in vitro assays. We observed that 2b and 2e had no significant difference in all our application doses for chromosomal abnormalities and micronucleus assay. 2b and 2e showed different responses for tail length, tail intensity and tail moment in Comet assay. 2b reduced the mitotic index in all concentrations in 48 h application compared to both control groups, whereas 2e only reduced mitotic index at 2.52 mu g/mL compared to negative control and in all concentrations compared to the solvent control. According to the obtained results, the test substances are cytotoxic at high concentrations and long-term exposure but they are not genotoxic in human peripheral lymphocytes
Contribution of the xenograft bone plate-screw system in lumbar transpedicular stabilization of dogs: an in-vitro study
We performed biomechanical comparison of a xenograft bone plate-screw (XBPS) system for achieving cadaveric lumbar transpedicular stabilization (TS) in dogs. Twenty dogs' cadaveric L2-4 lumbar specimens were harvested and their muscles were removed, but the discs and ligaments were left intact. These specimens were separated to four groups: the L2-4 intact group as control (group I, n = 5), the L3 laminectomy and bilateral facetectomy group (LBF) (group II, n = 5), the LBF plus TS with metal plate-screw group (group III, n = 5) and the LBF plus TS with XBPS group (group IV, n = 5). Five kinds of biomechanical tests were applied to the specimens: flexion, extension, left-right bending and rotation. The averages of the 16 stiffness values were calculated and then these were statistically analyzed. The statistical results show that the XBPS system contributes spinal stability and this system can be a good choice for achieving TS
Genotoxicity evaluation of a new phthalazine substituted ?-lactam derivative in human lymphocytes
The aim of present study, to evaluate the genotoxic potential of 1-(4-(3,3-dimethyl-1,6-dioxo-2,3,4,6,11,13-hexahydro-1H-indazolo[1,2b] phthalazine-13yl) phenyl)-2-phenylazetidine-3-yl-acetate which was synthesised assuming that it may be a pharmaceutical raw material and found to inhibit human carbonic anhydrase I, II isozymes. To determine the genotoxic potential of this phthalazine substituted beta-lactam compound, chromosomal aberration (CA) and micronucleus (MN) tests were implemented in human peripheral blood lymphocytes. In these tests, lymphocyte cultures were treated with four concentrations (30, 15, 7.5, 3.75 mu g/mL) of test compound and simultaneously with negative control (sterile distilled water), solvent control (DMSO) positive control (MMC). According to our results, CA frequencies were significantly increased in two high applied concentrations (30, 15 mu g/mL) compared with negative and solvent control. MN frequencies were significantly increased in three applied concentrations (30, 15, 7.5 mu g/mL) except lowest concentration (3.75 mu g/mL) compared with solvent control. Mitotic indices were also affected by treatment with test compound. The obtained results provide evidence to demonstrate that new phthalazine substituted beta-lactam derivative can exert genotoxic and cytotoxic effects in peripheral human lymphocytes especially at high concentrations
The immunohistochemical evaluation of the expression of intermediary filaments, pcna, p53 and mmp-9 in feline fibrosarcomas
Aim: The present study was aimed at the immunohistochemical evaluation of
the expression of cancer indicators; including the Proliferating Cell Nucleus
Antigen (PCNA), Matrix Metalloproteinase-9 (MMP-9), vimentin, alphasmooth
muscle actin (?-SMA), S-100, desmin and pan-Cytokeratin (Pan-
CK), as well as intermediary filaments, with a view to demonstrate the cell
proliferation index, p53 tumour-suppressor gene status, tumour metastasis,
invasion capacity and cellular origin of feline fibrosarcomas.
Materials and Methods: The study material comprised of tumoral tissue
samples from 7 cats, which were referred to the Pathology Department
for routine histopathological examination. In order to evaluate the
histopathological changes, the sections were stained with Haematoxylin
and Eosin. Streptavidin-biotin peroxidase complex method was used for
immunohistochemical staining.
Results: Out of the seven spontaneous cutaneous fibrosarcoma cases, five
were in stage I, one was in stage II, and one was in stage III. The presence
of conspicuous collagen bands in the tumoral tissues was demonstrated by
Masson's trichrome (MT) staining. All cases stained positively for vimentin and
?-SMA. The tumoral cells reacted negatively for pan-CK, S-100 and desmin. All
cases were immunopositive for PCNA. Two cases stained positively for p53.
These two cases were advanced stage. Only a single case of fibrosarcoma
(stage III) presented with intracytoplasmic MMP-9 expression in neoplastic
giant cells.
Conclusion: Despite only very few tumour samples having been examined
in the present study, it was concluded that PCNA, p53 and MMP-9 served as
highly useful indicators for determining cell proliferation, grading malignancy,
detecting tumour aggressiveness and behaviour, as well as predicting
prognosis in spontaneous feline fibrosarcomas
The effects of perforated cylinders on the vortex shedding on the suppression of a circular cylinder
The aim of this study is the control of unsteady vortical flow occurred downstream of a circular cylinder located in shallow water flow using concentrically located outer perforated cylinder. The porosities, β have been changed between 0.1 and 0.8 in the present study. The increments of porosity β were taken as 0.05 in the range of 0.1 and 0.8 with a hole diameter of d=10 mm. The ratio of inner cylinder diameter to outer cylinder diameter, Di/Do was selected as 0.25, 0.3, 0.4, 0.5 and 0.6 the inner cylinder diameter is Di=50mm where the outer cylinder diameter is Dd=100mm. Experiments were performed at a constant depth of the water level as h=50mm (half of the outer cylinder diameter). Free stream velocity was taken as U∞=100 mm/s corresponding to a Reynolds number of Re Do=10000 based on the outer cylinder diameter. It has been observed that the inner circular cylinder was highly affected by the existence of surrounding outer perforated cylinders. It is observed that the intensity of Reynolds shear stress correlating, is completely attenuated in the region both downstream of concentric cylinder and between the concentric cylinders. It is determined from the experiments that porosity, β=0.55 is the most effective parameter for control of flow structure that is occurred from the inner cylinder
Effect of Morphology on Wave Propagation in Porous Materials
In this study, effect of morphological parameters on wave propagation in bicontinuous porous nanostructures is studied by using numerical simulations. Computational results show that energy is localized on the surface independent of the morphological parameters. It is observed that localization length increases with the increase in frequency. In addition, surface roughness parameter and ligament diameter do not have significant influence on localization length.</jats:p
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