COVID-19 in pediatric nephrology centers in Turkey

Background/aim: There is limited data on COVID-19 disease in children with kidney disease. We aimed to investigate the characteristics and prognosis of COVID-19 in pediatric nephrology patients in Turkey. Materials and methods: This was a national, multicenter, retrospective cohort study based on an online survey evaluating the data between 11th March 2020 and 11th March 2021 as an initial step of a detailed pediatric nephrology COVID-19 registry. Results: Two hundred and three patients (89 girls and 114 boys) were diagnosed with COVID-19. One-third of these patients (36.9%) were between 10–15 years old. Half of the patients were on kidney replacement therapy: kidney transplant (KTx) recipients (n = 56, 27.5%), patients receiving chronic hemodialysis (n = 33, 16.3%) and those on peritoneal dialysis (PD) (n = 18, 8.9%). Fifty-four (26.6%) children were asymptomatic. Eighty-two (40.3%) patients were hospitalized and 23 (28%) needed intensive care unit admission. Fifty-five percent of the patients were not treated, while the remaining was given favipiravir (20.7%), steroid (16.3%), and hydroxychloroquine (11.3%). Acute kidney injury developed in 19.5% of hospitalized patients. Five (2.4%) had MIS-C. Eighty-three percent of the patients were discharged without any apparent sequelae, while 7 (3.4%) died. One hundred and eight health care staff were infected during the study period. Conclusion: COVID-19 was most commonly seen in patients who underwent KTx and received HD. The combined immunosuppressive therapy and frequent exposure to the hospital setting may increase these patients’ susceptibility. Staff infections before vaccination era were alarming, various precautions should be taken for infection control, particularly optimal vaccination coverage

Stereological evaluation of the volume and volume fraction of newborns’ brain compartment and brain in magnetic resonance images

Brain development in early life is thought to be critical period in neurodevelopmental disorder. Knowledge relating to this period is currently quite limited. This study aimed to evaluate the volume relation of total brain (TB), cerebrum, cerebellum and bulbus?pons by the use of Archimedes’ principle and stereological (point-counting) method and after that to compare these approaches with each other in newborns. Methods This study was carried out on five newborn cadavers mean weighing 2.220 ± 1.056 g with no signs of neuropathology. The mean (±SD) age of the subjects was 39.7 (±1.5) weeks. The volume and volume fraction of the total brain, cerebrum, cerebellum and bulbus?pons were determined on magnetic resonance (MR) images using the point-counting approach of stereological methods and by the use of fluid displacement technique. Results The mean (±SD) TB, cerebrum, cerebellum and bulbus?pons volumes by fluid displacement were 271.48 ± 78.3, 256.6 ± 71.8, 12.16 ± 6.1 and 2.72 ± 1.6 cm3 , respectively. By the Cavalieri principle (point-counting) using sagittal MRIs, they were 262.01 ± 74.9, 248.11 ± 68.03, 11.68 ± 6.1 and 2.21 ± 1.13 cm3 , respectively. The mean (± SD) volumes by point-counting technique using axial MR images were 288.06 ± 88.5, 275.2 ± 83.1, 19.75 ± 5.3 and 2.11 ± 0.7 cm3 , respectively. There were no differences between the fluid displacement and point-counting (using axial and sagittal images) for all structures (p[0.05). Conclusion This study presents the basic data for studies relative to newborn’s brain volume fractions according to two methods. Stereological (point-counting) estimation may be accepted a beneficial and new tool for neurological evaluation in vivo research of the brain. Based on these techniques we introduce here, the clinician may evaluate the growth of the brain in a more efficient and precise manne

Stereological evaluation of the volume and volume fraction of newborns' brain compartment and brain in magnetic resonance images

Brain development in early life is thought to be critical period in neurodevelopmental disorder. Knowledge relating to this period is currently quite limited. This study aimed to evaluate the volume relation of total brain (TB), cerebrum, cerebellum and bulbus+pons by the use of Archimedes' principle and stereological (point-counting) method and after that to compare these approaches with each other in newborns. Purpose Brain development in early life is thought to be critical period in neurodevelopmental disorder. Knowledge relating to this period is currently quite limited. This study aimed to evaluate the volume relation of total brain (TB), cerebrum, cerebellum and bulbus+pons by the use of Archimedes&rsquo; principle and stereological (point-counting) method and after that to compare these approaches with each other in newborns. Methods This study was carried out on five newborn cadavers mean weighing 2.220 &plusmn; 1.056 g with no signs of neuropathology. The mean (&plusmn;SD) age of the subjects was 39.7 (&plusmn;1.5) weeks. The volume and volume fraction of the total brain, cerebrum, cerebellum and bulbus+pons were determined on magnetic resonance (MR) images using the point-counting approach of stereological methods and by the use of fluid displacement technique. Results The mean (&plusmn;SD) TB, cerebrum, cerebellum and bulbus+pons volumes by fluid displacement were 271.48 &plusmn; 78.3, 256.6 &plusmn; 71.8, 12.16 &plusmn; 6.1 and 2.72 &plusmn; 1.6 cm3, respectively. By the Cavalieri principle (point-counting) using sagittal MRIs, they were 262.01 &plusmn; 74.9, 248.11 &plusmn; 68.03, 11.68 &plusmn; 6.1 and 2.21 &plusmn; 1.13 cm3, respectively. The mean (&plusmn; SD) volumes by point-counting technique using axial MR images were 288.06 &plusmn; 88.5, 275.2 &plusmn; 83.1, 19.75 &plusmn; 5.3 and 2.11 &plusmn; 0.7 cm3, respectively. There were no differences between the fluid displacement and point-counting (using axial and sagittal images) for all structures (p &gt; 0.05). Conclusion This study presents the basic data for studies relative to newborn&rsquo;s brain volume fractions according to two methods. Stereological (point-counting) estimation may be accepted a beneficial and new tool for neurological evaluation in vivo research of the brain. Based on these techniques we introduce here, the clinician may evaluate the growth of the brain in a more efficient and precise manner.</p

Effects of dietary grape seed on performance and some metabolic assessments in Japanese quail with different plumage colors exposed to heat stress

ABSTRACT The objective of this study was to determine the effects of grape seed (GS) supplementation to basal diet on performance, carcass characteristics, some biochemical parameters, and antioxidant status of tissues of Japanese quail in growth phase with different plumage colors exposed to heat stress (HS). A total of 144 eight-day-old Japanese quail including 72 (36 females, 36 males) grey and 72 (36 females, 36 males) golden were used in this study. The quail were kept under HS (16 h at 34 °C, 8h at 22 °C) and thermo-neutral (24 h at 22°C) conditions between 15 and 43 days of age. All quail were fed a basal diet (control) and basal diet supplemented with GS at both 10 g/kg and 20 g/kg ratios. Each feeding treatment was repeated three times including four quail (two females and two males) per replicate. Heat stress considerably decreased the live weight gain on days 29-36, 36-43, and 15-43. Golden quail had higher live weight from the beginning of the trial. The increase of live weight on days 15-43 was higher in the golden group than in the grey group. Malondialdehyde (MDA) levels of liver and kidney tissues increased in heat-stress group compared with thermo-neutral group (P<0.001). In HS, significant increases were determined only in catalase (CAT) in the liver and in glutathione peroxidase (GSH-Px), CAT, and glutathione (GSH) in the kidney (P<0.05). Addition of dietary GS decreased MDA and antioxidant levels, which increased in liver and kidney of quail during HS. Plasma total cholesterol, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) levels were higher in quail under HS. Plasma total cholesterol, glucose, triglyceride, AST, and ALT levels of quail under HS decreased due to addition of 10 g/kg GS