The effects of different irrigation methods on root distribution, intensity and effective root depth of young dwarf apple trees

The aim of this study is to determine the effects of different irrigation methods (drip, subsurface drip, surface and under-tree micro sprinkler) on the root distribution, intensity and effective root depth of “Williams Pride” and “Jersey Mac” apple cultivars budded on M9, rapidly grown in Isparta Region. The rootstocks were shallow root system and their root distribution was placed near trunk center and accumulated in diameter of 0.5 m and depth of 0.4 m of soil volume as bowl shape. The root intensity was reduced gradually away from surface and trunk; the root distribution was uniform in all irrigation methods used in the study. In other words, the effect of irrigation methods on root distribution was similar. Generally, the amount of “Williams Pride” root was higher than that of “Jersey Mac” variety. Therefore, these varieties have partial effect on root of the rootstock. Also, effective root depth was increased during the experimental years. Over the years, effective root depths obtained were 28.4 - 36.6 cm in 2006; 32.3 - 42.5 cm in 2007 and 37.1 - 45.2 cm in 2008, respectively. As a result, effective root depths for irrigation of the varieties can be taken as 40 - 45 cm until 3 years old

Ascites as an initial presentation of spontaneously ruptured hydatid cyst

We describe the diagnosis of a 77-year-old woman admitted toour outpatient department with a 3-month history of abdominalbloating and distension. Abdominal computed tomographyrevealed a large cystic lesion in the posterior segment of the righthepatic lobe, with a separated germinal layer and widespreadascites with dense internal echoes and septal appearance. Theresult of a serum Echinococcus indirect haemagglutination testwas positive and findings were indicative of the spontaneousrupture of a hydatid cyst into the peritoneal cavity withouttrauma. Ascites is rarely seen in the course of hydatid disease,but can result from cyst rupture into the peritoneal cavity. Thisshould be considered in the differential diagnosis of ascites,especially in areas such as Turkey, where hydatid disease inendemic

Intraventricular ciprofloxacin usage in treatment of multidrug-resistant central nervous system infections: Report of four cases

In recent years, multidrug-resistant microorganisms appear as important nosocomial pathogens which treatment is quite difficult. As sufficient drug levels could not be achieved in cerebrospinal fluid during intravenous antibiotic therapy for central nervous system infections and due to multidrug-resistance treatment alternatives are limited. In this study, four cases of central nervous system infections due to multidrug-resistant microorganisms who were successfully treated with removal of the devices and intraventricular ciprofloxacin are presented. In conclusion, intraventricular ciprofloxacin can be used for treatment of central nervous system infections if the causative microorganism is sensitive to the drug and no other alternative therapy is available

Endogenous digoxin-immunoreactive substance in normal and preeclamptic pregnancies

PubMedID: 7905428AIMS: To determine the potential use of a digoxin-immunoreactive substance in the prediction of preeclampsia, to study the relationship between serum levels of this substance and gestational age, and to evaluate the correlation between this substance and blood pressure findings in preeclamptic pregnancies. METHODS: Serum digoxin-immunoreactive substance concentrations were measured by RIA (double antibody, radioimmunoassay) in normotensive (n = 14) and preeclamptic (n = 17) pregnant women in their third trimesters. Statistical evaluation was performed with the Mann-Whitney U-test and correlation-regression analysis. RESULTS: The mean (± S.E.) digoxin-immunoreactive substance levels in the normal and preeclamptic patients were 0. 29 ± 0.06 and 0.31 ± 0.05 ng/ml, respectively, the slightly higher level in the hypertensive group being statistically nonsignificant. Serum digoxin-immunoreactive substance levels did not demonstrate good correlation with gestational age and systolic blood pressure in preeclamptic pregnancies. CONCLUSIONS: An endogenous digoxin-immunoreactive substance is present in the sera of third trimester pregnant women, but it does not contribute to the pathogenesis or prediction of preeclampsia. © 1993

Extraperitoneal metastasis of the fallopian tube cancer: A review of the literature [Fallop tüpü kanserinde periton dişi metastazlar: Literatür derlemesi]

Fallopian tube cancer is a rare event and its extraperitoneal metastasis is even rarely seen. The most part ofthe knowledge about the fallopian tube cancer is derived from the epithelial ovarian carcinoma which has a very close similarity on clinical behavior. Disease usually disseminates to the peritoneal surfaces of the abdominal organs by exfoliation of the tumor cells in the peritoneal cavity. It is believed that the lymphogenic or hematogenous ways are the causes of extraperitoneal metastasis. We reported a review of the cases of fallopian tube cancer with extraperitoneal spreading. The majority of the patients were treated with combination of surgery and chemotherapy. On the other hand, the early reports state that the patients were treated with radiotherapy and intraperitoneal chemotherapy. Lymph node is the most common site for extraperitoneal dissemination. Lungs and central nervous system are usually involved synchronously. Central nervous system involvement is usually diagnosed while evaluating a neurological symptom. In this situation it is possible to emphasize that the central nervous system involvement is more common with asymptomatic patients. Bone, liver, spleen, skin, pleura, pericardium and breast are the other sites of extraperitoneal metastasis. The time interval for extraperitoneal recurrence was 37.5 ± 21.2 (7-74) months. The survival after the diagnosis of extraperitoneal metastasis 21.8 ± 21.0 (0, 5-72) is months. In some patients while extraperitoneal dissemination is detected, the peritoneal spread was absent. Although it is believed that when an extraperitoneal metastasis happened the prognosis is extremely poor, some patients may have a longer survival. Copyright © 2010 by Türkiye Klinikleri

Factors affecting Helicobacter pylori eradication using a seven-day triple therapy with a proton pump inhibitor, tinidazole and clarithromycin, in brazilian patients with peptic ulcer Fatores que afetam a erradicação do Helicobacter pylori usando um tratamento triplo de sete dias com um inibidor de bomba de prótons associado ao tinidazol e a claritromicina, em pacientes brasileiros com úlcera péptica

Triple therapy is accepted as the treatment of choice for H. pylori eradication. In industrialized countries, a proton pump inhibitor plus clarithromycin and amoxicillin or nitroimidazole have shown the best results. Our aims were: 1. To study the eradication rate of the association of a proton pump inhibitor plus tinidazole and clarithromycin on H. pylori infection in our population. 2. To determine if previous treatments, gender, age, tobacco, alcohol use, and non-steroidal anti-inflammatory drugs (NSAIDs) change the response to therapy. METHODS: Two hundred patients with peptic ulcer (upper endoscopy) and H. pylori infection (histology and rapid urease test - RUT) were included. A proton pump inhibitor (lansoprazole 30 mg or omeprazole 20 mg), tinidazole 500 mg, and clarithromycin 250 mg were dispensed twice a day for a seven-day period. Eradication was assessed after 10 to 12 weeks of treatment through histology and RUT. RESULTS: The eradication rate of H. pylori per protocol was 65% (128/196 patients). This rate was 53% for previously treated patients, rising to 76% for not previously treated patients, with a statistical difference p<0.01. No significant difference was observed regarding sex, tobacco use, alcohol consumption, and NSAID use, but for elderly patients the difference was p = 0.05. Adherence to treatment was good, and side effects were mild. CONCLUSIONS: A proton pump inhibitor, tinidazole, and clarithromycin bid for seven days resulted in H. pylori eradication in 65% of the patients. Previous treatments were the main cause of treatment failure.<br>O esquema tríplice tem sido demonstrado como sendo o melhor tratamento para a erradicação do Helicobacter pylori. Nos países industrializados o uso de um inibidor de bomba de prótons associado a claritromicina e a amoxicilina ou a um nitroimidazólico, tem proporcionado os melhores resultados. Objetivamos estudar na nossa população a taxa de erradicação do H. pylori para a associação de um inibidor de bomba de prótons com o tinidazol e a claritromicina e determinar se a resposta ao tratamento é influenciada pelo tratamento prévio, sexo, tabagismo, alcoolismo, idade e uso de anti-inflamatórios não esteroidais (AINEs). PACIENTES E PROCEDIMENTOS: Duzentos pacientes com diagnóstico endoscópico de úlcera péptica e com infecção pelo H. pylori, confirmada pelo exame histológico e pelo teste rápido da urease (TRU), foram incluídos no estudo. Um inibidor de bomba de prótons (lansoprazol 30mg ou omeprazol 20 mg), tinidazol 500mg e claritromicina 250mg foram ministrados duas vezes ao dia, por um período de 7 dias. A erradicação era determinada depois de 10 a 12 semanas após o fim do tratamento, por histologia e TRU. RESULTADOS: O percentual de erradicação do H. pylori (por protocolo) foi de 65% (128/196 pacientes). Para pacientes previamente tratados o valor foi de 53%, aumentando para 76% nos pacientes não previamente tratados com diferença estatística (p<0,01). Não houve diferença significativa para sexo, tabagismo, alcoolismo e uso de AINEs, mas para pacientes de mais idade houve diferença com p = 0,05. A aderência ao tratamento foi boa e os efeitos adversos, leves. CONCLUSÃO: O esquema inibidor de bomba de prótons, tinidazol e claritromicina, dados duas vezes ao dia por 7 dias proporcionou erradicação do H. pylori em 65% dos pacientes. O tratamento prévio foi o principal fator para seu insucesso