The Effects of Two Different Stretching Programs on Balance Control and Motor Neuron Excitability

We examined the effects of training (4d/wk for 6 wks) with static stretching (SS) or contract-relax proprioceptive neuromuscular facilitation (PNF) on static balance time and motor neuron excitability. Static balance time, Hmax/Mmax ratios and H-reflex recovery curves (HRRC) were measured in 28 healthy subjects (SS: n=10, PNF: n=9, control: n=9) before and after training. SS improved static balance time with a trend observed for PNF. Post training, during 150-200-250 msec interstimulus intervals, we observed a reduction in facilitation, but during 500-700-900 msec interstimulus interval; there was an increase in H2/H1 ratio in the PNF group only. Both stretching techniques improved static balance. The Ia afferent inhibitions during the acute exercises were not found after the SS and PNF training programmes. It was concluded that training with contract-relax proprioceptive neuromuscular facilitation may cause some augmentation in supraspinal and postsynaptic inhibition on the motoneuron pool

Transpiration rate of chickpea wild accessions and cultivars in Turkey

Chickpea (Cicer arietinum L.), like most cultivated crops, has exceedingly narrow genetic and phenotypic diversity. Thus breeding with only cultivated germplasm will have steeply diminishing returns, raising an urgent need for new sources of diversity. The focus of the research was to assess a representative set of newly collected wild accessions of C. reticulatum and C. echinospermum, for drought adaptation traits, i.e. transpiration rate (TR) response to increasing VPD and to soil drying. These experiments were conducted during the spring season (18 March to 21 April 2016) at the Dicle University glasshouse. The experimental design was a complete randomised block design with six replications. Measurements were conducted in late April during vegetative growth and VPD changed from 2.13 to 4.35 kPa. To measure TR, potted plants were weighed at regular time intervals over the course of an entire day, and therefore, under increasing VPD. At the end of the experiment total leaf area was destructively measured, along with shoot, root and leaf dry weights. There was a 2.31-fold range of variation in the transpiration response among genotypes. The wild genotypes Sirnak and Deste had extreme TR values exceeding cultivated check cultivars, and several wild genotypes had only a moderate increase in TR under increasing VPD. These moderate TR responses provide germplasm sources with a potential to limit water losses under high evaporative demand, akin to a protection mechanism, especially under dry environments or in future climates. These screenings, therefore, open an exciting opportunity for breeding cultivars with enhanced performance under harsh climates

Aortic distensibility and coronary artery bypass graft patency

<p>Abstract</p> <p>Background</p> <p>Aortic distensibility is an elasticity index of the aorta, and reflects aortic stiffness. Coronary artery disease has been found to be substantially associated with increased aortic stiffness. In this study we aimed to retrospectively analyze the association of angiographically determined aortic distensibility with the patency rates of coronary bypass grafts</p> <p>Methods</p> <p>The study was conducted in the Cardiology department of the Applied Research Centre for Health of Uludağ University. The coronary angiograms of 53 consecutive coronary bypass patients were analysed retrospectively. Aortic distensibility was calculated using the formula: 2 × (change in aortic diameter)/(diastolic aortic diameter) × (change in aortic pressure). The number of stenosed and patent bypass grafts and the patient characteristics like age, risk factors were noted.</p> <p>Results</p> <p>There were 44 male (83%) and 9 female (17%) cases. Eighteen cases had only one saphenous vein grafting. The number of cases with two, three and four saphenous grafting were 18, 11 and 1; respectively. In the control angiograms the number of cases with one, two, three and four saphenous vein graft obstruction were 15 (31.3%), 7 (14.6%), 1 (2.1%) and 1 (2.1%) respectively. The aortic distensibility did not differ in cases with and without saphenous graft occlusion (p > 0.05). Also left internal mammary artery (LIMA) graft patency was not related to the distensibility of the aorta (p > 0.05). We also evaluated the data for cut-off values of 50 and 70 mmHg of pulse pressure and did not see any significant difference between the groups in terms of saphenous or LIMA grafts.</p> <p>Conclusion</p> <p>In this study we failed to show association of angiographically determined aortic distensibility with coronary bypass graft patency in consecutive 53 patients with coronary artery bypass graft surgery (CABG).</p

Does primary brachial plexus surgery alter palliative tendon transfer surgery outcomes in children with obstetric paralysis?

<p>Abstract</p> <p>Background</p> <p>The surgical management of obstetrical brachial plexus palsy can generally be divided into two groups; early reconstructions in which the plexus or affected nerves are addressed and late or palliative reconstructions in which the residual deformities are addressed. Tendon transfers are the mainstay of palliative surgery. Occasionally, surgeons are required to utilise already denervated and subsequently reinnervated muscles as motors. This study aimed to compare the outcomes of tendon transfers for residual shoulder dysfunction in patients who had undergone early nerve surgery to the outcomes in patients who had not.</p> <p>Methods</p> <p>A total of 91 patients with obstetric paralysis-related shoulder abduction and external rotation deficits who underwent a modified Hoffer transfer of the latissimus dorsi/teres major to the greater tubercle of the humerus tendon between 2002 and 2009 were retrospectively analysed. The patients who had undergone neural surgery during infancy were compared to those who had not in terms of their preoperative and postoperative shoulder abduction and external rotation active ranges of motion.</p> <p>Results</p> <p>In the early surgery groups, only the postoperative external rotation angles showed statistically significant differences (25 degrees and 75 degrees for total and upper type palsies, respectively). Within the palliative surgery-only groups, there were no significant differences between the preoperative and postoperative abduction and external rotation angles. The significant differences between the early surgery groups and the palliative surgery groups with total palsy during the preoperative period diminished postoperatively (p < 0.05 and p > 0.05, respectively) for abduction but not for external rotation. Within the upper type palsy groups, there were no significant differences between the preoperative and postoperative abduction and external rotation angles.</p> <p>Conclusions</p> <p>In this study, it was found that in patients with total paralysis, satisfactory shoulder abduction values can be achieved with tendon transfers regardless of a previous history of neural surgery even if the preoperative values differ.</p

Age- and region-specific hepatitis B prevalence in Turkey estimated using generalized linear mixed models: a systematic review

Toy M, Önder FO, Wörmann T, et al. Age- and region-specific hepatitis B prevalence in Turkey estimated using generalized linear mixed models: a systematic review. BMC infectious diseases. 2011;11(1): 337.BACKGROUND: To provide a clear picture of the current hepatitis B situation, the authors performed a systematic review to estimate the age- and region-specific prevalence of chronic hepatitis B (CHB) in Turkey. METHODS: A total of 339 studies with original data on the prevalence of hepatitis B surface antigen (HBsAg) in Turkey and published between 1999 and 2009 were identified through a search of electronic databases, by reviewing citations, and by writing to authors. After a critical assessment, the authors included 129 studies, divided into categories: 'age-specific'; 'region-specific'; and 'specific population group'. To account for the differences among the studies, a generalized linear mixed model was used to estimate the overall prevalence across all age groups and regions. For specific population groups, the authors calculated the weighted mean prevalence. RESULTS: The estimated overall population prevalence was 4.57, 95% confidence interval (CI): 3.58, 5.76, and the estimated total number of CHB cases was about 3.3 million. The outcomes of the age-specific groups varied from 2.84, (95% CI: 2.60, 3.10) for the 0-14-year olds to 6.36 (95% CI: 5.83, 6.90) in the 25-34-year-old group. CONCLUSION: There are large age-group and regional differences in CHB prevalence in Turkey, where CHB remains a serious health problem

Erratum: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Interpretation: By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning

Agro-morphological characterization of the Turkish lentil landraces

A collection of lentil landraces comprising 39 genotypes from the south east Anatolia region of Turkey and 7 commercial varieties, were evaluated for 23 (8 qualitative and 15 quantitative) agro-morphological characteristics. A wide range of diversity of almost all of the plant characteristics that were studied was recorded for the lentil genotypes. Principal component analysis (PCA) was performed for 12 quantitative traits. The first three principal components accounted for 73.13% of the total variation. PC 1 was positively related to the biological yield, the weight of the pods/plant, the number of the pods/plant, the number of the seeds/plant and the weight of the seeds/plant. PC2 was closely correlated with the flowering duration, days to maturity and the diameter of the seed and was negatively correlated to days of flowering. PC3 was positively related to the plant height, the length of the internodes and the protein content and was negatively related to the 100 seed weight. Following the analysis of the agronomic characteristics over the first and second principal components, the lentil landraces formed 4 - 5 different groups