Is oral lornoxicam effective in the treatment of acute migraine attacks? : a randomized-controlled study

The aim of this study was to assess the efficacy of lornoxicam (LNX) in the treatment of acute migraine attacks. Material and Methods: This prospective, randomized, double-blind, placebo-controlled trial was conducted administering either LNX or placebo to patients who were diagnosed with migraine without aura according to the International Headache Society (the year 2004) criteria between 2010 and 2012 Results: Of 44 patients with 120 migraine attacks, 38 were female and rest were males. Mean age was 37.75 ± 9.28 years. Patients recorded using LNX in 87 migraine attacks and placebo in 33 migraine attacks, respectively. Pain intensity scores of the patients were found similar between LNX and placebo groups, statistically. Conclusion: Although oral LNX was found to have efficacy similar to placebo statistically in the treatment of acute migraine attacks, further studies are needed to evaluate appropriately the efficacy of LNX for treatment of acute migraine attacks

Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score

Craniocervical Pains

Craniocervical pains can be analyzed in two groups: cranial neuralgias and cervicogenic pains. Cranial neuralgias are with neuropathic character; however, their etiologies might be atypical, idiopathic and psychogenic. Generally, it can be experienced as one-sided lightning strikes, electric shock-like and stabbing pain. The paroxysmal pains originate from nerves with somatic afferent fibers, such as trigeminal, facial, glossopharingeal, vagus, and also sometimes from the C2-3 dorsal roots. Moreover, the most commonly seen are trigeminal neuralgias. Cervicogenic pains are caused by cervical spinal nerves, pathologies of the structure of the cervical intervertebral disc, cervical facet joints and the soft tissue of these areas. Turk J Phys Med Rehab 2010;56 Suppl 1:38-45

Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is still a poorly understood disorder which pathophysiological mechanisms include the autonomic, sensory and motor systems as well as cortical areas involved in the processing of cognitive and affective information. The main CRPS clinical symptoms are pain and hyperalgesia, vasomotor, sudomotor and trophic changes in the affected extremity. In addition, motor symptoms are usually present from the beginning, and may progress with ongoing duration. CRPS patients exhibit changes that occur in somatosensory systems processing noxious, tactile and thermal information, in sympathetic systems innervating skin (blood vessels, sweat glands) and in the somatomotor system. The most common approach to the treatment of CRPS combines sequential trials of analgesic drugs with rehabilitative and psychological interventions. Invasive techniques like sympathetic blocks, spinal cord stimulation, etc. have limited roles in CRPS. (Archives of Neuropsychiatry 2009; 46: 70-5

Suppression of Electron Avalanches in Ultra-Dilute SF₆-N₂ Mixtures Subjected to Time-Invariant Crossed Fields

Ultra-dilute SF6 + N2 mixtures are subjected to crossed fields with the applied magnetic field normal to the electric field in order to investigate critical magnetic field values for suppression of electron avalanche growth resulting in increased dielectric strength. Electron avalanche growth inhibition together with the related electron mean energy variation and electron energy distribution functions are reported in the binary mixtures subjected to the combined fields. Even if a very small amount of greenhouse gas (SF6) is used, high dielectric strength can be achieved in the binary mixtures with 0.25%, 0.50%, 0.75%, 3%, and 7% SF6 contents subjected to the evaluated combined fields. The magnitude of the crossed magnetic field, which results in avalanche growth inhibition, decreases as the electronegativity of the mixture is increased

Population Dynamics of the European Pond Turtle, Emys orbicularis (L., 1758) (Testudinata: Emydidae) from Lake Egirdir (Isparta, Turkey)

5th International Symposium on Emys Orbicularis and the other European Freshwater Turtles -- AUG 19-21, 2015 -- Kiten, BULGARIAWOS: 000425195600005The Lake Egirdir is the fourth largest lake in Anatolia, with an area of 468 km2. By using a mark-recapture method, the population of Emys orbicularis was monitored for three consecutive years (2011-2013) and data regarding their population size, sex ratio and information about habitats used was gathered. During the whole sampling period, 4 juveniles, 105 males and 98 females were captured and marked. According to the POPAN model, the three-year super -population size of Lake Egirdir was calculated as 460 individuals. Capture rate and survival rate was calculated as 0.17 and 0.61, respectively. Sex ratio was determined nearly equal (males : females = 1.07). The Lake Egirdir population is the only one showing increasing trend among the Mediterranean populations of E. orbicularis in Turkey.TUBITAKTurkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [110T927]; EBILTEMEge University [2012/BIL/013]This study is financially supported by TUBITAK [Project number: 110T927] and EBILTEM [2012/BIL/013]. We are indebted to these organizations for financial support. The study protocol was approved with Decision No. 2010/13 by the Laboratory Animals Ethical Committee at Ege University, Turkey

Magnetic insulation in nitrogen subjected to crossed fields

In the E/N range from 150 to 400 Td (1 Td = 10-17 Vcm2), the combination of crossed magnetic fields resulting in avalanche growth inhibition in nitrogen are evaluated by means of a Monte Carlo simulation. The simulation technique employed analysis swarm development without any a priori assumptions on electron energy distribution functions and electron collisional frequencies. For the combined crossed fields evaluated, variation of number of free electrons, average positions of the swarm and pulsed Townsend energies with respect to sampling times are reported. The pulsed Townsend energies indicate considerable reduction in the mean energies when the electron avalanche at a given E/N is inhibited upon the application of a specific magnetic field value. Effectively reduced electric fields are calculated from the magnetic deflection angles obtained from the simulation. It is observed that the calculated effectively reduced fields with the related pulsed Townsend mean energies favor the effectively reduced field concept in the combined fields

Suppression of Electron Avalanches in Ultra-Dilute SF6-N-2 Mixtures Subjected to Time-Invariant Crossed Fields

Ultra-dilute SF6 + N-2 mixtures are subjected to crossed fields with the applied magnetic field normal to the electric field in order to investigate critical magnetic field values for suppression of electron avalanche growth resulting in increased dielectric strength. Electron avalanche growth inhibition together with the related electron mean energy variation and electron energy distribution functions are reported in the binary mixtures subjected to the combined fields. Even if a very small amount of greenhouse gas (SF6) is used, high dielectric strength can be achieved in the binary mixtures with 0.25\%, 0.50\%, 0.75\%, 3\%, and 7\% SF6 contents subjected to the evaluated combined fields. The magnitude of the crossed magnetic field, which results in avalanche growth inhibition, decreases as the electronegativity of the mixture is increased

Temperament and character properties of primary focal hyperhidrosis patients

<p>Abstract</p> <p>Background</p> <p>Primary focal hyperhidrosis is a health problem, which has negative effects on the patient's quality of life and significantly affects the patients’ daily activities, social and business life. The aim of this study is to evaluate temperament and character properties of patients diagnosed with primary focal hyperhidrosis.</p> <p>Methods</p> <p>Fifty-six primary focal hyperhidrosis (22.42 ± 7.80) and 49 control subjects (24.48 ± 5.17) participated in the study. Patients who met the diagnostic criteria for PFH were referred to psychiatry clinic where the subjects were evaluated through Structured Clinical Interview for DSM Disorders-I and Temperament and Character Inventory.</p> <p>Results</p> <p>In order to examine the difference between the PFH and control group in terms of temperament and character properties, one-way Multivariate Analysis of Variance (MANOVA) was conducted. In terms of temperament properties, PFH group took significantly higher scores than control group in Fatigability and asthenia dimension. In terms of character properties, PFH group scored significantly lower than control group in Purposefulness , Resourcefulness , Self-Directedness and scored significantly higher than control group in Self-forgetfulness and Self-Transcendence.</p> <p>Conclusion</p> <p>Temperament and character features of PFH patients were different from healthy group and it was considered that these features were affected by many factors including genetic, biological, environmental, socio-cultural elements. During the follow-up of PFH cases, psychiatric evaluation is important and interventions, especially psychotherapeutic interventions can increase the chances of success of the dermatological treatments and can have a positive impact on the quality of life and social cohesion of chronic cases.</p