Surgical treatment of giant cardiac aneurysm with pseudoaneurysm in a colon carcinoma patient

Left ventricular pseudoaneurysm is a rare and lethal condition associated with a high risk of rapid enlargement and rupture. It develops after transmural myocardial infarction (MI), cardiac surgery, trauma, or infection. When a left ventricular pseudoaneurysm is detected, surgical repair is recommended due to the high possibility of rupture. In this report, we present surgical treatment of a giant cardiac pseudoaneurysm that occurred after MI in a colon carcinoma patient

Exploring narrative linearity between Twitter and the news: Echoes of the Arab Spring in Brazil

This article explores the use of narrative theory as an analytical framework to investigate the extent to which popular hashtags and the news can develop into intersecting stories. It juxtaposes the case of hashtag-based reports seen during the Arab Spring to understand the coverage of notorious political episodes in Brazil. Namely, the 2016 impeachment of Dilma Rousseff and the 2018 election of Jair Bolsonaro. Here, narrative linearity emerges as a tool to observe the borrowing of Twitter hashtags in several journalistic pieces. It is contended that the linearity of authorship, narration, and representation of time appears as a satisfactory pathway to trace the development of hashtags into popular news stories. Results suggested that hashtags can significantly follow narratives and agendas in journalism while differing from their original social media context

Development of an intensive care oral care frequency assessment scale

PMID = 3263304

The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial

Objectives: This study aims to investigate the effect of additional trunk exercises to conventional exercise program on balance, functional condition and ambulation in early stage stroke patients. Patients and methods: A total of 65 patients were included in this double-blinded randomized controlled study. Patients were assigned to two groups as experimental group (n=32) who performed trunk exercises two hours/day/three weeks accompanied by conventional exercise program, and control group (n=32) who received only conventional exercise program during the three weeks. Balance, trunk balance, functional level and ambulation were assessed by Berg Balance Scale, Trunk Impairment Scale, Functional Independence Measurement, Rivermead Mobility Index, respectively. Patients were evaluated pretreatment and on the third month after the treatment. Results: There was no statistically significant difference between the outcome measurements between the groups at the pretreatment evaluation. All outcome measurements were improved significantly between pre-and post-treatment evaluation in general linear repeated measures model. The interaction parameter of “time x condition” according to time and recovery was significantly better in experimental group than in control group. The highest mean difference in efficacy between the two rehabilitation interventions was found for dynamic sitting balance in post hoc calculations. Conclusion: According to the results of our study, in early stroke patients either conventional exercises or conventional exercises plus trunk balance exercises can provide significant improvement in balance, functional condition and ambulation. However, the level of the improvement is better for the group which was applied trunk balance exercises to conventional exercises. Trunk balance exercises that are easily applicable with simple mechanisms by the patients themselves can be added to the rehabilitation. © 2016 by Turkish Society of Physical Medicine and Rehabilitation

Investigation of responsiveness indices of generic and specific measures of health related quality of life in patients with osteoporosis.

PURPOSE: To compare responsiveness Short Form-36 (SF-36), Nottingham Health Profile (NHP), and QUALEFFO-41 scales in patients diagnosed with osteoporosis. METHODS: A number of 70 osteoporosis patients who were in their menopause period at least for three years were enrolled in our study. The patients completed Short Form-36 (SF-36), Nottingham Health Profile (NHP), and QUALEFFO-41 scales during pretreatment period and one year after the termination of the treatment. Reponsiveness was compared between questionnaires using standardized responsiveness mean (SRM), the effect size (ES), and Guyatt's method. RESULTS: All scales revealed statistically significant improvement after the treatment. Upon this finding, calculations related with responsiveness indices for SF-36 (Physical Health and Mental Health), NHP (Total point), and QUALEFFO-41 (Total point) demonstrated highly responsive. ES=1.67 and 1.55, SRM=1.55 and 1.85, Guyatt value=2.20 and 1.91 for SF-36 Physical Health and Mental Health. ES=1.35, SRM=1.35, Guyatt value=1.72 for NHP. QUALEFFO-41's ES=2.56, SRM=4.32 and Guyatt value=2.31. CONCLUSION: Osteoporosis specific scale as QUALEFFO-41, gives more specific information about the quality of life of osteoporotic patients. If patients with osteoporosis will be compared with other diseases regarding quality of life, then SF-36, one scale was used to evaluate general quality life of such patients, should be preferred against NHP

Determination of plant available boron in agricultural soil by using voltammetric method

In this study, a novel voltammetric method has been developed to determine the amount of boron in soil. 50 soil samples were collected from 5 typical sites of agricultural area. After hot water extraction of available boron in the soil samples, all boron is complexed by addition of Alizarin Red S (ARS) to the extraction solutions.Differential pulse anodic stripping voltammetry was used to determine the amount of the boron complexes. The electrochemical parameters have been optimized according to the experimental results. The optimum scan rate, stirring rate, deposition potential, deposition time and pH values were determined as 5 mVs-1 , 200 rpm, -0.5 V (vs. Ag/AgCl, sat.), 15sec. and 7.5, respectively. An oxidation peak was occurred at the peak potential of -0.45 V for Boron-Alizarin complex. The limit of detection, limit of quantification and linear working range were determined for the voltammetric soil-boron analysis. In addition, the interference effects of coexisting ions were successfully investigated. Comparison of the analytical data for analyzing real samples was carried out between the differential pulse anodic stripping voltammetric method and the Azometine H spectrophotometric method have shown good agreement. A great advantage of voltammetry over the spectrophotometric method is found to be simplicity, selectivity and shortening of the analysis time

Demographical, clinical, and psychological differences of patients who suffered hand injury accidentally and by punching glass.

OBJECTIVE: The aim of this study was to compare patients who were injured by punching glass with patients who were injured accidentally, according to demographical, clinical, and psychological parameters. METHODS: The Hand Injury Severity Score (HISS), the Duruöz Hand Index, the Quick Disabilities of the Arm, Shoulder and Hand scale (Q-DASH), the Impact of Event Scale-Revised (IES-R), the Adult Attention-Deficiency/Hyperactivity Scale (A-ADHS), the Borderline Personality Inventory (BPI), and the Beck Depression Inventory (BDI) were used for evaluating severity of the injury, functionality, impact of the injury on the patient, attention deficiency, patterns of borderline personality symptoms, and level of depression, respectively. RESULTS: Patients who were injured by punching glass were significantly younger and more likely to injure their dominant hand. The severity of injury and all psychological scales were significantly higher in patients who were injured by punching glass. CONCLUSION: Hand therapy specialists should be aware of potential problems in patients who were injured by punching glass

The importance of IDH1, ATRX and WT-1 mutations in glioblastoma.

Numerous genetic pathways associated with glioblastoma development have been identified. In this study, we investigated the prognostic significance of IDH1 and ATRX mutations and WT-1 and p53 expression in glioblastomas and that of surgical methods, radiotherapy and chemotherapy. 83 patients with glioblastomas were retrospectively evaluated. Immunohistochemical analysis was performed for IDH1, ATRX and WT-1 expression. Tumour cells were positive for IDH1 in 9.6% of the patients. In 4.8% of the patients, loss of ATRX expression was observed in tumour cells; 86.7% of the patients were WT-1 positive, and 12.05% of the patients were p53 positive. No statistically significant difference was found in the progression-free and overall survival according to IDH1, ATRX, WT-1 and p53 expression. There was a statistically significant difference in the progression-free and overall survival according to the radiotherapy status. There was a statistically significant difference in the overall survival according to the chemotherapy status. There was no statistically significant difference in the progression-free and overall survival according to the surgical method. IDH1 and ATRX mutations, p53 overexpression and WT-1 expression alone did not have a significant effect on the prognosis of patients with glioblastoma; however, radiotherapy and chemotherapy had a positive effect on survival

Atrial tachycardia treated by coil embolization of a giant coronary artery fistula

Coronary artery fistulas are the second most frequently seen coronary anomaly following abnormalities of coronary artery origin and distribution. A coronary fistula is defined as a direct communication between a coronary artery and any cardiac chamber or vessel. Treatment options include percutaneous embolization and surgical intervention. Herein, we present a case of a giant coronary artery fistula and right atrial tachycardia that was induced during a diagnostic electrophysiologic study but was not inducible after the successful treatment of the fistula. This is the first case indicating this association. © 2013 Sociedade Portuguesa de Cardiologia