The prevalence of probable migraine and sleep quality among women aged 20-49 living in a semi-rural area in western Turkey

Background: We aimed to evaluate the prevalence of probable migraine, to examine the factors associated with probable migraine and to assess the level of sleep quality among women aged 20-45 who were living in the county town named Mahmudiye, in Eskisehir, in Turkey.Methods: The study was carried out in all women aged 20-45 years in Mahmudiye. 69.2% of women (n=570) comprised the study group. Questionnaire consisted of three parts: The first part included several socio-demographic, nutritional and health characteristics. The second part included questions about the headache type and third part included Pittsburgh Sleep Quality Index (PSQI). Migraine type headache was scanned via the International Headache Society (IHS) criteria for migraine. There were eight criteria which were defined by IHS. Individuals who possessed the six of the eight criteria were defined as “probable migraine”.Results: The mean age of the participants was 32.8±7.3 years. Prevalence of probable migraine was 13.3% (n=60) and it was significantly higher in women who have been smoking and who had a physician diagnosed chronic diseases. Of the women, 45.1% had poor sleep quality based on the PSQI. The sleep quality of probable migraineurs was found significantly lower than healthy women.Conclusions: To control the probable migraine symptoms and attacks, we suggest to giving regular treatment to women with chronic diseases and reducing the smoking.

Eating disorders and anxiety among high school students in Western area of Turkey

Background Eating disorders (ED) are the one of the most common chronic illness among adolescents. The aim of the present study was to investigate eating disorders and it's associations between anxiety among high school students in Sivrihisar in Eskisehir, Turkey.Methods: This cross-sectional study was carried out in the high school students of center of Sivrihisar between 01 January 2014 and 28 February 2014. The questionnaire prepared according to literature, consisting of 3 parts (socio-demographic characteristics, eating attitude test (EAT-40) and beck anxiety inventory (BAI)). The students completed questionnaire in the presence of a member of the research team. The data collected were self-reported by the students.Results: Of the study group 64.4% (n=625) were females and 35.6% (n=345) were males. The prevalence of eating disorder was 13.0% (n=126). The mean and standard deviation of students' total score of EAT-40 were 18.80±9.88 (ranged 3 to 95).  The mean and standard deviation of students' total score of BAI were 20.32±12.32 (ranged 0 to 63). The positive weak correlation was found between the total scores of EAT-40 and BAI (r=0.178; p=0.001).Conclusions: ED is an important health problem for adolescents. On the studies upon epidemiology of ED towards high school students, socio-economic factors should be assessed in more detailed and more comprehensive perspective.

Metabolomic and high-throughput sequencing analysis—modern approach for the assessment of biodeterioration of materials from historic buildings

Preservation of cultural heritage is of paramount importance worldwide. Microbial colonization of construction materials, such as wood, brick, mortar and stone in historic buildings can lead to severe deterioration. The aim of the present study was to give modern insight into the phylogenetic diversity and activated metabolic pathways of microbial communities colonized historic objects located in the former Auschwitz II-Birkenau concentration and extermination camp in Oświęcim, Poland. For this purpose we combined molecular, microscopic and chemical methods. Selected specimens were examined using Field Emission Scanning Electron Microscopy (FESEM), metabolomic analysis and high-throughput Illumina sequencing. FESEM imaging revealed the presence of complex microbial communities comprising diatoms, fungi and bacteria, mainly cyanobacteria and actinobacteria, on sample surfaces. Microbial diversity of brick specimens appeared higher than that of the wood and was dominated by algae and cyanobacteria, while wood was mainly colonized by fungi. DNA sequences documented the presence of 15 bacterial phyla representing 99 genera including Halomonas, Halorhodospira, Salinisphaera, Salinibacterium, Rubrobacter, Streptomyces, Arthrobacter and 9 fungal classes represented by 113 genera including Cladosporium, Acremonium, Alternaria, Engyodontium, Penicillium, Rhizopus and Aureobasidium. Most of the identified sequences were characteristic of organisms implicated in deterioration of wood and brick. Metabolomic data indicated the activation of numerous metabolic pathways, including those regulating the production of primary and secondary metabolites, for example, metabolites associated with the production of antibiotics, organic acids and deterioration of organic compounds. The study demonstrated that a combination of electron microscopy imaging with metabolomic and genomic techniques allows to link the phylogenetic information and metabolic profiles of microbial communities and to shed new light on biodeterioration processes

Patients with Black Hip and Black Knee Due to Ochronotic Arthropathy: Case Report and Review of Literature

Abstract Ochronotic arthropathy is a manifestation of longstanding alkaptonuria. With increasing age, an accumulation of pigment deposits of homogentisic acid in the joint cartilage results in ochronotic osteoarthritis. We present a case of a 62-year-old female who underwent staged left uncemented total hip and right cemented total knee arthroplasty for osteoarthritis secondary to ochronosis

Patients with Black Hip and Black Knee Due to Ochronotic Arthropathy: Case Report and Review of Literature

Ochronotic arthropathy is a manifestation of longstanding alkaptonuria. With increasing age, an accumulation of pigment deposits of homogentisic acid in the joint cartilage results in ochronotic osteoarthritis. We present a case of a 62-year-old female who underwent staged left uncemented total hip and right cemented total knee arthroplasty for osteoarthritis secondary to ochronosis

Evaluation of aerobic stabilization of biological treatment sludges

Ülkemizde uygulanan çevre mevzuatı gerekleri, atıksu arıtma tesislerinde oluşan çamurun arıtımını ve nihai uzaklaştırılmasını zorunlu kılmaktadır. Evsel ve endüstriyel atıksu arıtma tesislerinden kaynaklanan arıtma çamurları üzerinde yapılan analizler sonucu, bu çamurların özellikle toplam ve çözünmüş organik karbon değerlerinin yönetmelikteki değerleri sağlamadığı ve çamurların bu parametreler bakımından tehlikeli atık sınıfında değerlendirmesi gerektiğini ortaya koymaktadır. Bu çalışma kapsamında Marmara Bölgesi’nde yer alan çeşitli evsel ve endüstriyel arıtma tesisinden kaynaklanan çamurların organik madde içerikleri değerlendirilmiş ve bu çamurların stabil hale getirilmesi için aerobik stabilizasyon işlemi uygulanmıştır. Aerobik stabilizasyon reaktörlerinde, 15 gün süreyle organik madde içeriklerinin değişimi UAKM, TOK ve ÇOK parametreleri esas alınarak ve evsel çamur numuneleri için zehirlilik parametresi de dikkate alınarak incelenmiştir. Elde edilen sonuçlara göre aerobik stabilizasyon sonunda genel olarak TOK değerleri azalırken, ÇOK değerlerinde çamur numunelerine bağlı olarak artış ya da azalmalar gözlenmiştir. İncelenen evsel çamurların ikisinde de TOK konsantrasyonu %50’den daha fazla azalırken ÇOK değerlerinde artış tespit edilmiştir. Endüstriyel atıksu arıtma çamurları arasında en yüksek TOK giderimi %62 ile Nevresim Endüstrisi çamurunda gözlenmiş olup, bu endüstri ÇOK giderimde de en yüksek verimi sağlamıştır. Elde edilen bu sonuçlar ışığında, aerobik stabilizasyon işleminin uygulanma aşamasından önce her tesis için ayrıca değerlendirme yapılması gerekliliğini ortaya koymuştur. Her çamur örneği için standartların sağlanması aerobik stabilizasyon ile mümkün olamamasına rağmen, bu işlemin bazı organik maddelerin giderilmesini sağladığı aerobik stabilizasyon sonrasında evsel numunelerdeki zehirliliğin tamamen giderilmesi ile ortaya konmuştur. Anahtar Kelimeler: Çamur, stabilizasyon, aerobik, evsel- endüstriyel-tehlikeli atık.The main waste-product of the biological wastewater treatment processes is the excess sludge which needs to be disposed properly to prevent the entry of the pollutants back into the water cycle, especially after the disposal of the wasted sludge cakes into the landfill area. During the adaptation period of European Union membership of Turkey, the increase in the number of both municipal and industrial Wastewater Treatment Plant (WWTP) due to the stringent new regulations for wastewater treatment will pose more significant sludge disposal and sanitation problems in the future for Turkey. Treatment and ultimate disposal of domestic and industrial wastewater treatment plant sludges is obligated according to the regulations in Turkey. Treatment sludges categorized in three different groups namely: inert sludge, non-hazardous sludge and hazardous sludge according to the characteristics of the sludge. The total organic carbon (TOC) concentration of the sludge itself and dissolved organic carbon (DOC) concentration in the eluent of the sludge are mainly used for this classification. The higher levels of TOC and DOC values qualifies the domestic and industrial wastewater treatment sludges as hazardous sludge. The principal objective of sludge treatment is its stabilization, that is a controlled decomposition of easily degradable organic matter resulting in a significant reduction of volatile suspended solids (VSS) content, a change of an unpleasant smell into an earthy one, and an elimination of sludge putrescibility. Aerobic biological stabilization at ambient conditions has traditionally been undertaken for the stabilization of treatment sludges originated from both domestic and industrial wastewater treatment plants. In this study the characterization of the different treatment sludges originated from domestic and industrial wastewater treatment plants in Turkey was investigated and the stabilization level of these sludges was evaluated by using aerobic stabilization process. The stabilization level of sludges was evaluated by monitoring the VSS, TOC and DOC content of the sludge. Moreover, ecotoxicological assays were conducted on domestic wastewater treatment plant sludges to observe the effect of stabilization on the toxicity. Respirometric and modeling studies were also performed to assess the decrease in the organic content of the domestic wastewater treatment plant sludge during aerobic stabilization. The results of analysis conducted on the sludge itself and sludge eluent indicated that the sludges are in hazardous nature. These results suggest that the treatment sludge generated from both domestic and industrial treatment plants have to stabilized before ultimate disposal. During the course of the aerobic stabilization experiments, VSS, TOC and DOC measurements were performed at the beginning and 15 days after the beginning (at the end of the stabilization experiment) in order to monitor the extent of VSS, TOC and DOC removal. Measured TOC and DOC concentrations during the stabilization experiments of studied treatment sludges did not show a consistent trend during the 15 days of stabilization. However, the stabilization of the industrial wastewater treatment plants sludges showed a paralel stabilization to the domestic sludge. However, it is important to conduct laboratory studies prior to the application of aerobic stabilization to a treatment plant on the case basis. The acute toxicity as EC20 (%) and EC50 (%) shows the toxic value in terms of effective concentrations (%) of tested solutions that result in 20 and 50% of bioluminescence decrease. The EC20 and EC50 values were found between 0.3 and 7.3% for the studied raw domestic sludges which is in accordance with the literature data. Significant decrease in the toxicity of domestic wastewater treatment plant sludges were observed at the end of the 15 days of aerobic stabilization. The evaluation of the results obtained in this study showed that aerobic stabilization could be an alternative for stabilization of sludges originated from domestic and industrial wastewater treatment plants. However, the organic content of the sludges mainly depend on the influent wastewater characterization of wastewater treatment plant which affects the stabilization performance. Sludge stabilization results indicate higher VSS, TOC and DOC removal efficiencies for domestic wastewaters compared to the industrial sludges. Although aerobic stabilization was not successful for the compliance with the standards in each case, the removal of toxicity exerted by sludges after 15 day-stabilization suggest that at least some toxic organic material has been succesfully biodegraded during the stabilization. In order to provide appropriate municipal and industrial sludge management in Turkey, more elaborate research and engineering experience should be gained. Keywords: Sludge, stabilization, aerobic, domestic- industrial-hazardous waste

Metabolomic and metagenomic analysis of two crude oil production pipelines experiencing differential rates of corrosion

Corrosion processes in two North Sea oil production pipelines were studied by analyzing pig envelope samples via metagenomic and metabolomic techniques. Both production systems have similar physico-chemical properties and injection waters are treated with nitrate, but one pipeline experiences severe corrosion and the other does not. Early and late pigging material was collected to gain insight into the potential causes for differential corrosion rates. Metabolites were extracted and analyzed via ultra-high performance liquid chromatography/high-resolution mass spectrometry with electrospray ionization (ESI) in both positive and negative ion modes. Metabolites were analyzed by comparison with standards indicative of aerobic and anaerobic hydrocarbon metabolism and by comparison to predicted masses for KEGG metabolites. Microbial community structure was analyzed via 16S rRNA gene qPCR, sequencing of 16S PCR products, and MySeq Illumina shotgun sequencing of community DNA. Metagenomic data were used to reconstruct the full length 16S rRNA genes and genomes of dominant microorganisms. Sequence data were also interrogated via KEGG annotation and for the presence of genes related to terminal electron accepting (TEA) processes as well as aerobic and anaerobic hydrocarbon degradation. Significant and distinct differences were observed when comparing the ‘high corrosion’ (HC) and the ‘low corrosion’ (LC) pipeline systems, especially with respect to the TEA utilization potential. The HC samples were dominated by sulfate-reducing bacteria (SRB) and archaea known for their ability to utilize simple carbon substrates, whereas LC samples were dominated by pseudomonads with the genetic potential for denitrification and aerobic hydrocarbon degradation. The frequency of aerobic hydrocarbon degradation genes was low in the HC system, and anaerobic hydrocarbon degradation genes were not detected in either pipeline. This is in contrast with metabolite analysis, which demonstrated the presence of several succinic acids in HC samples that are diagnostic of anaerobic hydrocarbon metabolism. Identifiable aerobic metabolites were confined to the LC samples, consistent with the metagenomic data. Overall, these data suggest that corrosion management might benefit from a more refined understanding of microbial community resilience in the face of disturbances such as nitrate treatment or pigging, which frequently prove insufficient to alter community structure toward a stable, less-corrosive assemblage.This work was supported in part by grants from the University of Oklahoma Biocorrosion Center, the National Science Foundation (OCE 1634630 and MCB 1329890) and BP (The Gulf of Mexico Research Initiative, Project No. 130206). The instrumentation for the metabolomic analysis was funded by ONR through a DURIP grant (Award no. N000140910797), and the method development by ONR through a MURI grant (Award no. N000141010946).Ye

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Photolysis of Naproxen under UV Light: Effect of Natural Organic Matter and Nitrate to Transformation Product Formation

Naproxen is one of the most commonly used pharmaceuticals in the world. It was measured at different concentration levels in environmental water. Since naproxen can be exposed to UV light during water and wastewater treatment, an investigation was conducted to identify photolysis rate and transformation product formation during photolysis in the presence of photosensitizers. Different experiments were carried out to identify the effect of dissolved organic matter and NO3- to photolysis reactions of naproxen. Naproxen was measured and transformation products were detected using liquid chromatograph coupled with triple quadrupole tandem mass spectrometer. MassBank libraries were used to propose transformation product molecular structures. During direct photolysis experiments pseudo first order degradation kinetic constant k(obs) was found as 0.121min(-1). k(obs) decreased to 0.068min(-1) during indirect photolysis experiments. While presence of dissolved organic matter decreases photolysis rate, NO3- accelerates the degradation of naproxen. Benzyl succinic acid and caffeic acid were proposed as potential transformation products of naproxen along with an unidentified transformation product having 177m/z. All potential transformation products of naproxen proposed in this study were identified for the first time in the literature