Lithium intoxication causing ST segment elevation and wandering atrial rhythms in an elderly patient

Lithium overdoses causing cardiotoxicity are uncommon and electrocardiographic changes suggesting myocardial ischemia are rare. However, some authors have specifically reported the occurrence of ischemic electrocardiography changes due to a lithium overdose. This paper describes a case where electrocardiography changes mimic inferior myocardial infarction during the course of chronic lithium treatment in an elderly patient. The patient’s electrocardiography changes were partially resolved after hemodialysis. (Cardiol J 2009; 17, 4: 404-407

Exergetic and Environmental Analyses of Turbojet Engine

7th Global Conference on Global Warming (GCGW) -- JUN 24-28, 2018 -- Izmir, TURKEYWOS: 000587895700021This study deals with exergetic and environmental analyses of turbojet engine used on the military training aircrafts. in the analysis, the engine data measured in the Engine Test Cell at First Air Maintenance and Factory Directorate of Turkish Air Forces in Eskisehir, Turkey are utilized. the exergy balance equations are derived for each component of the engine along with the overall the engine. Several thermodynamic parameters (the fuel exergy depletion ratio, the productivity lack ratio, the relative exergy consumption ratio, exergetic improvement potential, exergetic improvement potential ratio, relative exergetic improvement potential, exergetic fuel-product ratio, and sustainability index) are used to evaluate the performance of the engine and its main components (the air compressor, the combustion chamber, the gas turbine, the exhaust forward duct, the aft exhaust duct, and the mechanical shaft). Exergy losses and destructions are investigated to determine thermodynamic inefficiencies. the exergetic efficiency of the engine is determined to be 18.77%. the highest exergy destruction rate of 2921.01 kW in the engine occurs within the combustion chamber. the mechanical shaft of the engine has the maximum sustainability index of 100.65. An environmental analysis of the engine is also performed

Forced Eruption And Implant Site Development In The Aesthetic Zone: A Case Report

A multidisciplinary approach to develop the future implant site in the aesthetic zone was illustrated. A patient with perio-endo combined lesion at her upper central incisors was treated. Before extraction, forced eruption was performed and 12 months later, satisfactory amount of bone apposition was detected. At 2 weeks after atraumatic extraction, implants were placed and loaded with implant-supported restorations following osseous healing. Variables related to crown dimensions, periodontal/peri-implanter soft-tissue health and patient's aesthetic satisfaction were recorded at baseline, before extraction and after prosthetic treatment. At 12-month control, crown dimensions in the implant site were identical to the baseline and in addition to the healthy peri-implant tissues, successful aesthetics were obtained. Forced eruption is a successful non-invasive method to develop the aesthetics of the peri-implant tissues and implant-supported restorations.PubMedScopu

Analysis of Cytidine Monophospho-N-Acetylneuraminic Acid Hydroxylase (CMAH) Gene Related to Neonatal Isoerythrolysis in Stray Cats of Izmir, Turkey

WOS: 000374312100006Neonatal isoerythrolysis is a life threatening disease in new born cats. It occurs when type A or type AB kittens are born from a type B queen (female cat). A homozygous 18 bp insertion located in cytidine monophosphate-N-acetylneuraminic acid hydroxylase (CMAH) gene has been detected in type B cats, causing production of inactive CMAH enzyme. Currently, molecular methods are being used to determine type B blood in female cats, which can help prevent neonatal isoerythrolysis in kittens. These molecular assays target the presence of 18 bp insertion in CMAH gene. In this study, we aimed to analyze the potential of neonatal isoerythrolysis among stray cats of Izmir, Turkey using PCR detecting the 18 bp insertion in CMAH gene. During the study, we analyzed 793 cats' blood sample for the presence of 18 bp insertion in CMAH gene. Three cats known to have blood types A, B, and AB were used as control in PCR. According to the PCR results, blood type A control cat displayed a 175 bp product indicating a homozygous type A cat while blood type control B cat showed a 193 bp product in CMAH gene (with 18 bp insertion) indicating a homozygous type B cat. Interestingly, blood type AB control cat showed a heterozygous pattern for CMAH gene, in which three different bands (175 bp like that of type A, 193 bp product for type B, and the third unique band with approximately 240 bp size) were detected. Among 793 stray cats of Izmir, 791 were homozygous for CMAH gene with 175 bp band size (99.7%). The remaining two stray cats showed heterozygous band pattern like blood type AB cat (0.12%). Overall, 175 bp band displaying type A cats are prevalent contrary to the two cats that have type AB pattern and non-existence of homozygous type B cats. These results show that the potential of neonatal isoerythrolysis in stray cats of Izmir is minimal. Future studies are required to scrutinize the reason(s) for non-existence of type B cats in Izmir and presence of unique band in blood type AB

A hepatitis C-positive patient with new onset of nephrotic syndrome and systemic amyloidosis secondary to common variable immunodeficiency

Common variable immunodeficiency (CVID) is a heterogenous group of predominantly antibody-deficiency disorders that make up the greatest proportion of patients with symptomatic primary hypogammaglobulinemia. The rare coincidence of amyloidosis and hypogammaglobulinemia has been reported previously. Contrary to the usual insidious, slowly progressive disease following hepatitis C infection, a rapidly progressive cirrhotic form can develop in hypogammaglobulinemic patients. We report a HCV-positive patient with a new onset of nephrotic syndrome and systemic amyloidosis secondary to CVID. Blood analyses showed serum creatinine of 1.8 mg/dL and serum albumin of 3.1 gm/dL; 24-h urinary protein was 11 800 mg/day. Serum immunoglobulin levels were IgG 340 mg/dL, IgM 18 mg/dL, IgA 11 mg/dL. Duodenal biopsy revealed AA-type amyloidosis with potassium permanganate and Congo red staining. After a month of antiproteinuric therapy, the proteinuria was reduced to 3350 mg/day