Plantas silvestres comestibles en la provincia de Ağrı, Turquía oriental

Wild edible plant species found in Ağrı are nutritionally and economically relevant. Plants are collected by the villagers and brought to the market for sale in the spring. Interest in these plants responds to the increasing demand for organic and natural food. In this study, 350 in-depth face-to-face interviews with villagers about the edible plants used in Ağrı (7 districts, 35 villages) were conducted in the region from April 2016 to October 2017. The species, parts used and their consumption and preservation techniques were analyzed and documented. Some of the wild edible plant species are consumed cured or canned, raw or cooked, dried, and some are frozen. The collected 100 wild edible species belong to 25 different plant families. Species are consumed as vegetables (91), spices (19), beverages (16), subterranean parts (5), fruits (3), seeds (3) and exudates (2). The most important species according to their cultural importance were: Amaranthus retroflexus, Beta trigyna, Gundelia tournefortii, Mentha longifolia, Polygonum persicaria, Rumex scutatus, Tragopogon porrifolius subsp. longirostris, and Urtica dioica. Leaves and young shoots were the most frequently used parts. Our study shows that wild edible plants are still well known and used by the local people of Ağrı as a food source. The documented data on these plants herein could be used as baseline information for further investigations on nutritional contents, as they could have the potential to become valuable nutrition sources.Las plantas silvestres comestibles que se encuentran alrededor de Ağrı siguen siendo importantes para la alimentación y la economía local. Estas plantas son recolectadas por la población local y vendidas en el mercado en primavera. El interés por las plantas silvestres comestibles ha aumentado debido a la creciente demanda de alimentos orgánicos y naturales. En este estudio se realizaron 350 entrevistas cara a cara entre abril de 2016 y octubre de 2017 a habitantes de la región de Ağrı (7 distritos, 35 pueblos). Se analizaron y documentaron las especies empleadas, la partes comestibles y sus modos de preparación, conservación y consumo. La mayoría se consumen, pero también se toman crudas. También se procesan en forma de conservas, se secan o se congelan. Las 100 especies registradas pertenecen a 25 familias y se usan como verduras (91), condimentos (19), bebidas (16), órganos subterráneos (5), frutos (3), semillas (3 ) y exudados (2). Según su importancia cultural, las plantas más importantes son: Amaranthus retroflexus, Beta trigyna, Gundelia tournefortii, Mentha longifolia, Polygonum persicaria, Rumex scutatus, Tragopogon porrifolius subsp. longirostris, y Urtica dioica. Las hojas y brotes jóvenes son las partes más utilizadas. Estos resultados muestran que las plantas silvestres comestibles todavía son muy conocidas y utilizadas por la población local de Ağrı como fuente de alimento. Además, los datos recopilados sobre estas plantas podrían usarse para futuras investigaciones sobre sus contenidos nutricionales, ya que tienen el potencial de convertirse en valiosas fuentes de nutrientes

Remission of Ulcerated Necrobiosis Lipoidica Diabeticorum after Bariatric Surgery

A 32-year-old woman with type 2 diabetes mellitus suffering from morbid obesity with BMI 45,14 kg/m(2) was operated on. Not only the type 2DM but also one of its complication known as necrobiosis lipoidica diabeticorum remitted postoperatively. Obesity should no longer be regarded simply as a cosmetic problem affecting certain individuals but an epidemic that threatens global well-being. It causes or exacerbates many health problems, and in particular, it is associated with the type 2 diabetes. Necrobiosis lipoidica is a granulomatous skin disease of unknown etiology, associated mainly with diabetes mellitus. We presented in this paper a morbid obese case of necrobiosis lipoidica diabeticorum with dramatic good response to bariatric surgery

The SCARE Statement: Consensus-based surgical case report guidelines

AbstractIntroductionCase reports have been a long held tradition within the surgical literature. Reporting guidelines can improve transparency and reporting quality. However, recent consensus-based guidelines for case reports (CARE) are not surgically focused. Our objective was to develop surgical case report guidelines.MethodsThe CARE statement was used as the basis for a Delphi consensus. The Delphi questionnaire was administered via Google Forms and conducted using standard Delphi methodology. A multidisciplinary group of surgeons and others with expertise in the reporting of case reports were invited to participate. In round one, participants stated how each item of the CARE statement should be changed and what additional items were needed. Revised and additional items from round one were put forward into a further round, where participants voted on the extent of their agreement with each item, using a nine-point Likert scale, as proposed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) working group.ResultsIn round one, there was a 64% (38/59) response rate. Following adjustment of the guideline with the incorporation of recommended changes, round two commenced and there was an 83% (49/59) response rate. All but one of the items were approved by the participants, with Likert scores 7–9 awarded by >70% of respondents. The final guideline consists of a 14-item checklist.ConclusionWe present the SCARE Guideline, consisting of a 14-item checklist that will improve the reporting quality of surgical case reports

The SCARE Statement: Consensus-based surgical case report guidelines

Introduction: Case reports have been a long held tradition within the surgical literature. Reporting guidelines can improve transparency and reporting quality. However, recent consensus-based guidelines for case reports (CARE) are not surgically focused. Our objective was to develop surgical case report guidelines.Methods: The CARE statement was used as the basis for a Delphi consensus. The Delphi questionnaire was administered via Google Forms and conducted using standard Delphi methodology. A multidisciplinary group of surgeons and others with expertise in the reporting of case reports were invited to participate. In round one, participants stated how each item of the CARE statement should be changed and what additional items were needed. Revised and additional items from round one were put forward into a further round, where participants voted on the extent of their agreement with each item, using a nine-point Likert scale, as proposed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) working group.Results: In round one, there was a 64% (38/59) response rate. Following adjustment of the guideline with the incorporation of recommended changes, round two commenced and there was an 83% (49/59) response rate. All but one of the items were approved by the participants, with Likert scores 7–9 awarded by >70% of respondents. The final guideline consists of a 14-item checklist.Conclusion: We present the SCARE Guideline, consisting of a 14-item checklist that will improve the reporting quality of surgical case reports.</p

MRI and Anesthesia & Sedation

In 1945 Broch &amp; Purcell described as Nuclear Magnetic Resonance. It wasused for chemical and biochemical analyses for long years. It was widelyused in medical applications after Lauterbur et al. ‘s study in 1973 (1).The primary screening method for breast cancer is mammography asknown. It is the only method that positively affects survival. But itssensitivity and specificity is not 100% and it can be an inadequate methodat some ages. Studies showed that: MRI imaging added mammographyincreased success rates but increased false positivity rates can cause someunnecessary invasive procedures. Although these breast MRI is widely usedfor screening, diagnosis and staging (2).More than 80 million MRI is worldwide applied yearly. Claustrophobia ratesare between 1-15% and more than 2 million breast MRI application isinterrupted for the necessitation of sedation (3). Melendez et al. noticedthat rate around 30%. Also 3-5% of these cases were interrupted due tothe sedation necessitation. Anxiety and claustrophobia can cause sequencerepeating, procedure cancellation and important time and labor loss

Wild edible plant species used in the Ağrı province, eastern Turkey

Wild edible plant species found in Ağrı are nutritionally and economically relevant. Plants are collected by the villagers and brought to the market for sale in the spring. Interest in these plants responds to the increasing demand for organic and natural food. In this study, 350 in-depth face-to-face interviews with villagers about the edible plants used in Ağrı (7 districts, 35 villages) were conducted in the region from April 2016 to October 2017. The species, parts used and their consumption and preservation techniques were analyzed and documented. Some of the wild edible plant species are consumed cured or canned, raw or cooked, dried, and some are frozen. The collected 100 wild edible species belong to 25different plant families. Species are consumed as vegetables (91), spices (19), beverages (16), subterranean parts (5), fruits (3), seeds (3)andexudates (2). The most important species according to theirculturalimportance were: Amaranthus retroflexus, Beta trigyna, Gundelia tournefortii, Mentha longifolia, Polygonum persicaria, Rumex scutatus,Tragopogonporrifoliussubsp.longirostris,and Urtica dioica. Leaves andyoung shoots were the most frequently used parts. Our study shows thatwild edible plants are still well known and used by the local people ofAğrı as a food source. The documented data on these plants herein couldbe used as baseline information for further investigations on nutritionalcontents, as they could have the potential to become valuable nutritionsources.Las plantas silvestres comestibles que se encuentran alrededor de Ağrı siguen siendo importantes para la alimentación y la economía local. Estas plantas son recolectadas por la población local y vendidas en el mercado en primavera. El interés por las plantas silvestres comestibles ha aumentado debido a la creciente demanda de alimentos orgánicos y naturales. En este estudio se realizaron 350 entrevistas cara a cara entre abril de 2016 y octubre de 2017 a habitantes de la región de Ağrı (7 distritos, 35 pueblos). Se analizaron y documentaron las especies empleadas, la partes comestibles y sus modos de preparación, conservación y consumo. La mayoría se consumen, pero también se toman crudas. También se procesan en forma de conservas, se secan o se congelan. Las 100 especies registradas pertenecen a 25familias y se usan como verduras (91), condimentos (19), bebidas (16), órganos subterráneos(5), frutos (3), semillas (3 ) y exudados (2). Según su importancia cultural, las plantas más importantes son: Amaranthus retroflexus,Beta trigyna, Gundelia tournefortii, Mentha longifolia, Polygonum persicaria, Rumex scutatus, Tragopogonporrifolius subsp.longirostris, y Urtica dioica. Las hojas y brotes jóvenes son las partes más utilizadas. Estos resultados muestran que las plantas silvestres comestibles todavía son muy conocidas y utilizadas por la población local de Ağrı como fuente de alimento. Además, los datos recopilados sobre estas plantas podrían usarse para futuras investigaciones sobre sus contenidos nutricionales, ya que tienen el potencial de convertirse en valiosas fuentes de nutrientes

Outcomes of patients with anal cancer treated with volumetric-modulated arc therapy or intensity-modulated radiotherapy and concurrent chemotherapy

Aims: To evaluate the results of chemoradiation with intensity-modulated radiation therapy (IMRT) or volumetric-modulated arc therapy (VMAT) for the treatment of anal canal cancer patients at three institutions that had advanced devices. Materials and Methods: A retrospective analysis was performed for patients treated with 5-fluorouracil and mitomycin-based chemotherapy and IMRT or VMAT for anal cancer from 2011 to 2013. Complete response (CR) rates, colostomy-free survival (CFS), disease-free survival (DFS), overall survival (OS), and toxicities were investigated. Toxicities were evaluated with the Common Terminology Criteria for Adverse Events, Version 3.0. Results: Fifteen patients were included in the analysis. The majority of patients had T2 (53.3%) and N0 (40%) disease according to the staging system that was developed by the American Joint Committee on Cancer. CR was observed in 14 patients (93%), and the median follow-up was 26 months (13-42 months). The 3-year CFS, DFS, and OS were 86%, 86%, and 88%, respectively. Acute Grade 3 toxicities were observed as 6% of hematological, 26% of gastrointestinal, and 26% of dermatological. Conclusion: Early results confirm that IMRT or VMAT for anal cancer treatment reduces acute toxicities while maintaining high control rates