The effect of using different embolic agents on survival in transarterial chemoembolization of hepatocellular carcinoma: Gelfoam versus polyvinyl alcohol

PURPOSE We aimed to compare the effect of using different embolic agents such as gelfoam and polyvinyl alcohol (PVA) on survival, tumor response, and complications in transarterial chemoembolization (TACE) of hepatocellular carcinoma (HCC) patients. MATERIALS AND METHODS We retrospectively reviewed the medical records of 38 inoperable HCC patients who underwent TACE between August 1998 and April 2007. A total of 50 TACE sessions were performed using PVA (n=18) or gelfoam particles (n=20), following the application of 60 mg doxorubicin with 10-20 mL lipiodol emulsion. The PVA and gelfoam groups were compared based on clinical, laboratory, and demographic variables. Survival rates were calculated starting from the first TACE session using the Kaplan-Meier analysis. RESULTS There was no significant difference between the survival rates of PVA and gelfoam groups (P = 0.235). Overall survival rates at 12, 24, 36, 48, and 60 months were 55%, 36%, 15%, 7%, and 5%, respectively. Tumor response, age, lipiodol accumulation type, number of HCC foci, complications, and serum alpha-fetoprotein level were significant factors for survival in all patients. CONCLUSION Use of gelfoam or PVA as the embolic agent did not have a significant impact on survival. Complete tumor response, intensive lipiodol accumulation in tumor, older age (>60 years), fewer (≤3) HCC foci, and low serum alpha-fetoprotein level (≤400 ng/mL) were found to improve cumulative survival significantly. © Turkish Society of Radiology 2014

Of the importance of a leaf: the ethnobotany of sarma in Turkey and the Balkans

BACKGROUND: Sarma - cooked leaves rolled around a filling made from rice and/or minced meat, possibly vegetables and seasoning plants - represents one of the most widespread feasting dishes of the Middle Eastern and South-Eastern European cuisines. Although cabbage and grape vine sarma is well-known worldwide, the use of alternative plant leaves remains largely unexplored. The aim of this research was to document all of the botanical taxa whose leaves are used for preparing sarma in the folk cuisines of Turkey and the Balkans. Methods: Field studies were conducted during broader ethnobotanical surveys, as well as during ad-hoc investigations between the years 2011 and 2014 that included diverse rural communities in Croatia, Bosnia and Herzegovina, Serbia, Kosovo, Albania, Macedonia, Bulgaria, Romania, and Turkey. Primary ethnobotanical and folkloric literatures in each country were also considered. Results: Eighty-seven botanical taxa, mainly wild, belonging to 50 genera and 27 families, were found to represent the bio-cultural heritage of sarma in Turkey and the Balkans. The greatest plant biodiversity in sarma was found in Turkey and, to less extent, in Bulgaria and Romania. The most commonly used leaves for preparing sarma were those of cabbage (both fresh and lacto-fermented), grape vine, beet, dock, sorrel, horseradish, lime tree, bean, and spinach. In a few cases, the leaves of endemic species (Centaurea haradjianii, Rumex gracilescens, and R. olympicus in Turkey) were recorded. Other uncommon sarma preparations were based on lightly toxic taxa, such as potato leaves in NE Albania, leaves of Arum, Convolvulus, and Smilax species in Turkey, of Phytolacca americana in Macedonia, and of Tussilago farfara in diverse countries. Moreover, the use of leaves of the introduced species Reynoutria japonica in Romania, Colocasia esculenta in Turkey, and Phytolacca americana in Macedonia shows the dynamic nature of folk cuisines. Conclusion: The rich ethnobotanical diversity of sarma confirms the urgent need to record folk culinary plant knowledge. The results presented here can be implemented into initiatives aimed at re-evaluating folk cuisines and niche food markets based on local neglected ingredients, and possibly also to foster trajectories of the avant-garde cuisines inspired by ethnobotanical knowledge

Biological decolorization of reactive azo dye by anaerobic/aerobic-sequencing batch reactor system

This study aims to investigate the removal of a reactive azo dye (Reactive Red 198) in anaerobic/aerobic sequencing batch reactors (SBR). The total volume of the SBR system used in the study was 10 l. Sludge age was selected as 15 days. The color removal efficiencies varied between 76 to 98% with initial color concentrationsof about 20 and 50 mgl-1. The effluent color concentration changed between 0.4-6.0 mgl-1. The maximum dye removal efficiencies of the SBR system under 20 mgl-1dye concentration with16/4 hours anaerobic/aerobic phases respectively were %98. The increase of anaerobic contact times had improved dye removal efficiency. The COD removal was also high during this period (81-94%). The increase of organic loading rate from 500 to 1000 mg CODl-1day-1had improved the dye removal efficiency (from 88% to 96%) but deteriorated the COD removal efficiency to 81% from 88% in SBR systems. © 2015 Global NEST Printed in Greece. All rights reserved

Energy and exergy analysis of a new flat-plate solar air heater having different obstacles on absorber plates

This study experimentally investigates performance analysis of a new flat-plate solar air heater (SAH) with several obstacles (Type I, Type II, Type III) and without obstacles (Type IV). Experiments were performed for two air mass flow rates of 0.0074 and 0.0052 kg/s. The first and second laws of efficiencies were determined for SAHs and comparisons were made among them. The values of first law efficiency varied between 20% and 82%. The values of second law efficiency changed from 8.32% to 44.00%. The highest efficiency were determined for the SAH with Type II absorbent plate in flow channel duct for all operating conditions, whereas the lowest values were obtained for the SAH without obstacles (Type IV). The results showed that the efficiency of the solar air collectors depends significantly on the solar radiation, surface geometry of the collectors and extension of the air flow line. The largest irreversibility was occurring at the SAH without obstacles (Type IV) collector in which collector efficiency is smallest. At the end of this study, the energy and exergy relationships are delivered for different SAHs.Energy analysis Exergy analysis Exergy efficiency Solar air heater Obstacles Thermal efficiency