Portosystemic Shunt in A Puppy Poodle and Medical Treatment: Case report

The case includes a 7-month-old puppy poodle applied to a private hospital for weakness, tremors and seizure attacks. Clinical examination findings were normal. From blood samples, biochemical parameter measurements were carried out. The values of alkaline phosphatase (ALP), alanine aminotransferase (ALT), ammonia and fasting serum bile acids were high and the blood urea nitrogen (BUN) value was low. Ultrasonographic examination, shunted vein in the liver to the vena cava caudalis, that is colour Doppler observed the extrahepatic shunt and turbulent flow in this shunted. Depending on clinical, laboratory (hemogram and biochemistry) and ultrasonographic observations, portosystemic shunt (PSS) was diagnosed and controlled one month after the treatment was recommended. The medical treatment included a hepatic formula diet (liver care), lactulose 0.5 ml/kg three times a day, metronidazole 15 mg/kg twice a day, S-adenosyl Methionine 15 mg/kg once a day, 400 international unite (IU) vitamin E once a day for 30 days. When turbulent flow is observed in the shunted vein in the liver to vena cava caudalis, ultrasound examination with color Doppler can help diagnose portosystemic shunt. After the treatment, clinical improvement was observed and clinical symptoms of hepatic encephalopathy including seizures and tremors, disappeared completely. Determination of turbulent flow with colour Doppler and decreased portal flow velocity with portal hypertension with PW-Doppler ultrasonography are important for the diagnosis of the portosystemic shunt. It was concluded that medical treatments might help before surgical treatments in portosystemic shunts

Measurement and clinical implications of choroidal thickness in patients with inflammatory bowel disease

ABSTRACTPurpose:Ocular inflammation is a frequent extraintestinal manifestation of inflammatory bowel disease (IBD) and may parallel disease activity. In this study, we evaluated the utility of a choroidal thickness measurement in assessing IBD activity.Methods:A total of 62 eyes of 31 patients with IBD [Crohn's disease (CD), n=10 and ulcerative colitis (UC), n=21] and 104 eyes of 52 healthy blood donors were included in this study. Choroidal thickness was measured using enhanced depth imaging optical coherence tomography. The Crohn's disease activity index (CDAI) and the modified Truelove Witts score were used to assess disease activity in CD and UC, respectively.Results:No significant differences in mean subfoveal, nasal 3000 μm, or temporal 3000 μm choroidal thickness measurements (P>0.05 for all) were observed between IBD patients and healthy controls. Age, smoking, CD site of involvement (ileal and ileocolonic involvement), CDAI, CD activity, and UC endoscopic activity index were all found to be significantly correlated with choroidal thickness by univariate analysis (P<0.05). Smoking (P<0.05) and the CD site of involvement (P<0.01) were the only independent parameters associated with increased choroidal thickness at all measurement locations.Conclusions:Choroidal thickness is not a useful marker of disease activity in patients with IBD but may be an indicator of ileal involvement in patients with CD

Is Placing Prophylactic Dural Tenting Sutures a Dogma?

Objective In this study, we investigated if and when dural tenting sutures are necessary during craniotomy. Methods Results from 437 patients aged 18 to 91 years (average, 43.5 years) who underwent supratentorial craniotomy between 2014 and 2019 were evaluated. The patients were categorized into 1 of 3 groups, patients who had at least 3 prophylactic dural tenting sutures placed before opening of the dura (group 1), at least 3 dural tenting sutures placed after surgery was completed, during closure (group 2), or no dural tenting sutures (group 3 [control]). All such sutures in groups 1 and 2 were placed in the circumference of the craniotomy and dural junction. No central dural tenting sutures were placed in any of the patients. Results Among the 437 patients, 344 underwent surgery for the first time and 93 were undergoing a second surgery. Cranial computed tomography imaging was performed for each patient 1 hour, 3 days, and 1 month after surgery. In group 1, 3 patients had a cerebral cortex contusion and 2 patients had acute subdural hematoma after the sutures were placed. In groups 2 and 3, none of the patients had a cerebral cortex contusion or acute subdural hematoma. Fewer complications were observed when dural tenting sutures were placed during postsurgical closure. Conclusion Placing dural tenting sutures is an important technique for ensuring hemostasis. However, when not needed, they seem to cause inadvertent complications. As our results suggest, knowing when and where to use them is equally important

Yenişehir Havzasının (Bursa) Neotektonik Özellikleri ve Jeolojik Gelişimi

Bu &ccedil;alışmanın amacı, Kuzey Anadolu Fayı&rsquo;nın (KAF) tartışmalı g&uuml;ney kolunun yer aldığı Marmara B&ouml;lgesi&rsquo;nin g&uuml;neydoğusunda ve Bursa ilinin kuzey doğusunda yer alan Yenişehir havzasının yapısal &ouml;zelliklerini ve jeolojik gelişimini ortaya koymaktır. Bu ama&ccedil; doğrultusunda Yenişehir Havzası&rsquo;nın batısındaki Seymen K&ouml;y&uuml; ile doğusundaki Ebek&ouml;y&uuml;n&uuml; kapsayan alanın jeolojisi ve neotektonik &ouml;zellikleri incelenmiştir. B&ouml;lgenin temel kaya&ccedil;larını Sakarya Kıta&rsquo;sına ait Paleozoyik ve Mesozoyik yaşlı birimler oluşturur. Temel birimlerini, Orta-&Uuml;st Miyosen yaşlı Gemicik&ouml;y formasyonu, Pliyosen yaşlı Alaylı formasyonu ve Kuvaterner yaşlı al&uuml;vyon &ccedil;&ouml;kelleri uyumsuzlukla &ouml;rtmektedir. Yenişehir Havzası batıdan yaklaşık K50&ordm;D doğrultulu Seymen Fay Zonu, doğudan ise K65&ordm;-70&ordm;D doğrultulu Kovanlık Fay Zonu ile sınırlanmaktadır. &Ccedil;alışma alanındaki Pliyosen yaşlı &ccedil;&ouml;keller bu iki fay zonundaki tektonizmadan etkilenmişler, al&uuml;vyonlar ise bu iki fay zonunun kontrol&uuml;nde gelişmiştir. B&ouml;lgede meydana gelmiş tarihsel depremler, g&uuml;n&uuml;m&uuml;zde de meydana gelen k&uuml;&ccedil;&uuml;k-orta b&uuml;y&uuml;kl&uuml;kteki depremlerin &ccedil;&ouml;z&uuml;mleri ve fayların morfolojik izleri Seymen ve Kovanlık Faylarının aktif faylar olduklarını ve Kuzey Anadolu Fayı&rsquo;nın bir par&ccedil;ası olarak değerlendirilebileceklerini g&ouml;stermektedir. &Uuml;st Miyosen-Kuvaterner yaşlı &ccedil;&ouml;kellerin yer aldığı Yenişehir Havzası Ge&ccedil; Kuvaterner&rsquo;den beri s&ouml;z konusu aktif fayların kontrol&uuml;nde gelişmiş bir &ccedil;ek-ayır havzası olarak yorumlanmıştır

Assessing the gender wage gap: Turkey in the years 2002-2019

This study investigates the wage diefrential and discrimination between genders in Turkey based on data taken from the nationally representative Turkish Household Labour Survey for 2002 to 2019. The Blinder-Oaxaca decomposition technique was used which was then integrated into the Heckman's selection correction procedure. It was found that the gender wage gap is small in the Turkish labour market, while most of this gap originates from the discrimination against women. In addition ignoring the occupational and sectoral effects on the gender wage gap could result in underestimation of the discrimination effects both directly and indirectly through higher human capital of female employees. Lastly all these indicate that the results could likely be specific to the data set

Left Coronary Artery-Pulmonary Artery Fistula in Coronary Artery Disease

Coroner artery fistula which is rare and congenital or acquired arise from whole coroner artery drainage all of cardiac chamber and great artery. Although coroner artery fistula is uncommon, it can cause significant mortality and morbidity rates. The article is presented which coroner artery disease and coroner-pulmonary artery fistula was accomplishment committed. Sixty three year-old male patient admitted to the hospital with chest pain. Non-ST myocardial infarction was diagnosed in the examinations. After coroner angiography, it was found coronary artery disease in addition between LAD proximal portion and main pulmonary artery fistula. Fistula repair and coronary bypass were performed successfully under cardiopulmonary bypass. Without hemodynamic problem in intensive care and service follow-up, the patient was discharged from the hospital in the seventh postoperative day. We think that surgical treatment of coronary fistulas in patients with coronary artery lesion is done at the earliest time would enable improvement in mortality and morbidity rates