An unusual cause of urinothorax

Urinothorax is a rare complication of blunt renal trauma, ureteral instrumentation or ureteral surgery. A leakage from the urinary tract causes urinoma, a retroperitoneal collection of fluid, which can lead to urinothorax. We report a patient with solitary kidney who underwent extracorporeal shock wave lithotripsy (ESWL) for nephrolithiasis. Four days after ESWL, she had right-sided pleural effusion which demonstrated as urinothorax. Urinoma occurring after ESWL, as in our case, is a situation that has not been reported before as a cause of urinothorax. Urinothorax should be taken into consideration in patients with pleural effusion who recently underwent ESWL. Copyright (C) 2002 S. Karger AG, Basel

An unusual cause of urinothorax

Urinothorax is a rare complication of blunt renal trauma, ureteral instrumentation or ureteral surgery. A leakage from the urinary tract causes urinoma, a retroperitoneal collection of fluid, which can lead to urinothorax. We report a patient with solitary kidney who underwent extracorporeal shock wave lithotripsy (ESWL) for nephrolithiasis. Four days after ESWL, she had right-sided pleural effusion which demonstrated as urinothorax. Urinoma occurring after ESWL, as in our case, is a situation that has not been reported before as a cause of urinothorax. Urinothorax should be taken into consideration in patients with pleural effusion who recently underwent ESWL. Copyright (C) 2002 S. Karger AG, Basel

Investigation of the correlation between ADMA levels and carotid artery intima-media thickness in rheumatoid arthritis patients [Romatoid artritli hastalarda ADMA düzeyleri ile karotid arter intima-media kali{dotless}nli{dotless}gi{dotless} arasi{dotless}ndaki i·lişkinin saptanmasi{dotless}]

Objective: Plasma asymmetric dimethylarginine (ADMA), an endogenous inhibitor of nitric oxide synthesis, is related to increased cardiovascular risks, endothelial dysfunction and atherosclerosis. Carotid artery intima-media thickness (IMT) is closely related to the risk of coronary artery disease. We aimed to investigate plasma ADMA levels and its relation to carotid IMT in patients with rheumatoid arthritis (RA). Materials and Methods: Eighteen Turkish patients with RA (16 females, mean age: 49.44±8.88 years) and 18 age- and gender-matched healthy controls (16 females, mean age: 46.28±4.97 years) were included in the study. Measurement of IMT was done by B-mode ultrasound. Plasma ADMA levels and carotid IMT of both sides were measured in all patients and healthy controls, and the means of the two groups were compared. The correlation between ADMA levels and carotid IMT was assessed in patients with RA. Results: Plasma ADMA levels were significantly higher in patients compared to healthy controls. Although the carotid IMT values were relatively higher in the patient group than in the control group, the difference was not statistically significant. There was no significant correlation between ADMA levels and carotid IMT values. Conclusion: Our findings support the notion that plasma ADMA levels are elevated in patients with RA. Despite lack of correlation between ADMA levels and IMT in our study, ADMA levels can be used to evaluate endothelial dysfunction. © Turkish Journal of Physical Medicine and Rehabilitation, Published by Galenos Publishing

Petrology of the ispendere (malatya) ophiolite from the southeast anatolia: Implications for the late mesozoic evolution of the southern neotethyan ocean

The ispendere ophiolite forms part of the Tauride active continental margin assemblage in SE Anatolia. The ophiolite exhibits an intact oceanic lithosphere section and is intruded by Late Cretaceous calc-alkaline granites. The ophiolite comprises mantle tectonites, ultramafic to mafic cumulates, isotropic gabbros, isolated diabase dykes, a sheeted dyke complex, plagiogranite and volcanic rocks. The volcanics and the sheeted dyke complex exhibit (1) similar rare earth element patterns, with flat to light rare earth element depletion (La-Yb)N = 0.71-1.14 and 0.65-1.22, (2) negative Nb anomalies and (3) flat-lying high field strength element trends. These features differ from a typical Normal-Mid Ocean Ridge Basalt fractionation trend and could have resulted from c. 15% partial melting of a previously depleted mantle source. The whole-rock chemistry and the mineral chemistry of the ultramafic to mafic cumulates [high Ca plagioclases (An89 - 81), magnesian olivines (Fo88-81) and clinopyroxenes (Mg#90-83)] show that the primary magma of the plutonic suite is compositionally similar to modern island arc tholeiites. The available evidence suggests that the ispendere ophiolite formed at a northerly supra-subduction zone spreading centre of the Southern Neotethys, between the Taurides and the Bitlis-Pütürge metamorphic units, during the Late Cretaceous. Comparison with the adjacent Göksun, Kömürhan and Guleman ophiolites suggests that the ispendere ophiolite represents part of a single regional-scale sheet of oceanic lithosphere that was accreted to the base of Tauride active continental margin where it was cut by arc-type magmatic rocks. © The Geological Society of London 2013

Subduction, ophiolite genesis and collision history of Tethys adjacent to the Eurasian continental margin: New evidence from the Eastern Pontides, Turkey

This paper presents several types of new information including U-Pb radiometric dating of ophiolitic rocks and an intrusive granite, micropalaeontological dating of siliceous and calcareous sedimentary rocks, together with sedimentological, petrographic and structural data. The new information is synthesised with existing results from the study area and adjacent regions (Central Pontides and Lesser Caucasus) to produce a new tectonic model for the Mesozoic-Cenozoic tectonic development of this key Tethyan suture zone.The Tethyan suture zone in NE Turkey (Ankara-Erzincan-Kars suture zone) exemplifies stages in the subduction, suturing and post-collisional deformation of a Mesozoic ocean basin that existed between the Eurasian (Pontide) and Gondwanan (Tauride) continents. Ophiolitic rocks, both as intact and as dismembered sequences, together with an intrusive granite (tonalite), formed during the Early Jurassic in a supra-subduction zone (SSZ) setting within the İzmir-Ankara-Erzincan ocean. Basalts also occur as blocks and dismembered thrust sheets within Cretaceous accretionary melange. During the Early Jurassic, these basalts erupted in both a SSZ-type setting and in an intra-plate (seamount-type) setting. The volcanic-sedimentary melange accreted in an open-ocean setting in response to Cretaceous northward subduction beneath a backstop made up of Early Jurassic forearc ophiolitic crust. The Early Jurassic SSZ basalts in the melange were later detached from the overriding Early Jurassic ophiolitic crust.Sedimentary melange (debris-flow deposits) locally includes ophiolitic extrusive rocks of boninitic composition that were metamorphosed under high-pressure low-temperature conditions. Slices of mainly Cretaceous clastic sedimentary rocks within the suture zone are interpreted as a deformed forearc basin that bordered the Eurasian active margin. The basin received a copious supply of sediments derived from Late Cretaceous arc volcanism together with input of ophiolitic detritus from accreted oceanic crust.Accretionary melange was emplaced southwards onto the leading edge of the Tauride continent (Munzur Massif) during latest Cretaceous time. Accretionary melange was also emplaced northwards over the collapsed southern edge of the Eurasian continental margin (continental backstop) during the latest Cretaceous. Sedimentation persisted into the Early Eocene in more northerly areas of the Eurasian margin.Collision of the Tauride and Eurasian continents took place progressively during latest Late Palaeocene-Early Eocene. The Jurassic SSZ ophiolites and the Cretaceous accretionary melange finally docked with the Eurasian margin. Coarse clastic sediments were shed from the uplifted Eurasian margin and infilled a narrow peripheral basin. Gravity flows accumulated in thrust-top piggyback basins above accretionary melange and dismembered ophiolites and also in a post-collisional peripheral basin above Eurasian crust. Thickening of the accretionary wedge triggered large-scale out-of-sequence thrusting and re-thrusting of continental margin and ophiolitic units. Collision culminated in detachment and northward thrusting on a regional scale.Collisional deformation of the suture zone ended prior to the Mid-Eocene (~45 Ma) when the Eurasian margin was transgressed by non-marine and/or shallow-marine sediments. The foreland became volcanically active and subsided strongly during Mid-Eocene, possibly related to post-collisional slab rollback and/or delamination. The present structure and morphology of the suture zone was strongly influenced by several phases of mostly S-directed suture zone tightening (Late Eocene; pre-Pliocene), possible slab break-off and right-lateral strike-slip along the North Anatolian Transform Fault.In the wider regional context, a double subduction zone model is preferred, in which northward subduction was active during the Jurassic and Cretaceous, both within the Tethyan ocean and bordering the Eurasian continental margin. © 2014 Taylor & Francis.Natural Environment Research Council: IMF01000

The effect on survival and mortality of the highest SUVmax value on metastatic foci in postoperative kidney tumors

Objective: One-third of patients newly diagnosed with a kidney tumor have metachoronous disease, 25-50% have synchronous metastasis, and approximately 30-40% of patients have metastasis at the time of diagnosis. Metastasis mostly occurs in the lungs, regional lymph nodes, bones, and liver. The present study wasaimed to determine the effect on mortality the values of standard uptake value (SUV)max measured with positron emission tomography (PET) in metastases ofkidney tumors.Material and Methods: A retrospective review was conducted of the files of 77 patients newly diagnosed with kidney tumor and disease staging determined with PET in the Nuclear medicine Department of Saglik Bilimleri University Diyarbakir Gazi Yasargil Training and Research Hospital between August 2007 and April 2012. The gender, age, histological types, metastases, SUVmax values, and dates of death of the patients were recorded in the SPSS software.Results: It was observed that higher SUVmax values indicated a shorter survival time (r = .303) (P = 0.022). Patients with metastasis lived for a shorter period (P < 0.001), particularly those with liver metastasis (r = .515) (P = 0.049). Metastases were most frequently seen in lymph nodes (42.1%); the SUVmax values of lung metastases were higher (P = 0.025) and papillary carcinomas showed higher SUVmax uptake (P = 0.015).Conclusions: In the present study, it was concluded that the higher the SUVmax value the shorter the survival time. The survival time of patients with metastasis was shorter, and this could be estimated through the measured SUVmax values.Keywords: Positron Emission Tomography (PET/CT), SUVmax, Kidney Tumors, Survival, Metastasi

Effect of terroir on the phenolic compounds of Muscat of Bornova Wines from 3 different sub-regions of Aegean, Turkey

38th World Congress of Vine and Wine -- JUL 05-10, 2015 -- Mainz, GERMANYWOS: 000359945200040Characterization of the phenolic compounds of wines from Muscat of Bornova, a native aromatic white grape variety (Vitis vinifera) grown in the Aegean region of Turkey and the influence of terroir (Menderes, Halilbeyli and Kemaliye sub-regions) on these compounds were investigated. From Muscat of Bornova growing sub regions, Menderes/Izmir has a typical Mediterranean climate at around 90 m altitude which is located Eagean cost area with a fertile sandy-loamy soil; Halilbeyli/Izmir sub-region is located in inner Izmir, close to Manisa with 115 m altitude with same soil structure of Menderes. Kemaliye/Manisa has a transition climate between Mediterranean and continental climate at about 245 m altitude. Its soil is pale with a distinct amount of lime (similar to 30%) and sandy-loamy, as well. High performance liquid chromatography-diode array dedector (HPLC-DAD) and mass spectrometry (MS) were used for the phenolic compounds analysis. Four flavanols, eight phenolic acids and a flavonol were identified and quantified. It was observed that the total phenolic content in the Halilbeyli sub-region was the highest, followed by the Menderes and Kemaliye sub-regions. Procyanidin B4 was the most abundant flavanol and quercetin-3-O-glucoside was the only flavonol identified in all regions' wines. Sensory analysis was also used to investigate the influences of terroir. Statistically significant (0.05) regional differences were observed. Based upon sensory analysis, the wine obtained from Halilbeyli was darker in color, and had more astringency and bitterness than the others, and was the least popular wine. Kemaliye and Menderes were both preferred due to their better coloring, flavour, less astringency and bitterness attributes