childhood obesity in Denizli, Turkey

Aim: To determine the efficiency of 2 different intervention programs (healthy nutrition education and/or physical activity programs) for preventing the obesity of primary school students.Materials and methods: Selected were 6 schools, making 3 groups, from all primary schools in Denizli with the half-day education system. Each group was composed of 2 schools. The groups were randomly divided into intervention group 1, intervention group 2, and the control group. The body mass index (BMI) levels of the students in all of the groups were calculated. Both the physical activity and healthy nutrition programs were applied to intervention group 1, and only the healthy nutrition program was applied to intervention group 2. BMI measurements were repeated 8 months after the interventions. The differences between the 2 BMI measurements were calculated.Results: The increase of BMI was 0.51 in the control group and 0.35 and 0.37 in the respective intervention groups. It was found that the BMI increase in both of the intervention groups was lower than that of the control group, which means that the interventions were effective.Conclusion: Two different intervention programs were applied (healthy nutrition program and/or physical activity) and were found to be effective in preventing obesity in children

Improvement of colonic healing by preoperative rectal irrigation with short-chain fatty acids in rats given radiotherapy

BACKGROUND: We investigated the effect of preoperative rectal irrigation with short-chain fatty acids on irradiated colonic anastomosis in rats. METHODS: Sixty male Wistar rats were divided into four groups. Group I (control group, n = 15) underwent left colon resection and primary anastomosis. Group II (Short-chain fatty acids pretreatment group, n = 15) had short-chain fatty acids rectal irrigation for five days preoperatively. Group III (preoperative radiotherapy group, n = 15) underwent irradiation to the whole pelvis eight and four days before the operation, for a total dose of 20 Gy. Group W (preoperative radiotherapy group + short-chain fatty acids pretreatment group, n = 15) had rectal irrigation with short-chain fatty acids for five days after the second irradiation. Within each group, animals were anesthetized to assess the clinical, mechanical, histologic, and biochemical parameters of anastomotic healing on either the third or seventh postoperative days. RESULTS: The mean bursting pressure was significantly low in Group III on Day 3 and was significantly high in Group W on Day 7 (P = 0.001, P = 0.021). The burst occurred at the anastomoses in all animals tested on the third postoperative day, and outside of the anastomoses in all animals tested on the seventh postoperative day. The histologic parameters of anastomotic healing, such as epithelial regeneration and formation of granulation tissue, were significantly improved by use of preoperative rectal irrigation with short-chain fatty acids on Day 7. The amount of total and salt-soluble collagen concentrations significantly increased in Group W compared with the control group on Day 3 (P = 0.008, P = 0.004). CONCLUSION: Some mechanical and histologic aspects of colonic anastomotic healing can be adversely affected by preoperative radiotherapy, but rectal irrigation with short-chain fatty acids may improve anastomotic healing

Skim latex serum as an alternative nutrition for microbial growth

Malaysia is one of the biggest producers of natural rubber. The fresh latex, tapped from the rubber tree (Hevea brasiliensis), known as field latex, is a cloudy white and viscous liquid containing rubber fraction and non-rubber components. As a basic raw material in rubber processing, fresh field latex undergoes a series of procedures during its conversion to either dry rubber, or high concentrated latex. To prepare high concentrated latex, ammonia is usually added to the field latex upon reaching the factories to prevent coagulation. Ammoniated latex will then undergo centrifugation which yield high concentrated latex and a by-product named ‘skim latex’. Skim latex is considered as low value by-product and usually discarded as waste effluent. However, it must be first treated in the oxidation treatment pond, before the clearer water can be released into the main waterways. In Malaysia, the discharged water must meet the strict requirements of MS ISO/IEC 17025:2005. Eventually, the rubber manufacturers have to spend a lot of money for waste management and effluent treatment of skim latex. Therefore, utilization of this wasteful skim latex is one of the economic saving measures and may minimize the environmental problems. This chapter aims at delibrating the use of the serum of skim latex as an alternative nutrition for culturing microorganism. As a model microorganism, this study has selected to use Bacillus lichenformis (ATCC 12759). Skim latex serum was used as the basal media, supplemented by some selected medium composition (lactose, galactose, casein, KH2PO4, MgSO4 and LB broth) for the production of extracellular protease. At the end of the study, it was demonstrated that skim latex serum is able to fulfill a criteria as an efficient culture media due to its abundance, low cost, stable in quality and having a stimulatory effect on bacterial growth. Therefore, valorization of this wasteful skim latex into protease enzyme is hoped to be an introduction for further inventions relating to processes suitable for microbial culturing

Width of margins in phyllodes tumors of the breast: the controversy drags on?—a systematic review and meta-analysis

Phyllodes tumors (PT) of the breast are rare fibroepithelial neoplasms. Information is controversial in the literature regarding to the optimal surgical management. Most studies suggested margins of at least 10 mm while some recent studies suggested narrower margins without an increased risk of local recurrences (LR) and distant metastases (DM). The objective of this systematic review was to identify and compare studies that assessed these different practices. A systematic review was performed through five databases up to April 2019. Studies exploring the association between the width of margins, subtypes of PT, and the LR and DM rates were considered for inclusion. A statistical model for analyzing sparse data and rare events was used. Thirteen studies met eligibility criteria and were selected. Considering a threshold of 10 mm (margins < 10 vs margins ≥ 10 mm), the 5-year incidence rate of LR was estimated to be 5.22 vs. 3.63 (diff. -1.59) per 100 person-years for benign PT, 9.60 vs. 7.33 (diff. -2.27) for borderline PT, and 28.58 vs. 21.84 (diff. -6.74) for malignant PT. For DM, it was estimated to be 0.88 vs. 0.86 (diff. -0.02) for benign PT, 1.61 vs. 1.74 (diff. 0.13) for borderline PT, and 4.80 vs 5.18 (diff. 0.38) for malignant PT. The data for a threshold of 1 mm were not sufficient to draw any conclusions. Irrespective of tumor grade, we found that DM was a rarer event than LR. Malignant PT had the highest incidence rate of LR and DM. This meta-analysis found a clear association between width of margins and LR rates. Whatever the tumor grade, surgical margins ≥ 10 mm guaranteed a lower risk of LR than margins < 10 mm. On the other hand, the width of margin did not influence the apparition of DM