Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis

End-stage kidney disease and advanced cirrhosis are sometimes seen concomitantly. There is no consensus on dialysis modality in terms of determining the optimal way of treating these patients. It has been suggested that peritoneal dialysis is a better choice for these patients, but efficacy of hemodialysis in stable cirrhotic patients has not been evaluated sufficiently. We report a case with advanced cirrhosis and end-stage kidney disease who was faced with hepatic encephalopathy episodes up on starting renal replacement therapy. The case is also interesting in that it reveals effects of hemodialysis and peritoneal dialysis on hepatic encephalopathy episodes and quality of life of the patient

Formiranje policikličkih ugljikohidrata tijekom procesa dimljenja sira

The smoking process determines the characteristic flavour, odour, colour and texture of several cheese varieties. Some smoke compounds are known to have bacteriostatic and antioxidant effects, and may act as preservatives. Smoked cheese is appreciated by consumers due to its sensorial properties. However, with smoking process there is a risk of formation of toxic polycyclic aromatic hydrocarbons (PAHs). This review emphasises the occurrence of polycyclic hydrocarbons on smoked cheeses and their health impacts.Dimljenje određuje specifičnost arome, mirisa, boje i tekstura nekim vrstama sira. Poznata su bakteriostatska i antioksidativna svojstva za neke spojeve dima, te mnogi među tim spojevima imaju konzervirajući učinak. Dimljeni su sirevi cijenjeni među konzumentima zbog svojih senzorskih osobina. Međutim, postupkom dimljenja postoji određeni rizik za nastajanje otrovnih policikličkih aromatskih ugljikohidrata (PAU). Ovaj pregledni članak naglašava pojavu policikličkih ugljikohidrata u sirevima i njihov utjecaj na zdravlje konzumenata

Preživljavanje bakterija Lactobacillus acidophilus LA-5 i Bifidobacterium bifidum BB-12 u sutlijašu

The purpose of this study was to determine the survival of two probiotic micro-organisms (Lactobacillus acidophilus LA-5 and Bifidobacterium bifidum BB-12) in a rice pudding, the impact of these bacteria on hygienic quality, and to verify the perspectives of the product with regard to consumer sensorial acceptance. The products were monitored for the microbial population, pH, titratable acidity and consistency, during storage at 4±1 °C for up to 21 days. Sensory preference was also tested. Even though the viability of the probiotic bacteria was reduced over 21 days of storage, the viable cell concentrations were still sufficient to obtain the desired therapeutic impact. The counts of yeasts-moulds and Staphylococcus spp. decreased in samples with added probiotic bacteria. The sensorial properties of probiotic rice pudding demonstrated similar acceptability to the control up to 14 days and declined thereafter. Rice pudding was considered suitable food for the delivery of probiotic micro-organisms, with sufficient viability and acceptable sensory characteristics.Svrha ovog rada bila je utvrditi preživljavanje probiotičkih mikroorganizama (Lactobacillus acidophilus LA-5 i Bifidobacterium bifidum BB-12) u sutlijašu, utjecaj tih bakterija na higijensku kvalitetu i potvrditi perspektivu proizvoda glede senzorskog prihvaćanja potrošača. U proizvodima je praćena populacija mikroorganizama, pH, titracijska kiselost i konzistencija tijekom skladištenja na 4±1 °C u trajanju do 21 dan. Također su testirana senzorska svojstva. Iako je preživljavanje probiotičkih bakterija smanjeno tijekom 21 dan skladištenja, broj preživjelih mikroorganizama bio je dovoljan da se dobije željeni terapijski učinak. Broj kvasaca, plijesni i Staphylococcus spp. smanjen je u uzorcima s dodatkom probiotičkih bakterija. Sutlijaš se može smatrati pogodnim probiotičkim proizvodom prihvatljivih senzorskih svojstava

Percepciones de estudiantes de enfermería sobre el Ambiente de Aprendizaje Clínico y la salud mental: estudio multicéntrico

Objetivo: este estudo teve como objetivo avaliar as percepções dos estudantes de Enfermagem das universidades públicas de três países da União Europeia sobre saúde mental e ambientes de aprendizagem clínica, tema pouco investigado na literatura. Método: a coleta de dados ocorreu por meio de um formulário de dados demográficos, a Escala Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem e o Mental Health Continuum Short Form. Um total de 571 participantes da Turquia, Lituânia e Portugal foram incluídos no estudo. Resultados: houve uma diferença significativa entre os três grupos em relação ao ambiente de aprendizagem clínica e estado de saúde mental (p <0,001). A supervisão foi o elemento mais valorizado. Os estudantes portugueses apresentaram a média mais elevada nos escores do Mental Health Continuum Short Form e Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem (p<0,001). Idade, sexo e saúde mental influíram nos escores do Ambiente de Aprendizagem Clínico, Supervisão e Professor de Enfermagem. Conclusão: os resultados indicaram que os escores do Mental Health Continuum Short Form e Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem obtidos pelos estudantes de Enfermagem portugueses foram mais elevados. Revelou-se também que as percepções dos alunos sobre o ambiente de aprendizagem clínica foram afetadas pela idade e sexo, e que suas percepções sobre saúde mental foram influenciadas pelos escores da escala Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem.Objective: this study aimed at evaluating the perceptions of Nursing students from public universities in three European Union countries on mental health and clinical learning environments, a topic that has been rarely investigated in the literature. Method: data collection took place using a demographic data form, the Clinical Learning Environment, Supervision and Nurse Teacher Scale, and the Mental Health Continuum Short Form. A total of 571 participants from Turkey, Lithuania and Portugal were included in the study. Results: there was a significant difference among the three groups regarding clinical learning environment and mental health status (p<.001). Supervision was the most valued element. The Portuguese students presented the highest mean in the Mental Health Continuum Short Form and Clinical Learning Environment, Supervision and Nurse Teacher Scale scores (p<.001). Age, gender and mental health were effective in the Clinical Learning Environment, Supervision and Nurse Teacher Scale scores. Conclusion: the results indicated that the Mental Health Continuum Short Form and Clinical Learning Environment, Supervision and Nurse Teacher Scale scores obtained by the Portuguese Nursing students were higher. It was also revealed that the students’ perceptions on the clinical learning environment were affected by age and gender, and that their perceptions on mental health were influenced by the Clinical Learning Environment, Supervision and Nurse Teacher scale scores.Objetivo: este estudio tuvo como objetivo evaluar las percepciones de estudiantes de enfermería de universidades públicas de tres países de la Unión Europea sobre la salud mental y los Ambientes de Aprendizaje Clínico, tema poco estudiado en la literatura. Método: la recolección de datos se realizó mediante un formulario de datos demográficos, la Escala de Evaluación de Ambiente de Aprendizaje Clínico, Supervisión y Profesor de Enfermería y el Mental Health Continuum Short Form. Se incluyeron en el estudio un total de 571 participantes de Turquía, Lituania y Portugal. Resultados: hubo una diferencia significativa entre los tres grupos con respecto al Ambiente de Aprendizaje Clínico y al estado de salud mental (p < 0,001). La supervisión fue el elemento más valorado. Los estudiantes portugueses obtuvieron los puntajes promedio más altos en el Mental Health Continuum Short Form y Ambiente de Aprendizaje Clínico, Supervisión y Profesor de Enfermería (p<0,001). La edad, el sexo y la salud mental influyeron en los puntajes de Ambiente de Aprendizaje Clínico, Supervisión y Profesor de Enfermería. Conclusión: los resultados indicaron que los estudiantes de Enfermería portugueses obtuvieron los puntajes más altos en el Mental Health Continuum Short Form y Ambiente de Aprendizaje Clínico, Supervisión y Profesor de Enfermería. También se reveló que las percepciones de los estudiantes sobre el Ambiente de Aprendizaje Clínico se vieron afectadas por la edad y el género, y que sus percepciones sobre la salud mental fueron influenciadas por los puntajes de la escala de evaluación de Ambiente de Aprendizaje Clínico, Supervisión y Profesor de Enfermería

Novel Pd(II) templates of N-1,N-4-diarylidene-S-methyl-, ethyl- and allylthiosemicarbazones

Template condensation reactions of 2-hydroxy-, 2-hydroxy-5-bromo- and 2-hydroxy-3-methoxy-benzaldehyde with S-methyl-, ethyl- and allyl-thiosemicarbazones were realized in the presence of Pd(II)chloride. Seven novel Pd(II) complexes with the N-1,N-4-diarylidene ligands of the ONNO type were isolated and characterized by means of elemental analysis, conductivity measurements, IR and H-1-n.m.r spectra. The shielding effects of the palladium metal and the S-substituents on the arylidene systems are discussed

Investigation of Acquired Von Willebrand Syndrome in Children with Hypothyroidism: Reversal after Treatment with Thyroxine

WOS: 000282928800019PubMed ID: 21175099Background: Acquired von Willebrand Syndrome (AvWS) is a rare bleeding disorder associated with various underlying conditions. Many case reports have been published so far on bleeding tendency in hypothyroidism resembling AvWS. Objective: This study was designed to define the relationship between hypothyroidism and AvWS and to investigate the effects of L-thyroxine treatment. Subjects: Twenty four hypothyroid patients were included in the study. Nineteen patients were evaluated during treatment, 5 patients were evaluated before hormone replacement. Methods: Complete coagulation screening tests including levels of von Willebrand Factor antigen (vWF:Ag) and functional activity (vWF:RCo) were measured by thrombocyte aggregometer. Results: We demonstrated low vWF:Ag and vWF:RCo in 13 patients. Two of the 13 patients were diagnosed as AvWS, while another 2 patients were diagnosed as hereditary vWD Type 1. The remaining patients are still being followed-up. Conclusion: We would like to attract the attention of paediatricians to the possibility of bleeding due to decreased activity of vWF in hypothyroid children

Comparison of therapeutic efficacy of antihistaminics and combinations of montelukast with allergic rhinitis

Allergic Rhinitis is basically a chronic disease that decreases quality of life. Antihistaminics have been used for the first time in allergic rhinitis. In the search for an alternative treatment in resistant allergic rhinitis, Montelukasts and their combinations have been used. Randomized double-blind controlled study. In our study, the effect on the quality of life of the compounds used recently be compared after 3 months of treatment. In this study, 7 groups of 40 patients, 18-65 years old were planned for each group. The number of females and males was equal in each group (20). The patients in group A and group B will be called for checks after 3 months of medical treatment in the C-D-E-F-G-H group without treatment for 3 months. The patients in Group C received 10 mg Rupatadin Fumarate tablets orally (1 * 1 single dose) before bedtime, 5 mg Levosetirizine Dihydrochloride tablets in the patients in Group D orally (1 * 1 single dose) before bedtime, 10 mg Montelukast Sodium tablets in patients in Group E Before oral (1 * 1 single dose), patients in Group F 5 mg Desloratadin + 10 mg Montelukast Sodium tablets orally (1 * 1 single dose) before bedtime, and patients in Group G Levocetirizine Dihydrochloride + 10 mg Montelukast Sodium tablet orally before bedtime (1 * 1 single dose) will be given. These treatments will continue for 3 months without interruption. The Rinokonjucivations Quality of Life Questionnaire (RQLQ) will be completed with a total of 28 questions. No significant superiority of the Rupatadine molecule to levocetirizine was detected. The score of the Montelukast areas was significantly low when compared to the Rupatadine and Levosetirizine groups. Combined Montelukastes were found to be much more effective than single antihistaminics and single montelukast. There was no difference in quality of life between the combined Montelukast. Antihistaminics are the first treatment option in patients with allergic rhinitis,In resistant cases, combinations with montelukast should be used. [Med-Science 2019; 8(4.000): 967-70

Facial paralysis caused by the bee sting

Bee sting is one of the most common insect poisoning. It usually begins with local symptoms such as pain, redness, and fever following a local pain. Rarely, anaphylaxis, myocardial infarction, organ failure, epilepsy and other neurological diseases have been reported. Peripheral facial paralysis is one of the common diseases of the otolaryngology clinic. Although it is usually idiopathic, trauma and tumors are the two most common causes. Topographic and electrophysiological tests are used in the diagnosis. In this presentation, peripheral facial paralysis due to bee sting will be discussed. An 18-year-old male patient was admitted to our emergency service with an apical sting in the left mastoid region for two hours before the operation. Ear nose throat examination was normal. Right facial paralysis was present. The patient was discontinued in 12 days with a dose of 3 mg per day starting from 1 mg / kg of Feniramin 1 * 1 and methyl prednisolone. Pheniramin 1 * 1 and methyl prednisolone 1 mg / kg were started and the dose was cut in 12 days Symptoms of the patient decreased from day 10 and returned to normal at 15th day. [Med-Science 2019; 8(4.000): 1025-7

The asymmetric ONNO complexes of dioxouranium(VI) with N-1,N-4-diarylidene-S-propyl-thiosemicarbazones derived from 3,5-dichlorosalicylaldehyde: Synthesis, spectroscopic and structural studies

Two uranyl complexes having the composition [UO2(L)DMSO] were synthesized using salicyl- and 3,5-dichlorosalicylaldehyde-S-propyl-thiosemicarbazones as starting materials. The S-propyl-thiosemicarbazidato structures in the complexes are N-1-3,5-dichlorosalicylidene-N-4-salicylidene and N-1-salicylidene-N-4-3,5-dichlorosalicylidene. The stable solid complexes were characterized by means of elemental analysis, IR and H-1 NMR spectroscopies, and the single crystal X-ray diffraction technique. The two complexes, with the same formula, crystallize in different space groups. In the title complexes, the uranium atom is seven-coordinated in a distorted pentagonal-bipyramidal geometry involving an ONNO donor set of the thiosemicarbazidato ligand and an oxygen atom of a DMSO molecule. The two apical positions of the pentagonal bipyramid are occupied by the two oxygen atoms of the trans-dioxouranium group. The relative orientations of the DMSO and S-propyl groups in both complexes are somewhat different due to different crystal packing. (C) 2010 Elsevier Ltd. All rights reserved

Impact of an Established National Donor Registry on Transplant Outcome: Turkok Experience in Turkey

Transplantation and Cellular Therapy (TCT) Meetings of ASTCT and CIBMTR -- FEB 19-23, 2020 -- Orlando, FLWOS: 000516887900445[No abstract available]Amer Soc Transplantat & Cellular Therapy, CIBMT