A comparison of the effects of desflurane and total intravenous anaesthesia on the motor evoked responses in scoliosis surgery

Background: In the present study, we compared the effects of total intravenous anaesthesia (TIVA) and desflurane anaesthesia on tcMEPs in scoliosis surgery.Methods: The study included 45 patients between the ages of 18 to 50 years, and classified as ASAI-II; which were planned to undergo posterior fusion/instrumentation operations for elective scoliosis.  Anaesthesia was maintained using 50-150 mcg/kg/min propofol in Group T(TIVA), and desflurane (0.5 MAC) in Group D, and with infusions of 0.05-0.3 mcg/kg/min remifentanil at 50 % O2 + air in both groups, by applying drugs at doses so that bispectral index (BIS) would be maintained between 40 and 60 throughout the course of anaesthesia. The tcMEP responses were measured four times during the operation, and BIS, train-of-four (TOF), mean arterial pressure (MAP), heart rate(HR), and end tidal CO2(ETCO2) values were recorded simultaneously. In both group the anaesthesia was ended at the final surgical suture.  The recovery parameters were recorded.Results: The groups were found not to differ regarding the demographic characteristics, duration of the anaesthesia and the surgery, remifentanil dosage, tcMEP, the simultaneously recorded TOF, MAP, HR and ETCO2 values, and the amount of perioperative bleeding. The cooperation time and the orientation time were shorter in group D. The tcMEP responses were recorded in the appropriate times and amplitudes in both groups. Conclusions: TIVA is primarily used in routine applications in spinal surgery; however our study results revealed that 0.5 MAC desflurane may also be safely used in association with remifentanil, with the resultant correct tcMEP responses. 

Intranodal palisaded myofibroblastoma (intranodal hemorrhagic spindle cell tumor with amianthoid fibers): a case report and literature review

Intranodal palisaded myofibroblastoma (IPM) is a benign mesenchymal neoplasm originating from smooth muscle cells and myofibroblasts. It is characterized by spindle cells, amianthoid fibers, and by the proliferation of hemosiderin-containing histiocytes in the lymph node. A nodular lesion was excised from the inguinal region of an 80-year-old male patient. Macroscopic examination of a section of the lesion demonstrated a solid appearance with hemorrhagic areas. Microscopic examination revealed spindle cell proliferation, amianthoid fibers, hemosiderin pigment, and extravasated erythrocytes. Nuclei of the spindle cells displayed a palisaded appearance. Compressed lymphoid tissue was observed around the lesion. With Masson's trichrome, spindle cells stained as smooth muscle, whereas collagen staining was observed in homogeneous eosinophilic accumulations. Neoplastic cells were identified by the presence of vimentin and SMA. The Ki67 index was less than 1%. In light of these results, the case was diagnosed as "intranodal palisaded myofibroblastoma." IPM is an uncommon neoplasm originating from the stromal component of the lymph node. Although IPM is benign, it is frequently confused with metastatic lesions

How Abiotic Stress Conditions Affects Plant Roots

Roots are generally subject to more abiotic stress than shoots. Therefore, they can be affected by such stresses as much as, or even more, than above ground parts of a plant. However, the effect of abiotic stresses on root structure and development has been significantly less studied than above ground parts of plants due to limited availability for root observations. Roots have functions such as connecting the plant to the environment in which it grows, uptaking water and nutrients and carrying them to the above-ground organs of the plant, secreting certain hormones and organic compounds, and thus ensuring the usefulness of nutrients in the nutrient solution. Roots also send some hormonal signals to the body in stress conditions such as drought, nutrient deficiencies, salinity, to prevent the plant from being damaged, and ensure that the above-ground part takes the necessary precautions to adapt to these adverse conditions. Salinity, drought, radiation, high and low temperatures, heavy metals, flood, and nutrient deficiency are abiotic stress factors and they negatively affect plant growth, productivity and quality. Given the fact that impending climate change increases the frequency, duration, and severity of stress conditions, these negative effects are estimated to increase. This book chapter reviews to show how abiotic stress conditions affect growth, physiological, biochemical and molecular characteristics of plant roots

Principles of Irrigation Management for Vegetables

Vegetables have a very high percentage of water content. Some of the vegetables, such as cucumber, tomato, lettuce, zucchini, and celery contain over ninety-five percent of water. As a result of the high-water content in the cells, they are extremely vulnerable plants to water stress and drought conditions. Their yield and quality are affected rapidly when subjected to drought. Therefore, irrigation is essential to the production of most vegetables in order to have an adequate yield with high quality. However, over-irrigating can inhibit germination and root development, decrease the vegetable quality and post-harvest life of the crop. Determination of suitable irrigation systems and scheduling to apply proper amount of water at the correct time is crucial for achieving the optimum benefits from irrigation. This determination requires understanding of the water demand of the vegetable, soil characteristics, and climate factors. All these factors have major impact for the success and sustainability of any vegetable irrigation. This section contains fundamentals of water requirements on different vegetables and summarizes important issues related to soil, water, and vegetable growth relations together with irrigation management concept by evaluating the challenging issues on the selection of proper irrigation system, suitable irrigation timing, and other parameters to increase vegetable yield in an irrigated agriculture

Peat Use in Horticulture

Peat is a spongy substance which is an effect of incomplete decomposition of plant residues in different stages of decomposition. Between the several organic matters which are used as substrate for horticultural plants cultivation in soilless conditions, peat is the unabandonable ingredient for mixtures for commercial production of plants. Peat is used in horticulture as a component of garden plant substrates, in agriculture for the production of garden soil and as an organic fertilizer, and in balneology as a material for baths and wraps. The use of peat for agriculture and horticulture is determined by the following quality parameters: the degree of decomposition, ash content, pH, the presence of carbonates, the density of the solid phase, bulk density, and porosity. As an organic material, the peat forms in the acidic, waterlogged, and sterile conditions of fens and bogs. The conditions seem like the development of mosses. The plants do not compose as they die. Instead of this, the organic matter is laid down and accumulates in a slow time as peat due to the oxygen deficiency in the bog. This makes peat a highly productive growing medium. In the present novel review, we discuss the peat use in horticulture

Melatonin: Role in Increasing Plant Tolerance in Abiotic Stress Conditions

Nowadays, due to the environmental stress factors that limit the production of crops, it has become very difficult to find suitable areas to enable the plant to reach its optimum product potential. Abiotic stress is very effective in decreasing agricultural production. Factors such as drought, salinity, high and low temperature, flood, radiation, heavy metals, oxidative stress, and nutrient deficiency can be considered as abiotic stress factors, and these sources of stress negatively affect plant growth, quality and productivity. Melatonin (MEL) was first identified in plants in 1995 and is increasingly becoming important for its role and effects in the plant system. MEL has been shown to have a substantial role in plant response to growth, reproduction, development, and different stress factors. In addition to its regulatory role, MEL also plays a protective role against different abiotic stresses such as metal toxicity, temperature, drought, and salinity. In plants, an important role of MEL is to alleviate the effects of abiotic stresses. In this review, the effects of MEL on plant growth, photosynthetic activity, metabolism, physiology, and biochemistry under abiotic stress conditions as a plant growth regulator will be examined

Drought stress amelioration in tomato (Solanum lycopersicum L.) seedlings by biostimulant as regenerative agent

Drought adversely affects many physiological and biochemical events of crops. This research was conducted to investigate the possible effects of biostimulants containing plant growth-promoting rhizobacteria (PGPR) on plant growth parameters, chlorophyll content, membrane permeability (MP), leaf relative water content (LRWC), hydrogen peroxide (H2O2), proline, malondialdehyde (MDA), hormone content, and antioxidant enzymes (catalase (CAT), peroxidase (POD), and superoxide dismutase (SOD)) activity of tomato (Solanum lycopersicum L.) seedlings under different irrigation levels. This study was carried out under controlled greenhouse conditions with two irrigation levels (D0: 100% of field capacity and D1: 50% of field capacity) and three biostimulant doses (B0: 0, B1: 4 L ha-1, and B2: 6 L ha-1). The results of the study show that drought stress negatively influenced the growth and physiological characteristics of tomato seedlings while biostimulant applications ameliorated these parameters. Water deficit conditions (50% of field capacity) caused decrease in indole acetic acid (IAA), gibberellic acid (GA), salicylic acid (SA), cytokine, zeatin, and jasmonic acid content of tomato seedlings by ratios of 83%, 93%, 82%, 89%, 50%, and 57%, respectively, and shoot fresh weight, root fresh weight, shoot dry weight, root dry weight, plant height, stem diameter, and leaf area decreased by 43%, 19%, 39%, 29%, 20%, 18%, and 50%, respectively, compared to the control (B0D0). In addition, 21%, 16%, 21%, and 17% reductions occurred in LRWC, chlorophyll a, chlorophyll b, and total chlorophyll contents with drought compared to the control, respectively. Biostimulant applications restored the plant growth, and the most effective dose was 4 L ha-1 under drought condition. Amendment of biostimulant into the soil also enhanced organic matter and the total N, P, Ca, and Cu content of the experiment soil. In conclusion, 4 L ha-1 biostimulant amendment might be a promising approach to mitigate the adverse effects of drought stress on tomato

Primer fibromiyalji sendromunda oral magnezyum tedavisinin etkinligi

Objective: The aim of this study was to investigate the effects of oral magnesium treatment on clinical findings such as number of sensitive points, severity of pain and functional capacity in primary Fibromyalgia syndrome patients. Material and Methods: Twenty-five primary fibromyalgia syndrome patients (24 female, 1 male) were enrolled to the study. Patients were examined in terms of pain in rest and activity, number of sensitive points and functional capacity. Fibromyalgia Impact Questionnaire and Visual Analogue Scale (VAS) were used for functional assessment and pain respectively. Serum and twenty-four hour urine magnesium levels were measured. The serum and urine magnesium levels were measured by original kits of Abbott Aeroset autoanaylzer (Abbott Laboratories, Abbott Park, IL, 60064, USA). Patients were administered magnesium citrate (Magnesium Diasporal 600 mg sachets b.i.d. orally) therapy for two months. At the end of two months, patients were reexamined in terms of recorded clinical and laboratory findings. Results: The mean age of patients was 44.8 (SD=7.4) years and the mean duration of disease was 25.4 (SD=19.2) months. There was a significant improvement in number of sensitive points, pain and Fibromyalgia Impact Questionnaire score at the end of two-month therapy (p0.05). Conclusions: In the treatment of Fibromyalgia syndrome, magnesium citrate therapy was found to be safe and efficient on number of sensitive points, pain and functional state.AMAÇ: Bu çalışmanın amacı, primer fibromiyalji sendromu olan hastalarda oral magnezyum tedavisinin hassas nokta sayısı, ağı şiddeti gibi klinik bulgular ve fonksiyonel kapasite üzerine olan etkilerini araştırmaktır. GEREÇ ve YÖNTEMLER: Yirmi-beş primer fibromiyalji sendromu olan hasta (24 bayan 1 erkek) çalışmaya dahil edildi. Hastalar istirahat ve aktivite agrıları, hassas nokta sayısı ve fonksiyonel kapasite açısından değerlendirildi. Fibromiyalji etkinlik sorgulaması ve vizuel analog skala (VAS), sırasıyla fonksiyonel durum ve ağrı şiddetini değerlendirmek için kullanıldı. Serum ve 24 saatlik idrarda magnezyum seviyesi ölçüldü. Serum ve idrar magnezyum düzeyleri Abbott Aeroset autoanaylzer orjinal kiti (Abbott Laboratories, Abbott Park, IL, 60064, USA) ile ölçüldü. Hastalar iki ay boyunca magnezyum sitrat (Magnesium Diasporal 600 mg sase b.i.d. oral) tedavisi aldılar. Iki ayın sonunda, tekrar muayene edilip klinik bulguları kaydedildi. BULGULAR: Hastaların yas ortalaması 44.8 (SS=7.4) yıl ve hastalık süresi ortalama 25.4 (SS=19.2) aydı. Hassas nokta sayısı, ağrı ve fibromiyalji etkinlik sorgulaması skorunda tedavi öncesine göre ikinci ayın sonunda anlamlı iyileşme olduğu gözlendi (p<0.001). Tedavi periyodunun sonunda, serum ve 24 saatlik idrardaki magnezyum düzeyleri normal sınırlar içinde kaldı ve değisiklikler istatistiksel olarak anlamlı düzeye ulaşamadı (p>0.05). SONUÇ: Fibromiyalji sendromunun tedavisinde magnezyum sitrat tedavisi hassas nokta sayısı, ağrı ve fonksiyonel durum üzerinde etkili ve güvenli olarak bulundu

Plant Root Enhancement by Plant Growth Promoting Rhizobacteria

Soil microorganisms perform a variety of functions, some of which are extremely helpful to the maintenance of ecological sustainability. Bacteria thriving in the plant rhizosphere drive plant development through a variety of ways, which are referred to as PGPRs (plant growth-promoting rhizobacteria). Despite the fact that there are many different types of PGPRs, their significance and applications in sustainable agriculture are still debated and limited. The performance of PGPRs vary, which might be related to a variety of environmental conditions that impact their development and proliferation in plants. PGPR is a nonpathogenic, friendly bacterium that stimulates plant development by altering hormone concentrations and nutritional needs, as well as mitigating stress-related damage. PGPRs colonize root hairs and lateral roots in plants, where they may exhibit their beneficial characteristics. Rhizobacteria that promote plant development have the ability to control root system architecture (RSA), as well as the vegetative growth and physiology of the entire plant. The generation of hormones like Indole acetic acid (IAA) by PGPR has long been linked to RSA effects. This book chapter reviews the effects of PGPRs on the growth, the physiological, biochemical, and molecular characteristics of plant roots as well as the mechanisms involved