A rare cause of acute abdomen: radiotherapy-induced bladder rupture

Introduction: Spontaneous intraperitoneal rupture of the bladder, which is rare, is a life-threatening condition. In emergency services, when patients present with lower quadrant abdominal pain and acute renal failure in the patient's laboratory findings consistent with curriculum vitae should be suspected if there is a history of radiotherapy. A cystography is the most accurate and precise method to make a diagnosis. The definitive solution is surgery, which depends on the condition of the patient.Case Report: A 52-years-old female patient with diffuse abdominal pain applied to our emergency department with complaints of high fever and hematuria. The fact that operated from cervical cancer medical history and undergone radiotherapy was learned. A physical examination of the abdomen and midline defects detected a urine-like liquid coming from the defect. Cystography was also performed because of being macroscopic hematuria to patient, and bladder rupture was detected.Conclusion: The aim of this phenomenon in our presentation. If patients who present to the emergency department with acute renal failure and peritonitis with a medical history of radiotherapy have a history of pelvic radiotherapy in the curriculum vitae with acute renal failure and peritonitis emergency signs, spontaneous rupture of the bladder is to emphasize that occur years after radiation therapy should be considered

2-Chloro-N′-[4-(dimethyl­amino)­benzyl­idene]-N-[4-(3-methyl-3-phenyl­cyclo­but­yl)-1,3-thia­zol-2-yl]acetohydrazide

The mol­ecular conformation of the title compound, C25H27ClN4OS, is stabilized by an intra­molecular benzyl­idine C—H⋯Nthia­zole hydrogen bond. The thiazole ring makes dihedral angles of 12.0 (3) and 20.4 (2)°, respectively, with the phenyl and benzene rings, while the phenyl and benzene rings make a dihedral angle of 22.6 (2)°. The crystal packing involves weak inter­molecular thia­zole C—H⋯Ocarbon­yl and methyl C—H⋯π hydrogen-bonding associations

Strength and Durability Performance of Clayey Soil Stabilized with Lime and Marble Powder

This paper investigated the effect of freezing-thawing and wetting-drying cycles on the strength and durability of clay soil stabilized with lime and marble powder. The test samples were prepared by adding 5%, 10%, 15% and 20% of marble powder, without and with 6% lime to the soil which is a high plasticity clay (CH) according to the Unified Soil Classification System. Unconfined compressive strength tests were performed after 7 and 28 days of curing periods. The durability behavior of the samples was examined by applying freezing-thawing and wetting-drying cycles to the prepared samples. The results of this study show that the presence of marble powder in the soil mixture has an important role in the improvement of strength. An increase in the number of wetting-drying cycles does not decrease the volumetric stability of the samples stabilized with marble powder. The use of lime and marble powder together increased the strength values compared to the natural soil and the use of lime only. It was concluded that the co-use of lime and marble powder had a positive effect on the strength and durability behavior of high plasticity clayey soil

Dejeneratif spondilolistezis, spinal stenoz, lomber kompresyon fraktürü olan yüksek riskli hastalarda spinal anestezi ile posterior lomber stabilizasyon cerrahisi

AIm: Spinal anesthesia is an appropriate technique for lumbar spine surgeries of two to three hours duration. The aim of this study is todocument our experience on spinal anesthesia administered to the patients with degenerative lumbar spine.Ma terIal and Methods: A total of 497 patients underwent spinal stabilization surgery with spinal anesthesia for degenerative lumbarspinal disorders in an 8-year period. Spinal anesthesia was performed at the L3-L4 or L4-L5 level and subarachnoid block was achieved with15 mg of 0.5% plain bupivacaine with 2 µg of fentanyl and 0.2 mg of epinephrine. There was no failure of anesthesia. The patients wereclosely monitored for complications associated with the SA technique and especially hypotension and bradycardia but no gross alterations incardiovascular stability were noted.Results: Among the 497 patients, 139 were male and 358 were female with a median age of 51 years. The average anesthesia durationwas 130 minutes and the average operative time was 85 minutes. In the postoperative period 36 patients has nausea (7.2%) and 18 of themhad vomiting (3.6%) that required one dose of antiemetic. No spinal headache was observed and 36 (7.2%) patients complained of urinaryretention. All recovered with urinary cannulation within 24 hours. No respiratory complication occurred and no patient died.ConclusIon: Spinal anesthesia is a safe and effective procedure for the lumbar spinal stabilization surgery, especially in high-riskpatients.Proper precautions should be taken in order to achieve an effective anesthesia for these operations

Hot water epilepsy: a report of two cases

Hot water epilepsy is a rare reflex epilepsy which is characterized by complex partial seizures during a hot bath. It has a good prognosis and generally seen in male children, however it can be also seen in adults. Although the exact mechanism is still unknown, repeated hot water stimuli were shown to have a kindling phenomen effect. Our aim is to outline the clinical features of two patients with hot water epilepsy, seen at our clinic. Two male patients 23 and 35 years old, had complex partial seizures during bathing since their childhood. Neurological examinations, psychomotor development and cranial magnetic resonance images were found to be normal. In EEG examinations epileptic activity originated from temporal regions were observed in both patients. Our patients were under control with lamotrigine (300 mg/day; 200 mg/day) medication. In this report, we aimed to present this rare and commonly misdiagnosed reflex epilepsy

Does pelvic injury trigger erectile dysfunction in men?

WOS: 000442089500008PubMed ID: 26764545Purpose: Pelvic ring fractures constitute 3%-8% of all fractures of the skeletal system and are generally related with high energy trauma. Sexual dysfunction following pelvic fracture has a high incidence, and affects the male patients both physically and psychologically. In this study, we aimed to investigate the impact and frequencies of comorbidities such as erectile dysfunction (ED) with adverse sociocultural and psychological consequences for the patient who had a pelvic ring fracture. Methods: This study included 26 men who corresponded to the inclusion criteria and agreed to participate our study. Results: According to fracture types, most of our cases were Tile type A1 and type A2. Severe and moderate ED were detected in 46.1% (12/26) of these patients via the International Index of Erectile Function-5 questionnaire. Conclusion: ED develops following pelvic fractures, especially in Tile type B and C pelvic fractures

Doğu Akdeniz deki Atmosferik Parçacıkların, Kuru ve Yaş Çökellerin Kimyasal Karakterinin Belirlenmesi ve Türleştirilmesi: Menşe, Kaynak Bölgeler, Biyo-kullanılabilirlik ve Atmosferik Girdilerin Denizsel Üretime Etkisi

TÜBİTAK ÇAYDAG15.03.2016Ocak 2014 ve Nisan 2015 tarihleri arasında yoğun bir şekilde aerosol (iri, ince ve bulk) ve kuru ve yaş-çökel (yağmur) örneklemeleri yapılmıştır. Atmosferik parçacıkların kütle derişimleri, suda-çözünebilir majör türler, suda-çözünebilir organik azot, üre ve aminoasit konsantrasyonları belirlenmiştir. Son on yılda partikül madde kompozisyonun belirgin bir şekilde değiştiği gözlenirken özellikle ikincil aerosoller sülfat, amonyum ve nitrat derişimlerinin % 50’lere varan düşüşler sergiledikleri belirlenmiştir. Suda-çözünebilir organik azot’un hem atmosferik parçacık (% 37) hem de yağmur (% 29) fazında toplam azota, sudaçözünebilir inorganik azotlar kadar katkı yapabileceği bulgulanmıştır. Tespit edilen üre derişimlerinin aerosol ve yağmurda organik azota sırasıyla % 17 ve % 6 katkı yaptığı bulunurken aminoasit azot katkılarının pek önemli olmadığı gözlenmiştir. Polifosfatların suda-çözünebilir fosfatlara % 20’ler seviyesinde katkı yapabileceği anlaşılırken göz ardı edilemeyecekleri ortaya konmuştur. Suda-çözünebilir organik azotun büyük bir kısmının tarımsal aktivitelerden kaynaklandığı ne var ki, ürenin hem mineral toz hem de tarımsal kökene sahip olduğu bulgulanmıştır. Fosforun; mineral toz (% 34) ve tarımsal (% 33) olmak üzere başlıca iki ana kaynağı olduğu anlaşılmıştır. Alüminyum iz metalinin büyük bir kısmı anyonik forumda gözlenirken demirin anyonik formunun katyonik formuna kıyasla 1,2 kat daha yüksek olduğu görülmüştür. Hem Kıyı hem de Açık istasyonlardan elde edilen yüzey sularına iki değişik içeriğe sahip toz eklenmiştir. Deneyler süresince klorofil miktarının artış sergilediği gözlenirken fosforun ortamdan çekilerek 0,3 nM seviyelerine düşürüldüğü tespit edilmiştir. Denizsel alan çalışmaları, 10 Nisan ve 29-30 Nisan 2015 tarihlerinde yüzey sularında tespit edilen Chl-a artışının, yağan yağmurlarla ilişkili olabileceği göstermiştir.Intensive samplings of both aerosol (fine/coarse and bulk) and rainwater were carried out between January 2014 and April 2015. Determination of mass composition, water soluble major species, water soluble organic nitrogen, urea and amino acid concentrations in atmospheric particles was carried out. Significant changes have been observed in the composition of particulate matter in the last ten years, especially the concentrations of secondary aerosols such as sulfate, amonnium and nitrate were determined to have decreased down to 50% of previous levels. It was found out that contribution of water soluble organic nitrogen is comparable to those of water soluble inorganic nitrogen in both aerosols (37%) and rainwater (29%). While it was observed that urea comprised 17% and 7% of total organic nitrogen in aerosol and rainwater, respectively, contribution of amino acids was found to be insignificant. It has been established that contribution of polyphosphates to water soluble phospates can reach up to a non-negligible 20%. Majority of water soluble organic nitrogen was found to originate from agricultural activities, while urea, was found to be of mixed origin, with comparable contributions from mineral dust and agricultural activities. The two main sources of phosphorus was determined to be mineral dust and agriculture, accounting for 34 and 33 % of total concentration, respectively. It has been observed that major fraction of soluble Al is found in anionic form, while the concentration of anionic soluble Fe is 1.2 times greater than of cationic Fe. Surface waters which were obtained from both coastal and open waters were treated with atmospheric dust of two different compositions. In the course of experiments, chlorophyll was recorded to increase in all treatments while phosphorus was assimilated from the medium down to 0,3 nM. The possible relationship between rain event and Chl-a increase in the surface waters observed in the cruises of April 10 and 29-30 2015 has been documented

Identification of resistance to Eurygaster integriceps Put. on some bread wheat genotypes

Sunn pest (Eurygaster integriceps Put.) is one of the most important pests of wheat in Eastern Europe including Turkey, West and Cen-tral Asia. Its damage on leaves, stems, spikes and grains reduce the baking quality of flour made from damaged grains. In this study, some wheat genotypes from Turkey and ICARDA were evaluated for the pest resistance. The genotypes were planted in a randomized block design using hill plots in nylon mesh screening cages in wheat growing season of 2011-2012 and 2012-2013. Sunn pest population was collected from Çanakkale province, where the pest was intensely found in recent years. The plants of each hill plots were infested with one male and one female Sunn pest adults. The results with 12.5% sucking damage showed that the genotypes from ICARDA had higher resistance than the landraces from Turkey to Sunn pest. Especially, the genotypes IC3 and IC4 from ICARDA and TR7 from Turkey with respect to their SED and DSED values were found the most promising genotypes resistant to Sunn pest for future breeding programs

Preliminary Study: The Test Technique for the Evaluation on Spatial Navigation in the Absence of Visual Data in Healthy Individuals

Background and Aim: Path integration refers to the capability of utilizing self-motion information produced by one’s own bodily movements to accurately determine and maintain one’s position in space. Typically, path integration mechanisms come into play when visual information is limited or absent. The objective of this study was to develop a path integration test that relies solely on self-motion cues derived from body movements, without the involvement of visual cues. Methods: The study involved 157 volunteers (86 females and 71 males) aged between 18 and 70 years. Participants were asked to walk on a coordinated ground with their closed eyes and follow the six different commands. They were, after that, requested to return their initial position. Movement time was manually measured by the stopwatch. The distance between the original reference point and estimated starting point was recorded. Results: The second command that showed the lowest standard deviation out of the six commands given to the participants was observed as the more reliable test among the other commands (47.51±33.75). In addition, the completion time of the second command increased with increasing age (p<0.001). Conclusion: This study introduces an innovative spatial navigation approach utilizing the second command set. As an alternative, this command can be used to assess the human spatial navigation system