Assessment of the requisites of microbiology based infectious disease training under the pressure of consultation needs

<p>Abstract</p> <p>Background</p> <p>Training of infectious disease (ID) specialists is structured on classical clinical microbiology training in Turkey and ID specialists work as clinical microbiologists at the same time. Hence, this study aimed to determine the clinical skills and knowledge required by clinical microbiologists.</p> <p>Methods</p> <p>A cross-sectional study was carried out between June 1, 2010 and September 15, 2010 in 32 ID departments in Turkey. Only patients hospitalized and followed up in the ID departments between January-June 2010 who required consultation with other disciplines were included.</p> <p>Results</p> <p>A total of 605 patients undergoing 1343 consultations were included, with pulmonology, neurology, cardiology, gastroenterology, nephrology, dermatology, haematology, and endocrinology being the most frequent consultation specialties. The consultation patterns were quite similar and were not affected by either the nature of infections or the critical clinical status of ID patients.</p> <p>Conclusions</p> <p>The results of our study show that certain internal medicine subdisciplines such as pulmonology, neurology and dermatology appear to be the principal clinical requisites in the training of ID specialists, rather than internal medicine as a whole.</p

Growth, tolerance and safety outcomes with use of an extensively hydrolyzed casein-based formula in infants with cow’s milk protein allergy

ObjectiveTo evaluate growth, tolerance and safety outcomes with use of an extensively hydrolyzed casein-based formula (eHCF) in infants with cow’s milk protein allergy (CMPA).MethodsA total of 226 infants (mean ± SD age: 106.5 ± 39.5 days, 52.7% were girls) with CMPA who received eHCF comprising at least half of the daily dietary intake were included. Data on anthropometrics [weight for age (WFA), length for age (LFA) and weight for length (WFL) z-scores] were recorded at baseline (visit 1), while data on infant feeding and stool records, anthropometrics and Infant Feeding and Stool Patterns and Formula Satisfaction Questionnaires were recorded at visit 2 (on Days 15 ± 5) and visit 3 (on Days 30 ± 5).ResultsFrom baseline to visit 2 and visit 3, WFA z-scores (from −0.60 ± 1.13 to −0.54 ± 1.09 at visit 2, and to −0.44 ± 1.05 at visit 3, p &lt; 0.001) and WFL z-scores (from −0.80 ± 1.30 to −0.71 ± 1.22 at visit 2, and to −0.64 ± 1.13 at visit 3, p = 0.002) were significantly increased. At least half of infants never experienced irritability or feeding refusal (55.7%) and spit-up after feeding (50.2%). The majority of mothers were satisfied with the study formula (93.2%), and wished to continue using it (92.2%).ConclusionsIn conclusion, eHCF was well-accepted and tolerated by an intended use population of infants  ≤ 6 months of age with CMPA and enabled adequate volume consumption and improved growth indices within 30 days of utilization alongside a favorable gastrointestinal tolerance and a high level of parental satisfaction

The role of plasma cytokine levels in the differential diagnosis of epileptic and psychogenic non-epileptic seizures

Aim: In this study, we aimed to evaluate the use of plasma cytokine levels in the differential diagnosis of epileptic and psychogenic nonepileptic seizures

The Effect of Ti Content on alpha ' Martensite Phase Transformation, and Magnetic Properties by Mossbauer Spectroscopy in Fe-30%Ni-x%Ti (wt%) Alloys

WOS: 000436603100009In this study, the influence of Ti content on the microstructure of the martensite bcc alpha'), which was formed by thermal effect, was investigated by scanning electron microscope and transmission electron microscope observations, kin Fe-30Ni-xTi (x = 0.8, 1.8, 2.6) alloys. The crystallographic orientation relationship between austenite fcc (gamma) and thermally induced bcc (alpha') martensite was found to be as (111)(gamma)//(011)(alpha) (Kurdjumov-Sachs (K-S)), by the electron diffraction analysis. The martensitic transformation temperature (M-s) of alpha' martensite was determined as -41 degrees C, -62 degrees C, and -76 degrees C in the alloys with 0.8%, 1.8%, and 2.6% Ti concentration, respectively. The Mossbauer spectrometer analysis has been revealed by a paramagnetic character for the austenite phase and magnetically order character for alpha' martensite phase. Hyperfine magnetic field, isomer shift and volume fractions of phases were determined by the Mossbauer spectroscopy

Interleukin-6, interleukin-1 beta and interleukin-1 receptor antagonist levels in epileptic seizures

Purpose: Data are accumulating to support the involvement of inflammatory mechanisms in the pathogenesis and course of epilepsy

Investigation of computed tomography findings of portal hypertension at non-alcoholic fatty liver disease

AbstractBackgroundNon-alcoholic fatty liver disease (NAFLD) is very common and serious disease. It begins as a simple hepatosteatosis but can progress to cirrhosis. The early detection of portal hypertension (HT) can be helpful in the management of these patients.AimsTo evaluate radiologic findings of portal hypertension at computed tomography (CT) of patients with non-alcoholic fatty liver disease for early diagnosis.Methods and materialsImages of 225 cases who underwent non-enhanced abdominal CT were reviewed. The patients with the difference between hepatic and splenic attenuation (CT L-S)>10 were enrolled in hepatosteatosis group. The remainings formed control group. The relationship between two groups about diameters of portal and splenic veins, craniocaudal (CC) span of liver, splenic index, caudate lobe/right lobe (C/RL) ratio was analyzed statistically by Mann–Whitney U Test and Student’s t-test.ResultsTotal 213 cases, as hepatosteatosis (n=149) and control (n=64) groups, were involved in this study. Liver CC span, splenic index and C/RL ratio between two groups were found to be statistically significant (p<0.01).ConclusionsThe splenic index and C/RL ratio are important findings of portal HT and fibrosis. CT imaging can be beneficial for diagnosis and treatment of NAFLD patients