Kafa travmasında kafa içi basınç ve hipotalamo-hipofizer- gonadal aks arasındaki ilişkinin değerlendirilmesi

Objective: Head traumas have an important place among all traumatic injuries and it is an important public health problem worldwide. Novel methods predicting prognosis may contribute to a decrease in the mortality and morbidity rates.Materials and Methods: Continuous intracranial pressure '(ICP) measurements, initial cerebral computed tomography '(CT) and measurement of the hypothalamicpituitary- gonadal '(HPG) axis hormones between the 0th and 4th days were performed in 15 adult male patients with severe head trauma. The relationship of these parameters with the short-term results of the patients on the 15th day was evaluated. Additionally, provocation tests were carried out to evaluate the HPG axis function.Results: High ICP and compression of basal cisterna increased mortality and they were found to affect prognosis `(p=0.009 and p=0.033, respectively) No statistically significant association was found between midline shift and prognosis. No relationship was found between mortality and mean basal hormone values on the 0th day and between the 1st and 4th days.Conclusion: ICP measurement values and the presence of compression of basal cistern on the initial brain CT can be used to predict the prognosis in severe head injury but there is no significant relationship between hypophyseal hormone values and prognosis

Electrospun Polyurethane Fibers for Absorption of Volatile Organic Compounds from Air

Electrospun polyurethane fibers for removal of volatile organic compounds (VOC) from air with rapid VOC absorption and desorption have been developed. Polyurethanes based on 4,4-methylenebis(phenylisocyanate) (MDI) and aliphatic isophorone diisocyanate as the hard segments and butanediol and tetramethylene glycol as the soft segments were electrospun from their solutions in N,N-dimethylformamide to form micrometer-sized fibers. Although activated carbon possessed a many-fold higher surface area than the polyurethane fiber meshes, the sorption capacity of the polyurethane fibers was found to be similar to that of activated carbon specifically designed for vapor adsorption. Furthermore, in contrast to VOC sorption on activated carbon, where complete regeneration of the adsorbent was not possible, the polyurethane fibers demonstrated a completely reversible absorption and desorption, with desorption obtained by a simple purging with nitrogen at room temperature. The fibers possessed a high affinity toward toluene and chloroform, but aliphatic hexane lacked the necessary strong attractive interactions with the polyurethane chains and therefore was less strongly absorbed. The selectivity of the polyurethane fibers toward different vapors, along with the ease of regeneration, makes them attractive materials for VOC filtration.Boeing CompanyNetherlands Organisation for Scientific Research (NWO) (Talent Scholarship

Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults

There is concern about an emerging diabetes epidemic in Turkey. We aimed to determine the prevalence of diagnosed and undiagnosed diabetes, prediabetes and their 12-year trends and to identify risk factors for diabetes in the adult Turkish population. A cross-sectional, population-based survey, ‘TURDEP-II’ included 26,499 randomly sampled adults aged ≥ 20 years (response rate: 87 %). Fasting glucose and biochemical parameters were measured in all; then a OGTT was performed to identify diabetes and prediabetes in eligible participants. The prevalence of diabetes was 16.5 % (new 7.5 %), translating to 6.5 million adults with diabetes in Turkey. It was higher in women than men (p = 0.008). The age-standardized prevalence to the TURDEP-I population (performed in 1997–98) was 13.7 % (if same diagnostic definition was applied diabetes prevalence is calculated 11.4 %). The prevalence of isolated-IFG and impaired glucose tolerance (IGT), and combined prediabetes was 14.7, 7.9, and 8.2 %, respectively; and that of obesity 36 % and hypertension 31.4 %. Compared to TURDEP-I; the rate of increase for diabetes: 90 %, IGT: 106 %, obesity: 40 % and central obesity: 35 %, but hypertension decreased by 11 % during the last 12 years. In women age, waist, body mass index (BMI), hypertension, low education, and living environment; in men age, BMI, and hypertension were independently associated with an increased prevalence of diabetes. In women current smoking, and in men being single were associated with a reduced risk. These results from one of the largest nationally representative surveys carried out so far show that diabetes has rapidly become a major public health challenge in Turkey. The figures are alarming and underscore the urgent need for national programs to prevent diabetes, to manage the illness and thus prevent complications. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10654-013-9771-5) contains supplementary material, which is available to authorized users

Atmospheric deposition of inorganic phosphorus in the Levantine Basin, eastern Mediterranean: Spatial and temporal variability and its role in seawater productivity

Total and dissolved inorganic phosphorus (IP) was measured in both rainwater and aerosol samples collected from two remote coastal areas: on the island of Crete (Greece) and at Erdemli (Turkey). Particle size distributions of P, as well as total deposition were also measured. Wet and dry deposition of dissolved inorganic phosphorus (DIP) from Crete are compared with simultaneously obtained dissolved inorganic nitrogen (DIN) and with productivity data from the literature. Our results indicate that (1) in both wet and dry deposition, the DIN/DIP molar ratio ranges between 63 and 349, exceeding by a factor of up to 22 the N/P ratio observed in seawater (ranging from 25 to 28) and (2) atmospheric deposition of DIP could reasonably account for a significant part of the new production (up to 38%) observed during the summer and autumn period (i.e., when water stratification is at its maximum)

Atmospheric deposition of inorganic phosphorus in the Levantine Basin, eastern Mediterranean: Spatial and temporal variability and its role in seawater productivity

Total and dissolved inorganic phosphorus (IP) was measured in both rainwater and aerosol samples collected from two remote coastal areas: on the island of Crete (Greece) and at Erdemli (Turkey). Particle size distributions of P, as well as total deposition were also measured. Wet and dry deposition of dissolved inorganic phosphorus (DIP) from Crete are compared with simultaneously obtained dissolved inorganic nitrogen (DIN) and with productivity data from the literature. Our results indicate that (1) in both wet and dry deposition, the DIN/DIP molar ratio ranges between 63 and 349, exceeding by a factor of up to 22 the N/P ratio observed in seawater (ranging from 25 to 28) and (2) atmospheric deposition of DIP could reasonably account for a significant part of the new production (up to 38%) observed during the summer and autumn period (i.e., when water stratification is at its maximum)

Antimicrobial-coated sutures to decrease surgical site infections: a systematic review and meta-analysis

To investigate the effectiveness of antimicrobial-coated sutures compared with non-coated sutures in reducing surgical site infection (SSI) and develop recommendations for World Health Organization (WHO) SSI prevention guidelines. We searched Medline, Embase, Cinahl, Cochrane Central Register of Controlled Trials, and WHO Global Health from 1990-16/02/2015 with language restricted to English, Spanish, and French. Meta-analysis was performed with a random-effects model. Meta-regression analysis assessed whether the effect of antimicrobial coating changed according to the type of suture and surgery. Subgroup analyses were based on types of sutures. Quality of the retrieved evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation. Thirteen randomized controlled trials (RCTs) and five observational studies (OBSs) met the inclusion criteria. Antimicrobial sutures significantly reduced SSI risk (for RCTs: OR 0.72, 95 % CI 0.59-0.88, p = 0.001, I(2) = 14 %; for OBSs: OR 0.58, 95 % CI 0.40-0.83, p = 0.003, I(2) = 22 %). Only Vicryl Plus vs Vicryl revealed consistent results in favor of antimicrobial sutures (for seven RCTs: OR 0.62, 95 % CI 0.44-0.88, p = 0.007, I(2) = 3 %; for four OBSs: OR 0.58, 95 % CI 0.37-0.92, p = 0.02, I(2) = 41 %). The effect of antimicrobial coating was similar between different suture, wound, and procedure types. Quality of RCT evidence was moderate, and OBS evidence was very low quality. Triclosan-coated sutures may reduce SSI risk. However, the available evidence is of moderate/low quality, and many studies had conflicts of interest