Review of: Mies van der Rohe + James Stirling: Circling the Square, The Architecture Gallery, RIBA, March 8 to June 25, 2017

A Review of Mies van der Rohe + James Stirling: Circling the Square, The Architecture Gallery, RIBA, 8 March to 25 June 201

In Vitro Gaz Üretim Tekniği Kullanarak Bazı Makarnalık Buğday(Triticum durum L.) Çeşitlerinin Besleme Değerinin Tespiti

Bu &ccedil;alışma, Doğu Akdeniz Tarımsal Araştırma Enstit&uuml;s&uuml;nde bulunan 5 farklı makarnalık buğday &ccedil;eşitinin besin değerinin in vitro gaz &uuml;retim tekniği kullanılarak tespit edilmesi amacıyla ger&ccedil;ekleştirilmiştir. 5 farklı makarnalık buğday &ccedil;eşidinin in vitro gaz &uuml;retimleri, 0 ve 24. saat ink&uuml;basyon zamanında saptanmıştır. 5 makarnalık buğday &ccedil;eşidi Amanos, Sarıbaşak, Ayzer, Fuatbey ve Eker&rsquo;dir. Araştırma sonucunda, makarnalık buğday &ccedil;eşitleri arasında ham k&uuml;l (HK), ham protein (HP), ham yağ (HY), Asit deterjan fiber i&ccedil;erikleri (ADF), N&ouml;tral deterjan fiber (NDF), hemisel&uuml;loz (HES) ve in vitro organik madde sindirim derecesi (OMSD) i&ccedil;erikleri istatistiki a&ccedil;ıdan &ouml;nemli bulunmuştur (P&lt;0.05). Kuru madde (KM) ise değişmemiştir (P&gt;0.05). En y&uuml;ksek HP i&ccedil;eriği %12.71 ile Amanos &ccedil;eşidinden elde edilirken; en d&uuml;ş&uuml;k değer ise %11.56 ile Fuatbey &ccedil;eşidinden elde edilmiştir. HY i&ccedil;eriği %1.47 (Sarıbaşak) ile %1.90 (Amanos) arasında değişim g&ouml;stermiştir. En d&uuml;ş&uuml;k ve en y&uuml;ksek ADF değerleri Eker (%3.24) ve Amanos (%3.90) &ccedil;eşitlerinde saptanmıştır. En d&uuml;ş&uuml;k ve en y&uuml;ksek NDF değerleri Sarıbaşak (%15.02) ve Ayzer (%16.86) &ccedil;eşitlerinden elde edilmiştir. En y&uuml;ksek HES değeri KM bazında, %13.51 ile Ayzer &ccedil;eşidinde saptanmıştır. Makarnalık buğday &ccedil;eşitlerinin gaz &uuml;retim miktarları 62.50 ile 72.50 ml/200 mg KM arasında değişmiştir. Metabolik enerji ve net enerji laktasyon i&ccedil;erikleri ise sırasıyla 11.45-12.79 MJ/kg KM ve 6.94-7.95 MJ/kg KM arasında saptanmıştır.&nbsp;</p

Determination of the Nutritive Value of Some Durum Wheat (Triticum durum L.) Varieties Developed Using In Vitro Gas Production Technique

Bu çalışma, Doğu Akdeniz Tarımsal Araştırma Enstitüsünde bulunan 5 farklı makarnalık buğday çeşitinin besin değerinin in vitro gaz üretim tekniği kullanılarak tespit edilmesi amacıyla gerçekleştirilmiştir. 5 farklı makarnalık buğday çeşidinin in vitro gaz üretimleri, 0 ve 24. saat inkübasyon zamanında saptanmıştır. 5 makarnalık buğday çeşidi Amanos, Sarıbaşak, Ayzer, Fuatbey ve Eker'dir. Araştırma sonucunda, makarnalık buğday çeşitleri arasında ham kül (HK), ham protein (HP), ham yağ (HY), asit deterjan fiber içerikleri (ADF), nötral deterjan fiber (NDF), hemiselüloz (HES) ve in vitro organik madde sindirim derecesi (OMSD) içerikleri istatistiki açıdan önemli bulunmuştur (P0.05). En yüksek HP içeriği %12.71 ile Amanos çeşidinden elde edilirken; en düşük değer ise %11.56 ile Fuatbey çeşidinden elde edilmiştir. HY içeriği %1.47 (Sarıbaşak) ile %1.90 (Amanos) arasında değişim göstermiştir. En düşük ve en yüksek ADF değerleri Eker (%3.24) ve Amanos (%3.90) çeşitlerinde saptanmıştır. En düşük ve en yüksek NDF değerleri Sarıbaşak (%15.02) ve Ayzer (%16.86) çeşitlerinden elde edilmiştir. En yüksek HES değeri KM bazında, %13.51 ile Ayzer çeşidinde saptanmıştır. Makarnalık buğday çeşitlerinin gaz üretim miktarları 62.50 ile 72.50 ml/200 mg KM arasında değişmiştir. Metabolik enerji (ME) ve net enerji laktasyon (NEL) içerikleri ise sırasıyla 11.45-12.79 MJ/kg KM ve 6.94-7.95 MJ/kg KM arasında saptanmıştırThis study was carried out to determine the feed value of five different durum wheat varieties by chemical analysis and in vitro gas production technique and to compare feed values. In vitro gas productions of five durum wheat varieties were determined at 0 and 24 hours incubation times. The five durum wheat varieties were Amanos, Sarıbaşak, Ayzer, Fuatbey and Eker. The results of analysis of variance indicating that the level of significance differences in the contents of crude ash (CA), crude fat (CF), crude protein (CP), acid detergent fiber (ADF), neutral detergent fiber (NDF), hemisellulose (HEM) and in vitro organic matter digestibility (IVOMSD) between several varieties of durum wheat (P0.05). The highest CP content was obtained from the variety of Amanos with a value of 12.71%, whereas the lowest value was obtained from the Fuatbey variety with a value of 11.56%. Crude fat (CF) contents varied from a 1.47% (Sarıbaşak) to 1.90% (Amanos). The lowest and highest ADF values were changed from Eker (3.24%) and Amanos (3.90%) varieties. The lowest and highest NDF contents were obtained from Sarıbaşak (15.02%) and Ayzer (16.86%) varieties. The highest HEM value was obtained from Ayzer variety with a value of 13.51% DM. The gas production rate of durum wheat varieties ranged from 62.50 to 72.50 ml/200 mg DM. The metabolisable energy (ME) and net energy lactation (NEL) contents of durum wheat varieties ranged from 11.45 to 12.79 MJ/kg DM and 6.94 to 7.95 MJ/kg DM, respectivel

A patient-based study on the adherence of physicians to guidelines for the management of type 2 diabetes in Turkey.

Aims: To evaluate physicians' adherence to guidelines by Diabetes Study Group of The Society of Endocrinology and Metabolism of Turkey (SEMT)

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system. Results A total of 3288 patients were included in the analysis, of whom 301 (9 center dot 2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P &lt; 0 center dot 001). There were no significant differences in rates of readmission between these groups (6 center dot 6 versus 8 center dot 0 per cent; P = 0 center dot 499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0 center dot 90, 95 per cent c.i. 0 center dot 55 to 1 center dot 46; P = 0 center dot 659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34 center dot 7 versus 39 center dot 5 per cent; major 3 center dot 3 versus 3 center dot 4 per cent; P = 0 center dot 110). Conclusion Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients