154 research outputs found

    “Hinge” Mitral Valve Repair for Active Valve Endocarditis and Long-term Follow-up Transesophageal Echocardiography Study.

    Get PDF
    Ciljevi: Liječenje mitralnog zalistka u endokarditisu zalistka izazovna je tema, a rekonstrukcija je poželjnija u odnosu na zamjenu, no često zahtijeva opsežan debridman vegetacije, infi ciranoga tkiva i složenu rekonstrukciju tijekom aktivne faze. Metode: Donosimo prikaz uspješne rekonstrukcije mitralnoga zalistka u pacijenta s aktivnim endokarditisom. Rezultati: Postoperativna ehokardiografi ja nije pokazala regurgitaciju na novoformiranom mitralnom zalistku. Zaključak: Reparacija mitralnoga zalistka perikardijanom zakrpom prvi je izbor liječenja aktivnog endokarditisa, koja je tehnički zahtjevna, no ima zadovoljajuće rezultate. Rekonstrukcija mitralnog zalistka ovom metodom ne samo da podržava otvaranje područja mitralnih komisura, već i potpomaže ponovno uspostavljanje fizilološkoga kretanja mitralnoga zalistka.Aims: Mitral valve treatment in valve endocarditis is currently a challenging issue. Repair is preferred to replacement but it often requires extensive debridement of vegetation and infected tissue as well as complex reconstruction in the active phase. Methods: We report on a successful repair of the mitral valve, as described in the case of active endocarditis. Results: Postoperative echocardiography demonstrated no regurgitation at the newly formed mitral valve. Conclusion: First preference is pericardial repair, a technically difficult procedure but with satisfactory results in mitral repair for active endocarditis. Reconstruction of the mitral commissure with this technique not only supports the opening of the commissural area but also helps regain the physiological motion of the mitral valve

    Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

    Get PDF
    IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score

    Studies on the possibility of improving lamb production by two-way and three-way crossbreeding with German Black-Headed Mutton, Kivircik and Chios sheep breeds - 1. Fertility, lamb survival and growth of lambs

    No full text
    The aim of this study was to compare the fertility of ewes and the survival and growth traits of lambs which were produced by two-way and three-way crossbreeding with Kivircik sheep, the predominant breed in the Marmara region, Chios sheep. the most prolific breed in the region and German Black-Headed Mutton (GBM), the mutton breed which exhibits the best adaptation to the environmental conditions of the region
    corecore