White blood cell count to mean platelet volume ratio: A novel and promising prognostic marker for ST-segment elevation myocardial infarction

Background: Increased white blood cell (WBC) count is associated with increased mortality in patients with ST-segment elevation myocardial infarction (STEMI). We aimed to evaluate predictive value of admission WBC to mean platelet volume (MPV) ratio (WMR) on prognosis in patients undergoing primary percutaneous coronary intervention (pPCI) for STEMI. Methods: A total of 2,603 consecutive patients with STEMI who underwent pPCI were recruited for the study. Follow-up data were obtained from digital records, patient files or by telephone interview with patients, family members, or primary care physicians. Results: WMR has the highest area under receiver operating characteristic (ROC) curve and pairwise comparisons of the ROC curves revealed that WMR has the higher discriminative ability for long-term mortality than WBC, MPV, red blood cell distribution with (RDW), WBC-MPV combination, and platelet to lymphocyte ratio and neutrophil to lymphocyte ratio (PLR-NLR) combination in patients undergoing pPCI for STEMI (a WMR value of 1,653.47 was also found as threshold value for mortality with 75.4% sensitivity and 87.3% specificity by ROC curve analysis). Conclusions: Higher WMR value on admission was associated with worse outcomes in patients with STEMI and independently better predicted the long-term mortality than other complete blood count components, such as MPV, RDW, PLR-NLR and WBC-MPV combinations

Supkutana ektopija pluća u vratnom području u teleta - prikaz slučaja.

This case presents a clinical, radiological and histopathological description of ectopic lung in a calf. The present case was a 45-day-old, female Simmental calf, showing a congenital mass in the lower neck region. Upon clinical inspection, it was determined that the calf was in excellent condition, but a pedunculated tumorlike mass appeared in the neck region. Palpation revealed that the mass had normal body temperature and was somewhat hard and flexible. The mass was surgically removed under inhalation anesthesia and diagnosed as an ectopic lung based on the histopathological examination. The calf was monitored for two years after the operation and was observed to be healthy and better developed than its peers. We concluded that a rare case like this should be presented as a contribution to the literature and veterinary practice.Prikazan je klinički, radiološki i histopatološki opis ektopije pluća u teleta. U ženskog teleta simentalske pasmine, u dobi od 45 dana, primijećena je kongenitalna masa u ventralnom području vrata. Tele je klinički bilo u odličnoj kondiciji s visećom masom nalik na tumor u području vrata. Palpacijom je ustanovljena masa normalne tjelesne temperature, ponešto tvrđa i pomična. Masa je kirurški bila uklonjena pod inhalacijskom anestezijom. Dijagnosticirana je ektopija pluća na osnovi histopatološke pretrage. Tele je bilo promatrano tijekom dvije godine nakon operacije. Ostalo je zdravo i bolje se razvijalo od ostalih iste dobi. Prikaz ovog slučaja koristan je prilog literaturi i veterinarskoj praksi

Chronic Fibrous Tendovaginitis with Tendovaginal Hydrops and its Treatment in a Sport Horse: A Case Report

Bu çalışmada yedi yaşlı, dişi, Yanm Kan Belçika (YKB) ırkı bir spor atında gözlenen m. ext. carpi radialisin kronik fibröz tendovaginit ve tendovaginal hidrops olgusunun bildirilmesi amaçlandı. Sağ karpal bölgenin ön yüzünde portakal büyüklüğünde, ısı artışı his s edilebilen, oldukça fluktuan kıvamdaki şişkinlik şikayeti bulunan YKB ırkı atın klinik değerlendirmesinde m. ext. caıpi radialisin kronik fibröz tendovaginitis ve tendovaginal hidmps tanısı kondu ve medikal sağaltım uygulandı. Ancak, yeterli iyileşmenin görülmemesinin ardından operatif sağaltıma karar verildi. Sinir uzamı anestezisi uygulanarak radial sinirin bloke edilmesini takiben fibröz görünümlü tendovaginamn cerrahi debridemanı yapıldı. Postoperatif 2. aydan itibaren tamamen iyileşme sağlandığı görüldü.The purpose of present study is to declare the chronic tendovaginitis and tendovagineal hydrops of m.extensor carpi radialis in a 7-year-old, female, halfblood Belgian sport horse. After the clinical examination of a warm and fluctuant mass, as big as an orange, in front of the right regio carpalis of a halfblood Belgian horse, chronic fibrous tendovaginitis and tendovagineal hydrops of m.extensor carpi radialis was diagnosed and in which medical treatment was performed. But, because sufficient recovery could not achieved, surgical intervention was planned to perform. Fibröz tissue of tendovagina was debridmaned following radial nerve block with local infiltration anesthesia. No abnormal finding was determined in region two months after operation

Chronic Fibrous Tendovaginitis with Tendovaginal Hydrops and its Treatment in a Sport Horse: A Case Report

Bu çalışmada yedi yaşlı, dişi, Yanm Kan Belçika (YKB) ırkı bir spor atında gözlenen m. ext. carpi radialisin kronik fibröz tendovaginit ve tendovaginal hidrops olgusunun bildirilmesi amaçlandı. Sağ karpal bölgenin ön yüzünde portakal büyüklüğünde, ısı artışı his s edilebilen, oldukça fluktuan kıvamdaki şişkinlik şikayeti bulunan YKB ırkı atın klinik değerlendirmesinde m. ext. caıpi radialisin kronik fibröz tendovaginitis ve tendovaginal hidmps tanısı kondu ve medikal sağaltım uygulandı. Ancak, yeterli iyileşmenin görülmemesinin ardından operatif sağaltıma karar verildi. Sinir uzamı anestezisi uygulanarak radial sinirin bloke edilmesini takiben fibröz görünümlü tendovaginamn cerrahi debridemanı yapıldı. Postoperatif 2. aydan itibaren tamamen iyileşme sağlandığı görüldü.The purpose of present study is to declare the chronic tendovaginitis and tendovagineal hydrops of m.extensor carpi radialis in a 7-year-old, female, halfblood Belgian sport horse. After the clinical examination of a warm and fluctuant mass, as big as an orange, in front of the right regio carpalis of a halfblood Belgian horse, chronic fibrous tendovaginitis and tendovagineal hydrops of m.extensor carpi radialis was diagnosed and in which medical treatment was performed. But, because sufficient recovery could not achieved, surgical intervention was planned to perform. Fibröz tissue of tendovagina was debridmaned following radial nerve block with local infiltration anesthesia. No abnormal finding was determined in region two months after operation

Bıldırcınlarda (Coturnix coturnix japonica) Anestezi için Propofol- Ketamine Kombinasyonunun İntravenöz ve intraosseöz Uygulanmasının Karşılaştırılması

This experiment was conducted to compare the use of intraosseous (IO) and intravenous (IV) propofol-ketamine combination on clinical and cardio¬respiratory parameters. The experiment was carried out on twenty clinically healthy mature male quails (Coturnix coturnix japonica). Quails divided into two groups. The first group (n=10) received 10 mg/kg Propofol-30 mg/kg Ketamine IV and second group (n=10) received 10 mg/kg Propofol-30 mg/kg IO. Each quail were monitored for heart rate, respiratory rate, cloacal temperature and electrocardiography. While the duration time of anesthesia in IV group was significantly shorter than IO group (p<0.05), no significant differences were recorded as regard the onset of anaesthesia in two groups. There were no significant differences obtained in heart rate (HR), respiratory rate (RR) and cloacal temperature (CT) between groups in recorded time points during anesthesia. Intraosseous administration of propofol-ketamine combination was seen as an alternative route to intravenous way, for it was shown similar changes in both IV and IO group in terms of clinical and physiological parameters. Moreover, use of propofol-ketamine combination for induction and maintenance of anesthesia was safe and reliable anesthetic combination that can be effectively used for quails.Bu çalışmada propofol-ketamin kombinasyonunun intravenöz (IV) ve intraosseal (IO) yolla uygulamasıyla klinik ve kardiyo-respiratorik parametreler üzerine olan etkileri karşılaştırılmışlar. Çalışma klinik olarak sağlıklı bulunan 20 adet erkek, olgun bıldırcın (Coturnix coturnixjaponica) üzerinde yürütülmüştür. Bıldırcınlar iki gruba ayrılarak birinci gruba (n=10) 10 mg/kg Propofol-30 mg/kg Ketamin IV olarak uygulanırken ikinci gruba (n=10) ise 10 mg/kg Propofol-30 mg/kg Ketamin IO uygulandı. Her bir bıldırcın monitörize edilerek kalp atım sayısı (HR), solunum sayısı (RR), kloakal ısı (CT) ve elektrokardiyogramları (ECG) alınarak izlendi. Anestezi süresi IV grubunda IO gruptan önemli derecede daha kısa bulunurken (p<0.05), anestezinin başlangıç süresi açısından bir fark bulunmadı. Ayrıca gruplar arasında HR, RR, CT bakımından istatistiksel olarak anlamlı bir fark yoktu. Sonuç olarak propofol- ketamin kombinasyonunun IO yolla uygulanması IV yola bir alternatif olarak düşünülebilir. Çünkü klinik ve fizyolojik parametreler bakımından hem IV hem de IO gruptaki bulgular benzerlik gösterdi. Ayrıca, anesteziye giriş ve anestezi süresince propofol-ketamin kombinasyonu kullanımı kanatlı hayvanlar için bir model olarak düşünülen bıldırcınlarda da etkin bir biçimde kullanılabilecek bir anestezik kombinasyonu olarak düşünülebilir

Clinical evaluation of complications after surgical treatment of patella dislocations in dogs: A retrospective study

Patellar luxation is one of the important orthopedic problem in dogs. Patellar luxation, which has been accepted as a developmental disorder in recent years, usually occurs medially in small breeds and laterally in large breeds. The aim of this study was to evaluate surgical treatment (femoral trochleoplasty, tibial tuberosity transpositions and imbrication techniques together), postoperative complications, early and late results in dogs with patellar luxation. Thirty–two dogs with grade 3 and grade 4 patella luxation were used in this study. While patellar luxation was treated in all cases, tibia fracture was seen in one dog as the most important complication. During tibial tuberosity transpositions technique, attention should be paid to the cutting process and the tibia should not be weakened. In conclusion, the combined use of femoral trochleoplasty, tibial tuberosity transposition and imbrication techniques can be used for patellar luxation. Complete recovery may not be possible in grade 4 patellar luxations

Bıldırcınlarda (Coturnix coturnix japonica) Anestezi için Propofol- Ketamine Kombinasyonunun İntravenöz ve intraosseöz Uygulanmasının Karşılaştırılması

This experiment was conducted to compare the use of intraosseous (IO) and intravenous (IV) propofol-ketamine combination on clinical and cardio¬respiratory parameters. The experiment was carried out on twenty clinically healthy mature male quails (Coturnix coturnix japonica). Quails divided into two groups. The first group (n=10) received 10 mg/kg Propofol-30 mg/kg Ketamine IV and second group (n=10) received 10 mg/kg Propofol-30 mg/kg IO. Each quail were monitored for heart rate, respiratory rate, cloacal temperature and electrocardiography. While the duration time of anesthesia in IV group was significantly shorter than IO group (p<0.05), no significant differences were recorded as regard the onset of anaesthesia in two groups. There were no significant differences obtained in heart rate (HR), respiratory rate (RR) and cloacal temperature (CT) between groups in recorded time points during anesthesia. Intraosseous administration of propofol-ketamine combination was seen as an alternative route to intravenous way, for it was shown similar changes in both IV and IO group in terms of clinical and physiological parameters. Moreover, use of propofol-ketamine combination for induction and maintenance of anesthesia was safe and reliable anesthetic combination that can be effectively used for quails.Bu çalışmada propofol-ketamin kombinasyonunun intravenöz (IV) ve intraosseal (IO) yolla uygulamasıyla klinik ve kardiyo-respiratorik parametreler üzerine olan etkileri karşılaştırılmışlar. Çalışma klinik olarak sağlıklı bulunan 20 adet erkek, olgun bıldırcın (Coturnix coturnixjaponica) üzerinde yürütülmüştür. Bıldırcınlar iki gruba ayrılarak birinci gruba (n=10) 10 mg/kg Propofol-30 mg/kg Ketamin IV olarak uygulanırken ikinci gruba (n=10) ise 10 mg/kg Propofol-30 mg/kg Ketamin IO uygulandı. Her bir bıldırcın monitörize edilerek kalp atım sayısı (HR), solunum sayısı (RR), kloakal ısı (CT) ve elektrokardiyogramları (ECG) alınarak izlendi. Anestezi süresi IV grubunda IO gruptan önemli derecede daha kısa bulunurken (p<0.05), anestezinin başlangıç süresi açısından bir fark bulunmadı. Ayrıca gruplar arasında HR, RR, CT bakımından istatistiksel olarak anlamlı bir fark yoktu. Sonuç olarak propofol- ketamin kombinasyonunun IO yolla uygulanması IV yola bir alternatif olarak düşünülebilir. Çünkü klinik ve fizyolojik parametreler bakımından hem IV hem de IO gruptaki bulgular benzerlik gösterdi. Ayrıca, anesteziye giriş ve anestezi süresince propofol-ketamin kombinasyonu kullanımı kanatlı hayvanlar için bir model olarak düşünülen bıldırcınlarda da etkin bir biçimde kullanılabilecek bir anestezik kombinasyonu olarak düşünülebilir