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  • Levin Weinstein posted an update 4 days, 21 hours ago

    Understanding the role of inflammation in complications during pregnancy may establish new perspectives of the progress of normal pregnancy as well as treatments during pregnancy complications.

    In this study, we aimed to investigate the sociodemographic characteristics of the individuals who mandated to the probation unit as the substances they use, their compliance with the programs, treatment outcomes and the relationships between these parameters. Secondly we aimed to determine the predictive factors that guide in taking protective measures.

    The files of the individuals who applied to probation clinic of Gaziantep 25 Aralik State Hospital between 01.01.2019-31.12.2019 were examined retrospectively. SPSS 22.0 program was used to statistical analysis.

    Totally 1024 cases were included in the study. Most of the cases were between the ages of 16-35 (84.1%) and 68.3% of individuals were primary school graduates. Most (n 607, 59.3%) were single in terms of marital status. Substance was detected in the urine of 30.3% of the applicants (n 311). Among the substances detected in urine, amphetamine-methamphetamine was in the first place with 13.6%. In terms of treatment compliance levels of probation, he first urine, and those who have previously had probation precautions may have a poor prognosis and that it may be more effective to apply to those profiles in a general program that includes social and occupational fields.

    In our study, the most used substance type was found to be amphetamine-methamphetamine (13.6%). Prevalence in substance use appears to be changing. This is an important finding about the prevalence of use of amphetamine-methamphetamine in Turkey. We suggest that those who have irregular jobs in the probation process, those with substance metabolites detected in the first urine, and those who have previously had probation precautions may have a poor prognosis and that it may be more effective to apply to those profiles in a general program that includes social and occupational fields.The degradation of persistent organic pollutants (POPs) in the simulated wastewaters was investigated by Fe-C micro-electrolysis system. With phenanthrene (PHE) and 2,4-dichlorophenol (2,4-DCP) as target pollutants, different iron-carbon (Fe-C) micro-electrolysis systems have been established. The effects of initial pH, Fe/C mass ratio, and intake air flow on the degradation and mineralization of PHE and 2,4-DCP were studied. At the initial pH of 5.0, Fe/C of 1.51, and an aeration flow rate of 1.5 L/min, after 120 min of reaction, the removal efficiency of FHE and COD was 94.3% and 73%, respectively. Under the conditions of initial pH is 3.0, Fe/C is 12, aeration flow rate of 1.5 L/min, and reaction time of 90 min, the best removal efficiency of 2,4-DCP can be obtained in the Fe-C micro-electrolysis system as 97% and COD removal efficiency can reach 76%. The results of kinetic studies show that the Fe-C micro-electrolysis process of PHE and 2,4-DCP follows pseudo-first-order kinetics. Commercial activated carbon (AC) was used for comparison under the same condition. The results indicated that the removal rate of organic pollutants and chemical oxygen demand (COD) of Fe-C micro-electrolysis were superior to that of AC. Analyze the structure of iron after reaction by SEM and XRD. The degradation pathway and mechanism for PHE and 2,4-DCP were proposed based on LC-MS analyses of treated wastewater.

    Endovascular abdominal aortic aneurysm repair (EVAR) is progressively being applied in the elderly population. Type II endoleaks are common and mostly benign, but they are related to more aneurysm sac expansion after EVAR. selleck compound They may lead to rupture in <1% of cases. We present a case of a centenarian with a post-EVAR rupture, related to type II endoleak, and discuss the use of EVAR on the management of this type of endoleak in an extremely old patient.

    A 102-year-old man with a history of EVAR 12 years earlier, presented to the emergency department with a drop of consciousness. A computed tomography revealed a ruptured abdominal aortic aneurysm. Angiography showed a type II endoleak related to patent lumbar arteries deriving from collateral branches of the right internal iliac artery. Embolization was not successful and subsequently the ostium of the iliolumbar artery was overstented, obliterating the feeding branch. The postoperative course was complicated by a deterioration of chronic obstructive pulmonary disease and patient was discharged home on the seventh postprocedural day; nonetheless, he died on postoperative day sixteenth due to respiratory complications.

    Complications following EVAR are a real threat and emphasize the need for follow-up. The current case report shows that age per se should not be a contraindication for EVAR nor for follow-up. Also, late ruptures due to type II endoleaks could be treated in the very elderly population although larger series are required for robust conclusions.

    Complications following EVAR are a real threat and emphasize the need for follow-up. The current case report shows that age per se should not be a contraindication for EVAR nor for follow-up. Also, late ruptures due to type II endoleaks could be treated in the very elderly population although larger series are required for robust conclusions.

    In order to implement a centralized cytotoxic reconstitution unit (CCRU), a study was conducted to compare the implementation costs of a CCRU equipped with a cytotoxic safety cabinet (CSC) and one equipped with an isolator with negative pressure.

    This study compares items such as infrastructure, air treatment and CCRU qualification costs, equipment’s purchase and qualifications costs, as well as staff dressing costs. Two plans were elaborated according to the international recommendations in a way that they respond to the necessary requirements in both cases. Requests for quotes for the compared items were sent to different suppliers.

    The implementations’ cost of a CCRU equipped with a CSC is cheaper than the one equipped with an isolator. The price of an isolator is much higher than a CSC; its qualification is also more expensive. However, the requirements and the costs for the air treatment and the dressing of the staff are less in the case of an isolator. The overall cost of the CCRU’s implementation is approximately 1.

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