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BAB Bs200Pro / Bs200Doc İle Yapılan Bazı Yayınlar |
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Journal of Neurosurgical Anesthesiology. 19(3):161-165, July
2007.
Turgut, Namigar MD *; Turkmen, Aygen MD *; Gokkaya, Sumru MD
*; Hatiboglu, Mustafa Aziz MD +; Iplikcioglu, Ahmet Celal MD +;
Altan, Aysel MD *
Abstract:
We tested the hypothesis that 5 cm H2O of positive end-expiratory
pressure (PEEP) reduces the incidence of pneumocephalus in
patients who undergo spinal intradural tumor surgery. Fifty-three
ASA I to III patients who underwent thoracolumbar intradural tumor
surgery between the years 2003 and 2006 were included in this
study. All patients received propofol, fentanyl, and cisatracurium
for induction of the anesthesia. Maintenance was provided by
propofol infusion and, oxygen (50%) and air (50%). Group I (n=28)
did not receive PEEP whereas group II (n=25) received PEEP as 5 cm
H2O. Cranial computerized tomography was taken at 8 hours after
the surgery and cases were evaluated for pneumocephalus using BAB
Bs200ProP Image System software. Pneumocephalus areas between 0.03
and 4.24 cm2 were observed in 9 patients, 8 in group I and 1
patient in group II at the 8th postoperative hour, at various
localizations. There were no neurologic findings in other patients
except for 2 patients in group I who presented with headache and
mental status change. Although the cerebrospinal fluid leakage is
minimal, N2O is not used and the patients are well hydrated,
pneumocephalus with neurologic deficits may occur in patients
undergoing microsurgical spinal intradural tumor surgery in prone
position. In our study, we showed that using 5 cm H2O PEEP
perioperatively reduced the risk of pneumocephalus. However, more
cases must be studied to support this hypothesis.
(C) 2007 Lippincott Williams & Wilkins, Inc.
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Aylin
Yaman, MD, A. Osman Saatci, MD, Sulen Sarıog˘lu, MD, F.
Hakan O¨ ner, MD, Ismet Durak, MD
PURPOSE:
To determine the interaction of heavy silicone oil with various
intraocular lens (IOL) materials and whether heavy silicone oil
covers the silicone IOL optic as silicone oil does. SETTING:
Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.
METHODS: The study group comprised 5 poly(methyl methacrylate) (PMMA)
IOLs, 4 foldable silicone IOLs, 5 foldable hydrophilic acrylic
IOLs, and 5 foldable hydrophobic acrylic IOLs. Each IOL was bathed
in balanced salt solution (BSS) for 10 minutes and then placed in
heavy silicone oil dyed with Sudan Black for another 10 minutes.
Afterward, each IOL was reimmersed in BSS for 5 minutes and
examined under the light microscope. Digital images were analyzed
to determine the optic area covered with heavy silicone oil.
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Volume 10 Issue 4 Page 454-460, June 2006
To cite this article: Mehmet Atilla Türkmen,
Salih Kavukçu, Sülen Sarıo lu,
Alper Soylu, Hülya Akhunlar, Osman Yılmaz, Hülya Güven (2006)
Effects of lactational cyclosporine A use on rat pups
Pediatric Transplantation 10 (4), 454–460.
doi:10.1111/j.1399-3046.2006.00495.x
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Abstract
Effects of lactational cyclosporine A use on rat pups
Mehmet Atilla Türkmen11Dokuz Eylül University Medical Faculty, Division of Pediatric
Nephrology, 35340, Inciralti, Izmir, Turkey, Salih Kavukçu11Dokuz Eylül University Medical
Faculty, Division of Pediatric Nephrology, 35340, Inciralti, Izmir,
Turkey, Sülen Sarıolu22Dokuz Eylül University Medical Faculty, Department of
Pathology, 35340, Inciralti, Izmir, Turkey, Alper Soylu11Dokuz Eylül University Medical
Faculty, Division of Pediatric Nephrology, 35340, Inciralti, Izmir,
Turkey, Hülya Akhunlar33Dokuz Eylül University Medical Faculty, Department of
Biochemistry, Turkey, Osman Yılmaz44Dokuz Eylül University Medical
Faculty, Animal Research Center, Izmir, Turkey and Hülya Güven55Dokuz Eylül University Medical
Faculty, Department of Pharmocology, Izmir, Turkey1Dokuz Eylül University Medical
Faculty, Division of Pediatric Nephrology, 35340, Inciralti, Izmir,
Turkey, 2Dokuz Eylül University Medical Faculty, Department of
Pathology, 35340, Inciralti, Izmir, Turkey, 3Dokuz Eylül University Medical
Faculty, Department of Biochemistry, Turkey, 4Dokuz Eylül University Medical
Faculty, Animal Research Center, Izmir, Turkey, 5Dokuz Eylül University Medical
Faculty, Department of Pharmocology, Izmir, Turkey
Abstract
Abstract: We aimed to evaluate the structural and functional changes in the thymus and kidneys of rat pups whose mothers were given cyclosporine A (CsA) during lactational period. Six adult nursing Wistar rats and their 30 pups were studied. Rat pups were divided into four groups as follows: 21-day treated group and 21-day placebo group, each including 10 breastfeeding pups sacrificed on the 21st day, whose mothers were given CsA or placebo, respectively (infancy groups) and, 60-day treated group and 60-day placebo group, each including five breastfeeding pups sacrificed on the 60th day, whose mothers were given CsA or placebo, respectively (puberty groups). While CsA levels of mother rats were very high, CsA levels of 21-day treated group pups were zero. There were no renal histomorphometric differences between study and control pups in both age groups. Renal function parameters showed significant differences between study and control pups in the infancy group: the 21-day treated group pups had significantly lower urine volume, proteinuria, FENa and urinary NAG/creatinine ratio. GFR was also lower in the 21-day treated group, but the difference was not significant, and serum creatinine levels were also not different. Renal function differences were not present among the pubertal pups. Thymic corticomedullary ratio of the 21-day treated group was significantly higher than the 21-day placebo group, while there was no difference between the 60-day treated group and 60-day placebo group. There were no significant changes in the number and distribution of CD3+, CD4+, and CD8+ thymocytes between study and control pups in both age groups. In conclusion, breastfeeding by CsA-treated mother rats induced structural alterations in the thymus and functional changes in the kidneys of the rat pups during infancy. Disturbances in the kidneys and thymus mostly improved after CsA exposure was over
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