bluuebunny/crossref_metadata_2025 huggingface dataset:
OBSERVACIONES PRELIMINARES SOBRE LA ECOLOGIA DE Speothos venaticus (CANIDAE: CARNIVORA) EN SU HABITAT NATURAL
Authors: AQUINO-Y. Rolando , PUERTAS Pablo
Published: May 2017

Se presenta información sobre el tamaño, composición, componentes alimenticios y posibles depredadores de Speothos venaticus. También se incluye una breve descripción del hábitat y aspectos del comportamiento, así como de las interrelaciones del uso de "carne de monte" con el hombre.
HARINA DE LOMBRIZ, ALTERNATIVA PROTEICA EN TROPICO Y TIPOS DE ALIMENTO
Authors: SALES-DÁVILA Francisco
Published: May 2017

El presente trabajo, se efectuó en Ucayali en el marco del Proyecto Sistema Integral de Producción Agraria para recuperación de áreas degradadas, integrado a la actividad de lombricultura, del Instituto de Investigaciones de la Amazonía Peruana y ubicado en el fundo Villa Rica Km. 12.400 - Pucallpa. El periodo de investigación comprendió los meses de enero a diciembre de 1993. Los objetivos de esta investigación, consistieron en la determinación de alimentos regional disponibles que permita obtener una harina de lombriz con el mayor porcentaje de proteína. El estudio concluye que los niveles de proteínas obtenidos de los ocho tipos de alimentos combinados en 15 variantes, va de los 43,40% (V + A) al 64,20% (O + Ry) es una respuesta al tipo de alimento empleado, que pueda lograrse en la zona de Ucayali a través de la crianza de lombrices como insumos básicos para sustituir la harina de pescado.
VEGETACIÓN EN TERRENOS DE DIFERENTES EDADES EN LAS ISLAS DEL ALTO RÍO AMAZONAS, PERÚ
Authors: JOKINEN Päivi , TUUKKI Eeva , KALLIOLA Risto , SARMIENTO Abel
Published: May 2017

Se realizaron estudios sobre áreas de diferentes edades desde el año 1948 hasta 1993 y sobre la vegetación en las islas del río Amazonas en el año 1993. Se uso material de percepción remota y documentación de campo para preparar un mapa de los terrenos de diferentes edades y otro de la vegetación. A través de la comparación de estos mapas se pudo determinar las edades de las distintas clases de la vegetación, correspondiente a sus etapas de sucesión (vegetación pionera, bosque joven, bosque medio y bosque maduro). Los resultados demuestran que las islas se componen de zonas de diferentes edades, tamaños y ubicación; los que se reflejan en la disposición de la vegetación. Aproximadamente, 50% del terreno de las islas es mayor de 45 años de edad, pero solamente 30% de esta área está cubierto con la clase mayor, el bosque maduro: tal parece que muchas veces la vegetación pionera y joven son más abundantes; al contrario de lo que la edad del terreno presupone. Ésto se debe al los disturbios ambientales. El impacto del disturbio varía tanto entre como dentro de las etapas sucesionales. En base a estos resultados se preparó una estimación de los disturbios de erosión, depositación, inundación y de los causados por el hombre, sobre las diferentes etapas sucesionales.
CARACTERIZACIÓN DE LA FRACCIÓN LIPIDICA DE TRES RAZAS DE PIJUAYO (Bactris gasipaes H.B.K)
Authors: GARCÍA-DE SOTERO Dora Enith , SOTERO-SOLÍS Víctor Erasmo , LESSI Edson
Published: May 2017

Se caracterizó el fruto y la fracción lipídica del mesocarpio de tres razas de pijuayo: «Microcarpa» Pará, «Mesocarpa» Solimóes y «Macrocarpa» Putumayo. Los frutos fueron colectados del Banco Activo de Germoplasma de Pijuayo del Instituto Nacional de Pesquisas de la Amazonia (INPA)-Manaus, Brasil. Los aceites del mesocarpio de cada muestra frieron extraídos con el aparato de Soxhlet, y la composición de los ácidos grasos, determinados por cromatografia gaseosa, fue principalmente de ácido palmítico, oleico y linoleico. Los tres grupos raciales no presentaron variación significativa en la concentración de palmítico y oleico, pero sí difieren significativamente en linoleico. Las concentraciones para la raza «Microcarpa» Pará fue de 49,7 y 5,9% de ácido oleico y linoleico respectivamente; 42,3 y 12,3% en la raza «Mesocarpa» Solimóes; 41,6 y l4,2% en la raza «Macrocarpa» Putumayo.
USO DE HARINA DE HOJA DE YUCA EN RACIONES DE PATOS CRIOLLOS EN CRECIMIENTO Y ENGORDE
Authors: ROSALES-CONDE Julio M. , MATOS-DELGADO Edgar
Published: May 2017

Una de las principales limitaciones para la crianza de patos es el alto costo y la poca disponibilidad de los insumos alimenticios. En la Amazonía contamos con muchos insumos cuyo uso en alimentación de patos es desconocido. El presente trabajo se realizó en el Centro Regional de Investigación del IIAP, filial Ucayali. El objetivo fue determinar los efectos biológicos y económicos de niveles de harina de hoja de yuca en alimentación de patos criollos mejorados en las fases de crecimiento y engorde. Se ensayaron cinco tratamientos con diferentes niveles de harina de hoja de yuca en la ración suministrada durante 42 días (T1=O, T2=lO, T3=20, T4=30 y T5=40). Se evaluó la ganancia de peso, consumo de alimento, conversión alimenticia y beneficio económico. El consumo de alimento diario (g/animal) fue similar (P≤05) entre tratamientos: Tl=147, T2= 149, T3=l36, T4=l36 y T5=132. Con relación a la ganancia de peso, se observó diferencia entre tratamientos (P≤O,05), siendo los tratamientos Ti y T2 mayores que T3 y T4 y a su vez éstos mayores que el T5, con estos incrementos diarios por animal: Tl=48, T2=50, T3=47, T4=46 y T5=37 g. Igualmente se observó diferencias (P≤O,05) en conversión alimenticia, siendo T5 la de menor eficiencia alimenticia: T1=3,l2, T2=3,06, T3=2,92, T4=3,O1 y T5=3,59. Económicamente el mejor beneficio neto fue obtenido en el T2. Se concluye que niveles de hasta 10% de harina de hoja de yuca en la ración no afectan los parámetros biológicos y económicos en la crianza de patos en crecimiento y engorde.
USO DEL AFRECHO DE YUCA EN RACIONES DE PATOS CRIOLLOS EN CRECIMIENTO Y ENGORDE
Authors: ROSALES-CONDE Julio M. , TAPULLIMA Augusta
Published: May 2017

Una de las principales limitaciones para la crianza de patos es el alto costo y la poca disponibilidad de los insumos alimenticios. En la Amazonía contamos con muchos insumos cuyo uso en alimentación de patos es desconocido. El presente trabajo se realizó en el Centro Regional de Investigación del IIAP, filial Ucayali. El objetivo fue determinar los efectos biológicos y económicos de niveles de harina de hoja de yuca en alimentación de patos criollos mejorados en las fases de crecimiento y engorde. Se ensayaron cinco tratamientos con diferentes niveles de harina de hoja de yuca en la ración suministrada durante 42 días (T1=O, T2=1O, T3=20, T4=30 y T5=40). Se evaluó la ganancia de peso, consumo de alimento, conversión alimenticia y beneficio económico. El consumo de alimento diario (g/animal) fue similar (P≤05) entre tratamientos: T1=147, T2= 149, T3=l36, T4=l36 y T5=132. Con relación a la ganancia de peso, se observó diferencia entre tratamientos (P≤O,05), siendo los tratamientos Ti y T2 mayores que T3 y T4 y a su vez éstos mayores que el T5, con estos incrementos diarios por animal: Tl=48, T2=50, T3=47, T4=46 y T5=37 g. Igualmente se observó diferencias (P≤O,05) en conversión alimenticia, siendo T5 la de menor eficiencia alimenticia: T1=3,l2, T2=3,06, T3=2,92, T4=3,O1 y T5=3,59. Económicamente el mejor beneficio neto fue obtenido en el T2. Se concluye que niveles de hasta 10% de harina de hoja de yuca en la ración no afectan los parámetros biológicos y económicos en la crianza de patos en crecimiento y engorde.
Evaluation of central nervous system in patients with glycogen storage disease type 1a
Authors: Aydemir Yusuf , Gürakan Figen , Saltık Temizel İnci Nur , Demir Hülya , Oğuz Kader Karlı , Yalnızoğlu Dilek , Topçu Meral , Özen Hasan , Yüce Aysel
Published: May 2017

We aimed to evaluate structure and functions of central nervous system (CNS) in children with glycogen storage disease (GSD) type 1a. Neurological examination, psychometric tests, electroencephalography (EEG), magnetic resonance imaging (MRI), visual evoked potentials (VEP) and brainstem auditory evoked potentials (BAEP) were performed. The results were compared between patients with good and poor metabolic control and healthy children. Twenty-three patients with GSD type 1a were studied. Twelve patients were in poor metabolic control group and 11 patients in good metabolic control group. Five patients had intellectual disability, 10 had EEG abnormalities, seven had abnormal VEP and two had abnormal BAEP results. MRI was abnormal in five patients. There was significant correlation between the number of hypoglycemic attacks and MRI abnormalities. Central nervous system may be affected in GSD type 1a even in patients with normal neurologic examination. Accumulation of abnormal results in patients with poor metabolic control supports the importance of metabolic control in GSD type 1a.
Microorganisms isolated from cultures and infection focus and antibiotic treatments in febrile neutropenic children from Şanlıurfa, Turkey
Authors: Özdemir Z Canan , Koç Ahmet , Ayçiçek Ali
Published: May 2017

Chemotherapy induced febrile neutropenia predisposes patients to life threatening infections. We aimed to determine the causative microorganisms, infection focus and antibiotic treatment success in febrile neutropenic children with leukemia. A total of 136 febrile neutropenic episodes in 48 leukemic children were reviewed retrospectively from records. Among 136 febrile neutropenic episodes, 68 (50%) episodes were microbiologically documented. Methicillin sensitive coagulase (-) Staphylococcus aureus were the most common isolates from hemoculture (20.5%). The most frequently documented infection focus was mucositis (31.9%). Ceftazidime plus amikacin was the most commonly used antimicrobial treatment for the empirical therapy (52.9%). The overall response rates were 70.5%, 86.9%, and 66.6% of first line, second line and third line therapies, respectively. The spectrum of isolates among febrile neutropenic children in our hematology clinic appears to be gram positive pathogens which are the most common agents. Therefore the, documentation of the flora in each unit could help to decide appropriate empirical therapy which is life saving.
The comparison of general movements assessment and neurological examination during early infancy
Authors: Kepenek-Varol Büşra , Çalışkan Mine , İnce Zeynep , Tatlı Burak , Eraslan Emine , Çoban Asuman
Published: May 2017

This prospective single-blinded study was performed to evaluate general movements (GMs) in group of high-risk, low-birth-weight and preterm infants and to compare results with neurologic examination. All infants' neurologic examinations, Gross Motor Function Measurement (GMFM) and Bayley-III Scale were performed at the corrected age of 12 months. A total of 22 infants were included. Eight infants (group-1) (mean: 31.6±3.29 weeks, range: 25-36 weeks) had normal GMs in all recordings and were ultimately evaluated as "normal"; 12 (group-2) (mean: 31.6±3.29 weeks, range:2 5-35 weeks) had abnormal GMs during writhing movements period but had normal GMs in subsequent recordings and were evaluated as "normal"; and 2 infants (group-3) (mean:29.5±7.78 weeks, range:24-35 weeks) with consistent abnormal GMs who were evaluated as "abnormal." Complete agreement (kappa=1) was found between GMs and neurologic examination and significant agreement between GMs and cranial ultrasonography (kappa=0.76). When results of GMFM and Bayley-III were compared; statistically significant differences were found between group-1 and group-2 in "standing" parameter of GMFM (p < 0.05) and "cognitive" parameter of Bayley-III (p < 0.05). GMs assessment can help determine neurologic disorders in high-risk infant populations as an adjunct to other diagnostic techniques.
A pediatric case of Fascioliasis with eosinophilic pneumonia
Authors: Bayhan Gülsüm İclal , Batur Abdulsamet , Taylan-Özkan Ayşegül , Demirören Kaan , Beyhan Yunus Emre
Published: May 2017

Fasciolia spp. are common trematode infestations worldwide. Fasciolia spp. may lead to hepatic diseases in the acute phase and may cause biliary diseases in the chronic phase. In addition, Fasciolia spp. may rarely cause extrahepatic signs and symptoms. The clinical manifestations of fascioliasis are divided into three groups: typical, atypical, and ectopic. Eosinophilic pneumonia is an atypical presentation of acute fascioliasis and it has been reported very rarely. Herein, we report a boy with marked blood eosinophilia and eosinophilic pneumonia who was diagnosed with fascioliasis by serologic tests and abdominal USG. The patient recovered completely following triclabendazole treatment.
Recessive congenital methemoglobinemia in immediate generations
Authors: Aslan Deniz , Türköz-Sucak Gülsan , Percy Melanie Joan
Published: May 2017

We report herein on our observation of recessive congenital methemoglobinemia (type I), an autosomal recessive disorder, in immediate generations (in a mother and her daughter). Molecular analysis revealed a mechanism of inheritance not reported previously, despite the high probability of occurrence in autosomal recessive disorders. This report is also the first publication describing an extremely rare mutation (Arg50Gln) causing this disorder in the Turkish population.
An unusual complication of endotracheal intubation: ingestion of a bulb in a premature neonate
Authors: Özdemir Özmert M A , Koçyiğit Ali , Çiçek Cem , Koltuksuz Uğur , Ergin Hacer
Published: May 2017

Endotracheal intubation is a common daily procedure used for sustaining life in premature and term neonates in the neonatal intensive care unit. This procedure can be associated with some iatrogenic complications. One of these complications is ingesting a laryngoscope light bulb, and it is an extremely rare complication in neonates. The consequences of ingestion or aspiration may be serious and life-threatening. Herein, a male premature neonate, ingested a laryngoscope light bulb during endotracheal intubation because of surfactant replacement therapy, is reported. This case re-affirms the importance of checking the integrity of equipment before intubation effort.
Serum vitamin D levels during activation and remission periods of patients with juvenile idiopathic arthritis and familial Mediterranean fever
Authors: Dağdeviren-Çakır Aydilek , Arvas Ahmet , Barut Kenan , Gür Emel , Kasapçopur Özgür
Published: May 2017

The aim of this study was to determine the frequency of vitamin D deficiency and/or insufficiency in children with juvenile idiopathic arthritis (JIA) and familial Mediterranean fever (FMF) and to assess the relationship between vitamin D and disease activity. Sixty four patients with JIA, thirty six patients with FMF and one hundred healthy children were enrolled in this study. Vitamin D levels were measured during activation and remission periods in the patients with JIA and during attack and attack free periods in the patients with FMF. The mean vitamin D levels were found to be 18. 9±11 ng/ml and 18.6±9.2 ng/ml during activation and remission periods of disease, respectively, in the patients with JIA, 16±8.5 ng/ml and 13.1±6.4 ng/ml during attack and attack-free periods, respectively, in the patients with FMF and 26.7±10.5 ng/ml in the healthy children. There was no significant difference between vitamin D levels during activation and remission periods in the patients with JIA, whereas vitamin D levels during attack free periods were lower compared to attack periods in the patients with FMF. No significant relationship was found between disease activity and serum vitamin D levels. The vitamin D levels of the children with JIA and FMF were significantly lower compared to the healthy children. The frequency of vitamin D deficiency and insufficiency was considerably high among the patients with JIA and FMF.
Functional outcomes of mandibular distraction for the relief of severe airway obstruction and feeding difficulties in neonates with Pierre Robin sequence
Authors: Konaş Ersoy , Çalış Mert , Bitik Ozan , Yiğit Şule , Korkmaz Ayşe , Yurdakök Murat , Tunçbilek Gökhan
Published: May 2017

The purpose of this study was to review the application of mandibular distraction to relieve severe airway obstruction or feeding problems of neonates. Thirteen neonates with Pierre Robin sequence who underwent bilateral mandibular distraction between 2010 and 2013 for relief of their severe airway obstruction or feeding problems were retrospectively reviewed. The mean preoperative and postoperative airway diameters were 3.89±1.64 and 9.03±1.98 mm. respectively and significant difference was observed with distraction (p < 0.001). The rate of severe airway infection also significantly decreased from 69.2% to 23.1% (p=0.016). 84.6% of the patients were able to be fed orally at discharge whereas 6 patients (46.2%) required support via orogastric tube before distraction (p=0.125). No growth disturbance, dental complications or malocclusion was observed in the long-term follow up. Mandibular distraction appears to be a promising and effective surgical option for relieving airway obstruction and feeding problems in severe Pierre Robin Sequence patients.
Clinical accuracy of non-contact infrared thermometer from umbilical region in children: A new side
Authors: Apa Hurşit , Gözmen Salih , Keskin-Gözmen Şükran , Aslan Fatma , Bayram Nuri , Devrim İlker
Published: May 2017

Measurement from axillary site with digital thermometer has been accepted as the most accurate method. But this method is time consuming. Tympanic and forehead measurements are often used but don't always seem to be more appropriate. Another site, umbilical region, could be an alternative site. This study aims to compare the measurements with axillary digital thermometer and non-contact infrared thermometers at sites from umbilicus and forehead to determine whether umbilical site could be used accurately in children. For each method, 2,048 measurements in total were performed. Using axillary method as gold standard, with a cut-off temperature of 38oC, the sensitivities and specificities, positive and negative predictive values of umbilical and forehead temperatures and area under the ROC curve were determined in non obese children. There was a significant positive correlation between axillary and umbilical temperatures with a correlation coefficient of 0.78. The average difference between the mean of both axillary and umbilical temperatures was -0.47 ± 0.65°C. The Bland-Altman plot showed good accuracy with only 2.5 % of the readings falling outside the 95% level of confidence. Umbilical measurements showed sensitivity of 71.7% and specificity of 95.8%. The area under the ROC curve was 0.93. The easy application may lead noncontact measurements from umbilicus site to be the preferable method for health care providers, but agreement limits mentioned in this study should be considered.
Venlafaxine intoxication in an adolescent presenting with severe lactic acidosis
Authors: Eldem İrem , Kendirli Tanıl , Azapağası Ebru , Özdemir Gülşah , Yıldız Çisem , Yılmaz Mehmet Mustafa , Karataşoğlu Özlem , Benderlioğlu Elif
Published: May 2017

Venlafaxine is a selective serotonin noradrenaline reuptake inhibitor and commonly prescribed antidepressant in adults. Most patients overdosing with venlafaxine develop only mild symptoms. Severe toxicity is reported with the most common symptoms being CNS depression, serotonin toxicity, seizure, or cardiac conduction abnormalities. However, lactic acidosis is an uncommon adverse effect. Here, we present the first case in the literature reporting lactic acidosis due to venlafaxine overuse in an adolescent.
Ceftriaxone-induced hemolytic anemia in a child successfully managed with intravenous immunoglobulin
Authors: Vehapoğlu Aysel , Göknar Nilüfer , Tuna Rümeysa , Çakır Fatma Betül
Published: May 2017

Drug-induced hemolytic anemia is an immune-mediated phenomenon that leads to the destruction of red blood cells. Here, we present a case of life-threatening ceftriaxone-induced hemolytic anemia (CIHA) in a previously healthy 3-year-old girl. We also reviewed the literature to summarize the clinical features and treatment of hemolytic anemia. Acute hemolysis is a rare side effect of ceftriaxone therapy associated with high mortality. Our patient had a sudden loss of consciousness with macroscopic hematuria and her hemoglobin dropped from 10.2 to 2.2 g/dl over 4 hours, indicating that the patient had life-threatening hemolysis after an intravascular dose of ceftriaxone who had previously been treated with ceftriaxone in intramuscular form for six days. CIHA is associated with a positive direct antiglobulin test, revealing the presence of IgG in all cases and C3d in most cases. Our patient's direct antiglobulin test was positive for IgG (3+) and for C3d (4+). The case was managed successfully with supportive measures and intravenous immunoglobulin therapy. Ceftriaxone is used very frequently in children; an early diagnosis and proper treatment of hemolytic anemia are essential to improve the patient outcome. The pathophysiological mechanism is the same as for non-drug autoimmune hemolytic anemia. However, there is still no consensus treatment for CIHA. Intravenous immunoglobulin can be used in clinical emergencies, such as our case, or in refractory cases.
An unexpected diagnostic course of systemic lupus erythematosus
Authors: Taktak Aysel , Köksoy Adem , Başaran Özge , Kiremitçi Saba , Acar Banu , Uncu Nermin , Çakar Nilgün
Published: May 2017

Thrombotic microangiopathy (TM), especially thrombotic thrombocytopenic purpura (TTP) is described in systemic lupus erythematosus (SLE) as a severe hematological involvement. However hemolytic uremic syndrome (HUS) is seen less frequently in SLE, particularly as an initial presentation. Here we present a 15-year old boy presenting with gross hematuria, decreased urinary output and petechial lesions. He was diagnosed as atypical HUS according to the classical triad of TM, along with observation of hypocomplementemia and negative stool cultures. In addition, his symptoms fulfilled the 2012 revised criteria for the classification of SLE. He was treated with plasma infusions and methylprednisolone/prednisone. At follow up his laboratory findings and general condition improved and no relapse was seen.
Neurological findings spectrum in Celiac disease
Authors: Aksoy Erhan , Tıraş-Teber Serap , Kansu Aydan , Deda Gülhis , Kartal Ayşe
Published: May 2017

We aimed to provide early diagnosis by determining possible Celiac disease related subclinical or symptomatic neurological abnormalities in children in order to decrease risk of mortality and morbidity. Children with Celiac disease were assessed with neurological examination, neurophysiological tests and neuroimaging. A total of 65 patients were included in the study. The neurological examination was abnormal in 4 patients. There were EEG abnormalities in 5 patients, VEP was abnormal in 7 patients, BAER was abnormal in 1 patient, ENMG was abnormal in 8 patients, and there were abnormal findings on neuroimaging in 2 patients. The Celiac disease related neurological complications that manifest in adulthood usually lay their foundations in childhood. Therefore, it must be kept in mind that subclinical neurological abnormalities may be related to Celiac disease, and Celiac disease may be the underlying cause in the patients with overt neurological abnormalities in childhood.
Severe theophylline poisoning treated with continuous venovenous hemodialysis in a child
Authors: Yaman Ayhan , Kendirli Tanıl , Ödek Çağlar , Azapağası Ebru , Erkol Hatice , Pişkin İbrahim Etem , Teber-Tıraş Serap , Yalçınkaya Fatoş
Published: May 2017

Theophylline poisoning generally occurs due to acute high dose intake as well as chronic intake of the medication. Toxicity symptoms can be seen with a plasma concentration of theophylline over 20 μg/ml. The consequences of theophylline toxicity include metabolic disturbances (hypokalemia, hyperglycemia, and metabolic acidosis), nausea, vomiting, and in severe cases seizures, cardiac arrhythmias, and death. Theophylline poisoning in children is rarely described in the literature. A 3-year-old girl was referred from another hospital to our pediatric intensive care unit (PICU) due to prolonged refractory status epilepticus and respiratory failure linked with severe theophylline poisoning. The patient was admitted to our PICU 24 hours after the patient took theophylline. The referring center could not measure the serum theophylline level. The patient's first serum theophylline level that was checked at admission was 54 μg/ml. We started continuous venovenous hemodialysis (CVVHD) 3 hours after PICU admission and the patient's theophylline level successfully decreased within 9 hours. The patient was discharged at the 40th day of admission from our hospital with severe neurological disability. In conclusion, severe theophylline poisoning may be seen in children. We must consider CVVHD in critically ill children with severe theophylline poisoning.
"Silent" β-thalassemia mutation (promoter nt-101 C > T) with increased hemoglobin A
Authors: Aslan Deniz
Published: May 2017

One of the most common silent β-thalassemia mutations is the C > T substitution at position -101 within the distal CACCC box, which leads to a mild reduction in the expression level of the β-globin gene. Carriers of this mutation have a normal hematologic picture without microcytosis and borderline hemoglobin A2 values, and may be missed during screening. Co-occurrence of this mutation with one of the classical β-thalassemia mutations leads to β-thalassemia intermedia, and this is important for Mediterranean populations where β-thalassemia is frequent. Awareness of this mutation, which may have a heterogeneous clinical presentation, is required. We herein present the unusual hematologic findings of a Turkish family carrying this mutation.
The need for mechanical ventilation in a child exposed to a laundry detergent pod
Authors: Kamit-Can Fulya , Alparslan Caner , Anıl Ayşe Berna , Anıl Murat , Zengin Neslihan , Can Ender
Published: May 2017

Laundry detergent pods (LDPs) are a new, concentrated form of detergent covered by a membrane of polyvinyl alcohol or other water-soluble material. In contrast to traditional laundry detergents, the spectrum of responses to exposure to LDPs ranges from mild to life-threatening events. This is a case report of a 3-year-old male who ingested part of an LDP, leading to a depressed level of consciousness, upper airway obstruction, and severe respiratory distress. The patient required intubation and mechanical ventilation for 2 days before being discharged. This rare, severe clinical pattern demonstrates the potential toxicity of these laundry detergents. In the literature, few cases that required intubation and ventilation have been reported. To our knowledge, this is also the first case of LDP exposure reported from Turkey.
Pulmonary vascular anomalies: a review of clinical and radiological findings of cases presenting with different complaints in childhood
Authors: Nacaroğlu Hikmet Tekin , Ünsal-Karkıner Canan Şule , Bahçeci-Erdem Semiha , Özdemir Rahmi , Karkıner Aytaç , Alper Hüdaver , Can Demet
Published: May 2017

Congenital pulmonary vascular abnormalities arise from several etiologies. These anomalies are difficult to categorize and sorted into distinct classifications. Major pulmonary vascular abnormalities can be ranked as interruption of the main pulmonary artery or its absence, emergence of the left pulmonary artery in the right pulmonary artery, pulmonary venous drainage abnormalities, and pulmonary arteriovenous malformations (PAVMs). Some of the cases are asymptomatic and diagnosed by coincidence, whereas a few of them are diagnosed by typical findings in the newborn and infancy period, symptoms, and radiological appearances. Early diagnosis is important, since death may occur as a result of pulmonary and cardiac pathologies developed in patients with pulmonary vascular anomalies. In this case presentation, the clinical and radiological findings of patients that presented with different complaints and were diagnosed with pulmonary vascular anomalies were introduced.
Clinical and genetic features of IL12Rb1 deficiency: Single center experience of 18 patients
Authors: Tan Çağman , Çağdaş-Ayvaz Deniz , Metin Ayşe , Keskin Özlem , Tezcan İlhan , Sanal Özden
Published: May 2017

Mendelian susceptibility to mycobacterial disease (MSMD) is characterized by infections with weakly virulent mycobacteria (BCG and environmental mycobacteria), M. tuberculosis, Salmonella, candida and some other intracellular microorganisms. Nine different genetic defects have been defined to cause MSMD and IL-12Rβ1 deficiency is the most common form. We present here the clinical and genetic features of 18 patients with IL12Rβ1 deficiency diagnosed by surface expression of IL-12Rβ1 and Sanger's sequencing. Seventeen patients showed classical presentation (infections with BCG, salmonella and candida) while one patient experienced recurrent leishmaniasis. In all patients the percentage of activated lymphocytes with surface expression of IL12Rβ1 was < 1% indicating that it is an effective method for the screening of these patients. Three recurrent mutations were responsible for 85% of our families. Prognosis was good in patients, in whom specific antimicrobial therapy was given before dissemination occurs, as well as prophylactic antimicrobial treatment when needed and IFN-γ therapy for severe infectious episodes.
Is anti-Mullerian hormone an indicator of potential polycystic ovary syndrome in prepubertal girls with simple obesity?
Authors: Korkmaz Özlem , Gökşen Damla , Özen Samim , Darcan Şükran
Published: May 2017

The aim of this anti-Mullerian hormone (AMH) levels in prepubertal obese girls are a predictive marker for polycystic ovary syndrome (PCOS) and to investigate the relationship between insulin resistance and AMH. Sixty girls with premature pubarche or obesity and 20 healthy controls between the ages of 6-9 were enrolled. Of the patients, 22 (36.7%) were in the obese group (Group 1), 28 (46.7%) in the early pubarche group (Group 2) and 10 (16.6%) in the early pubarche + obese group (Group 3). Comparison of the subjects' fasting insulin and homeostatic model assessment insulin resistance (HOMA-IR) demonstrated significantly higher values for group 1 compared to group 2 (p=0.001 and 0.001) and, likewise, significantly higher values for group 3 compared to group 2. There was no significant differences between all groups for AMH levels. AMH levels were not significantly different in the obese girls compared to the other groups. There was also no relationship between AMH and insulin resistance in any of the groups. Further studies, however, are needed due the limited number of subjects in this study and in the absence of adequate relevant data.
Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
Authors: Boybeyi-Türer Özlem , Vurallı Doğuş , Karnak İbrahim , Gönç Nazlı , Yalçın Emel Şule , Orhan Diclehan , Kandemir Nurgün , Tanyel Feridun Cahit
Published: May 2017

Medullary thyroid carcinoma (MTC) may arise sporadically or in familial manner. We presented sporadic and familial cases with MTC in order to raise awareness on management of such patients. Three medullary thyroid carcinoma (MTC) cases were presented. Case 1 had RET634 mutation; managed with total thyroidectomy (TT) and cervical lymph node dissection (CLND). Case 2 had RET804 mutation; managed with prophylactic TT. Case 3 had thyroid nodule; managed with TT and CLND. Case 1 had micro-carcinomatosis foci, Case 2 had normal thyroid tissue in histopathological examination and Case 3 had medullary thyroid carcinoma with tumor negative surgical borders. Case 1 was re-operated for persisting focus of disease. Follow-up of cases were uneventful. Clinicians and surgeons should be aware of critical timing for surgery and various surgical and clinical strategies in the management of MTC in children.
An unusual manifestation: Papillary thyroid carcinoma in a patient with ataxia-telengiectasia
Authors: Ulusoy Ezgi , Edeer-Karaca Neslihan , Özen Samim , Ertan Yeşim , Gökşen Damla , Aksu Güzide , Darcan Şükran , Kütükçüler Necil
Published: May 2017

Ataxia-telangiectasia (A-T) is a rare autosomal recessive, multisystem, neurodegenerative disorder, characterized by oculocutaneous telangiectasias, variable immunodeficiency and progressive neurological impairment. Definitive diagnosis is made by revealing a disease causing mutation on ATM gene. Missense mutations and polymorphisms of ATM gene can play a role in the development of thyroid papillary carcinoma. A 13-year-old Turkish girl was diagnosed with ataxia telengiectasia at the age of 8 years. When she was 12 years old, multi-nodular goiter was detected by physical examination and ultrasonography. She underwent thyroidectomy and histopathologic investigation revealed a papillary carcinoma with follicular variant. The patient received post-operative radioiodine therapy as well as L-thyroxine treatment because she had residual lesions. Up until now, she is the first Turkish child wit A-T and thyroid carcinoma described in the literature.
Intravesical catheter knotting: an unusual complication of suprapubic catheterization
Authors: Yiğiter Murat , Salman Ahmet Bedii
Published: May 2017

Suprapubic catheterization is commonly used to drain urine temporarily from the bladder. Although it is a commonly performed procedure, it is not without complications. Many of these complications related to surgical technique. However, some unpredictable complications are related to the catheter itself. Intravesical catheter knotting is a very rare event and usually has been reported in feeding catheters used as an urethral catheter. We report a case of a suprapubic Cystofix catheter knot, removed by sustained traction. This complication was probably due to an excessive length of catheter having been inserted into the bladder, thus forming redundant loops that increased the risk of bending onto itself.
Respon Seleksi Tanaman F3 Pada Beberapa Genotipe Tanaman Kedelai (Glycine max (L.) Merrill)
Authors: Arifiana Nisa Budi , Sjamsijah Nurul
Published: May 2017

Tujuan dari penelitian untuk mengetahui genotipe tanaman yang terseleksi dan nilai kemajuan heterosis genetik dari hasil persilangan tetua pada genotipe generasi F3. Penelitian ini dilakukan di lapangan Balitkabi Malang. Penelitian ini menggunakan lengkap random Rancangan dengan 16 genotipe, terdiri dari 4 orang tua (1) Dering, (2) Rajabasa, (3) Polije 2, (4) Polije 4 dan 12 genotipe berbakti 1.2; 1.3; 1.4; 2.1; 2.3; 2.4; 3.1; 3.2; 3.4; 4.1; 4.2 dan 4.3. Parameter terdiri dari umur bunga, usia panen, bobot 100 butir kedelai, berat biji masing-masing tanaman, dan produksi per Ha. Hasil penelitian ini menunjukkan bahwa peningkatan hasil genetik tanaman yang lebih tinggi termasuk kategori tinggi dari hasil seleksi respon dari parameter tinggi tanaman, cabang tanaman, dan jumlah bibit. Dari hasil seleksi ini metode silsilah menunjukkan genotipe 2.4 dan 4.2 memiliki karakter panen cepat dan produksi yang tinggi. Hasil genotipe yang telah pilihan menunjukkan lebih baik dari tetua yang digunakan hasil heterosis.
Aplikasi Pupuk Biourine Terhadap Hasil dan Mutu Benih Dua Varietas Kacang Tanah (Arachis hypogaea L.)
Authors: Sofiana Rina , Syaban Rahmat Ali
Published: May 2017

Biourine adalah salah satu alternatif pupuk organik yang dapat meningkatkan ketersediaan dan efisiensi serapan unsur hara bagi tanaman serta dapat mengurangi ketergantungan pada pupuk anorganik dan meningkatkan hasil panen. Tujuan penelitian ini untuk mengetahui pengaruh konsentrasi pupuk biourine pada dua varietas kacang tanah pada hasil panen dan mutu benih. Penelitian ini menggunakan Rancangan Acak Kelompok Faktorial yang terdiri dua faktor. Konsentrasi pupuk biourine sebagai faktor pertama terdiri dari 10 ml/ L (B1), 20 ml / L (B2) dan 30 ml / L (B3). Varietas kacang tanah sebagai faktor kedua terdiri dari Kelinci (V1) dan Kancil (V2). Kesimpulan penelitian ialah konsentrasi pupuk biourine memiliki pengaruh yang signifikan pada fase berbunga dengan konsentrasi terbaik adalah 30 ml / L (B1).  Penggunaan varietas unggul memiliki efek yang sangat signifikan pada semua parameter dan memiliki efek signifikan pada simultanitas pertumbuhan bibit kecuali pada tinggi tanaman di 60 HST dan varietas terbaik adalah Kancil (V2). Kombinasi pupuk biourine dan varietas unggul memiliki efek yang signifikan pada semua parameter pascapanen. Kombinasi terbaik adalah biourine pupuk 10 ml / L dan Kancil (B1V2) menghasilkan hasil panen 2,72 ton / hektar.
Optimasi Pertumbuhan Plantlet Cattleya Melalui Kombinasi Kekuatan Media Murashige-Skoog dan Bahan Organik
Authors: Latifah Rianti , Suhermiatin Titien , Ermawati Netty
Published: May 2017

Salah satu teknik untuk mengoptimalkan pertumbuhan Anggrek Cattleya yaitu menggunakan kultur in vitro dengan cara menyusun isi media. Nutrisi di dalam media sangat penting untuk menentukan pertumbuhan dan perkembangan anggrek. Penelitian ini bertujuan untuk mendapatkan komposisi media alternatif yang rendah biaya, bahan-bahan mudah ditemukan dan mampu memenuhi kebutuhan tanaman. Penyusunan media dilakukan dengan kekuatan media Murashige-Skoog (MS) dan bahan organik yang berbeda seperti ekstrak wortel dan air kelapa. Penelitian ini dilakukan dengan menggunakan Rancangan Acak Kelompok dengan 2 faktor dan 3 ulangan. Faktor pertama adalah konsentrasi media MS yang berbeda, dan faktor kedua adalah komposisi kombinasi filtrat wortel dan air kelapa. Hasil penelitian menunjukkan bahwa penggunaan ¼ MS dan media penuh MS tidak memberikan pengaruh perbedaan yang nyata terhadap semua parameter. Kombinasi terbaik dan berbeda nyata ditunjukkan ½ MS + 50 ml/L filtrat wortel + 200 ml/L air kelapa yang menghasilkan interaksi yang sangat berbeda nyata pada parameter tinggi tanaman dan jumlah akar berbeda secara nyata pada 16 minggu setelah tanam. Selain itu, bahan organik dengan 50 ml/L filtrat wortel + 200 ml/L air kelapa menghasilkan tinggi tanaman yang berbeda sangat nyata dibandingkan dengan perlakuan lainnya.
Personhood, Collectives, and the Human-Animal Distinction: The Cases of the Cameroon Grassfields and Madagascar
Authors: Tsékénis Emile
Published: May 2017

This article compares the ways personhood and collectives are conceptualised and constituted in two different ethnographic settings – the Grassfields of west Cameroon and Madagascar – and how this sheds light on the ways of conceiving the human-animal distinction. The first part of the article examines the means by which persons and collectives are conceptualised and constituted in both ethnographic contexts, while the second part analyses two modalities of the human-animal relationship – capturing and hunting – while relating them to “Malagasy and Grassfields personhood” respectively. In addition, an attempt is made to elicit the differences and similarities in the ways the human-animal distinction is conceptualised in both ethnographic contexts.
Nesting Expectations: What Can the Mexican and Argentinean Cash Transfers Tell Us about the Development of Development?
Authors: Dapuez Andrés
Published: May 2017

Latin American cash transfer programs have been implemented aiming at particular anticipatory scenarios. Given that the fulfillment of cash transfer objectives can be calculated neither empirically nor rationally a priori, I analyse these programs in this article using the concept of an “imaginary future.” I posit that cash transfer implementers in Latin America have entertained three main fictional expectations: social pacification in the short term, market inclusion in the long term, and the construction of a more distributive society in the very long term. I classify and date these developing expectations into three waves of conditional cash transfers implementation.
“Will the Real Semi-Speaker Please Stand Up?” Language Vitality, Semi-Speakers, and Problems of Enumeration in the Canadian North
Authors: Boltokova Daria
Published: May 2017

This article reassesses categories used in language revitalisation efforts and critiques some enumeration practices that language activists use to measure language endangerment and vitality. Drawing on ethnographic fieldwork in the Dene Tha settlement of Chateh in northwestern Alberta, Canada, I argue that the practices of speaker enumeration are often premised on idealised notions of who counts as an endangered language speaker. Standard methods for counting endangered language speakers fail to capture the heterogeneous linguistic practices of partially fluent “semi-speakers,” who often constitute the majority of young speakers in endangered language communities. To correct this oversight, I propose shifting the discourse of language endangerment toward one of language vitality, enabling semi-speakers to be recognised and counted as rightful, valid speakers of endangered languages.
Sustaining Linguistic Continuity in the Beringia: Examining Language Shift and Comparing Ideas of Sustainability in Two Arctic Communities
Authors: Schwalbe Daria Morgounova
Published: May 2017

In order to answer the critical question of “how (and whether) communities can sustain continued use of their languages in the future,” this article addresses the subject of linguistic “sustainability” by comparing linguistic situations in two geographically and politically divided Yupik communities with dissimilar degrees of language maintenance: the predominantly Russian-speaking village of Novoe Chaplino in the Russian Far East and the still bilingual (English-Yupik) village of Gambell on St. Lawrence Island in the United States. Addressing the question of sustainability from “within” – that is, looking at what “sustainability” looks like and how it works on the ground – the article discusses the place of language ideologies in this process, advocating for a move away from purists' conceptualisation of language to more experimental practices and “bilingual games.”
Miracle, Mentality, and Meaning in Beda Venerabilis: A Case Study
Authors: Linde Gesche
Published: May 2017

The article sidesteps a purely analytical approach to the problem of miracles by posing the historical question of what presuppositions and implications (in terms of Weltanschauung) come with actual belief in miracles. For exemplification, it analyzes the Ecclesiastical History of the Venerable Bede (672–735), a work that refers to miracles on virtually each page: What is the mindset here that makes belief in miracles not just a plausible option, but even an unquestioned one? In conclusion the article suggests (this being no logically necessary implication, however) that a world like Bede's has become so profoundly strange to us that miracles as one of its vital components must vanish as well.
A Naturalistic Explanation of Miracles: The Case of Ibn Sīnā
Authors: Acar Rahim
Published: May 2017

In this article I focus on Ibn Sīnā's explanation of miracles and argue that he accepts the occurrence of miracles as extraordinary events, despite his theory of the necessity of everything. His explanation of miracles may be considered naturalistic, since it does not require an exceptional divine intervention. First, I analyze Ibn Sīnā's theory of miracles, then I relate it to his explanation of the functioning of the universe. I try to answer how it might be possible to accept both the necessary causal nexus within the world and the occurrence of miracles as violations of the natural laws. Finally, I take into account al-Ghazālī's critique of “philosophers,” including Ibn Sīnā, on their acceptance of a necessary connection between causes and effects, a critique supposedly aimed at saving the possibility and actual occurrence of miracles. I try to make sense of al-Ghazālī's text, vis-à-vis the fact that Ibn Sīnā did not deny the occurrence of miracles, and the fact that his theory provides a possible explanation thereof. Hence, I argue that the real issue between al-Ghazālī and the philosophers he attacked regarding the purportedly necessary connection between causes and effects is not the possibility of miracles, but the proper conception of God.
Does the Miracle Still Work? Formations of Islamic Tradition in ʿAbd al-Qadir al-Jazaʾiri's Defence of Reason in the Nineteenth Century
Authors: Neufend Maike
Published: May 2017

This article aims at a better understanding of the nature and function of arguments for the possibility of miracles in nineteenth-century Islamic discourse. The starting point is Emir ʿAbd al-Qadir al-Jazaʾiri's (1808–1883) book Sharp Scissors to Cut the Tongue of the One Who is Degrading the Religion of Islam by Defamation and Heresy (1849) written during imprisonment in France. Through a close reading of his argumentation for Muhammad's status as a prophet I argue that his use of tradition does not simply consist in invoking a given past—here a variety of Islamic theologians and philosophers from the tenth to the seventeenth centuries—as authoritative; rather, he refers his contemporary readers to a specific history of judgments, claiming that these judgments are both capable and in need of being re-enacted in the reader's own present situation. By relating the epistemological tradition expressed by Jazaʾiri to his situational context, this article demonstrates that whereas miracles are, according to Jazaʾiri, supposed (and in fact able) to establish the prophetic status of Muhammad, the facticity of these miracles itself appears to be established best if they (or more precisely, their testimonials) are appropriated as a means to participate in a particular discursive tradition.
The Rationality of the Miracles of the Apostolic Women: Thekla, Drusiana, and Maximilla as Anti-Function
Authors: McLean Bradley H.
Published: May 2017

Far from being beyond the reach of reason, the miracles narrated in the Apostolic Acts actually instantiate a specific type of rationality, as anti-function, that disrupted the phallocentric economy of the Greco-Roman world. This article will discuss the lives of three apostolic women—Thekla, Drusiana, and Maximilla—as case studies and demonstrate how their lives, and the miracle narratives associated with them, disrupted the two processes that ensured the rationality of the symbolic order of the Greco-Roman world, namely specularization and abjection. Since the maintenance of the symbolic order depended on the specularization and abjection of women, the liberation of women necessitated the disruption of these processes.
Miracles: Their Concept and Identification
Authors: Schulz Heiko
Published: May 2017

The first two parts of this article are an attempt to conceptually clarify what we mean by saying that something is a miracle. I will argue that perceiving or experiencing an event as a divine act is not only necessary, but also sufficient for considering it a miracle. In the final paragraph I will try to show that, as a subclass of events, miracles share with the former what I call their self-authenticating character—a character whose uniqueness explains and accounts for their privileged accessibility and identification from a first-person perspective.