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Figen Sarıgül Yıldırım,1 Aslıhan Candevir,2 Sıla Akhan,3 Selçuk Kaya,4 Mehmet Çabalak,5 Gülden Ersöz,6 Dilara İnan,7 Nurgül Ceren,8 İlkay Karaoğlan,9 Tuba Damar Çakırca,10 Şafak Özer Balin,11 Sevil Alkan,12 Özlem Kandemir,6 Ülkü Üser,13 Oğuz Karabay,14 Mustafa Kemal Çelen15 1Antalya Life Hospital, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey; 2Cukurova University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Adana, Turkey; 3Kocaeli Üniversity, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Kocaeli, Turkey; 4Karadeniz Teknik University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Trabzon, Turkey; 5Mustafa Kemal University Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Hatay, Turkey; 6Mersin University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Mersin, Turkey; 7Akdeniz University Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey; 8Health Science University, Haydarpaşa Numune Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, İstanbul, Turkey; 9Gaziantep University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Gaziantep, Turkey; 10Health Science University, Şanlıurfa Numune Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Şanlıurfa, Turkey; 11Fırat University Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Elazığ, Turkey; 12Çanakkale 18 Mart University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Çanakkale, Turkey; 13Health Science University, Antalya Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey; 14Sakarya University Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Hatay, Turkey; 15Dicle University, Medical Faculty, Department of Infectious Diseases and Clinical Microbiology, Diyarbakır, TurkeyCorrespondence: Figen Sarıgül Yıldırım, Antalya Life Hospital, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey, Tel +90 532 473 44 46, Email drfigensarigul@yahoo.com.trBackground: Rapid initiation of antiretroviral therapy (ART) reduces the transmission of HIV infection in the community. This study aimed to determine whether rapid ART initiation is effective compared to standard ART treatment in our country.Methods: Patients were grouped based on time to treatment initiation. HIV RNA levels, CD+4 T cell count, CD4/CD8 ratio, and ART regimens were recorded at baseline and follow-up visits for 12 months.Results: There were 368-ART naive adults (treatment initiated at the time of HIV diagnosis; 143 on the first day, 48 on the second-seventh day, and 177 after the seventh day). Although virological suppression rates at 12th months were higher in all groups, over 90% on average, there were no statistically significant differences in HIV-1 RNA suppression rates, CD+4 T cell count, and CD4/CD8 ratio normalization in the studied months but in multivariate logistic regression analysis; showed a significant correlation between both virological and immunological response and those with CD4+ T < 350 cells/mL at 12th month in total patients.Conclusion: Our findings support the broader application of recommendations for rapid ART initiation in HIV patients.Keywords: HIV, ART, antiretroviral, rapid start

The aim of this study was to compare intrathecal (IT) administration of bupivacaine and ropivacaine after propofol was given to dogs undergoing ovariohysterectomy operation. After propofol was administered to 16 dogs, IT anesthesia was performed with either 20 mg of bupivacaine (bupivacaine group, BG, n=8) or 30 mg ropivacaine (ropivacaine group, RG, n=8) in the lumbosacral space in this randomized, prospective, clinical trial. Noninvasively systolic, diastolic and mean arterial blood pressure, heart rate, respiratory rate and rectal temperatures were recorded after propofol and up to 150 min after IT injections. Onset, duration and the extent of sensory block were determined by using the needle prick during the ovariohysterectomy operation. The duration of IT anesthesia (BG: 89.5±7.6 min; RG: 64.75±6.8 min) was significantly different between the groups (P

This study investigated the effect of testosterone antibodies and a combination of vitamin A and E on reproductive performance and lipid peroxidation in Tuj sheep during the oestrus period. Two castrated Tuj rams were used to produce an ovine testosterone antibody. To perform the experiment, 30 clinically healthy adult Tuj sheep were divided into three groups, in each group had 10 sheep. The Control group were given a placebo, Group I was injected with the testosterone antibody alone and Group II was injected with testosterone antibody plus a combination of vitamins A and E in Freund"s incomplete adjuvant. The testosterone antibody and vitamin combination were administered at synchronization and 1 week before synchronization. To synchronize the sheep, 2.5 ml GnRH was injected to sheep in Control, Group I and Group II. Control, Group I and II were subsequently given 600 IU PMSG with 2 ml PGF2α at 5th day of synchronization. Progesterone levels were higher in the two treatment groups than in the control group as pregnancy progressed. Plasma malondialdehyde levels were higher during initial drug application and prior to mating but were lower in the experimental groups than in control during pregnancy and after parturition. Erythrocyte glutathione levels remained significantly higher in experimental groups than in Control during pregnancy. The number of offspring and the lambing rates in Group I and Group II was higher than the Control. There were no stillbirths in Group I. The number of nonpregnant sheep was lowest in Group II. In summary, injections of testosterone antibody and a combination of vitamins A and E led to an increased incidence of multiple pregnancies in sheep and a greater number of lambs were born. These data indicate that the immunoneutralization of testosterone combined with a reduction in free radicals via the antioxidant activities of vitamins led to increased rates of conception and twinning. Also, it is thought that to allow the growth of the herd in a shorter time, testosterone antibody and combination of vitamins A and E can be applied.

Nurettin Ay,1 Bulent Dinç,2 Vahhac Alp,1 Şafak Kaya,3 Utkan Sevük4 1Department of General Surgery, Diyarbakir Gazi Yaşargil Training and Research Hospital, Diyarbakir, Turkey; 2Department of General Surgery, Ataturk State Hospital, Antalya, Turkey; 3Department of Infectious Disease, Diyarbakir Gazi Yaşargil Training and Research Hospital, Diyarbakir, Turkey; 4Department of Cardiovascular Surgery, Diyarbakir Gazi Yaşargil Training and Research Hospital, Diyarbakir, Turkey Background and aim: In our study we aimed to compare laparoscopic intracorporeal knotting technique (base of the appendix was ligated with 20 cm of 2.0 silk) in patients with complicated acute appendicitis (CAA) and noncomplicated acute appendicitis. Patients and methods: Ninety patients (female/male: 40/50, age ranging from 16 to 60 years, median age and interquartile range [IQR]: 25 [20; 32] years) who underwent laparoscopic appendectomy were included in the study. The patients were evaluated for the type of acute appendicitis, duration of operation, duration of hospital stay, and postoperative complications. Results: The number of cases diagnosed as CAA was 28 (31.1%), and the number of noncomplicated cases was 62 (68.9%). We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases. Incision site infection was seen in seven cases (7.8%) and ileus was seen in two cases (2.2%). Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1–10) days. Conclusion: Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases. Keywords: laparoscopic intracorporeal knotting technique, laparoscopic appendectomy, complicated acute appendicitis