Hagandam3803

015). There was a strong correlation between ΔPVI and ultrafiltrated volume (

= 0.744,

< 0.001).

The fluid removed by HD caused increase in PVI, and the increase was strongly correlated with the amount of volume change. Bedside monitoring of PVI may provide the clinicians with useful information for monitoring the volume status in critically ill patients with spontaneous breathing.

The fluid removed by HD caused increase in PVI, and the increase was strongly correlated with the amount of volume change. Bedside monitoring of PVI may provide the clinicians with useful information for monitoring the volume status in critically ill patients with spontaneous breathing.

We aimed to compare the demographic and clinical characteristics between pediatric cardiac arrest patients treated in Gaziantep at South-eastern Anatolian region and Izmir at Aegean Shore.

We retrospectively reviewed sociodemographic characteristics, laboratory parameters, and clinical outcomes of pediatric patients that underwent cardiopulmonary resuscitation due to prehospital cardiac arrest at two pediatric emergency departments in Izmir Hospital of Health Sciences University and Gaziantep Cengiz Gökçek Kadın Doğum ve Çocuk Hospital of Health Ministry between August 2017 and August 2018.

The present study included 188 patients (112 patients from Gaziantep and 76 patients from Izmir). All patients arrived at the hospital through emergency medical services. The median age was lower (14 days vs. 15 months;

< 0.001), and the proportion of Syrian refugees was higher in patients from Gaziantep (78.6% vs. 7.9%;

< 0,001). In both centers, respiratory failure was the most common etiology. In patients from Gaziantep, pH levels were lower (median 7.10 vs. 7.24), and lactate levels were higher (median 6 mmol/L vs. 3.6 mmol/L;

< 0.001). The mortality rate was higher among patients from Gaziantep (27.7% vs. 7.9%;

= 0.001).

The rate of Syrian refugees among children who were brought to emergency department due to pre-hospital cardiac arrest was much higher in Gaziantep compared to Izmir. Syrian children were significantly younger and had more severe tissue hypoxia, resulting in a higher mortality rate.

The rate of Syrian refugees among children who were brought to emergency department due to pre-hospital cardiac arrest was much higher in Gaziantep compared to Izmir. Syrian children were significantly younger and had more severe tissue hypoxia, resulting in a higher mortality rate.

Acute decompensated heart failure (ADHF) is a clinical condition that requires urgent diagnosis and treatment. Patients present with pulmonary capillary wedge pressure, pulmonary arterial pressure, and venous pressure elevation. Along with the progressive deterioration observed in the clinical picture, impairment or deterioration of kidney function may also occur. In this study, we evaluated the B-type natriuretic peptide (BNP)/ferritin ratio as a predictor of the risk of developing acute renal injury (ARI) in ADHF.

A total of 157 patients with a diagnosis of ischemic dilated cardiomyopathy for more than 6 months that presented to our clinic with ADHF were included in this cohort study. After the treatment protocol was applied, the sample was divided into two groups as patients with and without ARI. The BNP and ferritin levels were examined along with the routine blood parameters (BNP), and the BNP, ferritin, and BNP/ferritin values were compared between the groups.

ARI was present in 34.3% (

= 54) of the patients, who were also found to have higher BNP (892.76 vs. 817.54), lower ferritin (86.78 ± 57.2 vs. 105.46 ± 38.3), and higher BNP/ferritin (10.48 ± 2.14 vs. 7.89 ± 1.89). The multivariate logistic regression analysis revealed the BNP/ferritin ratio as an independent risk factor for ARI (odds ratio = 3.19; 95% CI, 1.92-6.54;

= 0.001). Proteasome cleavage Using the receiver operating characteristic curve, a cutoff value of 9.32 for BNP/ferritin ratio had a sensitivity of 81.8% and a specificity of 93.5% (area under the curve 0.842,

< 0.001) for the prediction of ARI.

The BNP/ferritin ratio is a new parameter that can be used to draw attention to the severity of the treatment and renal function in ADHF cases in emergency situations.

The BNP/ferritin ratio is a new parameter that can be used to draw attention to the severity of the treatment and renal function in ADHF cases in emergency situations.

Despite the acute and life-threatening repercussions that tuberculosis (TB) may have on the burgeoning older population in endemic countries like India, the spectrum of geriatric TB emergencies is not adequately understood.

We performed a prospective observational study at the emergency department of an academic hospital in north India between January 2019 and June 2020, investigating the clinical and laboratory features and outcomes of active TB in older patients aged 60 years and above.

Out of 71 geriatric TB emergencies, central nervous system disease predominated (

= 41, 57.7%), followed by pulmonary (

= 16, 22.5%), pleural TB (

= 8, 11.3%), and multisite involvement (

= 6, 8.4%). Nearly 71.8% were male, and 77.4% belonged to low socioeconomic status (lower-middle or lower class). Usual predisposing factors were tobacco smoking (38.0%), chronic alcohol use (27.0%), and diabetes mellitus (23.9%). Atypical features were more frequent with extrapulmonary TB. Only 28.2% were microbiologically confirmed cases, and rifampicin resistance was seen in only one case. The mortality rate was considerably high (24.0%), highest with pulmonary TB (37.0%).

Older patients with TB emergencies have atypical presentations, diagnostic difficulties, and high mortality.

Older patients with TB emergencies have atypical presentations, diagnostic difficulties, and high mortality.In most of the water-scarce areas, rainwater harvesting (RWH) ponds are essential for meeting the stress of water for various purposes. Besides the performance and sustainability of those rainwater harvesting ponds were not evaluated. This study aimed to evaluate the sustainability of existing rainwater harvesting ponds in Lay Gayint District, Ethiopia. The specific objectives of this study were; (1) to assess the perception of farmers on the potential of RWH ponds, and (2) to identify factors influencing the sustainability of RWH ponds. The demographic characteristics of farm households; farmers' perception about RWH ponds; and the socio-economic conditions of households were collected using household surveys and focused group discussions. The collected data was analyzed through quantitative and qualitative data analysis methods. The results of this study revealed that almost all farmers did not have good perceptions of ponds and had not gained enough awareness of the advantages of ponds. The utilization of involvement of Non-Governmental Organizations (NGOs) in capacity building, technical and financial support.

Valve replacement surgeries affect the physiological mechanisms of patients leading to various postoperative pulmonary complications. Lung expansion therapy consisting of numerous techniques is routinely used for the prevention and treatment of these complications.

Our study aimed to compare the effects of diaphragmatic breathing (DB), flow (FS) and volume-oriented incentive spirometer (VS) in patients following valve replacement surgery.

29 patients posted valve replacement surgeries were randomly assigned to VS, FS and DB groups. Patients underwent preoperative training and seven-day rehabilitation post-surgery. Pulmonary function tests were performed before surgery and for seven days afterward. On the seventh postoperative day, patients performed a six-minute walk test and completed a functional difficulties questionnaire (FDQ).

Pulmonary function test values reduced in all three groups postoperatively when compared to the preoperative values but improved by the seventh postoperative day (p < 0.lmonary function in the postoperative period. The volume-oriented spirometer, however, was found to be the most beneficial among the three techniques in improving patients' pulmonary function and daily life functional tasks. Further research is warranted to confirm these findings.The changes of natural habitat structure and function due to human interference is hastening worldwide, and it is compulsory to preserve biological resources in a protected system. This study aims to measure the landscape ecological structure and the extent of habitat fragmentation in the Bale mountains national park. The land use/land cover change was determined by interpreting the 1985, 1995, 2005 and 2017 Landsat images with ArcGIS 10.3, and the selected landscape structural metrics was analyzed using FRAGSTATS 4.2.1. All land cover classes showed a declining trend, except the farmland, and grassland depicted the highest area reduction. From 1985 to 2017 grassland, Erica, forestland, and afro-alpine were decreased by 9.36 %, 0.26 %, 0.06 %, and 0.01 %, respectively. Whereas, farmland was increased by 43.67 %. The study area was characterized as progressively fragmented since it was signified by the escalated value of patch number (40.22 %), area-weighted mean shape index (18.84 %), and edge density (22.27 %) and a declined value of mean patch size (28.68 %) and core area (10.60 %) over the study period. Considering this result, there was a high loss in area available for core dependent species, particularly for Mountain nyala in the grasslands and woodlands, Ethiopian wolf in afro-alpine regions, and Bale monkey in the bamboo forest. Both forestland and grassland need a conservation priority since these habitats were the most fragmented and habitat lost area.Vegetation existence contributes to environmental quality in urban areas. The increase in population and development of cities has led to land conversion with lesser vegetated areas. Information on land cover change is needed, especially for urban regional planning with green open space consideration. The research aims to analyze urban vegetation cover and its changes in two sub-districts of Medan between the years 1999 and 2019. Normalized difference vegetation index (NDVI) and change analysis were conducted in the research. The diversity of plants within these areas was observed. The results showed changes in vegetation cover areas in the mentioned years. In 1999, most areas were under a highly dense vegetation class, while in 2019, they were under a low-density vegetation class. This finding indicates a decrease in vegetation cover as a result of increasing built-up areas. Within the vegetation cover, it was found many tree species and agricultural plants. Those vegetations existed in some areas city parks, house yards, gardens, agricultural fields, etc. A special emphasis should be placed on riverside areas with less vegetation in order to provide a higher level of protection, particularly in the event of a flood. To increase the vegetated areas and maintain the environmental quality, optimizing the land by replanting in the area with no or less vegetation should be done.Land-use change and habitat fragmentation are well-known to affect host-parasitoid interactions. However, the study of the effects of landscape composition, as a result of habitat fragmentation, on host-parasitoid food webs is still limited especially in a tropical agricultural landscape. This research was aimed to study the effect of agricultural landscape composition on the structure of host-parasitoid food webs. Field research was conducted in sixteen long-bean fields located in Bogor Regency, West Java, Indonesia. In each long-bean field, sampling of insect pests and their parasitoids was carried out using direct observation within a plot size of 25 m × 50 m. The collected insects were brought to the laboratory for rearing and observed for emerging parasitoids. Landscape composition of each long-bean field was measured by digitizing the whole patch within a radius of 500 m from the long-bean field as a center of landscape, and landscape parameters were then quantified by focusing on number of patches and class area of both semi-natural habitats and crop fields.