Search

Objective: The purpose of our study is to investigate the laboratory and clinical features of tumor lysis syndrome (TLS) and acute kidney injury (AKI) in childhood non-Hodgkin lymphomas (NHL) and to reveal their impact on long term kidney function in survivors. Methods: Our single-center retrospective study included 107 patients (0-18 years old) with NHL who were admitted and treated at our hospital between 1998 and 2020. The relationship between TLS and age, gender, histopathological subgroup, tumor stage, lactate dehydrogenase (LDH) level at presentation, bone marrow and kidney involvement were assessed. The long-term renal functions of the patients were investigated. Results: 80.3% of the patients were male with a median age of 9.8 years. The most common detected histopathological subgroup was Burkitt lymphoma. Hyperhydration with or without alkalinisation, and allopurinol were used in first-line treatment and prophylaxis of TLS. Laboratory TLS and clinical TLS was observed in 30.8% and 12.1% of patients, respectively. A significant correlation was found between young age, advanced stage, high LDH level at presentation, and TLS. AKI was observed in 12.1% of the patients. When the glomerular filtration rate values of the patients at the first and last admissions were compared after an average of 6.9 years, a mean decrease of 10 mL/min/1.73 m2 was found. It was not, however, found to be statistically significant. Conclusion: Lower age, advanced stage, and high LDH level at presentation were found to be risk factors for TLS in our study. Long-term renal function loss was not observed in the survivors who received early and careful prophylaxis/treatment for TLS. The survivors are still being followed up. [ABSTRACT FROM AUTHOR]

Objectives: The kidney is a vulnerable organ for acute lymphoblastic leukemia (ALL), by the disease, and various associated clinical pictures. This retrospective study aims to document renal ultrasound abnormalities in children with newly diagnosed ALL as well as to investigate the correlation between renal findings and clinical/laboratory/survival data. Methods: All children (age <18 years) with ALL were included in the study. An increase in size/nephromegaly (NM) or hyperechogenicity (HE) of the kidneys at first admission was accepted as a pathological renal abnormality. The clinical/laboratory findings, survival, and long-term renal functions were compared between patients with and without NM/HE. Results: The incidence of NM±HE was 12% in 163 patients. Enlargement of spleen, liver, or both and, hypercreatininemia was independently correlated with the presence of NM/HE. After the induction therapy, ultrasound findings were resolved in all patients, and NM/HE did not influence ALL prognosis. All survivors had normal renal functions in long term. Conclusion: The renal ultrasound abnormalities are not uncommon in children with leukemia at admission, without a negative impact on leukemia prognosis and on long-term renal functions. [ABSTRACT FROM AUTHOR]

Objective: Children with cancer have an increased risk for hepatitis B virus (HBV) infections due to chemotherapy-induced secondary immunodeficiency and frequent blood transfusions. The aim of this study is to evaluate the efficacy and safety of hepatitis B vaccination during the intensive induction chemotherapy in children with cancer found to be seronegative for hepatitis B on admission. Materials and Methods: Children newly diagnosed with cancer were evaluated for the presence of hepatitis B surface antigen (HBsAg) and antibody on admission. The children negative for both were included in the study. A super-accelerated vaccination scheme (3 booster doses at days 1-5, 8-12, and 28-33) was administered to these seronegative children concurrently with induction chemotherapy. Antibody response was checked 4-8 weeks after the last vaccination and 6 months after the end of the treatment. Results: Eleven out of 122 children were seronegative for hepatitis B on admission (9%). Acute lymphoblastic leukemia, lymphoma, and solid tumors were diagnosed in 5, 4, and 2 children, respectively. Complete seroconversion was achieved in 4-8 weeks after the last vaccination with high titers of anti-HBs antibody, and all patients remained antibody-positive until 6 months after the completion of chemotherapy. Conclusion: The risk of transfusion-related infections increases with a number of transfused products and donor exposures, and it is more significant for immunosuppressed children with hematologic and oncologic malignancies. Hepatitis B vaccination could safely be applied with brisk and sustained responses in this vulnerable population, based on the local epidemiological data. [ABSTRACT FROM AUTHOR]

Background/Objectives: Oncology patients present with various skin manifestations related to primary disease and treatments. Although these skin toxicities are well described in adults, studies of pediatric oncology patients are limited. The objective of this study was to evaluate the cutaneous findings in pediatric oncology patients receiving chemotherapy. Methods: In this prospective cohort study conducted from December 2018 to March 2020, all pediatric oncology patients were examined and patients who had a dermatologic finding at any point during their treatments were recorded. Dermatologic examinations were performed by the same dermatologists, and biopsy and microbiologic tests were performed according to clinical need. Patients were grouped according to their oncologic diagnoses and types of chemotherapies. Results: A total of 80 patients with a mean age of 9.1 ± 5.0 years were included in the study. Seventy‐five (93.7%) of them developed a dermatologic manifestation during the study period. Most of the patients had hematologic malignancies (n = 48, 60%). Antimetabolites were the most frequently used class of chemotherapeutic agents. Anagen effluvium was the most common dermatologic finding (61.3%, n = 49), followed by inflammatory dermatoses (51.2%, n = 41, most commonly diaper dermatitis in 33 patients), xerosis (35%, n = 28), and nail changes (20%, n = 16, most commonly nail pigmentation in seven patients). Mucositis was seen in 13 (16.2%) patients. Five patients (6.2%) had drug‐induced cutaneous hyperpigmentation, and five (6.2%) had toxic erythema of chemotherapy. The highest percentage of xerosis (45.4%) was detected in patients using antitumor antibiotics, whereas inflammatory dermatoses were observed more in patients using antimetabolites (48.6% of patients using antimetabolites), and pigmentation changes were more frequently detected in patients using alkylating agents. Conclusion: Identification, diagnosis, and treatment of these reactions are important to dermatologists and oncologists so that appropriate management may be provided to pediatric oncology patients. [ABSTRACT FROM AUTHOR]

Polyurethane (PU) composites were prepared with different diisocyanate and diol compounds by adding cobalt ion-based polyoxometalate (Co-POM) as reinforcement. For the determination of using potential in microelectronic applications, the dielectric behavior and dielectric constant of these PU composites were investigated and compared to pure polyurethane structures. For this aim, firstly, Co-POM with Keggin structure was obtained from ammonium heptamolybdate, 1,10-phenanthroline ligand and a cobalt (II) salt by hydrothermal synthesis technique. Then, polyurethane/Co-POM composites (PU/Co-POM) were prepared with ethylene glycol, nonaromatic diisocyanate and different amounts of Co-POM reinforcement (1%, 3%, 5% and 10%, w/w) by in situ polymerization and mix-blend technique. Obtained PU/Co-POM composites were characterized in detail by infrared spectroscopy, Elemental Mapping, Energy-dispersive X-ray spectroscopy (EDX) and X-ray powder diffraction (XRD) spectroscopy. The surface structure, morphology and roughness of PU/Co-POM composites were investigated by SEM and AFM analysis. The elemental maps of the PU/Co-POM surface were examined by EDX elemental mapping analysis methods. Thermal stability, Tg values and thermal decomposition temperatures of PU/Co-POM structures were determined by different thermal analysis techniques. Thermal analysis results showed that the PU/Co-POM composites are thermally stable up to approximately 200°C and Tg values of synthesized PU composites are seen between 54.72°C and 75.15°C. The dielectric properties and dielectric constants of the PU/Co-POM composites were determined in the frequency range 1 Hz to 1000 kHz at room temperature using impedance analyzer. Dielectric constants of these composites were ranged from 5.50 to 9.26 according to their polarizability and H-bonding ability of PU matrix structure. According to the dielectric measurements, the dielectric constants of the PU/Co-POM structures were significantly decreased compared to the pure PU structures. [ABSTRACT FROM AUTHOR]

The aim of this study is synthesis of polyurethane (PU) composites from 4,4′-methylenebis(cyclohexyl isocyanate), 1,2-ethanediol and different amounts of copper-based polyoxometalate (Cu-POM) and investigation of their dielectric properties. Firstly, Cu-POM structure as reinforcement was synthesized with ammonium heptamolybdate and Cu metal ion salt by a hydrothermal synthesis method. Then, Cu-POM-PU composites were prepared by in situ polymerization process. The prepared Cu-POM-PU composites were characterized by means of various techniques for their structure, morphology and thermal behaviour. The chemical structure, surface and morphological properties of the obtained composites were studied by Fourier transform infrared spectroscopy, X-ray diffraction spectroscopy, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) techniques. Thermal properties of these Cu-POM-PU composites were determined by thermogravimetric analysis, differential thermal analysis and differential scanning calorimetry analysis techniques. Dielectric properties of the Cu-POM-PU composites were also determined. The dielectric measured results showed that the dielectric constants decreased with the increase of the Cu-POMs content. The Cu-POM-PU composites showed relatively low dielectric constant compared to pure PUs. [ABSTRACT FROM AUTHOR]

The aim of this study was to synthesis, characterization and investigation of the influence of the polyoxometalate concentrations (1, 3, 5 and 10 wt%) on chemical, thermal, physical and morphological properties of nickel-based polyoxometalate/polyurethane composite (Ni-POM/PU) materials. Firstly, nickel-based polyoxometalate (Ni-POM) compound has been synthesized and characterized through various spectroscopic techniques. Synthesized Ni-POM compounds have been used for preparation of polyurethane composites as a reinforcement. Three different Ni-POM/PU composites containing Ni-POM were prepared by solution mixing and casting techniques. The chemical structure and morphology of prepared Ni-POM/PU composite samples were confirmed by Fourier transform infrared spectroscopy (FTIR), elemental analysis and SEM techniques. Effects of Ni-POM on thermal stability, glass transition temperature, optical transparency, hydrophilicity and physical properties of polyurethane composites were examined. Thermal stabilities and glass temperatures of the materials have been checked by differential thermal analysis (DTA), thermogravimetric analysis (TGA) and differential scanning calorimeter (DSC). The SEM results confirmed the highly porous structure and the formation of Ni-POM structures in the polymer matrix. Synthesized composites showed high chemical stability, good processability, and low Tg values. The dielectric properties of the prepared Ni-POM/polyurethane composites were also investigated at room temperature. These results displayed that the dielectric constant of the POM/polyurethane composites decreased with the increase of the Ni-POM content in polymeric matrix. [ABSTRACT FROM AUTHOR]

ETI Aluminyum A.Ş., the primary aluminium manufacturer of Turkey, is also one of the major integrated plants of the world capable of performing production from mining until end product. The alumina refinery was designed on a certain boehmitic bauxite quality basis. However, bauxite properties have changed over the years, resulting in the urgent need for process optimization to not only keep the refinery cost efficient, but also prevent serious bottlenecks in the near future. Lime can be used to overcome problems when using bauxites with specific and variable chemical and mineralogical characteristics. Although lime is extensively used when processing diasporic bauxites, the studies on boehmitic bauxites and the overall effects on the process are limited. In this paper, lime impact was investigated at all stages of the Bayer process including the effect on alumina quality, energy and raw material consumptions. The results showed significant improvements in the product quality as well as recordable savings on consumptions. [ABSTRACT FROM AUTHOR]

In this paper, α-alumina structures were successfully prepared via hydrothermal synthesis supported with sodium dodecyl sulfonate anionic surfactant. The effect of the surfactant and the calcination time were investigated. The characterization of the samples calcinated at 1200 °C was performed using Raman spectroscopy, X-Ray Difraction analysis, Fourier transform infrared spectroscopy, thermogravimetric analysis, and scanning electron microscopy techniques. Experimental results showed that pure α-Al2O3 structures were obtained with different morphologies. [ABSTRACT FROM AUTHOR]

Abstract: In this study, polystyrene‐ and poly(methyl methacrylate)‐grafted polyimide films were prepared successfully using click chemistry and the ATRP technique. Firstly, kapton films were prepared from stepwise thermal imidization of polyamic acid. Surface modification of kapton films was then achieved by chloromethylation followed by the azide decoration process. For surface grafting of kapton films, polystyrene and poly(methyl methacrylate) as alkyne functional polymers were prepared with alkyne and bromine double functionality using propargyl‐2‐bromopropionate as an initiator. A coupling reaction with azide‐decorated PI surface and alkyne functional polymers was achieved via the Huisgen‐1,3‐dipolar cycloaddition reaction. FTIR spectroscopy, contact angle measurement, thermogravimetry (TG) and differential scanning calorimetry (DSC), energy dispersive X‐ray analysis (EDX) and GPC techniques were used to characterize the grafted polyimides. According to the TG analysis, kapton film was modified at the rate of 8% and 10% with PS and PMMA, respectively. [ABSTRACT FROM AUTHOR]

Copyright of Selcuk University Journal of Engineering, Science & Technology / Selçuk Üniversitesi Mühendislik, Bilim ve Teknoloji Dergisi is the property of Selcuk University, Engineering & Architecture Faculty and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The national protocol aimed to improve the outcome of the high risk neuroblastoma patients by high-dose chemotherapy and stem cell rescue with intensive multimodal therapy.Materials and Methods: After the 6 induction chemotherapy cycles, patients without disease progression were nonrandomly (by physicians' and/or parent's choices) allocated into two treatment arms, which were designed to continue the conventional chemotherapy (CCT), or myeloablative therapy with autologous stem cell rescue (ASCR).Results: Fifty-six percent (272 patients) of patients was evaluated as high risk. Response rate to induction chemotherapy was 71%. Overall event-free survival (EFS) and overall survival (OS) at 5 years were 28% and 36%, respectively. "As treated" analysis documented postinduction EFS of 41% in CCT arm (n = 138) and 29% in ASCR group (n = 47) (P = 0.042); whereas, OS was 45% and 39%, respectively (P = 0.05). Thirty-one patients (11%) died of treatment-related complications.Conclusion: Survival rates of high-risk neuroblastoma have improved in Turkey. Myeloablative chemotherapy with ASCR has not augmented the therapeutic end point in our country's circumstances. The adequate supportive care and the higher patients' compliance are attained, the better survival rates might be obtained in high-risk neuroblastoma patients received myeloablative chemotherapy and ASCR. [ABSTRACT FROM AUTHOR]

This retrospective chart review study aimed to assess vitamin D status and identify risk factors associated with vitamin D deficiency and bone parameters in children with cancer at admission. The data of 86 (50 males and 36 females) patients between April 2013 and June 2015 were analyzed. Calcium, phosphorus, alkaline phosphatase (ALP), 25(OH)D, age, gender, diagnostic category, body mass index, duration of complaints, and season of blood sampling were recorded. Median age was 7.17 years (range 0.31—17.40) in 29 hematological malignancy and 57 solid tumor patients. According to cut-off level of 20 ng/ml, 63% of children with cancer had vitamin D deficiency at diagnosis with a median 25(OH)D of 16.75 ng/ml. The mean vitamin D value of children >10 years was significantly low in comparison to that observed in younger children [11.83, 95% confidence interval (CI) = = 8.85—14.81 ng/ml vs. 19.81, 95% CI = = 17.02—22.60 ng/ml]. Vitamin D measurement between November and May was a risk factor for vitamin D deficiency (P< 0.05). The frequency of hypocalcemia and hypophosphatemia was not different between two groups of vitamin D. Further longitudinal studies are needed to investigate whether monitoring vitamin D status and supplementation in children with cancer might prevent future complications related to vitamin D deficiency. [ABSTRACT FROM PUBLISHER]

Medical records of 71 children with Wilms' tumor at Sisli Etfal Education and Research Hospital between 1990 and 2014 were reviewed. Mean age at diagnosis was 3.11 years (2 days-7 years). Male to female ratio was M/F = 6/10. The incidence of associated anomaly was 16.9%. Clinical manifestations included abdominal mass (89%), hematuria (30%), hypertansion (25%), abdominal pain (15%), fever (5%), restlessness (2%), weight loss (2%), varicocele (1%). Ultrasound (USG) was the most often initial study in a child presenting with abdominal mass. Doppler USG was also made to evaluate the inferior vena cava (IVC) for the presence of tumor extension in children with renal mass. The left kidney was affected in 33 patients (46.5%), the right was affected in 31 patients (43.7%). Two patients was extrarenal (2.8%). And 5 patients (7.04%) were bilateral on the presentation. Preoperative chemotheraphy was done in 14 cases. In 63 patients with unilateral Wilm tm, unilateral radical nefrectomy is performed. In one patient with solitary kidney, nephron sparing surgery (NSS) is performed. In 3 patients with bilateral tm NSS is performed and in 2 patients with bilateral Wilms' tm NSS is performed in one side and nefrectomy on the other side. Out of 71 Wilms tumor (WT) patients, 17 of them has been out of our follow. And 4 of them are died. Ten of them has metastases. Forty children are under follow with no metastases. Patients with WT needs a multimodal, multidisiplinary treatment with the cooperation of pediatric oncologist and pediatric surgeon and needs close follow-up. [ABSTRACT FROM AUTHOR]

We describe the synthesis of a new sorbent material for desulfurization of gasoline, which is composed of polyimide (PI) and vanadium pentoxide via the solution direct-dispersing method. The highly porous PI-VO hybrid materials, containing different concentrations of VO ranging from 1 to 10 wt%, were prepared from pyromellitic dianhydride, 2,4,6-triaminopyrimidine, and vanadium pentoxide. The produced PI-VO composites were investigated by X-ray diffraction analysis, Fourier transform infrared spectroscopy, scanning electron microscope, and thermal analysis techniques. The effect of VO on the sulfur removal properties as well as the thermal stability and porous structure of composites were investigated. Then the obtained material was investigated to determine their sorption characteristics for sulfur compounds from fuels. By use of this material, 91 wt% of the sulfur content was removed from sulfur-containing standard oil. An economic sensitive and simple method for the removal and separation of sulfur in fuel samples, using an PI-VO packed mini chromatographic column, was established. [ABSTRACT FROM AUTHOR]

Copyright of Journal of the Child / Çocuk Dergisi is the property of Journal of Child and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Novel polyimide-rodlike zinc oxide hybrid nanocomposite (PI-RL-ZnO) has been developed from the poly (amic acid) with different weight percentages (1, 3, 5 wt%) of using N-methyl-2-pyrrolidone (NMP) and N,N-dimethylacetamide (DMAc) as aprotic solvents. The prepared zinc oxide-polyimide nanocomposites were characterized for their structure, morphology, and thermal behavior employing Fourier transform infrared spectroscopy (FTIR), scanning electron micrograph (SEM), transmission electron micrograph (TEM), X-ray diffraction (XRD) and thermal analysis (DTA/TGA/DSC) techniques. These studies showed the homogenous dispersion of zinc oxide in the polyimide matrix with an increase in the thermal stability of the composites on zinc oxide loadings. More importantly, we intend to explore the possibility of incorporating ZnO particles through dispersion into the polyimide network to achieve the polyimide hybrid with lower dielectric constant (low-k). The lowest dielectric constant achieved of the PI-RL-ZnO material is 2.82 by incorporating 5 wt% ZnO (pure PI, k = 3.22). The reduction in the dielectric constants of the PI-RL-ZnO hybrids can be explained in terms of creating ZnO particles and the free volume increase by the presence of the ZnO particles resulting in a loose PI structure. [ABSTRACT FROM PUBLISHER]

The article focuses on a case study of fatal complication Chronic disseminated candidiasis. It discusses a male child of age 6 years and 7 months diagnosed with B-cell acute lymphoblastic leukemia. It presents information on the diagnosis and treatment of the patient including induction therapy. thoracoabdominal CT scans, and steroid tapering.

Background: The role of surgery has changed substantially over the years in abdominal Burkitt’s lymphoma. Laparotomy without total excision of the tumor does not have a positive effect on survival, might cause complications, and delays initiation of chemotherapy. Here we present our diagnostic management of patients with abdominal Burkitt’s lymphoma. Materials and Methods: The diagnostic methods of abdominal Burkitt’s lymphoma cases treated between January 1999 and December 2009 were evaluated retrospectively. Results: Of the 48 abdominal Burkitt’s lymphoma patients, 13 also had extra-abdominal site involvement. Diagnosis was made with ultrasound-guided tru-cut needle biopsy of the abdominal mass ( n = 11), fluid cytology ( n = 7), extra-abdominal site biopsy ( n = 4), bone marrow aspiration ( n = 2), gastroscopy ( n = 1), and laparotomy ( n = 23). In patients diagnosed with laparotomy, chemotherapy was started in 4–22 days (median 7) compared with patients diagnosed with other diagnostic interventions in 2–4 days (median 2) ( P < .001). Conclusion: Although the most frequently used technique is laparotomy and open biopsy in our series, other methods provided quicker initiation of chemotherapy and less surgical morbidity. Especially in patients with high stages, cytological evaluation and tru-cut needle biopsy with radiological guidance is a better alternative of laparotomy. [ABSTRACT FROM AUTHOR]

Background: In view of the recent trend toward monotherapy in the treatment of febrile neutropenia, we evaluated the clinical efficacy and safety of imipenem–cilastatin versus piperacillin–tazobactam as an empiric therapy for febrile neutropenia in children with malignant diseases. Methods: Febrile neutropenic patients received either imipenem–cilastatin or piperacillin–tazobactam randomly. Improvement without any changes in the initial antibiotic treatment was defined as “success” and improvement with modification of the initial treatment and death was defined as “failure”. Results: Over 12 months, 99 febrile neutropenic episodes were treated with monotherapy in 63 patients with a median age of 5 years. At admission, median absolute neutrophil count was 50/mm3 and in 67% of episodes, neutrophil count was under 100/mm3. Median duration of neutropenia was 5 days. In 22% of episodes, neutropenia persisted for more than 10 days. Piperacillin–tazobactam was used in 52 episodes and imipenem–cilastatin was used in 47 episodes. There was no difference between groups in terms of age, sex, primary diseases, neutrophil count or duration of neutropenia. In the whole group, the success rate was 67% and the failure rate was 33%, whereas in the piperacillin–tazobactam group, the rates were 71% and 29%; and in the imipenem–cilastatin group they were 62% and 38%, respectively ( P > 0.05). There were no deaths. No major adverse effects were seen in either group. Conclusions: Although failure was slightly higher in the imipenem–cilastatin group, this was statistically insignificant. Both of these antibiotics can be used safely for initial empirical monotherapy of febrile neutropenia. [ABSTRACT FROM AUTHOR]

Palladium (II) containing siliceous-MCM-41 has been prepared according to an original pathway by the reaction between silica precursors (imeo) and MCM-41. The resulting materials have been characterized by chemical analysis, X-ray powder diffraction, nitrogen sorption isotherms, and SEM and catalysis tests. Catalysis tests show that the very dispersive structure of the Pd-MCM-41 promotes the generation of fairly active catalysts for Suzuki cross-coupling of aryl chlorides and phenyl boronic acid under specific conditions, where the leaching of redox-active species has been minimized (less than 2 ppm). [ABSTRACT FROM AUTHOR]

Copyright of Journal of Academic Research in Medicine is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Türk Pediatri Arşivi is the property of Aves Yayincilik Ltd. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A letter to the editor is presented concerning cases of malignancies associated with hemophagocytic syndrome (HPS) in children.