Medicinal leeches are effective in many clinical conditions. But leech associated Aeromonas infections are common and limits the benefits of leech therapy. Bacteriophages are specific bacteria hunting viruses that could be used effectively against target bacteria without side effects. There are 5 bacteriophages defined in the literature against Aeromonas spp. which their clinical use in hiridotherapy associated infections could open a way for a safer and more effective usage of medicinal leeches.

Consequently, ureteral endometriosis is a rare pathology, and imaging may not be helpful in determining the etiology. It should be considered in the differential diagnosis of resistant obstructions.

Hemodynamics is a science that studies the properties and rules of movement of blood and its components in the body. Oxygen delivery to tissues is an important component of peripheral and systemic circulatory hemodynamics. Peripheral and systemic circulation is the key point to achieve hemodynamic stability. Hemodynamic evaluation guides the admission of patients to the intensive care unit during the diagnosis and treatment process.

Conclusion: In this study, according to artificial intelligence analysis, the most important hematological parameter in predicting no-relow was MPVLR. However, in this study, HALP score was not found to be effective in predicting no-reflow. The study provides valuable insights into the predictive factors for reflow outcomes in STEMI patients. Acute Myocardial Infarction, ST-segment Elevation Myocardial Infarction, No-reflow Phenomenon, Hematological Indices, Explainable Artificial Intelligence.

Background:The aim of the study was to investigate whether tissue oxygen saturation (St02) using the Near Infrared Spectroscopy method (NIRS), is a reliable and objective method for assessing the adequacy of axillary blockade and to describe the time course of StO2 changes.Materials and MethodsThe study was approved by the Ethical Committee and met the Declaration of Helsinki criteria. In this prospective observational study, St02 was measured in 30 patients scheduled for elective hand surgery under axillary nevre block. Non-invasive StO2 -monitoring (InSpectra™ StO2, Hutchinson Technology Inc., Hutchinson, Minnesota, USA) was used in patients before ultrasound guided axillary brachial plexus blockade and during the first 30 minute of the blockade. ResultsStO2 measurements were statistically increased in 1st ,5th, 10th, 15th, 20th, 25th, 30th minutes compared to baseline levels (p< 0.05 for all comparisons). Mean StO2 levels of the hand with axillary brachial plexus blockade were statistically increased compared the levels of the hand StO2 without blockade in 15th, 20th, 25th, 30th. minutes (p< 0.05 for all comparisons). ConclusionThere has been found a significant correlation between tissue StO2 values oftwo limbs using NIRS in axillary blockage operations of upper extremity.

Background: Imaging modalities are important in the correct treatment and diagnosis of COVID 19, which causes severe damage to lung tissue. Ground-glass opacity is the most commonly reported imaging finding of COVID-19 pneumonia. Therefore, we aimed to analyze the distribution of bronchopulmonary segments in patients with ground-glass opacities.Materials and Methods: We included tomography images of 93 patients who were diagnosed as COVID-19 positive during the period when COVID-19 vaccine studies had not yet started. Thorax CT images of patients with COVID-19 were examined in the axial line. In each slice, the presence of ground-glass image of the right and left lungs was examined segment by segment. All slices with ground-glass image were recorded for each patient according to the slices in the Radiopeadia program.Results: The mean age of patients with ground-glass opacity was 47.05±16.35 years (21-82), 45.77±16.15 years in men and 48.58±16.76 years in women. In addition, the mean age of 36 patients (19 males and 17 females) without ground glass opacity was 44.28±17.53 years. When the right and left lungs were compared by gender, the density of ground-glass opacity was 50.17% in men and 49.83% in women in the right lung, and 56.40% in men and 43.6% in women in the left lung. When the right and left lungs were compared, the presence of ground-glass opacities was observed in 56.18% of the right lung and 43.82% of the left lung. Conclusion:In our study, we found that most ground glass opacity appearance were observed in the lower lobe, right lung and in men. We think that this study will be a source of data on the course of the COVID 19 in the medium and long term.