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Introduction: The incidence of hearing loss after treatment with carboplatin-based chemotherapy in nasopharyngeal carcinoma (NPC) patients were evaluated, and relationships of loss with host factors, treatment-related factors were investigated. Objective: To evaluate the effect of giving a carboplatin chemotherapy regimen for 6 times chemotherapy (serial chemotherapy) on hearing function in patients with nasopharyngeal carcinoma. The incidence of hearing loss after treatment with carboplatin-based chemotherapy in nasopharyngeal carcinoma (NPC) patients were evaluated, and relationships of loss with host factors, treatment-related factors were investigated. Method: Thirty NPC patients were treated with carboplatin chemotherapy from 2015 to 2017 were analyzed. Pure tone audiometry and Distortion Product of Otoacoustic emission (DPOAE) were performed during the follow-up period, with a median time of 36 months, ranging from 24 to 36 months. Correlation of SNHL at frequencies (pure tone average, 0.5-8 kHz) with a series of factors was analyzed. Results: Among 30 participant (60 ears), using the Wilcoxon test, the mean threshold after series III was significant (p=0,000) and the mean of after series VI and significant (p= 0,000). The relationship between DPOAE results and pure tone audiometry was also carried out in the early stages of series III. Kaplan Meier's survival analysis improvement from post-III series (6 weeks) of participants who survived as many as 23 participants (76.67%) and in the post-chemotherapy evaluation of VI series (15 weeks) participants who survived as many as 8 participants. Bivariate statistical analysis using the Spearman non-parametric correlation test, there was a significant relationship between the mean dose and the decrease in the hearing threshold. p=0.00 (<0.01). Conclusion: For NPC patients treated with carboplatin chemotherapy, There was an effect on the hearing function of the administration of carboplatin chemotherapy regimen for 6 series chemotherapy in patients with nasopharyngeal carcinoma.
Introduction: The incidence of hearing loss after treatment with carboplatin-based chemotherapy in nasopharyngeal carcinoma (NPC) patients were evaluated, and relationships of loss with host factors, treatment-related factors were investigated. Objective: To evaluate the effect of giving a carboplatin chemotherapy regimen for 6 times chemotherapy (serial chemotherapy) on hearing function in patients with nasopharyngeal carcinoma. The incidence of hearing loss after treatment with carboplatin-based chemotherapy in nasopharyngeal carcinoma (NPC) patients were evaluated, and relationships of loss with host factors, treatment-related factors were investigated. Method: Thirty NPC patients were treated with carboplatin chemotherapy from 2015 to 2017 were analyzed. Pure tone audiometry and Distortion Product of Otoacoustic emission (DPOAE) were performed during the follow-up period, with a median time of 36 months, ranging from 24 to 36 months. Correlation of SNHL at frequencies (pure tone average, 0.5-8 kHz) with a series of factors was analyzed. Results: Among 30 participant (60 ears), using the Wilcoxon test, the mean threshold after series III was significant (p=0,000) and the mean of after series VI and significant (p= 0,000). The relationship between DPOAE results and pure tone audiometry was also carried out in the early stages of series III. Kaplan Meier's survival analysis improvement from post-III series (6 weeks) of participants who survived as many as 23 participants (76.67%) and in the post-chemotherapy evaluation of VI series (15 weeks) participants who survived as many as 8 participants. Bivariate statistical analysis using the Spearman non-parametric correlation test, there was a significant relationship between the mean dose and the decrease in the hearing threshold. p=0.00 (<0.01). Conclusion: For NPC patients treated with carboplatin chemotherapy, There was an effect on the hearing function of the administration of carboplatin chemotherapy regimen for 6 series chemotherapy in patients with nasopharyngeal carcinoma.
Graecoanatolica Radoman, 1973 is a remarkable genus of Hydrobiidae, recognized with its disjunct distribution between Macedonia, Greece (Th essaly), and Turkey (Lakes Region). However, the current distribution of the genus is restricted to Turkey, as the 2 Balkan species have been declared extinct. In this study, a taxonomic revision of the Graecoanatolica species in Turkey is presented. Among 6 previously recognized species, G. conica G. brevis Radoman, 1973 from the provinces of Denizli and Burdur are determined to be extinct. G. anatolica (Schütt, 1965) comb. nov. is transferred to the genus and G. dinarica sp. nov. is described as new. Morphological, anatomical, and distributional information about all species distributed in Turkey is given, and an identifi cation key to the species is provided. In the light of the paleogeographical and zoogeographical data available, determining factors of the distribution of the genus are discussed and notes on the ecology of the extant species are presented.
IntroductionLactic acid fermentation (LAF) is one of the most practical and widely applied empirical methods for preserving and often enhancing the organoleptic and nutritional quality of fresh vegetables such as cucumbers, cabbages, and olives (Tamang et al. 2005;Di Cagno et al. 2008).Shalgam, a traditional Turkish lactic acid-fermented beverage, is obtained mainly by LAF of black carrot (Daucus carota L.), bulgur bran, rock salt, turnip (Brassica rapa L.), and sourdough, in which lactic acid bacteria (LAB) play an essential role. There are 2 main processing methods for commercial production: the traditional method and the direct method (Erten et al. 2008;Tanguler and Erten 2012a). The traditional method consists of 2 distinct steps: first fermentation and second fermentation (Canbas and Deryaoglu 1993;Erten et al. 2008;Tanguler and Erten 2012a). First fermentation is also called sourdough fermentation. It is carried out for the enrichment of LAB and yeasts. Bulgur flour (3%), rock salt (0.2%), sourdough (0.2%), and adequate table water are mixed and kneaded for the formation of dough. The dough is left for the first fermentation at ambient temperature for 3-5 days. The fermented mixture of bulgur flour and sourdough is extracted with adequate water 3 to 5 times (Erten et al. 2008;Tanguler and Erten 2012a). The second fermentation is also known as the main or carrot fermentation. The extracts obtained from the first fermentation are combined to perform the second fermentation with the roots of black carrot, rock salt (1%-2%), and, if available, sliced turnip (1%-2%) in a tank. Adequate drinkable water is added to fill the tank. The black carrot is washed if necessary. It is sorted to remove all the damaged and defective carrots. The carrot is then cut into pieces of 3-9 cm in length. The second fermentation is naturally carried out for 3 to 10 days at ambient temperature, which can vary from 10 °C to 35 °C (Canbas and Deryaoglu 1993;Erten et al. 2008).In the direct production method, dough fermentation is not carried out. The chopped black carrots, salt, bakers' yeast or sourdough, sliced turnip (if available), and adequate water are transferred to a tank and allowed to ferment at ambient temperature (Tanguler and Erten 2012b). During fermentation, it is mainly LAB that give
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