ABSTRACT
Abstract Objective: The aim of this study is to define the predictors of chronic carditis in patients with acute rheumatic carditis (ARC). Methods: Patients diagnosed with ARC between May 2010 and May 2011 were included in the study. Echocardiography, electrocardiography, lymphocyte subset analysis, acute phase reactants, plasma albumin levels, and antistreptolysin-O (ASO) tests were performed at initial presentation. The echocardiographic assessments were repeated at the sixth month of follow-up. The patients were divided into two groups according to persistence of valvular pathology at 6th month as Group 1 and Group 2, and all clinical and laboratory parameters at admission were compared between two groups of valvular involvement. Results: During the one-year study period, 22 patients had valvular disease. Seventeen (77.2%) patients showed regression in valvular pathology. An initial mild regurgitation disappeared in eight patients (36.3%). Among seven (31.8%) patients with moderate regurgitation initially, the regurgitation disappeared in three, and four patients improved to mild regurgitation. Two patients with a severe regurgitation initially improved to moderate regurgitation (9.1%). In five (22.8%) patients, the grade of regurgitation [moderate regurgitation in one (4.6%), and severe regurgitation in 4 (18.2%)] remained unchanged. The albumin level was significantly lower at diagnosis in Group 2 (2.6 ± 0.48 g/dL). Lymphocyte subset analysis showed a significant decrease in the CD8 percentage and a significant increase in CD19 percentage at diagnosis in Group 2 compared to Group 1. Conclusion: The blood albumin level and the percentage of CD8 and CD19 (+) lymphocytes at diagnosis may help to predict chronic valvular disease risk in patients with acute rheumatic carditis.
Resumo Objetivo: Definir os preditores da cardite crônica em pacientes com cardite reumática aguda (CRA). Métodos: Os pacientes diagnosticados com CRA entre maio de 2010 e maio de 2011 foram incluídos no estudo. Foram feitos os testes de ecocardiografia, eletrocardiograma, uma análise do subgrupo de linfócitos, provas de fase aguda, níveis de albumina plasmática, antiestreptolisina-O (ASO) na manifestação inicial. As avaliações ecocardiográficas foram repetidas no 6º mês de acompanhamento. Os pacientes foram divididos em dois grupos de acordo com a persistência da patologia valvular no 6º mês como Grupo 1 e Grupo 2 e todos os parâmetros clínicos e laboratoriais na internação foram comparados entre dois grupos de comprometimento valvular. Resultados: Durante o período do estudo de um ano, 22 pacientes apresentaram doença valvular; 17 (77,2%) apresentaram regressão da patologia valvular. Houve desaparecimento de regurgitação moderada inicial em oito pacientes (36,3%). Entre sete (31,8%) pacientes com regurgitação moderada inicialmente, a regurgitação desapareceu em três e quatro apresentaram melhoria para regurgitação leve. Dois pacientes com regurgitação grave inicialmente apresentaram melhoria para regurgitação moderada (9,1%). Em cinco (22,8%) pacientes o grau de regurgitação (regurgitação moderada em um [4,6%] e regurgitação grave em quatro [18,2]) continuou inalterado. O nível de albumina foi significativamente menor no diagnóstico no Grupo 2 (2,6 ± 0,48 gr/dL). A análise do subgrupo de linfócitos mostrou uma redução significativa no percentual de CD8 e um aumento significativo no percentual de CD19 no Grupo 2 em comparação com o Grupo 1. Conclusão: O nível de albumina no sangue e o percentual de linfócitos CD8 e CD19 (+) no diagnóstico podem ajudar a prever risco de doença valvular crônica em pacientes com cardite reumática aguda.
Subject(s)
Humans , Male , Female , Child , Adolescent , Aortic Valve Insufficiency/diagnosis , Rheumatic Heart Disease/diagnosis , Serum Albumin/analysis , Antigens, CD19/immunology , Mitral Valve Insufficiency/diagnosis , Myocarditis/diagnosis , Aortic Valve Insufficiency/classification , Rheumatic Heart Disease/blood , Echocardiography, Doppler , Acute Disease , Predictive Value of Tests , Retrospective Studies , Follow-Up Studies , CD8-Positive T-Lymphocytes/immunology , Electrocardiography , Mitral Valve Insufficiency/classification , Myocarditis/blood , Antistreptolysin/bloodABSTRACT
Fire is an important tool in the management of forest ecosystems. Although both prescribed and wildland fires are common in Turkey, few studies have addressed the influence of such disturbances on soil properties and root biomass dynamics. In this study, soil properties and root biomass responses to prescribed fire were investigated in 25-year-old corsican pine (Pinus nigra Arn.) stands in Kastamonu, Turkey. The stands were established by planting and were subjected to prescribed burning in July, 2003. Soil respiration rates were determined every two months using soda-lime method over a two- year period. Fine (0-2 mm diameter) and small root (2-5 mm diameter) biomass were sampled approximately bimonthly using sequential coring method. Mean daily soil respiration ranged from 0.65 to 2.19 g C m-2 d-1 among all sites. Soil respiration rates were significantly higher in burned sites than in controls. Soil respiration rates were correlated significantly with soil moisture and soil temperature. Fine root biomass was significantly lower in burned sites than in control sites. Mean fine root biomass values were 4940 kg ha-1 for burned and 5450 kg ha-1 for control sites. Soil pH was significantly higher in burned sites than in control sites in 15-35 cm soil depth. Soil organic matter content did not differ significantly between control and burned sites. Our results indicate that, depending on site conditions, fire could be used successfully as a tool in the management of forest stands in the study area.
ABSTRACT
In this study, soil properties and root biomass responses to prescribed fire were investigated in 25-30 year-old calabrian pine (Pinus brutia Ten.) stands in Edirne, Turkey. The stands were established by planting and were subjected to prescribed burning in July, 2005. Soil respiration rates were determined every two months using the soda-lime method over a two-year period. Fine (>2 mm diameter) and small root (>2-5 mm diameter) biomass were sampled approximately bimonthly using the sequential coring method. Soil respiration rates in burned sites were significantly higher than in control sites during the summer season but there was no significant difference in the other seasons. Soil respiration rates were correlated significantly with soil moisture and soil temperature. Fine and small root biomass were significantly lower in burned sites than in control sites. Mean fine root biomass values were 3204 kg ha-1 for burned and 3772 kg ha-1 for control sites. Annual soil CO2 releases totaled 515 g C m-2 for burned and 418 g C m-2 for control sites. Our results indicate that, depending on site conditions, fire could be used successfully as a tool in the management of calabrian pine stands in the study area.
ABSTRACT
In this study, influence of land-use type on soil respiration was investigated in poplar plantation, apple orchard (apple trees with understory grasses) and adjacent grassland sites in Seyitler Area, Artvin, Turkey. Soil respiration was measured approximately monthly in three sampling plots in each land use type from January 2005 to November 2005 using the soda-lime technique. Mean daily soil respiration ranged from 0.63-3.59 g C m-2 d-1. Mean soil respiration in apple orchard, poplar plantation and grassland sites were 1.98, 1.45 and 1.12 g C m-2 d-1, respectively. Mean soil respiration was significantly greater in apple orchard than in poplar plantations and grasslands. Seasonal changes in soil respiration were related to soil moisture and temperature changes. Mean soil respiration rate correlated strongly with subsurface soil (15-35cm) pH (R = -0,73; p<0.05), sand content (R= 0.96, p<0.001), soil silt content (R= -0.75; p<0.05), soil clay content (R= -0,83; p<0.001) and organic matter content (R= 0,88; p<0.001). No significant correlations were observed between soil respiration and surface (0-15 cm) soil properties and root biomass. Overall, our results indicate that apple orchards with understory grasses have higher soil biological activity compared to poplar and grassland sites.
ABSTRACT
In this study, influence of slope position (south-facing vs. north-facing), species type and sampling time on fine (0-2 mm), small (2-5 mm) and coarse (5-10 mm) root biomass and carbon storage of oriental spruce (Picea orientalis) and oriental beech (Fagus orientalis) were investigated. Mean total root biomass of oriental spruce was 20160 kg ha(-1) in south-facing slopes and 17140 kg ha(-1) in north-facing slopes. Mean total belowground C storage of oriental spruce was 7861 kg ha(-1) in south-facing slopes and 6840 kg ha(-1) in north-facing slopes. Similarly, biomass and C storage of oriental beech were 17190 and 6690 kg ha(-1) in south-facing slopes, and 13260 and 5200 kg ha(-1) in north-facing slopes, respectively. Oriental spruce had significantly higher fine root biomass than did oriental beech in south-facing slopes. Fine root biomass was significantly higher in fall than in spring in south-facing slopes.