TWO hundred and twenty-four children aged 6 months to 5 years, with rectal temperatures greater than or equal to 39°C (104°F). were randomly treated with sponging alone or with medication including a single oral dose of aspirin 15 mgkg, or paracetamol 15 m a g , or ibuprofen 8 m a g . Twenty-three children were excluded from the final analysis because they did not complete the study. Demographic characteristics of the patients were found to be comparable in all groups. Rectal temperatures were recorded every 30 min for a 3 h period. During the first 30 min of intervention, sponging was found to be more effective than all of the three medications. After 60 min, the effects of each medication became superior to sponging with tepid water in reducing body temperature. Twenty-three children were excluded from the final analysis because they did not complete the study. Comparing the effect of the three different medications, it was seen that the antipyretic efficacy of aspirin and ibuprofen were significantly more than paracetamol 3 h after intervention ( P < 0.05).For the management of fever over 39°C it is therefore recommended to give children an antipyretic drug, preferably ibuprofen, and at the same time to begin sponging to provide a rapid and sustained antipyresis.

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Introduction: Avellis syndrome is classically defined as a neurological disorder characterized by paralysis of the soft palate and vocal cords on one side, and a loss of sensation of pain and temperature sense on the other side. Between 2010 and 2020, 5400 patients with ischemic stroke were admitted to the Stroke Unit and prospectively entered in our Stroke Registry. Case Report: A total of 216 patients with magnetic resonance imaging–proven ischemic lesions restricted to the medulla oblongata were identified. Among them, 5 patients had Avellis syndrome with a small medullary infarction. There was paralysis of the soft palate and vocal cords in all patients, but besides of loss of pain sensation and temperature sense, there were also partial disturbances in position and vibration senses in 3 patients. Different types of neuro-ophthalmologic findings were observed in 4 patients. In 5 patients, the cause of medulla oblongata infarct was microscopic polyangiitis vasculitis, neuro-Behçet disease, vertebral artery dissection, small vessel disease, and neurobrucellosis small vessel vasculitis. Conclusions: Avellis syndrome may present with additional neurological findings besides its classic definition. Apart from atherosclerotic disease, rare causes should be investigated in detail in small ischemic medullary lesions.

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Turkey has a very rich fungal flora due to its phytogeographical position. The screening of chemical content and active substances of mushrooms becomes an important subject not only for Turkey but also for all over the world. In the last decade, Analyses on phytochemical and biological activity of fungi have gradually increased as a result of improvement in the number and quality of facilities. In the scope of the present research, four medicinal mushrooms; Morchella elata, Lactarius volemus, Cantharellus cibarius and Tricholoma terreum were analyzed for their fatty acid compositions and antioxidant capacities. The fungal species have been found with unsaturated fatty acid/saturated fatty acid ratio of 6.73 for Morchella elata, 4.12 for Lactarius volemus, 5.21 for Cantharellus cibarius, 3.73 for Tricholama terrum. In addition, the concentration of malondialdehyde which was an indicator of lipid peroxidation was also determined in these species. According to the results, free radical scavenging activity of Morchella elata and Lactarius volemus were found higher than the other species. Any of the mushroom species investigated were found having very high metal chelating activity. The results showed that the extract of Morchella elata and Lactarius volemus exhibited significant antioxidant activities. Hence, the mushrooms have a potential to be a natural antioxidant in food industries as antioxidant agent.

Objective: Survivors of patients with artery of Percheron infarction (API) often have a prolonged and disabling form of cognitive impairment that remains insufficiently characterized. We aimed to examine the clinical and cognitive features of API in the short and long term after stroke. Methods: We reviewed 6400 patients with a first-ever stroke included in the Stroke Registry between 2011 and 2021. The diagnosis of API was based on clinical diagnosis and imaging confirmation. All patients underwent neuropsychological assessment at hospital stay and 1 year after stroke. A z-score of each patients’ cognitive test point was calculated, and a z-score inferior to 2 was considered as pathological. Results: Of the 10 patients enrolled, all had cognitive impairment, consciousness, and behavioral disorders at stroke onset. Six patients had pure bilateral thalamic involvement while four had bilateral thalamic and rostral midbrain involvement. At 12 months, 50% of patients had global mental state scores 2 SD below the population mean (z-score mean ± SD, −2.17 ± 0.4). Most of the prefrontal cortex cognitive processes including executive functions such as planning and cognitive control (z-score mean ± SD, −3.92 ± 0.3), processing speed (−4.42 ± 0.5), working memory (−3.97 ± 0.3) were severely impaired at stroke onset. Especially in patients with thalamic and rostral midbrain involvement, deficiencies in executive function (z-score mean ± SD, −2.60 ± 0.4), processing speed (−2.22 ± 0.5), working (−3.76 ± 0.4), and episodic memory (−2.23 ± 0.3) continued 12 months after stroke. Conclusions: The occlusion of the artery of Percheron results in severe behavioral and cognitive disorders in the short and long term after stroke.

Reactions of organo-metal compounds Reactions of organo-metal compounds O 0350The Metal-Halogen Exchange Reaction Between ortho-Substituted Aryl Halides and Ph 2 CuLi·LiCN: Scope and Applicability for Coupling Reactions. -(CETIN, F.; SENOGUL, H. B.; GEZER, S.; ASTLEY, D.; ASTLEY*, S. T.; J. Organomet. Chem. 689 (2004) 1, 154-157; Dep. Chem., Univ. Ege, TR-35100 Bornova, Turk.; Eng.) -S. Adam 21-043