SUMMARY OBJECTIVES: This study aimed to investigate the ability of the biomarkers to predict the surgery treatment and mortality in patients above 18 years of age who were hospitalized with the diagnosis of bowel obstruction from the emergency department. METHODS: This is a 2-year retrospective study. The patients’ demographic data, laboratory parameters on admission to emergency department, treatment modalities, and the length of hospital stay were recorded. Patients were divided into two groups: conservative and surgical treatment. Statistical analysis was performed to investigate the value of biomarkers in predicting mortality and the need for surgery. Data were analyzed using IBM SPSS version 22. RESULTS: A total of 179 patients were included in this study. Of these, 105 (58.7%) patients were treated conservative and 74 (41.3%) were treated operatively. The elevated procalcitonin (PCT) level, C-reactive protein, blood urea nitrogen-to-albumin ratio, and lactate-to-albumin ratio were significantly correlated with surgical treatment, length of hospital stay, and mortality. procalcitonin threshold value of 0.13 ng/mL was able to predict the need for surgical treatment, with a sensitivity of 79% and a specificity of 70.3%. Procalcitonin threshold value of 0.65 ng/mL was able to predict the mortality rate of the patients, with a sensitivity of 92.9% and a specificity of 78.1%. CONCLUSIONS: Biomarkers, especially procalcitonin, may be useful in bowel obstruction treatment management and may predict mortality.

ABSTRACT BACKGROUND: Many scoring systems for predicting mortality, rebleeding and transfusion needs among patients with upper gastrointestinal bleeding (UGIB) have been developed. However, no scoring system can predict all these outcomes. OBJECTIVE: To show whether the perfusion index (PI), compared with the Rockall score (RS), helps predict transfusion needs and prognoses among patients presenting with UGIB in emergency departments. In this way, critical patients with transfusion needs can be identified at an early stage. DESIGN AND SETTING: Prospective cohort study in an emergency department in Turkey, conducted between June 2018 and June 2019. METHODS: Patients’ demographic parameters, PI, RS, transfusion needs and prognosis were recorded. RESULTS: A total of 219 patients were included. Blood transfusion was performed in 174 patients (79.4%). The PI cutoff value for prediction of the need for blood transfusion was 1.17, and the RS cutoff value was 5. The area under the curve (AUC) value for PI (AUC: 0.772; 95% confidence interval, CI: 0.705-0.838; P < 0.001) was higher than for RS (AUC: 0.648; 95% CI: 0.554-0.741; P = 0.002). 185 patients (84.5%) were discharged, and 34 patients (15.5%) died. The PI cutoff value for predicting mortality was 1.1, and the RS cutoff value was 7. The AUC value for PI (AUC: 0.743; 95% CI: 0.649-0.837; P < 0.001) was higher than for RS (AUC: 0.725; 95% CI: 0.639-0.811; P < 0.001). CONCLUSION: PI values for patients admitted to emergency departments with UGIB on admission can help predict their need for transfusion and mortality risk.

ABSTRACT We assessed the effects of different amounts of water-treated black tea waste (BTW) in the diets of laying hens on performance, egg quality, yolk peroxidation, and blood parameters in this study. The experiment lasted for 12 weeks, during which a total of 108 Lohman layers, of 24 weeks old, were randomly allocated to one of six dietary treatments (18 hens each); each treatment consisted of six replicate cages, each containing three hens. Experimental animals were fed a commercial diet that contained 0 (control), 20, 40, 60, 80, and 100% BTW in place of wheat bran. Providing BTW in diets for laying hens, instead of wheat bran, did not have a significant effect on egg production, egg weight, or body weight change. As the amount of BTW in the diet increased, feed intake, cracked egg rates, and feed conversion ratio linearly increased. Additionally, use of BTW in diets of laying hens did not influence some egg quality parameters, such as shape index or shell strength. Increasing proportions of BTW in the diet, however, had a quadratic effect on yolk color and shell weight, a linear effect on yolk index and shell thickness, and a cubic effect on albumen index and Haugh unit. In response to increasing BTW percentage, there were no differences in blood parameters except for albumen, triglyceride, alkaline phosphatase, and alanine aminotransferase levels. Malondialdehyde values in the egg yolks obtained from treatment groups fed diets containing BTW at different levels and stored for 14 and 28 days were lower than in those of the control group, but there were no differences at 56 days. Results of our study showed that supplementing diets of laying hens with different levels of water-treated BTW did not have adverse effects on either animal performance or egg quality parameters and resulted in strong antioxidative activity. Consequently, BTW may be used to replace up to 100% of wheat bran in the diets of laying hens, but the best outcomes are observed at 4% BTW level.