Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Ma...Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Material and Methods: A retrospective multicenter study of consecutive patients who had thyroid surgery was conducted, including 639 patients who undergone thyroidectomy in State hospital at Van and Corlu city—Turkey. Seven cases had giant goiter in the patients. Total thyroidectomy was performed all patients. Results: All patients were women. The mean weight of glands removed was 689 gr in giant goiter’s patients. Two operative complications had happened;right site injury of the external branch of the superior laryngeal nerve had happened to one patient;hypocalcemia was happened to another one patient. In those two patients previously were operated partial thyroidectomy. Conclusions: Thyroidectomy for a massively enlarged goiter is technically challenging. The predominant operative complications were related to previously operate and the thyroid gland due to distorted and displaced anatomy. The surgical approach to such cases requires carefully preoperative evaluation and planning. Especially, using of intraoperative nerve monitoring is to be useful in these difficult cases which previously had undergone surgery.展开更多
Global salty snacks category had reached USD 137 billion in sales in 2018.Due to growing health concerns and awareness,consumers are looking for healthy snack choices by avoiding ingredients such as fat,sugar,choleste...Global salty snacks category had reached USD 137 billion in sales in 2018.Due to growing health concerns and awareness,consumers are looking for healthy snack choices by avoiding ingredients such as fat,sugar,cholesterol,and sodium and selecting baked and salt free multigrain chips.A sizable number of consumers are concerned about snack nutrition and look for quality ingredients and minimally processed foods called as“Good Health Snack(GHS)”.In this work,we present the development of method of producing and testing mushrooms protein crisps(MPC),a healthy alternative to conventional starchy snacks that are rich in protein,nutraceutical compounds,minerals,vitamin,dietary fiber,and immunity inducing beta-glucans.The methods of producing MPC with different seasoning and hydrolyzed protein,calorie,nutritional and chemical composition,consumer response,shelf life after packing and market analysis are described.These systematic studies will help to market potential of this product which is a healthy alternative to other calorie rich snacks sold in the market benefiting the consumers.展开更多
文摘Background: Thyroidectomy for giant goiter is a surgical challenge due to distorted and displaced anatomy. The aim of this study is to evaluate the relationship between giant goiter and its operative complications. Material and Methods: A retrospective multicenter study of consecutive patients who had thyroid surgery was conducted, including 639 patients who undergone thyroidectomy in State hospital at Van and Corlu city—Turkey. Seven cases had giant goiter in the patients. Total thyroidectomy was performed all patients. Results: All patients were women. The mean weight of glands removed was 689 gr in giant goiter’s patients. Two operative complications had happened;right site injury of the external branch of the superior laryngeal nerve had happened to one patient;hypocalcemia was happened to another one patient. In those two patients previously were operated partial thyroidectomy. Conclusions: Thyroidectomy for a massively enlarged goiter is technically challenging. The predominant operative complications were related to previously operate and the thyroid gland due to distorted and displaced anatomy. The surgical approach to such cases requires carefully preoperative evaluation and planning. Especially, using of intraoperative nerve monitoring is to be useful in these difficult cases which previously had undergone surgery.
基金support from Michigan AgBioResearch through the USDA National Institute of Food and Agriculture,Hatch project number MICL02474Engineering for agriculture production system project number G0505650.
文摘Global salty snacks category had reached USD 137 billion in sales in 2018.Due to growing health concerns and awareness,consumers are looking for healthy snack choices by avoiding ingredients such as fat,sugar,cholesterol,and sodium and selecting baked and salt free multigrain chips.A sizable number of consumers are concerned about snack nutrition and look for quality ingredients and minimally processed foods called as“Good Health Snack(GHS)”.In this work,we present the development of method of producing and testing mushrooms protein crisps(MPC),a healthy alternative to conventional starchy snacks that are rich in protein,nutraceutical compounds,minerals,vitamin,dietary fiber,and immunity inducing beta-glucans.The methods of producing MPC with different seasoning and hydrolyzed protein,calorie,nutritional and chemical composition,consumer response,shelf life after packing and market analysis are described.These systematic studies will help to market potential of this product which is a healthy alternative to other calorie rich snacks sold in the market benefiting the consumers.
