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Energy and exergy analysis of a cycle‑skipping strategy in an HCCI engine fueled with natural gas
(Springer Nature Link, 2025) Atak, Nisa Nur; Tunçer, Erdal; Doğan, Battal; Ünal, Kenan
Homogeneous charge compression ignition (HCCI) engines have attracted considerable interest due to its incorporation of features from both gasoline and diesel engines. In this study, the effects of cycle-skipping strategies on engine perfor mance, efficiency, and emissions in a natural gas-fired HCCI engine were investigated experimentally. Experiments were conducted under constant engine speed, at 25, 50, and 75% load levels, in the Normal, 3 Normal-1 Skip (3N1S), 2 Normal-1 Skip (2N1S), and 1 Normal-1 Skip (1N1S) cycle modes. Emissions, fuel consumption, energy–exergy flow, thermal losses, irreversibilities, entropy generation, thermal, and exergy efficiencies were calculated based on the experimental data. Under 50% engine load, the NOx emission in the 3N1S operating mode was measured at 1594 ppm, whereas it increased by 52.5% to 2431 ppm in the 2N1S mode. The correlation between cycle-skipping tactics and thermal efficiency was determined to be contingent upon engine load. In Normal and 3N1S modes, thermal efficiency generally improves with elevated engine loads, while the 2N1S and 1N1S modes provide superior performance at low to medium loads. At a constant 50% load, heat effi ciency in the 2N1S mode increased by 7.84% to reach 28.34% compared to the Normal mode. Additionally, thermodynamic analyses revealed that the 1N1S mode has the lowest entropy generation and the least irreversibility, at 0.021 kW/K. These results demonstrate that cycle-skipping strategies can be an effective tool for optimizing engine performance based on load.
Transgenerational effect of nicotine consumption on the TCF7l2 signalling pathway and glucose metabolism
(Wiley, 2025) Citci, İbrahim Halil; Gökmen, Ramazan Can; Çekin, Ayşe; Yeşil, Ege Sevinç; Koylu, Ersin Oğuz; Kanıt, Lutfiye; Gözen, Oğuz; Kosova, Buket
Transgenerational Effect of Nicotine Consumption on the TCF7L2 Signalling Pathway and Glucose Metabolism
Management of acute variceal bleeding: Updated APASL guidelines
(Springer Nature Link, 2025) Lesmana, Cosmas Rinaldi Adithya; Shukla, Akash; Kumar, Ashish; Shalimar; Qi, Xiaolong; Gani, Rino Alvani; Dökmeci, Abdul Kadir; Örmeci, Necati; Sarin, Shiv Kumar
Acute variceal bleeding (AVB) is a common life-threatening complication of portal hypertension (PHT), having a six-week mortality of 10%-20%. Major advances in the hemodynamic management, risk stratification, pharmacotherapy, endoscopy techniques, hemostatic devices and radiological interventions have led to improved management and outcome of AVB patients in the recent past. Therefore, the APASL Portal Hypertension Working Party, chose a panel of experts, primarily from the Asia–Pacific region, to identify important developments and controversial areas in the field of AVB. They discussed through a pre-defined and structured process, advances in the field and proposed updates to the previous APASL AVB guidelines. These included emphasis on safe transportation, defining time frames for AVB episodes and re-bleeding, reporting of clinical outcomes, optimizing early intervention strategies, pharmacotherapy, medical management, endoscopic therapies, and salvage modalities, including TIPS and self-expanding metal stents. The current updates also cover variceal bleeding in special populations and situations, the skill sets required for managing AVB patients, and the research priorities in the field. The updated guidelines are based on the latest evidence and incorporate emerging trends to provide a contemporary template for management of AVB in both patients with cirrhosis and non-cirrhotic portal hypertension.
Palatal donor site management using tissue adhesives with adjunctive coconut oil in a randomized clinical trial
(Springer Nature, 2025) Yılmaz, Melis; Balcı, Nur; Günay, Bestegül; Parlak, Hanife Merva; Parmaksız, Ayhan; Toygar, Hilal; Keçeli, Hüseyin Gencay
Management of the complications occurring in the donor area after epithelialized gingival graft (EGG) harvesting still poses a challenge for clinicians. This study aimed to evaluate the influence of gelatin sponge (GS), cyanoacrylate (CY), and coconut oil (CO) combination in comparison with GS+CY in donor site management. Fifty EGG were harvested from the lateral palate in 50 patients, who were subsequently randomized to receive the GS+CY (control) or GS+CY+CO combination (test). Postoperative pain perception (PP), quantity of analgesics (QA), epithelization level (EL), color match (CM), sensation loss (SL), postoperative discomfort (PD), and delayed bleeding (DB) were evaluated. The GS+CY+CO group showed lower PP scores compared to the GS+CY (p<0.05). The QA intake was similar in both groups. On day 14, the GS+CY+CO group achieved 80% full EL rate, which was higher than the GS+CY group (32%) (p=0.002). CM scores were higher in the GS+CY+CO group at all follow up periods (p<0.001). Both groups reported similar SL, PD, and DB values (p>0.05). GS+CY+CO combination is more effective in reducing pain compared to GS+CO in donor site management after EGG harvesting. Additionally, GS+CY+CO combination may accelerate epithelialization and improve color match compared to GS+CY alone.
Endometrial sampling in the absence of hysteroscopy: Insights from more than 1000 dilatation and curettage cases
(Wiley, 2025) Şentürk, Şenol; Aydın, Gerçek; Can Bayrak, Çiğdem; Hatırnaz, Şafak; Stojković, Marta; Sparic, Radmila; Pecorella, Giovanni; Tinelli, Andrea
Objectives: The aim of this epidemiological study is to present the distribution of histopathological results of endometrial biopsies performed for indications in women and their relationship with symptoms. Methods: A retrospective analysis was conducted on patients with abnormal uterine bleeding (AUB) assessed by endometrial biopsy between January 2020 and July 2022. Analyzing the distribution and association of patients' demographic traits, biopsy motivations, and histopathologic findings was the main goal of the study. Results: A total of 1216 patients were included in the study, and their average age was 48.48 ± 8.79 years. AUB was found to be the most common reason for biopsy (n= 616; 50.7%). The most common diagnosis among the histologic findings (320; 26.3%) was endometrial polyp. The most common symptoms among individuals with premalignant and malignant diseases were AUB, endometrial thickening, and postmenopausal hemorrhage. Additionally, it was determined that 21 (6.3%) postmenopausal patients had inadequate material. Conclusions: The most common histologic diagnosis from the procedure was endometrial polyp. It is important to make sure that the sample taken includes the entire uterine cavity because postmenopausal women may have insufficient biopsy samples. This is especially true if a hysteroscopy with biopsy cannot be performed (for a variety of reasons). In fact, suspect endometrial cancers should be thoroughly evaluated by hysteroscopy in patients with postmenopausal bleeding, endometrial thickness, and atypical uterine bleeding.
Dynamics of the forced thirring instanton with two forcing terms
(Springer Nature Link, 2025) Ak, Mine
We consider the dynamical behavior of fermionic instanton solutions of the Thirring Model with two forcing terms. In particular, the study focuses on the effect of the frequency and amplitude of the forcing terms on the behavior of fermionic instanton solutions. Numerical analysis based on the Smaller Alignment Index (SALI) method, Bifurcation Diagram and Permutation Entropy (PE) are used to show how and which dynamical behaviors occur in the system. Color maps and diagrams of the SALI time (St ) (the time St required for the SALI index to below a threshold value of 10−12) and PE of the system with respect to varying of frequency and amplitude values of the forcing terms are plotted comparatively to determine different dynamical behavior of the system. The study shows that fermionic instanton solutions exhibit a wide variety of dynamical behavior due to two forcing terms. Furthermore, it is emphasized that SALI time (St ) can be easily compared with bifurcation diagram and complexity method as a fast, efficient and precise method to investigate different degrees of chaos. In general, the instanton solutions with two forcing terms have been observed to exhibit different type of dynamical behavior. In this study, identical and symmetric coexisting attractors are demonstrated for these different types of behavior of the forced Thirring instanton.
Enhancing the aerodynamic performance of a biomimetic wing with topography optimization
(Springer India, 2025) Çalışkan, Mehmet Erman; Sabırlı, Muhammet Üsame; Oruç, Emre; Karagöz, İrfan
This paper presents the optimization of the external shape of a model wing obtained from samara (maple seed) by means of biomimicry in order to improve its aerodynamic performance. Samaras, winged seeds of maples, have drawn attention in biomimetic design because of their high lift and low drag properties and autorotation capability. This makes them ideal for winged structures, which can operate in a wide range of wind conditions. This study aims to demonstrate that a samara wing can be modified using mathematical modelling, and different surface geometries can be created by making desired changes in the design parameters. Optimization of the topography of a samara wing model is presented using the results of computational fluid dynamics (CFD). The model wing was divided into three regions, and topography optimization was performed in five steps. Intermediate forms and final forms of the model are presented together with the CFD results. The final form of the model provided an aerodynamic performance increase of up to 28% depending on the angle of attack. In addition, as a result of these improvements, the biomimetic wing has simpler design parameters and a more applicable structure. These results suggest that aerodynamic performance can be enhanced by topography study on a biomimetic wing.
The effect of adding hydrogen peroxide to an engine used in unmanned aerial vehicles on fuel consumption, energy, exergy, and sustainability parameters
(Springer Nature Link, 2025) Özer, Salih; Tunçer, Erdal; Arslan, Ahmet; Doğan, Battal; Vural, Erdinç; Arslan, Ömer
This study explores the use of hydrogen peroxide solution—a novel additive not previously used in UAV engines—to improve the energy efficiency of commercially available unmanned aerial vehicles (UAVs). Different hydrogen peroxide ratios were blended with JP-8 fuel, a common UAV fuel, to boost engine performance and optimise operating conditions. The effects of these fuel blends on engine performance and emissions were thoroughly analysed at various UAV thrust levels (5 kg, 10 kg, 15 kg, 20 kg, and 25 kg). Energy, exergy, and sustainability assessments were conducted based on the findings. It was found that increasing engine thrust with the same fuel mixture resulted in higher system disorder and entropy production. For instance, at 5 kg thrust with the P20 fuel mixture, entropy generation was 0.046 kW/K, rising to 0.112 kW/K at 25 kg thrust. The study indicates that adding hydrogen peroxide to JP-8 fuel in UAVs decreases energy and exergy efficiencies. Specifically, at 15 kg thrust, JP-8's energy and exergy efficiencies were 18.54% and 17.37%, respectively. These values dropped to 15.50% and 14.59% with the P30 fuel blend. The sustainability index ranged from 1.226 to 1.070 across all fuel types.
Making health out of recycling: The innovative role of hawthorn seed waste in diabetes management
(Springer Nature Link, 2025) Savcı, Serap; Kocadağ Kocazorbaz, Ebru; Menfaatli, Esra; Gündeğer, Ersin
Diabetes mellitus (DM) is a chronic metabolic disorder that affects millions of people worldwide, and its prevalence is increasing due to global population growth and lifestyle changes. One of the key strategies in managing DM is the inhibition of enzymes such as α-glucosidase and Dipeptidyl Peptidase-IV (DPP-IV), as well as reducing protein glyca tion. In this study, the antidiabetic potential of Crataegus monogyna (hawthorn) seeds, which are generally considered agricultural waste, was investigated. Hawthorn seeds were extracted using water, ethanol, and methanol as solvents, and the obtained extracts were analyzed for their phytochemical composition, total phenolic and flavonoid content, antioxi dant activity, enzyme inhibitory effects, and antiglycation potential. The methanol extract exhibited the highest phenolic content (53.21±4.69 mg GAE/g) and antioxidant activity, while the ethanol and methanol extracts showed strong anti glycation effects. The water extract demonstrated the highest inhibitory activity against DPP-IV (IC50: 0.21 mg/mL) and α-glucosidase (IC50: 85.23 µg/mL). In silico molecular docking and dynamics simulations revealed that procyanidin A2 and procyanidin B1 exhibited strong binding affinities for DPP-IV and α-glucosidase, respectively, and that these complexes were stable. These results suggest that hawthorn seeds, traditionally considered waste, possess significant pharmacological potential and could offer a new, natural, and sustainable therapeutic option for diabetes management. This study serves as an important example for the valorization of biomass and the repurposing of waste materials in the pharmaceutical field.
Thermosonication-assisted fortification of kiwi juice with bee bread: Enhancing nutritional and functional properties through ANFIS-RSM optimization
(Frontiers Media S. A., 2025) Yıkmış, Seydi; Duman Altan, Aylin; Türkol, Melikenur; Tokatlı, Nazlı; Yıldırım Maviş, Çiğdem; Tokatlı Demirok, Nazan; Aadil, Rana Muhammad; Karrar, Emad; Aljobair, Moneera O.; Mohamed Ahmed, I. A.
This study investigated the effects of thermosonication on the preservation and enhancement of bioactive components in kiwi juice fortified with bee bread. Response Surface Methodology (RSM) and Adaptive Neuro-Fuzzy Inference System (ANFIS) were employed to optimize processing parameters by evaluating FRAP, total phenolics, total chlorophyll, and ascorbic acid levels. Thermosonication significantly enhanced the levels of phenolic compounds (127.97 GAE mg/100 mL) and ascorbic acid (14.89 mg/100 mL), while a reduction in chlorophyll content was observed. The ANFIS model provided more accurate predictions compared to RSM, particularly under optimal processing conditions. Additionally, the thermosonication-treated kiwi juice with bee bread (TS-KJB) exhibited the highest antioxidant capacity, total flavonoid, and dietary fiber content. The findings demonstrate that thermosonication is an effective and sustainable technique for improving the functional and nutritional properties of bee bread-fortified kiwi juice. This approach offers a promising alternative for the production of additive- and preservative-free functional fruit juices.
Tailoring natural solvents: Deep eutectic approach for recovering bioactives from Prunus Spinosa L.
(Wiley, 2025) Bozkurt, Rabia Nur; Falsafi, Seid Reza; Şahin, Selin
In this study, several choline chloride (ChCl)-based deep eutectic solvent (DES) combinations were prepared at different molarratios (1/1, 1/2, and 2/1) using amine (urea), polyols (ethylene glycol and glycerol), and carboxylic acids (lactic acid, formic acid,propionic acid, and acetic acid). The performances of the DESs in the homogeniser-assisted extraction of Prunus spinosa L.fresh fruit were compared depending on the total phenolic content (TPC), total anthocyanin content (TAC), and 2,2-diphenyl-1-picrylhydrazyl free radical scavenging activity (antioxidant activity [AA]) yields. Based on the findings of Tukey’s test formultiple comparisons, ChCl/formic acid (2/1) provided the best extraction efficiency with statistically significant differences(p < 0.05). Fourier-transform infrared spectroscopy was used to confirm the formation of the proposed DES. Furthermore, theproposed DES also showed better performance compared to conventional aqueous ethanol (60%, v/v) and water. Then, theselected DES (ChCl/formic acid, 2/1) was employed for the optimization study using the Box-Behnken Design of the responsesurface methodology. The optimum process conditions for the maximum yields of TPC (52.34 mg-GAE/g-FF), TAC (2.09 mg-cyn-3-glu/g-FF), and AA (89.21%) were found to be 50% (v/v) water in the DES, 0.833 g of material, and 69.906 s extractiontime.
Considering its mechanism of action it may be logical to choose letrozole as an initial option for endometrium preparation before vitrified-warmed embryo transfer
(Wiley, 2025) Aydın, Gerçek; Aslan, Kiper; Araç, Merve; Ergin, Elif; Kasapoğlu, Işıl; Uncu, Gürkan
Aim: To assess the efficacy of letrozole and programmed hormone replacement therapy (HRT) cycles in terms of obstetric outcomes for women undergoing a single vitrified-warmed blastocyst embryo transfer (SVBT). Methods: This study is a retrospective study conducted in a private IVF (in vitro fertilization) clinic. A total of 324 FET cycles (letrozole group = 183, HRT = 141), consisting of primary infertile patients aged <40 years, were enrolled. The cycle characteristics, pregnancy results, and perinatal parameters were recorded. The primary outcomes of this study are pregnancy and miscarriage rates, live birth rates, whereas hypertensive disease of pregnancy (HDP), intrauterine growth restriction (IUGR) and preterm birth are the secondary outcomes. Results: Positive β-HCG rates were 53% (97/183) versus 61% (86/141), whereas clinical pregnancy rates were 47% (86/183) versus 51.1% (72/141) for the letrozole and HRT groups, respectively. For clinical miscarriage, the results were 6.5% (12/183) for letrozole versus 15.6% (22/141) for HRT groups, which were statistically significant. For live birth rate (LBR), letrozole was found to be slightly better compared to HRT 40.4% (74/183) versus 35.5% (50/141). Considering the perinatal outcomes, the parameters were comparable between the groups. Conclusions: In terms of perinatal outcomes and IVF success, letrozole was not found to be inferior to HRT. Letrozole can be utilized as a safe and effective agent, even as a first-line treatment, given the potential benefits offered by its mechanism of action and being a reasonable option for both ovulatory and unovulatory patients.
MAFLD: A comprehensive review of the link between metabolic dysfunction and cardiovascular risk
(Taylor & Francis, 2025) M. Mostafa, Alaa; Pan, Ziyan; Yu, Ming-Lung; Örmeci, Necati; Fouad, Yasser; Eslam, Mohammed
Metabolic dysfunction-associated fatty liver disease (MAFLD) affects over 30% of the global population. It is a multisystem condition with a strong association with cardiovascular disease (CVD), the leading cause of mortality worldwide. Key shared mechanisms, including insulin resistance, systemic inflammation, oxidative stress, and genetic predisposition, couple MAFLD with increased risks of coronary artery disease, ischemic heart disease, and heart failure. Early detection via non-invasive imaging and biomarkers is crucial for effective risk stratification. Management strategies emphasize lifestyle modifications and the development of targeted pharmacotherapies addressing metabolic and inflammatory pathways. Understanding the interconnected pathogenic mechanisms facilitates personalized interventions to reduce morbidity and improve long-term outcomes. A multidisciplinary approach remains essential to prevent and manage the cardiovascular implications of MAFLD.
Smart thermoresponsive sol–gel formulation of polyhexanide for rapid and painless burn and wound management
(MDPI Publishing, 2025) Alparslan, Levent; Torkay, Gülşah; Bal Öztürk, Ayça; Köksal Karayıldırım, Çinel; Özdemir, Samet
Traditional wound and burn treatments often fall short in balancing antimicrobial efficacy, patient comfort, and ease of application. This study introduces a novel, transparent, ther moresponsive sol–gel formulation incorporating polyhexamethylene biguanide (PHMB) for advanced topical therapy. Utilizing Poloxamer 407 as a biocompatible carrier, the formulation remains a sprayable liquid at room temperature and instantly gels upon contact with body temperature, enabling painless, pressure-free application on sensitive, injured skin. Comprehensive in vitro and in vivo evaluations confirmed the formulation’s broad-spectrum antimicrobial efficacy (≥5 log10 reduction in 30 s), high biocompatibility (viability > 70% in fibroblasts), non-irritancy (OECD 425-compliant), and physical stabil ity across three months. Importantly, the formulation maintained fibroblast migration capacity—crucial for wound regeneration—while exhibiting rapid sol-to-gel transition at ~34 ◦C. These findings highlight the system’s potential as a next-generation wound dressing with enhanced user compliance, transparent monitoring capability, and rapid healing support, particularly in disaster or emergency scenarios.
A pilot investigation on possible interactions between clinical parameters and the psychology of couples undergoing IVF
(Wiley, 2025) Aydın, Gerçek; Bülbül, Mehmet; Ergin, Elif; Aydin, Ayşe Gül; Akkaya, Cengiz; Hatırnaz, Şafak; Tinelli, Andrea
Objective: To investigate the potential reciprocal influences between in vitro fertiliza tion (IVF) and the psychological states of patients. Materials and Methods: A prospective cohort study involved 180 couples who sought consultation for IVF. To monitor the fluctuations in the emotional states of the cou ples throughout the IVF process, questionnaires were administered on two separate occasions: the first was conducted immediately before the initiation of medication, and the second was administered promptly following the completion of embryo trans fer. The BECK inventories for anxiety and depression were employed for evaluation. Pregnancy outcomes were exclusively analyzed for women who received high-quality blastocysts, with cleavage-stage embryo transfers being excluded from consideration. Results: Pregnancy rates did not significantly differ based on the presence of height ened anxiety and/or depression among couples. Notably, a correlation was identified between severe anxiety in women before IVF and diminished rates of fertilization, as well as lower blastocyst/oocyte and blastocyst/metaphase II (M2) ratios (8.7 ± 5.0 vs. 7.5 ± 6.1, P= 0.029; 0.284 ± 0.199 vs. 0.218 ± 0.209, P= 0.001; and 0.333 ± 0.209 vs. 0.272 ± 0.232, P= 0.016, respectively). In the male cohort, elevated anxiety scores, ei ther pre- or post-IVF treatment, were found to be linked with a reduced mean oocyte count, as well as lower rates of M2, fertilization, blastocyst, and total embryo counts (P< 0.05). Conclusions: Pregnancy rates were not affected by the presence of anxiety and de pression, as they do not exert a significant impact on the implantation success of blas tocysts. However, given that fertilization rates are statistically diminished in instances of severe anxiety, which consequently results in a reduced number of blastocysts and total embryos, a decline in cumulative pregnancy rates may be anticipated.
Addressing nutrition service management after the 2023 Kahramanmaraş earthquakes
(Cambridge University Press, 2025) Günalan, Elif; Turgut, Rana; Işıklar, Handan
The study addresses nutrition service management after the 7.8M and 7.6M Kahramanmaraş earthquakes. Initially, permission from the Turkish Red Crescent General Directorate and the support of the Turkish Red Crescent Academy were obtained to gather knowledge about the disaster response. In the short term, nutritional support was achieved for some settlements by the Turkish Red Crescent because the affected area was on a large scale. As a result, risk management should be considered, especially when planning nutrition services for the acute period. Nevertheless, the Turkish Red Crescent coordinated the long-term transportation and management of all food aid. Nearly 100 000 earthquake victims received nutrition services from the Turkish Red Crescent, while more than 3 million earthquake victims received food aid from nutrition platforms and other institutions. A multilevel nutrition service management model, which includes pre-disaster, disaster, and post-disaster, can accelerate the transition to normalization following the earthquake with a high-quality food supply and nutrition service.
Evaluation of posterior segment changes in pediatric asthma patients with and without inhaled corticosteroid therapy
(Springer Nature, 2025) Kıvrak, Ulviye; Çiçek, Fatih; Köle, Mehmet Tolga; Kaya Adaş, Büşra; Kandemir, İbrahim
This study aimed to evaluate and compare changes in the posterior segment of pediatric asthma patients, potentially associated with asthma or inhaled corticosteroids. A retrospective analysis was conducted on children aged 7–17 diagnosed with atopic asthma. The participants were categorized into groups: Group 1 (no inhaled corticosteroids) and Group 2 (inhaled corticosteroid treatment). A control group of healthy children was also included. Demographic data, clinical findings, and laboratory results (e.g., eosinophil count, IgE, CRP levels) were collected. Optical coherence tomography (OCT) and OCT angiography (OCTA) were used to measure posterior segment parameters. Asthma patients demonstrated a statistically significant reduction in subfoveal choroidal thickness, the superficial capillary plexus in the superior and nasal quadrants, the choriocapillaris in the foveal quadrant, and the peripapillary vascular density in the inferior and superior quadrants compared to controls. Inflammation markers such as eosinophil count and CRP showed significant correlations with changes in vascular density. Asthma, as a chronic inflammatory and hypoxic condition, can significantly affect posterior segment parameters, leading to potential visual function impairments in children. Regular monitoring with OCT and OCTA can help detect early microvascular changes, allowing for timely interventions to preserve visual health.
Evaluation of enamel surface roughness and volumetric change after resin remnant removal following orthodontic bracket debonding
(Quintessence Publishing Deutschland, 2025) Korkut, Bora; Uzun, Kadir Emre; Hacıali, Çiğdem; Ünal, Tuna; Tağtekin, Dilek
Purpose: To evaluate surface roughness and volumetric change of enamel after using different resin remnant removal (RRR) techniques, following orthodontic bracket debonding. Materials and Methods: Metal orthodontic brackets (Mini Twin Brackets, RMO) were bonded to 60 human (central or lateral) labial mid-third surfaces, and debonded 24 h after by a single orthodontist. The remaining composites were completely removed with the fluorescence light guidance by the D-Light-Pro led curing unit (GC/detection mode). The removal procedures were performed without magnification (n = 30) or with 20× magnification/5500 K illumination by a dental microscope (OMS2000, Zumax) (n = 30). Three RRR techniques were used: 12-bladed carbide bur (Horico), red-banded diamond bur (Horico), SofLex Disc (medium/40 μm, fine/24 μm, and superfine/8 µm; 3M). Surface changes were evaluated visually through microscope photographs by enamel surface index (ESI) and volumetrically by overlapping the three-dimensional images of a laser scanner device (LAS-20, SD-Mechatronik) in the Geomagic Design X (3D Systems) software. The deemed significance was set at 0.050 for the statistical analyses. Results: A positive, strong correlation was found between visual and volumetric change scores (P 0.001). Lesser volumetric loss (P 0.001) and roughness (P = 0.009) were observed for all RRR techniques when the magnification was used. Volumetric loss (mm3) by diamond bur was significantly the highest [1.85(1–3)a], followed by SofLex Disc [1.1(1–1)c] and carbide bur [0.59(0–1)b](P 0.001). Visual surface roughness scores (Ra) were significantly higher for diamond bur [4.5(4–5)b](P 0.001), followed by carbide bur 2(1–3)a and SofLex Disc 1(1–2)a. Conclusion: Surface roughness should always be assessed together with the volumetric enamel loss for the selection of RRR technique. Red-banded diamond bur should not be used for RRR. Even though the least surface roughness can be provided by SofLex Disc system, it can provide more intact enamel surface loss than the carbide bur. Magnification was considered useful for the RRR to provide a smoother surface while better preserving the intact enamel tissue.
Presence of myositis specific autoantibodies including anti synthetase antibodies predict favorable outcomes to rituximab in patients with idiopathic inflammatory myositis: Retrospective observational study
(Elsevier, 2025) Oğuz, Eyüp; Koca, Nevzat; Bektaş, Murat
Background: Idiopathic inflammatory myositis (IIM) is a group of disorders that mainly affect skeletal muscle, joints, skin, and lungs. Objectives: This study aimed to evaluate the autoantibody profile including myositis-associated autoantibodies (MAAs) and myositis-specific autoantibodies (MSAs) and their influence on outcomes, response rates, and associated factors to Rituximab (RTX) treatment in patients with IIM who followed up in a single tertiary center. Methods: Data from the patients with IIM who follow-up between 2019 and 2023 years and met the Bohan and Peter and/or the ACR/EULAR 2017 and/or the ENMC criteria were retrospectively reviewed. RTX was initiated in patients who had an inadequate response to at least one immonomudulatory/immunosuppressive treatment (refractory group) or as a first-line treatment in patients who had critical/severe disease manifestations such as respiratory failure due to severe intertitial lung disease (ILD), respiratory muscle involvement, and dysphagia. RTX was administered at a dose of 1 g every 6 months on days 0-15, and the dose was repeated at month 6 in patients who responded to treatment. Remission was defined as the patients who met all of the following criteria during at least 6 months: i) absence of a sign of muscle inflammation by manual muscle test (normalization of muscle strength in patients without damage) alongside muscle enzymes (normalization in CK and LDH levels), ii) improvement or no progression in respiratory symptoms alongside pulmonary function tests (less than 10% decline in FVC and/or DLCO) in patients who had ILD at baseline, iii) disappearance of active skin lesions among dermatomyositis (DM) patients iv) resolution of other features attributed to several manifestations such as arthritis, heart involvement and gastrointestinal symptoms if present.
Biomimetic management of orthodontic white spot lesions
(Royal Society of Chemistry, 2025) Tunalı, Esra; Karaçay, Şeniz; Özen, Buğra; Albayrak, Önder
Objectives: white spot lesions (WSLs) may develop in patients with inadequate oral hygiene during orthodontic treatment. This study aimed to develop a natural remineralization agent by creating artificial WSLs in vitro. Materials/methods: WSLs were created in teeth with orthodontic buttons in vitro. The teeth were divided into the following groups: P11-4 (group 1), Nano-HA solution before sintering (group 2), Nano-HA solution after sintering (group 3), P11-4 and Nano-HA mixture before sintering (group 4), P11-4 and Nano-HA mixture after sintering (group 5), boron-containing Nano-HA mixture before sintering (group 6), boron-containing Nano-HA mixture after sintering (group 7), CPP-ACP (group 8), and artificial saliva (group 9). Measurements were taken before and after demineralization, and at the 7th, 14th, 21st, and 28th days of remineralization. Images were recorded using DIAGNOcam and VistaCamIX, area measurements were made using ImageJ, and SEM was used for remineralization assessment. Results: all groups except group 9 showed a reduction in the WSL area, with statistically significant results. SEM analysis revealed the lowest remineralization in groups 8 and 9, while the other groups exhibited more intense remineralization. Conclusions: the most successful groups for WSL remineralization were those containing pure Nano-HA (groups 2 and 3), with the other groups showing varying levels of remineralization.

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