PubMed İndeksli Yayın Koleksiyonu

Bu koleksiyon için kalıcı URI

https://hdl.handle.net/20.500.13055/9

Listeleniyor 1 - 20 / 227

An analytical method for the determination of pentachloroaniline and pentachlorobenzene in ginseng tea samples by gas chromatography–mass spectrometry after liquid phase microextraction
(Elsevier, 2025) Erarpat Bodur, Sezin; Serbest, Hakan; Bakırdere, Sezgin
This study describes a sensitive and accurate analytical method for the determination of pentachloroaniline (PCA) and pentachlorobenzene (PCB) at trace levels in ginseng tea samples. For this purpose, spraying based fine droplet formation liquid phase microextraction (SFDF-LPME) method was implemented to extract/preconcentrate the target analytes before their separation and detection by gas chromatography-mass spectrometry (GC-MS). Herein, a lab-made spraying system was used to distribute the extraction solvent throughout the aqueous sample solution. Limit of detection/quantitation (LOD/LOQ) values for PCA and PCB were found as 0.24/0.80 and 0.26/0.85 μg/kg, respectively. When LOD values of GC-MS and SFDF-LPME-GC-MS methods were compared to each other, enhancement in detection power values for PCA and PCB were 285 and 226.9 folds, respectively. Percent recovery results for PCA and PCB were calculated as 92-124 % and 86-129 %, respectively. Green evaluation and practicability of developed SFDF-LPME-GC-MS method was done by Eco-scale (89), AGREEprep (0.39) and BAGI (62.5) tools.
From surgery to sports career: The long-term fate of athletes with discoid meniscus
(Lippincott Williams and Wilkins Ltd., 2025) Erden, Tunay; Ağır, Muzaffer; Ali, Jotyar; Toker, Berkin; Taşer, Ömer
Objective: This study aimed to evaluate the long-term effectiveness of different surgical techniques for discoid meniscus in athletes. Design: This retrospective cohort study included 44 athletes (51 knees) who underwent arthroscopic surgery for symptomatic discoid meniscus between 1996 and 2019. Setting: The study was conducted at a tertiary-level sports medicine center. Patients: Athletes aged 15 to 35 years with symptomatic discoid meniscus confirmed by magnetic resonance imaging and requiring surgical treatment were included. Exclusion criteria were cartilage injuries (Outerbridge grades 3-4), concomitant ligament injuries requiring surgery, osteochondritis dissecans, and prior knee surgery. Interventions: Patients underwent arthroscopic partial, subtotal, or total meniscectomy, with or without meniscus repair. Main outcome measures: Functional outcomes were assessed using Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lysholm scores. Osteoarthritis progression was evaluated using the Kellgren-Lawrence classification. Return to sports time and total career duration were also recorded and compared between the surgical groups. Results: The mean follow-up was 13.5 ± 6.2 years (range: 5-27 years). At the final follow-up, 72% of the meniscus-preserving group (partial meniscectomy and repair) had KL grade 0 osteoarthritis, whereas 38% of the subtotal/total meniscectomy group developed KL grades 3 to 4 osteoarthritis (P < 0.001). All groups showed significant postoperative functional improvements (P < 0.001), but career duration and return to play time were significantly longer in the meniscus-preserving group (P = 0.004, P < 0.001, respectively). Conclusions: Subtotal/total meniscectomy significantly accelerates osteoarthritis progression. Meniscus-preserving techniques provide better long-term outcomes.
Osseous anatomy of the distal radius: A morphometric analysis of external groove and bony ridge
(Springer Nature Link, 2025) Ok, Fatma; Çelikgün, Beyza; Nteli Chatzioglou, Gkionoul; Ertaş, Ahmet; Coşkun, Osman
Purpose: This study aimed to investigate the presence and morphological and morphometric characteristics of the distal radius's external groove (EG) and bony ridge, which play a potential role in the pathogenesis and treatment difficulties of De Quervain's tenosynovitis. Methods: The osseous anatomy of the distal radius was analyzed in detail on a total of 103 dry bone specimens (49 left and 54 right) obtained from the Department of Anatomy, Istanbul University, Turkiye. The frequency and morphology of the EG were analyzed. The EGs were categorized as Type 1, Type 2, and Type 3 with two EGs, one EG with depth, and an additional EG without depth, respectively. Finally, flat areas without clear groove boundaries were classified as Type 4. Results: The analyses showed variations in the morphology and dimensions of the EG and bony ridge. A total of 110 EGs were detected in 103 radii examined. Type 1, Type 2, Type 3 and Type 4 EGs were reported in 30 bones (30%), 38 bones (38%), 12 bones (12%) and 23 bones (23%), respectively. The depth of the EG of Type 1 was 0.26 ± 0.23 mm and 0.22 ± 0.16 mm on the lateral and medial sides, respectively. Also, the depth of the Type 2 was calculated as 0.49 ± 0.37 mm. Conclusion: The osseous variations of the distal radius are critical anatomical factors contributing to the pathogenesis of De Quervain's tenosynovitis and difficulties in the treatment process. It is essential to recognize these variations to improve diagnostic accuracy and optimize therapeutic interventions.
Variations in the course of the external branch of the superior laryngeal nerve and their importance in surgical procedures: An experimental cadaveric study
(The Polish Otolaryngology, 2023) Nteli Chatzioglou, Gkionoul; Sarı, Elif; Gayretli, Özcan; Coşkun, Osman; Öztürk, Adnan; Gürses, İlke Ali
Introduction: Injury of the external branch of the superior laryngeal nerve can cause a hoarse or weak voice due to the functional loss (dysergia) of the cricothyroid muscle. Defining the anatomical variations of the external branch of the superior laryngeal nerve and estimating their frequency are crucial for surgical interventions. Aim: To reveal the topography of the external branch in the Anatolian population, to prevent injury of it during the surgical intervention in the anterior neck region. Material and methods: 26 bilateral hemilarynges (4 females, 22 males) were dissected. The morphometric and morphological features of the external branch were examined. The obtained results were compared statistically, left and right. Results: Landmarks such as the thyroid gland and laryngeal prominence were determined for the detection of the external branch. The variations of the course of the external branch and the points of piercing the cricothyroid muscle or inferior pharyn geal constrictor muscle were evaluated. Discussion: Although safe approaches have been described for nerve protection during neck surgeries, injuries may occur during preliminary surgery as the mentioned nerve is thinner and more superficial than other branches of the vagus nerve. However, it can be detected more easily and safely by knowing the defined anatomical landmarks and morphological varia tions of the external branch. Conclusion: The anatomical variations described can be a safe and important guide in surgeries of the anterior neck region.
Fluid biomarkers in atypical Parkinsonism: Current state and future perspectives
(Springer Nature Link, 2025) Bougea, Anastasia; Colosimo, Carlo; Falup‑Pecurariu, Cristian; Palermo, Giovanni; Değirmenci, Yıldız
Diagnosing Atypical Parkinsonian Syndromes (APS) may be challenging due to overlapping clinical features of Parkinson’s disease (PD), and the lack of pathognomonic diagnostic tests. Fluid biomarkers can be useful tools that make it easier to identify and track diferent APS. Objectives: this narrative review aim to update the current state of fuid biomarker research in APS and their potential implications in clinical practice. A comprehensive literature search was conducted in PubMed and Scopus using the following terms: “Aβ42 amyloid beta with 42 amino acids’’, “ alpha-synuclein’’, “Atypical Parkinso nian Syndromes’’, “corticobasaldegeneration’’, “C reactive protein’’, “cerebrospinal fuid’’, “dementia with Lewy bodies’’, “multiple system atrophy’’, “neuroflament light, oligomericαsyn, phosphorylated α –syn’’, “tau phosphorylated at threonine 181’’, “progressive supranuclear palsy’’, “Seeding Amplifcation Assay’’, “t-tau; total tau”. The lack of high-afnity α-syn antibodies and ligands may contribute to α-syn’s low efcacy as a diagnostic biomarker of APS. Cerebrospinal fuid (CSF) biomarkers refecting Alzheimer pathology, axonal damage (neuroflament light chain) add valuable diagnostic and prog nostic information in the neurochemical characterization of APS. Infammatoryand microRNAs markers need to be further validated before their clinical use. Seeding Amplifcation Assays (SAA), despite their high sensitivity and specifcity, are at this point used only as a research tool, and they are not quantitative or refective of disease severity. Biomarker research for early identifcation and prognosis of APS patients requires multicenter collaboration, validation, and AI-based diagnostics, despite immature biological classifcation systems.
Protective effects of boric acid on HBV-transgenic mice with chronic alcohol consumption: An experimental study
(Elsevier, 2025) Ergüven, Pelin; Tanrıkulu Küçük, Sevda; Şevgin, Kübra; Değirmencioğlu, Sevgin; Çetinalp, Pınar; Aksu, Soner; Gün Atak, Palmet; Söğüt, İbrahim
This study aimed to investigate the protective effect of boric acid supplementation against liver damage in chronic alcohol-dependent HBV transgenic mice. The HBV transgenic mice were divided into four groups: control (C), boric acid(B), alcohol(A), and alcohol + boric acid(A + B). Blood alcohol concentration (BAC), alanine aminotransferase (ALT), aspartate aminotransferase(AST), reactive oxygen species(ROS), malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), total antioxidant capacity (TAS), total oxidant capacity (TOS) levels, and oxidative stress index (OSI) were examined biochemically. H&E, PAS, Masson trichrome, and TUNEL staining were performed. Caspase 3, cytochrome c, and APAF-1 expression levels were determined by qRT-PCR. The alcohol group exhibited significantly higher levels of ROS, MDA, TOS, OSI, and mRNA expressions of Cytochrome c, caspase 3, and APAF-1, while TAS level and CAT activity were significantly lower compared to the boric acid group. Compared to the control group, the alcohol group exhibited significantly increased TOS, OSI, AST levels, APAF-1 mRNA expression, and the number of TUNEL-positive cells, along with a reduction in GPx activity (p < 0.05). However, in the alcohol + boric acid group, TOS and AST levels were significantly higher compared to the control group (p < 0.05), and TOS was higher compared to the boric acid group (p < 0.01). Among the boron-treated groups, only the TOS level was lower in the boric acid group compared to the alcohol + boric acid group (p < 0.01). Histopathological examination revealed reduced sinusoidal dilatation and connective tissue distribution in the boric acid-supplemented groups. These findings suggest that boric acid supplementation may mitigate oxidative damage and histopathological alterations associated with chronic alcohol consumption in HBV-transgenic mice.
Design and synthesis of thiosemicarbazides and 1,2,4-triazoles derived from ibuprofen as potential MetAP (type II) inhibitors
(Elsevier, 2025) Yılmaz, Özgür; Biliz, Yağmur; Ayan, Sümeyra; Çevik, Özge; Karahasanoğlu, Müfide; Çotuker, Reyhan; Mert Şahin, Naz Mina; Gökkaya, Kübra; Gülyüz, Sevgi; Yelekçi, Kemal; Küçükgüzel, Ş. Güniz
In the present study, a range of novel thiosemicarbazides 4a-i and 1,2,4-triazoles 5a-i derived from ibuprofen, were synthesized. Structural elucidation of these synthesized compounds was performed utilizing a variety of spectroscopic methods, including FTIR, 1 H NMR, 13C NMR and HR-MS. The synthesized compounds were tested for cytotoxicity in five different cancer cell lines (cervical cancer (HeLa), human breast cancer (MCF-7), human gastric adenocarcinoma (MKN-45), human metastatic prostate cancer (PC3) and human glioblastoma (U87)). The compounds were compared with healthy cells (NIH-3T3) and the most effective compounds were determined by means of the selectivity index. Thiosemicarbazides derived form ibuprofen 4i and 4d showed anticancer activity, while 1,2,4-triazoles derived form ibuprofen 5b, 5c, 5d, 5e, 5h, 5g showed anticancer activity in HeLa, MCF-7, MKN-45, PC3 and U87 cells. To test the stability of the protein-drug complexes all 18 compounds 4a-i and 5a-i were docked into the active site of the MetAP2 enzyme In general, computational inhibition constants values were correlated with the experimental values. The dynamic behavior of MetAP2-inhibitor complexes was analyzed using all atoms Molecular Dynamic (MD) simulations for 200 ns duration. MD revealed that the drugs bind in the active center of MetAP2 with stable RMSD and RMSF. In conclusion, in-silico results and in-vitro studies suggests that thiosemicarbazides and 1,2,4-triazoles derived from ibuprofen may be novel anticancer drug candidates for treating cervical, breast, prostate, gastric and glioblastoma. Compounds provided induction of apoptotic proteins in the cell by inhibiting MetAP2 enzyme. Furthermore, the potential antioxidant activities of the compounds were evaluated using the 2,2-Diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity assay. Among the compounds tested, 4a, 4b, 4e, 4f, 4h, and 4i exhibited values closely resembling the DPPH activity of the standards.
Cytotoxic and anti-migratory effects of polyphenolic compounds on breast cancer cells by altering Jam-A, LFA-1, and VLA-4 gene expression
(Taylor & Francis, 2025) Özkara, Gülçin; Ceviz, Ayşe Begüm; Eronat, Allison Pinar; Pehlevan Karabıyık, Funda; Candan, Gonca; Özturk, Oğuz; Yılmaz Aydoğan, Hülya
This study represents the initial research of the effects of a com bination of the largest number (13) of different polyphenic sub stances (PFK5120), formulated based on the propolis content on cell viability, migration and expression of lymphocyte function-associated antigen-1 (LFA-1), very late antigen-4 (VLA-4) and junction adhesion molecule A (Jam-A) in breast cancer (BC) cells. PFK5120 negatively affected cell viability at a 5% concentra tion as compared with unexposed ones (p<0.001). Treatment with 20% PFK5120 for 48h down-regulated Jam-A in MCF-7 and MCF-10A, up-regulated LFA-1 in MCF-10A and MDA-MB-231, and down-regulated VLA-4 in MCF-10A and MDA-MB-231 (p<0.001). Furthermore, migration was found to be inhibited by PFK5120 at varying doses and times. Migration was completely inhibited by 35% PFK5120 treatment in MDA-MB-231, while even lower concen trations (10%) were effective in MCF-7. Current findings indicate that PFK5120 represents a valuable natural component of BC ther apy through its cytotoxic and anti-migratory effects.
The validity and reliability of the Turkish version of the patient’s knee implant performance (PKIP) questionnaire-preoperative and postoperative
(Wolters Kluwer Healt, 2025) Şahan, Nilay; Atasavun Uysal, Songül; Parmaksız, Ayhan; Aydın, Erbil
The Patient’s Knee Implant Performance (PKIP) Questionnaire is a short and easy-to-complete questionnaire developed to assess the performance of total knee arthroplasty (TKA) more comprehensively. The aim of this study was to investigate the validity and reliability of the Turkish version of the PIKP questionnaire before (PKIP PreOp) and after (PKIP PostOp) TKA. The study included 162 patients referred for TKA and 154 patients who had undergone the surgery at least 3 months prior. Cronbach alpha, intra class correlation coefficient, and item-total correlation values were calculated to assess the reliability of the PIKP questionnaire. Validity was determined using exploratory and confirmatory factor analysis. To determine parallel scale validity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), The Short Form-36 (SF-36) Quality of Life Scale performance score were used. The mean age of the participants was 66.39 ± 7.65 years. Cronbach alpha and intra-class correlation coefficient values of the PKIP were acceptable (0.723 and 0.985, respectively). The item-total correlation values of each item of the PKIP was also acceptable (lowest ranged from 0.335 to 0.621). Confirmatory and exploratory factor analysis revealed that the both PKIP PreOp and PKIP PostOp studies had sufficient fit. The PKIP PreOp and PKIP PostOp was moderately to strongly correlated with the Western Ontario and McMaster Universities Osteoarthritis Index and Short Form-36 score (P < .001). Patients undergoing TKA had a significantly higher PKIP PostOp score than PKIP PreOp score. The Turkish version of the PKIP is valid, reliable, and sensitive to assess in performance in patients undergoing TKA.
Nanodelivery approaches of phytoactives for skin cancers: Current and future perspectives
(Bentham Science Publishers, 2025) Algın Yapar, Evren; Özdemir, Merve Nur; Durgun, Meltem Ezgi; Akbal Dağıstan, Özlem; Cavalu, Simona; Özsoy, Yıldız; Kartal, Murat
In recent years, there has been an increase in skin cancers due to external factors, especially environmental factors, and studies on treatment alternatives have gained importance. Nanomaterials are common, from sunscreen formulas to formulations designed to treat skin cancers at various stages. Using bioactives has multiple effects in treating skin cancers, which provides many advantages. In this regard, many phytochemicals gain importance with their antioxidant, anti-proliferative, anti-inflammatory, antiangiogenic, and analgesic effects. Their delivery with nanocarriers is on the agenda for phytochemicals to gain the targeted stability, effectiveness, and toxicity/safety properties. This review presents types of skin cancers, phytochemicals effective in skin cancers, and their nanocarrier-loaded studies from an up-to-date perspective.
Developments in pharmacotherapy for the preservation of ovarian function during cancer treatment
(Taylor & Francis, 2025) Turan, Volkan; Oktay, Kutluk
Introduction: Cancer is one of the major causes of human death, and anti-cancer therapy often results in premature ovarian failure and infertility, depending on factors such as age, initial ovarian reserve, and chemotherapy type and dose. Fertility preservation procedures, such as oocyte, embryo, and ovarian cortex cryopreservation, can help women achieve pregnancy after cancer treatment. However, the development of pharmacological therapies to protect ovarian function during chemotherapy would represent a significant advancement. Areas covered: We searched the published articles in PubMed up to December 2024, containing key words '"chemotherapy",' 'cancer,' '"ovarian protection",' '"pharmacological therapy",' '"ovarian reserve"' and '"fertility".' Chemotherapeutic agents act via various mechanisms in the human ovary, including direct DNA damage leading to oocyte apoptosis, as well as damage to ovarian stroma and microvascular architecture. In recent years, numerous protective agents have emerged, showing promise in protecting ovaries from chemotherapy-induced damage. However, most studies have relied on animal models, and only a limited number have directly tested these agents in human ovarian tissue. At present, no pharmacological treatment has been conclusively proven effective for preserving fertility. Expert opinion: A comprehensive understanding of the mechanisms underlying chemotherapy-induced ovarian damage is critical for the development of efficient and targeted pharmacological therapies.
Clinical characteristics and development of complications differ between adult-onset and child–adolescent-onset type 1 diabetes: A report from a tertiary medical center in Türkiye
(Wiley, 2025) Çakmak, Ramazan; Telci Çaklılı, Özge; Ok, Ayşe Merve; Mutlu, Ümmü; Sarıbeyliler, Göktuğ; Seferova Nasifova, Vefa; Bilgin, Ersel; Çoşkun, Aylin; Güzey, Damla Yenersu; Satman, İlhan
Background and Aims: The age-at-onset is of great importance in the heterogeneity of Type 1 diabetes mellitus (T1DM). This study was designed to define clinical and laboratory differences between child–adolescent-onset and adult-onset T1DM at presentation and during follow-up and determine the predicting factors for developing microvascular and macrovascular complications. Material and Methods: This retrospective observational study evaluated T1DM patients who were followed in the diabetes outpatient clinic between January 1, 2000, and December 31, 2019. Results: The study cohort included 490 individuals with T1DM (54.3% female, 58.8% adult-onset, and median follow-up: 5 years). In the adult-onset group, baseline C-peptide and GADA prevalence were higher, whereas presentation with ketoacidosis was 2.3-fold lower compared to the child–adolescent-onset group (p < 0.001). During follow-up, the adult-onset group had a 2.4-fold higher overweight/obesity (p < 0.001) and 1.7-fold higher dyslipidemia/hyperlipidemia (p = 0.002) than the child–adolescent-onset group. In multivariate analysis, fasting glucose (p = 0.024) in adult-onset, dyslipidemia/hyperlipidemia (p = 0.037) in child–adolescent-onset, and diabetes duration (p = 0.008 and p = 0.007) and hypertension (p = 0.001 and p = 0.01) in both groups were associated with increased risk of microvascular complications, whereas age-at-onset (p = 0.024), dyslipidemia/hyperlipidemia (p = 0.03), nephropathy (p = 0.003), and neuropathy (p = 0.001) in adult-onset and age (p = 0.002) and triglycerides (p = 0.013) in child–adolescent-onset groups were associated with increased risk of macrovascular complications. The cutoff C-peptide levels at baseline predicted microvascular complications in the whole cohort and adult-onset group were defined as 0.383 ng/mL (p < 0.001) and 0.41 ng/mL (p = 0.001), respectively. In the Kaplan–Meier analysis, C-peptide (< 0.383 ng/mL) but not age-at-onset predicted future development of microvascular and macrovascular complications (p = 0.003 and p = 0.032). Conclusion: Clinical presentation and prognosis differ in adult-onset and child–adolescent-onset T1DM. Low initial C-peptide may predict the development of microvascular and macrovascular complications.
Photocatalytic performance of ag/humic acid magnetic nanoparticles for degradation of methylene blue in aqueous medium
(Springer Nature Link, 2025) Kaba, İbrahim; Özdemir Olgun, Fatoş Ayça
The contamination of water as a result of the discharge of organic dyes from industrial facilities that process pharmaceuticals, textile fabrics, leather, and petrochemicals, is a significant concern. The water quality of the aquatic environment is mostly impacted by pigments, even in small amounts less than 1 mgL−1 (Sharma et al. 2021). Methylene blue which is considered as mutagenic, toxic, and non-biodegradable, was selected as a model in this study to represent the azo dye class. The undesired effects of dye contamination can be eliminated through the sustainable and eco-friendly remediation procedure of photocatalytic degradation. The properties and efficiency of the catalytic reaction are significantly influenced by the morphology of the catalyst. Mott Schottky measurements and chronoamperometry were employed to elucidate the electronic properties of a composite silver humic acid magnetic nanoparticle (Ag/HA MNP) with a core-shell structure. The nanoparticle was subsequently employed in the photocatalytic degradation of methylene blue. The indirect band gap energy was calculated as 1.82 eV by employing Ultraviolet-Visible Diffuse Reflectance Spectroscopy (UV-DRS). The optimal parameters established in the study were used to maintain the effective photocatalytic degradation of methylene blue in an aqueous medium. Optimization studies for photocatalytic degradation of model dye-MB showed that the optimum degradation percentage (42%) was achieved rapidly in a short time period of 30 min with 0.06 g MNP in 10 mgL−1 solution. The first-order rate constant was determined to be 4.4 × 10−2 s −1 . This study contributes to the literature by proposing Ag/HA magnetic nanoparticles which were synthesized and installed for the first time as a catalyst for the photodegradation of methylene blue in aqueous medium.
Advancing sustainable food preservation: Ultrasound and thermosonication as novel approaches to enhance nutritional and bioactive properties of broccoli juice
(Elsevier, 2025) Yıkmış, Seydi; Türkol, Melikenur; Dülger Altıner, Dilek; Duman Altan, Aylin; Sağlam, Kübra; Abdi, Gholamreza; Tokatlı, Nazlı; Çelik, Güler; Aadil, Rana Muhammad
To meet the challenges of sustainability and nutritional quality, innovative food processing technologies are essential. This study investigates the application of ultrasound and thermosonication- emerging non-thermal preservation techniques- to improve the functional properties of broccoli juice. Using Response Surface Meth odology (RSM) and Adaptive Neuro-Fuzzy Inference System (ANFIS), the processes were optimised to maximize chlorophyll and ascorbic acid content. Optimal ultrasound parameters (4 min, 91.1 % amplitude) achieved 12.29 mg/100 mL chlorophyll and 79.38 mg/100 g ascorbic acid. Thermosonication (6.9 min, 66 % amplitude, 40 ◦C) gave comparable results. Both treatments significantly improved phenolic composition and mineral content, demonstrating superior preservation of bioactive compounds and reduced nutrient degradation compared to traditional methods. The results highlight the potential of ultrasound and thermosonication for sustainable food systems by improving nutritional quality and shelf life, thereby contributing to reduced food waste and environmentally friendly processing. This research provides valuable insights into the integration of non-thermal technologies in the production of functional beverages, supporting the development of circular food systems and sustainable innovation.
Design, synthesis and anti‐influenza virus activity of 4‐tert‐butyl‐n‐(3‐oxo‐1‐thia‐4‐azaspiro[4.5]dec‐4‐yl) benzamide derivatives that target hemagglutinin‐mediated fusion
(Wiley, 2025) Çınar, Gözde; Alikadıoğlu, Zeynep; Soylu Eter, Özge; Naesens, Lieve; Cihan Üstündağ, Gökçe
Hemagglutinin (HA) is a viral glycoprotein that mediates influenza virus entry into the host cell and is considered a relevant viral target. We here report the identification of a class of 4‐tert‐butylphenyl‐substituted spirothiazolidinones as HA‐mediated fusion inhibitors with specific activity against influenza A/H3N2 virus. The novel spirocyclic compounds were achieved by using one‐pot cyclocondensation method and the chemical structures were characterized by IR, 1 H NMR, 13C NMR, and elemental analysis. Compound 2c, bearing methyl substitutions at positions 2‐ and 8‐ of the spiro ring displayed an EC50 value against influenza A/H3N2 virus of 1.3 μM and an antiviral selectivity index of 30. The fusion‐inhibiting effect of compound 2c was revealed in the polykaryon assay which is based on cell‐cell fusion when influenza virus H3 HA‐transfected cells are exposed to low pH. Computer‐aided docking was performed to predict the possible binding pocket in the H3 HA trimer. Resistance data and in silico studies indicated that compound 2c has an overlapping binding pocket in the stem region of H3 HA with the known fusion inhibitors TBHQ and arbidol.
Cartoon-assisted visual/auditory distraction usage in paediatric dental care, assessment of effects on patient anxiety, pain, and behaviour: A randomised crossover clinical trial
(Springer Nature, 2025) Üstün, Nilüfer; Ballı Akgöl, Beyza; Bayram, Merve
Objectives This randomized crossover clinical trial designed to evaluate the impact of visual and auditory distraction techniques on pediatric patients’ anxiety, pain perception, and behavior during dental treatment. The study specifically focuses on children, aiming to determine whether distraction methods can effectively reduce anxiety levels, alleviate pain experiences, and improve cooperative behavior in a clinical setting. Method and materials Children aged 4 to 9 years receiving routine dental care at the Pediatric Dentistry Clinic, Istanbul Medipol University, were randomly assigned to Group 1 (distraction first, then tell-show-do) or Group 2 (tell-show-do first, then distraction), with a two-week washout period before switching interventions. Anxiety was assessed using the Venham Picture Test and pulse rate, pain perception with the Sounds, Eyes, and Motor Scale during local anesthesia and the Wong-Baker FACES Pain Rating Scale during treatment, while cooperation and behavior were evaluated using the Houpt Scale. Statistical analysis was conducted using Mann-Whitney U, Student’s t-test, Paired t-test, and Wilcoxon test, with the significance level set at 0.025 using the Bonferroni correction. Results Sixty-eight patients (37 female, 31 male) with a mean age of 6.69±1.08 years completed the study (Group 1: n=32, Group 2: n=36). The cartoon-assisted distraction technique did not significantly reduce anxiety compared to the tell-show-do method. A non-significant reduction in pain perception was observed during local anesthesia with distraction. However, this technique significantly reduced self-reported pain during treatment (p<0.025) and improved child cooperation and behavior. Conclusion Cartoon-assisted visual and auditory distraction can alleviate pain perception and improve behavior during pediatric dental procedures. However, it does not appear to reduce dental anxiety or pain perception during local anesthesia. Integrating this technique with the traditional tell-show-do approach may enhance the pediatric dental experience.
Investigation of the effectiveness of short-term grief-focused group intervention for 1st degree losses in earthquake
(Elsevier, 2025) Bal, Fatih; Filazoğlu Çokluk, Gülşen; Savaş, Esra
A considerable number of individuals who lost family members in the 2023 earthquake in Hatay province, Turkey, have been found to experience a range of psychosocial problems and disorders. In this randomised controlled trial, the efficacy of grief-focused group therapy was compared with that of a control group that did not receive any treatment. A total of 10 Turkish adults were randomly assigned to the group therapy group. The participants were evaluated at the outset of the study and at its conclusion in order to ascertain any changes in psychological resilience (Psychological Resilience Scale for Adults), grief symptoms (Grief Scale), and cognitive flexibility (Cognitive Flexibility Inventory). The results of the study are as follows: The results demonstrated that grief-focused group therapy was an effective intervention for reducing grief symptoms and enhancing psychological resilience and cognitive flexibility. A brief grief-focused group intervention has been demonstrated to be an efficacious intervention for earthquake survivors. The brief grief-focused group intervention proved more efficacious than the control condition in enhancing psychological resilience and cognitive flexibility, while concurrently attenuating grief symptoms, among adults who lost first-degree family members in the earthquake. Overall, the Grief Recovery Focused Group Therapy Program yielded a favourable impact on alpha, beta, and gamma scores in the experimental group, while exhibiting no discernible effect on delta and theta scores.
Reply to the letter to the editor: 'Coronary atherosclerosis burden and coronary artery tortuosity'
(Kare Publishing, 2025) Özyaşar, Mehmet; Doğduş, Mustafa; Yılmaz, Ahmet; Altıntaş, Mehmet Sait; Yetkin, Ertan
To the Editor, First, we would like to thank the author1 and the editorial team for their attention to and interest in our work. We deeply value your constructive criticism and contributions, which we see as an opportunity for further improvement. Collateral circulation plays a significant role in the prognosis of coronary artery disease.2 We acknowledge the importance of considering the effect of collateral circulation when calculating Gensini scores.3 In our retrospective study, while evaluating cases of chronic coronary syndrome that underwent coronary angiography, the coronary collateral flow assessment (Rentrop) score (3) was 0 in all cases. However, we accept that this detail should have been clarified more explicitly in our article. Our study aimed to minimize confounding factors as much as possible to realistically examine the relationship between coronary artery tortuosity and coronary atherosclerosis. While we acknowledged in the limitations section of our study that this might introduce a potential bias in patient selection,4 we accept that it would have been beneficial to explicitly state that we sought to eliminate the effect of collateral circulation. One of the key strengths of our study is the large patient cohort, along with the meticulous exclusion of other confounding factors. In conclusion, while recognizing the importance of collateral circulation, we believe that our study provides important information about the relationship between coronary artery tortuosity and atherosclerotic plaque burden. We hope this research contributes to a deeper understanding of coronary artery disease and offers a new perspective for future studies.
New insights of cerium oxide nanoparticles in head and neck cancer treatment
(Springer Nature, 2025) Tarakçı, Elif; Esmkhani, Sahra; Bayramova, Jamila; Bilgin, Feride Melisa; Kıdık, Kübra; Adıgüzel, Şevin; Tufan, Yiğithan; Yılmaz, Ahsen Morva; Yazıcı, Hülya; Duygulu, Özgür
Head and neck cancer (HNC) is a genetically complex cancer type having treatment difficulties due to affecting multiple organs in complex anatomical sites. Radiotherapy resistance, chemotoxicity, post-surgery disability makes HNC treatment more complicated. Therefore, there is need to developed new treatment approaches. Nanoparticle-based therapies especially cerium oxide nanoparticles with its anti-cancer features, high catalytic activity, anti- or pro-oxidant and radio-protective properties give a boon for HNC treatment. In the current study, two dextran-coated cerium oxide nanoparticles (Dex-CeNPs) namely SD1 and SD2 were synthesized and characterized by using two types of dextran (D1 and D2) having distinct molecular weights and branching characteristics to understand their potential as a new HNC treatment strategy while evaluating the role of dextran type. The effectivity of the SD1 and SD2 on the HNC cell lines (A253, SCC-25, FaDu) were investigated by analyzing their cytotoxicity, genotoxicity, reactive oxygen species (ROS) generation properties. Low IC50 value, high ROS generation and stability profiling of SD2 compared to SD1 indicates the distinct function of dextran type on Dex-CeNPs effectivity on HNC. To better elucidate the effectivity of SD2, flow cytometry analysis and pro-apoptotic (TP53, CASP3, BAX) and anti-apoptotic (Bcl-2) gene expression profiling were investigated in detail. The findings indicate that SD2 exhibits an influence on head and neck cancer cells via the apoptotic pathway. Our research sets the framework for the development of Dex-CeNPs as remarkable nanotherapeutic candidates for treatment of head and neck cancer.
Pharmacovigilance analysis of immune checkpoint inhibitor-related reproductive adverse effects based on the FDA adverse event reporting system
(Springer Nature, 2025) Köylü, Bahadır; Esen, Buğra Han; Bektaş, Şevval Nur; Özbek, Laşin; Turan, Volkan; Urman, Bülent; Öktem, Özgür; Selçukbiricik, Fatih
This study aims to investigate the adverse effects of immune checkpoint inhibitors (ICIs) on the female and male reproductive systems. In the FDA Adverse Event Reporting System (FAERS) database, adverse reactions under the "Reproductive system and breast disorders" category in the System Organ Classes were included, covering a period from January 1, 2015, to June 30, 2023. We identified 133,512 patients treated with ICIs. Immune checkpoint inhibitor-related reproductive adverse effects (irRAEs) were reported in 568 (0.43%) patients. Spermatogenesis abnormality (ROR025 = 7.91) had the highest signal strength associated with ICI use in males. Genital tract fistula was the only significant irRAE (ROR025 = 2.72) in females. PD-1 inhibitors pose greater risk than CTLA-4 inhibitors (OR = 1.65 [1.05-2.79], p = 0.045). Gynecologic cancers in females (OR = 3.77 [2.82-4.99], p < 0.0001) and urogenital cancers in males (OR = 1.56 [1.17-2.06], p = 0.0018) carried the highest risk compared to other cancers. Additional targeted drugs (OR = 2.32 [1.76-3.02], p < 0.0001), particularly lenvatinib (OR = 3.50 [2.48-4.94], p < 0.0001) and cabozantinib (OR = 3.71 [1.96-7.03], p < 0.0001) significantly increased the risk for females. Additional use of chemotherapy drugs was associated with a significant reduction in the risk for males (OR = 0.65 [0.42-0.96], p = 0.042) except for doxorubicin (OR = 2.58 [1.22-5.47], p = 0.013) and cyclophosphamide (OR = 2.36 [1.05-5.29], p = 0.038). This study demonstrates that ICIs could potentially lead to a wide range of adverse effects in the reproductive system in both males and females.

Güncel Gönderiler