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The effects of anthocyanin consumption on functional connectivity in dementia and type 2 diabetes mellitus
(Elsevier, 2026) Müdüroğlu Kırmızıbekmez, Aynur; Önder, Alparslan; Özdemir, Mustafa Yasir; Yüksel Eryiğit, Önder; Kara, İhsan
This study investigates the effects of 12 weeks of anthocyanin consumption on brain function in individuals with Dementia with Type 2 Diabetes Mellitus (T2DM) and Dementia alone. Two groups of individuals: 12 participants with T2DM comorbid with dementia and 31 participants with dementia alone. EEG recordings were collected at baseline, before the start of the study, and after 12 weeks of anthocyanin consumption. During the study period, participants consumed 300 mg of anthocyanins daily. EEG recordings were conducted using a 21-channel gel EEG cap following the 10–20 system at a sampling rate of 500 Hz. EEG signals were divided into seven frequency bands, and the Imaginary Part of Coherence (iCOH) metric, which reduces volume conduction effects, was used to evaluate functional connectivity. Within-group analyses were performed using the Wilcoxon signed-rank test, and between-group comparisons were conducted using the Mann-Whitney U test, both implemented in Python. This study demonstrates that 12 weeks of anthocyanin supplementation positively impacts neural network ef ficiency and functional connectivity in both the Cognitive Impairment (CI) group and the Type 2 Diabetes Mellitus with Cognitive Impairments (T2DMwCI) group. Significant improvements were observed in iCOH, GE, and LE metrics across delta, theta, beta, and gamma frequency bands, indicating enhanced information pro cessing and potential compensatory mechanisms. These findings highlight the neuroprotective properties of anthocyanins, suggesting their potential to mitigate cognitive decline associated with T2DM and dementia. As a result, it supports the idea that anthocyanins are a potential dietary intervention for mitigating cognitive decline, though further research is needed to validate and expand these results.
Green-synthesized CuO/Cu2O-supported g-C3N4 p–n junction photocatalyst for photo(electro)catalytic hydrogen evolution
(Elsevier, 2026) Kaba, İbrahim; Kılıç, Behris; Bozkurt, Rabia Nur; Koca, Atıf
In this study, an environmentally friendly CuO/Cu2O nanoparticle (NPs) production method was developed using waste rosehip seed plant extracts as reducing and stabilizing agents. Automatic solvent extraction (ASE) with a green 60% (v/v) ethanol/water solvent combination produced polyphenol-rich solutions for biogenic nanoparticle production. Green CuO/Cu2O NPs were loaded onto n-type graphitic carbon nitride (g-C3N4, CN) at 5%, 10%, and 15% weight percentages to form p-n heterojunction photocatalysts (5CuO/Cu2O@CN, 10CuO/Cu2O@CN, and 15CuO/Cu2O@CN). Structural and morphological analyses and material characterizations performed using XRD, FTIR, SEM-EDS, TEM, XPS, UV–vis DRS, Zeta Sizer, and DLS confirmed the successful formation and homogeneous distribution of CuO/Cu2O on the CN surface. Optical and photoelectrochemical characterizations revealed that the formation of p–n type junction significantly increased visible light absorption and supported efficient charge carrier dissociation. Photoelectrochemical (PEC) measurements yielded consistent results for photocatalytic hydrogen (H2) evolution, with a consistent H2 evolution relationship; pure CN produced 125 μmol g− 1 h− 1 H2, while the 10CuO/Cu2O@CN sample produced 937 μmol g− 1 h− 1 H2, increasing performance by approximately 7.5-fold. Furthermore, this study aimed to contribute to a more environmentally friendly and sustainable approach by using lactic acid as a sacrificial material to facilitate hole consumption. In addition to photocatalytic activity, the antioxidant properties of the photocatalysts were evaluated using 2,2-diphenyl-1-picrylhydrazil (DPPH) free radical scavenging method, and composition-dependent radical scavenging efficiencies were determined.
Ibuprofen and nimesulide derivatives selectively induce apoptosis in HER2-positive breast cancer via inhibition of the PLA₂–COX-2–NF-κB pathway
(Springer Nature Link, 2026) Çakırlı, Egemen; Bedir, İpek; Biliz, Yağmur; Yılmaz, Özgür; Küçükgüzel, Şükriye Güniz; Telci, Dilek
Background Chronic inflammation contributes to breast cancer development through the phospholipase A₂ (PLA₂)–cyclo oxygenase-2 (COX-2)–nuclear factor κB (NF-κB) cascade, which regulates prostaglandin synthesis, oxidative stress, and transcription of pro-inflammatory and anti-apoptotic genes. This pathway is particularly active in HER2-positive breast can cer, promoting proliferation, invasion, and resistance to apoptosis. Non-steroidal anti-inflammatory drugs such as ibuprofen and nimesulide target COX enzymes and have shown potential in suppressing inflammation-driven tumorigenesis. In this study, we evaluated the anticancer and anti-inflammatory activity of newly synthesized, structurally modified ibuprofen and nimesulide derivatives designed to modulate PLA₂–COX-2–NF-κB axis. Methods and Results Cytotoxicity was assessed in HER2-positive breast cancer cells (AU565 and SKBR3) and compared with normal dermal fibroblasts (HDF) and breast epithelial cells (MCF-12A), using WST-1 assays. Apoptosis, cell cycle distribution, caspase-3/7 activation, and ROS generation were analyzed by imaging-based assays, flow cytometry, and fluo rescence methods. Gene expression of PLA2G2A and PTGS2 was quantified by qRT-PCR, and NF-κB translocation was analyzed by immunocytochemistry. Two ibuprofen triazole derivative (D1) and ibuprofen thioether derivative (D7) and one nimesulide derivative (D8) significantly reduced cell viability in a dose-dependent manner without affecting normal cells. These derivatives induced G₀/G₁ arrest, caspase-3/7 activation, ROS reduction, and increased late apoptosis. Downregula tion of PLA2G2A and PTGS2 expression and inhibition of NF-κB translocation confirmed disruption of the PLA₂–COX-2– NF-κB cascade. Conclusion These findings demonstrate that structurally optimized ibuprofen and nimesulide derivatives exert dual anti inflammatory and anticancer effects in HER2-positive breast cancer by suppressing PLA₂–COX-2–NF-κB pathway and promoting apoptotic cell death.
Impression precision after hydrogen peroxide sterilization of scanner sleeves
(Springer Nature Link, 2026) Yılmaz, Berza; Arslan, Meriç; Kayasaroğlu, Damla Nur; Arslan, Elif Dilara; Sunal Aktürk, Ezgi
Introduction The iTero Element (Align Technologies, San Jose, CA, USA) is a widely used intraoral scanning device, and its protective sleeves for the scanning head are provided for single use. This condition puts the clinical management budget under financial strain and creates a disadvantage for managing environmental waste. The objective of our research was to assess how repeated sterilization of disposable scan head covers with hydrogen peroxide affected the precision of digital impressions. Methods Intraoral scans were carried out using the iTero Element 5D scanner on 26 patients. Hydrogen peroxide was used to sterilize the sleeves for 45min at 45 °C. The sterilization procedure was repeated between the second, third, and fourth intraoral scans. Each tooth was given a score based on the color change between the first and fourth scans, which were superimposed using the iTero TimeLapse technology. The OrthoCAD® software (Align Technologies) was also used to measure the intercanine, interpremolar, and intermolar distances, as well as the mesiodistal dimensions of all the teeth between the first molars. Results No statistically significant difference was found between the mesiodistal dimensions of the teeth and the interca nine, interpremolar, and intermolar distances between the 1st and 4th scans. There was no correlation between the mean differences of the mesiodistal dimensions of the teeth obtained with the 1st and 4th scans and TimeLapse scores. Conclusion After sterilization with hydrogen peroxide, the repeatability of digital measurements of the protective sleeves of the intraoral scanner was not adversely affected, and their clinical performance was maintained.
Ketamine induces apoptosis and inhibits proliferation in HT-29 colorectal cancer cells
(MDPI Publishing, 2026) Korkmaz, Irmak Fatoş; Elgün, Tuğba; Aktaş, Çiğdem; Gündeğer, Ersin; Gök Yurttaş, Asiye
Background: Colorectal cancer (CRC) is one of the most prevalent malignancies worldwide and remains a major health concern due to its high recurrence and mortality rates. Recent studies suggest that anesthetic agents, including ketamine, may have direct effects on cancer cell viability and apoptosis. Objective: This study aimed to investigate the in vitro effects of ketamine on the HT-29 human colorectal adenocarcinoma cell line, focusing on its cytotoxic and pro-apoptotic potential. Material and Methods: HT-29 cells were treated with ketamine for 24 h. Cell viability was evaluated using the MTT assay. Apoptosis rates were determined by flow cytometry with Annexin V-FITC/7-AAD staining. Furthermore, quantitative PCR (qPCR) was performed to assess the expression levels of key genes associated with proliferation and apoptosis. GeneQuery™ Human Basal Cell Carcinoma qPCR Array Kit (GQH-BCC-GK015-C) was used for qPCR analysıs. Molecular docking simulations were performed to investigate the potential molecular interactions between ketamine and three target proteins: the N-methyl-D-aspartate (NMDA) receptor, epidermal growth factor receptor (EGFR), and casein kinase 1 delta (CSNK1D). To ensure robustness of predictions, two independent docking methods were employed. Results: Ketamine significantly reduced cell viability in a dose-dependent manner, with an IC50 value of approximately 1.05 µM. Flow cytometry analysis demonstrated a marked increase in early apoptosis (23.9%) in treated cells. These findings suggest that ketamine exhibits potential anti-proliferative and pro-apoptotic effects on HT-29 colorectal cancer cells. Conclusions: These findings suggest that ketamine exhibits potential anti-proliferative and pro-apoptotic effects on HT-29 colorectal cancer cells in vitro. Further studies are warranted to elucidate the underlying molecular mechanisms and potential clinical implications.
Sustainable synthesis of ZnO nanoparticles from melon (cucumis melo l.) by-products: RSM optimization, structural characterization, antioxidant activity, and photocatalytic performance
(Wiley, 2026) Bozkurt, Rabia Nur; Kaba, İbrahim; Kahraman, Yusuf Sezai; Altınkeser, Tuğçe
This study explores the eco-friendly synthesis of zinc oxide nanoparticles (ZnO-NPs) using polyphenol-rich extracts from melon (Cucumis melo L.) peel and seeds as naturalreducing and stabilizing agents. Optimization via response surface methodology (RSM) determined the ideal synthesis conditions at a 0.078 mol/L metal concentration, 14.73 mL extract, and pH 10.77. Characterization through XRD confirmed a hexagonal wurtzite crystal structure with an average size of 21.7 nm, while SEM and TEM imaging revealed predominantly spherical morphologies. UV–visible DRS analysis showed a 368 nm absorption edge with a calculated band gap of 3.21 eV. DLS measurements indicated a hydrodynamic diameter of 135.6 nm with a PDI of 0.206 and a zeta potential of −20.5 mV, confirming good colloidal stability. The resulting NPs exhibited strong antioxidant activity (IC50 = 40.7 µg/mL) and acted as effective heterogeneous photocatalysts for the degradation of organic dyes. Specifically, ZnO-NPs enabled the photodegradation of methyl orange (MO) and methylene blue (MB), achieving 63.56% degradation for 5 mg L−1 MO. These findings demonstrate that melon-waste-derived ZnO-NPs are sustainable and promising candidates for wastewater treatment and environmental remediation.
Sun-macerated hypericum perforatum oleates in fixed oils: Analytical characterization and comparative wound-healing activity
(The Scientific and Technological Research Council of Türkiye (TÜBİTAK), 2026) Çapar, Cihan; Küpeli, Esra; Yaba, Aylin; Parmaksız, Ayhan; Sümer, Engin; Yeşilada, Erdem
Background/aim: Hypericum perforatum L. oleates prepared in fixed oils have long been used for wound management due to their antiinflammatory, antibacterial, and tissue-regenerative properties. The bioactivity of these oleates is mainly attributed to hypericin, hyperforin, and pseudohypericin. In the present study, the wound-healing potential of H. perforatum oleates prepared in different fixed oils, including Olea europaea L. (olive), Sesamum indicum L. (sesame), Helianthus annuus L. (sunflower), and Nigella sativa L. (black seed), is compared. Materials and methods: Fixed oils were characterized by gas chromatography–mass spectrometry, while oleuropein (olive oil) and thymoquinone (black seed oil) were quantified by high-performance liquid chromatography, and sesamin and sesamol (sesame oil) by spectrophotometry. Oleates were prepared using the traditional sun maceration method. Hypericin, hyperforin, and pseudohypericin were quantified by liquid chromatography–mass spectrometry and ultraviolet spectrophotometry. In vitro and in vivo assays were performed to assess the wound-healing activities of both the fixed oils and their respective oleates. Results: All oleates exhibited significantly greater wound-healing activity than the corresponding fixed oils. The most pronounced synergistic effects were observed with the olive oil and sesame oil oleates. Conclusion: Maceration of H. perforatum in fixed oils enhances the intrinsic therapeutic properties of oils and contributes to improvements in multiple wound-healing parameters. The findings of the present study support the traditional use of H. perforatum oleates and provide a scientific basis for their pharmacological development.
Preliminary effects of MBCT on coping, self-compassion, and empowerment in early-stage breast cancer
(Selcuk University Press, 2026) Savaş, Esra
Aim: The objective of the study was to evaluate the effects of a Mindfulness-Based Cognitive Therapy (MBCT) program on coping attitudes, self-compassion, and cancer-related empowerment among women diagnosed with early-stage breast cancer. Materials and Methods: Eighty women with stage 0–II breast cancer were assigned to either an intervention group (n = 40) or a control group (n = 40). The intervention group completed an eight-week group-based MBCT program, while the control group received a single three-hour informational seminar after the completion of the intervention group program. All participants completed the Coping Attitudes Scale, the Self-Compassion Scale–Short Form, and the Cancer Empowerment Scale from pre-to-post. Due to violations of normality assumptions, data were analyzed using Wilcoxon signed-rank tests and Mann–Whitney U tests. False discovery rate correction was applied to control for multiple comparisons. Results: Significant improvements were observed in coping attitudes, self-compassion, and empowerment levels within the intervention group (p < .05). Notably, the increase in self-compassion may be attributed to the gender- and culturally sensitive structure of the intervention delivered in the Turkish context. Compared with the control group, the intervention group showed sizable pre to post gains (CAS: 83.9→115.4; SCS SF: 19.9→39.8; CES: 154.4→160.8), while controls showed minimal change or decline (CAS: 84.3→80.9; SCS SF: 24.0→25.2; CES: 151.0→140.2); group differences favored MBCT at post test (FDR adjusted p’s ≤ .005). Conclusion: These findings suggest that mindfulness-based group interventions may serve as an effective psychosocial approach for supporting psychological well-being in female cancer patients. In addition to reducing psychological symptoms, the MBCT program enhanced coping flexibility and internal empowerment. These preliminary findings warrant consideration of culturally sensitive MBIs within oncology services; however, time matched randomized trials are required before making firm recommendations.
Traumatic fibroma of the gingiva in a child: 4-year follow-up
(Cumhuriyet University Faculty of Dentistry, 2025) Taşdemir, Tülin; Erbaş Ünverdi, Gizem; Çehreli, Zafer Cavit
This case report presents a 3-year-old boy referred to the Department of Pediatric Dentistry with a hyperplastic soft tissue lesion in the maxillary anterior region, present for six months. The lesion began as small and gradually enlarged without pain or bleeding, as reported by the parents. The lesion was treated with surgical excision under local anesthesia. Histopathological analysis confirmed a diagnosis of traumatic fibroma, a benign reactive lesion often associated with chronic irritation. Postoperative recovery was uneventful, but recurrence was observed at one year, presenting as small punctate lesions. Over a subsequent four-year follow-up, no further growth was noted. This case highlights the importance of accurate diagnosis and long-term monitoring of reactive oral lesions in pediatric patients, given their potential for recurrence.
Protective roles of gallic acid and lycopene against 4-nonylphenol induced testicular damage in SD rats
(SAGE Publications, 2026) Güleş, Özay; Kum, Şadiye; Naseer, Zahid; Boyacıoğlu, Murat; Özel Armutoğlu, Emine; Yıldız, Mustafa; Kırıkkulak, Murat; Doğan, Göksel; Bilici, Esra; Türkmen, Aybike; Tuna, Bilginer; Eren, Ülker
4-Nonylphenol (4-NP), an endocrine disruptor, is known to induce mutagenic, toxic, or carcinogenic effects, including testicular toxicity via inducing oxidative stress and apoptosis. The objective of this work was to determine the capacity of lycopene (LC) and gallic acid (GA) to protect testicular histological structure, biochemical responses, and semen parameters in rats exposed to 4-NP. In this 28-day dietary trial, six groups (n= 6 per group) received treatment via oral gavage: a control (corn oil, 2 mL/kg/day), LC (10 mg/kg body weight (BW)/day), GA (50 mg/kg BW/day), 4-NP (125 mg/kg BW/day), LC + 4-NP (LC followed by 4-NP), and GA + 4-NP (GA followed by 4-NP) groups. The results indicated that 4-NP administration adversely affects the final body weight, testicular histology, seminiferous epithelium heights (SEHs) (4-NP: 57.95 ± 0.49, p: 0.000), follicle-stimulating hormone (FSH) level, testis antioxidant capacity, testis malondialdehyde (MDA) level, and sperm viability and morphology. LC and GA supplementation significantly improved SEHs, activities of testis superoxide dismutase (SOD), catalase (CAT), and glutathione (GSH), and sperm viability compared to the 4-NP group. Moreover, LC and GA exposures decreased histopathological lesions, including germinal epithelial degeneration, vacuolization, immature germ cells in the tubular lumen, and congestion in the interstitial area. Furthermore, they lowered TUNEL-positive cell counts and tubule percentages, testicular MDA levels, and abnormal sperm percentages. To our knowledge, this study provides one of the first systematic comparisons of lycopene and gallic acid in protecting against 4-NP-induced testicular toxicity under identical experimental conditions. The findings suggest that both compounds preserve testicular structure and function through their antioxidant and anti-apoptotic properties.
Efficacy-oriented approach for medium-sized follicles: A perspective on stimulation, expectation, and triggering strategy in IVF cycles
(Wiley, 2026) Aydın, Gerçek; Ergin, Elif; Araç, Merve; Bülbül, Mehmet; Çalışkan, Eray; Hatırnaz, Şafak; Dahan, Michael; Malvasi, Antonio; Tinelli, Andrea
Objective: To assess the therapeutic significance of routinely aspirating mid-sized fol licles (14.0–16.9 mm) during oocyte pick-up (OPU) by looking at procedural efficiency and embryo usage in cycles with varied follicular cohorts. Methods: In vitro fertilization (IVF) cycles with follicles classified as large (≥17 mm) or mid-sized (14.0–16.9 mm) at the time of OPU were included in this prospective cohort. Each group's oocytes were extracted and treated independently while main taining rigorous traceability. Analysis was performed on embryologic results, opera tive time factors, and embryo transfer utilization across successive transfer attempts. Pregnancy outcomes and the length of the operation were investigated. Laboratory results pertaining to trigger strategies were assessed descriptively. Results: When measured per mature oocyte, oocytes from mid-sized follicles showed comparable fertilization and blastocyst development rates. However, only a small percentage of embryo transfers included embryos from mid-sized follicles, especially in the initial two transfer attempts. Large follicles had a longer total OPU duration, and cycles that resulted in miscarriage had significantly longer operative times among large-follicle-derived embryo transfers. For mid-sized follicles, there were no differ ences in the length of the procedure based on the pregnancy outcome. Conclusion: The contribution of mid-sized follicle-derived oocytes to embryo trans fer selection seems to be restricted in everyday practice, despite their reassuring laboratory competence. Procedural efficiency is a potentially significant factor in customized IVF care, as evidenced by the correlation between longer operating times and worse clinical outcomes. In certain clinical situations, a focused stimula tion and aspiration approach might be suitable without obviously jeopardizing cu mulative results.
A dual-drug nanocarrier strategy for ocular fungal infections: Micelles embedded in electrospun nanofibers
(MDPI Publishing, 2026) Uzel, Egemen; Durgun, Meltem Ezgi; Aydilek, Neriman; Hacıoğlu, Mayram; Güngör, Sevgi; Özsoy, Yıldız
Ocular fungal diseases are associated with severe infection and pain and, in advanced stages, can lead to vision loss. Current treatment options are limited to the topical ap plication of conventional drugs, and the bioavailability of these drugs is quite limited due to ocular barriers. In this study, a dual-drug nanodelivery system was developed to improve intraocular drug delivery by combining antifungal and anti-inflammatory therapies. Posaconazole (PSC), a broad-spectrum triazole antifungal agent, and dexke toprofen trometamol (DKP), a rapidly acting nonsteroidal anti-inflammatory drug, were co-loaded onto polymeric micelles and then incorporated into electrospun poly(vinyl alco hol)/poly(vinylpyrrolidone) (PVA/PVP) nanofiber intraocular implants. DSC, XRD, FTIR, and FESEM analyses showed that both APIs were successfully converted into nanofiber form without disrupting the micelle structure. Comparative studies with DKP solution and PSC commercial oral suspension (Noxafil® 40 mg/mL) showed that the produced micelle loaded nanofibers provided sustained release and significantly increased ex vivo ocular permeation and penetration. In vitro antifungal activity tests demonstrated efficacy against Candida albicans, and HET-CAM toxicity tests showed that the micelle-loaded nanofibers were non-irritating and suitable for ocular application. Overall, the micelle-loaded electro spun nanofiber ocular inserts developed in this study represent a promising platform for combined antifungal and anti-inflammatory ocular therapy.
A green electrochemical sensor based on molecular imprinting for etoposide detection in environmental matrices
(Elsevier, 2026) Al Faysal, Abdullah; Kaya, Beril Sena; Dorreh, Setareh; Erdoğan, Taner; Gölcü, Ayşegül
A semisynthetic form of podophyllotoxin, etoposide (ETO), is frequently used to manage multiple types of cancer, including lung, testicular, bladder, prostate, and gastric malignancies. Having been utilized in clinical settings for over twenty years, it is one of the most frequently prescribed anticancer agents globally. The primary cytotoxic mechanism of ETO involves the inhibition of topoisomerase II. In the present work, an innovative electrochemical detection platform utilizing MIP was successfully established to enable both highly selective and exceptionally sensitive determination of ETO in pharmaceutical injection forms and environmental specimens. An ETO-specific MIP sensor was fabricated through a photopolymerization process and immobilized onto a GCE, where AMPS served as the active monomer, and EGDMA functioned as the cross-linking agent. This study marks the first instance of a MIP-based electrochemical sensor designed explicitly for ETO identification. The AMPS ETO@MIP/GCE sensor was subjected to electrochemical and morphological assessments through FTIR, SEM, CV, and EIS. An indirect measurement approach was employed using a 5.0 mM potassium ferricyanide/ferro cyanide system to ascertain the analytical detection range from 1.0 to 10.0 pM. The sensor demonstrated excellent sensitivity, reproducibility, and selectivity, enabling effective discrimination of ETO from structurally similar compounds while retaining reliable performance in complex matrices such as soil and tap water. Results from validation experiments in pharmaceutical matrices indicated superior recovery, supporting the sensor's practical effectiveness and stability. To further investigate the experimental results and better understand the nature of template–monomer interactions, a series of DFT calculations was performed. Binding energies were evaluated for ETO–AMPS complexes across varying template-to-monomer ratios.
Predictors of re-biopsy in percutaneous musculoskeletal tumor biopsies: A single-center retrospective cohort study
(SAGE Publications, 2026) Yücesan, Ali; Arıkan, Yavuz; Doğukan, Fatih Mert; Mutlu, İlhan Nahit; Toy, Serdar; Atan, Tamer; Özer, Devrim
Purpose: This study aimed to evaluate the diagnostic success of percutaneous biopsies performed for suspected mus culoskeletal tumors and to identify clinical, anatomical, and procedural factors associated with the need for repeat biopsy (re-biopsy). The secondary objective was to assess the impact of multidisciplinary team (MDT) evaluation on reducing unnecessary re-biopsy procedures. Methods: A total of 565 patients (331 bone, 234 soft tissue lesions) who underwent percutaneous biopsy for suspected musculoskeletal tumors between 2020 and 2024 were retrospectively analyzed. Diagnostic success was defined as a biopsy yielding a definitive histopathological diagnosis sufficient to guide treatment planning without additional tissue sampling. Predictive factors including lesion size, depth, location, and performing specialty were evaluated using univariate and multivariate logistic regression analyses. Results: The initial diagnostic yield was 65.5%. Multivariate analysis revealed that lesion width <2 cm (OR = 2.01; 95% CI, 1.19–3.39; p = 0.009) and biopsy performed by an interventional radiologist (compared to an orthopedic surgeon) (OR = 5.25; 95% CI, 2.83–9.74; p < 0.001) were independent predictors of re-biopsy recommendation. Among 72 patients recommended for re-biopsy, MDT evaluation averted the need for a second procedure in 38 cases (52.8%). Conclusion: Smaller lesion size (<2 cm) and the medical specialty performing the biopsy were independent predictors of re-biopsy recommendation, with the latter likely reflecting systematic differences in case complexity and procedural environment rather than operator skill. Structured MDT evaluation significantly reduced unnecessary repeat procedures.
Thermoresponsive sol–gel system incorporating oleuropein-rich olive leaf extract for enhanced wound healing and antibiofilm activity
(MDPI Publishing, 2026) Alparslan, Levent; Özdemir, Samet; Karacan, Burak; Torkay, Gülşah; Bal Öztürk, Ayça; Tutar, Ömer Faruk; Özcan Bülbül, Ece; Sardaş, Semra; Kala, Zübeyde Merve; Özalp, Yıldız
Oleuropein, the principal secoiridoid phenolic compound of olive leaves (Olea europaea L.), is recognized for its broad-spectrum antimicrobial, antibiofilm, antioxidant, and tissue regenerative properties. However, its effective local therapeutic application remains chal lenging due to rapid clearance from the site of administration and limited residence time. In this study, an oleuropein-rich aqueous olive leaf extract was incorporated into a ther moresponsive sol–gel delivery system designed for localized application. The formulation was engineered to remain in a low-viscosity sol state at room temperature and to undergo a temperature-triggered sol-to-gel transition near physiological temperature (~33 ◦C), en abling in situ gel formation. Oleuropein content was quantified using a validated HPLC method, and the formulation was characterized with respect to physicochemical parame ters, thermoreversible gelation behavior, particle size distribution, mechanical properties, and spreadability. Biological performance was evaluated through in vitro cytocompati bility (MTT assay), fibroblast migration (scratch assay), and collagen deposition (Sirius Red staining) in L929 fibroblasts, as well as antibiofilm activity against representative Gram-positive and Gram-negative bacterial strains. The developed sol–gel system demon strated stable physicochemical characteristics, rapid and reversible thermogelation, suitable mechanical and spreading properties, concentration-dependent inhibition of biofilm for mation, and acceptable cytocompatibility within the tested concentration range. Notably, the formulation supported fibroblast viability and collagen-associated responses at opti mized concentrations. Overall, the results indicate that the proposed thermoresponsive sol–gel formulation represents a promising strategy for the localized delivery of oleuropein rich olive leaf extract, combining physicochemical stability with dual wound-healing and antibiofilm functionality.
Development of biodegradable alginate films with aloe vera and quince seed mucilage: Physical, chemical, and biological properties
(Elsevier, 2026) Keke, Zeynep Serra; Temizkan Özdamar, Kevser; Alanalp, Mine Begüm; Altıner Kurt, Eda
In this study, novel biodegradable hydrogel films derived from quince seed mucilage and Aloe vera gel were developed and evaluated for their physical, chemical, and biological properties. Four film formulations prepared by solvent casting were characterized for swelling capacity (2.61–11.95 g), solubility (61.70–99.15%), thermal stability (TGA/DTG), chemical structure (FT-IR), surface morphology (SEM), optical properties (UV–Vis), me chanical performance (tensile strength ranging from 7.4 to 12.7 MPa), antibacterial activity, antioxidant ca pacity, and biodegradability. Quince seed mucilage enhanced the mechanical strength and thermal stability of the films due to its high-viscosity polysaccharide structure. In contrast, Aloe vera gel significantly increased the films' biological activity, particularly their antioxidant potential. Films with higher quince seed content exhibited greater structural stability, whereas Aloe vera–rich films showed increased short-term bioactivity and stronger antioxidant performance. Overall, the results indicate that hydrogel films produced from environmentally friendly and sustainable natural components can serve as functional, biologically active, and promising alter native packaging materials.
Effectiveness of fissure sealants following different silver fluoride application protocols in MIH-affected molars: Randomized clinical study
(Springer Nature Link, 2026) Çayıroğlu, Nagihan; Ballıkaya, Elif; Erbaş Ünverdi, Gizem; Çehreli, Zafer Cavit
Objectives To compare the clinical efficacy of glass ionomer sealants (GIS) and resin-based sealants (RBS) applied imme diately or one week after silver fluoride (SF) application to permanent molars affected by molar incisor hypomineralization (MIH) in children at high risk for caries. Methods A total of 216 MIH-affected molars (ICDAS 1–2) from 102 children aged 6–14 years were randomly allocated to six groups: Resin- or glass ionomer–based fissure sealants were placed either one week after the application of silver fluoride or during the same clinical session. In the same-visit protocols, sealants were applied immediately after silver fluoride treatment, either following gentle blot drying with cotton or after immediate rinsing. Hypersensitivity, caries progression, and sealant retention were assessed at 1, 6, and 12 months. Hypersensitivity was evaluated using the Schiff Cold Sensitivity Scale (SCASS). Sealant performance was analyzed using modified USPHS criteria. Statistical analyses included Fisher’s Exact Test and the Friedman test. Results Full retention was achieved in all resin-based sealant groups, while the lowest retention rate (88.9%) was recorded in the glass ionomer sealant group applied one week after silver fluoride. Caries occurred in 2.8% of teeth and was confined to three groups: glass ionomer sealants placed one week after silver fluoride, resin-based sealants applied immediately following blot drying, and glass ionomer sealants applied immediately after rinsing. All other groups showed complete clinical success. No statistically significant differences were found among groups regarding caries prevention (p=1.000) or sealant retention (p=0.062). Hypersensitivity decreased significantly over time in all groups. Conclusion Resin-based and glass ionomer fissure sealants placed either one week after silver fluoride application or immediately following treatment, using rinsing or blot-drying protocols, showed similar outcomes over a 12-month follow-up period in terms of caries prevention and reduction of hypersensitivity. Nonetheless, within the limitations of this study, sealants placed immediately following silver fluoride application demonstrated a greater frequency of discoloration. Clinical significance Both glass ionomer and resin-based fissure sealants can be successfully applied either immediately or one week following silver fluoride treatment to provide protection for MIH-affected permanent molars. Clinical trials registration number NCT06641011.
Functional and surgical outcomes of ventral mesh rectopexy in male patients with rectal prolapse: A nationwide multicenter retrospective cohort study by the pelvic floor working group of the Turkish society of colon and rectal surgery (TSCRS)
(Springer Nature Link, 2026) Gültekin, Fatma Ayça; Balcı, Bengi; Kuzeyli Yıldırım, Yasemin; Arslan, Çiǧdem; Yaşar, Necdet Fatih; Bisgin, Tayfun; Bayraktar, Adem; Zenger, Serkan; Şengül, Neriman; Bulut, Türker Mehmet
Background The indications and outcomes of ventral mesh rectopexy (VMR) in the treatment of rectal prolapse in males have been minimally addressed in the literature. This study aimed to evaluate the demographics, clinical characteristics, and surgical outcomes associated with VMR in male patients. Methods This nationwide retrospective cohort study included male patients who underwent VMR at centers performing pelvic floor surgery across Turkey. Clinical and surgical characteristics were obtained, and functional outcomes were evalu ated using Cleveland Clinic Incontinence score (CCIS) and Altomare Obstructed Defecation Syndrome (ODS) scores at the pre- and postoperative periods. Results Forty-one male patients (mean age, 45.4 years; mean BMI, 25.6 kg/m2 ) underwent VMR (2 open, 5 robotic, and 34 laparoscopic). The cohort comprised 11 patients with internal rectal prolapse (IRP) and 30 with external rectal prolapse (ERP). The overall complication rate was 17.1% (2.4% related to mesh), with a 12% recurrence rate. The median follow-up was 33 (6–127) months. The recurrence rate was 36.4% for IRP patients and 3.3% for ERP patients (p=0.014). Significant improvements were observed in the CCIS (preoperative: 6.1±4.8; postoperative: 2.8±3.3, p=0.005) and Altomare ODS (preoperative: 11.9±4.6; postoperative: 7.26±5.8, p<0.001). Conclusions In this nationwide retrospective cohort study, VMR was associated with favorable functional outcomes in males. Recurrence rates were significantly higher in those with internal rectal prolapse. As sexual function was not systematically assessed, prospective studies with standardized patient-reported outcomes are warranted.
Safety, feasibility and indications of transabdominal oocyte pick-up: Initial experience
(World Scientific, 2026) Turan, Volkan; Öktem, Özgür
Although the transvaginal route is the preferred method for the oocyte retrieval procedure, the transabdominal (TA) route may be preferred in certain conditions. In this opinion we presented our experience with TA oocyte pick-up in 101 patients across several different indications and assessed the safety of the procedure.
Evaluation of changes in oral and dental health and deleterious oral habits after adenoidectomy or adenotonsillectomy in children
(Korean Association of Orthodontists, 2026) Arat Maden, Eda; Yoğurucu Değerli, Gizem; Kurt Dizdar, Senem; Turgut, Suat
Objective: This study aimed to evaluate changes in oral health status and related oral habits in children undergoing adenoidectomy or adenotonsillectomy, focusing on dental indices and mouth breathing-associated symptoms. Methods: This prospective observational study included 52 children (mean age: 7.4 ± 2.1 years) who underwent adenoidectomy or adenotonsillectomy. Clinical evaluations included decayed, missing, and filled teeth for primary dentition/ decayed, missing, and filled teeth for permanent dentition (dmft/DMFT) scores, plaque index (Silness and Löe), gingival index (Löe and Silness), and unstimulated salivary flow rate. Parents completed structured questionnaires assessing their children’s medical and dental history, oral health-related behaviors, and symptoms. Oral health-related quality of life was evaluated using the Early Childhood Oral Health Impact Scale. Results: Statistically significant improvements were found in salivary flow rate (from 0.43 ± 0.21 mL/min to 0.75 ± 0.19 mL/min), plaque index (1.58 ± 0.48 to 1.06 ± 0.33), and gingival index (1.28 ± 0.55 to 0.70 ± 0.39) (all P = 0.001). Several mouth breathing related symptoms, such as snoring, dry mouth, daytime sleepiness, and halitosis, also showed a significant postoperative reduction (P < 0.05). Conclusions: Adenoidectomy or adenotonsillectomy significantly improved periodontal parameters and reduced mouth breathing-associated symptoms in children. These findings highlight the importance of interdisciplinary management involving otolaryngologists, pediatric dentists, and orthodontists.

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