İstanbul Sağlık ve Teknoloji Üniversitesi Kurumsal Akademik Arşivi
DSpace@İSTÜN, Üniversite mensupları tarafından doğrudan ve dolaylı olarak yayınlanan; kitap, makale, tez, bildiri, rapor, araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar, Üniversitenin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve telif haklarına uygun olarak Açık Erişime sunar.
Güncel Gönderiler
Evaluation of muscle oxygenation by functional near-infrared spectroscopy in patients with myasthenia gravis during rest and exercise
(Turkish Neuropsychiatric Society, 2026) Coşkun Semiz, Ebru; Alökten, Merve; Karakulak, Ece Zeynep; Aysal, Fikret; Hanoğlu, Lütfü
Introduction: Myasthenia gravis (MG) is an autoimmune disease that is caused by autoantibodies targeting the neuromuscular junction. A few studies in the literature show that MG may negatively affect muscle metabolism. However, no current study investigates MG pathophysiology’s effect on muscle oxygenation. In this study, we aimed to investigate the difference in muscle oxygenation in MG disease and to evaluate its clinical Pathophysiological implications. Methods: 19 MG patients and 19 age, gender and body mass index (BMI) matched healthy controls participated in the study. Functional near-infrared spectroscopy (fNIRS) recordings were recorded from six channels over the biceps brachii muscles during the rhythmic elbow flexion-extension task. Results: It was observed that oxygenated-hemoglobin (HbO) (p = 0.008) and total hemoglobin (HbT) (p = 0.017) values during exercise were significantly lower in MG patients in the motor point of the biceps brachii muscle. In addition, at rest, deoxygenated-hemoglobin (HbR) levels were significantly lower in patients (p<0.05) in the motor point and the lateral region of the biceps brachii muscles. Additionally, a difference is observed in fNIRS values between the moderate-severe MG group and healthy controls. Also, a negative correlation was observed between exercise-state HbO and rest-state HbR values and disease severity (p<0.05). Conclusion: MG patients show deterioration in muscle oxygenation values during exercise and rest. Oxygenation values show significant differences in disease severity and negatively correlate with disease severity. Based on these findings, MG disease may affect muscle oxygenation and can be monitored by fNIRS.
Sharps injuries among nursing staff: A qualitative study
(SAGE Publications, 2026) Aydoğdu, Ana Luiza Ferreira
Background: Injuries involving members of the nursing team are not uncommon, with sharps-related incidents being among the most frequent. Previous studies have focused on quantitative outcomes or on healthcare professionals in general, leaving a gap in understanding the subjective experiences and perspectives of nursing staff. This study aimed to explore the opinions and experiences of nursing staff regarding sharps injuries, with the goal of identifying contributing factors, gaps in current prevention strategies, and opportunities to improve occupational safety and injury-prevention practices within healthcare settings. Methods: This qualitative study used a descriptive phenomenological approach and included 38 nursing staff from various regions of Brazil. Participants responded to open-ended online questions between July 26 and September 11, 2025. Findings: Themes emerged: (1) the moment when the injuries occur, (2) factors that trigger the injuries, (3) the period following the injuries, and (4) strategies adopted to prevent new injuries. Twelve subthemes were identified.Conclusions/Applications to Practice:The study addresses a highly relevant issue in healthcare, as nursing staff need to prioritize their own health while caring for others. Although it does not present findings different from previous research regarding the occurrence of such injuries, its importance may lie precisely in highlighting results that remain unchanged. The study also shows that nurses often internalize blame for occupational injuries, viewing them as personal failures rather than system issues. It highlights the need for rigorous monitoring, ongoing training, consistent safety materials, and encouragement of incident reporting to strengthen collective safety and promote a positive safety culture.
Effect of agricultural waste-derived biomethanol use on the performance and emission characteristics of a diesel engine
(Pen Academic Publishing Journals, 2026) Tunçer, Erdal
This study investigates the effects of wheat straw-derived biomethanol–diesel blends on the performance and emission characteristics of a diesel engine. Four fuel blends were tested: pure diesel (D100) and biomethanol blends at volumetric ratios of 5%, 10%, and 15% (B5, B10, B15). Experiments were conducted on a single-cylinder diesel engine under four load conditions (25%, 50%, 75%, and 100%). The results show that although the lower heating value of biomethanol increased specific fuel consumption (from 308 g/kWh to 346 g/kWh at full load), its high oxygen content and latent heat of vaporization significantly improved key emission parameters. Under full load, the B15 blend reduced exhaust gas temperature by 29 °C, soot emissions by 25%, and CO emissions by approximately 21% compared to D100. Conversely, nitrogen oxide (NOx) emissions increased from 2165 ppm to 2420 ppm, attributed to the ignition delay characteristics of biomethanol. Overall, blending biomethanol with diesel is an effective strategy for reducing soot and CO emissions; however, further optimization is required to address the trade-off between NOx emissions and fuel consumption.
Boric acid mitigates alcohol-induced renal podocyte injury, apoptosis, and oxidative stress in HBV transgenic mice
(MDPI Publishing, 2026) Şevgin, Kübra; Ergüven, Pelin; Tanrıkulu Küçük, Sevda; Değirmencioğlu, Sevgin; Çetinalp, Pınar; Aksu, Soner; Gün Atak, Palmet; Söğüt, İbrahim
Chronic alcohol consumption exacerbates kidney injury, particularly in individuals with hepatitis B virus (HBV) infection. This study investigated the protective effects of boric acid supplementation against alcohol-induced renal damage in HBV transgenic mice. HBV transgenic mice were divided into four groups: control (C), boric acid (B), alcohol (A), and alcohol + boric acid (A + B). Renal injury was evaluated using H&E, PAS, TUNEL, and desmin staining. The expression of caspase-3, cytochrome c, and APAF-1 was analyzed by qRT-PCR. Biochemical analyses included BUN, creatinine, oxidative stress markers (ROS, MDA, TOS, OSI), total antioxidant status, and antioxidant enzyme activities (SOD, CAT, GPx). Histopathological findings showed activated parietal epithelial cells in all groups, indicating renal injury. Alcohol significantly increased tubular damage, podocyte desmin expression, apoptosis, cytochrome c and APAF-1 mRNA levels, and oxidative stress markers, while reducing antioxidant enzyme activities and BUN levels compared with controls. Boric acid supplementation significantly mitigated alcohol-induced tubular injury, apoptosis, oxidative stress, and serum creatinine levels, and improved BUN values. Boric acid treatment alone also alleviated glomerular and tubular injury and reduced tubular apoptosis compared with HBV control mice. Overall, boric acid exerts renoprotective effects in HBV-transgenic mice subjected to chronic alcohol exposure by inhibiting oxidative stress, apoptosis, and podocyte injury.
Beyond organ-specific therapies: A unified approach to multi-organ fibrosis
(Dove Medical Press Ltd, 2026) Pan, Ziyan; Zerehpoosh, Shadi; Wang, Shu-Chi; Örmeci, Necati; Kim, Won; Eslam, Mohammed
Organ fibrosis, characterized by excessive scarring of tissues in the liver, kidney, lung, and heart, poses a significant and growing global health challenge, resulting in considerable morbidity and mortality, with a lack of effective treatment options. Most research and drug development efforts have traditionally focused on individual organs in isolation. This review aims to provide a comprehensive perspective on multi-organ fibrosis, highlighting recent advances that clarify the complex cellular and molecular mechanisms involved in the liver, kidney, lung, and heart. It examines both common and organ-specific factors that drive fibrogenesis. Additionally, the review discusses the current and future landscape of antifibrotic therapies, including innovative approaches to developing pan-organ antifibrotic drugs. Challenges and future directions in the design of clinical trials are also addressed.
