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Showing papers by "Dicle University published in 2012"


Journal ArticleDOI
TL;DR: Two improved harmony search algorithms called efficient harmony search algorithm (EHS) and self adaptive harmonySearch algorithm (SAHS) are proposed for sizing optimization of truss structures and are compared with those of HS algorithm and other meta-heuristic algorithms recently developed in literature.

223 citations


Journal ArticleDOI
TL;DR: In this article, a review examines recent innovations in cultivation technology for the major food legumes (chickpea, lentil, dry pea, faba bean, lupin, common bean, mung bean, black gram, cowpea and pigeonpea) and explores constraints to their adoption, particularly by resource-poor smallholder farmers.
Abstract: Although there is increasing awareness of the importance of food legumes in human, animal and soil health, adoption of improved production technologies for food legume crops is not proceeding at the same pace as for cereal crops. Over the previous decade, the only food legumes to have shown significant production increases have been chickpea, lentil and faba bean in North America, chickpea in Australia, and faba bean in Europe. In smallholder farming in developing countries, production trends have mostly been static or have declined over the past decade despite the existence of technology that should permit higher and more stable yields. Ability to reverse negative trends is jeopardized by climate change as food legumes are mostly grown rainfed and are being exposed to increasingly variable and extreme weather. This review examines recent innovations in cultivation technology for the major food legumes—chickpea, lentil, dry pea, faba bean, lupin, common bean, mung bean, black gram, cowpea, and pigeonpea—and explores constraints to their adoption, particularly by resource-poor smallholder farmers. Conservation agriculture, involving minimum soil disturbance, maximum soil cover, and diverse rotations, has contributed to sustainable cropping system production in large-scale commercial farming systems in the Americas, Europe, Australia, and Turkey. Temperate food legumes have been incorporated into such systems. Adoption of conservation agriculture is only just beginning for smallholder farming in Asia and Africa, catalyzed by the development of low-cost implements suitable for minimum tillage. Water use efficiency improves with conservation agriculture as it allows for earlier planting, reduced soil evaporation, better weed management, and increased access to nutrients. Ecosystem-based approaches to plant nutrition are evolving which place more reliance on accessing organic and mineral reservoirs than in replenishing the immediately available pool with chemical fertilizers, leading to enhanced nutrient use efficiency of cropping systems. Ecosystem-based approaches are also being applied to management of weeds, diseases, and insect pests of food legumes, again with decreased reliance on synthetic chemicals. In achieving sustainable agricultural production systems, there is increasing realization of the need to move towards the tenets of organic agriculture, as exemplified in conservation agriculture and ecosystem-based approaches to plant nutrition and pest management. This does not necessarily imply a desire to qualify for organic product certification but more a realization of the need for sustainable agriculture. The movement towards conservation and organic agriculture encourages greater inclusion of food legumes, and legumes generally, in cropping systems. Unfortunately, however, technology transfer to resource-poor farming situations, where most food legumes are produced, remains a major bottleneck to meeting global demand. More participatory approaches to technology development, testing, and dissemination are required than hitherto practiced. It is suggested that this process could be enhanced by better focusing on major constraints within the value addition chain for food legumes.

164 citations


Journal ArticleDOI
TL;DR: It was indicated that the Class II group had a greater prevalence of fenestration than the other groups (P < .001), and no difference was found in the prevalence of dehiscence among the three groups.
Abstract: Objective: To test the null hypothesis that the presence of dehiscence and fenestration was not different among patients with skeletal Class I, II, and III malocclusions. Materials and Methods: In this retrospective study, a total of 123 cone-beam computed tomography (CBCT) images were obtained with an iCAT scanner (Imaging Sciences International, Hatfield, Pa). Patients with normal vertical patterns were classified according to dental malocclusion and ANB angle. Class I comprised 41 patients—21 girls and 20 boys (mean age, 22.4 ± 4.5 years); Class II comprised 42 patients—22 girls and 20 boys (mean age, 21.5 ± 4.2 years); and Class III comprised 40 subjects—22 girls and 18 boys (mean age, 22.1 ± 4.5 years). A total of 3444 teeth were evaluated. Analysis of variance and Tukey's test were used for statistical comparisons at the P < .05 level. Results: Statistical analysis indicated that the Class II group had a greater prevalence of fenestration than the other groups (P < .001). No difference was ...

125 citations


Journal ArticleDOI
TL;DR: Although surgical drainage remains the main method of treating deep neck abscesses, conservative medical treatment are effective in selective cases.

125 citations


Journal ArticleDOI
TL;DR: The results of the present study suggested that ellagic acid exhibits neuroprotective effects against oxidative damage in diabetic rats.
Abstract: The aim of this study was to investigate the possible effects of ellagic acid in brain and sciatic nerve tissues of diabetic rats. Also, the impact of ellagic acid on catalase and paraoxonase (PON-1) activities, total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index (OSI), malondialdehyde (MDA) and nitric oxide (NO) were examined. The rats were randomly divided into four groups, with eight rats each: Normal controls (not diabetic), only ellagic acid treated (ellagic acid controls, not diabetic), Diabetic controls (streptozotocin, diabetic), ellagic acid-treated diabetic (streptozotocin + ellagic acid). After a 4 week experiment, rats were sacrificed, and biomarkers for oxidative stress in the brain and sciatic nerve tissues of the rats were measured. There was significant depletion in the PON-1, catalase, and TAS levels in the brain and sciatic nerve tissues compared to the control groups (for both parameters, p < 0.05). The values of catalase, PON-1 and TAS reversed back to normal levels in ellagic acid-treated diabetic rats compared to untreated diabetic rats (for both parameters, p < 0.05). The levels of MDA, TOS, NO and, OSI in the brain and sciatic nerve tissues were higher in untreated diabetic rats compared to control group (for both parameters p < 0.05). However, MDA, TOS, OSI, and NO levels were found to be significantly reduced in the ellagic acid-treated diabetic group compared to the untreated diabetic group in these tissues (for both parameters, p < 0.05). In conclusion, the results of the present study suggested that ellagic acid exhibits neuroprotective effects against oxidative damage in diabetic rats.

115 citations


Journal ArticleDOI
TL;DR: There is a meaningful difference between experimental and control groups’ achievement in trigonometry, and this difference is in favor of the experimental group which had lessons with GeoGebra.

113 citations


Journal ArticleDOI
TL;DR: Following RME treatment, significant rootVolume loss was observed for all investigated posterior teeth, however, the percentage of volume loss was not statistically different among roots.
Abstract: Objective: To evaluate the root resorption after rapid maxillary expansion (RME) via cone-beam computed tomography (CBCT). Materials and Methods: Records of 25 patients who had undergone RME with tooth-borne banded expander were obtained from the archive of the orthodontic department. CBCT data were reconstructed with surface and volume rendering, and the volumetric images were manipulated to display the root surfaces from various orientations. On these three-dimensional images, permanent first molars and first and second premolars were segmented, and their roots were isolated. Volumes of roots were calculated. The difference between pre-expansion and postexpansion root volumes was statistically evaluated with a paired-samples t-test. Also, the percentage of root volume loss was calculated for each root and statistically compared with each other with one-way analysis of variance at the P < .05 level. Results: The difference between the pre-expansion and postexpansion root volumes was statisticall...

103 citations


Journal ArticleDOI
TL;DR: Although the initial PGF pulse induced mRNA for many pathways, the second and later pulses of PGF appear to have set the distinct pattern of gene expression that result in luteolysis.
Abstract: Natural luteolysis involves multiple pulses of prostaglandin F2alpha (PGF) released by the nonpregnant uterus. This study investigated expression of 18 genes from five distinct pathways, following multiple low-dose pulses of PGF. Cows on Day 9 of the estrous cycle received four intrauterine infusions of 0.25 ml of phosphate-buffered saline (PBS) or PGF (0.5 mg of PGF in 0.25 ml of PBS) at 6-h intervals. A luteal biopsy sample was collected 30 min after each PBS or PGF infusion. There were four treatment groups: Control (n = 5; 4 PBS infusions), 4XPGF (4 PGF infusions; n = 5), 2XPGF-non-regressed (2 PGF infusions; n = 5; PGF-PBS-PGF-PBS; no regression after treatments), and 2XPGF-regressed (PGF-PBS-PGF-PBS; regression after treatments; n = 5). As expected, the first PGF pulse increased mRNA for the immediate early genes JUN, FOS, NR4A1, and EGR1 but unexpectedly also increased mRNA for steroidogenic (STAR) and angiogenic (VEGFA) pathways. The second PGF pulse induced immediate early genes and genes related to immune system activation (IL1B, FAS, FASLG, IL8). However, mRNA for VEGFA and STAR were decreased by the second PGF infusion. After the third and fourth PGF pulses, a distinctly luteolytic pattern of gene expression was evident, with inhibition of steroidogenic and angiogenic pathways, whereas, there was induction of pathways for immune system activation and production of PGF. The pattern of PGF-induced gene expression was similar in corpus luteum not destined for luteolysis (2X-non-regressed) after the first PGF pulse but was very distinct after the second PGF pulse. Thus, although the initial PGF pulse induced mRNA for many pathways, the second and later pulses of PGF appear to have set the distinct pattern of gene expression that result in luteolysis.

95 citations


Journal ArticleDOI
TL;DR: The results of the present study suggest that supplemental resveratrol reduces oxidative stress in heat-stressed quails through modulating the hepatic heat shock proteins and nuclear transcription factors.
Abstract: In the present study, the effects of dietary resveratrol on the induction of heat shock proteins, transcription factors and antioxidative enzyme system in liver of quails under heat stress were investigated. A total of 180 (55-day-old) female Japanese quails (Coturnix coturnix japonica) were reared either at 22 °C for 24 h/day (thermoneutral, TN) or 34 °C for 8 h/day (heat stress, HS; 09:00-17:00 hours) for 12 weeks. Birds in both environments were randomly fed one of three diets: basal diet and basal diet added with either 200 or 400 mg of resveratrol per kg of diet. The results showed that exposure to high ambient temperature induced decreases in feed intake, egg production, and hepatic superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GSH-Px) activities but increases in hepatic malondialdehyde (MDA) concentrations (p < 0.001). Liver Hsp70, Hsp90 and NF-κB expression was greater while Nrf2 expression was lower for quails reared under the heat stress than for those reared under the TN environment (p < 0.0001). There were linear increases in feed intake, egg production, hepatic SOD, CAT, and GSH-Px activities as well as Nrf2 expression, but linear decreases in hepatic MDA concentrations and Hsp70, Hsp90, and NF-κB expressions with increasing supplemental resveratrol level (p < 0.0001). Two-way treatment interactions revealed that the degree of restorations in all response variables was more notable under the high ambient temperature than that of the TN environment as dietary resveratrol concentration was increased. The results of the present study suggest that supplemental resveratrol reduces oxidative stress in heat-stressed quails through modulating the hepatic heat shock proteins and nuclear transcription factors.

93 citations


Journal ArticleDOI
TL;DR: Although the prevalence of fenestrations was not different, significant differences for dehiscences were found in patients with different vertical growth patterns.
Abstract: Objective: To test the null hypothesis that the presence of alveolar defects (dehiscence and fenestration) was not different among patients with different vertical growth patterns. Materials and Methods: A total of 1872 teeth in 26 hyper-divergent (mean age: 24.4 ± 4.8 years), 27 hypo-divergent (mean age: 25.1 ± 4.5 years), and 25 normo-divergent (mean age: 23.6 ± 4.1 years) patients with no previous orthodontic treatment were evaluated using cone-beam computed tomography. Axial and cross-sectional views were evaluated with regard to whether dehiscence and/or fenestration on buccal and lingual surfaces existed or not. For statistical analysis, the Pearson chi-square test was used at a P < .05 significance level. Results: According to the statistical analysis, the hypo-divergent group (6.56%) had lower dehiscence prevalence than the hyper-divergent (8.35%) and normo-divergent (8.18%) groups (P = .004). Higher prevalences of dehiscence and fenestration were found on buccal sides in all vertical g...

85 citations


Journal ArticleDOI
TL;DR: Identification of specific microRNAs expressed in spermatozoa of bulls with different fertility phenotypes will help better understand mammalian gametogenesis and early development.
Abstract: MicroRNAs are small non-coding RNAs that regulate gene expression and thus play important roles in mammalian development. However, the comprehensive lists of microRNAs, as well as, molecular mechanisms by which microRNAs regulate gene expression during gamete and embryo development are poorly defined. The objectives of this study were to determine microRNAs in bull sperm and predict their functions. To accomplish our objectives we isolated miRNAs from sperm of high and low fertility bulls, conducted microRNA microarray experiments and validated expression of a panel of microRNAs using real time RT-PCR. Bioinformatic approaches were carried out to identify regulated targets. We demonstrated that an abundance of microRNAs were present in bovine spermatozoa, however, only seven were differentially expressed; hsa-aga-3155, -8197, -6727, -11796, -14189, -6125, -13659. The abundance of miRNAs in the spermatozoa and the differential expression in sperm from high vs. low fertility bulls suggests that the miRNAs possibly play important functions in the regulating mechanisms of bovine spermatozoa. Identification of specific microRNAs expressed in spermatozoa of bulls with different fertility phenotypes will help better understand mammalian gametogenesis and early development.

Journal ArticleDOI
TL;DR: Postoperative complication rate is higher in the Limberg flap method than primary closure method and the risk of recurrence is related to family tendency, sinus number, cavity diameter and anesthesia type and is also higher in primary closure.
Abstract: The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disea...

Journal ArticleDOI
TL;DR: Beta amyloid protein, protein carbonyl, and malondialdehyde levels were found to be higher in the brain of rats exposed to 900 MHz radiofrequency radiation, suggesting that 900 MHz radiation emitted from mobile/cellular phones can be an agent to alter some biomolecules such as protein.
Abstract: Recently, many studies have been carried out in relation to 900 MHz radiofrequency radiation (RF) emitted from a mobile phone on the brain. However, there is little data concerning possible mechani...

Journal ArticleDOI
TL;DR: Familiarity with the multimodality imaging features of fascioliasis, in combination with an available confirmatory enzyme-linked immunoassay, would be most helpful for early diagnosis.
Abstract: Fascioliasis refers to a zoonosis caused by Fasciola hepatica, a trematode infecting herbivores, but also occurs in humans who ingest the metacercaria found in fresh water plants. Infection in humans is common in developing countries and is also not uncommon in Europe. Diagnosis of this infection is difficult, as the history and symptoms are nonspecific and stool analysis for eggs is negative until the disease is in an advanced state by when the parasite has reached the biliary system. The clinical course consists of two phases; first a hepatic parenchymal phase in which immature larvae invade the liver parenchyma, followed by a ductal phase characterized by the excretion of larvae into the bile ducts. Parenchymal Phase: Ultrasonography (US) findings are nonspecific in this early phase. Computerized tomography (CT) may demonstrate subcapsular low attenuation regions in the liver. Magnetic Resonance imaging (MRI) can also be utilized to establish liver parenchymal involvement, and is better than CT in characterizing hemorrhagic lesions, as well as identifying more lesions relative to CT. Ductal Phase: US examination is most useful at this stage, with its ability to demonstrate the live movement of the worms within the dilated ducts. A CT demonstrates dilated central biliary ducts with periportal tracking, whereas, mild ductal dilatation is poorly appreciated under MRI. Therefore, familiarity with the multimodality imaging features of fascioliasis, in combination with an available confirmatory enzyme-linked immunoassay, would be most helpful for early diagnosis.

Journal ArticleDOI
TL;DR: The conclusion was that gliclazide and beta glucan have antioxidant effects on the brain and sciatic nerve of the streptozotocin-induced diabetic rat.
Abstract: There have not been yet enough studies about effects of beta glucan and gliclazide on oxidative stress created by streptozotocin in the brain and sciatic nerve of diabetic rats. The aim of this paper was to investigate the antioxidant effects of gliclazide and beta glucan on oxidative stress and lipid peroxidation created by streptozotosin in brain and sciatic nerve. Total of 42 rats were divided into 6 groups including control, diabetic untreated (DM) (only STZ, diabetic), STZ (DM) + beta glucan, STZ (DM) + gliclazide, only beta glucan treated (no diabetic), and only gliclazide treated (no diabetic). The brain and sciatic nerve tissue samples were analyzed for malondialdehyde (MDA), total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), and paraoxonase (PON-1) levels. We found a significant increase in MDA, TOS, and OSI along with a reduction in TAS level, catalase, and PON-1 activities in brain and sciatic nerve of streptozotocin-induced diabetic rats. Also, this study shows that in terms of these parameters both gliclazide and beta glucan have a neuroprotective effect on the brain and sciatic nerve of the streptozotocin-induced diabetic rat. Our conclusion was that gliclazide and beta glucan have antioxidant effects on the brain and sciatic nerve of the streptozotocin-induced diabetic rat.

Journal ArticleDOI
TL;DR: Anatomy of the oropharyngeal cavity in the raven and magpie, which are the member of the same family, Corvidae, showed little differences and overall their oral morphological features were excessively similar.
Abstract: There is no descriptive information about morphology of the oropharyngeal cavity including tongue, palate, and laryngeal region in Corvidae family. This study not only presents the first definitive anatomical description of the structures in the oropharyngeal cavity of magpie and raven but also reviews and compares the scattered information on the morphology of the other avian species available in the literature. In this study, the organs of four birds (two magpies and two ravens) were used. The tongue in magpie and raven was considerably elongated and terminated with an oval-shaped apex. Although the lingual apex in the magpie was divided by fissure, no such bifurcation existed on that of raven. Lingual apex was quite distinctive in both species, and multiple acicular processes covered the apex. These occurrences on the tongue of magpie were replaced by thread-like processes as approaching the lingual body. In raven, these processes were mostly foliated, becoming longer toward the back of the lingua, and denser compared with raven. Moreover, we observed conical papillary crest, which was pointed backward and located between the lingual body and the radix of the tongue and pharyngeal conical papillae around the glottis and palate clefts in both species. There was a transversal fold separating the choanal cleft from the infundibular cleft in raven. Anatomy of the oropharyngeal cavity in the raven and magpie, which are the member of the same family, Corvidae, showed little differences and overall their oral morphological features were excessively similar. Microsc. Res. Tech., 2011. © 2011 Wiley Periodicals, Inc.

Journal ArticleDOI
TL;DR: Tomato powder supplementation increased egg production persistency and increased carotenoids and vitamin A contents in egg yolk, accompanied by reduced yolk lipid peroxidation.
Abstract: 1. The effects of tomato powder supplementation on performance, egg quality, serum and egg yolk carotenoids, vitamins and malondialdehyde (MDA) concentrations in were investigated in laying hens in mid-lay. 2. A total of 90 laying hens, 49 weeks old, were divided into 3 groups consisting of 6 replicate cages, 5 birds per cage. Birds were randomly fed on one of three diets: basal diet and basal diet added with 5 or 10 g tomato powder per kg diet. 3. As tomato powder concentration increased, there were linear increases in feed intake, egg production, egg weight and yolk colour and a linear decrease in feed conversion. Shell weight, shell thickness and Haugh unit remained unchanged in response to dietary treatments. 4. Concentrations of serum and egg yolk lycopene, β-carotene, lutein and vitamin A increased for both diets including tomato powder, whereas MDA decreased linearly with increasing supplemental tomato powder concentration. 5. Tomato powder supplementation increased egg production persistency and increased carotenoids and vitamin A contents in egg yolk, accompanied by reduced yolk lipid peroxidation.

Journal ArticleDOI
TL;DR: Mean platelet volume was significantly higher in patients with DVT, and it is an independent predictor of in-hospital DVT.
Abstract: Aim: To investigate the relationship between mean platelet volume (MPV) and in-hospital deep venous thrombosis (DVT). Material and methods: 147 patients with the diagnosis of DVT and 149 control pa...

Journal ArticleDOI
TL;DR: Most of the medical students were familiar with the CAM methods widely used in Turkey, while most of them had positive attitudes towards CAM as well as willingness to receive training on the subject, and they were likely to recommend CAM methods to their patients in their future professional lives.
Abstract: This study aims to examine knowledge and attitudes towards Complementary and Alternative Medicine among medical students in Turkey, and find out whether they want to be trained in Complementary and Alternative Medicine (CAM). A cross-sectional study was carried out between October and December 2010 among medical students. Data were collected from a total of seven medical schools. The study included 943 medical students. The most well known methods among the students were herbal treatment (81.2 %), acupuncture (80.8 %), hypnosis (78.8 %), body-based practices including massage (77 %) and meditation (65.2 %), respectively. Acupuncture, aromatherapy, herbal treatment and meditation were better known among female participants compared to males (p < 0.05). Females and first year students, generally had more positive attitudes. A larger proportion of female students compared to male students reported that a doctor should be knowledgeable about CAM (p = 0.001), and this knowledge would be helpful in their future professional lives (p = 0.015). Positive attitudes towards and willingness to receive training declined as the number of years spent in the faculty of medicine increased. Majority of the medical students were familiar with the CAM methods widely used in Turkey, while most of them had positive attitudes towards CAM as well as willingness to receive training on the subject, and they were likely to recommend CAM methods to their patients in their future professional lives. With its gradual scientific development and increasing popularity, there appears a need for a coordinated policy in integrating CAM into the medical curriculum, by taking expectations of and feedback from medical students into consideration in setting educational standards.

Journal ArticleDOI
TL;DR: Recommendations for the physical therapy and rehabilitation of patients with AS are developed based on the evidence and expertise.
Abstract: Aim: Physiotherapy is an integral part of the management of ankylosing spondylitis (AS) and there is a needfor recommendations which focus on the rehabilitation of patients with AS. We aimed to develop recommen-dations for the physical therapy and rehabilitation of patients with AS based on the evidence and expertise.Methods: The Anatolian Group for the Assessment in Rheumatic Diseases (ANGARD) is a scientific group ofTurkish academicians (physiatrists and rheumatologists) who are experts in the rehabilitation of patients withAS. A systematic literature search summarizing the current available physiotherapy and rehabilitation trials inAS were presented to the experts before a special 2-day meeting. Experts attending this meeting first defined aframework based on the main principles and thereafter collectively constructed six major recommendationson physiotherapy and rehabilitation in AS. After the meeting an email survey was conducted to rate thestrength of the recommendations.Results: Six key recommendations which cover the general principles of rehabilitation in AS in terms of earlyintervention, initial and follow-up assessments and monitoring, contraindications and precautions, key advicefor physiotherapy methods and exercise were constructed.Conclusion: These recommendations were developed using evidence-based data and expert opinion. The imple-mentation of these recommendations should encourage a more comprehensive and methodical approach in therehabilitation of patients with AS. Regular lifelong exercise is the mainstay of rehabilitation and there is a consid-erable need for well-designed studies which will enlighten the role of physical therapy in the management of AS.Key words: ankylosing spondylitis, physiotherapy, recommendations, rehabilitation.Ankylosing spondylitis (AS) is a common inflamma-tory rheumatic disease that predominantly affects thesacroiliac joints and spine, leading to structural

Journal ArticleDOI
TL;DR: In this experimental study, it is presented that the majority of erythrocytes shows caspase-3 immunoreactivity in streptozocin- (STZ)-induced diabetic rats and this may start a debate that eryptosis could have a role in the diabetic complications.
Abstract: Eryptosis is a term to define apoptosis of erythrocytes. Oxidative stress and hyperglycemia, both of which exist in the diabetic intravascular environment, can trigger eryptosis of erythrocytes. In this experimental study, it is presented that the majority of erythrocytes shows caspase-3 immunoreactivity in streptozocin- (STZ)-induced diabetic rats. Besides that, caspase-3 positive erythrocytes are aggregated and attached to vascular endothelium. In conclusion, these results may start a debate that eryptosis could have a role in the diabetic complications.

Journal ArticleDOI
TL;DR: In this study, two different probabilistic neural network structures were used for MM's disease diagnosis and the PNN is the best classification with 96.30% accuracy obtained via 3-fold cross-validation.

Journal ArticleDOI
TL;DR: The results of this study support the use of CBCT to measure bone density before and after endodontic treatment.

Journal ArticleDOI
TL;DR: A bile sample for microbiological analysis may become a valuable diagnostic tool as it leads to more accurate selection of antibiotics for the treatment of cholangitis and did not find a significant risk factor for bacteriobilia in patients with biliary obstruction.
Abstract: Microbial profile and antibiotic sensitivity pattern in bile cultures from endoscopic retrograde cholangiography patients

Journal ArticleDOI
TL;DR: The results suggest that diabetes is an independent prognostic factor for breast cancer.
Abstract: It has been suggested that type 2 diabetes mellitus may affect breast cancer prognosis, possibly due to increased diabetes-related comorbidity, or direct effects of insulin resistance and/or hyperinsulinemia. The aim of this study was to determine the impact of diabetes on disease-free survival (DFS) following mastectomy for breast cancer patients. The cases included in this retrospective study were selected from breast cancer women who had undergone mastectomy and completed adjuvant chemotherapy from 1998 to 2010. Patients were classified into two groups: diabetic and non-diabetic. Patients' age, sex, menopausal status, body mass index (BMI), histopathological features, tumor size, lymph node involvement, hormone receptor and HER2-neu status, and treatment types were recorded. There were 483 breast cancer patients included in the study. Postmenopausal patients' rate (53.7% vs. 36.8%, P = 0.016) and mean BMI levels were statistically higher (32.2 vs. 27.9, P = 0.007) in diabetic patients. There was no statistical difference for histological subgroup, grade, ER and PR positivity, HER2-neu overexpression rate, and tumor size between the diabetic and non-diabetic group. Lymph node involvements were statistically higher in diabetic patients compared with non-diabetic patients (P = 0.013). Median disease-free survival is 81 months (95% CI, 61.6-100.4) in non-diabetic patients and 36 months (95% CI, 13.6-58.4) in diabetic patients (P < 0.001). The odds ratio of recurrence was significantly increased in those with HER2-neu overexpression and lymph node involvement and decreased with PR-positive tumors. Our results suggest that diabetes is an independent prognostic factor for breast cancer.

Journal ArticleDOI
TL;DR: There was not a significant difference between comorbid cases and only A-ADHD patients in terms of measured values and ROC curve was drawn in order to evaluate diagnostic performances.

Journal ArticleDOI
TL;DR: The discovery of an in situ generated, highly active nanocatalyst for the room temperature dehydrogenation of dimethylamine-borane in water using a new catalyst system consisting of ruthenium(0) nanoparticles stabilized by the hydrogenphosphate anion.
Abstract: Herein we report the discovery of an in situ generated, highly active nanocatalyst for the room temperature dehydrogenation of dimethylamine–borane in water. The new catalyst system consisting of ruthenium(0) nanoparticles stabilized by the hydrogenphosphate anion can readily and reproducibly be formed under in situ conditions from the dimethylamine–borane reduction of a ruthenium(III) precatalyst in tetrabutylammonium dihydrogenphosphate solution at 25 ± 0.1 °C. These new water dispersible ruthenium nanoparticles were characterized by using a combination of advanced analytical techniques. The results show the formation of well-dispersed ruthenium(0) nanoparticles of 2.9 ± 0.9 nm size stabilized by the hydrogenphosphate anion in aqueous solution. The resulting ruthenium(0) nanoparticles act as a highly active catalyst in the generation of 3.0 equiv. of H2 from the hydrolytic dehydrogenation of dimethylamine–borane with an initial TOF value of 500 h−1 at 25 ± 0.1 °C. Moreover, they provide exceptional catalytic lifetime (TTO = 11 600) in the same reaction at room temperature. The work reported here also includes the following results; (i) monitoring the formation kinetics of the in situ generated ruthenium nanoparticles, by using the hydrogen generation from the hydrolytic dehydrogenation of dimethylamine–borane as a catalytic reporter reaction, shows that sigmoidal kinetics of catalyst formation and concomitant dehydrogenation fits well to the two-step, slow nucleation and then autocatalytic surface growth mechanism, A → B (rate constant k1) and A + B → 2B (rate constant k2), in which A is RuCl3·3H2O and B is the growing, catalytically active Ru(0)n nanoclusters. (ii) Hg(0) poisoning coupled with activity measurements after solution infiltration demonstrates that the in situ generated ruthenium(0) nanoparticles act as a kinetically competent heterogeneous catalyst in hydrogen generation from the hydrolytic dehydrogenation of dimethylamine–borane. (iii) A compilation of kinetic data depending on the temperature and catalyst concentration is used to determine the dependency of reaction rate on catalyst concentration and the activation energy of the reaction, respectively.

Journal ArticleDOI
TL;DR: A web-based application patient follow-up program was developed to create a registry of patients with ankylosing spondylitis by the Turkiye Romatizma Arastirma Savas Dernegi (TRASD) AS Study Group, which gives information on the clinical and demographic profiles of patients, and the efficacy and safety of anti-TNF drugs.
Abstract: A web-based application patient follow-up program was developed to create a registry of patients with ankylosing spondylitis (AS) by the Turkiye Romatizma Arastirma Savas Dernegi (TRASD) AS Study Group. This study describes the methodological background and patient characteristics. The patient follow-up program is a web-based questionnaire, which contains sections on socio-demographic data, anamnesis, personal and family history, systemic and musculoskeletal examination, laboratory and imaging data and treatment. Between October 1, 2007 and February 28, 2009, 1,381 patients from 41 centers were included in the registry (1,038 males [75.2%]; mean age 39.5 ± 10.7 years). Mean disease duration was 12.1 ± 8.5 years, and mean time from initial symptom to diagnosis was 5 ± 6.8 years (median 2 years). HLA-B27 positivity was detected in 73.7% of 262 patients tested. Manifestations of extraarticular involvement were anterior uveitis (13.2%), psoriasis and other skin and mucous membrane lesions (6%) and inflammatory bowel disease (3.8%). The prevalence of peripheral arthritis was 11.2%. In 51.7% of patients, the Bath AS Disease Activity Index was ≥4. But since our patients consisted of the ones with more severe disease who referred to the tertiary centers and needed a regular follow-up, they may not represent the general AS population. Disease-modifying anti-rheumatic drugs were being used by 41.9% of patients, with 16.4% using anti-TNF agents. TRASD-IP (Izlem Programi: Follow-up program) is the first AS registry in Turkey. Such databases are very useful and provide a basis for data collection from large numbers of subjects. TRASD-IP gives information on the clinical and demographic profiles of patients, and the efficacy and safety of anti-TNF drugs, examines the impact on quality of life, and provides real-life data that may be used in cost-effectiveness analyses.

Journal ArticleDOI
TL;DR: Increased IOP and macular thickness are inevitable after Nd:YAG laser capsulotomy, but the severity and duration are less when a total energy level less than 80 mJ is used.
Abstract: BACKGROUND AND OBJECTIVE To evaluate how different energy levels of Nd:YAG laser posterior capsulotomy affect best-corrected visual acuity (BCVA), intraocular pressure (IOP), and macular thickness of patients with posterior capsule opacification. PATIENTS AND METHODS Thirty eyes of 30 patients with posterior capsule opacification following phacoemulsification were enrolled in the study. Patients were classified according to total energy used during Nd:YAG laser capsulotomy (≤ 80 mJ = group I, > 80 mJ = group II). RESULTS Mean total energy levels were 58 ± 18 mJ (range: 14 to 80 mJ) in group I and 117 ± 36 mJ (range: 84 to 200 mJ) in group II. BCVA at 1 week preoperatively and 1 and 3 months postoperatively was significantly better compared to preoperative BCVA in both groups (P < .001). In group I, IOP increased 1 week postoperatively (P = .007) and declined to preoperative levels at 1 month. In group II, IOP increased 1 week postoperatively (P = .001) and did not return to preoperative levels during 3 months of follow-up (P = .04). Both groups had increased macular thickness compared to preoperative levels, but group II measurements were significantly higher 1 week and 1 month postoperatively compared to group I (P = .004 and .03, respectively). CONCLUSION Increased IOP and macular thickness are inevitable after Nd:YAG laser capsulotomy, but the severity and duration are less when a total energy level less than 80 mJ is used.

Journal ArticleDOI
TL;DR: The results indicate that the MN assay and histopathology can be used as bioassays for monitoring pollution in aquatic medium and it was observed that vitamin E decreased the genotoxicity and Histopathological changes induced by deltamethrin.