Trakya University
  • Edirne, Turkey
Recent publications
The COVID-19 era has profoundly affected everyday human life, the environment, and freshwater ecosystems worldwide. Despite the numerous influences, a strict COVID-19 lockdown might improve the surface water quality and thus provide an unprecedented opportunity to restore the degraded freshwater resource. Therefore, we intend to investigate the spatiotemporal water quality, sources, and preliminary health risks of heavy metal(loid)s in the Karatoya River basin (KRB), a tropical urban river in Bangladesh. Seventy water samples were collected from 35 stations in KRB in 2019 and 2022 during the dry season. The results showed that the concentrations of Ni, Cu, Zn, Pb, Cd, and Cr were significantly reduced by 89.3–99.7% during the post-lockdown period (p<0.05). However, pH, Fe, Mn, and As concentrations increased due to the rise of urban waste and the usage of disinfectants during the post-lockdown phase. In the post-lockdown phase, the heavy metal pollution index, heavy metal evaluation index, and Nemerow’s pollution index values lessened by 8.58%, 42.86%, and 22.86%, respectively. Besides, the irrigation water quality indices also improved by 59%–62%. The total hazard index values increased by 24% (children) and 22% (adults) due to the rise in Mn and As concentrations during the lockdown. In comparison, total carcinogenic risk values were reduced by 54% (children) and 53% (adults) in the post-lockdown. We found no significant changes in river flow, rainfall, or land cover near the river from the pre to post-lockdown phase. The results of semivariogram models have demonstrated that most attributes have weak spatial dependence, indicating restricted industrial and agricultural effluents during the lockdown, significantly improving river water quality. Our study confirms that the lockdown provides a unique opportunity for the remarkable improvement of degraded freshwater resources. Long-term management policies and regular monitoring should reduce river pollution and clean surface water.
Developing adaptive coatings having desired functionalities at targeted interfaces is one of the major efforts in the coatings science area. The adaptation of the surface functionality to the changing surface conditions can be maintained by introducing dangling chains with different properties to the cross-linked polymer coatings. In this work, we strive to investigate the change in interfacial morphology of PU coatings as exposed to hydrophilic (HPI) and hydrophobic (HPB) interfaces by employing molecular simulations at the coarse-grained and mesoscopic levels. The molecular structure and surface segregation dynamics are studied for PU coatings having pure HPI, mixture of HPI and HPB, and amphiphilic dangling chains. The dual-scale simulations, Dissipative Particle Dynamics (DPD) and MARTINI model, yield results about the dangling chain structures at the interface in terms of their end-to-end distances, where HPI chains adopt a more extended conformation in water in comparison to oil interfaces. The reverse is observed to be valid for the HPB chains. Regarding the dangling chain dynamics, a swift migration towards the interfaces is noticed at about 10 ns for both of the simulation methods. The structures of the dangling chains and their interaction with the interfaces are also characterized by computing the radial distribution function (RDF) profiles. Preferential interactions between the HPI/water and HPB/oil are clearly noted. The switchability of the surfaces is also studied by simulating the system in cycles, such that the interface is changed from water to oil and back to water. The migration of HPI groups in the dangling chains towards water and vice versa in each cycle is clearly shown by the simulations. In all, the inherent structure and dynamics of the dangling chains is obtained at the molecular level by the dual-scale molecular simulations. Our findings reveal a significant level of understanding about interfacial morphology of thermoset coatings modified by dangling chains, where the results can be extended to find applications in guiding the experimental studies.
The water quality of Çorlu Stream, located in the Thrace region of Türkiye, and exposed to intense industrial pressure, was evaluated by monitoring 10 toxic metals and 13 other water quality variables in the dry and wet seasons of 2021. Seven different water quality indices were applied to determine the pollution level at the sampling stations in the stream. In addition, human health risks from exposure to toxic metals in stream water via ingestion and dermal contact were evaluated. The results showed that the water quality at stations S2 and S3 of Çorlu Stream receiving domestic and industrial discharges are seriously polluted by NH4–N, PO4–P, COD, BOD5 and suspended solids according to surface water quality standards. In addition, these stations were highly polluted and had poor water quality according to the results of the water quality indices. The average Cr level at station S3 exceeded the permissible levels set for the protection of aquatic life due to effluent discharges from the leather factories. Considering the results of the health risk assessment methods, non-carcinogenic risks from ingestion of combined metals in stream water can be expected at station S3 for both children and adults and at station S2 for children. Also, it was estimated that Cr and As at station S3 may cause carcinogenic health risks for residents.
Background: We aimed to evaluate the features of primary membranous nephropathy (MNP) in Turkish people. Methods: This is a retrospective analysis of patients with biopsy-proven primary MNP. We obtained the data collected between 2009 and 2019 in the primary glomerulonephritis registry of the Turkish Society of Nephrology Glomerular Diseases Study Group (TSN-GOLD). Patients with a secondary cause for MNP were excluded. Clinical, demographic, laboratory, and histopathological findings were analyzed. Results: A total of 995 patients with primary MNP were included in the analyses. Males constituted the majority (58.8%). The mean age was 48.4 ± 13.9 years. The most common presentation was the presence of nephrotic syndrome (81.7%) and sub nephrotic proteinuria (10.3%). Microscopic hematuria was detected in one-third of patients. The median estimated glomerular filtration rate (eGFR) was 100.6 mL/min/1.73 m2 (IQR, 75.4-116.3), and median proteinuria was 6000 mg/d (IQR, 3656-9457). Serum C3 and C4 complement levels were decreased in 3.7 and 1.7% of patients, respectively. Twenty-four (2.4%) patients had glomerular crescents in their kidney biopsy samples. Basal membrane thickening was detected in 93.8% of cases under light microscopy. Mesangial proliferation and interstitial inflammation were evident in 32.8 and 55.9% of the patients, respectively. The most commonly detected depositions were IgG (93%), C3 complement (68.8%), and kappa and lambda immunoglobulin light chains (70%). Although renal functions were normal at presentation, vascular, interstitial, and glomerular findings were more prominent on biopsy in hypertensive patients. No significant effect of BMI on biopsy findings was observed. Conclusions: Despite some atypical findings, the main features of primary MNP in Turkey were similar to the published literature. This is the largest MNP study to date conducted in Turkish people.
Introduction The aim of this study was to investigate the effect of an empathic tendency and altruism on organ donation. Material and method This descriptive and relationship-seeking research included adults who responded to a questionnaire delivered by e-mail with the snowball sampling method. The sample comprised 269 subjects according to 99% power and significance level of α = 0.05. Data were collected using a Personal Information Form, Empathic Tendency Scale, Altruism Scale, and the Organ Donation Attitude Scale. Results A positive, strong, statistically significant relationship was determined between the empathic tendency and altruism scales and the organ donation and transplantation scale (p < 0.001). Empathic tendency and altruism were determined to affect the positive attitude subscale of the organ donation attitude scale at the rate of 11.9%. Conclusion The findings indicate that programs that foster empathy and compassion should be implemented in order to foster a positive attitude about organ donation.
This study aimed to determine the relationship between health literacy and ecological footprint which is an indicator of sustainability and environmental impact and to examine the factors that may affect them. It was found that 20.3% of individuals have inadequate, 43.7% problematic, 26.1% sufficient and 10.0% excellent health literacy levels. There were differences in age, education level and BMI classification according to Ecological Footprint Awareness Scale score quartiles and health literacy levels (p < 0.05). It was determined that age and Turkey Health Literacy Scale score had effect on ecological footprint awareness. Individuals with a high level of health literacy have a high awareness of their ecological footprint. The increase in people’s health literacy levels and ecological footprint awareness with age can be interpreted as the increase in people’s education and knowledge levels and their awareness levels against the protection of nature and the environment.
Online environments have become the main sources of health-related information. However, if used incorrectly, this can decrease the level of well-being. Cyberchondria corresponds to the hypochondria in the digital age. We aimed to investigate the relationship between cyberchondria and trait anxiety, psychological well-being, and other factors in women of reproductive age. This study used a descriptive cross-sectional design. Face-to-face questionnaires were administered to women aged 18 to 49. The sample size was formed and stratified according to the population of the 47 family health centers to reflect the entire population. The questionnaire included a sociodemographic information form, the Cyberchondria Severity Scale (CSS), the State-Trait Anxiety Inventory, and the Psychological Well-Being Scale (PWBS). This study included 422 participants. The average daily use of the Internet was 2.14 ± 1.837 hours, while that of social media was 2.69 ± 2.027 hours. The mean CSS score was 89.42 ± 21.688; the mean trait anxiety score was 44.34 ± 8.791, and the mean PWBS score was 324.26 ± 35.944. Factors that interacted with the level of cyberchondria were the trait anxiety score, PWBS score, alcohol consumption, and average daily use of the internet and social media. Increased online time, alcohol consumption, trait anxiety levels, and psychological well-being increase cyberchondria levels. Improvements must be made in the accuracy of online information, which is unsupervised and easily accessible to society as a source of information. Future studies should focus on the prevention, detection, and treatment of cyberchondriasis. Identifying and improving the factors affecting women's and mothers' cyberchondria will also increase the chances of providing primary protection against certain diseases.
Objective To evaluate whether there is a difference between the effects of Bionator and Forsus appliances on airway volume. Methods Forty patients with mandibular retrognathia were divided into two groups. The Bionator appliance was applied to Group 1, while the Forsus FRD EZ2 appliance was applied to Group 2. Three-dimensional images were captured before and after functional appliance use in both groups. Dolphin 3D software was used for airway measurements. Results No statistically significant difference was found between the groups in terms of volumetric and area measurements. There was a statistically significant difference between the minimum axial T and O-N border T measurements of the groups. Conclusion The use of functional appliances may contribute to an increase in oropharyngeal airway dimensions, but there was no difference between the Bionator and Forsus groups in terms of volumetric measurements.
In our study, we aimed to investigate the relationship between microRNA (miRNA) expression levels and serum iron (Fe), copper (Cu), and zinc (Zn) levels in Multiple sclerosis (MS) patients. Total RNA was isolated from peripheral venous blood containing ethylenediaminetetraacetic acid (EDTA) of MS patients and controls. Total RNA was labeled with Cy3-CTP fluorescent dye. Hybridization of samples was performed on microarray slides and arrays were scanned. Data argument and bioinformatics analysis were performed. Atomic absorption spectrophotometer method was used to measure serum Fe, Cu, and Zn levels. In our study, in bioinformatics analysis, although differently expressed miRNAs were not detected between 16 MS patients and 16 controls, hsa-miR-744-5p upregulation was detected between 4 MS patients and 4 controls. This may be stem from the patient group consisting of MS patients who have never had an attack for 1 year. Serum iron levels were detected significantly higher in the 16 MS patients compared to the 16 controls. This may be stem from the increase in iron accumulation based on inflammation in MS disease. According to the findings in our study, hsa-miR-744-5p upregulation has been determined as an early diagnostic biomarker for the development together of insulin resistance, diabetes mellitus associated with insulin signaling, and Alzheimer’s diseases. Therefore, hsa-miR-744-5p is recommended as an important biomarker for the development together of diabetes mellitus, Alzheimer’s disease, and MS disease. In addition, increased serum Fe levels may be suggested as an important biomarker for neurodegenerative diseases such as Parkinson’s disease, Alzheimer’s disease, and MS disease.
Background: Idiopathic generalized epilepsy is the most common group of epilepsy disorders in children and adolescents. Various types of genetic abnormality were identified among the hereditary factors that explain epilepsy. Aims: To determine the variations in the etiopathogenesis, treatment protocol planning, and prognosis of idiopathic generalized epilepsy using the next-generation sequencing method. Study design: A cross-sectional study. Methods: This study included 32 patients with idiopathic generalized epilepsy. Genomic DNA was obtained from peripheral venous blood samples taken from the patients. A total of 18 genes encoding ion channel subunits that are involved in monogenic disorders and are associated with idiopathic generalized epilepsy were included. The targeted custom next-generation sequencing panel was designed to cover all coding exons and all exon/intron splice site regions of 18 genes. Results: We detected 9 (28%) variations, including 1 likely pathogenic (a variant in the SCN1A gene) and 8 of unknown clinical significance (2 in the CLCN2 genes, GABBR2, SCN1B, SLC2A1, SLC4A10 genes, and 2 in the TBC1D24 gene). Conclusion: Study results should be supported by functional advanced studies, with increased existing knowledge in the relevant variations.
Plastic antibodies can be used for in vitro neutralization of biomacromolecules with different fragments due to their potential in separation, purification, chemical sensor, catalysis and drug production studies. These polymer nanoparticles with binding affinity and selectivity comparable to natural antibodies were prepared using functional monomer synthesis and copolymerization of acrylic monomers via miniemulsion polymerization. As a result, the in vitro cytotoxic effect from diphtheria toxin was reduced by MIPs. In vitro imaging experiments of polymer nanoparticles (plastic antibodies) were performed to examine the interaction of diphtheria toxin with actin filaments, and MIPs inhibited diphtheria toxin damage on actin filaments. The enzyme-linked immunosorbent assay (ELISA) was performed with plastic antibodies labeled with biotin, and it was determined that plastic antibodies could also be used for diagnostic purposes. We report that molecularly imprinted polymers (MIPs), which are biocompatible polymer nanoparticles, can capture and reduce the effect of diphtheria toxic and its fragment A.
Background The aim of our study is to investigate the roles of IL-8 (+ 781 C/T) and MMP-2 (-735 C/T) gene variations in early diagnosis and progression of BCA. Methods Polymerase chain reaction (PCR) followed by restriction fragment length polymorphism (RFLP) methods were used to determine the genotype distributions of IL-8 (+ 781 C/T) and MMP-2 (-735 C/T) gene variations. Results In our study, the genotype distributions of IL-8 (+ 781 C/T) and MMP-2 (-735 C/T) gene variations were not found to be significantly different between the patient and control groups. In addition, C and T allele frequencies for these gene variations were not different from the Hardy-Weinberg distribution in patient and control groups. However, when the combined genotype analyzes for these gene variations were evaluated, CC-CC and CT-CC combined genotypes for + 781 C/T / -735 C/T gene variations were observed significantly more in the patient group compared to other genotypes. Conclusion Although IL-8 (+ 781 C/T) and MMP-2 (-735 C/T) gene variations were not found to be genetic risk factors in the Thrace population in our study, CC-CC and CT-CC combined genotypes were determined as genetic risk factors for BCA susceptibility. The combined genotypes obtained as a result of the combined genotype analysis of these genetic variations that are effective in tumor progression may be considered to be important biomarkers for the early diagnosis and progression of BCA.
Due to the usage of Internet in everything in our life, our environment is transformed into digital society, in which everything can be accessed from anywhere. This is the main concept of Internet of Things (IoT), which consists of intelligent devices connected together without location limitation. These devices can be sensors and actuators, which are used in environmental monitoring, home automation, disaster management and more. This is the definition of Wireless Sensor Network (WSN), which is considered a subset from IoT environment. WSN consists of hundreds of nodes spread in different area for monitoring different physical objects, it suffers from highest energy consumption of nodes, which affect network lifetime. Different routing protocols are used to cope with this challenge, Low Energy Adaptive Clustering Hierarchy (LEACH) protocol is the most common used one. LEACH is a cluster-based micro sensor network protocol that offers energy-efficient, and scalable routing for sensor nodes. So, in this paper, we investigate and present a modified algorithm using LEACH in conjunction with K-means clustering approach in order to achieve a Full Connectivity Driven K-LEACH algorithm (FCDK-LEACH). Based on the CH selection, the k-means algorithm aids in decreasing energy usage and therefore extending network lifetime. The CH is chosen based on the remaining energy level and the CH’s position with relation to the sensor node. The evaluation results show that our modified k-means-based hierarchical clustering enhances network lifetime.
Background Prostate cancer has a multifaceted treatment pattern. Evidence is lacking for optimal treatment sequences for metastatic castration-resistant prostate cancer (mCRPC). Objective To increase the understanding of real-world treatment pathways and outcomes in patients with mCRPC. Design, setting, and participants A prospective, noninterventional, real-world analysis of 3003 patients with mCRPC in the Prostate Cancer Registry (PCR; NCT02236637) from June 14, 2013 to July 9, 2018 was conducted. Intervention Patients received first- and second-line hormonal treatment and chemotherapy as follows: abiraterone acetate plus prednisone (abiraterone)-docetaxel (ABI-DOCE), abiraterone-enzalutamide (ABI-ENZA), abiraterone–radium-223 (ABI-RAD), docetaxel-abiraterone (DOCE-ABI), docetaxel-cabazitaxel (DOCE-CABA), docetaxel-enzalutamide (DOCE-ENZA), and enzalutamide-docetaxel (ENZA-DOCE). Outcome measurements and statistical analysis Baseline patient characteristics, quality of life, mCRPC treatments, and efficacy outcomes (progression and survival) were presented descriptively. Results and limitations Data from 727 patients were eligible for the analysis (ABI-DOCE n = 178, ABI-ENZA n = 99, ABI-RAD n = 27, DOCE-ABI n = 191, DOCE-CABA n = 74, DOCE-ENZA n = 116, and ENZA-DOCE n = 42). Demographics and disease characteristics among patients between different sequences varied greatly. Most patients who started on abiraterone or enzalutamide stopped therapy because of disease progression. No randomisation to allow treatment/sequence comparisons limited this observational study. Conclusions The real-world PCR data complement clinical trial data, reflecting more highly selected patient populations than seen in routine clinical practice. Baseline characteristics play a role in mCRPC first-line treatment selection, but other factors, such as treatment availability, have an impact. Efficacy observations are limited and should be interpreted with caution. Patient summary Baseline characteristics appear to have a role in the first-line treatment selection of metastatic castration-resistant prostate cancer in the real-world setting. First-line abiraterone acetate plus prednisone seems to be the preferred treatment option for older patients and those with lower Gleason scores, first-line docetaxel for younger patients and those with more advanced disease, and first-line enzalutamide for patients with fewer metastases and more favourable performance status. The benefit to patients from these observations remains unknown.
Zirconia is an attractive material for the manufacturing of oral implants and patient-individual barriers for guided bone regeneration. This study compared osteoblast behaviour on additive manufactured and milled 3-mol% yttria-stabilized tetragonal polycrystal zirconia (ZrO2). Two groups of samples (Ø5 × 2 mm) were manufactured by stereolithography (LithaCon 230, Lithoz, Vienna, Austria) and subsequently heat-treated and sintered. One group remained superficially unmodified (AM-ZrO2-unmod.), while the other was polished according to DIN EN ISO 6872 standard using automated grinding (AM-ZrO2-pol.). For comparison, milled samples (e.max ZirCAD LT, Ivoclar Vivadent, Schaan, Liechtenstein) were sintered and polished similarly (Mil-ZrO2-pol.). Surface roughness was characterized using tactile profilometry. Adhesion, proliferation and coverage of human fetal osteoblasts (hFOB 1.19) as well as expression of osteogenic marker genes ALPL and RUNX2 were determined (and statistically compared using Kruskal-Wallis-analyses and Dunn's Post-hoc-tests). The surface roughness of AM-ZrO2-unmod. Was 45 times higher than that of the polished groups. No significant differences were detected between the three groups regarding cell adhesion and proliferation. With regard to cell coverage, AM-ZrO2-pol. Significantly outperformed the two other groups (p < 0.05). ALPL- and RUNX2-mRNA expression was insignificantly superior for AM-ZrO2-unmod. Compared to the two other groups. Therefor no detrimental effect on osteoblast behaviour caused by the investigated, acrylic binder-based 3D printing workflow was observed.
In underwater and hyperbaric oxygen therapy chambers, hyperbaric environments may cause dislodgement or crack on dental restorations. This study aimed to investigate microleakage in different bonding techniques under hyperbaric conditions. Class II cavities were prepared on sixty human molar teeth. According to the manufacturer's instructions, a universal adhesive was applied to half of the samples with the self-etch technique, and the selective-etch technique to the other half, then light-cured. The cavities were restored with a conventional resin composite. The two main groups were divided into subgroups for hyperbaric conditions as control (1-bar), 2.8-bar, and 4-bar air pressure. The samples were immersed in a 1% methylene blue dye solution and then sectioned. Microleakage was evaluated under a stereomicroscope. Data were analyzed with the Chi-square test and Fisher's Exact Chi-square test with a p < 0.05 significance level. The 4-bar groups showed significantly higher microleakage scores than the control and 2.8-bar groups among each selective-etch and self-etch subgroups (0.009, 0.000 respectively). In the 4-bar groups, The self-etch subgroup score was significantly higher than the selective-etch subgroup under 4-bar pressure (p < 0.05). The selective-etch technique for universal adhesive showed better results against microleakage under hyperbaric conditions.
Spinal cord injury (SCI) induces neurological deficits associated with long-term functional impairments. Since the current treatments remain ineffective, novel therapeutic options are needed. Besides its effect on bipolar mood disorder, lithium was reported to have neuroprotective activity in different neurodegenerative conditions, including SCI. In SCI, the effects of lithium on long-term neurological recovery and neuroplasticity have not been assessed. We herein investigated the effects of intraperitoneally administered lithium chloride (LiCl) on motor coordination recovery, electromyography (EMG) responses, histopathological injury and remodeling, and axonal plasticity in mice exposed to spinal cord transection. At a dose of 0.2, but not 2.0 mmol/kg, LiCl enhanced motor coordination and locomotor activity starting at 28 days post-injury (dpi), as assessed by a set of behavioral tests. Following electrical stimulation proximal to the hemitransection, LiCl at 0.2 mmol/kg decreased the latency and increased the amplitude of EMG responses in the denervated hindlimb at 56 dpi. Functional recovery was associated with reduced gray and white matter atrophy rostral and caudal to the hemitransection, increased neuronal survival and reduced astrogliosis in the dorsal and ventral horns caudal to the hemitransection, and increased regeneration of long-distance axons proximal and distal to the lesion site in mice receiving 0.2 mmol/kg, but not 2 mmol/kg LiCl, as assessed by histochemical and immunohistochemical studies combined with anterograde tract tracing. Our results indicate that LiCl induces long-term neurological recovery and neuroplasticity following SCI.
Purpose This study was designed to evaluate the severity of symptoms, functional quality of life, and related factors experienced by Turkish cancer patients receiving chemotherapy. Methods The study was carried out with 430 patients at a medical oncology clinic. The data were collected using a personal and disease-related characteristics questionnaire, the Edmonton Symptom Assessment Scale (ESAS) and the Functional Life Scale–Cancer (FLIC). Results The three symptoms experienced most by patients were nausea (91.2%), depression (89.1%), and anxiety (87.7%). The mean FLIC total score of patients with cancer was 86.26 ± 23.15. Age, ECOG performance score, pain, nausea, depression, and a decreased sense of well-being independently affected the FLIC score (p < 0.05). There was a negative correlation between ESAS and FLIC scores (p < 0.05). Conclusion Nausea and psychological symptoms are common in Turkish patients with cancer. The more severe the symptoms, the worse the functional quality of life. Age, ECOG performance score, pain, nausea, depression, and decreased sense of well-being affect Turkish cancer patients’ functional quality of life. We conclude that healthcare professionals should evaluate symptoms experienced by their patients and plan appropriate nursing interventions to address the symptoms experienced by Turkish patients with cancer.
Today, it is known that most of the water sources in the world are either drying out or contaminated. With the increasing population, the water demand is increasing drastically almost in every sector each year, which makes processes like water treatment and desalination one of the most critical environmental subjects of the future. Therefore, developing energy-efficient and faster methods are a must for the industry. Using functional groups on the membranes is known to be an effective way to develop shorter routes for water treatment. Accordingly, a review of nano-porous structures having functional groups used or designed for desalination and water treatment is presented in this study. A systematic scan has been conducted in the literature for the studies performed by molecular dynamics simulations. The selected studies have been classified according to membrane geometry, actuation mechanism, functionalized groups, and contaminant materials. Permeability, rejection rate, pressure, and temperature ranges are compiled for all of the studies examined. It has been observed that the pore size of a well-designed membrane should be small enough to reject contaminant molecules, atoms, or ions but wide enough to allow high water permeation. Adding functional groups to membranes is observed to affect the permeability and the rejection rate. In general, hydrophilic functional groups around the pores increase membrane permeability. In contrast, hydrophobic ones decrease the permeability. Besides affecting water permeation, the usage of charged functional groups mainly affects the rejection rate of ions and charged molecules.
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2,641 members
Yalcin Kaya
  • Department of Genetic and Bioengineering
Gamze Göger
  • Department of Pharmacognosy
Sezgi Sarıkaya Solak
  • Department of Dermatology
Seyfettin Dalgic
  • Department of Physics
Edirne, Turkey