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12 Years After Roboski: Prolonged Grief and Posttraumatic Effects
(American Psychological Association, 2025) Ayhan, C.H.; Tanhan, F.; Yağan, F.; Avcı Erdal, N.; Öztürk, G.; Bedir, G.; Aslangiri, S.
Objective: The Roboski massacre, which took place on December 28, 2011, is remembered as a major tragedy resulting from a cross-border operation by the Turkish Air Force that led to the loss of 34 civilians, including 19 children. This event not only caused significant physical losses but also left a profound psychological, social, and political impact on those affected. An enhanced comprehension of prolonged grief disorder’s development can assist professionals in identifying bereaved individuals requiring assistance and augment the efficacy of treatments. The aim of this study is to examine the relationship between the grief process and symptoms of posttraumatic stress, perceived discrimination, and political trust within the framework of the theory of prolonged grief in a sample of the bereaved family members who lost their relatives in the Roboski massacre almost 12 years postloss. Method: In total, 88 Kurdish individuals (Mage = 37.13, SD = 16.4; 53.4% males) who had lost their close relatives in the Roboski incident in 2011 participated in this study. The Prolonged Grief Scale, the Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, the Perceived Discrimination Scale, and the Political Trust Scale were used to collect data. Results: The findings of the study revealed that, even approximately 12 years after the Roboski massacre, a significant portion of the participants continue to experience symptoms of prolonged grief and posttraumatic stress reactions. There was a positive correlation between prolonged grief symptoms and posttraumatic stress reactions (r =.71) as well as perceived discrimination (r =.53). It was also found that the subdimensions of posttraumatic stress, namely “reexperiencing” (β =.19, p <.05), “negative cognitive alterations” (β =.39, p <.05), and “perceived collective discrimination” (β =.11, p <.05), were significant predictors of prolonged grief. Conclusions: Our findings revealed that professionals should focus on identifying bereaved people who experience prolonged grief after a traumatic loss. Targeting these symptoms may alleviate the exacerbation of persistent grief reactions several years after a traumatic loss.Our findings suggest that addressing prolonged grief disorder following a massacre requires a multifaceted approach that includes early intervention, tailored therapeutic strategies, and robust social support systems. By integrating these elements, mental health professionals can significantly improve outcomes for those affected by traumatic loss, facilitating a path toward recovery and resilience. © 2025 American Psychological Association
18f Fdg Pet/Ct in a Child With Gliomatosis Cerebri
(Elsevier Doyma Sl, 2013) Surucu, E.; Mutafoglu, K.; Ince, D.; Cakmakci, H.; Demiral, A.; Polack, B. Degirmenci
2-[(2-Bromo-phen-yl)imino-meth-yl]-6-methyl-phenol
(int Union Crystallography, 2010) Karadag, Asli Tosyali; Atalay, Sehriman; Genc, Hasan
In the title compound, C14H12BrNO, is a Schiff base which adopts the phenol-imine tautomeric form in the solid state. The dihedral angle between the two aromatic rings is 34.26 (9)degrees and an intramolecular O-H center dot center dot center dot N hydrogen bond generates an S(6) ring.
2-[(E)-2-Hy-droxy-5-(trifluoro-meth-oxy)benzyl-idene-amino]-4-methyl-phenol
(int Union Crystallography, 2011) Karadag, Asli Tosyali; Atalay, Sehriman; Genc, Hasan
The title compound, C15H12F3NO3, is a Schiff base which adopts the cis-quinoid form in the solid state. The dihedral angle between the least-squares planes of the benzene rings being 3.6 (1)degrees. The F atoms of the -CF3 group are disordered over two sets of sites with refined occupancies of 0.61 (5) and 0.39 (5). An intramolecular N-H center dot center dot center dot O hydrogen bond occurs. The crystal structure is stabilized by intermolecular O-H center dot center dot center dot O hydrogen bonds.
238u and Total Radioactivity in Drinking Waters in Van Province, Turkey
(Taylor and Francis Ltd., 2014) Selçuk Zorer, Ö.; Daǧ, B.
As part of the national survey to evaluate natural radioactivity in the environment, concentration levels of total radioactivity and natural uranium have been analysed in drinking water samples. A survey to study natural radioactivity in drinking waters was carried out in the Van province, East Turkey. Twenty-three samples of drinking water were collected in the Van province and analysed for total α, total β and 238U activity. The total α and total β activities were counted by using the α/β counter of the multi-detector low background system (PIC MPC-9604), and the 238U concentrations were determined by inductively coupled plasma-mass spectrometry (Thermo Scientific Element 2). The samples were categorised according to origin: tap, spring or mineral supply. The activity concentrations for total α were found to range from 0.002 to 0.030 Bq L-1 and for total β from 0.023 to 1.351 Bq L-1. Uranium concentrations ranging from 0.562 to 14.710 μg L-1 were observed in drinking waters. Following the World Health Organisation rules, all investigated waters can be used as drinking water. © 2013 © 2013 Taylor & Francis.
3,5-Dibenzoyl
(int Union Crystallography, 2009) Sahin, Zarife Sibel; Isik, Samil; Sener, Ahmet; Tan, Meltem
In the crystal structure of the title compound, C26H27NO3, a one-dimensional network of C-H center dot center dot center dot O hydrogen bonds and pi-ring interactions is responsible for crystal stabilization. Intermolecular hydrogen bonds and C-H center dot center dot center dot pi interactions produce R-2(2)(10), R-4(4)(27) and R-4(4)(29) rings.
A 3-Cm Single-Port Video-Assisted Thoracoscopic Lobectomy for Lung Cancer
(Lippincott Williams & Wilkins, 2015) Ocakcioglu, Ilhan; Sayir, Fuat; Dinc, Mustafa
Video-assisted thoracoscopic surgery is advantageous over traditional surgical practices, because of a faster postoperative recovery period, less pain, and a shorter hospital length of stay. There is no single standard technique in the video-assisted thoracoscopic surgery approach. Although these minimally invasive resections are habitually performed through 3-port or 4-port incision, we performed a left lower lobectomy in a 54-year-old male patient for lung cancer, through a 3-cm single-port incision.
A 3-Day Boy With a Right Preauricular Swelling
(Springer, 2010) Akgun, Cihangir; Peker, Erdal; Akbayram, Sinan; Dogan, Murat; Tuncer, Oguz; Kirimi, Ercan
A 3-day-old boy was admitted for right preauricular swelling. Examination showed a toxic looking neonate with poor neonatal reflexes. There was erythema and swelling of 4 x 3 cm at the level of the right cheek. Laboratory investigation pointed to a bacterial infection. With parenteral antibiotics, the lesion resolved completely.
3d-2d Microleakage Assessment of Preheated Bulk-Fill Composite Resin Applied With Different Parameters: a Micro-Ct Analysis
(Springer, 2023) Can, Dilber Bilgili; Ozarslan, Merve
This study evaluated microleakage from class II cavities filled with bulk-fill composite preheated to different temperatures, applied at different thicknesses, and with different polymerization modes. A total of 60 mesio-occlusal cavity were drilled into the extracted human third molars at 2 mm and 4 mm thickness. Preheated bulk-fill composite resin (Viscalor; VOCO, Germany) was applied to the cavities at 68 degrees C and 37 degrees C after the adhesive resin was applied, and cured using standard and high-power light-curing modes of a VALO light-curing unit. An incrementally applied microhybrid composite was used as the control. The teeth were subjected to 2000 cycles of heating to 55 degrees C and cooling to 5 degrees C with a 30-s hold time. Then, they were immersed in a 50% silver nitrate solution for 24 h and scanned with micro-computed tomography. Scanned data were processed using the CTAn software. Two (2D) and three (3D) dimensional analyses of leached silver nitrate were performed. The data's normality was assessed using the Shapiro-Wilk test before comparisons using a three-way analysis of variance. In both 2D and 3D analysis, bulk-fill composite resin preheated to 68 degrees C and applied at 2 mm thickness showed less microleakage. In the 3D analysis, restorations applied at 37 degrees C and 4 mm thickness in high-power mode showed significantly higher values (p < 0.001). Preheated bulk-fill composite resin can be applied at 68 degrees C and effectively cured at both 2 mm and 4 mm thickness.
A 5 Years Follow-Up for Ischemic Cardiac Outcomes in Patients With Carotid Artery Calcification on Panoramic Radiographs Confirmed by Doppler Ultrasonography in Turkish Population
(British inst Radiology, 2020) Akkemik, Ozlem; Kazaz, Hakki; Tamsel, Sadik; Dundar, Nesrin; Sahinalp, Sahin; Ellidokuz, Hulya
Objective: To evaluate the diagnostic accuracy of digital panoramic radiograph (DPR) for detection of carotid artery calcification (CAC) confirmed by Doppler Ultrasonography (DUSG) and to clarify the relationship between between CAC identified by DPR and cardiovascular events through a 5 year follow-up period. Methods: Of 3600 consecutive patients examined, 158 patients presented with CAC as detected by DPR. The final study group was composed of 96 patients who had CAC confirmed by DUSG or CT angiogram. The control group was composed of 62 patients who has normal DUSG. The end point of the study was the occurrence of any cardiovascular event. Results: 72 (75%) of the 96 patients with CAC confirmed by DUSG (16 patients had significant stenosis) had bilateral and 24 (25%) had unilateral CAS as detected by DUSG. There was a low agreement between the examination results with a kappa value of 0.488 (p < 0.005) for calcification. Study data revealed that smoking, chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM) and diastolic hypertension were significantly more common in patients with CAC than the control group (p < 0.05). During the follow-up period, 13 subjects had myocardial infarction and 1 subject died; in the control group, 1 patient died after MI and 1 patient died of a non-cardiac event. Conclusion: Patients with CAC detectable by DPR concomitant with COPD, DM, smoking or diastolic hypertension are more likely to suffer from vascular events. Therefore, patients with detectable carotid plaque in DPR require referral to a cardiovascular surgery clinic for further investigations.
5-fluoro/(trifluoromethoxy)-2-indolinone Derivatives With Anti-Interleukin Activity
(Wiley-v C H verlag Gmbh, 2023) Soylu-Eter, Ozge; Sevincli, Zekiye Seyma; Ersoy, Betul; Hasanusta, Bahar; Gatfar, Ugur; Lack, Nathan A.; Karali, Nilgun
The pro-inflammatory cytokine interleukin-1 (IL-1) drives the pathogenesis of several inflammatory diseases. Recent studies have revealed that 2-indolinones can modulate cytokine responses. Therefore, we screened several 2-indolinone derivatives in preliminary studies to develop agents with anti-IL-1 activity. First, the putative efficacies and binding interactions of 2-indolinones were evaluated by docking studies. Second, previously synthesized 5-fluoro/(trifluoromethoxy)-1H-indole-2,3-dione 3-(4-phenylthiosemicarbazones) (compounds 47-69) which had the highest inhibitory effect in the screening were evaluated for inhibitory effects on the IL-1 receptor (IL-1R). Compounds 52 (IC50 = 0.09 mu M) and 65 (IC50 = 0.07 mu M) were selected as lead compounds for the subsequent synthesis of new derivatives. The novel 5-fluoro/(trifluoromethoxy)-1H-indole-2,3-dione 3-(4-phenylthiosemicarbazones) (compounds 70-116) were designed, synthesized, and in vitro studies were completed. The compounds 76, 78, 81, 91, 100, 105, and 107 tested showed nontoxic inhibitory effects on IL-1R-dependent responses in the range of 0.01-0.06 mu M and stronger than the lead compounds 52 and 65. In vitro and in silico findings showed that compounds 78 (IC50 = 0.01 mu M) and 81 (IC50 = 0.02 mu M) had the strongest IL-1R inhibitory effects and the most favorable drug-like properties. Molecular modeling studies of the compounds 78 and 81 were carried out to determine the possible binding interactions at the active site of the IL-1R. Novel 5-fluoro/(trifluoromethoxy)-2-indolinone derivatives were designed and synthesized based on in silico and preliminary in vitro test results from lead compounds. All compounds tested displayed nontoxic IL-1 receptor inhibitory effects at IC50 values in the range of 10 nM to 13 mu M, and seven compounds showed inhibitory responses stronger than the lead compounds at 0.01-0.06 mu M.image
7-Acetoxyhorminone From Salvia Multicaulis Vahl. as Promising Inhibitor of 3-Hydroxy Coenzyme a (hmg-Coa) Reductase
(Mdpi, 2022) Yigitkan, Serkan; Ertas, Abdulselam; Salmas, Ramin Ekhteiari; Firat, Mehmet; Orhan, Ilkay Erdogan
3-Hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase is a key enzyme involved in cholesterol biosynthesis and one of the most important targets for the treatment of hypercholesterolemia. A limited number of studies on the HMG-CoA reductase inhibitory potential of natural products are available. Thus, in the current study, we aimed to test the HMG-CoA reductase inhibitory capacity of extracts from the roots and aerial parts of Salvia multicaulis Vahl., through activity-guided isolation. Our findings revealed that the root extract prepared with dichloromethane-acetone (1:1) showed the highest inhibition (71.97 +/- 0.37%) at 100 mu g/mL. The extract was then initially fractionated by column chromatography and the obtained fractions were monitored by thin layer chromatography. Fractions which were similar to each other were combined and a total of 15 fractions were obtained. Further conventional chromatographic studies were carried out on the active fractions. Based on these fractions, 10 known compounds, comprising 9 terpenes and 1 steroid derivative in total, were isolated and their structures were verified by a combination of IT-TOF-MS, and 1D and 2D NMR techniques. According to the enzyme inhibition data of the identified compounds, 7-acetoxyhorminone exerted the highest inhibition (84.15 +/- 0.10%, IC50 = 63.6 +/- 1.21 mu g/mL). The molecular docking experiments on 7-acetoxyhorminone and horminone indicated that both compounds strongly bind to the active site of the enzyme.
Abcisic Acid and Gibberellic Acid Cause Increased Lipid Peroxidation and Fluctuated Antioxidant Defense Systems of Various Tissues in Rats
(Elsevier Science Bv, 2007) Celik, Ismail; Turker, Musa; Tuluce, Yasin
The study was aimed at demonstrating changes in the antioxidant defense systems [Reduced glutathione (GSH), glutathione reductase (GR), superoxide dismutase (SOD), glutathione-S-transferase (GST) and catalase (CAT)] forming an antioxidative barrier and oxidative stress parameter (Malondialdehyde = MDA) in the various tissues of Sprague-Dawley rats which were administrated plant growth regulators (PGRs) [Abcisic acid (ABA) and Gibberellic acid (GA(3))] during 25 days. Seventy five parts per million of ABA and GA(3) as drinking water were administered orally to rats (Sprague-Dawley albino) ad libitum for 25 days continuously. The PGRs treatments caused different effects on antioxidant defense systems and MDA content of experimented rats compared to controls. The lipid peroxidation end product MDA significantly increased in the spleen and lungs of rats treated with ABA and GA(3) without significantly change in the other tissues. The GSH levels were significantly increased in the lungs and stomach of rats treated with ABA without any change in the tissues of rats treated with GA(3). Antioxidant enzyme activities such as SOD significantly increased in the spleen of rats treated with ABA and GA(3). Meanwhile, SOD significantly increased in the kidney of rats treated with GA. CAT significantly decreased in the lungs treated with ABA but did not change significantly in all the rest of rat tissues treated with both the PGRs. On the other hand, the ancillary enzyme GR activity decreased in the spleen and increased in the kidney with GA(3) treatment. The drug metabolizing enzyme GST activity significantly decreased in the heart of rats treated with GA(3) but increased in the spleen and lungs of rats treated with both PGRs. The observations presented led us to conclude that administration of subacute ABA and GA(3) promotes lipid peroxidatin content and alters in the antioxidative systems in the rat's various tissues. These data, along with changes, suggest that the PGRs produced oxidative stress in rats during the period of a 25-day subchronic exposure. (C) 2007 Elsevier B.V. All rights reserved.
Abdominal Complications of Ventriculoperitoneal Shunt in Pediatric Patients: Experiences of a Pediatric Surgery Clinic
(Elsevier Science inc, 2018) Burhan, Beger; Serdar, Kizilyildiz Baran; Abdurrahman, Aycan; Edip, Akyol Mehmet; Ebuzer, Duz
Objective: To relate the experiences of a pediatric surgery clinic in diagnosis and treatment of abdominal complications related to ventriculoperitoneal shunts (VPSs) in pediatric patients who had VPSs implanted to treat hydrocephalus. METHODS: Patients admitted to the Pediatric Surgery Department of Van Yuzunciyil University Faculty of Medicine between April 2013 and December 2017 who had VPSs implanted and subsequently developed abdominal complications were reviewed retrospectively. Demographic information, surgery dates, time intervals between surgery and development of abdominal complication, complication types and applied treatments, and follow-up durations were recorded. RESULTS: There were 16 patients (6 girls, 10 boys) with a mean age of 3 years (range, 1 month to 8 years) reviewed. Complications following VPS implantation included abdominal pseudocyst, anal protrusion, volvulus, peritonitis, abdominal distention, and herniation. Complications were treated successfully with contemporary surgical methods. No issues during long-term postoperative follow-up were identified. CONCLUSIONS: VPS implantation can result in abdominal complications with a wide range of clinical presentations. Predicting which abdominal complications might occur in children with VPSs can be lifesaving with early diagnosis and treatment.
Abdominal Hydatid Disease: Long-Term Results of Percutaneous Treatment
(Blackwell Munksgaard, 2004) Etlik, O; Arslan, H; Bay, A; Sakarya, ME; Harman, M; Temizoz, O; Unal, O
Purpose: To evaluate the effectiveness of percutaneous treatment under sonographic guidance in abdominal hydatid cysts. Material and Methods: Fifty-two hydatid cysts in 33 patients were treated using a percutaneous approach under sonographic guidance. Forty-five cysts were located in the liver, 6 in the spleen, and I in the pancreas. Forty-nine cysts were type 1, and 3 were type II. Thirty-one cysts in 15 patients were treated with puncture and aspiration of the contents, injection of hypertonic saline solution, and respiration (PAIR); 15 cysts in 14 patients were treated with puncture, aspiration of cyst contents, injection of hypertonic saline solution, drainage, and injection of sclerosing agent (PAIDS); and 6 cysts in 4 patients were treated with puncture, aspiration of cyst contents, injection of sclerosing agent, and re-aspiration (mPAIDS). Hypertonic saline or alcohol was used as a scolicidal agent. The follow-up period was between 17 and 53 months. Results: A decrease in the dimensions of the cysts, solidification of the contents, and irregularity in the walls of cysts, all of which were considered signs of cure, were found in all patients. Recurrence was observed in one case and anaphylaxis in one. Conclusion: Percutaneous treatment of abdominal hydatid cysts is a safe, easily applicable, well-tolerated, and effective method.
Abdominal Malignant Mesothelioma in a Mouse
(Australian veterinary Assn, 2002) Yener, Z; Karaca, T; Yuksel, H
Abnormal Left Ventricular Longitudinal Functional Reserve Assessed by Exercise Pulsed Wave Tissue Doppler Imaging in Patients With Subclinical Hypothyroidism
(Endocrine Soc, 2009) Akcakoyun, Mustafa; Kaya, Hasan; Kargin, Ramazan; Pala, Selcuk; Emiroglu, Yunus; Esen, Ozlem; Esen, Ali Metin
Background: Response of systolic and diastolic velocities of mitral annulus to exercise in patients with subclinical hypothyroidism (SCH) has not been explored previously. We sought to investigate whether SCH is associated with abnormal left ventricular (LV) longitudinal function reserve to exercise. Methods: Mitral annular systolic (S') and early diastolic (E') velocities were measured at rest and during supine bicycle exercise using tissue Doppler echocardiography (TDE) in 23 patients with newly diagnosed SCH and 25 controls. LV diastolic and systolic longitudinal function reserve indices were calculated. Results: There were no significant differences in mitral inflow velocities at rest between groups except for LV end-diastolic dimension and LV end-systolic dimension, which were higher in the control group. E' and S' at rest were also similar between the groups. However, S' (9.8 +/- 1.5 vs. 11.3 +/- 1.5 cm/sec at 25 W, P = 0.001; and 11.3 +/- 1.8 vs. 13.1 +/- 1.8 cm/sec at 50 W, P = 0.001) and E' (13.8 +/- 1.4 vs. 15.7 +/- 1.6 cm/sec at 25 W, P = 0.001; and 15.6 +/- 1.6 vs. 18.2 +/- 1.5 cm/sec at 50 W, P < 0.001) during exercise were significantly lower in patients with SCH. Longitudinal systolic and diastolic function reserve indices were significantly lower in patients with SCH (systolic index, 1.4 +/- 0.9 vs. 2.5 +/- 0.9 cm/sec at 25 W, P = 0.001; and 2.7 +/- 1.3 vs. 4.1 +/- 1.2 cm/sec at 50 W, P = 0.001; diastolic index, 2.3 +/- 1.3 vs. 3.6 +/- 1.5 cm/sec at 25 W, P = 0.003; and 3.9 +/- 1.6 vs. 5.9 +/- 1.3 cm/sec at 50 W, P < 0.001). Conclusion: Assessment of LV longitudinal functional reserve with exercise using TDE appears to be helpful in identifying early myocardial dysfunction in SCH. (J Clin Endocrinol Metab 94: 2979-2983, 2009)
Abnormal Liver Function Test in Hydatidiform Moles: a Retrospective Study Comparing the Hyperthyroid State and the Euthyroid State
(informa Healthcare, 2014) Kucukoglu, Mehmet Emin; Dulger, Ahmet Cumhur; Aslan, Mehmet; Olmez, Sehmus; Guler, Ayse; Aldemir, Mehmet Naci; Demirkiran, Davut
Introduction: The effect of a hyperthyroid or euthyroid state on liver function tests in patients with hydatidiform moles (HM) is not known. The aim of this study was to determine the effect of hyperthyroidism on liver transaminases in HM. Patients and methods: We retrospectively reviewed aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels in 80 patients with HM (23 complete moles and 57 partial moles). Results: Of the 80 HM patients, 52 (65%) were euthyroid and 28 (35%) were hyperthyroid. The number of gravida and the levels of serum beta-human chorionic gonadotropin (beta-HCG), AST, and ALT were significantly higher in the hyperthyroid state than in the euthyroid state (p = 0.033, p = 0.001, p = 0.001 and p = 0.001; respectively). Number of gravida, serum TSH and total T4 were significantly higher in complete HM than partial HM (p < 0.05, p < 0.001, p < 0.05; respectively). Conclusions: Our results demonstrated that HM-related beta-HCG may activate thyroid cells via TSH-related signalling, resulting in the release of high levels of FT4, FT3, TT3 and TT4, and a subsequent decrease in TSH.
About the Paper "elephantiasis Neuro-Matosa and Becker's Melanosis" (J Dermatol, 26: 396-398, 1999)
(Japanese dermatolgical Assoc, 2001) Metin, A; Tuncay, I; Ugras, S
Absence of Frontal Sinus in Turkish Individuals
(Yonsei University College of Medicine, 2003) Aydinlioǧlu, A.; Kavakli, A.; Erdem, S.
The frontal sinus has been used for personal identification since the early part of the 20th century as a result of its tremendous interindividual variation. The frontal sinus is present in approximately 90% of adults. However, some populations have a higher proportion of people without a frontal sinus. This study investigated the frequency of the absence of frontal sinuses in Turkish individuals. The present study was performed retrospectively on the CT scans of the paranasal sinuses in the axial and coronal planes from a series of 1200 cases. A bilateral absence and a unilateral absence of sinuses were found in 3.8% and 4.8% of cases, respectively. The clinical significance of the frontal sinuses and their absence are also discussed.

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