|
1
|
Wu H, Chen L, Malinowski P, Jang BG, Deng Q, Scott K, Huang J, Ruff JPC, He Y, Chen X, Hu C, Yue Z, Oh JS, Teng X, Guo Y, Klemm M, Shi C, Shi Y, Setty C, Werner T, Hashimoto M, Lu D, Yilmaz T, Vescovo E, Mo SK, Fedorov A, Denlinger JD, Xie Y, Gao B, Kono J, Dai P, Han Y, Xu X, Birgeneau RJ, Zhu JX, da Silva Neto EH, Wu L, Chu JH, Si Q, Yi M. Reversible non-volatile electronic switching in a near-room-temperature van der Waals ferromagnet. Nat Commun 2024; 15:2739. [PMID: 38548765 PMCID: PMC10978849 DOI: 10.1038/s41467-024-46862-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 03/13/2024] [Indexed: 04/01/2024] Open
Abstract
Non-volatile phase-change memory devices utilize local heating to toggle between crystalline and amorphous states with distinct electrical properties. Expanding on this kind of switching to two topologically distinct phases requires controlled non-volatile switching between two crystalline phases with distinct symmetries. Here, we report the observation of reversible and non-volatile switching between two stable and closely related crystal structures, with remarkably distinct electronic structures, in the near-room-temperature van der Waals ferromagnet Fe5-δGeTe2. We show that the switching is enabled by the ordering and disordering of Fe site vacancies that results in distinct crystalline symmetries of the two phases, which can be controlled by a thermal annealing and quenching method. The two phases are distinguished by the presence of topological nodal lines due to the preserved global inversion symmetry in the site-disordered phase, flat bands resulting from quantum destructive interference on a bipartite lattice, and broken inversion symmetry in the site-ordered phase.
Collapse
Affiliation(s)
- Han Wu
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Lei Chen
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Paul Malinowski
- Department of Physics, University of Washington, Seattle, WA, USA
| | - Bo Gyu Jang
- Theoretical Division and Center for Integrated Nanotechnologies, Los Alamos National Laboratory, Los Alamos, NM, USA
- Department of Advanced Materials Engineering for Information and Electronics, Kyung Hee University, Yongin, Republic of Korea
| | - Qinwen Deng
- Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA, USA
| | - Kirsty Scott
- Department of Physics, Yale University, New Haven, CT, USA
- Energy Sciences Institute, Yale University, West Haven, CT, USA
- Department of Physics and Astronomy, University of California, Davis, CA, USA
- Department of Applied Physics, Yale University, New Haven, CT, USA
| | - Jianwei Huang
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Jacob P C Ruff
- Cornell High Energy Synchrotron Source, Cornell University, Ithaca, NY, USA
| | - Yu He
- Department of Physics, University of California, Berkeley, CA, USA
| | - Xiang Chen
- Department of Physics, University of California, Berkeley, CA, USA
| | - Chaowei Hu
- Department of Physics, University of Washington, Seattle, WA, USA
- Department of Materials Science and Engineering, University of Washington, Seattle, WA, USA
| | - Ziqin Yue
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Ji Seop Oh
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
- Department of Materials Science and Engineering, University of Washington, Seattle, WA, USA
| | - Xiaokun Teng
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Yucheng Guo
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Mason Klemm
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Chuqiao Shi
- Department of Materials Science and NanoEngineering, Rice University, Houston, TX, USA
| | - Yue Shi
- Department of Physics, University of Washington, Seattle, WA, USA
| | - Chandan Setty
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Tyler Werner
- Department of Applied Physics, Yale University, New Haven, CT, USA
| | - Makoto Hashimoto
- Stanford Synchrotron Radiation Lightsource, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - Donghui Lu
- Stanford Synchrotron Radiation Lightsource, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - Turgut Yilmaz
- National Synchrotron Light Source II, Brookhaven National Lab, Upton, NY, USA
| | - Elio Vescovo
- National Synchrotron Light Source II, Brookhaven National Lab, Upton, NY, USA
| | - Sung-Kwan Mo
- Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | - Alexei Fedorov
- Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | | | - Yaofeng Xie
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Bin Gao
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Junichiro Kono
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
- Department of Materials Science and NanoEngineering, Rice University, Houston, TX, USA
- Departments of Electrical and Computer Engineering, Rice University, Houston, TX, USA
| | - Pengcheng Dai
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Yimo Han
- Department of Materials Science and NanoEngineering, Rice University, Houston, TX, USA
| | - Xiaodong Xu
- Department of Physics, University of Washington, Seattle, WA, USA
- Department of Materials Science and Engineering, University of Washington, Seattle, WA, USA
| | - Robert J Birgeneau
- Department of Physics, University of California, Berkeley, CA, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
- Department of Materials Science and Engineering, University of California, Berkeley, CA, USA
| | - Jian-Xin Zhu
- Theoretical Division and Center for Integrated Nanotechnologies, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - Eduardo H da Silva Neto
- Department of Physics, Yale University, New Haven, CT, USA
- Energy Sciences Institute, Yale University, West Haven, CT, USA
- Department of Physics and Astronomy, University of California, Davis, CA, USA
- Department of Applied Physics, Yale University, New Haven, CT, USA
| | - Liang Wu
- Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA, USA
| | - Jiun-Haw Chu
- Department of Physics, University of Washington, Seattle, WA, USA
| | - Qimiao Si
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA
| | - Ming Yi
- Department of Physics and Astronomy and Rice Center for Quantum Materials, Rice University, Houston, TX, USA.
| |
Collapse
|
|
2
|
Posey VA, Turkel S, Rezaee M, Devarakonda A, Kundu AK, Ong CS, Thinel M, Chica DG, Vitalone RA, Jing R, Xu S, Needell DR, Meirzadeh E, Feuer ML, Jindal A, Cui X, Valla T, Thunström P, Yilmaz T, Vescovo E, Graf D, Zhu X, Scheie A, May AF, Eriksson O, Basov DN, Dean CR, Rubio A, Kim P, Ziebel ME, Millis AJ, Pasupathy AN, Roy X. Two-dimensional heavy fermions in the van der Waals metal CeSiI. Nature 2024; 625:483-488. [PMID: 38233620 DOI: 10.1038/s41586-023-06868-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 11/14/2023] [Indexed: 01/19/2024]
Abstract
Heavy-fermion metals are prototype systems for observing emergent quantum phases driven by electronic interactions1-6. A long-standing aspiration is the dimensional reduction of these materials to exert control over their quantum phases7-11, which remains a significant challenge because traditional intermetallic heavy-fermion compounds have three-dimensional atomic and electronic structures. Here we report comprehensive thermodynamic and spectroscopic evidence of an antiferromagnetically ordered heavy-fermion ground state in CeSiI, an intermetallic comprising two-dimensional (2D) metallic sheets held together by weak interlayer van der Waals (vdW) interactions. Owing to its vdW nature, CeSiI has a quasi-2D electronic structure, and we can control its physical dimension through exfoliation. The emergence of coherent hybridization of f and conduction electrons at low temperature is supported by the temperature evolution of angle-resolved photoemission and scanning tunnelling spectra near the Fermi level and by heat capacity measurements. Electrical transport measurements on few-layer flakes reveal heavy-fermion behaviour and magnetic order down to the ultra-thin regime. Our work establishes CeSiI and related materials as a unique platform for studying dimensionally confined heavy fermions in bulk crystals and employing 2D device fabrication techniques and vdW heterostructures12 to manipulate the interplay between Kondo screening, magnetic order and proximity effects.
Collapse
Affiliation(s)
| | - Simon Turkel
- Physics Department, Columbia University, New York, NY, USA
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY, USA
| | - Mehdi Rezaee
- Physics Department, Harvard University, Cambridge, MA, USA
| | | | - Asish K Kundu
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY, USA
| | - Chin Shen Ong
- Department of Physics and Astronomy, Uppsala University, Uppsala, Sweden
| | - Morgan Thinel
- Chemistry Department, Columbia University, New York, NY, USA
- Physics Department, Columbia University, New York, NY, USA
| | - Daniel G Chica
- Chemistry Department, Columbia University, New York, NY, USA
| | | | - Ran Jing
- Physics Department, Columbia University, New York, NY, USA
| | - Suheng Xu
- Physics Department, Columbia University, New York, NY, USA
| | - David R Needell
- Chemistry Department, Columbia University, New York, NY, USA
| | - Elena Meirzadeh
- Chemistry Department, Columbia University, New York, NY, USA
| | | | - Apoorv Jindal
- Physics Department, Columbia University, New York, NY, USA
| | - Xiaomeng Cui
- Physics Department, Harvard University, Cambridge, MA, USA
| | - Tonica Valla
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY, USA
- Donostia International Physics Center (DIPC), Donostia-San Sebastián, Spain
| | - Patrik Thunström
- Department of Physics and Astronomy, Uppsala University, Uppsala, Sweden
| | - Turgut Yilmaz
- National Synchrotron Light Source II, Brookhaven National Lab, Upton, NY, USA
| | - Elio Vescovo
- National Synchrotron Light Source II, Brookhaven National Lab, Upton, NY, USA
| | - David Graf
- National High Magnetic Field Laboratory, Florida State University, Tallahassee, FL, USA
| | - Xiaoyang Zhu
- Chemistry Department, Columbia University, New York, NY, USA
| | - Allen Scheie
- Neutron Scattering Division, Oak Ridge National Lab, Oak Ridge, TN, USA
- MPA-Q, Los Alamos National Lab, Los Alamos, NM, USA
| | - Andrew F May
- Materials Science and Technology Division, Oak Ridge National Lab, Oak Ridge, TN, USA
| | - Olle Eriksson
- Department of Physics and Astronomy, Uppsala University, Uppsala, Sweden
- Wallenberg Initiative Materials Science for Sustainability, Uppsala University, Uppsala, Sweden
| | - D N Basov
- Physics Department, Columbia University, New York, NY, USA
| | - Cory R Dean
- Physics Department, Columbia University, New York, NY, USA
| | - Angel Rubio
- Max Planck Institute for the Structure and Dynamics of Matter, Center for Free-Electron Laser Science and Department of Physics, Hamburg, Germany.
- Nano-Bio Spectroscopy Group and European Theoretical Spectroscopy Facility (ETSF), Departmento de Polímeros y Materiales Avanzados: Física, Química y Tecnología, Universidad del País Vasco (UPV/EHU), San Sebastián, Spain.
- Center for Computational Quantum Physics, Flatiron Institute, New York, NY, USA.
| | - Philip Kim
- Physics Department, Harvard University, Cambridge, MA, USA
| | | | - Andrew J Millis
- Physics Department, Columbia University, New York, NY, USA.
- Center for Computational Quantum Physics, Flatiron Institute, New York, NY, USA.
| | - Abhay N Pasupathy
- Physics Department, Columbia University, New York, NY, USA.
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY, USA.
| | - Xavier Roy
- Chemistry Department, Columbia University, New York, NY, USA.
| |
Collapse
|
|
3
|
Miao H, Zhang TT, Li HX, Fabbris G, Said AH, Tartaglia R, Yilmaz T, Vescovo E, Yin JX, Murakami S, Feng XL, Jiang K, Wu XL, Wang AF, Okamoto S, Wang YL, Lee HN. Signature of spin-phonon coupling driven charge density wave in a kagome magnet. Nat Commun 2023; 14:6183. [PMID: 37793998 PMCID: PMC10550957 DOI: 10.1038/s41467-023-41957-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 09/21/2023] [Indexed: 10/06/2023] Open
Abstract
The intertwining between spin, charge, and lattice degrees of freedom can give rise to unusual macroscopic quantum states, including high-temperature superconductivity and quantum anomalous Hall effects. Recently, a charge density wave (CDW) has been observed in the kagome antiferromagnet FeGe, indicative of possible intertwining physics. An outstanding question is that whether magnetic correlation is fundamental for the spontaneous spatial symmetry breaking orders. Here, utilizing elastic and high-resolution inelastic x-ray scattering, we observe a c-axis superlattice vector that coexists with the 2[Formula: see text]2[Formula: see text]1 CDW vectors in the kagome plane. Most interestingly, between the magnetic and CDW transition temperatures, the phonon dynamical structure factor shows a giant phonon-energy hardening and a substantial phonon linewidth broadening near the c-axis wavevectors, both signaling the spin-phonon coupling. By first principles and model calculations, we show that both the static spin polarization and dynamic spin excitations intertwine with the phonon to drive the spatial symmetry breaking in FeGe.
Collapse
Affiliation(s)
- H Miao
- Materials Science and Technology Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.
| | - T T Zhang
- Department of Physics, Tokyo Institute of Technology, Okayama, Meguro-ku, Tokyo, Japan
| | - H X Li
- Materials Science and Technology Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
- Advanced Materials Thrust, The Hong Kong University of Science and Technology (Guangzhou), Guangzhou, China
| | - G Fabbris
- Advanced Photon Source, Argonne National Laboratory, Argonne, IL, USA
| | - A H Said
- Advanced Photon Source, Argonne National Laboratory, Argonne, IL, USA
| | - R Tartaglia
- Advanced Photon Source, Argonne National Laboratory, Argonne, IL, USA
- "Gleb Wataghin" Institute of Physics, University of Campinas, Campinas, São Paulo, Brazil
| | - T Yilmaz
- National Synchrotron Light Source II, Brookhaven National Laboratory, Upton, New York, USA
| | - E Vescovo
- National Synchrotron Light Source II, Brookhaven National Laboratory, Upton, New York, USA
| | - J-X Yin
- Laboratory for Quantum Emergence, Department of Physics, Southern University of Science and Technology, Shenzhen, China
| | - S Murakami
- Department of Physics, Tokyo Institute of Technology, Okayama, Meguro-ku, Tokyo, Japan
| | - X L Feng
- Beijing National Laboratory for Condensed Matter Physics, and Institute of Physics, Chinese Academy of Sciences, Beijing, China
| | - K Jiang
- Beijing National Laboratory for Condensed Matter Physics, and Institute of Physics, Chinese Academy of Sciences, Beijing, China
| | - X L Wu
- Low Temperature Physics Laboratory, College of Physics and Center of Quantum Materials and Devices, Chongqing University, Chongqing, China
| | - A F Wang
- Low Temperature Physics Laboratory, College of Physics and Center of Quantum Materials and Devices, Chongqing University, Chongqing, China.
| | - S Okamoto
- Materials Science and Technology Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.
| | - Y L Wang
- School of Emerging Technology, University of Science and Technology of China, Hefei, Anhui, China.
| | - H N Lee
- Materials Science and Technology Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| |
Collapse
|
|
4
|
Duzgun Ergun D, Pastaci Ozsobaci N, Yilmaz T, Ozcelik D, Kalkan MT. Zinc affects nuclear factor kappa b and DNA methyltransferase activity in C3H cancer fibroblast cells induced by a 2100 MHz electromagnetic field. Electromagn Biol Med 2022; 41:93-100. [PMID: 34994293 DOI: 10.1080/15368378.2021.2019760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The use of mobile phones is becoming widespread with the development of technology, and as a result, its effects on human health are becoming more and more important every day. Studies have reported that the electromagnetic field (EMF) emitted by mobile phones may have adverse effects on the biological systems. In order to evaluate the effect of zinc (Zn) on C3H cancer fibroblast cells exposed to 2100 MHz EMF, we analyzed cell viability%, nuclear factor kappa b (NF-κB) and DNA methyltransferase (DNMT) activities. Cells were divided to following groups: Control, sham control, 2100 MHz EMF, 50 µM Zn + 2100 MHz EMF, 100 µM Zn + 2100 MHz EMF, and 200 µM Zn + 2100 MHz EMF for 2 h. We measurement cell viability, NF-κB and DNMT activities. There was increased cell viability % in the 2100 MHz EMF group compared to the control group, while the cell viability % was decreased in the 50, 100 and 200 µM Zn + 2100 MHz EMF groups compared to 2100 MHz EMF. NF-κB and DNMT activities were a significant increase in the 2100 MHz EMF group compared to the control group, although were statistically decreased in the 50, 100 and 200 µM Zn + 2100 MHz EMF groups compared to the 2100 MHz EMF group. Our results demonstrate that 2100 MHz EMF exposure in cancer fibroblast cells induce NF-κB and DNMT activities, whereas zinc supplementation reduce NF-κB and DNMT activities-induced 2100 MHz EMF.
Collapse
Affiliation(s)
- D Duzgun Ergun
- Department of Biophysics, Faculty of Medicine, Istanbul Aydin University, Istanbul, Turkey
| | - N Pastaci Ozsobaci
- Department of Biophysics, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - T Yilmaz
- Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
| | - D Ozcelik
- Department of Biophysics, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - M T Kalkan
- Department of Biophysics, Faculty of Medicine, Istanbul Aydin University, Istanbul, Turkey
| |
Collapse
|
|
5
|
Yildirim H, Balbaba M, Yilmaz T, Toraman Z. Endophthalmitis caused by Bacteroides fragilis after pars plana vitrectomy and treatment approach. ASIAN PAC J TROP MED 2022. [DOI: 10.4103/1995-7645.331259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
|
6
|
Miao L, Min CH, Xu Y, Huang Z, Kotta EC, Basak R, Song MS, Kang BY, Cho BK, Kißner K, Reinert F, Yilmaz T, Vescovo E, Chuang YD, Wu W, Denlinger JD, Wray LA. Robust Surface States and Coherence Phenomena in Magnetically Alloyed SmB_{6}. Phys Rev Lett 2021; 126:136401. [PMID: 33861118 DOI: 10.1103/physrevlett.126.136401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 01/19/2021] [Accepted: 03/05/2021] [Indexed: 06/12/2023]
Abstract
Samarium hexaboride is a candidate for the topological Kondo insulator state, in which Kondo coherence is predicted to give rise to an insulating gap spanned by topological surface states. Here we investigate the surface and bulk electronic properties of magnetically alloyed Sm_{1-x}M_{x}B_{6} (M=Ce, Eu), using angle-resolved photoemission spectroscopy and complementary characterization techniques. Remarkably, topologically nontrivial bulk and surface band structures are found to persist in highly modified samples with up to 30% Sm substitution and with an antiferromagnetic ground state in the case of Eu doping. The results are interpreted in terms of a hierarchy of energy scales, in which surface state emergence is linked to the formation of a direct Kondo gap, while low-temperature transport trends depend on the indirect gap.
Collapse
Affiliation(s)
- Lin Miao
- School of Physics, Southeast University, Nanjing 211189, China
| | - Chul-Hee Min
- Experimentelle Physik VII and Würzburg-Dresden Cluster of Excellence ct.qmat, Universität Würzburg, Am Hubland, D-97074 Würzburg, Germany
| | - Yishuai Xu
- Department of Physics, New York University, New York, New York 10003, USA
| | - Zengle Huang
- Rutgers Department of Physics and Astronomy, Rutgers University, Piscataway, New Jersey 08854, USA
| | - Erica C Kotta
- Department of Physics, New York University, New York, New York 10003, USA
| | - Rourav Basak
- Department of Physics, New York University, New York, New York 10003, USA
| | - M S Song
- School of Materials Science and Engineering, Gwangju Institute of Science and Technology (GIST), Gwangju 61005, Korea
| | - B Y Kang
- School of Materials Science and Engineering, Gwangju Institute of Science and Technology (GIST), Gwangju 61005, Korea
| | - B K Cho
- School of Materials Science and Engineering, Gwangju Institute of Science and Technology (GIST), Gwangju 61005, Korea
| | - K Kißner
- Experimentelle Physik VII and Würzburg-Dresden Cluster of Excellence ct.qmat, Universität Würzburg, Am Hubland, D-97074 Würzburg, Germany
| | - F Reinert
- Experimentelle Physik VII and Würzburg-Dresden Cluster of Excellence ct.qmat, Universität Würzburg, Am Hubland, D-97074 Würzburg, Germany
| | - Turgut Yilmaz
- National Synchrotron Light Source II, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - Elio Vescovo
- National Synchrotron Light Source II, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - Yi-De Chuang
- Rutgers Department of Physics and Astronomy, Rutgers University, Piscataway, New Jersey 08854, USA
| | - Weida Wu
- Rutgers Department of Physics and Astronomy, Rutgers University, Piscataway, New Jersey 08854, USA
| | - Jonathan D Denlinger
- Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
| | - L Andrew Wray
- Department of Physics, New York University, New York, New York 10003, USA
| |
Collapse
|
|
7
|
Dikci S, Yildirim İO, Firat M, Firat PG, Demirel S, Yilmaz T, Tuncer İ, Genç O. Computed Tomography Diagnostic Abilities for Open-Globe Injuries in Pediatric Versus Adult Patients. Pediatr Emerg Care 2021; 37:e100-e104. [PMID: 30702650 DOI: 10.1097/pec.0000000000001747] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The aim of this study was to compare the role of computed tomography (CT) in the diagnosis of open-globe trauma and intraocular foreign body (IOFB) in pediatric and adult age groups. METHODS Medical records of cases with open-globe trauma at Inonu University Hospital's Ophthalmology Emergency Service were retrospectively evaluated. Preoperative orbital CT images of the cases obtained at emergency services and their clinical and/or surgical findings were compared in pediatric and adult groups. RESULTS We included 47 eyes of 47 cases aged 18 years and below (pediatric group) and 85 eyes of 82 cases over 18 years (adult group). The mean ± SD age was 10.80 ± 5.11 years (range, 2-18 years) in the pediatric group and 46.34 ± 19.01 years (range, 19-82 years) in the adult group. Computed tomography images revealed 21.7% of the cases with corneal lacerations, 55.5% with scleral lacerations, and 91.6% with corneoscleral lacerations in the pediatric group, whereas the respective numbers were 48.4%, 66.6%, and 61.9% in the adult group. The detection rates of corneal penetrations and vitreous hemorrhage with CT were significantly lower in the pediatric group than in the adult group (P < 0.05). The CT scans diagnosed 66.6% of the pediatric cases and 90% of the adult cases with an IOFB. CONCLUSIONS Corneal lacerations and IOFBs can be missed, especially in the pediatric group, because the eye is smaller in adults. Pediatric patients with a history of ocular trauma should undergo an examination under general anesthesia followed by surgical exploration if necessary.
Collapse
|
|
8
|
Dikci S, Yilmaz T. Vitreoretinal surgery outcomes in patients with lens or lens fragments luxated into the vitreous cavity. Med-Science 2021. [DOI: 10.5455/medscience.2021.01.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
|
9
|
Yilmaz T, Pertsova A, Hines W, Vescovo E, Kaznatcheev K, Balatsky AV, Sinkovic B. Gap-like feature observed in the non-magnetic topological insulators. J Phys Condens Matter 2020; 32:145503. [PMID: 31851950 DOI: 10.1088/1361-648x/ab6349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Non-magnetic gap at the Dirac point of topological insulators remains an open question in the field. Here, we present angle-resolved photoemission spectroscopy experiments performed on Cr-doped Bi2Se3 and showed that the Dirac point is progressively buried by the bulk bands and a low spectral weight region in the vicinity of the Dirac point appears. These two mechanisms lead to spectral weight suppression region being mistakenly identified as an energy gap in earlier studies. We further calculated the band structure and found that the original Dirac point splits into two nodes due to the impurity resonant states and the energy separation between the nodes is the low density of state region which appears to be like an energy gap in potoemission experiments. We supported our arguments by presenting photoemission experiments carried out with on- and off- resonant photon energies. Our observation resolves the widely debated questions of apparent energy gap opening at the Dirac point without long range ferromagnetic order in topological insulators.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Physics, University of Connecticut, Storrs, CT 06269, United States of America. Brookhaven National Laboratory, National Synchrotron Light Source-II, Upton, NY 11973, United States of America
| | | | | | | | | | | | | |
Collapse
|
|
10
|
Dikci S, Ulucan P, Demirel S, Firat P, Yilmaz T. The association of outer retinal tubulation with vitreomacular adhesion and epiretinal membrane in eyes with age-related macular degeneration. Med-Science 2020. [DOI: 10.5455/medscience.2019.08.9216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
|
11
|
Omer B, Telci A, Turker F, Tutuncu Y, Dinccag N, Karsidag K, Yilmaz T, Satman I, Genc S. The prevalence of folate deficiency in the adult population in Turkey: The association with prediabetes and diabetes. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.1311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
|
12
|
Çelebi S, Dilsiz N, Yilmaz T, Kükner AS. Effects of Melatonin, Vitamin E and Octreotide on Lipid Peroxidation during Ischemia-Reperfusion in the Guinea Pig Retina. Eur J Ophthalmol 2018. [DOI: 10.1177/112067210201200201] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose The purpose of this study is to provide evidence that free radical damage is a component of retinal ischemia-reperfusion (I/R) injury, and to determine whether melatonin, vitamin E and octreotide can protect the retina from this injury. Methods The right eyes of 50 male guinea pigs weighing 500–600 g were used. The animals were randomly assigned to group 1 (control), group 2 (I/R), group 3 (melatonin + I/R), group 4 (vitamin E + I/R) and group 5 (octreotide + I/R). Groups 3, 4 and 5 received four subcutaneous injections with a 6-h interval for a total daily dose of 10 mg/kg melatonin, 150 mg/kg vitamin E and 22 μg/kg octreotide. The first dose of each substance was administered 5 minutes before retinal ischemia, which was induced for 1.5 hours, followed by reperfusion for 24 hours. All three substances were repeated for 6, 12 and 18 hours during reperfusion. The animals were killed at 24 hours of reperfusion. Retinas were isolated and processed for the quantification of malondialdehyde (MDA). Results The compounds had the following relationships: melatonin more than vitamin E more than octreotide in preventing retinal damage by ischemia-reperfusion. All three gave significant protection against the formation of MDA (10.4±2.3, 12.4±2.4, 13.9±1.5 nmol/100 mg tissue wet weight, respectively) compared to the control (3.7±1.3 nmol/100 mg tissue wet weight) and I/R groups (22.7±6.2 nmol/100 mg tissue wet weight). Conclusions This study demonstrates the inhibitory effect of melatonin, vitamin E and octreotide on MDA levels during retinal ischemia-reperfusion injury.
Collapse
Affiliation(s)
- S. Çelebi
- Department of Ophthalmology, School of Medicine
| | - N. Dilsiz
- Department of Biology, Faculty of Science, Firat University, Elazig? - Turkey
| | - T. Yilmaz
- Department of Ophthalmology, School of Medicine
| | | |
Collapse
|
|
13
|
Abstract
Purpose The aim of this study was investigate the role of aprotinin on retinal lipid peroxidation and histopathological changes during ischemia/reperfusion (I/R) of guinea pigs. Methods Three groups of seven pigmented guinea pigs each were formed: a control (group 1), ischemia/saline (group 2) and ischemia/aprotinin (group 3). One eye of each animal was selected for histopathological evaluation and the other for biochemical assay. Bilateral pressure-induced retinal ischemia was instigated for 90 min and was followed by 24 hours of reperfusion. Animals in the ischemia/aprotinin and ischemia/saline groups received either 20,000 KIU/kg of aprotinin or saline, repeated four times at 6-hour intervals, with the first dose administered 5 min prior to the ischemic insult. The animals were killed at 24 hours of reperfusion. Retinal malondialdehyde (MDA) levels and the thickness of the inner plexiform layers were measured. Results The level of MDA in group 1 was significantly (p<0.001) lower than the other groups. The mean MDA level in group 2 was significantly (p<0.01) higher than in group 3. The inner plexiform layer in group 1 was significantly (p<0.001) thinner than in the other groups. The mean thickness of the inner plexiform layer in group 2 was significantly (p<0.01) higher than in group 3. Conclusions These data indicate that intraperitoneally administrated aprotinin has a protective effect against I/R injury in the retina of guinea pig as evidenced by reduced retinal MDA level and retinal thickness.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Ophthalmology, Medical Faculty, Firat University, Elaziğ, Turkey.
| | | | | | | | | |
Collapse
|
|
14
|
Affiliation(s)
- M.J. Gallagher
- Massachusetts Eye Research and Surgery Institute, Cambridge - USA
| | | | - P. Bhat
- Massachusetts Eye Research and Surgery Institute, Cambridge - USA
| | - T. Yilmaz
- Massachusetts Eye Research and Surgery Institute, Cambridge - USA
| | - C.S. Foster
- Massachusetts Eye Research and Surgery Institute, Cambridge - USA
| |
Collapse
|
|
15
|
Abstract
Recent progress in impurity-doped topological insulators has shown that the gap at the Dirac point shrinks with reducing temperature.
Collapse
Affiliation(s)
- Turgut Yilmaz
- Department of Physics, University of Connecticut
- Storrs
- USA
- Department of Physics, Science and Literature Faculty, Uludag University
- Bursa 16059
| | - William Hines
- Department of Physics, University of Connecticut
- Storrs
- USA
| | - Shoroog Alraddadi
- Department of Physics, Umm Al-Qura University
- Makkah 24382
- Kingdom of Saudi Arabia
| | | | - Boris Sinkovic
- Department of Physics, University of Connecticut
- Storrs
- USA
| |
Collapse
|
|
16
|
Yilmaz T, Hines W, Alraddadi S, Budnick JI, Sinkovic B. Correction: Origin of the temperature dependence of the energy gap in Cr-doped Bi 2Se 3. Phys Chem Chem Phys 2018; 20:11484. [DOI: 10.1039/c8cp90075b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Correction for ‘Origin of the temperature dependence of the energy gap in Cr-doped Bi2Se3’ by Turgut Yilmaz et al., Phys. Chem. Chem. Phys., 2018, DOI: 10.1039/c7cp08049b.
Collapse
Affiliation(s)
- Turgut Yilmaz
- Department of Physics
- University of Connecticut
- Storrs
- USA
- Department of Physics, Science and Literature Faculty
| | - William Hines
- Department of Physics
- University of Connecticut
- Storrs
- USA
| | - Shoroog Alraddadi
- Department of Physics
- Umm Al-Qura University
- Makkah 24382
- Kingdom of Saudi Arabia
| | | | | |
Collapse
|
|
17
|
de Koning ME, Scheenen ME, van der Horn HJ, Hageman G, Roks G, Yilmaz T, Spikman JM, van der Naalt J. Outpatient follow-up after mild traumatic brain injury: Results of the UPFRONT-study. Brain Inj 2017; 31:1102-1108. [DOI: 10.1080/02699052.2017.1296193] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M. E. de Koning
- Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - M. E. Scheenen
- Department of Neuropsychology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - H. J. van der Horn
- Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - G. Hageman
- Department of Neurology, Medical Spectrum Twente, Enschede, Netherlands
| | - G. Roks
- Department of Neurology, St. Elisabeth Hospital, Tilburg, Netherlands
| | - T. Yilmaz
- Department of Neurology, St. Elisabeth Hospital, Tilburg, Netherlands
| | - J. M. Spikman
- Department of Neuropsychology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - J. van der Naalt
- Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| |
Collapse
|
|
18
|
Abstract
Background Diabetes mellitus is a chronic, progressive disease with complex therapy protocols requiring major coping efforts from patients to achieve and maintain glycaemic control in order to reduce risk of diabetic complications. Disease coping strategies including good knowledge of diabetes and high ability of self-care have been reported to be impaired by alexithymic features. Alexithymia is a psychological construct characterised by inability to express emotions verbally, poor imagination and operational thinking, leading to failure in psychological self-regulation. Objective To compare prevalence of alexithymia and mean Toronto Alexithymia Scale-26 (TAS-26) scores in diabetic patients with non-diabetic controls; to investigate the association of alexithymia with glycemic control in diabetes. Method In this cross- sectional study, TAS-26 scores of 193 diabetic patients and 49 non-diabetic controls were compared. Disease related factors were obtained from patient records. Alexithymia was used as a continuous (mean TAS-26 scores) and semi-quantitative (dichotomised into non-alexithymic 11>TAS-26 scores>11 and alexithymic individuals) variable. Descriptive data are presented as mean±SD, median (range) or %. Differences in means were compared via Independent-Samples T Test and One-Way ANOVA. Proportions were analysed with chi-square test and odds ratios (OR) were calculated via cross tabulation with a confidence interval (CI) of 95%. P<0.05 was considered statistically significant. Results The control group was similar with respect to age, gender and education with the diabetic group. In the diabetic study population (n=193, male/female: 42/58%, age 54.2±14.0 years, median diabetes duration 7 years (1-32 years), postprandial blood glucose (PBG) 243±110 mg/dl, HbA1c 7.3±3.6%) prevalence of alexithymia was significantly higher than in the control group (65 % in diabetics vs. 45 % in controls, p=0.011; mean TAS-26 score 12.3±3.7 vs. 10.6±3.6, p=0.004, respectively). Poor postprandial glycaemic control (p=0.002), female gender (p=0.026), combination therapy (p=0.037) and poor educational level (p=0.005) were positively associated with TAS-26 scores in diabetic individuals. Alexithymic diabetic patients were less educated (OR=1.2, p=0.046) and under worse glycaemic control (OR=2.4, p=0.005) compared to their non-alexithymic counterparts.
Collapse
Affiliation(s)
- P Topsever
- Kocaeli University Faculty of Medicine, Department of Family Medicine, Kocaeli.
| | | | | | | | | | | | | | | |
Collapse
|
|
19
|
Uysal A, Zengin G, Mollica A, Gunes E, Locatelli M, Yilmaz T, Aktumsek A. Chemical and biological insights on Cotoneaster integerrimus: A new (-)- epicatechin source for food and medicinal applications. Phytomedicine 2016; 23:979-988. [PMID: 27444342 DOI: 10.1016/j.phymed.2016.06.011] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 04/12/2016] [Accepted: 06/14/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND The Cotoneaster species are widely used as traditional purposes in different countries including Turkey. PURPOSE The study was performed to evaluate the biological and chemical profile of two extracts (methanol (T-Me; F-Me) and water (T-W; F-W)) from two parts (twigs and fruits) of Cotoneaster integerrimus. MATERIALS AND METHODS Antioxidant (free radical scavenging (DPPH), reducing power (CUPRAC and FRAP), phosphomolybdenum and metal chelating), enzyme inhibitory (cholinesterase, tyrosinase, α-amylase and α-glucosidase), antimicrobial (standard microorganisms and methicillin-resistant Staphylococcus aureus isolates (MRSA)) and mutagenic/antimutagenic effects (by Ames assay) were tested for biological profile. For chemical profile, total and individual phenolic components were detected for each extract. RESULTS Generally, T-Me reflected the strongest biological effects with the highest level of phenolics (115. 15 mgGAEs/g extract). Also, twig extracts had more potent biological effects as compared to flower extracts. Eight-teen phenolics were identified in the extracts. (-)- epicatechin was the major constituent in all extracts and is mainly responsible for biological activities observed. Its amount present in F-W and T-W were 9.27 and 32.89mg/g extract, respectively. Also, molecular docking was used to understand enzyme-epicatechin interactions. CONCLUSION From these results, this plant has a great potential as a health promoter for developing novel functional food ingredients and pharmaceutical preparations.
Collapse
Affiliation(s)
- Ahmet Uysal
- Deparment of Medicinal Laboratory, Vocational School of Health Services, Selcuk University, Turkey
| | - Gokhan Zengin
- Selcuk University, Science Faculty, Department of Biology, Konya-Turkey.
| | - Adriano Mollica
- University "G. d'Annunzio" Chieti-Pescara, Department of Pharmacy, 66100, Chieti-Italy
| | - Erdogan Gunes
- Selcuk University, Science Faculty, Department of Biology, Konya-Turkey
| | - Marcello Locatelli
- University "G. d'Annunzio" Chieti-Pescara, Department of Pharmacy, 66100, Chieti-Italy; Interuniversity Consortium of Structural and Systems Biology, 00136, Roma-Italy
| | - Turgut Yilmaz
- Ankara University, Faculty of Pharmacy, Department of Pharmaceutical Botany, Ankara-Turkey
| | | |
Collapse
|
|
20
|
Yilmaz T, Yilmaz A, Gunay M, Ocal MC, Ozveren M. Increased pregnancy-associated plasma protein A in retinal vein occlusion. Eur Rev Med Pharmacol Sci 2016; 20:2189-2193. [PMID: 27338041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate pregnancy-associated plasma protein A (PAPP-A) levels in patients with retinal vein occlusion (RVO), and to investigate its possible role as a predictive biomarker. PATIENTS AND METHODS The study included 26 patients with RVO and 30 age- and gender-matched healthy subjects as controls. PAPP-A levels were measured using an enzyme-linked immunosorbent assay (ELISA) kit. The PAPP-A levels in patients with RVO were compared with those in the control group using the Mann-Whitney U test. RESULTS The mean serum PAPP-A levels were 1.27 ± 0.46 mIU/L (mean ± standard deviation) in the RVO group and 1.14 ± 0.11 mIU/L in the control group. There was a significant difference in PAPP-A levels between RVO patients and healthy subjects (p = 0.03). Moreover, in ROC analysis comparing the RVO patients and controls, a cutoff value of 1.126 (AUC: 0.669), specificity of 63.3% and sensitivity of 76.9% were calculated for the RVO patients (p = 0.03). CONCLUSIONS Our data seems to support the roles of both thrombosis and atherosclerosis in the development of RVO. It is possible that PAPP-A may be involved in the pathogenesis of venous thrombosis in the retina.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Ophthalmology, Beyoglu Eye Education and Research Hospital, Istanbul, Turkey.
| | | | | | | | | |
Collapse
|
|
21
|
Yilmaz T, Yilmaz A. Altered platelet morphological parameters in patients with retinal vein occlusion. Eur Rev Med Pharmacol Sci 2016; 20:1934-1939. [PMID: 27249589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The purpose of this work was to investigate whether platelet morphology or functions are altered in retinal vein occlusion (RVO) patients. PATIENTS AND METHODS Eighty-three patients with a RVO and eighty-five healthy subjects were included in this prospective study. RVO was diagnosed by ophthalmic fundus examination, and complete ophthalmic evaluations of both eyes were performed. The platelet large cell ratio (PLCR), platelet distribution width (PDW), mean platelet volume (MPV), platelet crit (PCT), and platelet count were determined for each participant. RESULTS The MPV, PDW and PLCR were significantly higher in the RVO group than in the control group (MPV: 8.26 ± 1.22 fL vs. 7.41 ± 0.69 fL, respectively, p = 0.006; PDW: 13.43 ± 1.75% vs. 12.19 ± 1.51%, respectively, p = 0.0022; and PLCR: 30.62 ± 4.65% vs. 28.59 ± 4.18%, respectively, p = 0.003). There were no significant differences in the PCT or platelet count between the two groups (253.76 ± 70.87 x 103/µl vs. 248.96 ± 62.44 x 103/µl, respectively p > 0.05; and PCT: 0.24 ± 0.07 % vs. 0.27 ± 0.06%, respectively, p > 0.05). CONCLUSIONS We observed that the platelets RVO patients exhibit morphological evidence of hyperreactivity (e.g., a higher MPV, PDW and PLCR). Also, larger platelets are hemostatically more active than small ones and an increased proportion of large platelets is a risk factor for developing RVO.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Ophthalmology, Beyoglu Eye Education and Research Hospital, Istanbul, Turkey.
| | | |
Collapse
|
|
22
|
Alraddadi S, Hines W, Yilmaz T, Gu GD, Sinkovic B. Structural phase diagram for ultra-thin epitaxial Fe3O4 / MgO(0 0 1) films: thickness and oxygen pressure dependence. J Phys Condens Matter 2016; 28:115402. [PMID: 26894934 DOI: 10.1088/0953-8984/28/11/115402] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
A systematic investigation of the thickness and oxygen pressure dependence for the structural properties of ultra-thin epitaxial magnetite (Fe3O4) films has been carried out; for such films, the structural properties generally differ from those for the bulk when the thickness ⩽10 nm. Iron oxide ultra-thin films with thicknesses varying from 3 nm to 20 nm were grown on MgO (0 0 1) substrates using molecular beam epitaxy under different oxygen pressures ranging from 1 × 10(-7) torr to 1 × 10(-5) torr. The crystallographic and electronic structures of the films were characterized using low energy electron diffraction (LEED) and x-ray photoemission spectroscopy (XPS), respectively. The quality of the epitaxial Fe3O4 ultra-thin films was judged by magnetic measurements of the Verwey transition, along with complementary XPS spectra. It was observed that under the same growth conditions the stoichiometry of ultra-thin films under 10 nm transforms from the Fe3O4 phase to the FeO phase. In this work, a phase diagram based on thickness and oxygen pressure has been constructed to explain the structural phase transformation. It was found that high-quality magnetite films with thicknesses ⩽20 nm formed within a narrow range of oxygen pressure. An optimal and controlled growth process is a crucial requirement for the accurate study of the magnetic and electronic properties for ultra-thin Fe3O4 films. Furthermore, these results are significant because they may indicate a general trend in the growth of other oxide films, which has not been previously observed or considered.
Collapse
Affiliation(s)
- S Alraddadi
- Department of Physics, University of Connecticut, Storrs, CT 06269, USA
| | | | | | | | | |
Collapse
|
|
23
|
Olgun N, Ozcan S, Pek H, Yilmaz T, Erdogan S, Oktay S. Preliminary report of the Southeastern Anatolia Diabetes Project: activities of the Diabetes Nursing Association. ACTA ACUST UNITED AC 2015. [DOI: 10.1002/edn.23] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
|
24
|
Ekinci C, Tahaoglu AE, Yavuz D, Deveci E, Aktas A, Yilmaz T, Yumusak Ö, Yükselmis O. Ultrastructural Effects of the Propineb on Brain of Fetuses During Rat Pregnancy. INT J MORPHOL 2014. [DOI: 10.4067/s0717-95022014000400054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
|
25
|
Abstract
Tuberculosis (TB) remains an important public health problem worldwide. Ocular involvement in patients with systemic TB has traditionally been considered uncommon. Diagnosing ocular TB is challenging and often delayed, especially in the absence of pulmonary signs or symptoms typical of TB. Here we describe a case of paradoxical reaction after antituberculosis therapy in an immunocompetent patient with ocular TB.
Collapse
Affiliation(s)
- Turgut Yilmaz
- İnönü University, Medical School, Ophthalmology, İnönü University , Malatya , 44000 Turkey and
| | | | | | | |
Collapse
|
|
26
|
Yilmaz T, Pletikosić I, Weber AP, Sadowski JT, Gu GD, Caruso AN, Sinkovic B, Valla T. Absence of a proximity effect for a thin-films of a Bi2Se3 topological insulator grown on top of a Bi2Sr2CaCu2O(8+δ) cuprate superconductor. Phys Rev Lett 2014; 113:067003. [PMID: 25148345 DOI: 10.1103/physrevlett.113.067003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Indexed: 06/03/2023]
Abstract
Proximity-induced superconductivity in a 3D topological insulator represents a new avenue for observing zero-energy Majorana fermions inside vortex cores. Relatively small gaps and low transition temperatures of conventional s-wave superconductors put hard constraints on these experiments. Significantly larger gaps and higher transition temperatures in cuprate superconductors might be an attractive alternative to considerably relax these constraints, but it is not clear whether the proximity effect would be effective in heterostructures involving cuprates and topological insulators. Here, we present angle-resolved photoemission studies of thin Bi(2)Se(3) films grown in situ on optimally doped Bi(2)Sr(2)CaCu(2)O(8+δ) substrates that show the absence of proximity-induced gaps on the surfaces of Bi(2)Se(3) films as thin as a 1.5 quintuple layer. These results suggest that the superconducting proximity effect between a cuprate superconductor and a topological insulator is strongly suppressed, likely due to a very short coherence length along the c axis, incompatible crystal and pairing symmetries at the interface, small size of the topological surface state's Fermi surface, and adverse effects of a strong spin-orbit coupling in the topological material.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Physics, University of Connecticut, Storrs, Connecticut 06269, USA
| | - I Pletikosić
- Condensed Matter Physics and Materials Science Department, Brookhaven National Laboratory, Upton, New York 11973, USA and Department of Physics, Princeton University, Princeton, New Jersey 08544, USA
| | - A P Weber
- National Synchrotron Light Source, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - J T Sadowski
- Center for Functional Nanomaterials, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - G D Gu
- Condensed Matter Physics and Materials Science Department, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - A N Caruso
- Department of Physics, University of Missouri-Kansas City, Kansas City, Missouri 64110, USA
| | - B Sinkovic
- Department of Physics, University of Connecticut, Storrs, Connecticut 06269, USA
| | - T Valla
- Condensed Matter Physics and Materials Science Department, Brookhaven National Laboratory, Upton, New York 11973, USA
| |
Collapse
|
|
27
|
Kükner AS, Alagöz G, Erdurmus M, Serin D, Dogan U, Yilmaz T. Anterior chamber fixation of a posterior chamber intraocular lens: a novel technique. Indian J Ophthalmol 2014; 62:487-9. [PMID: 24817750 PMCID: PMC4064229 DOI: 10.4103/0301-4738.132107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
We aimed to evaluate the implantation of a posterior chamber intraocular lens (IOL) in the anterior chamber (AC) with the haptics passing through two iridectomies to the posterior chamber. A total of 33 eyes of 33 patients with inadequate posterior capsular support due to either previous aphakia or posterior capsular rupture during cataract extraction were included in the study. A double iridectomy was performed on all patients using a vitrectomy probe on the midperiphery of the iris. IOLs were implanted in the AC, and the haptics were passed through the iridectomies to the posterior chamber. The mean follow-up time was 25.3 months. AC hemorrhage occurred in five patients during the iridectomy procedure. Corneal edema was detected in eight of 14 patients with primary IOL insertions. Haptic dislocation was detected in only one patient. This technique may be a good alternative to scleral-fixated IOL implantation in eyes with aphakia.
Collapse
Affiliation(s)
| | | | - Mesut Erdurmus
- Department of Ophthalmology, Abant Izzet Baysal University Medical School, Bolu, Turkey
| | | | | | | |
Collapse
|
|
28
|
Yilmaz T, Cordero-Coma M, Gallagher MJ. Ketorolac therapy for the prevention of acute pseudophakic cystoid macular edema: a systematic review. Eye (Lond) 2012; 26:252-8. [PMID: 22094296 PMCID: PMC3272202 DOI: 10.1038/eye.2011.296] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2011] [Accepted: 09/30/2011] [Indexed: 01/27/2023] Open
Abstract
To assess the effectiveness of ketorolac vs control for prevention of acute pseudophakic cystoid macular edema (CME). The following databases were searched: Medline (1950-June 11, 2011), The Cochrane Library (Issue 2, 2011), and the TRIP Database (up to 11 June 2011), using no language or other limits. Randomized controlled clinical trials (RCTs) were included that consisted of patients with acute pseudophakic cystoid macular edema, those comparing ketorolac with control, and those having at least a minimum follow-up of 28 days. In the four RCTs evaluating ketorolac vs control, treatment with ketorolac significantly reduced the risk of CME development at the end of treatment (≈ 4 weeks) compared to control (P=0.008; 95% confidence interval (0.03-0.58)). When analyzed individually, each individual study was statistically nonsignificant in its findings with the exception of one study. When the pooled relative risk was calculated, the large sample size of this systematic review led to overall statistical significance, which is attributable to the review's large sample size and not to the individual studies themselves. In this systematic review of four RCTs, two of which compared ketorolac with no treatment and two of which evaluated ketorolac vs placebo drops, treatment with ketorolac significantly reduced the risk of developing CME at the end of ≈ 4 weeks of treatment compared with controls. These results, however, should be interpreted with caution considering the paucity of large randomized clinical trials in the literature.
Collapse
Affiliation(s)
- T Yilmaz
- Department of Ophthalmology, Stony Brook University, NY 11733, USA.
| | | | | |
Collapse
|
|
29
|
Borahay M, Yilmaz T, Salama S, Kilic G, Boehning D. Simvastatin Induces Apoptosis and Inhibits Proliferation in Human Leiomyoma Cells. J Minim Invasive Gynecol 2011. [DOI: 10.1016/j.jmig.2011.08.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
|
30
|
Yerli H, Yilmaz T, Oztop I. Clinical importance of diastolic sonoelastographic scoring in the management of thyroid nodules. AJNR Am J Neuroradiol 2011; 34:E27-30. [PMID: 22033714 DOI: 10.3174/ajnr.a2751] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
We determined that the application of a 5-point scoring method by using an external manual compression method synchronized with the diastolic period of the carotid artery by sonoelastography was helpful in the management of thyroid nodules. The mean scores on sonoelastography were 2.74 ± 0.97 for 62 benign nodules and 3.90 ± 0.88 for 10 malignant nodules (P < .01). Eighty-seven percent of benign nodules were determined when a cutoff point between scores 3 and 4 was used.
Collapse
Affiliation(s)
- H Yerli
- Department of Radiology, Baskent University Zubeyde Hanim, Practice and Research Center, Izmir, Turkey.
| | | | | |
Collapse
|
|
31
|
Abstract
We report a case of a missed metallic intraocular foreign body retained in the lens over a two-year period without causing inflammatory reaction, which presented with cataract later. A 24-year-old man presented with a progressive blurring of vision in the left eye for two years. He had had a history of metal-on-metal activity two years before. He had pain for one day in left eye and it was healed by the following day. Biomicroscopic examination revealed cataract, an intralenticular foreign body, and a corneal scar at seven o’clock meridian of the cornea in the left eye. Best-corrected visual acuity was 20/200 in the left eye. Intralenticular foreign body removal, phacoemulsification, and an intraocular lens implantation was performed under local anesthesia. The intralenticular foreign body was metallic and its size was about 2 × 2 mm. Two weeks after the operation best corrected visual acuity was 20/20 in left eye. A retained foreign body should be considered in each patient with a history of penetrating ocular trauma and all efforts must be made to exclude presumptive diagnosis of intraocular foreign body.
Collapse
Affiliation(s)
- Mete Güler
- Department of Ophthalmology, Elazıǧ Harput State Hospital, Turkey.
| | | | | | | | | |
Collapse
|
|
32
|
Pajunen P, Landgraf R, Muylle F, Neumann A, Lindström J, Schwarz PE, Peltonen M, Acosta T, Adler M, AlKerwi A, Barengo N, Barengo R, Boavida JM, Charlesworth K, Christov V, Claussen B, Cos X, Cosson E, Deceukelier S, Dimitrijevic-Sreckovic V, Djordjevic P, Evans P, Felton AM, Fischer M, Gabriel-Sanchez R, Gilis-Januszewska A, Goldfracht M, Gomez JL, Greaves CJ, Hall M, Handke U, Hauner H, Herbst J, Hermanns N, Herrebrugh L, Huber C, Hühmer U, Huttunen J, Jotic A, Kamenov Z, Karadeniz S, Katsilambros N, Khalangot M, Kissimova-Skarbek K, Köhler D, Kopp V, Kronsbein P, Kulzer B, Kyne-Grzebalski D, Lalic K, Lalic N, Landgraf R, Lee-Barkey YH, Liatis S, Lindström J, Makrilakis K, McIntosh C, McKee M, Mesquita AC, Misina D, Muylle F, Neumann A, Paiva AC, Pajunen P, Paulweber B, Peltonen M, Perrenoud L, Pfeiffer A, Pölönen A, Puhl S, Raposo F, Reinehr T, Rissanen A, Robinson C, Roden M, Rothe U, Saaristo T, Scholl J, Schwarz PE, Sheppard KE, Spiers S, Stemper T, Stratmann B, Szendroedi J, Szybinski Z, Tankova T, Telle-Hjellset V, Terry G, Tolks D, Toti F, Tuomilehto J, Undeutsch A, Valadas C, Valensi P, Velickiene D, Vermunt P, Weiss R, Wens J, Yilmaz T. Quality indicators for the prevention of type 2 diabetes in Europe--IMAGE. Horm Metab Res 2010; 42 Suppl 1:S56-63. [PMID: 20391308 DOI: 10.1055/s-0029-1240976] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND The marked increase of type 2 diabetes necessitates active development and implementation of efficient prevention programs. A European level action has been taken by launching the IMAGE project to unify and improve the various prevention management concepts, which currently exist within the EU. This report describes the background and the methods used in the development of the IMAGE project quality indicators for diabetes primary prevention programs. It is targeted to the persons responsible for diabetes prevention at different levels of the health care systems. METHODS Development of the quality indicators was conducted by a group of specialists representing different professional groups from several European countries. Indicators and measurement recommendations were produced by the expert group in consensus meetings and further developed by combining evidence and expert opinion. RESULTS The quality indicators were developed for different prevention strategies: population level prevention strategy, screening for high risk, and high risk prevention strategy. Totally, 22 quality indicators were generated. They constitute the minimum level of quality assurance recommended for diabetes prevention programs. In addition, 20 scientific evaluation indicators with measurement standards were produced. These micro level indicators describe measurements, which should be used if evaluation, reporting, and scientific analysis are planned. CONCLUSIONS We hope that these quality tools together with the IMAGE guidelines will provide a useful tool for improving the quality of diabetes prevention in Europe and make different prevention approaches comparable.
Collapse
Affiliation(s)
- P Pajunen
- Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
|
33
|
Lindström J, Neumann A, Sheppard KE, Gilis-Januszewska A, Greaves CJ, Handke U, Pajunen P, Puhl S, Pölönen A, Rissanen A, Roden M, Stemper T, Telle-Hjellset V, Tuomilehto J, Velickiene D, Schwarz PE, Acosta T, Adler M, AlKerwi A, Barengo N, Barengo R, Boavida JM, Charlesworth K, Christov V, Claussen B, Cos X, Cosson E, Deceukelier S, Dimitrijevic-Sreckovic V, Djordjevic P, Evans P, Felton AM, Fischer M, Gabriel-Sanchez R, Gilis-Januszewska A, Goldfracht M, Gomez JL, Greaves CJ, Hall M, Handke U, Hauner H, Herbst J, Hermanns N, Herrebrugh L, Huber C, Hühmer U, Huttunen J, Jotic A, Kamenov Z, Karadeniz S, Katsilambros N, Khalangot M, Kissimova-Skarbek K, Köhler D, Kopp V, Kronsbein P, Kulzer B, Kyne-Grzebalski D, Lalic K, Lalic N, Landgraf R, Lee-Barkey YH, Liatis S, Lindström J, Makrilakis K, McIntosh C, McKee M, Mesquita AC, Misina D, Muylle F, Neumann A, Paiva AC, Pajunen P, Paulweber B, Peltonen M, Perrenoud L, Pfeiffer A, Pölönen A, Puhl S, Raposo F, Reinehr T, Rissanen A, Robinson C, Roden M, Rothe U, Saaristo T, Scholl J, Schwarz PE, Sheppard KE, Spiers S, Stemper T, Stratmann B, Szendroedi J, Szybinski Z, Tankova T, Telle-Hjellset V, Terry G, Tolks D, Toti F, Tuomilehto J, Undeutsch A, Valadas C, Valensi P, Velickiene D, Vermunt P, Weiss R, Wens J, Yilmaz T. Take action to prevent diabetes--the IMAGE toolkit for the prevention of type 2 diabetes in Europe. Horm Metab Res 2010; 42 Suppl 1:S37-55. [PMID: 20391307 DOI: 10.1055/s-0029-1240975] [Citation(s) in RCA: 155] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
When we ask people what they value most, health is usually top of the list. While effective care is available for many chronic diseases, the fact remains that for the patient, the tax payer and the whole of society: prevention is better than cure. Diabetes and its complications are a serious threat to the survival and well-being of an increasing number of people. It is predicted that one in ten Europeans aged 20-79 will have developed diabetes by 2030. Once a disease of old age, diabetes is now common among adults of all ages and is beginning to affect adolescents and even children. Diabetes accounts for up to 18 % of total healthcare expenditure in Europe. The good news is that diabetes is preventable. Compelling evidence shows that the onset of diabetes can be prevented or delayed greatly in individuals at high risk (people with impaired glucose regulation). Clinical research has shown a reduction in risk of developing diabetes of over 50 % following relatively modest changes in lifestyle that include adopting a healthy diet, increasing physical activity, and maintaining a healthy body weight. These results have since been reproduced in real-world prevention programmes. Even a delay of a few years in the progression to diabetes is expected to reduce diabetes-related complications, such as heart, kidney and eye disease and, consequently, to reduce the cost to society. A comprehensive approach to diabetes prevention should combine population based primary prevention with programmes targeted at those who are at high risk. This approach should take account of the local circumstances and diversity within modern society (e.g. social inequalities). The challenge goes beyond the healthcare system. We need to encourage collaboration across many different sectors: education providers, non-governmental organisations, the food industry, the media, urban planners and politicians all have a very important role to play. Small changes in lifestyle will bring big changes in health. Through joint efforts, more people will be reached. The time to act is now.
Collapse
Affiliation(s)
- J Lindström
- Department of Chronic Disease Prevention, National Institute for Health and Welfare (THL), Helsinki, Finland
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
|
34
|
Paulweber B, Valensi P, Lindström J, Lalic NM, Greaves CJ, McKee M, Kissimova-Skarbek K, Liatis S, Cosson E, Szendroedi J, Sheppard KE, Charlesworth K, Felton AM, Hall M, Rissanen A, Tuomilehto J, Schwarz PE, Roden M, Paulweber M, Stadlmayr A, Kedenko L, Katsilambros N, Makrilakis K, Kamenov Z, Evans P, Gilis-Januszewska A, Lalic K, Jotic A, Djordevic P, Dimitrijevic-Sreckovic V, Hühmer U, Kulzer B, Puhl S, Lee-Barkey YH, AlKerwi A, Abraham C, Hardeman W, Acosta T, Adler M, AlKerwi A, Barengo N, Barengo R, Boavida JM, Charlesworth K, Christov V, Claussen B, Cos X, Cosson E, Deceukelier S, Dimitrijevic-Sreckovic V, Djordjevic P, Evans P, Felton AM, Fischer M, Gabriel-Sanchez R, Gilis-Januszewska A, Goldfracht M, Gomez JL, Greaves CJ, Hall M, Handke U, Hauner H, Herbst J, Hermanns N, Herrebrugh L, Huber C, Hühmer U, Huttunen J, Jotic A, Kamenov Z, Karadeniz S, Katsilambros N, Khalangot M, Kissimova-Skarbek K, Köhler D, Kopp V, Kronsbein P, Kulzer B, Kyne-Grzebalski D, Lalic K, Lalic N, Landgraf R, Lee-Barkey YH, Liatis S, Lindström J, Makrilakis K, McIntosh C, McKee M, Mesquita AC, Misina D, Muylle F, Neumann A, Paiva AC, Pajunen P, Paulweber B, Peltonen M, Perrenoud L, Pfeiffer A, Pölönen A, Puhl S, Raposo F, Reinehr T, Rissanen A, Robinson C, Roden M, Rothe U, Saaristo T, Scholl J, Schwarz PE, Sheppard KE, Spiers S, Stemper T, Stratmann B, Szendroedi J, Szybinski Z, Tankova T, Telle-Hjellset V, Terry G, Tolks D, Toti F, Tuomilehto J, Undeutsch A, Valadas C, Valensi P, Velickiene D, Vermunt P, Weiss R, Wens J, Yilmaz T. A European evidence-based guideline for the prevention of type 2 diabetes. Horm Metab Res 2010; 42 Suppl 1:S3-36. [PMID: 20391306 DOI: 10.1055/s-0029-1240928] [Citation(s) in RCA: 309] [Impact Index Per Article: 22.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND The prevalence and socioeconomic burden of type 2 diabetes (T2DM) and associated co-morbidities are rising worldwide. AIMS This guideline provides evidence-based recommendations for preventing T2DM. METHODS A European multidisciplinary consortium systematically reviewed the evidence on the effectiveness of screening and interventions for T2DM prevention using SIGN criteria. RESULTS Obesity and sedentary lifestyle are the main modifiable risk factors. Age and ethnicity are non-modifiable risk factors. Case-finding should follow a step-wise procedure using risk questionnaires and oral glucose tolerance testing. Persons with impaired glucose tolerance and/or fasting glucose are at high-risk and should be prioritized for intensive intervention. Interventions supporting lifestyle changes delay the onset of T2DM in high-risk adults (number-needed-to-treat: 6.4 over 1.8-4.6 years). These should be supported by inter-sectoral strategies that create health promoting environments. Sustained body weight reduction by >or= 5 % lowers risk. Currently metformin, acarbose and orlistat can be considered as second-line prevention options. The population approach should use organized measures to raise awareness and change lifestyle with specific approaches for adolescents, minorities and disadvantaged people. Interventions promoting lifestyle changes are more effective if they target both diet and physical activity, mobilize social support, involve the planned use of established behaviour change techniques, and provide frequent contacts. Cost-effectiveness analysis should take a societal perspective. CONCLUSIONS Prevention using lifestyle modifications in high-risk individuals is cost-effective and should be embedded in evaluated models of care. Effective prevention plans are predicated upon sustained government initiatives comprising advocacy, community support, fiscal and legislative changes, private sector engagement and continuous media communication.
Collapse
Affiliation(s)
- B Paulweber
- Paracelsus Medical University, Salzburg, Austria
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
|
35
|
Kupferman ME, Jiffar T, El-Naggar A, Yilmaz T, Zhou G, Xie T, Feng L, Wang J, Holsinger FC, Yu D, Myers JN. TrkB induces EMT and has a key role in invasion of head and neck squamous cell carcinoma. Oncogene 2010; 29:2047-59. [PMID: 20101235 DOI: 10.1038/onc.2009.486] [Citation(s) in RCA: 148] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Head and neck squamous cell carcinoma (HNSCC) remains a significant public health problem, accounting for over 5% of all cancer-related deaths, and these deaths primarily result from metastatic disease. The molecular processes involved in HNSCC pathogenesis and progression are poorly understood, and here we present experimental evidence for a direct role of the cell surface receptor tyrosine kinase, TrkB, in HNSCC tumor progression. Using immunohistochemical analysis and transcriptional profiling of archival HNSCC tumor specimens, we found that TrkB and its secreted ligand, brain-derived neurotrophic factor (BDNF), are expresses in greater than 50% of human HNSCC tumors, but not in normal upper aerodigestive tract (UADT) epithelia. Studies with HNSCC cell lines reveal that in vitro stimulation with BDNF, the ligand for TrkB, upregulates the migration and invasion of HNSCC cells, and both transient and stable suppressions of TrkB result in significant abrogation of constitutive and ligand-mediated migration and invasion. Furthermore, enforced overexpression of TrkB results in altered expression of molecular mediators of epithelial-to-mesenchymal transition (EMT), including downregulation of E-cadherin and upregulation of Twist. Using an in vivo mouse model of HNSCC, we were able to show that downregulation of TrkB suppresses tumor growth. These results directly implicate TrkB in EMT and the invasive behavior of HNSCC, and correlate with the in vivo overexpression of TrkB in human HNSCC. Taken together, these data suggest that the TrkB receptor may be a critical component in the multi-step tumor progression of HNSCC, and may be an attractive target for much needed new therapies for this disease.
Collapse
Affiliation(s)
- M E Kupferman
- Department of Head and Neck Surgery, Houston TX, USA.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
|
36
|
|
|
37
|
|
|
38
|
|
|
39
|
Kükner A&S, Yilmaz T, Çelebi S, Karslioğlu &S, Alagöz G, Serin D, Acar MA, Özveren MF. Characteristics of Pellet Injuries to the Orbit. Ophthalmologica 2009; 223:390-5. [DOI: 10.1159/000228715] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2008] [Accepted: 08/08/2008] [Indexed: 11/19/2022]
|
|
40
|
Ozgül RK, Satman I, Collin GB, Hinman EG, Marshall JD, Kocaman O, Tütüncü Y, Yilmaz T, Naggert JK. Molecular analysis and long-term clinical evaluation of three siblings with Alström syndrome. Clin Genet 2007; 72:351-6. [PMID: 17850632 DOI: 10.1111/j.1399-0004.2007.00848.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Alström syndrome is a rare, autosomal recessive disorder characterized by a wide spectrum of clinical features including early-onset retinal degeneration leading to blindness, sensorineural hearing loss, short stature, obesity, type 2 diabetes, hyperlipidemia and dilated cardiomyopathy. Renal, hepatic and pulmonary dysfunction may occur in the later phases of the disease. The three affected sisters, from a consanguineous Turkish family, with the characteristic features of Alström syndrome, were clinically diagnosed in 1987 and followed for 20 years. DNA sequence analysis of ALMS1, the causative gene in Alström syndrome, identified a novel homozygous disease-causing mutation, c.8164C>T, resulting in a premature termination codon in exon 10 in each of the three affected sisters. Furthermore, we describe the longitudinal disease progression in this family and report new clinical findings likely associated with Alström syndrome, such as pes planus and hyperthyroidism.
Collapse
Affiliation(s)
- R K Ozgül
- Section of Nutrition and Metabolism, Department of Pediatrics, Institute of Child Health and Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey
| | | | | | | | | | | | | | | | | |
Collapse
|
|
41
|
Abstract
AIM To describe the different retinal morphological characteristics that can present on optical coherence topography (OCT) in a spectrum of uveitic diseases. METHODS We reviewed the literature and our own OCT image archive for characteristic features that may be suggestive of a particular disease process. RESULTS OCT demonstrates a variety of characteristic morphological changes, some that may point towards a specific disease process. We describe the various forms of macular oedema found in uveitis as well as OCT features typically found in multifocal choroiditis, serpiginous chorioretinitis, toxoplasma chorioretinitis, Vogt-Koyanagi-Harada, sympathetic ophthalmia and the vitreomacular traction syndrome. CONCLUSION Ophthalmologists should be aware of the variety of retinal morphological characteristics that can present on OCT in uveitic disease. Recognition may aid in the diagnostic process, which is complementary to conventional fundal photography and fluorescein angiography. This can facilitate earlier diagnosis and, more importantly, the initiation of specific treatment.
Collapse
Affiliation(s)
- M J Gallagher
- Massachusetts Eye Research and Surgery Institute, 5 Cambridge Center, 8th Floor, Cambridge, MA 02142, USA
| | | | | | | |
Collapse
|
|
42
|
Kan E, Yilmaz T, Aydemir O, Güler M, Kurt J. Coats-like retinitis pigmentosa: Reports of three cases. Clin Ophthalmol 2007; 1:193-8. [PMID: 19668510 PMCID: PMC2704518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Describing the ophthalmic findings of an exudative vasculopathy called as Coats-like retinitis pigmentosa on three patients. The etiology of the Coats-like retinitis pigmentosa is obscure. The principal theories have been discussed in this article. METHODS Three observational case series have been discussed. Complete ophthalmic examinations and color fundus photos, visual field, and fluorescein angiography have been performed. RESULTS We have identified 3 patients who have some typical clinical features of Coats-like retinitis pigmentosa; peripheral serous retinal detachment, telangiectasia, prominent lipid deposition, pigmentary changes in peripheral retina, and loss of vision. None of the three patients had positive family history. All of the patients have had symptoms of nyctalopia, decreased central vision, and two of them have had constriction of visual field. All of the patients have had cataracts and two of them underwent cataract surgery. Fundus examination and fluorescein angiography of patients revealed typical retinitis pigmentosa with Coats-type changes in bilateral inferiotemporal quadrants. CONCLUSION A better understanding of clinical features and genetic etiology of Coats-type retinitis pigmentosa will aid diagnosis and development of new therapies. If sufficient conditions arise, genetic factors that influence the expression of CRB1 mutations in Coats-like retinitis pigmentosa should be detected.
Collapse
Affiliation(s)
| | | | - Orhan Aydemir
- Correspondence: Orhan Aydemir, Firat University School of Medicine, Department of Ophthalmology, Elaziğ, Turkey, Tel +90 4242333555, Fax +90 4242388096, Email
| | | | | |
Collapse
|
|
43
|
Karademir S, Astarcioglu H, Ozbilgin M, Ozkardesler S, Yilmaz T, Akarsu M, Akan M, Ozzeybek D, Obuz F, Astarcioglu I. Efficacy of right anterior sector drainage reconstruction in right-lobe live-donor transplantation. Transplant Proc 2007; 38:3582-4. [PMID: 17175337 DOI: 10.1016/j.transproceed.2006.10.043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2006] [Indexed: 12/21/2022]
Abstract
BACKGROUND Without including the middle hepatic vein (MHV) into right-lobe grafts, venous drainage of the anterior segment (AS) has always been a concern. The efficacy and the necessity of additional venous reconstruction in the AS for graft viability and function are still controversial. METHODS Since February 2002, 57 right-lobe grafts were implanted into adult recipients. The mean graft to ideal recipient weight ratio (GRWR) was 1.3% (minimum: 0.8%, maximum 2.1%). All minor venous tributaries to the MHV less than 5 mm in diameter were ligated. The management of MHV tributaries was categorized into three groups: (A) no major tributaries (n = 33); (B) major tributaries ligated (n = 11); and (C) major tributaries reconstructed (n = 13). Reconstructions were established using vascular grafts (PTF, n = 8; cadaveric, n = 2) or joining with right hepatic vein orifice (n = 6). The groups were homogenous in age, gender, MELD (17 +/- 6, 16 +/- 4, 18 +/- 7), graft weight (817 +/- 181, 838 +/- 152, and 855 +/- 159 g), and graft/ideal liver weight ratio (0.54 +/- 0.12, 0.57 +/- 0.13, and 0.57 +/- 0.1, respectively). We investigated the volume of ascites, serum bilirubin, albumin, and liver enzyme levels and INR on postoperative day 4 (POD4) and POD21. RESULTS Two patients died of MRSA sepsis on POD18 and POD23 (MELD: 24 and 28) after initial graft function. Their graft weights were 800 g and 980 g, and their volumes were 47% (group B) and 62% (group A) of the ideal liver mass of the recipients, respectively. One PTF and another cadaveric vascular graft were found occluded 4 and 7 days after implantation without any negative consequence. At 6-month follow-up, the remaining 55 patients were alive with primary liver grafts. Vascular reconstructions were patent except for 2 early occlusions. Among the 3 groups, no significant difference was found on POD4. Three weeks after transplantation, the mean AST level in the major ligation group (46.7 +/- 8.14) was significantly higher than in the minor ligatation group (29.6 +/- 8.6) but not in the major reconstruction group (33.7 +/- 3.7; P = .03 and P = .29). The mean albumin level was highest after minor ligation (3.2 +/- 0.18), which was significantly better than the major reconstruction (2.7 +/- 0.1) but not the major ligation (3.1 +/- 0.14) cohorts (P = .02 and P = .13). CONCLUSIONS In this study of a limited number of cases, right-lobe liver grafts with GRWR of > or =1.1% displayed optimal graft function without additional venous reconstruction to the AS.
Collapse
Affiliation(s)
- S Karademir
- HPB and Liver Transplantation Study Group, Dokuz Eylul University Hospital, Inciralti, Izmir, Turkey
| | | | | | | | | | | | | | | | | | | |
Collapse
|
|
44
|
Yilmaz T, Aydemir O, Ozercan IH, Ustundağ B. Effects of Vitamin E, Pentoxifylline and Aprotinin on Light-Induced Retinal Injury. Ophthalmologica 2007; 221:159-66. [PMID: 17440277 DOI: 10.1159/000099295] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2004] [Accepted: 06/02/2006] [Indexed: 11/19/2022]
Abstract
PURPOSE A considerable amount of clinical and experimental evidence exists suggesting the involvement of reactive oxygen species (ROS) in the etiology of light-induced retinal injury. The aim of this study was to investigate the protective role of vitamin E, pentoxifylline (PTX) and aprotinin against light-induced retinal injury in guinea pigs. METHODS Thirty adult male guinea pigs were divided into 5 groups of 6 animals each. The first group was used as control. The guinea pigs were kept in cyclic light for 2 weeks before the experiments. The animals were maintained in 12-hour light-dark cycles, before and after exposure to intense white fluorescent light, for as long as 12 h and then returned to cyclic light. Groups 3-5 received intraperitoneal injections of vitamin E, PTX and aprotinin, respectively. One eye of each animal was selected for histopathological evaluation and the other for biochemical assay. Retinal malondialdehyde (MDA) levels and the thickness of the outer nuclear layers were measured. RESULTS The compounds had the following relationships: vitamin E more than PTX more than aprotinin in preventing light-induced retinal damage. All 3 gave significant protection against the formation of MDA. Retinas of all 3 treatment groups had been protected from light-induced injury. CONCLUSION The intraperitoneal vitamin E, PTX and aprotinin supplementations may strengthen the antioxidant defense system because of decreased ROS, and these agents may play a role in treating light-induced retinal injury.
Collapse
Affiliation(s)
- Turgut Yilmaz
- Department of Ophthalmology, Biochemistry, Firat University, School of Medicine, Elazig, Turkey.
| | | | | | | |
Collapse
|
|
45
|
Kalkan A, Serhatlioglu S, Ozden M, Denk A, Demirdag K, Yilmaz T, Kilic SS. Paradoxically Developed Optochiasmatic Tuberculoma and Tuberculous Lymphadenitis: A Case Report with 18-Month Follow up by MRI. South Med J 2006; 99:388-92. [PMID: 16634250 DOI: 10.1097/01.smj.0000209091.57281.23] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous system tuberculosis. She was followed clinically with cerebrospinal fluid (CSF) studies and magnetic resonance imaging (MRI) at three monthly intervals. Within 18 months of specific antituberculous treatment, the patient had fully recovered. The course and response to therapy are discussed in light of the current literature.
Collapse
Affiliation(s)
- Ahmet Kalkan
- Department of Infectious Diseases, Radiology, Immunology and Ophthalmology, Firat University Medical School, Elazig, TR23119 Turkey.
| | | | | | | | | | | | | |
Collapse
|
|
46
|
Aydemir O, Yilmaz T, Onal SA, Celiker U, Erol FS. Acute unilateral total visual loss after retrogasserian phenol injection for the treatment of trigeminal neuralgia: a case report. Orbit 2006; 25:23-6. [PMID: 16527771 DOI: 10.1080/01676830500505798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Phenol is a neurolytic agent that is widely used by percutaneous retrogasserian injection in the treatment of trigeminal neuralgia. We report a 78-year-old man who had acute unilateral total visual loss after retrogasserian phenol injection for the treatment of trigeminal neuralgia. The patient's visual acuity, eye movements and the pupillary defect did not improve in the affected eye even after mechanical decompression within 30 minutes and medical treatment, neither in the early period nor during the following two months. The visual loss in this patient seems to result from phenol neurotoxicity rather than mechanical compression of the intraorbital optic nerve. This case demonstrates that although percutaneous retrogasserian phenol injection is a relatively safe and noninvasive method of treatment for trigeminal neuralgia, severe complications may occur.
Collapse
Affiliation(s)
- Orhan Aydemir
- Department of Ophthalmology, Firat Medical Center, Firat University, Elazig, Turkey.
| | | | | | | | | |
Collapse
|
|
47
|
Aydemir O, Celebi S, Yilmaz T, Yekeler H, Kükner AS. Protective effects of vitamin E forms (alpha-tocopherol, gamma-tocopherol and d-alpha-tocopherol polyethylene glycol 1000 succinate) on retinal edema during ischemia-reperfusion injury in the guinea pig retina. Int Ophthalmol 2006; 25:283-9. [PMID: 16532291 DOI: 10.1007/s10792-005-2034-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2004] [Accepted: 08/10/2005] [Indexed: 12/31/2022]
Abstract
PURPOSE The purpose of this study is to provide evidence that free radical damage is a component of retinal ischemia-reperfusion (I/R) injury, and to determine whether alpha-tocopherol, gamma-tocopherol and d-alpha-tocopherol polyethylene glycol 1000 succinate (TPGS) can protect the retina from this injury. METHODS The right eyes of 40 male guinea pigs weighing 500-600 g were used. The animals were randomly assigned to group 1 (control), group 2 (I/R), group 3 (I/R plus alpha-tocopherol), group 4 (I/R plus gamma-tocopherol) and group 5 (I/R plus TPGS). Groups 3, 4 and 5 received four subcutaneous injections at six-hour intervals for total dosage of 800 IU/kg alpha-tocopherol, 1000 IU/kg gamma-tocopherol and 750 IU/kg TPGS, respectively. The first dose of each substance was administered 5 minutes before retinal ischemia. Retinal ischemia was induced for 90 minutes, then followed by reperfusion for 24 hours. Injections of three substances were repeated at 6, 12 and 18 hours during reperfusion. The animals were killed at 24 hours of reperfusion. Sagittal sections of 4 microm were cut and stained with hematoxylin and eosin for light microscopic evaluation. The average thickness (edema) of the inner plexiform layer for each eye was measured in sagittal sections near the optic nerve and expressed in microns. RESULTS All the three substances showed statistically significant protection against the formation of retinal edema during ischemia-reperfusion injury. The mean thickness of the inner plexiform layer were 15.0, 25.44, 19.81, 21.38 and 20.88 microm in control, I/R, I/R plus alpha-tocopherol, I/R plus gamma-tocopherol and I/R plus TPGS groups, respectively. The results showed that the thickness of the inner plexiform layer in group 1 (control) was significantly lower than the other groups (p<0.001). The inner plexiform layer was thicker in the I/R group than with I/R plus alpha-tocopherol (p<0.001), I/R plus gamma-tocopherol (p<0.001) and I/R plus TPGS (p<0.01). The inner plexiform layer was not thicker in the I/R plus TPGS group than in the I/R plus alpha-tocopherol and I/R plus gamma-tocopherol groups. Compared to the I/R plus alpha-tocopherol group, the inner plexiform layer was significantly thicker in the I/R plus gamma-tocopherol group (p<0.01). CONCLUSIONS The results from these experiments indicate that vitamin E forms have protective effects on the retina during retinal ischemia-reperfusion injury, but, the effects of alpha-tocopherol and TPGS appear to be much greater than that of gamma-tocopherol.
Collapse
Affiliation(s)
- Orhan Aydemir
- Department of Ophthalmology, School of Medicine, Firat Unv Tip Fak Göz Hast AD, Elaziğ, Turkey.
| | | | | | | | | |
Collapse
|
|
48
|
Yilmaz T, Erol FS, Yakar H, Köhle U, Akbulut M, Faik Ozveren M. Delayed trigeminocardiac reflex induced by an intraorbital foreign body. Case report. Ophthalmologica 2006; 220:65-8. [PMID: 16374051 DOI: 10.1159/000089277] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2004] [Accepted: 04/15/2004] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To emphasize the importance of the mechanism and surgical approach to trigeminocardiac reflex (TCR) developing 48 h after orbital trauma due to a foreign body. CASE REPORT After gunshot injury of a 17-year-old male patient, computerized tomography evaluation revealed a right globe perforation and an intraorbital metallic foreign body in the right orbita adjacent to the lateral wall. The ocular perforation was repaired, but the foreign body was not removed. Constant bradycardia (45/min) developed 48 h after the operation. Since there were no cardiological findings, a temporary cardiac pacemaker was inserted and on the 6th postoperative day, the foreign body was removed through orbitolateral approach. After the removal of the foreign body, bradycardia completely recovered. CONCLUSION In the presence of an intraorbital foreign body accompanied by globe perforation, TCR may develop 48 h after the trauma and insertion of a temporary pacemaker may be required to control the cardiac rhythm. In this paper, the delayed TCR complication presented an indication for the removal of the intraorbital foreign body.
Collapse
Affiliation(s)
- Turgut Yilmaz
- Department of Ophthalmology, Firat University, School of Medicine, Elazig, Turkey.
| | | | | | | | | | | |
Collapse
|
|
49
|
Celik I, Cihangiroglu M, Yilmaz T, Kohle U, Akbulut A. The prevalence of bacteraemia-related retinal lesions in seriously ill patients. J Infect 2006; 52:97-104. [PMID: 15904970 DOI: 10.1016/j.jinf.2005.04.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2004] [Accepted: 04/01/2005] [Indexed: 11/21/2022]
Abstract
OBJECTIVES In this study, we investigated the frequency and aetiology of retinal lesions in bacteraemic and septic patients and the risk factors involved. METHODS A total of 150 adult patients in our hospital were included in the study. After consultation with the infectious diseases specialist, the following details were recorded: demographic data, area of admission, underlying diseases, Winston's clinical condition, Charlson's co-morbidity index, McCabe's criteria for underlying disease, APACHE II scoring, community or nosocomial acquisition of bacteraemia, and micro-organism responsible. Blood cultures were obtained from all the patients at least three times. All patients were examined for ocular lesions by the same ophthalmologist 48-72 h after the first examination. Some long-term hospitalized patients were evaluated more than once. RESULTS Patients were divided into six groups: 18 (12%) were bacteraemic non-septic; 31 (20.7%) were septic bacteraemic; 43 (28.7%) were septic non-bacteraemic; 19 (12.7%) had systemic inflammatory response syndrome (SIRS); 16 (10.7%) were non-septic non-bacteraemic but infectious; and 23 (15.3%) were controls. We found bacteraemia-related retinal lesions (BRRLs) in 22/150 (14.7%) of the patients, 19 of whom (86.4%) were in the septic-bacteraemic group while 3 (13.6%) were in the septic non-bacteraemic group. BRRLs were observed in 19/31 (61.3%) patients in the septic-bacteraemic group. Winston and APACHE II scores were found to be higher in patients with BRRLs than in others. BRRLs were more prevalent in septic or bacteraemic patients with central nervous system (CNS) diseases (31.8%) or cancer (27.3%) than in patients with other diseases. The organism most frequently responsible for bacteraemia in patients with BRRLs was Pseudomonas aeruginosa (27.3%), and the second most common was Staphylococcus aureus (22.7%). CONCLUSION BRRLs are most frequent in bacteraemic-septic patients (61.3%). The underlying diseases predisposing most to BRRLs are diseases of the CNS and cancers. Ocular examination appears to be a useful aid to diagnosis of bacteraemia or sepsis.
Collapse
Affiliation(s)
- Ilhami Celik
- Department of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Firat University, 23119 Elazig, Turkey.
| | | | | | | | | |
Collapse
|
|
50
|
Abstract
OBJECTIVES To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than mothers who received routine smoking cessation advice, which focused on their own health, or a control group of mothers. SETTING Tertiary referral centre. METHODS Randomized control trial. A total of 363 mothers were randomly assigned to a smoking cessation intervention either aimed at their children's health (n = 111) or their own health (n = 131), or to a control group receiving no smoking cessation advice (n = 121). RESULTS Provision to mothers of both groups of health risks of tobacco smoke resulted in significantly higher rate of cessation of smoking and smoking location change than those of the control group, with child intervention group having significantly higher rate of cessation of smoking and smoking location change than those of the maternal intervention group (P < 0.05). Post-intervention knowledge scores differed significantly for all groups; however, child intervention group was the only significantly better group than the others (P < 0.05). According to the multivariate analysis results, intervention grouping and presence of smoking friends were independent factors determining smoking cessation (P < 0.05). Intervention grouping, post-intervention knowledge, presence of other household members who smoked and family income were independent factors determining smoking location change (P < 0.05). Family income, intervention grouping and presence of smoking friends were significant independent factors influencing post-intervention knowledge (P < 0.05). CONCLUSION Discussion during short paediatric visits on effects of smoking on child's or maternal health may result in a significant smoking cessation, smoking location change rate or knowledge change. Those who cannot give up smoking usually change their location of smoking. Provision of information on effects of smoking on child's health, rather than maternal, may result in more significant changes in behaviour or knowledge. Maternal education on smoking should include information on effects of smoking on both child's and maternal health, but should be especially focused on child's health.
Collapse
Affiliation(s)
- G Yilmaz
- Dr Sami Ulus Children's Hospital, 06100 Altindağ, Ankara, Turkey.
| | | | | | | |
Collapse
|