Challenges in Functional Food Products with the Incorporation of Some Microalgae

Much attention has been given to the use of microalgae to produce functional foods that have valuable bioactive chemicals, including essential amino acids, polyunsaturated fatty acids, vitamins, carotenoids, fiber, and minerals. Microalgal biomasses are increasingly being used to improve the nutritional values of foods because of their unique nutrient compositions that are beneficial to human health. Their protein content and amino acid composition are the most important components. The microalgal biomass used in the therapeutic supplement industry is dominated by bio-compounds like astaxanthin, β-carotene, polyunsaturated fatty acids like eicosapentaenoic acid and docosahexaenoic acid, and polysaccharides such as β-glucan. The popularity of microalgal supplements is growing because of the health benefits of their bioactive substances. Moreover, some microalgae, such as Dunaliella, Arthrospira (Spirulina), Chlorella, and Haematococcus, are commonly used microalgal species in functional food production. The incorporation of microalgal biomass leads not only to enhanced nutritional value but also to improved sensory quality of food products without altering their cooking or textural characteristics. Microalgae, because of their eco-friendly potential, have emerged as one of the most promising and novel sources of new functional foods. This study reviews some recent and relevant works, as well as the current challenges for future research, using different methods of chemical modification in foods with the addition of a few commercial algae to allow their use in nutritional and sensory areas. It can be concluded that the production of functional foods through the use of microalgae in foods has become an important issue.

Effect of Flaxseed Mucilage and Gum Arabic on Probiotic Survival and Quality of Kefir during Cold Storage

This study aimed to assess the survival of probiotic cultures in kefir. Kefir is a fermented dairy product, and in this study we incorporated nutritionally rich flaxseed mucilage and gum arabic as a prebiotic, then monitored for improvement in the the viability of Lactobacillus acidophilus and Bifidobacterium lactis. In addition, some physicochemical variables of kefir were investigated. The addition of flaxseed mucilage and gum arabic significantly (p ˂ 0.05) increased the growth of both Lactobacillus acidophilus and Bifidobacterium lactis compared to the control. Samples enriched with flaxseed mucilage and gum arabic had significantly (p ˂ 0.05) reduced pH and increased viscosity. Flaxseed mucilage and gum arabic significantly (p ˂ 0.05) changed the color parameters L*, a*, and b*. However, as the concentration of flaxseed mucilage increased, the L* value decreased. Moreover, adding flaxseed mucilage and gum arabic into kefir increased (p ˂ 0.05) the protein content. These results showed that flaxseed mucilage and gum arabic could be used to increase the survival of probiotic cultures in kefir without changing its physicochemical properties.

Efficacy of Spinetoram for the Control of Bean Weevil, Acanthoscelides obtectus (Say.) (Coleoptera: Chrysomelidae) on Different Surfaces

In this study, the contact toxicity of spinetoram on three different surfaces, concrete, ceramic floor tile and laminate flooring, against Acanthocelides obtectus (Say.) (Coleoptera: Chrysomelidae) was evaluated in laboratory bioassays. Different concentrations were evaluated ranging from 0.0025 to 0.05 mg AI/cm², against adults of A. obtectus. Adult mortality was measured after 1-, 3-, 5- and 7-day exposure. After 1-day exposure, the mortality was low on all surfaces, ranging from 0 to 27.2%. After 5- and 7-day exposure, spinetoram at concentrations of 0.01 mg/cm² and above achieved 100% or close mortality on concrete and laminate flooring surface, whereas low concentrations (0.0025, 0.005 and 0.0075 mg AI/cm²) resulted in significantly lower mortality levels, ranging from 1.6 to 30.8%, than high concentrations. In the case of ceramic floor tile surface, spinetoram treatments at all tested concentrations did not result in 100% mortality. Significant differences were recorded among the surfaces, depending on concentrations and exposure intervals. After 3-, 5- and 7-day exposure, mortality levels on ceramic floor tile surface were generally higher at low concentrations than those on the concrete and laminate flooring surfaces, whereas those on concrete and laminate flooring surfaces were significantly higher at high concentrations than ceramic floor tile surface. These results indicate that spinetoram at 0.025 and 0.05 mg AI/cm² achieve satisfactory control at relatively short exposures on common types of surfaces and thus can be used as an effective insecticide against A. obtectus.

Determining anatomical localizations of cervical esophagus, hiatal clamp and esophagogastric junction with esophagogastroduodenoscopy

BACKGROUND

In this study, the purpose was to determine the anatomical localizations of the cervical esophagus length, hiatal clamp, and esophagogastric junction depending on age and gender in patients who undergo Esophagogastroduodenoscopy (EGD).

MATERIALS AND METHODS

The images of the patients who underwent EGD between 2018 and 2020 were analyzed retrospectively in this study. The distance of the anatomical localizations of the cervical esophagus length, hiatal clamp, and esophagogastric junction to the anterior incisors, and the relations of this distance with the demographic characteristics and clinical manifestations of the patients were investigated on the esophagogastroduodenoscopy data.

RESULTS

A total of 298 patients (174 women/124 men) were included in the study. The cervical esophagus length and the distance of the esophagogastric junction and hiatal clamp localization of the patients were found to be 15.06±0.57 cm, 37.51±2.23 cm and 38.62±2.23 cm, respectively. It was also found that the mean values ​​of all lengths in males were higher at a statistically significant level than in females (p<0.001; p<0.01).

CONCLUSIONS

Knowing these anatomical localizations may be important in predicting complications that may occur in this region in EGD and planning the precautions to be taken. We also believe that it will guide clinicians in determining hiatal hernia and related deficiencies.

Amelioration of Cerebral Vasospasm and Secondary Injury by Vigabatrin After Experimental Subarachnoid Hemorrhage in the Rabbit

BACKGROUND

Vigabatrin, an antiepileptic drug, increases the level of gamma aminobutyric acid in the brain by inhibiting its catabolism. Because gamma aminobutyric acid has been proved to have vasodilatory effects, in the present study, we investigated the effect of vigabatrin to treat experimental subarachnoid hemorrhage (SAH)-induced vasospasm.

METHODS

A total of 30 New Zealand white rabbits were divided into 3 groups of 10 each: the control group, SAH group, and vigabatrin group. Experimental SAH was established by injection of autologous arterial blood into the cisterna magna. In the vigabatrin group, the rabbits were administered vigabatrin for 3 days after induction of the SAH. The first dose of vigabatrin was given 2 hours after SAH induction. A daily dose of 500 mg/kg vigabatrin was administered intraperitoneally. After 3 days, the rabbits were sacrificed, and the brains were removed, together with the cerebellum and brainstem. The basilar artery wall thickness and lumen areas were measured. The neuronal degeneration in the hippocampus (CA1, CA3, and dentate gyrus) was also evaluated.

RESULTS

The arterial wall thickness of the vigabatrin group was less than that in the SAH group (P < 0.001), and the mean luminal area of the vigabatrin group was greater than that in the SAH group (P < 0.001). Additionally, the hippocampal neuronal degeneration score of the vigabatrin group was lower than that of the SAH group (P < 0.001).

CONCLUSION

These findings have indicated that vigabatrin has a vasodilatory effect in an experimental SAH model in the rabbit. Moreover, it showed a neuroprotective effect in the hippocampal neurons against secondary injury induced by SAH.

The effects of Cinnamaldehyde on early brain injury and cerebral vasospasm following experimental subarachnoid hemorrhage in rabbits

The neuroprotective and vasodilatory effects of cinnamaldehyde have been widely studied and documented. On the basis of these findings, we hypothesized that cinnamaldehyde exhibits therapeutic effects on subarachnoid hemorrhage-induced early brain injury and cerebral vasospasm. Thirty-two adult male New Zealand white rabbits were randomly divided into four groups of eight rabbits: control, subarachnoid hemorrhage, subarachnoid hemorrhage + vehicle, and subarachnoid hemorrhage + cinnamaldehyde. An intraperitoneal dose of 50 mg/kg cinnamaldehyde was administered 5 min following an intracisternal blood injection, followed by three further daily injections at identical doses. The animals were sacrificed 72 h after subarachnoid hemorrhage was induced. The cross-sectional areas and arterial wall thicknesses of the basilar artery were measured and hippocampal degeneration scores were evaluated. Treatment with cinnamaldehyde was effective in providing neuroprotection and attenuating cerebral vasospasm after subarachnoid hemorrhage in rabbits. It effectively increased the cross-sectional areas of the basilar artery and reduced the arterial wall thickness; in addition, hippocampal degeneration scores were lower in the cinnamaldehyde group. The findings of this study showed, for the first time to our knowledge, that cinnamaldehyde exhibits neuroprotective activity against subarachnoid hemorrhage-induced early brain injury and that it can prevent vasospasm. Potential mechanisms underlying the neuroprotection and vasodilation were discussed. Cinnamaldehyde could play a role in subarachnoid hemorrhage treatment.

Coexistence of phylloides tumour and invasive ductal cancer in the breast

Phylloides tumor in the breast is a rare fibroepithelial tumor, which is often seen in young adult women. Phylloides tumor of the breast accounts for about 1% of all breast tumors and approximately 3% of all fibroepithelial tumors. Pre-operative diagnosis is difficult. Since there aren't any specific mammography and ultrasound findings, they cannot be distinguished from fibroadenomas through these imaging methods and are mostly followed up as if they are fibroadenomas. Patients often present with the complaint of a mass that has been present for a long time and had started to grow suddenly. The primary preferred approach for treatment is wide local excision with negative surgical margins. Coexistence of invasive ductal carcinoma with phylloides tumor in the same breast is a very rare occurrence. We present in this article, a 42-year-old female patient with an invasive ductal carcinoma inside a phylloides tumor in the same breast.

Development of a new adsorbent from pumpkin husk by KOH-modification to remove copper ions

Heavy metal pollution in watercourses is a major environmental problem throughout the world due to rapid population growth, industrialization, and economic development. Considering this, the present study aimed to develop a new adsorbent from pumpkin husk (PH) by KOH modification to remove copper (Cu²⁺) ions and to explore its adsorptive potential. The sorption studies of Cu²⁺ on KOH-modified PH were carried out as functions of particle size, solution pH, adsorbent dose, temperature, initial metal concentration, and contact time. The sorption capacity of KOH-modified PH was found to be higher than that of raw PH, as 19.4 and 10.2 mg g^-1, respectively. Morphology and surface structures of adsorbents were characterized by determination of zero point charge, a Fourier transform infrared spectrometer (FTIR-ATR) spectra, and a scanning electron microscopy (SEM) of PH powders before and after the sorption of Cu²⁺. The pH_zpc of PH was found to be 5.0. FTIR-ATR analyses indicated that amino, amide, hydroxyl, carboxyl, and oxygenated groups of PH play an important role in the sorption process. Sorption isotherm, kinetic, and thermodynamic parameters of Cu²⁺ on KOH-modified PH were studied. The kinetic process was well represented by the Logistic model. The maximum sorption was found as 73.16 mg g^-1 according to the well-fitting of Langmuir isotherm. Results of sorption and thermodynamic studies indicated that the process was exothermic, being feasible, and spontaneous. KOH-modified PH as an eco-friendly adsorbent had great potential to remove Cu²⁺ ions from aquatic system.

Antifibrotic Effect of Boric Acid in Rats with Epidural Fibrosis

BACKGROUND

Epidural fibrosis is a major problem after spine surgery, with some patients having recurrent symptoms secondary to excessive formation of scar tissue resulting in neurologic compression. We used a rat laminectomy model to determine if topical application of boric acid could be helpful in the prevention of epidural fibrosis.

METHODS

Rats were randomly assigned to 2 control and 2 experimental groups (n = 8 for each group). The negative control group received no surgery, and the positive control group underwent laminectomy only. Experimental groups were classified according to the study agents applied onto the dura mater after laminectomy at the L3 level: 2.5% boric acid solution and 5% boric acid solution. The extent of epidural fibrosis was assessed 4 weeks later macroscopically and histopathologically.

RESULTS

Boric acid reduced epidural fibrosis in rats after laminectomy. The effect of 5% boric acid solution was more pronounced (P < 0.05) compared with the 2.5% solution.

CONCLUSIONS

The antifibrotic effect of boric acid solution for the prevention of epidural fibrosis suggests that boric acid should be further evaluated in future studies for the prevention of epidural fibrosis.

Effect of ohmic cooking followed by an infrared cooking method on lipid oxidation and formation of polycylic aromatic hydrocarbons (PAH) of beef muscle

In this study, the effects of ohmic cooking alone and a consecutive application of ohmic and infrared cooking on lipid oxidation and polycyclic aromatic hydrocarbon (PAH) formation in beef was investigated. In consecutive cooking, samples were first cooked ohmically at 40, 55 and 70 Volt for 7 minutes, then infrared cooking was applied to each side of ohmically cooked beef samples at 3 different temperatures (325, 375 and 425 °F) for 3 minutes. The thiobarbituric acid reactive substance (TBARS) levels of the samples were found between 0.31 and 1.74 mg MDA/kg. Increasing the voltage level in ohmic cooking caused a significant (P < 0.05) increase in the TBARS value. In the consecutive application of ohmic and infrared cooking, infrared cooking temperature caused a significant (P < 0.05) increase in the TBARS value at the same voltage levels. In this study, working with 40 and 55 Volts for ohmic cooking alone and 40 V-325 °F, 40V-375 °F settings for ohmic-infrared cooking gave a generally acceptable threshold level for TBARS value (1 mg/kg). About 12 polycyclic aromatic hydrocarbons (PAHs) were detected in the cooked beef by ultra-performance liquid chromatography fluorescence detector (UPLC-FD). Benzo(a)pyrene (BaP), which is the most common PAH, was detected at between 1.2514 and 1.4392 μg/kg and 4 PAH (sum of Benzo(a)pyrene, Chrysene, Benz(a)anthracene, Benz(b)fluoranthene) levels were detected at between 1.2514- 3.7844 μg/kg. The results of PAHs were reasonably below the European Commission regulation limits, which are very important and indicate that the cooking processes applied in this study are safe.

Internet use patterns and Internet addiction in children and adolescents with obesity

BACKGROUND

There are no data regarding the Internet addiction (IA) rates and patterns in youth with obesity.

OBJECTIVE

This study aimed to explore the prevalence and patterns of IA in children and adolescents with obesity. The relationship between IA and body mass index (BMI) was also investigated.

METHODS

Study includes 437 children and adolescents with age ranging from 8 to 17 years: 268 with obesity and 169 with healthy controls. The Internet addiction scale (IAS) form was administered to all participants. The obesity group also completed a personal information form including Internet usage habits and goals. Linear regression analysis was utilized to assess the contributions of Internet use habits and goals to BMI in the obesity group and IAS scores to BMI in both groups.

RESULTS

A total of 24.6% of the obese children and adolescents were diagnosed with IA according to IAS, while 11.2% of healthy peers had IA (p < 0.05). The mean IAS scores for the obesity group and the control group were 53.71 ± 25.04 and 43.42 ± 17.36, respectively (p < 0.05). The IAS scores (t = 3.105) and spending time more than 21 h week^-1 on the Internet (t = 3.262) were significantly associated with increased BMI in the obesity group (p < 0.05). Other Internet habits and goals were not associated with BMI (p > 0.05). The IAS scores (t = 8.719) were also found to be associated with increased BMI in the control group (p < 0.05).

CONCLUSIONS

The present study suggests that obese children and adolescents were found to have higher IA rates than their healthy peers, and the results indicate an association between IA and BMI.

Evaluating biochemical response of filamentous algae integrated with different water bodies

The present study prompted the second attempts to evaluate biochemical responses of filamentous algae under different physico-chemical variables in various water bodies in Turkey. These variables were investigated by use of multivariate approach in the years of 2013 (May and November) and 2014 (May and October). Studied ecoregions had the different geographic position, climate, land-use, and anthropogenic activities, could strongly affect physico-chemical variables of water bodies, which caused to change or regulate in algal biomass composition due to the different response of filamentous species. Besides, biochemical responses of species changed at different sampling times and stations. Multivariate analyses indicated that temperature, heavy metals, and nutrient contents of aquatic systems were found to be major variables driving the spatial and temporal occurrence and biochemical contents of filamentous species. Total protein and pigment production by filamentous algae were high in water bodies having high nutrients, whereas they were low in high heavy metal contents. Amount of malondialdehyde (MDA), H₂O₂, total thiol group, total phenolic compounds, proline, total carbohydrate, and bioaccumulation of metals by filamentous algae were closely related with heavy metal contents of water bodies, indicated by the multivariate approach. Significant increase in aforementioned biochemical compounds with a distinct range of habitats and sensitive-tolerance to environmental conditions could make them highly valuable indicators.

The royal road to the obesity: A case report of food addiction

Increasing prevalence of obesity in the world and increasing role of processed foods in daily life has led to become the focal point of food addiction. In recent years, the animal studies and human brain imaging studies demonstrated the neurobiological and behavioral similarities between drug addiction and food addiction. Here, we aim to present a 13-year-old, female, adolescent who applied with complaints of anger and irritability and shows serious addictive behaviors of chocolate. Our patient with increasing chocolate consumption in the last two years was using atomoxetine 60 mg/day with attention deficit hyperactivity disorder (ADHD). She gradually needs more chocolate to be satisfied. She has complained of nervousness, irritability and serious chocolate-seeking behavior during chocolate deprivation. She gained weight in proportion to the increase in chocolate consumption. Her daily diet was increasingly deteriorated. We used behavioral approach and sertraline in her treatment and were observed that partially benefit from treatment. Combined data from retrospective accounts of adults and prospective observations of youth indicates that juveniles with ADHD are at increased risk for cigarette smoking and substance abuse and behavioral addiction such as Internet addiction, gambling and sex addiction during adolescence. Recognition of the food addiction is important to fight against obesity, strengthening the treatment of choice in the food addiction and take political measures against food addiction are becoming inevitable.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Biochemical responses of filamentous algae in different aquatic ecosystems in South East Turkey and associated water quality parameters

To the best of our knowledge, any study about biochemical response of filamentous algae in the complex freshwater ecosystems has not been found in the literature. This study was designed to explore biochemical response of filamentous algae in different water bodies from May 2013 to October 2014, using multivariate approach in the South East of Turkey. Environmental variables were measured in situ: water temperature, oxygen concentration, saturation, conductivity, salinity, pH, redox potential, and total dissolved solid. Chemical variables of aqueous samples and biochemical compounds of filamentous algae were also measured. It was found that geographic position and anthropogenic activities had strong effect on physico-chemical variables of water bodies. Variation in environmental conditions caused change in algal biomass composition due to the different response of filamentous species, also indicated by FTIR analysis. Biochemical responses not only changed from species to species, but also varied for the same species at different sampling time and sampling stations. Multivariate analyses showed that heavy metals, nutrients, and water hardness were found as the important variables governing the temporal and spatial succession and biochemical compounds. Nutrients, especially nitrate, could stimulate pigment and total protein production, whereas high metal content had adverse effects. Amount of malondialdehyde (MDA), H2O2, total thiol groups, total phenolic compounds, proline, total carbohydrate, and metal bioaccumulation by filamentous algae could be closely related with heavy metals in the ecosystems. Significant increase in MDA, H2O2, total thiol group, total phenolic compounds, and proline productions by filamentous algae and chlorosis phenomenon seemed to be an important strategy for alleviating environmental factors-induced oxidative stress as biomarkers.

Effects of Temperature, Humidity and Additives on the Formation of Biogenic Amines in Sucuk during Ripening and Storage Periods

The effects of temperature (20, 30 and 40 C), humidity (50, 65 and 80% RH) and additives on the formation of biogenic amines (tryptamine, -phenyl ethylamine, putrescine, cadaverine, histamine, 1,7-diamino heptane, serotonin, tyramine, spermidine and spermine) in sucuk (Turkish dry-fermented sausage) were studied during ripening and storage periods. Cadaverine was not detected in any sausage. Tryptamine, -phenyl ethylamine, 1,7-diamino heptane, serotonin, spermidine and spermine were the minor biogenic amines found in sucuk. The formation of tryptamine, -phenyl ethylamine, histamine, 1,7-diamino heptane and spermidine were affected significantly (P<0.05) by temperature and% RH during the storage. Preservatives had also a significant effect (P<0.05) on the formation of biogenic amines. The lowest putrescine formation was observed in sucuk type containing the highest amount of additives after 60 days of storage, whereas the highest putrescine formation was obtained in the control sucuk made without additives. Histamine concentration ranged from 0.0 to 242.2 mg/kg and 0.0 to 135.8 mg/kg during ripening and storage periods, respectively. In general, tryptamine formation increased during ripening and decreased during the storage periods. Temperature and% RH of the storage might be used as hurdle factors to control the formation of biogenic amines in sucuk.

Biosorption and retention of orthophosphate onto Ca(OH)2-pretreated biomass of Phragmites sp

The biosorption of phosphorus in the form of orthophosphate (Po) from wastewater using biomass as the sorbent is of potential importance because the Po-loaded biomass could be applied in the agricultural sector as fertilizer and soil conditioner. However, biomass generally displays a very low affinity for Po sorption and therefore biomass surface modification is required. In the present study, the biomass (as model grinded leaves of Phragmites sp. were used) was pretreated with Ca(OH)2 to enhance Po biosorption capacity (qe). The results indicate that the alkaline pretreatment resulted in a modification of surface functional groups. It was concluded that the main sorption mechanisms were ligand exchange and electrostatic attraction. A series of experiments were conducted to investigate the performance of the pretreated biomass for Po uptake under various conditions. Isotherm and thermodynamic studies were also applied and analyzed. The biosorption process was best described by the pseudo-second order kinetic model and Langmuir isotherm, which gave a qmax of 12.27mgP/g at 25°C and pH7. The Ca(OH)2 treated Phragmites biomass applied in this study for Po recovery may present some potential advantages in terms of costs and environmental impact.

A DWI study of the contralateral hemisphere in cerebral hemiatrophy

BACKGROUND AND AIM

Cerebral hemiatrophy (CHA) is a congenital or acquired loss of volume in one hemisphere of the brain. The MR findings of the affected hemisphere have been a subject of many studies, however, the contralateral hemisphere has not been investigated. There is, in fact, an integrity between two hemispheres of the brain through transverse connection fibers. The aim of this study is to investigate the changes in the contralateral hemisphere in CHA.

MATERIALS AND METHODS

Apparent diffusion coefficient (ADC) values were measured in deep gray and white matter areas in the normal-appearing contralateral hemisphere in 23 patients with CHA, in order to get in vivo information about a possible Wallerian degeneration or microstructural changes. Results were compared with the control group.

RESULTS

Normal ADC values were encountered in the contralateral hemisphere in all (100%) CHA patients. The difference between the ADC values of gray and white matter in CHA patients and the control group was not statistically significant.

CONCLUSION

Normal ADC values in the contralateral hemisphere in CHA patients suggests a compensatory mechanism restricting Wallerian degeneration or diffusion alteration.

Thermal inactivation kinetics of hepatitis A virus in homogenized clam meat (Mercenaria mercenaria)

AIMS

Epidemiological evidence suggests that hepatitis A virus (HAV) is the most common pathogen transmitted by bivalve molluscs such as clams, cockles, mussels and oysters. This study aimed to generate thermal inactivation kinetics for HAV as a first step to design adequate thermal processes to control clam-associated HAV outbreaks.

METHODS AND RESULTS

Survivor curves and thermal death curves were generated for different treatment times (0-6 min) at different temperatures (50-72°C) and Weibull and first-order models were compared. D-values for HAV ranged from 47·37 ± 1·23 to 1·55 ± 0·12 min for the first-order model and 64·43 ± 3·47 to 1·25 ± 0·45 min for the Weibull model at temperatures from 50 to 72°C. z-Values for HAV in clams were 12·97 ± 0·59°C and 14·83 ± 0·0·28°C using the Weibull and first-order model respectively. The calculated activation energies for the first-order and Weibull model were 145 and 170 kJ mole(-1) respectively.

CONCLUSION

The Weibull model described the thermal inactivation behaviour of HAV better than the first-order model.

SIGNIFICANCE AND IMPACT OF THE STUDY

This study provides novel and precise information on thermal inactivation kinetics of HAV in homogenized clams. This will enable reliable thermal process calculations for HAV inactivation in clams and closely related seafood.

Increased serum levels of GDF-15 associated with mortality and subclinical atherosclerosis in patients on maintenance hemodialysis

BACKGROUND/AIMS

Increased carotid intima-media thickness (CIMT) was shown to be an independent predictor of cardiovascular (CV) mortality in dialysis patients and the general population. Growth differentiation factor 15 (GDF-15), a member of the transforming growth factor superfamily, is produced by cardiomyocytes and atherosclerotic lesions under stress conditions such as inflammation. We assessed associations between serum concentrations of GDF-15, mortality, and CIMT for subclinical atherosclerosis in hemodialysis (HD) patients.

METHODS

A total of 87 patients on maintenance hemodialysis and 45 sex- and age-matched healthy controls were included in this prospective study. Serum GDF-15 levels were measured by ELISA. CIMT was assessed by Doppler ultrasonography. The association between serum GDF-15 levels and mortality was assessed using Cox regression analysis with serum levels categorized into two groups according to the median value (328.18 pg/ml). Patients were followed for 2 years and cause-specific and all-cause mortality were determined.

RESULTS

The median level of serum GDF-15 was significantly higher in HD patients than controls [328 (198-522) vs. 176 (101-289) pg/ml, p < 0.01, respectively]. Serum GDF-15 levels were correlated to CIMT (r = 0.607, p < 0.001), C-reactive protein (CRP; r = 0.250, p = 0.010), HD duration (r = 0.376, p = 0.004), and serum albumin (r = - 0.156, p = 0.030). The multivariate analysis revealed that GDF-15 was found to be an independent variable of CIMT in HD patients. In the study, the serum GDF-15 level was an independent marker of all-cause of mortality when adjusted for age, CRP, and history of diabetes mellitus.

CONCLUSION

The relationship between serum GDF-15, mortality, and carotid artery thickening suggests that GDF-15 may be a novel marker of atherosclerosis, inflammation, and malnutrition in HD patients.

Predictive modeling of sorption and desorption of a reactive azo dye by pumpkin husk

The use of effective disposal of redundant pumpkin husk (PH) to remove pollutants is an important issue for environmental protection and utilization of resource. The aim of this study was to remove a potentially toxic reactive azo dye, Reactive Red (RR) 120, by widespread PH as a low-cost adsorbent. Particle size, adsorbent dose, pH, temperature, initial dye concentration, and contact time affected the sorption process. Amine, amide, hydroxyl, and carboxyl groups of PH played significant roles on the sorption process. Rapid sorption occurred within the first 2 min and equilibrium was reached within 60 min. Sorption kinetic was well represented by logistic equation. Generated secondary logistic model can be used to describe effects of initial dye concentration, contact time, and temperature by a single equation with high R (2) value. Monolayer sorption capacity was found as 98.61 mg g(-1). Activation energy, thermodynamic, and desorption studies showed that this process was physical, endothermic, and spontaneous. This study indicated that redundant PH as a low-cost adsorbent had a great potential for the removal of RR 120 as an alternative eco-friendly process.

Effect of cadmium on biomass, pigmentation, malondialdehyde, and proline of Scenedesmus quadricauda var. longispina

Effects of cadmium (Cd(2+)) on biomass, pigmentation (chlorophyll a, b, and total carotene), malondialdehyde (MDA), and proline productions by Scenedesmus quadricauda var. longispina were investigated. Cadmium had inhibitory effect on the productions of biomass and pigmentation. Significant differences were found in pigment content among groups. On the other hand, Cd(2+) had a simulative effect on the production of MDA and proline by the alga. FTIR-ATR spectroscopy was used to examine active groups of algal biomass before and after Cd(2+) exposure. Results confirmed that amino, amide, and anionic groups had significant role on the biosorption of Cd(2+) by the alga. Increased accumulation of MDA and proline seemed to be an important strategy for alleviating metal-induced oxidative stress in S. quadricauda var. longispina.

Predictive modeling of an azo metal complex dye sorption by pumpkin husk

Effective disposal of pumpkin husk (PH) as a redundant waste is a significant work for environmental protection and full utilization of resource. Predictive modeling of sorption of Lanaset Red (LR) G on PH was investigated in a batch system as functions of particle size, adsorbent dose, pH, temperature, and initial dye concentration. Fourier transform infrared spectroscopy attenuated total reflectance spectra of PH powders before and after the sorption of LR G were determined. Sorption process was found to be dependent on particle size, adsorbent dose, pH, temperature, initial dye concentration, and contact time. Amine and amide groups of PH had significant effect on the sorption process. The pHzpc of PH was found as 6.4. Sorption process was very fast initially and reached equilibrium within 60 min. Dynamic behavior of sorption was well represented by logistic and Avrami models. The sorption of LR G on PH was excellently described by Langmuir model, indicating a homogeneous phenomenon. Monolayer sorption capacity decreased from 440.78 to 436.28 mg g(-1) with increasing temperature. Activation energy, thermodynamic, and desorption studies showed that this process was physical character, exothermic, and spontaneous. This study confirmed that PH as an effective and low-cost adsorbent had a great potential for the removal of LR G as an alternative eco-friendly process.

Sorption and desorption studies of a reactive azo dye on effective disposal of redundant material

The effective disposal of redundant elephant dung (ED) is important for environmental protection and utilization of resource. The aim of this study was to remove a toxic-azo dye, Reactive Red (RR) 120, using this relatively cheap material as a new adsorbent. The FTIR-ATR spectra of ED powders before and after the sorption of RR 120 and zero point charge (pHzpc) of ED were determined. The sorption capacity of ED for removing of RR 120 were carried out as functions of particle size, adsorbent dose, pH, temperature, ionic strength, initial dye concentration, and contact time. Sorption isotherm, kinetic, activation energy, thermodynamic, and desorption parameters of RR 120 on ED were studied. The sorption process was found to be dependent on particle size, adsorbent dose, pH, temperature, ionic strength, initial dye concentration, and contact time. FTIR-ATR spectroscopy indicated that amine and amide groups have significant role on the sorption of RR 120 on ED. The pHzpc of ED was found to be 7.3. Sorption kinetic of RR 120 on ED was well described by sigmoidal Logistic model. The Langmuir isotherm was well fitted to the equilibrium data. The maximum sorption capacity was 95.71 mg g(-1). The sorption of RR 120 on ED was mainly physical and exothermic according to results of D-R isotherm, Arrhenius equation, thermodynamic, and desorption studies. The thermodynamic parameters showed that this process was feasible and spontaneous. This study showed that ED as a low-cost adsorbent had a great potential for the removal of RR 120 as an alternative eco-friendly process.

Use of artificial neural networks and genetic algorithms for prediction of sorption of an azo-metal complex dye onto lentil straw

Artificial neural network (ANN), pseudo second-order kinetic, and gene expression programming (GEP) models were constructed to predict removal efficiency of Lanaset Red G (LR G) using lentil straw (LS) based on 1152 experimental sets. The sorption process was dependent on adsorbent particle size, pH, initial dye concentration, and contact time. These variables were used as input to construct a neural network for prediction of dye uptake as output. ANN was an excellent model because of the lowest error and the highest coefficient values. ANN indicated that initial dye concentration had the strongest effect on dye uptake, followed by pH. The GEP model successfully described the sorption kinetic process as function of adsorbent particle size, pH, initial dye concentration, and contact time in a single equation. Low cost adsorbent, LS, had a great potential to remove LR G as an eco-friendly process, which was well described by GEP and ANN.

Cervical lymphadenitis: tuberculosis or tularaemia?

Both tuberculosis cervical lymphadenitis (TCL) and oropharyngeal tularaemia (OT) have similar signs, symptoms and pathological findings. We aimed to investigate the frequency of tularaemia antibodies in patients diagnosed with TCL. Using data from the Tuberculosis Control Dispensaries between the years of 2008 and 2011 in Turkey, all patients diagnosed with TCL were informed about and included in the study. Control group subjects were selected from healthy blood donors who lived in the same region. After informed consent was obtained, the sera obtained from volunteer TCL patients and the control group were tested with a microagglutination technique for Francisella tularensis. Antibodies to Brucella were also investigated with a tube agglutination test for cross-reactivity in sera that were seropositive for tularaemia. Sera were obtained from a total of 1170 individuals in the TCL group and 596 in the control group from 67 of 81 provinces in Turkey. Francisella tularensis-positive antibodies were found in 79 (6.75%) cases in the TCL group and two (0.33%) cases in the control group with a titre of ≥1:80 (p < 0.01). When the presence of antibody of any titre was considered, the ratio became 8.2% (96/1170) in the TCL group and 0.67% (4/596) in the control group (p < 0.001). For the first time, with this study, tularaemia serology was found to be positive in a significant portion (6.75%) of diagnosed cases of TCL. In tularaemia endemic regions, it was concluded that tularaemia serology should be investigated in patients suspected of having TCL.

Prediction of removal efficiency of Lanaset Red G on walnut husk using artificial neural network model

An artificial neural network (ANN) model was used to predict removal efficiency of Lanaset Red (LR) G on walnut husk (WH). This adsorbent was characterized by FTIR-ATR. Effects of particle size, adsorbent dose, initial pH value, dye concentration, and contact time were investigated to optimize sorption process. Operating variables were used as the inputs to the constructed neural network to predict the dye uptake at any time as an output. Commonly used pseudo second-order model was fitted to the experimental data to compare with ANN model. According to error analyses and determination of coefficients, ANN was the more appropriate model to describe this sorption process. Results of ANN indicated that pH was the most efficient parameter (43%), followed by initial dye concentration (40%) for sorption of LR G on WH.

Ohmic and Conventional Heating of Pomegranate Juice: Effects on Rheology, Color, and Total Phenolics

Ohmic heating is an alternative fast-heating method especially for liquid foods. In this study, pomegranate juice samples, prepared by two different extraction methods, were heated ohmically by matching the same thermal history, with that of the conventional method. The ohmic heating application was conducted by changing the voltage gradient (10—40 V/cm) at 50 Hz. The samples were heated from 20 ° C to 90°C and held at 90 °C for different treatment times (0, 3, 6, 9 or 12 min). Although rheological properties, color, and total phenolic content (TPC) values changed at the initial heating up period, there were no significant changes during holding period (p < 0.05). Non-Newtonian (power law) rheology model had higher regression coefficient than Newtonian model, and the extraction method affected the consistency of pomegranate juice samples (p < 0.05). Color values of juice extracted from arils (APJ) was better than that of juice extracted from whole fruits (PPJ), as PPJ contained higher amount of TPC (p < 0.05). Since the heating method did not affect the rheological properties, color, and TPC values, it could be said that there was no electrical effect rather than thermal effects during ohmic heating of pomegranate juice. Ohmic heating could be recommended as an alternative fast-heating method for fruit juices.

An eco-friendly process: predictive modelling of copper adsorption from aqueous solution on Spirulina platensis

The adsorption of copper ions on Spirulina platensis was studied as a function of contact time, initial metal ion concentration, and initial pH regimes. Characterization of this adsorbent was confirmed by FTIR spectrum. Modified Gompertz and Logistic models have not been previously applied for the adsorption of copper. Logistic was the best model to describe experimental kinetic data. This adsorption could be explained by the intra-particle diffusion, which was composed of more than one sorption processes. Langmuir, Freundlich, and Redlich-Peterson were fitted to equilibrium data models. According to values of error functions and correlation coefficient, the Langmuir and Redlich-Peterson models were more appropriate to describe the adsorption of copper ions on S. platensis. The monolayer maximum adsorption capacity of copper ions was determined as 67.93 mg g(-1). Results indicated that this adsorbent had a great potential for removing of copper as an eco-friendly process.

Modeling of biomass production by Spirulinaplatensis as function of phosphate concentrations and pH regimes

Batch cultivations were performed to evaluate the influence of phosphate concentrations (0.25, 0.5, 0.75, and 1.0 g L(-1)) for pH regimes (9.5, 10.0, and 10.5) on the biomass production by Spirulina platensis. The best condition for cell growth (3.099 g L(-1)) was found at 0.5 g L(-1) phosphate and pH value of 10.0. Cultivation time, phosphate, and pH caused to increase significantly (p<0.01) in biomass production by S. platensis. Lag time was observed up to 4 h. After then, biomass production increased sharply (p<0.01) from 0.020 g L(-1) to 2.063, 2.213, 1.532, and 0.797 g L(-1) at 0.25, 0.5, 0.75, and 1.0 g L(-1) phosphate values, respectively. Modified Gompertz model could be regarded as sufficient to describe the biomass production by S. platensis with high determination coefficients and low sum of square value indicated that. Biological parameters for biomass production were successfully predicted by modified Gompertz model.

Distribution, optimum detection time and antimicrobial susceptibility rates of the microorganisms isolated from blood cultures over a 4-year time period in a Turkish university hospital and a review of the international literature

This study retrospectively examined 8986 blood cultures from patients over a 4-year time period in an eastern Turkish university hospital to determine the detection times and distribution of isolated microorganisms using the automated BACTEC 9050 and BACTEC 9120 systems. A total of 1914 (21.3%) blood cultures contained pathogenic microorganisms and 252 (2.8%) positive cultures were considered contaminated. Of all the cultures, 18 (0.2%) were false positives and 224 (2.5%) were false negatives. In cultures containing pathogenic microorganisms, Gram-positive and Gram-negative bacterial isolation rates were 436 (22.8%) and 1440 (75.2%), respectively, and yeasts (all Candida sp.) were found in 38 (2.0%) cultures. Coagulase-negative staphylococci occurred in 936 (48.9%) cultures and Staphylococcus aureus occurred in 302 (15.8%) cultures. The mean detection time for all of the pathogens was 21 h and Brucella spp were isolated within 10 days. This study helps in understanding the epidemiology of the region and in providing positive therapeutic approaches. A review of the international literature helps to place this understanding into a global context.

Correlation of Slime Production Investigated via Three Different Methods in Coagulase-Negative Staphylococci with Crystal Violet Reaction and Antimicrobial Resistance

This study investigated slime production by coagulase-negative staphylococci (CNS) using the standard tube (ST), Congo red agar (CRA) plate and Christensen's tube (CT) methods, and compared the results with those of the crystal violet reaction (CVR) test. The potential correlation between slime production and antimicrobial resistance was also evaluated. In total, 205 CNS strains were isolated from biological samples: 92 (44.9%) were shown to produce slime by the ST method; 96 (46.8%) by the CRA plate method; 90 (43.9%) by the CT method; and 89 (43.4%) strains were CVR positive. Eighty-three (40.5%) CNS strains were positive for slime production by the ST, CRA and CT methods. The findings of the ST, CRA and CT test methods were consistent with each other but were not related to CVR positivity. Based on the ST method, rates of antibiotic resistance to several antimicrobial agents were higher in slime-positive strains than in slime-negative strains and, in some cases, this was statistically significant.

Modelling of Scenedesmus obliquus; function of nutrients with modified Gompertz model

This study attempted to investigate variation in biovolume of Scenedesmus obliquus, in the modified Johnson medium at 20+/-2 degrees C, under 16kergcm(-2)s(-1) continuous illumination. The experiments were carried out at four nitrate (8, 12, 16, and 20mM) and four phosphate (0.1, 0.3, 0.5 and 0.7mM) concentrations at pH 7 and 8. The best response for algal growth was found at 0.3mM phosphate and 12mM nitrate at pH 7, as it was obtained from weight averaging method. Besides, optimum phosphate and nitrate concentrations significantly distinguished (p<0.01) from other concentrations according to Turkey's HSD test. Key features of the growth of S. obliquus under phosphate and nitrate influenced batch culture was successfully predicted by modified Gompertz model. Through the cultivations, specific growth rate (mu) ranged from 0.30 to 1.02 day(-1), while biovolume doubling time (td) varied from 0.68 to 2.30 days. There were important differences (p<0.05) for both mu and td among response variables. Both nutrients displayed noteworthy effect (p<0.01) on the algal biovolume.

Utilization of natural antioxidants: Green tea extract and Thymbra spicata oil in Turkish dry-fermented sausage

Effect of natural (green tea extract, Thymbra spicata oil) and synthetic antioxidants (buthylatedhydroxytoluene, BHT) on the safety (biogenic amine and TBARS values) and quality (pH, colour and sensory attributes) of sucuk (Turkish dry-fermented sausage) were investigated during the ripening periods. Addition of antioxidants decreased (P<0.05) the TBARS values. It was found that natural antioxidants decreased TBARS formation more than BHT. Antioxidants reduced (P<0.05) putrescine formation in the following order: green tea extract>green tea extract-T. spicata oil>T. spicata oil>BHT, and their mean values were 70.45, 76.05, 83.13, and 95.97mg/kg, respectively. The highest tyramine concentration was observed in control sucuk prepared without any antioxidants, while the lowest was in the recipe with green tea extract as their mean values were about 99.42 and 64.31mg/kg, respectively. The pH, L, b, and overall sensory quality were not significantly different (P>0.05) with the addition of green tea extract, T. spicata oil, green tea extract-T. spicata oil. These results indicated that the most effective antioxidant was found to be green tea extract. This study pointed out that natural antioxidants were more effective than synthetic antioxidants, so they could be easily utilized in sucuk to enhance quality and provide safer products.

Colour and textural attributes of sucuk during ripening

The sensory (flavour, colour, and ease of cutting scores), colour (Hunter L, a, b, YI, total colour difference, hue angle, chroma, and browning index values) and textural (hardness, adhesiveness, springiness, cohesiveness, gumminess, chewiness, and resilience) attributes of sucuk were followed during the ripening period. Colour scores increased (P<0.05) from score 4 to 6 during the first 3 days of the ripening period and then decreased (P<0.05). The lightness (L values), yellowness (b), and hue angle of sucuk decreased (P<0.05) during the ripening period. The major colour changes occurred between the 5th and 9th days of the ripening period. Pearson correlation test indicates that a positive relationship (P<0.01) exists between a-values and sensory colour scores. The overall sensory scores changed (P<0.05) in parallel to the flavour scores. Hardness, gumminess, and chewiness of sucuk increased (P<0.05) during the ripening period. Strong relationships (P<0.01) were found between hardness and cutting scores. Adhesiveness values of sucuk decreased significantly (P<0.05) about 10 times from -9.3 to -92.6 during the ripening period. Springiness and cohesiveness values decreased during the ripening period, but not significantly (P>0.05). Cutting scores were related (P<0.01) to gumminess (0.921) and chewiness (0.922) values but not to resilience (P>0.05). It was observed that most instrumental colour and textural attributes were in agreement with sensory attributes. These results indicated that instrumental methods could be easily adapted and can be used for evaluation of quality attributes of sucuk during the ripening period.

Change in serum concentrations of interleukin-2 and interferon-gamma during treatment of tuberculosis

We aimed to investigate changes in serum concentrations of the cytokines interleukin (IL)-2 and interferon (IFN)-gamma during the clinical course of active tuberculosis, to establish the presence of cellular immunity before and after treatment. Blood samples were taken from 18 patients with active tuberculosis before and 2 months after therapy; IL-2 and IFN-gamma concentrations were evaluated. The mean serum IL-2 concentration before therapy was 164.5 pg/ml (range 12-980 pg/ml) and the concentration 2 months after therapy was 92.11 pg/ml (range 1-490 pg/ml). The mean serum IFN-gamma concentrations were 10.83 pg/ml (range 1-22.2 pg/ml) and 4.64 pg/ml (range 1-28.5 pg/ml), respectively. The decrease in concentrations of both cytokines after therapy was statistically significant. Further studies investigating the benefits of adding cytokines to drug treatment for tuberculosis are needed.

Tinea capitis in Van, Turkey

Forty patients with an average age of 6.5 +/- 3.2 years (28 male 12 female) who applied to the YYU Medical Faculty Dermatology Department outpatient clinic were investigated. Tinea capitis profunda was determined as the most frequent clinical type. The isolated dermatophytic flora of the patients consisted of Trichophyton verrucosum (43%), T. violaceum (30%), T. rubrum (23%) and T. mentagrophytes (3%). The patients with tinea capitis profunda were mostly from rural areas.

Epidemiological analysis of Staphylococcus aureus strains from nasal carriers in a teaching hospital

The present study was conducted to assess the epidemiological relation of Staphylococcus aureus isolates from nasal carriers of hospital staff. Nasal swabs were taken from each of 327 personnel. After culturing on blood agar for overnight, probable staphylococcal isolates were identified and subjected to tube coagulase test. After a two-week interval, second nasal swabs were taken from the subjects whose first cultures were positive for S. aureus. Nasal carriage was defined in 58 (17.7%) personnel with positive culture for both sampling time. Antibiogram typing and arbitrarily-primed polymerase chain reaction (AP-PCR) with M13 primer were used for typing of the strains. Antibiotyping distinguished seven types and three subtypes, and 85% of the isolates were clustered in one group. AP-PCR, in contrast, identified 12 distinct patterns with 13 variants. A specific profile was not found among the isolates obtained from the personnel in a particular clinic. These results indicate that antibiotyping has poor discrimination power and heterogeneity among the nasal S. aureus strains in the hospital personnel screened is high.