February 6th, Kahramanmaraş earthquakes and the disaster management algorithm of adult emergency medicine in Turkey: An experience review

This compilation covers emergency medical management lessons from the February 6th Kahramanmaraş earthquakes. The objective is to review relevant literature on emergency services patient management, focusing on Koenig s 1996 Simple Triage and Rapid Treatment (START) and Secondary Assessment of Victim Endpoint (SAVE) frameworks. Establishing a comprehensive seismic and mass casualty incident (MCI) protocol chain is the goal. The prehospital phase of seismic MCIs treats hypovolemia and gets patients to the nearest hospital. START-A plans to expedite emergency patient triage and pain management. The SAVE algorithm is crucial for the emergency patient secondary assessment. It advises using Glasgow Coma Scale, Mangled Extremity Severity Score, Burn Triage Score, and Safe Quake Score for admission, surgery, transfer, discharge, and outcomes. This compilation emphasizes the importance of using diagnostic tools like bedside blood gas analyzers and ultrasound devices during the assessment process, drawing from 6 February earthquake research. The findings create a solid framework for improving emergency medical response strategies, making them applicable in similar situations

Diagnosis of comorbid migraine without aura in patients with idiopathic/genetic epilepsy based on the gray zone approach to the International Classification of Headache Disorders 3 criteria

BackgroundMigraine without aura (MwoA) is a very frequent and remarkable comorbidity in patients with idiopathic/genetic epilepsy (I/GE). Frequently in clinical practice, diagnosis of MwoA may be challenging despite the guidance of current diagnostic criteria of the International Classification of Headache Disorders 3 (ICHD-3). In this study, we aimed to disclose the diagnostic gaps in the diagnosis of comorbid MwoA, using a zone concept, in patients with I/GEs with headaches who were diagnosed by an experienced headache expert.MethodsIn this multicenter study including 809 consecutive patients with a diagnosis of I/GE with or without headache, 163 patients who were diagnosed by an experienced headache expert as having a comorbid MwoA were reevaluated. Eligible patients were divided into three subgroups, namely, full diagnosis, zone I, and zone II according to their status of fulfilling the ICHD-3 criteria. A Classification and Regression Tree (CART) analysis was performed to bring out the meaningful predictors when evaluating patients with I/GEs for MwoA comorbidity, using the variables that were significant in the univariate analysis.ResultsLonger headache duration (<4 h) followed by throbbing pain, higher visual analog scale (VAS) scores, increase of pain by physical activity, nausea/vomiting, and photophobia and/or phonophobia are the main distinguishing clinical characteristics of comorbid MwoA in patients with I/GE, for being classified in the full diagnosis group. Despite being not a part of the main ICHD-3 criteria, the presence of associated symptoms mainly osmophobia and also vertigo/dizziness had the distinguishing capability of being classified into zone subgroups. The most common epilepsy syndromes fulfilling full diagnosis criteria (n = 62) in the CART analysis were 48.39% Juvenile myoclonic epilepsy followed by 25.81% epilepsy with generalized tonic-clonic seizures alone.ConclusionLonger headache duration, throbbing pain, increase of pain by physical activity, photophobia and/or phonophobia, presence of vertigo/dizziness, osmophobia, and higher VAS scores are the main supportive associated factors when applying the ICHD-3 criteria for the comorbid MwoA diagnosis in patients with I/GEs. Evaluating these characteristics could be helpful to close the diagnostic gaps in everyday clinical practice and fasten the diagnostic process of comorbid MwoA in patients with I/GEs

Enhancing Flame Retardancy: Enrichment of Huntite for Paint Industry Applications

Huntite, a naturally occurring carbonate mineral, originates through the alteration processes of dolomite and magnesite. While its structural characteristics align with typical carbonate minerals, its distinction arises from its polyhedral conjunctiveness. The versatile utility of huntite spans several industries, including paint, flame retardant, plastic, polymer, and pharmaceutical sectors. Noteworthy among its diverse applications is its utilization as a flame-retardant additive in raw materials. In this investigation, three samples received from the Denizli region of Turkey were subjected to detailed analysis followed by an enrichment process involving mechanical attrition and sieving of 38 microns where undersize products were obtained, exhibiting 86.9% huntite for the H-1 sample and 91.9% huntite for the H-2–3 sample. The huntite concentrates were then incorporated into paint formulations with the objective of enhancing flame retardancy. A series of testing protocols were implemented to assess the quality of the resulting paints, ultimately yielding a fire-resistant paint formulation through utilizing the H-1 sample

Biomimetric coating of monophasic brushite on Ti6Al4V in new m-5xSBF

Ti6Al4V plates were exposed to soaking alkali treatment resulted in Na0.23TiO2 phase on the surface before realizing biomimetic Calcium-Phosphate (CaP) coating in prepared m-5xSBF and 5xSBF solutions at 37 degrees C and pH 6. The aim of the present study was to examine CaP nucleation on the Ti6Al4V substrate in the new biomimetic medium, which allows the precipitation of uniform and monophasic CaPs coating within 2 days. Characterizations of coated surfaces were performed by SEM and EDX, FESEM, FTIR, Raman and contact angle measurements. Phase formation (Na0.23TiO2, 22-1404; TiO2, 21-1276; CaHPO4(H2O)(2), 72-0713 and Ca-5(PO4)(3)OH, 09-0432), average particle size distribution (0.1 - 1.8 mu m for HA, 0.5 - 4.7 mu m and 10.7 - 239.4 mu m for width and length of Brushite), the specific surface area (85,623 and 1,169,412 m(2) g(-1) for Brushite and HA, respectively) and phase transformations (from brushite to calcium pyrophosphate) of the coated CaP powders on the surface were also examined by XRD, DLS technique, BET, and TGA, respectively. As a result, it has been possible to obtain for the first time monophasic brushite phase coated on Ti6Al4V in m-5xSBF biomimetic medium and monophasic brushite coated surface characterization was compared with hydroxyapatite coated surface obtained in 5xSBF

PERINATAL OUTCOMES AND PROGNOSTIC FACTORS IN EARLY AND LATE-ONSET FETAL GROWTH RESTRICTION

Objective: To evaluate the obstetric and perinatal outcomes of fetuses with early (EO) and late-onset (LO) fetal growth restriction (FGR), and to explore the prognostic factors on perinatal survival and adverse perinatal outcome

Görme engellilerin yaşadığı sorunlar ve son on yılda bu sorunların çözümüne dair yapılan çalışmalar

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2012.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Nesrin Ersoy McMeekin.McMeekin, Nesrin Ersoy. HIST 200-10MCMEEKIN HIST 200-10/10 2011-1

Biomimetic synthesis of Ag, Zn or Co doped HA and coating of Ag, Zn or Co doped HA/fMWCNT composite on functionalized Ti

PMID = 3088977

Microwave-assisted biomimetic synthesis of hydroxyapatite using different sources of calcium

PMID = 2848256

3D porous collagen/functionalized multiwalled carbon nanotube/chitosan/hydroxyapatite composite scaffolds for bone tissue engineering

PMID = 3018480

Effect of Solution and Calcination Time on Sol-gel Synthesis of Hydroxyapatite

Nano-sized hydroxyapatite (HA) particles were synthesized by sol-gel through water and ethanol based mediums of phosphoric acid (H3PO4) and calcium hydroxide (Ca(OH)(2)) at pH = 11 for different calcination time (1 h, 2 h, 4 h). The effects of calcination time and solution on the crystallinity, morphology and impurity phases of the HA nanoparticles were examined via Fourier Transform Infrared (FTIR), Scanning Electron Microscopy (SEM), Energy Dispersive X-ray Spectroscopy (EDS) and X-ray Diffraction (XRD). It was found that crystallite size and the fraction crystallinity of the synthesized samples increased with calcination time. According to solution medium, only CaO as impurity was appeared in the water-based solvent, CaO and Ca(OH)(2) impurities were appeared in the ethanol-based solvent. The lowest crystallinity was 0.92 and the highest crystallinity was 1.73 respectively, depending on the process parameters. The Ca/P atomic ratio closest to the bone was found as 1.5178. As a result, the employed water-based sol-gel processes for 1 h calcination time was determined as the optimum for the formation of nano-sized HA powders using calcium hydroxide and phosphoric acid