Analysis of Enterococcus faecalis in samples from Turkish patients with primary endodontic infections and failed endodontic treatment by real-time PCR SYBR green method

OBJECTIVE: The aims of this study were to investigate the presence of Enterococcus faecalis in primary endodontic infections and failed endodontic treatments using real-time PCR and to determine the statistical importance of the presence of E. faecalis in a Turkish population with endodontic infections. MATERIAL AND METHODS: E. faecalis was investigated from 79 microbial samples collected from patients who were treated at the Endodontic Clinic of the Dental School of Atatürk University (Erzurum, Turkey). Microbial samples were taken from 43 patients (Group 1) with failed endodontic treatments and 36 patients (Group 2) with chronic apical periodontitis (primary endodontic infections). DNA was extracted from the samples by using a QIAamp® DNA mini-kit and analyzed with real-time PCR SYBR Green. RESULTS: E. faecalis was detected in 41 out of 79 patients, suggesting that it exists in not less than 61% of all endodontic infections when the proportion test (z= -1.645

Detection of human cytomegalovirus and Epstein-Barr virus in symptomatic and asymptomatic apical periodontitis lesions by real-time PCR

Objectives: Recent studies have investigated the occurrence of human cytomegalovirus and Epstein-Barr Virus in samples from apical periodontitis lesions and a role in the pathogenesis of this disease has been suggested. Because genotype distribution and seroprevalence of EBV and HCMV differ among populations, it is important to determine the presence of these viruses in endodontic periapical lesions of different populations. The aims of this study were to determine the presence of HCMV and EBV DNAs in samples from Turkish patients with symptomatic and asymptomatic apical periodontitis lesions using real-time polymerase chain reaction method and to evaluate their presence in both symptomatic and asymptomatic apical periodontitis lesions. Study Design: Periapical samples were collected from 12 asymptomatic and 16 symptomatic periapical lesions in conjunction with apicectomy. HCMV and EBV DNAs were identified in the samples by real-time PCR. The chi- squared test with Yates's correction or the Fisher's exact test was used to analyse the significance of differences. Results: HCMV DNA was detected in 10 of the 16 (62.5%) symptomatic and in five of the 12 (41.7 %) asymptomatic periapical study lesions. The EBV DNA was identified in seven of the 16 (43.7 %) symptomatic and three of the 12 (25 %) asymptomatic periapical lesions. The difference in occurrence of HCMV and EBV DNA between symptomatic and asymptomatic periapical lesions was not statistically significant. (All comparisons have p > 0.05). Conclusions: Our findings suggest that HCMV and EBV is a frequent inhabitant of both symptomatic and asymptomatic apical periodontitis lesions of endodontic origin in Turkish population

What does Bill Gates' call mean? A policy transfer analysis on creating an early warning system to prevent the next pandemic

Objectives The purpose of this study is to discuss the need for an early warning system in order to prevent a new epidemic that may occur in the future and, if necessary, which system will be and how this warning system will be designed. Methods A qualitative analysis through the World Health Organization (WHO) documents, an interview with a key expert, and a policy transfer analysis was conducted. Results An early warning system is needed for new outbreaks that may occur in the future. We have seen that the Early Warning Alert and Response system (EWARs), which is implemented by WHO as a policy transfer in Syria, is successful in this area and the system can be easily adapted and established. The implementation of the system in Syria and the successful performance of the early warning system can be systematically transferred to other regions of the world with the policy transfer approach as a public health policy and the implementation phases in the study. The successful transfer of EWARs from WHO to Syria provides a good sample for the integration of a system developed by international and/or non-governmental organizations into an administration system of a state under pandemic and crises conditions

How the demos [Public] regulate the kratos [Administration] through repeated elections: Lessons learned from the elections in Turkiye for the government and opposition

Objections to the results of conducted elections and repeated elections are a significant issue. The aim of this study is to investigate repeated elections and the reasons for canceling them through the decisions of Turkiye's Supreme Election Council (SEC) since its establishment and to examine the results of repeated elections to reveal which side benefits from this. According to the results of the content analysis, the study found within the frame of the investigated period the SEC to have annulled a total of five elections, four of which had been local and one that had been a parliamentary election, and the most frequent reason for repeating the elections to have been due to restricted or ineligible voters voting, which occurred for four separate elections. Lessons exist for the government and opposition parties to learn from these annulled and repeated elections, with repeated elections generally resulting in an unfavorable outcome for the contesting party

Recent Progresses in Perovskite Solar Cells

Perovskite solar cell (PSC) can be regarded as a continuation of dye sensitized solar cell (DSSC) in terms of the sensitization phenomena that occurred in the functioning molecules. In 2012, a breakthrough propose has been made for the sensitization of PSCs, in which a solid‐state structure is offered as an equivalent sensitizer used in DSSC. The power conversion efficiency (PCE) of those solid‐state cells reached about twofold of its initial value during the past several years. Immediately after, the researchers followed this propose worldwide. They have introduced an improved efficiency of as much as 20%, which was originally started from its initial value of 4%, just in 4 years. Thus, the new concept, solid perovskite molecules, has eliminated the need for the liquid electrolyte in DSSC while still carrying the advantages of organic solar cells (OSCs). Therefore, the distinctive material of PSC—the organometallic halide molecules (also known as OMH or organic‐inorganic trihalides)—inclined an unexpected reputation for solar cell (SC) researches. Hence, it seems that we will witness a new age for solar conversion devices depending on the recent hopeful progresses on PSCs. The high rate of photovoltaic (PV) conversion capacity in PSC is generally expressed by the basic properties possessed by the organic‐inorganic perovskite crystal, such as better optical properties and well diffused charges along huge distances during the charge transport. In addition, a low temperature processing is applicable during its production. Moreover, the perovskite layer provides a tunable band gap. Therefore, depending on better developments on designed molecules, PSC may gain extreme performances compared to the other competitors, such as OSC or DSSC devices. This chapter starts with a general discussion on the need for an affordable clean energy conversion device that is urgent for the future of humanity, due to publicly well‐known global warming issue. In Section 2, basic properties of PSC are mentioned together with their structure and working principles. Section 3 continues with an overview on organometallic perovskite molecules after a brief introductory history is presented. The absorption and band gap properties are also discussed. Since most perovskite materials need a hole transporting material (HTMs) within the PSC, the kinds of HTMs that are designed for PSCs are described in Section 3. The rendering of long‐term stabilization has special importance for PSCs since the instability issue remained idle in spite of those recent increased efficiency values attained by various research groups. Therefore, the stability issues are discussed in a separate part in Section 4. We finally close the chapter discussing the challenges and opportunities relying on the chapter content. We note that the recent investigations on PSCs have special importance for its large‐scale realization in order to make them ready for the photovoltaic industry of the future. Hence, there are various announced meetings focusing on its mass production due to the unexpected sharp rise of the perovskite efficiency in the last 6 years. Hence, all the new cutting‐edge scientific findings are also dealt with commercialization issues now, in order to attain the desired low cost fabrication, including the yield of high purity and the formation of smooth films during the continual manufacture of perovskite layers

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

PURPOSEWe aimed to demonstrate the success and reliability of a novel puncture, aspiration, injection, and reaspiration (PAIR) technique in liver hydatid cysts.METHODSPercutaneous treatment with ultrasonographic guidance was performed in 493 hepatic hydatid cysts in 374 patients. Patients were treated with a new PAIR technique by single puncture method using a 6F trocar catheter. The results of this novel technique were evaluated with regards to efficacy and safety of the procedure and complication rates.RESULTSOut of 493 cysts, 317 were Gharbi type I (WHO CE 1) and 176 were Gharbi type II (WHO CE 3A). Of all cysts, 13 were referred to surgery because of cystobiliary fistulization. Recurrence was observed in 11 cysts one month later. Therefore, the success rate of the PAIR technique was 97.7% (469/480). Minor complications (fever, urticaria-like reactions, biliary fistula) were seen in 44 treated patients (12%, 44/374); the only major complication was reversible anaphylactic shock which was observed in two patients (0.5%, 2/374).CONCLUSIONThis novel modified PAIR technique may be superior to catheterization by Seldinger technique due to its efficiency, easier application, lower severe complication rate, and lower cost. Further comparative studies are required to confirm our observations

Volume CXIV, Number 4, November 7, 1996

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population.Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014.Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosis) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto's thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%.Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespa