Three-year retrospective analysis of code blue calls: single center experience

Background: The Code Blue (CB) is a universal emergency system used to alert the CB team for patients in cardiac or respiratory arrest. The purpose of this study is to evaluate CB calls in our hospital and determine the effectiveness and deficiencies of the application. Background: The code blue is a universal emergency system used to alert the CB team for patients in cardiac or respiratory arrest. The purpose of this study is to evaluate CB calls in our hospital and determine the effectiveness and deficiencies of the application. Methods: After receiving approval from the ethics committee, we analyzed retrospectively the CB call forms in our hospital between January 2020 and January 2024. The demographic data of the patients, CB call time and locations, the arrival time of the team, medical interventions, cardiopulmonary resuscitation time, outcomes of the calls and true-false calls rate were recorded. Results: We had 376 CB calls in the study period. The mean arrival time of the team was1.58±0.62 minutes. Most of the CB calls were given in intensive care units (140 patients, 37.23%), internal medicine services (50 patients, 13.30%), followed by palliative care unit (47 patients, 12.50%). Most of the CB calls (236 calls, 62.77%) were during off times. The rate of false CB calls was found to be %15.96. Of the 316 patients in the true CB codes, 198 patients were transferred to the ICU and 118 patients died. Conclusions: We found that CB calls were most frequently given from ICU’s during off hours. We think that the lack of a night duty doctor in the ICU, especially in rural hospitals like ours, led to this result. Each center should analyze CB calls at regular intervals and educational programs should be planned for these deficiencies

Rare earth element scandium mitigates the chromium toxicity in Lemna minor by regulating photosynthetic performance, hormonal balance and antioxidant machinery

MakaleWOS:000904949200001PubMed ID: 36379288Chromium (Cr) toxicity is a serious problem that threatens the health of living organisms and especially agricultural production. The presence of excess Cr leads to biomass loss by causing the imbalance of biochemical metabolism and inhibiting photosynthetic activity. A new critical approach to cope with Cr toxicity is the use of the rare earth elements (REEs) as an antioxidant defence system enhancer in plants. However, the effect of scandium (Sc), which is one of the REEs, is not clear enough in Lemna minor exposed to Cr toxicity. For this purpose, the photosynthetic and biochemical effects of scandium (50 μM and 200 μM Sc) treatments were investigated in Lemna minor under Cr stress (100 μM, 200 μM and 500 μM Cr). Parameters related to photosynthesis (Fv/Fm, Fv/Fo) were suppressed under Cr stress. Stress altered antioxidant enzymes activities and hormone contents. Sc applications against stress increased the activities of superoxide dismutase (SOD), NADPH oxidase (NOX), ascorbate peroxidase (APX), lutathione reductase (GR), monodehydroascorbate reductase (MDHAR), and glutathione S-transferase (GST). In addition to the antioxidant system, the contents of indole-3- acetic acid (IAA), abscisic acid (ABA) and jasmonic acid (JA) were also rearranged. However, in all treatment groups, with the provision of ascorbate (AsA) regeneration and effective hormone signaling, reactive oxygen species (ROS) retention which result in high hydrogen peroxide (H2O2) content and lipid peroxidation (TBARS) were effectively removed. Sc promoted the maintenance of cellular redox state by regulating antioxidant pathways included in the AsA-GSH cycle. Our results showed that Sc has great potential to confer tolerance to duckweed by reducing Cr induced oxidative damage, protecting the biochemical reactions of photosynthesis, and improving hormone signaling.Selcuk University Scientific Research Projects Coordinating Offic

Hormetic activation of nano-sized rare earth element terbium on growth, PSII photochemistry, antioxidant status and phytohormone regulation in Lemna minor

MakaleWOS:000911837200007PubMed ID: 36470151Soils contaminated with rare earth elements (REEs) can damage agriculture by causing physiological disorders in plants which are evaluated as the main connection of the human food chain. A biphasic dose response with excitatory responses to low concentrations and inhibitory/harmful responses to high concentrations has been defined as hormesis. However, not much is clear about the ecological effects and potential risks of REEs to plants. For this purpose, here we showed the impacts of different concentrations of nano terbium (Tb) applications (510-25-50-100-250-500 mg L-1) on the accumulation of endogeneous certain ions and hormones, chlorophyll fluoresence, photochemical reaction capacity and antioxidant activity in duckweed (Lemna minor). Tb concentrations less than 100 mg L (-1) increased the contents of nitrogen (N), phosphate (P), potassium (K+), calcium (Ca2+), magnesium (Mg2+), manganese (Mn2+) and iron (Fe2+). Chlorophyll fluorescence (Fv/Fm and Fv/Fo) was suppressed under 250-500 mg L-1 Tb. In addition, Tb toxicity affected the trapped energy adversely by the active reaction center of photosystem II (PSII) and led to accumulation of inactive reaction centers, thus lowering the detected level of electron transport from photosystem II (PSII) to photosystem I (PSI). On the other hand, 5-100 mg L-1 Tb enhanced the activities of superoxide dismutase (SOD), catalase (CAT), peroxidase (POX), NADPH oxidase (NOX), ascorbate peroxidase (APX), glutathione reductase (GR), monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR) and glutathione S-transferase (GST). Tb (5-50 mg L-1) supported the maintenance of cellular redox status by promoting antioxidant pathways involved in the ascorbateglutathione (AsA-GSH) cycle. In addition to the antioxidant system, the contents of some hormones such as indole-3-acetic acid (IAA), gibberellic acid (GA), cytokinin (CK) and salicylic acid (SA) were also induced in the presence of 5-100 mg L-1 Tb. In addition, the levels of hydrogen peroxide (H2O2) and lipid peroxidation (TBARS) were controlled through ascorbate (AsA) regeneration and effective hormonal modulation in L. minor. However, this induction in the antioxidant system and phytohormone contents could not be resumed after applications higher than 250 mg L-1 Tb. TBARS and H2O2, which indicate the level of lipid peroxidation, increased. The results in this study showed that Tb at appropriate concentrations has great potential to confer tolerance of duckweed by supporting the antioxidant system, protecting the biochemical reactions of photosystems and improving hormonal regulation

Responses of individual and combined polystyrene and polymethyl methacrylate nanoplastics on hormonal content, fluorescence/photochemistry of chlorophylls and ROS scavenging capacity in Lemna minor under arsenic-induced oxidative stress

MakaleWOS:000923403700001PubMed ID: 36657731Nanoplastics alter the adverse impacts of hazardous contaminants such as heavy metals by changing their adsorption and accumulation. Few findings are available on the interaction between nanoplastic and heavy metals in plants. However, there is no report on the mechanisms for removing metal stress-mediated oxidative damage by the combination treatments of nanoplastics. To address this lack of information, polystyrene nano-plastic (PS, 100 mg L-1) and polymethyl methacrylate (PMMA, 100 mg L-1) were hydroponically applied to Lemna minor exposed to arsenate (As, 100 mu M) for 7 days. PS or PMMA caused a reduction in the contents of N, P, K, Ca, Mg and Mn, but the improved contents were detected in the presence of PS or PMMA plus As stress. The hormone contents (auxin, gibberellic acid, cytokinin, salicylic acid and jasmonic acid) reduced by stress were re-arranged through PS or PMMA applications. Based on chlorophyll efficiency, fluorescence kinetics and performance of PSII, the impaired photosynthesis by As stress was improved via PS or PMMA applications. This alleviation did not continue under the combined form of PS and PMMA in As-applied plants. All analyzed antioxidant activity (superoxide dismutase (SOD), catalase (CAT), peroxidase (POX), ascorbate peroxidase (APX), glutathione reductase (GR), glutathione S-transferase (GST), glutathione peroxidase (GPX), monodehydroascorbate reduc-tase (MDHAR) and dehydroascorbate reductase (DHAR)) decreased or unchanged under As, PS or PMMA. Due to the inactivation of the defense system, L. minor had high levels of hydrogen peroxide (H2O2) and thiobarbituric acid reactive substances (TBARS), showing lipid peroxidation. After As toxicity, induvial applications of PS or PMMA indicated the activated enzyme capacity (SOD, POX, GST and GPX) and upregulated AsA/DHA, GSH/ GSSG and redox state of GSH, which facilitated the removal of radical accumulation. The efficiency of the antioxidant system in As + PS + PMMA-applied L. minor was not enough to remove damage induced by As stress; hereby, TBARS and H2O2 contents were similar to the As-treated group. Our findings from alone or combined application of PS and PMMA provide new information to advance the tolerance mechanism against As exposure in L. minor

Institutionalization of History in the Ottoman Empire

This article examines the process within which history was institutionalized in the Ottoman Empire. Institutional space for history had begun to be constructed within the context of interstate rivalry during the mid-nineteenth century. History had the task of "proving" the fact that the Turks had been from the very beginning a part of the "Western civilization." The essential period for the institutionalization history was that of the regime of the Committee of Union and Progress in 1908-18, providing historians to emphasize the role of the "people" in history along with large structures of geography and "civilizations." Once professional institutions were established and various history journals began to be published in this context, historians also began to pay due attention to the professional standards of the discipline. Despite the exclusionary tendencies of the Turkish official history, institutionalization during a revolutionary period functioned as a significant counter-tendency as institutions are path-dependent

The effect of sleep disorders on quality of life in patients with epilepsy: A multicenter study from Turkey

Objective: We aimed to investigate sleep disorders in patients with epilepsy (PWE) and to investigate the effects of sleep disorders on quality of life. Methods: In our multicenter study conducted in Turkey, 1358 PWE were evaluated. The demographic and clinical data of the patients were recorded. The Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and Quality of Life in Epilepsy Inventory-10 (QOLIE-10) were administered. Results: The mean age of 1358 patients was 35.92 ± 14.11 (range, 18–89) years. Seven hundred fifty-one (55.30 %) were women. Some 12.7 % of the patients had insomnia (ISI > 14), 9.6 % had excessive daytime sleepiness (ESS > 10), 46.5 % had poor sleep quality (PSQI > 5), and 354 patients (26.1 %) had depressive symptoms (BDI > 16). The mean QOLIE-10 score was 22.82 ± 8.14 (10–48). Resistant epilepsy was evaluated as the parameter with the highest risk affecting quality of life Adjusted odds ratio (AOR = 3.714; 95 % confidence interval (CI): [2.440–5.652] < 0.001)). ISI (AOR = 1.184; 95 % CI: [1.128–1.243]; p < 0.001), ESS (AOR = 1.081; 95 % CI: [1.034–1.130]; p < 0.001), PSQI (AOR = 0.928; 95 % CI: [0.867 – 0.994]; p = 0.034), BDI (AOR = 1.106; 95 % CI: [1.084–1.129]; p < 0.001), epilepsy duration (AOR = 1.023; 95 % CI: [1.004–1.041]; p = 0.014), were determined as factors affecting quality of life. Significance: Sleep disorders are common in PWE and impair their quality of life. Quality of life can be improved by controlling the factors that may cause sleep disorders such as good seizure control, avoiding polypharmacy, and correcting the underlying mood disorders in patients with epilepsy