Sodium Glucose Cotransporter-2 (SGLT-2) Inhibitor Related Diabetic Ketoacidosis

Diabetic ketoacidosis is a rare but serious and life-threatening acute complication of diabetes mellitus. It is characterized by ketoacidosis with other findings and should be treated immediately. In this case, a 33-year-old diabetic patient who admitted to the emergency department with diabetic ketoacidosis is presented. The patient was prescribed empagliflozin (sodium glucose cotransporter inhibitor-2) a month ago. The SGLT-2 inhibitors have been approved for use in the treatment of type 2 DM and are still not used in the treatment of type 1 DM. There are such reports of unusual side effects related SGLT-2 inhibitors, in the literature and among them, ketoacidosis is a rare and important side effect

Antioxidant role of melatonin against nicotine’s teratogenic effects on embryonic bone development

Objective(s): This study investigated the possible effects of low (3 mg/kg) and high (6 mg/kg) doses of nicotine on the skeletal development of rat fetuses by the double staining method and the protective role of melatonin (10 mg/kg) against these effects.Materials and Methods: Eighteen adult female Wistar-Albino rats were divided into six groups (n=3, each) as control, low-dose nicotine, high-dose nicotine, low-dose nicotine+melatonin, high-dose nicotine + melatonin and melatonin. While nicotine was given to the experimental groups on gestation days 1–20, nicotine and melatonin were administered together to the treatment groups. The fetuses were delivered by cesarean section on the 20th day of pregnancy. The skeletal systems of the fetuses were stained using the double staining method. The forelimbs and hindlimbs of the fetuses were firstly investigated under a stereomicroscope, and then their photos were taken. The total bone length, the length of the ossified part and the ossification rate were calculated using the ImageJ program.Results: The degree of ossification in the bones of the feet and the hands was determined. When the total bone length and the length of the ossified part were evaluated, they were significantly decreased in the nicotine groups (

The effect of temperature on angiogenesis in chicken embryos

Anjiyogenez embriyonik dönemde yeni damarların oluşumunda önemli bir rol oynar. Bu çalışmanın amacı, Koryoallantoik Membran (KAM) modeli kullanılarak 37.50C ve 39.00C olacak şekilde iki farklı kuluçka sıcaklığına maruz bırakılan tavuk embriyolarında anjiyogenez sürecindeki olası farklılıkları belirlemektir. Çalışmada her birinde 16’şar adet döllü tavuk yumurtasının analiz edildiği deney ve kontrol grubu olmak üzere iki grup yer aldı. Yumurtalar inkübasyonun 7. gününde penset ve cerrahi makas yardımıyla embriyoya zarar vermeden açıldı. Fotoğrafları çekilen embriyoların tepe-kıç ve occipitofrontal uzunlukları ile KAM’daki damar kalınlıkları, damar yoğunluğu ve damar dal sayıları ImageJ programı kullanılarak ölçüldü. Verilerin istatistiksel analizi SPSS programı aracılığıyla yapıldı. Sıcaklığa bağlı olarak 39.00C’de inkübe edilen yumurtalardan elde edilen embriyoların tepe-kıç uzunluklarının değerlerinde istatistiksel olarak anlamlı olmasa da bir azalma mevcuttu. Bununla birlikte occipito-frontal uzunluk değerlerinin arttığı, kafatasının daha büyük bir görünüme sahip olduğu ve bu artışın istatistiksel olarak anlamlı olduğu tespit edildi (p<0.05). 37.50C’de inkübe edilen yumurtalardan elde edilen embriyoların damar yoğunluğu ortalaması 1.58±0.57 iken, 39.00C’de inkübe edilen yumurtalardan elde edilen embriyoların ortalama damar yoğunluğu 1.46±0.61 olarak tespit edildi. Ortalama damar yoğunluğu değerleri arasında istatistiksel olarak gruplar arasında bir fark gözlenmedi (p>0.05). Her iki grubun karşılaştırılmasında artan sıcaklığa bağlı olarak damar dal sayısında bir azalma (37.50C’de 35.44±10.97, 39.00C’de 24.94±6.97) olduğu görüldü. Bu azalmanın istatistiksel olarak anlamlı olduğu tespit edildi (p<0.05). Genel anlamda sıcaklık artışının tavuk embriyolarında KAM’da damar yoğunluğu, kalınlığı ve dal sayısında bir azalmaya sebep olduğu gözlendi. Sonuç olarak embriyolarda büyüme ve gelişmenin olumsuz yönde etkilendiği belirlendi.Angiogenesis plays an important role in the formation of new vessels in the embryonic period. The aim of this study is to determine possible differences in angiogenesis process in chicken embryos exposed to two different incubation temperatures of 37.50C and 39.00C using Chorioallantoic Membrane (CAM) model. The study included two groups, each with an experimental and control group, in which 16 fertilized chicken eggs were analyzed. The eggs were opened on the 7th day of incubation with the aid of forceps and surgical scissors without damaging the embryo. Head-stern, occipito-frontal length, vessel thickness, density and number of each embryo on CAM were measured by ImageJ. Statistical analysis of the data was performed by SPSS program. Depending on the temperature, there was a decrease, although not statistically significant, in the values of head-stern lengths of the embryos obtained from the eggs incubated at 39.00C. However, it was determined that occipito-frontal length values increased, the skull had a larger appearance and this increase was statistically significant (p<0.05). The mean density of embryos obtained from eggs incubated at 37.50C was 1.58±0.57, while the mean vessel density of embryos obtained from eggs incubated at 39.00C was 1.46±0.61. There was no statistically difference between mean vessel density values (p>0.05). A comparison of both groups showed a decrease in the number of vascular branches (35.44±10.97 at 37.50C, 24.94±6.97 at 39.00C) due to the increasing temperature. This decrease was found to be statistically significant (p<0.05). In general, it was observed that the increase in temperature caused a decrease in vessel density, thickness and number of branches in chicken embryos on CAM. As a result, it was determined that growth and development were negatively affected in embryos

Clinical and Laboratory Characteristics of Hyperprolactinemia in Children and Adolescents: National Survey

Conclusion: We present the largest cohort of children and adolescents with hyperprolactinemia in the literature to date. Hyperprolactinemia is more common in females and cabergoline is highly effective and practical to use in adolescents, due to its biweekly dosing. Indications for surgery in pediatric cases need to be revised

A SURVEY TO DETERMINE HOTEL MANAGERS' PERCEPTIONS OF GREEN MARKETING

How managers perceive green marketing in tourism is one of the most important factors for enterprises in becoming green establishments. The aim of the study is also to determine managers' perceptions of green marketing. In this regard, the study investigated the hotel managers' perceptions of green marketing in Antalya. The data on the hotel managers' views were collected through surveys and it was determined that the measurement tool developed through the study had an internal consistency reliability between 0.83 and 0.91. Therefore, it can be stated that the scale has a high level of reliability. It was determined that the hotel managers' perceptions of green marketing varied, depending on the locations, types of the hotels, and the managers' years of experience in management in the tourism sector

Effect of surface conditioning methods on the microtensile bond strength of repair composite to indirect restorative materials

This study evaluated the effect of surface conditioning methods on the microtensile bond strength (µTBS) of a restorative composite to indirect restorative materials. Blocks (5 × 5 × 4 mm3) (N = 72) of (a) Zirconia (In-Ceram Zirconia, Vita) (ZR), (b) lithium disilicate glass ceramic (IPS Empress II, Ivoclar Vivadent) (LD), (c) Indirect resin composite (Gradia, GC) (GR) were fabricated (n = 24 per group) and divided randomly into three groups: 1-Control: no conditioning, 2-Silane coupling agent, 3-Hydrofluoric acid (9.5%) (HF)+silane. Each block was duplicated in resin composite. The adhesion surfaces were conditioned with airborne-particle abrasion (110 µm Al2O3 particles). Half of the conditioned blocks received no bonding and the other half one coat of bonding (ED Primer II, Kuraray). Each conditioned block was bonded to a composite block with a resin luting agent (Panavia F2.0, Kuraray). The blocks were sectioned into 1 mm2 microsticks and tested for microtensile bond strength (µTBS) (0.5 mm/min) in a μTBS testing machine. Failure types were evaluated under stereomicroscope and Scanning Electron Microscope (SEM). Data were analyzed using three-way ANOVA, Bonferroni corrected and independent sample t-tests (p < 0.05). Significant effect of the bonding (p < 0.001) and surface conditioning (p < 0.001) were observed in all groups. The highest mean bond strength values were obtained in the bonded, HF etched and silanized groups of ZR, LD and GR (12.4 ± 2.9, 28.1 ± 1.5 and 27.2 ± 2 MPa, respectively). HF acid + silane increased the repair bond values in all materials. Majority of the failure types were adhesive for ZR group, whereas HF + silane conditioned LD and GR groups presented predominantly cohesive failures in the cement

Orchard performance of apple worsens as weed competition increases: a long-term field study under Mediterranean conditions

Crop-weed competition (CWC) for water and nutrients can negatively affect orchard performance, especially in high-density apple orchards. With this study, we compared the effects of three CWC levels: Weak, Moderate, and Strong for the orchard performance of apple in the Mediterranean area. The study was conducted at a ‘Golden Delicious’/M.9 orchard in a high-density formation (3.5 × 1 m spacing). Cumulative yield was greatest in Weak-CWC, and it decreased as CWC increased. Overall, Weak-CWC performed remarkable results for successful apple production under Mediterranean conditions