Jurassic–Paleogene intraoceanic magmatic evolution of the Ankara Mélange, north-central Anatolia, Turkey

Oceanic rocks in the Ankara Mélange along the Izmir–Ankara–Erzincan suture zone (IAESZ) in north-central Anatolia include locally coherent ophiolite complexes (~ 179 Ma and ~ 80 Ma), seamount or oceanic plateau volcanic units with pelagic and reefal limestones (96.6 ± 1.8 Ma), metamorphic rocks with ages of 256.9 ± 8.0 Ma, 187.4 ± 3.7 Ma, 158.4 ± 4.2 Ma, and 83.5 ± 1.2 Ma indicating northern Tethys during the late Paleozoic through Cretaceous, and subalkaline to alkaline volcanic and plutonic rocks of an island arc origin (~ 67–63 Ma). All but the arc rocks occur in a shale–graywacke and/or serpentinite matrix, and are deformed by south-vergent thrust faults and folds that developed in the middle to late Eocene due to continental collisions in the region. Ophiolitic volcanic rocks have mid-ocean ridge (MORB) and island arc tholeiite (IAT) affinities showing moderate to significant large ion lithophile elements (LILE) enrichment and depletion in Nb, Hf, Ti, Y and Yb, which indicate the influence of subduction-derived fluids in their melt evolution. Seamount/oceanic plateau basalts show ocean island basalt (OIB) affinities. The arc-related volcanic rocks, lamprophyric dikes and syenodioritic plutons exhibit high-K shoshonitic to medium- to high-K calc-alkaline compositions with strong enrichment in LILE, rare earth elements (REE) and Pb, and initial <i>&epsilon;</i>_Nd values between +1.3 and +1.7. Subalkaline arc volcanic units occur in the northern part of the mélange, whereas the younger alkaline volcanic rocks and intrusions (lamprophyre dikes and syenodioritic plutons) in the southern part. The late Permian, Early to Late Jurassic, and Late Cretaceous amphibole-epidote schist, epidote-actinolite, epidote-chlorite and epidote-glaucophane schists represent the metamorphic units formed in a subduction channel in the northern Neotethys. The Middle to Upper Triassic neritic limestones spatially associated with the seamount volcanic rocks indicate that the northern Neotethys was an open ocean with its MORB-type oceanic lithosphere by the early Triassic (or earlier). The latest Cretaceous–early Paleocene island arc volcanic, dike and plutonic rocks with subalkaline to alkaline geochemical affinities represent intraoceanic magmatism that developed on and across the subduction–accretion complex above a N-dipping, southward-rolling subducted lithospheric slab within the northern Neotethys. The Ankara Mélange thus exhibits the record of ~ 120–130 million years of oceanic magmatism in geological history of the northern Neotethys

Seborrheic keratoses: a distinctive diagnoses of pigmented vulvar lesions: a case report

Seborrheic keratoses, a benign growth lesion, is a very common cutaneous lesion encountered in white races in the fourth and fifth decade. The occurrence of this lesion on the vulva is rare, as an isolated lesion or in association with lesions elsewhere. A 34-year-old woman reported with a hyperpigmented palpable lesion, approximately 5-10 mm in diameter, was found on the patient's left labium majus. The clinical differential diagnosis of the pigmented lesions of the vulva is difficult often need a biopsy

Prevalence of oral mucosal lesions from birth to two years

Objective: The purpose of this study was to determine the prevalence of lesions of the oral mucosa from birth to two years in Turkish pediatric patients .Materials and Methods: A total of 299 infants from newborn to two years of&nbsp; age were evaluated from the Outpatient Clinics of the Pediatric Department, in the Fatih University Hospital, Ankara, Turkey. The mucosal lesions were documented. The data were presented as percentages and for categorical comparisons Chi-square or Fisher&rsquo;s Exact test were used. A P-value less than 0.05 was considered statistically significant.Results: Of the 299 infants, mucosal lesions were seen in only 65 (21.27%). In the study, the most common lesions were candidiasis (10.70%), Ebstein&rsquo;s pearls (2.68%), and geographic tongue (2.68%). The frequency of children with mucosal alterations was higher in the group of children from two to twelve months.Conclusions: Although the lesions that were found the most in our study were benign lesions, unrelated to systemic diseases, we still believe that oral mucosal lesions can be a sign of a systemic or dermatological disease in infants, which affects the oral feeding of the infants. Routine examination of the oral mucosa should be a part of the pediatric examination

In Vitro Antifungal Activity of Epigallocatechin 3-O-Gallate against Clinical Isolates of Dermatophytes

Previously, we reported that epigallocatechin 3-O-gallate (EGCg) has growth-inhibitory effect on clinical isolates of Candida species. In this study, we investigated the antifungal activity of EGCg and antifungal agents against thirty-five of dermatophytes clinically isolated by the international guidelines (M38-A2). All isolates exhibited good susceptibility to EGCg (MIC50, 2-4 µg/mL, MIC90, 4-8 µg/mL, and geometric mean (GM) MICs, 3.36-4 µg/mL) than those of fluconazole (MIC50, 2-16 µg/mL, MIC90, 4-32 µg/mL, and GM MICs, 3.45-25.8 µg/mL) and flucytosin (MIC50, MIC90, and GM MICs, >64 µg/mL), although they were less susceptible to other antifungal agents, such as amphotericin B, itraconazole, and miconazole. These activities of EGCg were approximately 4-fold higher than those of fluconazole, and were 4 to 16-fold higher than flucytosin. This result indicates that EGCg can inhibit pathogenic dermatophyte species. Therefore, we suggest that EGCg may be effectively used solely as a possible agent or combined with other antifungal agents for antifungal therapy in dermatophytosis

Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital Universiti Sains Malaysia

<p>Abstract</p> <p>Background</p> <p>The aims of this study were to determine factors associated with dental visit and to describe barriers to utilisation of oral health care services among antenatal mothers attending the Obstetric and Gynaecology Specialist clinic in Hospital Universiti Sains Malaysia.</p> <p>Methods</p> <p>A structured, self-administered questionnaire was used obtain information on the variables of interest pertaining to the current pregnancy from 124 antenatal mothers.</p> <p>Results</p> <p>The majority of the mothers claimed that their oral health status was good (67.0%) or very good (2.4%). On the contrary, most of them admitted of having had at least one oral health problem (59.7%) including cavitated (43.5%) and painful teeth (15.3%), bleeding gum (21.0%), and bad breath (10.5%). However, only 29% of the mothers visited dentist during the current pregnancy. Factors associated with the mothers' dental visit were exposure to oral health education before the pregnancy and awareness of relationship between poor maternal oral health and adverse pregnancy outcomes with odds ratio of 4.06 (95% CI: 1.67-9.78) and 3.57 (95% CI: 1.30-9.77) respectively. Common excuses given by most mothers include perceptions of not having any oral health problems (65.9%), long waiting time at the clinic (71.6%), and no immediate treatment given by the dentist (64.8%).</p> <p>Conclusions</p> <p>Utilisation of oral health care services among antenatal mothers was low. Mothers who reported dental visit were more likely to be those who had received oral health education before the current pregnancy and knew of the association between poor maternal oral health and adverse pregnancy outcomes. Dissatisfaction with the services rendered and perceptions of not having any oral health problems were the main barriers.</p

A new method of discriminating different types of post-Archean ophiolitic basalts and their tectonic significance using Th-Nb and Ce-Dy-Yb systematics

AbstractIn this paper, a new discrimination diagram using absolute measures of Th and Nb is applied to post-Archean ophiolites to best discriminate a large number of different ophiolitic basalts. This diagram was obtained using >2000 known ophiolitic basalts and was tested using ∼560 modern rocks from known tectonic settings. Ten different basaltic varieties from worldwide ophiolitic complexes have been examined. They include two basaltic types that have never been considered before, which are: (1) medium-Ti basalts (MTB) generated at nascent forearc settings; (2) a type of mid-ocean ridge basalts showing garnet signature (G-MORB) that characterizes Alpine-type (i.e., non volcanic) rifted margins and ocean-continent transition zones (OCTZ). In the Th-Nb diagram, basalts generated in oceanic subduction-unrelated settings, rifted margins, and OCTZ can be distinguished from subduction-related basalts with a misclassification rate <1%. This diagram highlights the chemical variation of oceanic, rifted margin, and OCTZ basalts from depleted compositions to progressively more enriched compositions reflecting, in turn, the variance of source composition and degree of melting within the MORB-OIB array. It also highlights the chemical contributions of enriched (OIB-type) components to mantle sources. Enrichment of Th relative to Nb is particularly effective for highlighting crustal input via subduction or crustal contamination. Basalts formed at continental margin arcs and island arc with a complex polygenetic crust can be distinguished from those generated in intra-oceanic arcs in supra-subduction zones (SSZ) with a misclassification rate <1%. Within the SSZ group, two sub-settings can be recognized with a misclassification rate <0.5%. They are: (1) SSZ influenced by chemical contribution from subduction-derived components (forearc and intra-arc sub-settings) characterized by island arc tholeiitic (IAT) and boninitic basalts; (2) SSZ with no contribution from subduction-derived components (nascent forearc sub-settings) characterized by MTBs and depleted-MORBs. Two additional discrimination diagrams are proposed: (1) a Dy-Yb diagram is used for discriminating boninite and IAT basalts; (2) a Ce/Yb-Dy/Yb diagram is used for discriminating G-MORBs and normal MORBs. The proposed method may effectively assist in recovering the tectonic affinity of ancient ophiolites, which is fundamental for establishing the geodynamic evolution of ancient oceanic and continental domains, as well as orogenic belts