Clinical and Demographic Characteristics and Two-Year Efficacy and Safety Data of 508 Multiple Sclerosis Patients with Fingolimod Treatment

Introduction: Fingolimod is the first oral immunomodulatory treatment used as secondary care therapy in the treatment of multiple sclerosis for the last 10 years. The objective of our study is to reveal the experiences of the first generic fingolimod active ingredient treatment in different centers across Turkey. Method: The first generic fingolimod efficacy and safety data of patients followed-up in 29 different clinical multiple sclerosis units in Turkey were analyzed retrospectively. Data regarding efficacy and safety of the patients were transferred to the data system both before the treatment and on the 6th, 12th and 24th month following the treatment. The data were analyzed using the IBM SPSS 20.00. P value of <0.05 was considered to be statistically significant. Results: A total of 508 multiple sclerosis patients, 331 of whom were women, were included in the study. Upon comparing the Expanded Disability Status values before and after the treatment, a significant decrease was observed, especially at month 6 and thereafter. Since bradycardia occurred in 11 of the patients (2.3%), the first dose had to be longer than 6 hours. During the observation of the first dose, no issues that could prevent the use of the drug occured. Side effects were seen in 49 (10.3%) patients during the course of fingolimod treatment. Respectively, the most frequent side effects were bradycardia, hypotension, headache, dizziness and tachycardia. Conclusion: The observed results regarding efficacy and safety were similar to clinical trial data in the literature and real life data in terms of the first equivalent with fingolimod active ingredient. © 2023, Turkish Neuropsychiatric Society. All rights reserved.Thanks to SANOVEL for funding the publication process

High-K volcanism in the Afyon region, western Turkey: from Si-oversaturated to Si-undersaturated volcanism

Volcanic rocks of the Afyon province (eastern part of western Anatolia) make up a multistage potassic and ultrapotassic alkaline series dated from 14 to 12 Ma. The early-stage Si-oversaturated volcanic rocks around the Afyon city and further southward are trachyandesitic volcanic activity (14.23 ± 0.09 Ma). Late-stage Si-undersaturated volcanism in the southernmost part of the Afyon volcanic province took place in three episodes inferred from their stratigraphic relationships and ages. Melilite– leucitites (11.50 ± 0.03 Ma), spotted rachyandesites, tephryphonolites and lamproites (11.91 ± 0.13 Ma) formed in the first episode; trachyandesites in the second episode and finally phonotephrites, phonolite, basaltic trachyandesites and nosean-bearing trachyandesites during the last episode. The parameter Q [normative q-(ne + lc + kls + ol)] of western Anatolia volcanism clearly decreased southward with time becoming zero in the time interval 10–15 Ma. The magmatism experienced a sudden change in the extent of Si saturation after 14 Ma, during late-stage volcanic activity of Afyon volcanic province at around 12 Ma, though there was some coexistence of Si-oversaturated and Si-undersaturated magmas during the whole life of Afyon volcanic province

Boron and Lithium in Calcium Sulfate Veins: Tracking Precipitation of Diagenetic Materials in Vera Rubin Ridge, Gale Crater

The NASA Curiosity rover’s ChemCam instrument suite has detected boron in calcium‐sulfate‐filled fractures throughout the sedimentary strata of Gale crater including Vera Rubin ridge (VRR). The presence of elevated B concentration provides insights into Martian subsurface aqueous processes. In this study we extend the dataset of B in Ca‐sulfate veins across Gale crater, comparing the detection frequency and relative abundances with Li. We report 33 new detections of B within veins analyzed between sols 1548 and 2311 where detections increase in Pettegrove Point and Jura members, which form VRR. The presence of B and Li in the Ca‐sulfate veins is possibly due to dissolution of pre‐existing B in clays of the bedrock by acids or neutral water and redistribution of the elements into the veins. Elevated frequency of B detection in veins of Gale crater correlate with presence of dehydration features such as desiccation cracks, altered clay minerals and detections of evaporites such as Mg‐sulfates, chloride salts in the host rocks. The increased observations of B also coincide with decreased Li concentration in the veins (average Li concentration of veins drops by ~15 ppm). Boron and Li have varying solubilities and Li does not form salts as readily upon dehydration as B, causing it to remain in the solution. So, the weak negative correlation between B and Li may reflect the crystallization sequence during dehydration on Vera Rubin ridge

Reconciling the stratigraphy and depositional history of the Lycian orogen-top basins, SW Anatolia

Terrestrial fossil records from the SWAnatolian basins are crucial both for regional correlations and palaeoenvironmental reconstructions. By reassessing biostratigraphic constraints and incorporating new fossil data, we calibrated and reconstructed the late Neogene andQuaternary palaeoenvironments within a regional palaeogeographical framework. The culmination of the Taurides inSWAnatolia was followed by a regional crustal extension from the late Tortonian onwards that created a broad array of NE-trending orogen-top basins with synchronic associations of alluvial fan, fluvial and lacustrine deposits. The terrestrial basins are superimposed on the upper Burdigalian marine units with a c. 7 myr of hiatus that corresponds to a shift from regional shortening to extension. The initial infill of these basins is documented by a transition from marginal alluvial fans and axial fluvial systems into central shallow-perennial lakes coinciding with a climatic shift from warm/humid to arid conditions. The basal alluvial fan deposits abound in fossil macro-mammals of an early Turolian (MN11–12; late Tortonian) age. The Pliocene epoch in the region was punctuated by subhumid/humid conditions resulting in a rise of local base levels and expansion of lakes as evidenced by marsh-swamp deposits containing diverse fossilmammal assemblages indicating late Ruscinian (lateMN15; late Zanclean) ageWe are grateful for the support of the international bilateral project between The Scientific and Technological Research Council of Turkey (TUBITAK) and The Russian Scientific Foundation (RFBR) with grant a number of 111Y192. M.C.A. is grateful to the Turkish Academy of Sciences (TUBA) for a GEBIP (Young Scientist Award) grant. T.K. and S.M. are grateful to the Ege University Scientific Research Center for the TTM/002/2016 and TTM/001/2016 projects. M.C.A., H.A., S.M. and M.B. have obtained Martin and Temmick Fellowships at Naturalis Biodiversity Center (Leiden). F.A.D. is supported by a Mehmet Akif Ersoy University Scientific Research Grant. T.A.N. is supported by an Alexander-von-Humboldt Scholarship. L.H.O. received support from TUBITAK under the 2221 program for visiting scientists

Activity diagrams of borates: implications on common deposits

Most of the world's borate minerals are found in Neogene deposits and Quaternary lake deposits. Only a few of the borates are common geologically and commercially. A series of equilibrium activity diagrams were calculated for the common as well as some rare borate minerals in the systems of (1) Na2O-B2O3-H2O, (2) CaO-B2O3-H2O +/- CO2, (3) MgO-B2O3-H2O +/- CO2, (4) CaO-Na2O-B2O3-H2O, and (5) CaO-MgO-B2O3-H2O. Stability diagrams constructed with respect to variables of log[a(Mbn+)/(a(H+))(n)] and log[a(Mbn+)/a(Mc(n-1))+(a(H+))] versus both log[aH(2)O] and log[a(B)(OH)(3)] showed that some rare borates are thermodynamically not stable (tertschite, inderborite) at all in these systems. Still some common phases are thermodynamically occurred as metastable phases (tincalconite, meyerhofferite) in some deposits. On the contrary, some thermodynamically stable phases can form kinetically slower than the others and not found as common phases (inyoite). Some common and uncommon minerals such as ulexite, aksaite, and gowerite have small stability fields indicating that they can form at very limited thermodynamic conditions. Some phases such as pandermite, ginorite, ascharite, and suanite being structurally complex phases, form after less complex precursor minerals at the end of diagenesis due to burial and/or increasing temperature. Concentrations of cations and boron, pH, evaporation rate are other controlling variables of diagenetic processes. Through these diagrams, observed paragenetic relations and geochemical conditions can be depicted and expectant paragenetic phases can be predicted in any deposits

Mineralogy and genesis of the Ni–Co lateritic regolith deposit of the Çaldağ area (Manisa, western Anatolia), Turkey

The Çaldağ Ni–Co deposit is characterized by a reddish brown oxide lateritic regolith, containing residual Ni deposit formed by the intense tropical weathering of peridotites. Nickel–Co ore is associated with transported ferricrete during the late Paleocene–middle Eocene, represented by colloform Fe oxides and residual lateritization during the Oligocene. The lateritic regoliths are developed over dunitic ultramafic rocks and consist mainly of smectite, berthierine, kaolinite, gypsum, pyrite, takovite, and pecoraite. These units were examined using polarized-light microscopy, X-ray diffraction, scanning and transmission electron microscopy, and geochemical methods. Mineralogical zonation from the base of the profile upwards has the following zones: ultramafic bedrocks, serpentinized ultramafic rocks (saprock), saprolite, carbonate- and sulfide-bearing zone, ferruginous saprolite zone, and silcrete. In addition, Fe oxides, smectite and opal-CT, and quartz increase towards the surface, whereas olivine, pyroxene, and serpentine decrease upwards in response to chemical weathering. Nickel–Co mineralization associated with Fe oxides and smectitic clays formed under wet and dry conditions, respectively, as a result of an increased Fe2O3 + Al2O3 + Ni + Co/MgO ratio. Field observations and mineralogical and geochemical analyses reveal that the smectite formed under basic conditions was controlled by multistage chemical weathering of ultramafic and volcanic rocks and by the concentrations of Si, Al, Fe, and Mg. Locally, concentrations of S in conjunction with Fe and Ca resulted in precipitation of goethite–hematite, gypsum, and pyrite in dissolution voids in association with smectite under acidic conditions that developed in a well-drained system. © 2018, Published by NRC Research Press.The study was supported by the Scientific and Technological Research Council of Turkey (TUBITAK). Mineralogy, micromorphology, and microchemistry studies of clay minerals were performed at Texas Tech University, Texas, USA. The authors are much indebted to Charles R.M. Butt (CSIRO Earth Science and Resource Engineering, Western Australia) and anonymous reviewers for their extremely careful and constructive reviews that improved the quality of the paper significantly. We are extremely grateful to Editor Ali Polat for his insightful editorial comments and suggestions. We are also grateful to Martin Wells (Mineral Resources, Kensington) and William L. Griffin (Macquarie University, Australia) for their critical and detailed reviews and suggestions on an early draft of the manuscript. We greatly thank Mehmet Yıldız and İ. Hakkı Karamanderesi for their help during the field studies. Mustafa Çiçek, Yasin Aydın, Okan Bektas¸, Tacit Külah, and Nergis Önalgil are also thanked for drafting assistance