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The effect of stretching exercises applied to caregivers of children with development disabilities on musculoskeletal muscle mobility and respiratory function
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Atak, Ebrar
We aimed to investigate the effect of stretching exercises applied to the hamstring, one of the posterior muscle chains, on musculoskeletal flexibility, chest mobility, and respiratory function. Proprioceptive neuromuscular facilitation and static stretching exercises were applied to 30 healthcare personnel caring for children with developmental delays using a crossover randomized study design. Posterior muscle chain mobility was assessed using the popliteal angle test (PAT) for the hamstring muscle, the mobility of the lumbar muscles was assessed using the Schober test (ST), and the mobility of the posterior chain muscles as a whole was assessed using the finger-to-floor distance test. Chest mobility was measured using chest circumference measurements and lung volumes were measured using the pulmonary function test (PFT). The results showed that stretching exercises applied to the hamstrings led to significant improvements in PAT, ST, and chest mobility in the direction of maximal expiration (p < 0.05), without being superior to each other. Ten males (33.3%) and twenty females (66.7%) who met the inclusion criteria were analyzed. The mean age of the participants was 26.6 ± 5.9 years, the mean height was 169.53 ± 8.67 cm, the mean weight was 65.26 ± 12.03 kg, and the mean body mass index was 22.58 ± 3 kg/m2. Chest inspiratory mechanics also showed a low positive correlation with posterior muscle mobility (r = 0.381; p = 0.038). There was no significant change in PAT. Within the framework of the myofascial theory, stretching exercises that can contribute positively to the musculoskeletal and respiratory system structures of healthcare professionals can be recommended and encouraged to healthcare professionals.
The relationship between sleep quality and posture: a study on university students
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Badau, Adela; Badau, Dana; Şarvan Cengiz, Şebnem; Coşkun, Ebrar Şevval
The aim of this study is to investigate body posture, physical exercises, head–neck relationship, and sleep quality among university students. A total of 96 students, with an average age of 20.86 ± 1.24 years and an average BMI of 23.41 ± 2.56, voluntarily participated in the study. The REEDCO Posture Evaluation (RPE) was used to assess the participants’ body posture scores. Head and neck measurements were taken using the Apecs-AI Posture Evaluation and Correction System® (Apecs Posture Analysis Pro Plus Version 8.2.6). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Pearson correlation analysis indicated that increased caffeine consumption was associated with poorer sleep quality (r = 0.267, p < 0.05). Additionally, increased participation in physical activities was associated with improved sleep quality, with those engaging in sports having better sleep quality scores (r = −0.278, p < 0.05). As physical activity increased, REEDCO scores decreased (r = −0.423, p < 0.05), while scores for right head (r = 0.210, p < 0.05) and left head (r = 0.247, p < 0.05) increased. Significant negative correlations were found between REEDCO scores and right head (r = −0.296, p < 0.05) and left head (r = −0.463, p < 0.05) scores. In conclusion, due to the limited number of studies investigating head–neck relationships and sleep quality, definitive conclusions cannot be drawn; further and more comprehensive research is needed.
Observation of the Υ(3S) meson and suppression of Υ states in Pb-Pb collisions at √sNN=5.02 TeV
(American Physical Society, 2024) Tumasyan, A.; Adam, W.; Andrejkovic, J. W.; Bergauer, Thomas; Chatterjee, S.; Damanakis, Konstantinos; Dragicevic, M.
The production of Upsilon(2S) and Upsilon(3S) mesons in lead-lead (Pb-Pb) and proton-proton (pp) collisions is studied in their dimuon decay channel using the CMS detector at the LHC. The Upsilon(3S) meson is observed for the first time in Pb-Pb collisions, with a significance above 5 standard deviations. The ratios of yields measured in Pb-Pb and pp collisions are reported for both the Upsilon(2S) and Upsilon(3S) mesons, as functions of transverse momentum and Pb-Pb collision centrality. These ratios, when appropriately scaled, are significantly less than unity, indicating a suppression of Upsilon yields in Pb-Pb collisions. This suppression increases from peripheral to central Pb-Pb collisions. Furthermore, the suppression is stronger for Upsilon(3S) mesons compared to Upsilon(2S) mesons, extending the pattern of sequential suppression of quarkonium states in nuclear collisions previously seen for the J/psi, psi(2S), Upsilon(1S), and Upsilon(2S) mesons.
Respiratory responses and isocapnic buffering phase in child and youth soccer players during an incremental exercise test
(Frontiers Media SA, 2024) Korkmaz Eryılmaz, Selcen; Karakaş, Selçuk; Boyraz, Cumhur; Günaştı, Özgür; Kılcı, Abdullah; Özdemir, Çiğdem; Özgünen, Kerem; Koç, Muhammed; Adaş, Ümit; Kurdak, Sadi
Purpose: This study investigated the respiratory response and isocapnic buffering (IB) phase during an incremental exercise test to exhaustion in 16 child soccer players (11.9±0.9 years) and 18 youth soccer players (18.2±2.9 years). Methods: The IB phase was calculated as the difference in oxygen uptake (VO2) between the respiratory compensation point (RCP) and metabolic threshold (MT) and expressed in either absolute or relative values. Results: The maximal oxygen uptake (VO2max) was higher in youth players than in child players. For youth players, VO2max was measured at 55.9 ± 3.6 mL min−1 kg−1 and 74.9 ± 4.8 mL min−1 kg−0.75, while for child players, VO2max was 50.8 ± 4.1 mL min−1 kg−1 and 67.2 ± 6.1 mL min−1 kg−0.75 (p < 0.001). MT and RCP occurred at 69.8 ± 6.7% and 90.9 ± 6.9% of VO2max in child players and at 73.9 ± 5.1% and 91.5 ± 4.5% of VO2max in youth players, respectively. The two groups had no significant difference (p > 0.05). Absolute IB (10.6 ± 2.8 vs 9.7 ± 3.1 mL min−1 kg−1), relative IB (23.1 ± 5.7 vs 19.1 ± 6.1), and the ratio of RCP VO2 to MT VO2 (1.3 ± 0.09 vs 1.24 ± 0.09) were similar in child and youth players (p > 0.05). There was no difference in minute ventilation (V̇E, mL min−1 kg−1) and respiratory exchange ratio during exercise between the two groups (p > 0.05). During exercise, respiratory frequency, ventilatory equivalent for carbon dioxide (VE/VCO2) and oxygen (VE/VO2), VE/VCO2 slope, end-tidal O2 pressure were higher in child players than in youth players, while tidal volume (L kg−1), O2 pulse, and end-tidal CO2 pressure were lower (p < 0.05). Conclusion: Despite differences in aerobic capacity and ventilatory response to exercise, child players showed similar IB phase as youth players. Although child players have lower ventilation efficiency than youth players, the higher ventilation response for a given VCO2 may provide an advantage in regulating acid-base balance during intense exercise.
The impact of different telerehabilitation methods on peripheral muscle strength and aerobic capacity in COPD patients: a randomized controlled trial
(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Pehlivan, Esra; Karaahmetoğlu, Fulya Senem; Özcan, Zeynep Betül; Çınarka, Halit; Çörtük, Mustafa; Baydili, Kürşad Nuri; Çetinkaya, Erdoğan
Lung diseases have profound effects on the aging population. We aimed to hypothesize and investigate the effect of remote pulmonary telerehabilitation and motor imagery (MI) and action observation (AO) methods on the clinical status of elderly chronic obstructive pulmonary disease (COPD) patients. Twenty-six patients were randomly assigned to pulmonary telerehabilitation (PtR) or cognitive telerehabilitation (CtR) groups. The programs were carried out 3 days a week for 8 weeks. The 6-min walk test (6MWT), modified Medical Research Council dyspnea score, blood lactate level (BLL), measurement of peripheral muscle strength (PMS), and electromyography activation levels of accessory respiratory muscles were the main outcomes. There was a statistically significant improvement (p < 0.05) in both groups in the 6MWT distance and in secondary results, except for BLL. Generally, in the mean muscle activity obtained from the electromyography measurement after the program, there were statistically significant increases in the PtR group and decreases in the CtR group (p < 0.05). There was a statistically significant increase in PMS in both groups. An active muscle-strengthening program has the same benefits as applying the muscle-strengthening program to the patient as MI and AO. CtR can be a powerful alternative rehabilitation method in respiratory patients who cannot tolerate active exercise programs.
Proton conductivity and dielectric studies on chitosan/polyvinyl alcohol blend electrolytes: synergistic improvements with ionic liquid and graphene oxide
(Elsevier B.V., 2024) Yılmazoğlu, Mesut; Okkay, Hikmet; Abacı, Ufuk; Çoban, Ozan
This study investigates the impact of ionic liquid, 1-methylimidazolium tetrafluoroborate (IL) and graphene oxide (GO) on the performance of chitosan/polyvinyl alcohol (CS/PVA)-based composite electrolytes. Fourier-transform infrared (FTIR) spectroscopy and scanning electron microscopy (SEM) confirm the successful incorporation of IL and GO, affecting the structural and morphological properties of the electrolytes. Thermogravimetric analysis (TGA) reveals enhanced thermal stability in GO-doped samples, with increased residual weight at high temperatures, while IL addition leads to higher initial weight loss due to its hygroscopic nature. Ionic conductivity measurements demonstrate that the CS/PVA/IL-GO(4.0) composite achieves the highest proton conductivity of 1.76 × 10−3 S/m at 300 K and 1 MHz, surpassing other samples and aligning with top values reported in literature. Dielectric studies show a significant increase in dielectric constant to 9.55 × 104 at 300 K and 20 Hz for CS/PVA/IL-GO(4.0), attributed to enhanced dipole alignment and polarization effects. The loss tangent analysis indicates the shortest relaxation time of 2.07 × 10−4 s for CS/PVA/IL-GO(4.0), correlating with its superior proton conductivity. These findings highlight the potential of CS/PVA/IL-GO electrolytes for advanced energy storage and conversion applications, suggesting further research into GO dispersion and long-term stability for optimized performance in practical devices.
Determining the Relationship between Obesity and Problematic Internet Use among Adolescents
(Iranian Scientific Society Medical Entomology, 2021) Durmus, Goksel; Ortabag, Tulay; Ozdemir, Serpil
Background: Obesity has become widespread among adolescents throughout the world. This study aimed to determine the relationship between problematic internet use and obesity among 10-19 yr old adolescents. Methods: The descriptive study was carried out in a private elementary and high school in Gaziantep Province in the Eastern Turkey in 2016-2017. Overall, 474 adolescents and 938 their parents were enrolled. Data collection form consisted of three parts. The first part included questions about sociodemographic characteristics of the adolescent and his/her parents. The second part included data on anthropometrical measurements, dietary habits and physical activity level. Third part of the data collection form included Problematic Internet Usage Scale. First, anthropometrical measurements of the adolescents were recorded. Then, the data collection forms were applied to adolescents and their parents. Results: 34.8% of adolescents were overweight and obese. Approximately four out of ten male adolescents and three out of ten female adolescents were overweight or obese (P<0.05). Girls had less problematic internet use behaviors (P<0.05). There were statistically significant differences between age, sex, socioeconomic status, unhealthy eating habits and problem internet usage (P<0.05). Conclusion: Periodic screening should be done to determine the prevalence of obesity and problematic internet usage. Training programs on regular physical activity and healthy nutrition should be prepared and guidance services should be provided for the reduction of obesity rates and the protection of ideal weight.
Preventive and Therapeutic Mental Health Care after the Earthquake-Expert Opinion from the Psychiatric Association of Turkey 2
(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2023) Yildiz, Mevhibe Irem; Basterzi, Ayse Devrim; Yildirim, Ejder Akgun; Yuksel, Sahika; Aker, Ahmet Tamer; Semerci, Bengi; Cakiroglu, Suleyman
Two major earthquakes hit Turkey at the Kahramanmaras region on February 6th 2023. The earthquakes affected almost 15 million individuals, resulting in more than forty thousand deaths, thousands of wounded and the destruction of ancient cities of humankind. Immediately after the earthquakes, the Psychiatric Association of Turkey organized an educational event to address the needs for a guidance on how to approach a trauma of such a big scale. The experts in this educational event summarized their presentations and prepared this review to guide the mental health professionals serving victims of this disaster. The review summarizes the early symptoms of trauma, and puts a framework on the principles of psychological first aid, the approach at the initial stages of the disaster, principles of planning, triage, and psychosocial support systems and the proper use of medications. The text covers the evaluation of the impact of trauma, aligning psychiatric practice with psychosocial interventions, the improvement of counseling skills and methods to better understand the mind during the acute post trauma phase. A set of presentations highlight the challenges in child psychiatry, brings a systematic overview to the earthquake and discuss the symptomatology, first aid and intervention principles in children and adolescents. Last, the forensic psychiatric perspective is presented, followed by a piece on the essentials of delivering bad news and the review is concluded with the emphasis on burnout, a syndrome to avoid particularly for field professionals, and possible preventive measures.
Effect of administering kefir on the changes in fecal microbiota and symptoms of inflammatory bowel disease: a randomized controlled trial
(AVES, 2019) Yılmaz, İlkay; Dolar, M. Enver; Özpınar, Haydar
Background/Aims: Kefir is a kind of fermented probiotic dairy product. The objective of the present study was to investigate the effects of kefir consumption on the fecal microflora and symptoms of patients with inflammatory bowel disease (IBD). Materials and Methods: Kefir was serially diluted and inoculated into de Man, Rogosa, and Sharpe agar and incubated at 37 degrees C for 48 to 72 h under anaerobic conditions. This was a single-center, prospective, open-label randomized controlled trial. Forty-five patients with IBD were classified into two groups: 25 for treatment and 20 for control. A 400 mL/day kefir was administered to the patients for 4 weeks day and night. Their stool Lactobacillus, Lactobacillus kefiri, content was quantitated by real-time quantitative polymerase chain reaction before and after consumption. Abdominal pain, bloating, stool frequency, stool consistency, and feeling good scores were recorded in diaries daily by the patients. Results: A 5x10(7) CFU/mL count of lactic acid bacteria colony forming units was found in a kefir sample as the total average count. Lactobacillus bacterial load of feces of all subjects in the treatment group was between 10(4) and 10(9) CFU/g, and the first and last measurements were statistically significant (p=0.001 in ulcerative colitis and p=0.005 in Crohn's disease (CD)). The L. kefiri bacterial load in the stool of 17 subjects was measured as between 10(4) and 10(6) CFU/g. For patients with CD, there was a significant decrease in erythrocyte sedimentation rate and C-reactive protein, whereas hemoglobin increased, and for the last 2 weeks, bloating scores were significantly reduced (p=0.012), and feeling good scores increased (p=0.032). Conclusion: According to our data, kefir consumption may modulate gut microbiota, and regular consumption of kefir may improve the patient's quality of life in the short term.
Determinants of sleep disturbance and sleep quality in children of mothers with fibromyalgia
(Turkish League Against Rheumatism, 2023) Kartaloğlu, Işıl Fazilet; Karagül, Sevil; Arslan, Şule
Objectives: This study aimed to determine whether maternal diagnosis of Fibromyalgia syndrome (FMS) affects the sleep quality of children. Patients and methods: This prospective study was conducted with 80 female participants (mean age: 36.2 +/- 5.9 years; range 25 to 50 years) and their 80 children (27 males, 53 females; mean age: 6.6 +/- 2.6 years; range 2 to 12 years) between August 2019 and November 2020. The FMS group included 40 female FMS patients and their children, whereas the control group consisted of 40 healthy females and their children. In addition to sociodemographic variables, functional status was evaluated by the Fibromyalgia Impact Questionnaire (FIQ), which was completed by mothers with FMS, and the Children's Sleep Habits Questionnaire (CSHQ) was used to evaluate the sleep quality of all children. Results: There was no statistically significant difference between the two groups in terms of demographic characteristics ( p > 0.05). The CSHQ score of the two groups was above 41 points and was at a clinically significant level. The median value for the CSHQ score was 60.5 and 52 in the FMS and control groups, respectively. Sleep time, waking up at night, parasomnias, disrupted breathing during sleep, and sleepiness scores were higher in the FMS group than in the control group, and the differences were statistically significant (p < 0.001). The delayed falling asleep score, which was reversely coded, was lower in the FMS group than in the control group, and the difference was statistically significant (p < 0.001). Conclusion: This pilot study showed that the children of mothers with high Fibromyalgia Impact Questionnaire scores had sleep disorders. Maternal diagnosis of FMS negatively affects the sleep quality of children.
Noninvasive ventilation with nursing perspective: Impacts on patient tolerance, short-term adverse effects, and nursing workload
(Wolters Kluwer Medknow Publications, 2021) Yaman, O.; Aygun, M.; Erten, H.
Background: The success of noninvasive ventilation (NIV) treatment is closely related to high levels of clinical support. Aims: In this study, we sought to analyze patient mask compliance and minor side effects and to evaluate additional nursing workload needed for the NIV care. Materials and Methods: The study was designed as a prospective and observational. The data were collected from an intensive care unit. Clinical and physiological data, patient tolerance and adverse effects, subjects' complaints about their experience, and additional nursing workload associated with NIV treatment were assessed. Results: Statistically significant improvements were obtained in arterial blood gas analysis, respiratory rate, and heart rate during treatment. In the first 2 h, 65% of subjects had poor mask compliance, patients' comfort scores were poor, and incompliance was associated with discomfort. The ratio of skin problems was 15% in the first 24 h and reached 60% at 48 h. The pain rate due to mask ties was 80% and then increased to 90% at 48 h. There was a significant relationship between the problems detected by the nurses and problems described by the subjects. Additional nursing workload was found as 110 min for 0-6 h. Conclusions: We observed that the mask compliance and comfort levels of the subjects were poor. Skin breakdowns increased depending on the duration of treatment. Treatment would require continuous nursing support in seven areas. NIV treatment generated a significant amount of workload for nurses. Additional nursing workforce planning is required for NIV units for successful NIV treatment.
Effects of exercise on periodontal parameters in obese women
(Wolters Kluwer Medknow Publications, 2020) Alkan, B.; Guzeldemir-Akcakanat, E.; Odabas-Ozgur, B.; Ozgur, T.; Demirdizen-Taskiran, A.; Kir, H. M.; Alpay, N.
Background: Several studies have demonstrated an association between obesity, periodontitis, and exercise. Aims: This study aimed to investigate the effects of regular exercise on obese women with periodontal disease, using serum, saliva, and gingival crevicular fluid (GCF) samples. A before-after study design was adopted to evaluate the effects of 12 weeks of regular exercise on obese women grouped according to periodontal status, without a control group (no exercise). The study sample comprised of 15 patients without periodontitis (NP group) and 10 patients with chronic periodontitis (CP group), from whom periodontal parameters were measured and serum, saliva, and GCF samples were collected. Body mass index (BMI), anthropometric measurements, somatotype-motoric tests, and maximal oxygen consumption (VO2max) were recorded at baseline and after exercise. Subjects and Methods: Med Calc was used for statistical analysis. Results: After exercise, a significant decrease in BMI and a significant increase in VO2max were observed in both groups. A significant decrease in probing depth and clinical attachment loss, serum leptin, GCF tumor necrosis factor-alpha(TNF-alpha) and leptin, and a significant increase in GCF resistin were observed in the CP group. A significant decrease in serum TNF-alpha and leptin levels and a significant increase in serum resistin and GCF TNF-alpha, leptin, resistin, and adiponectin levels were observed in the NP group. Significant correlations between bleeding on probing and levels of interleukin-1 beta and leptin in GCF were observed in the CP group. Conclusions: This study showed that regular exercise exerts different impacts with respect to clinical and biochemical aspects of periodontal and systemic conditions in obese women.
Obesity perception survey among youth in Turkey: instrument development and test-retest reliability
(Tubitak Scientific & Technological Research Council Turkey, 2019) Jayawardene, Wasantha; Pınar, Salih; Torabi, Mohammad; Xun, Pengcheng; Özer, Mustafa Kamil
Background/aim: We aimed to develop an instrument that can assess the perceptions and opinions of young people regarding the causes and consequences of obesity and the role of individuals, families, communities, and government in addressing obesity. Materials and methods: A 36-question (101-item) survey was developed by adopting, translating, and revising multiple-choice or Likert-scale questions from existing surveys to assure construct cross-cultural validity. A two-factor mixed-effects model estimated the intraclass correlation coefficient (ICC) to measure the test-retest reliability of questions administered 2 weeks apart to a convenient sample of Istanbul high school and university students, aged 15-25 years (n = 122). Results: The mean ICC for university and high school was 0.70 and 0.63, respectively. University students were more consistent in relating the problem to society and public policy preferences. High school students were more consistent in relating the problem and solution to themselves and their immediate environments. Using a 0.5 cutoff for the ICC's lower 95% confidence limit, followed by reevaluation of the question flow, a 19-question (36-item) survey was retained for adolescents and a 26-question (52-item) survey for young adults. Conclusion: While the survey items have moderate to excellent reliability for high school and university students, it can be administered longitudinally to suggest changes to policies and interventions, and after cross-cultural validation, it can be utilized to compare obesity perceptions across different populations.
An alternative supplemental feeding method for preterm infants: the supplemental feeding tube device
(Tubitak Scientific & Technological Research Council Turkey, 2021) Çalıkuşu İncekar, Müjde; Çağlar, Seda; Kaya Narter, Fatma; Tercan Tarakçı, Emriye; Özpınar, Emine; Demirci Ecevit, Esra
Background/aim: The purpose of this study was to determine the effects of the supplemental feeding tube device (SFTD) and bottle methods on weight gain, transition to full breastfeeding, breastfeeding success, and duration of discharge in preterm infants. Materials and methods: This randomized controlled trial was conducted with a total of 46 preterm infants including 23 infants in study (SFTD) and control (bottle) groups. An information form, an infant follow-up form for feeding, and LATCH breastfeeding assessment instrument were used to collect the data. Results: The gestation week of the infants in the study group was 31.22 +/- 2.76, and in the control group it was 30.52 +/- 2.47. The birth weight of the infants in the study group was 1586.3 +/- 525.35 g and 1506.09 +/- 454.77 g in the control group. The daily weight gain of the infants was 24.09 +/- 15.21 g in the study group and 27.17 +/- 17.63 g in the control group. The infants in the study group (4.70 +/- 2.44 days) transitioned to full breastfeeding earlier than those in the control group (6.00 +/- 4.10 days). LATCH 2nd measurement scores were significantly higher in both groups than LATCH 1st measurement scores (p < 0.01). Although it was not statistically significant (p > 0.05), the infants in the study group (10.22 +/- 5.20 days) were discharged earlier than those in the control group (13.48 +/- 8.78 days). Conclusion: The SFTD and bottle methods were determined to be similar in terms of daily weight gain, transition to full breastfeeding, breastfeeding success, and duration of hospitalization.
A comparative study of silver electrodeposition from pyrophosphate-cyanide and high concentration cyanide electrolytes in the presence of brighteners
(Tubitak Scientific & Technological Research Council Turkey, 2020) Akben, Hatice Kübra; Timur, Servet İbrahim
A study of the electrodeposition of silver from 2 different types of electrolytes; (1) neutral pyrophosphatecyanide electrolyte and (2) alkaline high concentrated cyanide electrolyte in the presence of a variety of additives such as 2-mercaptobenzothiazole, potassium selenocyanate, and potassium antimony tartrate was performed. Influence of additives and cyanide concentration on microstructure and kinetics of the cathodic processes were studied. A brightener couple, 2-mercaptobenzothiazole and potassium antimony tartrate, were combined within this investigation and detected to be highly effective for silver electrodeposition. The rapid increase in current density at the same potential interval related to grain refinement effect of potassium antimony tartrate was shown. The cyclic organic compound, 2-mercaptobenzothiazole, polarizes the reduction to high cathodic potential in pyrophosphate electrolyte. However, the sufficient levelling effect required for the mirror-bright appearance seems to be related to the high polarizing effect of the high concentration cyanide content. In the case of pyrophosphate electrolytes, sufficient levelling cannot be achieved, so semigloss coatings are obtained. The low cathodic potential electrodeposition of silver in pyrophosphate electrolyte, which is found to proceed by 3D instantaneous nucleation, is polarized to high cathodic potentials and grows into 3D progressive nucleation and diffusion-controlled growth in high concentration cyanide electrolyte.
Symphytum Species: A Comprehensive Review on Chemical Composition, Food Applications and Phytopharmacology
(Mdpi, 2019) Salehi, Bahare; Sharopov, Farukh; Tumer, Tugba Boyunegmez; Ozleyen, Adem; Rodriguez-Perez, Celia; Ezzat, Shahira M.; Azzini, Elena
Symphytum species belongs to the Boraginaceae family and have been used for centuries for bone breakages, sprains and rheumatism, liver problems, gastritis, ulcers, skin problems, joint pain and contusions, wounds, gout, hematomas and thrombophlebitis. Considering the innumerable potentialities of the Symphytum species and their widespread use in the world, it is extremely important to provide data compiling the available literature to identify the areas of intense research and the main gaps in order to design future studies. The present review aims at summarizing the main data on the therapeutic indications of the Symphytum species based on the current evidence, also emphasizing data on both the efficacy and adverse effects. The present review was carried out by consulting PubMed (Medline), Web of Science, Embase, Scopus, Cochrane Database, Science Direct and Google Scholar (as a search engine) databases to retrieve the most updated articles on this topic. All articles were carefully analyzed by the authors to assess their strengths and weaknesses, and to select the most useful ones for the purpose of review, prioritizing articles published from 1956 to 2018. The pharmacological effects of the Symphytum species are attributed to several chemical compounds, among them allantoin, phenolic compounds, glycopeptides, polysaccharides and some toxic pyrrolizidine alkaloids. Not less important to highlight are the risks associated with its use. In fact, there is increasing consumption of over-the-counter drugs, which when associated with conventional drugs can cause serious and even fatal adverse events. Although clinical trials sustain the folk topical application of Symphytum species in musculoskeletal and blunt injuries, with minor adverse effects, its antimicrobial potency was still poorly investigated. Further studies are needed to assess the antimicrobial spectrum of Symphytum species and to characterize the active molecules both in vitro and in vivo.
Modeling the Growth of Six Listeria monocytogenes Strains in Smoked Salmon Pate
(Mdpi, 2023) Bolivar, Araceli; Garrote Achou, Chajira; Tarlak, Fatih; Cantalejo, Maria Jesus; Costa, Jean Carlos Correia Peres; Perez-Rodriguez, Fernando
In this study, the growth of six L. monocytogenes strains isolated from different fish products was quantified and modeled in smoked salmon pate at a temperature ranging from 2 to 20 degrees C. The experimental data obtained for each strain was fitted to the primary growth model of Baranyi and Roberts to estimate the following kinetic parameters: lag phase (lambda), maximum specific growth rate (mu(max)), and maximum cell density (N-max). Then, the effect of storage temperature on the obtained mu(max) values was modeled by the Ratkowsky secondary model. In general, the six L. monocytogenes strains showed rapid growth in salmon pate at all storage temperatures, with a relatively short lag phase lambda, even at 2 degrees C. The growth behavior among the tested strains was similar at the same storage temperature, although significant differences were found for the parameters lambda and mu(max). Besides, the growth variations among the strains did not follow a regular pattern. The estimated secondary model parameter T-min ranged from -4.25 to -3.19 degrees C. This study provides accurate predictive models for the growth of L. monocytogenes in fish pates that can be used in shelf life and microbial risk assessment studies. In addition, the models generated in this work can be implemented in predictive modeling tools and repositories that can be reliably and easily used by the fish industry and end-users to establish measures aimed at controlling the growth of L. monocytogenes in fish-based pates.
Prediction of Pseudomonas spp. Population in Food Products and Culture Media Using Machine Learning-Based Regression Methods
(Mdpi, 2023) Tarlak, Fatih; Yucel, Ozgun
Machine learning approaches are alternative modelling techniques to traditional modelling equations used in predictive food microbiology and utilise algorithms to analyse large datasets that contain information about microbial growth or survival in various food matrices. These approaches leverage the power of algorithms to extract insights from the data and make predictions regarding the behaviour of microorganisms in different food environments. The objective of this study was to apply various machine learning-based regression methods, including support vector regression (SVR), Gaussian process regression (GPR), decision tree regression (DTR), and random forest regression (RFR), to estimate bacterial populations. In order to achieve this, a total of 5618 data points for Pseudomonas spp. present in food products (beef, pork, and poultry) and culture media were gathered from the ComBase database. The machine learning algorithms were applied to predict the growth or survival behaviour of Pseudomonas spp. in food products and culture media by considering predictor variables such as temperature, salt concentration, water activity, and acidity. The suitability of the algorithms was assessed using statistical measures such as coefficient of determination (R-2), root mean square error (RMSE), bias factor (Bf), and accuracy (A(f)). Each of the regression algorithms showed appropriate estimation capabilities with R-2 ranging from 0.886 to 0.913, RMSE from 0.724 to 0.899, B-f from 1.012 to 1.020, and A(f) from 1.086 to 1.101 for each food product and culture medium. Since the predictive capability of RFR was the best among the algorithms, externally collected data from the literature were used for RFR. The external validation process showed statistical indices of B-f ranging from 0.951 to 1.040 and A(f) ranging from 1.091 to 1.130, indicating that RFR can be used for predicting the survival and growth of microorganisms in food products. Therefore, machine learning approaches can be considered as an alternative to conventional modelling methods in predictive microbiology. However, it is important to highlight that the prediction power of the machine learning regression method directly depends on the dataset size, and it requires a large dataset to be employed for modelling. Therefore, the modelling work of this study can only be used for the prediction of Pseudomonas spp. in specific food products (beef, pork, and poultry) and culture medium with certain conditions where a large dataset is available.
Modelling of the Behaviour of Salmonella enterica serovar Reading on Commercial Fresh-Cut Iceberg Lettuce Stored at Different Temperatures
(Mdpi, 2020) Tarlak, Fatih; Johannessen, Gro; Bascon Villegas, Isabel; Bolivar, Araceli; Posada-Izquierdo, Guiomar Denisse; Perez-Rodriguez, Fernando
The aim of this study was to model the growth and survival behaviour ofSalmonellaReading and endogenous lactic acid bacteria on fresh pre-cut iceberg lettuce stored under modified atmosphere packaging for 10 days at different temperatures (4, 8 and 15 degrees C). The Baranyi and Weibull models were satisfactorily fitted to describe microbial growth and survival behaviour, respectively. Results indicated that lactic acid bacteria (LAB) could grow at all storage temperatures, whileS. Reading grew only at 15 degrees C. Specific growth rate values (mu(max)) for LAB ranged between 0.080 and 0.168 h(-1)corresponding to the temperatures 4 and 15 degrees C while forS. Reading at 15 degrees C,mu(max)= 0.056 h(-1). This result was compared with published predictive microbiology models for otherSalmonellaserovars in leafy greens, revealing that predictions from specific models could be valid for such a temperature, provided they were developed specifically in lettuce regardless of the type of serovars inoculated. The parameter delta obtained from the Weibull model for the pathogen was found to be 16.03 and 18.81 for 4 and 8 degrees C, respectively, indicating that the pathogen underwent larger reduction levels at lower temperatures (2.8 log(10)decrease at 4 degrees C). These data suggest that thisSalmonellaserovar is especially sensitive to low temperatures, under the assayed conditions, while showcasing that a correct refrigeration could be an effective measure to control microbial risk in commercial packaged lettuce. Finally, the microbiological data and models from this study will be useful to consider more specifically the behaviour ofS. Reading during transport and storage of fresh-cut lettuce, elucidating the contribution of this serovar to the risk bySalmonellain leafy green products.
The Use of Predictive Microbiology for the Prediction of the Shelf Life of Food Products
(Mdpi, 2023) Tarlak, Fatih
Microbial shelf life refers to the duration of time during which a food product remains safe for consumption in terms of its microbiological quality. Predictive microbiology is a field of science that focuses on using mathematical models and computational techniques to predict the growth, survival, and behaviour of microorganisms in food and other environments. This approach allows researchers, food producers, and regulatory bodies to assess the potential risks associated with microbial contamination and spoilage, enabling informed decisions to be made regarding food safety, quality, and shelf life. Two-step and one-step modelling approaches are modelling techniques with primary and secondary models being used, while the machine learning approach does not require using primary and secondary models for describing the quantitative behaviour of microorganisms, leading to the spoilage of food products. This comprehensive review delves into the various modelling techniques that have found applications in predictive food microbiology for estimating the shelf life of food products. By examining the strengths, limitations, and implications of the different approaches, this review provides an invaluable resource for researchers and practitioners seeking to enhance the accuracy and reliability of microbial shelf life predictions. Ultimately, a deeper understanding of these techniques promises to advance the domain of predictive food microbiology, fostering improved food safety practices, reduced waste, and heightened consumer confidence.

Güncel Gönderiler