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1.
Educ Inf Technol (Dordr) ; : 1-21, 2023 Feb 16.
Article in English | MEDLINE | ID: mdl-36819983

ABSTRACT

Designing effective and efficient learning environments by integrating recent educational technologies into the teaching process has become an important goal of education for nearly two decades. However, earlier studies showed that a higher level of technology knowledge does not guarantee the development of TPACK. At this point, studies guided by the transformative approach defining TPACK as a unique knowledge revealed encouraging results for a better understanding of technology-integrated instruction. This study aims to investigate to what extent ICT usage categories predict preservice science teachers' TPACK. Totally 326 preservice science teachers with a mean age of 21.62 (SD = 1.41) from seven different universities participated. For that purpose, a correlational study was conducted. The ICT-TPACK-Science Scale and the ICT Usage Questionnaire were used to collect data. Six separate multiple regression analyses were conducted to predict TPACK measures using ICT measures. Results indicated that approximately a third of the variability in total-TPACK scores can be accounted for by three ICT measures. The relative importance of individual predictors is arranged in the following order desktop software, emerging ICTs, and hardware. As for the dimensions of the ICT-TPACK-Science Scale, the overall effect of the ICT predictors decreased in the following order: Designing, implementing, planning, proficiency, and ethics. Emerging ICTs made the highest contribution to the designing and proficiency dimensions; while desktop software made the highest contribution to the implementing, planning, and ethics dimensions. To sum up, this study describes the association between ICT usage and TPACK in the view of the transformative ICT-TPACK-Science framework. The utilization and transformation of ICT tools as a cognitive partner for effective and efficient science teaching in different TPACK dimensions needs further investigation.

2.
Article in English | MEDLINE | ID: mdl-35891707

ABSTRACT

Distance education offers flexible learning opportunities in terms of time, place and learning speed to teachers and students through internet technologies. However, the learning opportunities provided in distance education environments require students to act more autonomously and take more responsibility for regulating their learning processes to achieve their learning goals. For this reason, it is crucial to reveal the relationships between flexibility, self-regulated effort and satisfaction factors to provide efficient and effective learning environments in distance education. Accordingly, within the scope of this study, it is aimed to investigate university students' perceptions of flexibility, self-regulated effort and satisfaction with the distance education process, and their views on distance education. Survey research was used as the research method in the study. The study sample consisted of 1760 university students studying at 28 different universities. Data were analysed using t-test, ANOVA, and regression methods. As a result of the study, male students were more satisfied with distance education than female students, and education faculty students had the highest level of satisfaction. In addition, self-regulated effort and flexibility variables were significant factors affecting students' satisfaction towards distance education. Furthermore, the advantages and problems of distance education and suggestions for future distance learning environments were presented in the light of students views. Finally, the study's implications and various recommendations for practitioners and researchers were discussed in detail.

3.
J Invest Surg ; 35(6): 1322-1328, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35313790

ABSTRACT

BACKGROUND: This paper sought to investigate the modifies of inulin and Bacillus clausii on the lipopolysaccharides (LPS) inducing oxidative stress signaling pathway in the endotoxemic rat model. METHODS: Wistar albino male rats (n = 36), divided into six groups, were formed randomly in the following stages: the control group; the prebiotic group (Inulin; 500 mg/kg); the probiotic group (Bacillus clausii; 1x109 CFU); the LPS group (1.5 mg/kg) as the endotoxemic model; the prebiotic group + LPS; and the probiotic group + LPS as treatment groups. RESULTS: The reactive oxygen species (ROS), advanced oxidation products of protein (AOPP), thiobarbituric acid reactive substances (TBARS), total oxidant status (TOS), oxidative stress index (OSI), and myeloperoxidase activity (MPO) levels increased in LPS-induced toxicity. Prebiotic treatment decreased LPS-induced hepatotoxicity on rat liver as observed in the decrease in the levels of oxidative stress parameters, such as ROS, TBARS, TOS, and OSI. The effect of the probiotic treatment on the ROS, AOPP, TOS, OSI levels was not statistically significant. However, it was determined that probiotic application was effective in the TBARS, TAS, and GSH levels. When the biochemical results of the prebiotic and probiotic treatment applications were compared, it was found that the prebiotic treatment was more effective on oxidative stress parameters (ROS, TBARS, TOS, and OSI). In addition, the histological damage score and MPO-staining results of the prebiotic treatment group were found to be more effective than the probiotic group. CONCLUSION: In this first study, where inulin and Bacillus clausii spores are used against liver damage caused by LPS, inulin provides much more effective protection than Bacillus clausii spores.


Subject(s)
Bacillus clausii , Advanced Oxidation Protein Products/pharmacology , Animals , Inulin/pharmacology , Inulin/therapeutic use , Lipopolysaccharides/pharmacology , Liver , Oxidative Stress , Rats , Rats, Wistar , Reactive Oxygen Species , Thiobarbituric Acid Reactive Substances
4.
J Med Educ Curric Dev ; 7: 2382120520973222, 2020.
Article in English | MEDLINE | ID: mdl-33313399

ABSTRACT

The use of mobile devices that have high technical capabilities has increased in the last years. These devices are appropriate instructional tools reflecting the trends in modern education by providing instant access to information that is used with mobile learning purposes. As is in many areas of education, m-learning has been becoming widespread in medical education. Therefore, medical students' readiness for m-learning is highly important. This study aims to investigate how medical students' beliefs influence their behavioral intention to use mobile devices for learning purposes. The 376 medical students (222 juniors, 154 sophomores; aged between 18 and 24 years; 214 males, 162 females) participated in this study. All participants had mobile devices. Data were collected through a survey. Structural equation modeling was used to analyze the findings. The proposed model, which is created based on the theory of planned behavior, was tested in the study. Based on the findings, the medical students' perceived ease of use, perceived usefulness, learning autonomy, intention to use, perceived self-efficacy toward mobile devices, and m-learning are found to be high level. However, according to medical students, instructors' readiness to apply m-learning has been found to be low level. The findings showed that the proposed model explains medical students' behavioral intention to use m-learning reasonably well. The behavioral intention is explained with a variance of 76% in the model. Subjective norm is the main indicator of behavioral intention, followed by perceived behavioral control and attitude. The proposed model in the study could be useful to design m-learning applications, environments, and implementation plans effectively in medical education.

5.
Adv Clin Exp Med ; 28(8): 1013-1020, 2019 08.
Article in English | MEDLINE | ID: mdl-30993920

ABSTRACT

BACKGROUND: Apoptosis plays a major role in fatty liver disease. High-fat diets are related to the onset of fatty liver disease and hepatic oxidant-antioxidant imbalance. Curcumin and capsaicin are somewhat beneficial in reducing hepatic triglycerides; this is most likely because they are known to downregulate reactive oxygen species (ROS) and apoptosis. OBJECTIVES: The aim of this study was to investigate the effects of curcumin and capsaicin on apoptosis through the oxidative effect in an animal model of fatty liver disease. MATERIAL AND METHODS: Male Sprague Dawley rats were fed a normal control diet, a high-fat diet (HFD; 60% of total calories from fat), a HFD+curcumin (1.5 g curcumin/kg HFD), a HFD+capsaicin (0.15 g capsaicin/kg HFD), or a HFD+curcumin+capsaicin (1.5 g curcumin and 0.15 g capsaicin/kg HFD). Liver lysate levels of BAX, Bcl-2 and caspase-3 were determined via immunoblotting. Caspase-3 activity was measured with a colorimetric caspase-3 measurement kit. Total antioxidant status (TAS) and total oxidant status (TOS) were assayed using commercial kits. The generation of hepatic ROS was measured with fluorimetry. Fragmentation of DNA was detected using the TUNEL method. RESULTS: High-fat diet caused increased expression of BAX and caspase-3, as well as increased TOS and caspase-3 activity, but decreased expression of Bcl-2. HFD+curcumin+capsaicin caused decreased BAX, caspase-3, TOS, and ROS levels as compared to HFD, but increased TAS and Bcl-2. A HFD +curcumin+capsaicin also decreased the number of TUNEL-positive cells. CONCLUSIONS: These results suggest that supplementation with curcumin and capsaicin balances the hepatic oxidant-antioxidant status and may have a protective role in the apoptotic process in an HFD-induced fatty liver model.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal , Capsaicin , Curcumin , Diet, High-Fat , Oxidative Stress , Animals , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Apoptosis , Capsaicin/pharmacology , Curcumin/pharmacology , Liver , Male , Rats , Rats, Sprague-Dawley
6.
Appl Physiol Nutr Metab ; 44(7): 774-782, 2019 Jul.
Article in English | MEDLINE | ID: mdl-30605349

ABSTRACT

This study investigated the effects of curcumin and capsaicin on testicular and hepatic oxidant-antioxidant status in rats fed a high-fat diet (HFD). Male Sprague-Dawley rats were divided into 5 groups (8 rats per group). The control group was fed a normal control diet (standard laboratory chow), the HFD group was fed HFD (60% of total calories from fat), the HFD+CUR group received HFD supplemented with curcumin (1.5 g curcumin/kg HFD), the HFD+CAP group was given HFD supplemented with capsaicin (0.15 g capsaicin/kg HFD), and the HFD+CUR+CAP group received HFD supplemented with curcumin and capsaicin for 16 weeks. Hepatic and testicular thiobarbituric acid reactive substances (TBARS), reactive oxygen species (ROS), glutathione (GSH) levels, glutathione transferase activity, and Cu-Zn superoxide dismutase, glutathione peroxidase, and catalase protein expression and enzyme activities were measured. Protein expression was determined by Western blotting. GSH levels and antioxidant enzyme activities were measured with colorimetric methods. HFD slightly increased hepatic and testicular oxidative stress parameters. GSH levels did not change between groups. TBARS and ROS levels were significantly reduced in the HFD+CUR+CAP group compared with the HFD group. Liver and testis antioxidant enzyme activities and expression increased significantly with combined capsaicin and curcumin treatment. Curcumin and capsaicin treatment attenuated testicular and hepatic oxidative stress and enhanced the antioxidant defense system. The combination of capsaicin and curcumin with HFD seems to have some remarkable and beneficial effects on testicular oxidative damage in the fatty liver rat model.


Subject(s)
Antioxidants/metabolism , Capsaicin/pharmacology , Curcumin/pharmacology , Diet, High-Fat , Diet , Liver/drug effects , Liver/metabolism , Testis/drug effects , Testis/metabolism , Animals , Fatty Liver/metabolism , Glutathione/metabolism , Male , Oxidative Stress/drug effects , Rats , Rats, Sprague-Dawley , Reactive Oxygen Species/metabolism , Thiobarbituric Acid Reactive Substances/metabolism
7.
Anat Sci Educ ; 9(5): 411-21, 2016 Oct.
Article in English | MEDLINE | ID: mdl-26950521

ABSTRACT

Augmented reality (AR), a new generation of technology, has attracted the attention of educators in recent years. In this study, a MagicBook was developed for a neuroanatomy topic by using mobile augmented reality (mAR) technology. This technology integrates virtual learning objects into the real world and allow users to interact with the environment using mobile devices. The purpose of this study was to determine the effects of learning anatomy via mAR on medical students' academic achievement and cognitive load. The mixed method was applied in the study. The random sample consisted of 70 second-year undergraduate medical students: 34 in an experimental group and 36 in a control group. Academic achievement test and cognitive load scale were used as data collection tool. A one-way MANOVA test was used for analysis. The experimental group, which used mAR applications, reported higher achievement and lower cognitive load. The use of mAR applications in anatomy education contributed to the formation of an effective and productive learning environment. Student cognitive load decreased as abstract information became concrete in printed books via multimedia materials in mAR applications. Additionally, students were able to access the materials in the MagicBook anytime and anywhere they wanted. The mobile learning approach helped students learn better by exerting less cognitive effort. Moreover, the sensory experience and real time interaction with environment may provide learning satisfaction and enable students to structure their knowledge to complete the learning tasks. Anat Sci Educ 9: 411-421. © 2016 American Association of Anatomists.


Subject(s)
Anatomy/education , User-Computer Interface , Adolescent , Cognition , Educational Measurement , Female , Humans , Male , Young Adult
8.
Arch Physiol Biochem ; 122(2): 94-102, 2016.
Article in English | MEDLINE | ID: mdl-26706937

ABSTRACT

Effects of curcumin (turmeric) and capsaicin (red pepper) on hepatic fat accumulation and fetuin-A expression in rats fed high-fat diet (HFD) is aimed to be investigated. Male Sprague-Dawley rats received HFD (60% of total calories from fat) and 0.15 g capsaicin/kg HFD and/or 1.5 g curcumin/kg HFD for 16 weeks. Hepatic AMPK, p-AMPK and fetuin-A expressions were determined by western blotting, liver lipid levels were measured with colorimetric methods and serum fetuin-A, insulin, leptin and adiponectin levels were detected using commercial ELISA kits. HFD increased hepatic lipid levels, fetuin-A expression and serum leptin, insülin and fetuin-A levels. Curcumin and capsaicin treatments significantly reduced hepatic fat accumulation and leptin levels; liver fetuin-A expression was decreased significantly by the curcumin treatment. Curcumin and capsaicin treatments attenuated hepatic fat accumulation and increased leptin levels related to inflammation. The suppression of hepatic fetuin-A expression is observed to be especially sensitive to curcumin.


Subject(s)
Adipose Tissue/drug effects , Capsaicin/pharmacology , Curcumin/pharmacology , Diet, High-Fat/adverse effects , Gene Expression Regulation/drug effects , Liver/drug effects , alpha-2-HS-Glycoprotein/metabolism , AMP-Activated Protein Kinases/metabolism , Adiponectin/blood , Adipose Tissue/cytology , Adipose Tissue/metabolism , Animals , Blood Glucose/metabolism , Cholesterol/metabolism , Insulin/blood , Leptin/blood , Liver/cytology , Liver/metabolism , Male , Phosphoproteins/metabolism , Rats , Rats, Sprague-Dawley , Triglycerides/metabolism
9.
Scand J Clin Lab Invest ; 75(4): 301-7, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25723054

ABSTRACT

Obesity is a major risk factor for many chronic metabolic diseases such as inflammation, insulin resistance (IR) and fatty liver injury. It was reported that obesity causes some variations on the serum levels of fetuin-A and is associated with arginine metabolism, especially arginase-1 levels. The aim of our study was to evaluate, the interaction and possible changes of these liver over produced proteins, fetuin-A and arginase-1 levels in obesity-related inflammatory status. Study groups were composed of individuals aged between 19 and 63 (n = 62). The control group included healthy subjects with BMI < 25, obese group included obese patients with BMI > 30 and with no other chronic disease. Biochemical markers were determined by an auto-analyzer. Adiponectin, fetuin-A, arginase-1, asymmetric dimethylarginine (ADMA), arginine, Hexanoyl-lysine (HEL) and leptin levels were measured with commercial ELISA immunoassay kits. Nitrite and nitrate were determined with colorimetric assay kit in serum samples. High sensitive C-reactive protein (hsCRP) levels and liver function enzymes activities were higher in the obese group in respect to the control group. Serum fetuin-A, arginase-1 and leptin levels were increased but adiponectin levels were decreased in obese subjects. Fetuin-A levels showed significant correlations with arginase-1 and HOMA-IR. Consequently, we carried out an investigation about higher serum fetuin-A and arginase-1 levels may have an important role in obesity and obesity-related liver damage.


Subject(s)
Arginase/blood , Obesity/metabolism , alpha-2-HS-Glycoprotein/metabolism , Adiponectin/blood , Adult , Arginine/analogs & derivatives , Arginine/blood , Biomarkers/blood , C-Reactive Protein/metabolism , Enzyme-Linked Immunosorbent Assay , Female , Humans , Leptin/blood , Linear Models , Liver Function Tests , Lysine/blood , Male , Middle Aged , Nitrates/blood , Nitrites/blood , Obesity/complications
10.
Can J Physiol Pharmacol ; 92(10): 805-12, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25211173

ABSTRACT

High fat diet (HFD) is associated with oxidative stress induced fatty liver. Curcumin, an extract of Curcuma longa, has been shown to possess potent antioxidant and hypolipidemic properties. In this study, we investigated the effect of curcumin treatment on hepatic heme oxygenase-1 (HO-1) expression along with pro-oxidant-antioxidant status and lipid accumulation in rats fed an HFD. Male Sprague-Dawley rats were distributed among 4 groups: Group 1, which was fed the control diet (10% of total calories from fat); Group 2, which was fed the HFD (60% of total calories from fat); and groups 3 and 4, which received the HFD supplemented with curcumin and the control diet supplemented with curcumin (1 g/kg diet; w/w), respectively, for 16 weeks. HFD caused increases in hepatic lipid levels, production of reactive oxygen species, and lipid peroxidation. Further, HO-1 expression was significantly decreased. Histopathological examination showed hepatic fat accumulation and slight fibrotic changes. Curcumin treatment reduced hepatic lipids and oxidative stress parameters, and HO-1 expression was significantly increased. These findings suggest that increased HO-1 expression, along with suppressed oxidative stress as well as reduced hepatic fat accumulation and fibrotic changes, contribute to the beneficial effects of curcumin in attenuating the pathogenesis of fatty liver induced metabolic diseases.


Subject(s)
Antioxidants/pharmacology , Curcumin/pharmacology , Diet, High-Fat , Heme Oxygenase-1/metabolism , Liver/drug effects , Animals , Curcuma , Fatty Liver/metabolism , Fatty Liver/pathology , Gene Expression , Lipid Metabolism/drug effects , Lipid Peroxidation/drug effects , Liver/metabolism , Liver/pathology , Liver Cirrhosis/metabolism , Liver Cirrhosis/pathology , Male , Rats, Sprague-Dawley , Reactive Oxygen Species/metabolism
11.
COPD ; 11(4): 424-30, 2014 Aug.
Article in English | MEDLINE | ID: mdl-24378084

ABSTRACT

INTRODUCTION: Although there are studies evaluating the effects of periodontal health on chronic obstructive pulmonary disease (COPD), the effects of COPD - a systemic disease, on periodontal tissue is unknown. The aim of this study is to evaluate the effects of COPD on periodontal tissues by comparing COPD patients and controls. METHODS: Fifty-two COPD patients and 38 non-COPD controls were included in this case-control study. Number of teeth, plaque index (PI), gingival index (GI), bleeding on probing, clinical attachment level and probing depth were included in the periodontal examination. In addition to clinical evaluations, gingival crevicular fluid (GCF) levels of high-sensitive C-reactive protein (hs-CRP), interleukin-1 beta (IL-lb) and prostaglandin-E2 (PGE2), and serum hs-CRP levels were measured in COPD patients and the controls. RESULTS: The number of teeth was significantly lower while PI and GI were significantly higher in COPD patients when compared to the controls. As well as serum hs-CRP levels, the GCF levels of hs-CRP, IL-1b and PGE2 were significantly higher in COPD patients than the controls. CONCLUSION: Our results demonstrated that COPD may be associated with periodontal disease as manifested by lower number of teeth and higher levels of inflammatory mediators especially CRP in GCF. This finding may be a reflection of systemic effects of COPD on periodontal tissues. Poor oral health behavior of COPD patients have to be considered in larger size group studies in the future.


Subject(s)
Periodontal Diseases/complications , Pulmonary Disease, Chronic Obstructive/complications , Adult , C-Reactive Protein/analysis , C-Reactive Protein/metabolism , Case-Control Studies , DMF Index , Dental Plaque Index , Dentition, Permanent , Dinoprostone/analysis , Female , Gingival Crevicular Fluid/chemistry , Humans , Interleukin-1beta/analysis , Male , Middle Aged , Periodontal Diseases/blood , Periodontal Index , Pulmonary Disease, Chronic Obstructive/blood
12.
Nurse Educ Today ; 34(5): 836-41, 2014 May.
Article in English | MEDLINE | ID: mdl-24080268

ABSTRACT

The aim of this study is to evaluate the online continuing education program from the perspectives of new graduate nurses. An evaluation framework includes five factors (program and course structure, course materials, technology, support services and assessment). In this study, descriptive research methods were used. Participants of the study included 2.365 registered nurses enrolled in the first online nursing bachelor completion degree program in the country. Data were collected by survey. The findings indicated that students were mostly satisfied with this program. The results of this study suggest that well designed asynchronous online education methods can be effective and appropriate for registered nurses. However, the provision of effective support and technological infrastructure is as vital as the quality of teaching for online learners.


Subject(s)
Education, Nursing, Continuing/organization & administration , Internet , Nursing Staff , Humans
13.
Life Sci ; 90(23-24): 924-8, 2012 Jun 14.
Article in English | MEDLINE | ID: mdl-22564407

ABSTRACT

AIMS: It has been suggested that variations in the proportions of some dietary amino acids can slow down aging. In this study, the influence of amino acids other than methionine on aging was investigated. MAIN METHODS: Rats were fed either with normal (ND) or except methionine, protein restricted diet (PREMD) for 4 months and oxygen radical production, oxidative protein and DNA damage along with telomere length and telomerase activity were evaluated in the liver. KEY FINDINGS: Except mitochondrial superoxide production rate, feeding with PREMD significantly decreased the oxygen radical production rate and protein carbonyl levels in the homogenate and mitochondria of 16-month-old rats. Feeding with PREMD prevented 8-OHdG formation in mitochondrial DNA but not in the genomic DNA. Although liver telomerase activities of rats receiving either ND or PREMD seemed to have some variations, these did not reach a statistical significance. Feeding with PREMD conserved the telomere length in the liver. The telomere length of 8- and 16-month-old rats fed PREMD was similar, 16-month-old rats fed ND had telomeres shortened by 36% (p<0.05). SIGNIFICANCE: Long-term restriction of the amino acids other than methionine may decrease oxygen radical generation and oxidative damage of cellular constituents, and may also prevent telomere shortening in rat liver.


Subject(s)
Amino Acids/administration & dosage , Dietary Proteins/administration & dosage , Oxidative Stress/drug effects , Telomerase/metabolism , Telomere/metabolism , 8-Hydroxy-2'-Deoxyguanosine , Aging , Animals , DNA Damage/drug effects , DNA, Mitochondrial/drug effects , DNA, Mitochondrial/metabolism , Deoxyguanosine/analogs & derivatives , Deoxyguanosine/metabolism , Liver/drug effects , Liver/metabolism , Male , Methionine/administration & dosage , Protein Carbonylation/drug effects , Rats , Rats, Wistar , Reactive Oxygen Species/metabolism
14.
BMC Clin Pathol ; 12: 27, 2012 Dec 31.
Article in English | MEDLINE | ID: mdl-23276144

ABSTRACT

BACKGROUND: The aim of this study was to evaluate apoptotic (Bcl-2, Bax expression, caspase-3 activity, and cytochrome-c) and angiogenic (MMP-9 levels and VEGF expression) markers in operable rectal cancer patients who were treated with preoperative chemoradiotherapy (CRT) followed by total mesorectal excision (TME). Understanding these factors will facilitate the identification of potential pathological responders before treatment, leading to better local control and survival rates. METHODS: Between March 2006 and March 2008, 29 patients withTNM Stage III (cT3 N+) mid or low rectal cancer were included in this study. Our sample consisted of 17 males (58.6%) and 12 females (41.4%). The median age was 60 years (range 24-88 years). Biopsy samples were taken from different portions of the tumors using flexible endoscopy before neoadjuvant CRT. Preoperatively, all patients received radiation (45-50.4 gray (Gy) in 25 cycles with concurrent 5-florouracil (5-FU) chemotherapy. RESULTS: A complete response was observed in 7 of 29 patients (24%). Bax staining was negative in 1 of the 7 patients (14%) in the pathological complete response (PCR) group and in 18 of the 22 patients (82%) in the no pathological complete response (noPCR) group (p = 0.001). MMP-9 and VEGF levels were higher in the noPCR group than the PCR group (p = 0.04, p = 0.05 respectively). No statistically significant differences were found between VEGF and MMP-9 levels in nodal downstaging. No statistically significant relationships were found between the other apoptotic factors (Bcl 2, cytochrome-c, and caspase-3 activity) and pathological response rate (p > 0.05). CONCLUSION: In neoadjuvant CRT patients, high levels of Bax expression and low levels of VEGF and MMP-9 expression on preoperative biopsies indicate that the patient will potentially be a good pathological responder.

15.
J Periodontol ; 82(3): 481-8, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20932157

ABSTRACT

BACKGROUND: The aim of this study is to evaluate the effect of low-level laser therapy (LLLT) as an adjunct to non-surgical periodontal therapy of smoking and non-smoking patients with moderate to advanced chronic periodontitis. METHODS: All 36 systemically healthy patients who were included in the study initially received non-surgical periodontal therapy. The LLLT group (n = 18) received GaAlAs diode laser therapy as an adjunct to non-surgical periodontal therapy. A diode laser with a wavelength of 808 nm was used for the LLLT. Energy density of 4 J/cm(2) was applied to the gingival surface after periodontal treatment on the first, second, and seventh days. Each of the LLLT and control groups was divided into two groups as smoking and non-smoking patients to investigate the effect of smoking on treatment. Gingival crevicular fluid samples were collected from all patients and clinical parameters were recorded on baseline, the first, third, and sixth months after treatment. Matrix metalloproteinase-1, tissue inhibitor matrix metalloproteinase-1, transforming growth factor-ß1, and basic-fibroblast growth factor levels in the collected gingival crevicular fluid were measured. RESULTS: The primary outcome variable in this study was change in gingival bleeding and inflammation. At all time points, the LLLT group showed significantly more improvement in sulcus bleeding index (SBI), clinical attachment level, and probing depth (PD) levels compared to the control group (P <0.001). There were clinically significant improvements in the laser-applied smokers' PD and SBI levels compared to smokers to whom a laser was not applied, between the baseline and all time points (P <0.001) (SBI score: control group 1.12, LLLT group 1.49; PD: control group 1.21 mm, LLLT group 1.46 mm, between baseline and 6 months). Transforming growth factor-ß1 levels and the ratio of matrix metalloproteinase-1 to tissue inhibitor matrix metalloproteinase-1 decreased significantly in both groups at 1, 3, and 6 months after periodontal therapy (P <0.001). Basic-fibroblast growth factor levels significantly decreased in both groups in the first month after the treatment, then increased in the third and sixth months (P <0.005). No marker level change showed significant differences between the groups (P <0.05). CONCLUSION: LLLT as an adjunctive therapy to non-surgical periodontal treatment improves periodontal healing.


Subject(s)
Chronic Periodontitis/radiotherapy , Gingival Crevicular Fluid/chemistry , Low-Level Light Therapy , Adult , Chronic Periodontitis/pathology , Chronic Periodontitis/therapy , Dental Scaling , Female , Fibroblast Growth Factor 2/analysis , Humans , Lasers, Semiconductor/therapeutic use , Male , Matrix Metalloproteinase 1/analysis , Middle Aged , Periodontal Index , Radiotherapy, Adjuvant , Smoking , Statistics, Nonparametric , Tissue Inhibitor of Metalloproteinase-1/analysis , Transforming Growth Factor beta1/analysis , Wound Healing/radiation effects
16.
Genet Test Mol Biomarkers ; 14(5): 637-42, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20799898

ABSTRACT

BACKGROUND: Taq1B polymorphism of cholesteryl ester transfer protein (CETP) is believed to associate with high-density lipoprotein-cholesterol (HDL-C) levels and may alter the susceptibility to atherosclerosis. AIM OF THE STUDY: This study investigated the effects of Taq1B polymorphism on HDL-C and coronary artery disease (CAD) risk in angiographically defined CAD patients. METHODS: One hundred thirty-five CAD patients and 112 healthy controls were screened for the CETP Taq1B genotype and plasma lipids. RESULTS: The genotype frequency of CAD patients and controls were similar. The HDL-C levels of all genotypes in the CAD group were significantly lower than the corresponding controls. Smoking and plasma triglycerides were the predictors of the HDL-C level in B1B1 bearers, whereas the subjects with a polymorphic B2 allele were affected by smoking and sex. CONCLUSION: CETP Taq1B polymorphism neither plays a role in determining HDL-C levels nor is a useful predictor of the risk of CAD.


Subject(s)
Cholesterol Ester Transfer Proteins/genetics , Coronary Disease/genetics , Polymorphism, Restriction Fragment Length , Adult , Aged , Alcohol Drinking/epidemiology , Cholesterol Ester Transfer Proteins/physiology , Cholesterol, HDL/blood , Coronary Angiography , Coronary Disease/blood , Coronary Disease/diagnostic imaging , Coronary Disease/epidemiology , Deoxyribonucleases, Type II Site-Specific , Female , Genotype , Humans , Male , Middle Aged , Risk Factors , Sex Factors , Smoking/epidemiology , Triglycerides/blood , Turkey/epidemiology
17.
J Periodontol ; 80(12): 1983-90, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19961381

ABSTRACT

BACKGROUND: Hormonal changes during puberty, pregnancy, and menopause may impact periodontal tissues by altering the host response. There are only a few studies that examined gingival changes during the menstrual cycle. This longitudinal and prospective study aims to investigate clinical and laboratory markers of gingival inflammation in women at different phases during their menstrual cycles. METHODS: Twenty-seven females were included in this study. Subjects were given oral hygiene instructions before the study, and their plaque index scores were recorded once a week for 2 months. The duration and regularity of the menstrual cycle were also checked at the same time. The gingival index and bleeding on probing (BOP) were recorded. Probing depths were measured to assess the periodontal condition of the subjects. Gingival crevicular fluid (GCF) was collected to analyze the levels of interleukin (IL)-1beta and tumor necrosis factor-alpha on the first menstruation day (MD), estimated ovulation day (OD), and estimated predominant progesterone secretion day (PgD). These exact menstrual cycle days were determined according to serum progesterone and estradiol levels. RESULTS: BOP and IL-1beta levels in GCF showed significant increases from the MD to PgD under optimal plaque control. Among the 12 subjects that had premenstrual symptoms, six subjects reported oral complaints during the premenstrual period, whereas apthous lesions were more frequent during the menstruation period. CONCLUSION: These results demonstrate that the fluctuation of sex steroid hormones impact gingival inflammation during menstruation.


Subject(s)
Gingival Crevicular Fluid/immunology , Gingivitis/immunology , Interleukin-1beta/analysis , Menstrual Cycle/immunology , Tumor Necrosis Factor-alpha/analysis , Dental Plaque/prevention & control , Dental Plaque Index , Estradiol/blood , Female , Follow-Up Studies , Humans , Longitudinal Studies , Menstruation/immunology , Oral Hygiene , Ovulation/immunology , Periodontal Index , Periodontal Pocket/classification , Premenstrual Syndrome/immunology , Progesterone/blood , Prospective Studies , Stomatitis, Aphthous/immunology , Young Adult
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