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Nowadays, the interest in research to determine the healthy compounds in fig fruits has increased, as many of them have been found to be beneficial to human health. This study aimed to determine the sugars, organic acids, total phenolic content, antioxidant capacity and volatile compounds in the fruits of 19 fig (Ficus carica L.) genotypes sampled from the Kahramanmaras province in Türkiye in 2018 and 2019. In the fruit of the fig genotypes, the total phenolic content was determined by the Folin-Ciocalteu method, the total antioxidant capacity was determined by the DPPH (2,2-diphenyl-1-picrylhidrazil) method, the sugars, organic acids and volatile aroma compounds were determined chromatographically (HPLC/RID detector), (HPLC/UV detector) and headspace gas chromatography-mass spectrophotometry (HS-GC/MS), respectively. The results showed that most of the biochemical contents and antioxidant capacities of the genotypes significantly differed from each other (P < 0.05). The total phenolic content and antioxidant properties of the fruits ranged from 50.29 to 580.59 mg gallic acid equivalent per 100 g fresh weight base (and 15.98 to 36.77% DPPH, respectively. Regarding the sugar content of the fig genotypes, the main sugar is fructose ranging from 3.35 to 7.37 g per 100 g. The highest fructose content of 7.37 g per 100 g was found in the genotype KMF12. A total of 58 volatile compounds were detected in the fruits of the 19 fig genotypes, including 18 aldehydes, 3 ketones, 6 esters, 2 terpenes, 17 alcohols, 1 acid and 11 other compounds. According to the obtained results, aldehydes, esters and ketones were found to be the major volatile compounds in the fig fruits. The genotypes with the highest values of the phytochemical and antioxidant properties among the genotypes were selected as candidates as a source of variation for breeders who want to develop new commercial varieties beneficial to human health.

Introduction: The Coronavirus Disease-2019 pandemic is considered the most catastrophic disease of the last decades, with evolving knowledge and improved management over time. Pregnant women are known to be particularly vulnerable, and COVID-19 has been shown to damage the endothelium due to its proinflammatory nature. Aim: To determine the occurrence of oligohydramnios in pregnant women who tested positive for COVID-19. Materials and Methods: A retrospective observational study was conducted at the Department of Obstetrics and Gynaecology, Koru Health Groups, Ankara, Çankaya, Turkey from January 2023 to June 2023. The study included a total of 459 women who were followed during pregnancy and delivered in the same hospital between April 2020 and October 2022. The patients were divided into two groups: COVID-19 positive group (n=101) and negative group (n=358). Various parameters such as age, parity, gestational week at birth, Body Mass Index (BMI), 1st and 5th-minute Appearance, Pulse, Grimace, Activity and Respiration (APGAR) scores, weight of the newborn, Amniotic Fluid Index (AFI), and the risk of developing oligohydramnios were assessed between the positive and negative groups. Parametric variables were analysed using independent t-tests and non parametric ones using Mann-Whitney U tests. Chi-square test was used to compare categorical variables. A p-value of

Background This study examines spinal muscular atrophy (SMA), a neuromuscular disease associated with malnutrition. Our goals are to assess how effectively screening tools can detect malnutrition and evaluate the impact of nutritional interventions on neurological outcomes, particularly motor functions. Methods Thirty-seven genetically diagnosed SMA patients (types 1, 2, and 3) under nusinersen therapy were included in the study. The nutritional status of these patients was assessed by using anthropometric measurements, including height for age (HFA), weight for height (WFH), and body mass index (BMI) before and after the study. Additionally, the risk of malnutrition was determined using screening tools, namely the Pediatric Yorkhill Malnutrition Score (PYMS) and the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP). Nutritional counseling followed the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guidelines and considered the patients’ dietary history, including content and administration method. Motor functions were assessed by validated tests: the Children’s Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) and the Hammersmith Functional Motor Scale—Expanded (HFMSE). Result The study showed an improvement in HFA, by a change from −0.95 to −0.65 (p = 0.015). Conversely, BMI scores decreased from 0.08 to −0.54 (p = 0.015), while WFH and MUAC showed no significant alterations (p = 0.135, p = 0.307). Following nutritional interventions, HFMSE demonstrated a median increase from 29.5 to 30.5 (p = 0.023). Patients identified as being at high risk for malnutrition based on PYMS and STAMP belonged to the moderate-to-severe malnutrition group (BMI Z-score ≤ −2, p = 0.001). Conclusions Use of screening tools in SMA patients is highly beneficial for the early detection of malnutrition. Future research should highlight the importance of combining nutritional management with nusinersen therapy to potentially alter the disease trajectory, especially in motor and neurological functions.

Pitaya is one of the most preferred and produced tropical fruit species recently introduced to the Mediterrranean region in Turkey. Due to its nutritional fruits with high economic value, the popularity of pitaya increases steadily in Turkey as an alternative crop. No detailed nutritional analysis has been undertaken in Turkey so far on fruits of the pitaya species. In this study, we determined and compared some nutritional parameters in fruit flesh of two pitaya (dragon fruit) species (Hylocereus polyrhizus: Siyam and Hylocereus undatus: Vietnam Jaina) grown in the Adana province located in the eastern Mediterranean region in Turkey. The individual sugars, antioxidant activity, total phenolic content, phenolic compounds and volatiles were determined for the first time in Turkey on two pitaya species. The results showed that total phenol content and antioxidant capacity are notably higher in red-fleshed fruits than white-fleshed ones and the predominant phenolic compound in fruits of both species was quercetin. The total sugar content and most of the phenolic compounds in fruits of two pitaya species were similar. A total of 51 volatile compounds were detected by using two Solid Phase Micro Extraction (SPME) fibers, coupled with Gas Chromatography Mass Spectrometry (GC-MS) techniques, and more volatile compounds were presented in the white-fleshed species. Total phenolic content (TPC) of the red-fleshed and white-fleshed pitaya species were 16.66 and 17.11 mg GAE/100 g FW (fresh weight). This study provides a first look at the biochemical comparison of red-fleshed and white-fleshed pitaya species introduced and cultivated in Turkey. The results also showed, for the first time, the biochemical content and the potential health benefit of Hylocereus grown in different agroecological conditions, providing important information for pitaya researchers and application perspective.

The aim of this study was to compare certain important fruit quality parameters such as sugars, organic acids, total phenolic content, antioxidant capacity, and volatile compounds of 10 commercial strawberry cultivars grown in the research and experimental area in Yaltir Agricultural Company located in Adana provinces of Turkey. As for the sugar content of strawberry fruits, fructose was identified as the dominant sugar and the highest value (4.43%) was found in the cultivar “Rubygem”. In terms of organic acid, among the examined strawberry cultivars, “Calinda” had the greatest level of citric acid (711.45 mg g−1). Regarding vitamin C content, the highest amount was found in the cultivar “Sabrina” (25.08 mg 100 g−1). Ellagic acid was the main phenolic acid in all examined cultivars (except the “Plared” cultivar), and the highest amount was detected in the “Fortuna” cultivar (3.18 mg 100 g−1). We found that the cultivar FL-127 had the highest total phenolic content (158.37 mg gallic acid equivalent 100 g−1 fresh weight base). Regarding antioxidant capacities, the highest value (88.92%) was found in the cultivar Victory among all the cultivars studied. The detailed analysis of volatile compounds was performed by gas chromatography/mass spectrometry (GC/MS) and 34 compounds were detected. Among them, esters, acids, and alcohols were found to be the major volatile compounds in strawberry fruits. In conclusion, strawberry fruits belong to ten cultivars showed abundant phenolic compounds and at the same time have high antioxidant activity.

Tüketici istek ve ihtiyaçları ile teknolojik gelişmelerde meydana gelen değişimler turizm alanında büyük önem taşımaktadır. Turizm işletmelerinin bu alanlara hızlı bir şekilde uyum sağlaması işletmelerin tercih edilebilirliğini büyük hususta etkileyebilmektedir. Turizm işletmeleri içerisinde özellikle otel işletmeleri için tüketici istek ve ihtiyaçları son derece önemli bir konudur ve tüketici istek ve ihtiyaçlarında meydana gelen değişiklikler, otel işletmelerinin konseptini de etkilemektedir. Son dönemde hızlı bir yükselişe geçen helal turizm kavramına yönelik birçok otel işletmesi konsept değiştirerek bu alanda hizmet vermeye başlamıştır. İkinci bir konu olarak teknolojik yeniliklerin bir sonucu olarak ortaya çıkan otel web sayfaları otel işletmeleri açısından hem bir iletişim kanalı hem de satış aracı olarak kullanılmaktadır. Özellikle yeni bir konseptte hizmet veren işletmelerin web sayfalarını, tüketicinin istek ve ihtiyaçlarına yönelik olarak tasarlamaları da başarı elde etmeleri açısından önem teşkil etmektedir. Bu bağlamda bu çalışmada helal turizm konsepti altında hizmet veren otel işletmelerinin web sayfaları incelenerek eksikliklerini belirlemek çalışma amacını oluşturmaktadır. Çalışma için halalbooking.com adresinde yer alan ve Türkiye’de hizmet veren 52 otel işletmesi değerlendirmeye tabi tutulmuştur. Değerlendirme amacıyla 33 ifadeden oluşan web sitesi değerlendirme ölçeği kullanılmıştır. Araştırma sonucunda helal otel işletmelerinin eksiklikleri belirlenerek öneriler sunulmuştur. Abstract Changes in consumer needs and requests and technological developments are very important in tourism sector. Quick adaptation of tourism management to these areas can greatly affect customers’ preference. Customer requests and needs are crucially important issues for especially hotel managements in tourism managements and the changes in customers’ requests and needs can also influence the concepts of hotels. Having regard to the Halal tourism concept which has risen rapidly in recent years, many hotel businesses have begun serving with halal concept by changing their concepts. As a secondly issue; Hotel web pages being occurred as a consequence of technological innovations are being used as both for a communication channel and a sales tool. Especially, it is very important for the hotels, serving with new concepts, to design web pages according to the customers’ requests and needs in order to gain success. In this context, the aim of study is analysing the web pages of hotels serving with halal tourism concepts and determining the lack of hotels. For the study, 52 hotel businesses’ web pages which were chosen according to both halalbooking.com web page and located in Turkey were examined and assessed. For evaluation, website evaluation scale composed of 33 statements was used. As a result of study, the lacks of halal hotels were determined and recommendations were presented to halal hotels.

Background: The influence of meteorological conditions on cardiovascular morbidity and mortality has been known for a long time. However, few reports have been published on the influence of meteorological parameters on the occurrence of acute pulmonary embolism (PE). Aims: In this retrospective study, we compared the meteorological parameters between PE patients with risk factors and idiopathic PE patients. Study Design: Cross-sectional study. Methods: Medical documentation of 1180 patients with suspected acute pulmonary embolism diagnosed between January 2010 and December 2012 was retrospectively analyzed. A total of 530 patients with PE confirmed by computed tomography pulmonary angiography and/or ventilation/perfusion scan were included for further analysis. We divided the patients into two groups: PE with risk factors (provoked) and PE without risk factors (unprovoked). The meteorological data were collected from the relevant time period: temperature, humidity, pressure, and wind velocity. As the exact time of PE onset was unknown, the meteorological values attributed to each patient were the means of the values in the months or weeks at the time of diagnosis of PE. Results: The highest numbers of cases were seen in autumn (29.8%), followed by summer (28.9%), spring (22.1%), and winter (19.2%). In terms of months, the greatest number of cases occurred in June (57), followed by November (56) and October (54). Case distribution according to the months and seasons were statistically significant. The wind direction also affected the incidence of PE. There was a statistically significant positive correlation between case frequency and air temperature (r=0.300; p=0.031). No correlation was found between the unprovoked PE cases’ monthly distribution and pressure, humidity, or temperature. However, there was a statistically significant positive correlation between the monthly distribution of the group with provoked PE cases and air temperature (r=0.586; p=0.045). Conclusion: A statistically significant inverse correlation between atmospheric pressure and temperature and the number of all PE cases was observed in our study, which is in accordance with other reports. However, in unprovoked PE cases, there was no correlation between meteorological parameters and case incidence.

Uterine torsion is defined as a rotation on its long axis and it is a dangerous, unexpected obstetric emergency. We report a case of uterine torsion at 32 weeks of gestation in a singleton pregnancy. A 37-year-old woman with multiple prior cesarean deliveries referred to emergency unit of our hospital at 32 weeks of gestation with severe abdominal pain and mild vaginal bleeding. Ultrasonography showed a single fetus in vertex position, with a normal amniotic fluid. Fetal biometer was appropriate for 32 weeks of gestation. Placental location was anterior with a subchorionic hypoechogenic small area which was suspected to be a sign of placental abruption. An emergency cesarean section was performed under general anesthesia. The 180° uterine torsion was diagnosed and it was not possible to perform detorsion of the gravid uterus by exteriorization by pfannenstiel incision. Posterior hysterotomy was performed and a male baby of 1830 grams weight was delivered. The newborn was transported to Neonatal Intensive Care Unit (NICU) of another hospital and discharged within two weeks. Patient recovered well and was discharged on second postoperation day. Uterine torsion is a very rare and life threatening situation. In unexpected cases posterior low transuerse hysterotomy is generally performed and it is suggested as a safe choice when detorsion was not accomplished. It is not easy to keep in mind the possibility of uterine torsion in cases of abdominal pain during pregnancy. Because it generally causes abruption, management of abruption is vitally important to prevent fetal mortality.

Activated sludge processes contain various groups of microorganisms with different metabolic properties, which are responsible for contaminants removal. Therefore, it is important to elucidate the general structure and functional properties of biomass in activated sludge processes. For this purpose, a full-scale domestic biological wastewater treatment plant in Tunceli (Turkey), Tunceli WWTP (wastewater treatment plant), was monitored to observe seasonal variations in process performance and biomass properties for a year. It was observed that nitrifying bacteria developed abundantly in the rainy and cool spring season as they were suppressed in summer because their large losses took place due to an environment containing high alkalinity values. In September, aerobic heterotrophic, nitrify, denitrify, and anaerobic activities increased. It can be said that the biomass contained young and mature microorganism in this environment in which the sludge volume index (SVI) value increased to 196 mL/g. As a result of the improvement in the structural and functional properties of biomass, the nitrogen removal efficiency reached 99%. Throughout the whole study, the structural improvement observed in biomass was reflected in its removal activity. The amount of biomass and removal activity decreased with the abundance of organic matter in the influent at the period in which biomass was closer to being categorized in the aged sludge class. The results showed that as the lowest mixed liquid suspended solids (MLSS) and mixed liquid volatile suspended solids (MLVSS) values of the year were 530 and 400 mg/L, respectively, in November 2017, MLSS and MLVSS values reached the highest amount (1700 and 1400 mg/L, respectively) in December 2017 when aerobic heterotrophic activity accelerated with a decrease in organic matter level., (© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

The European Water Framework Directive (WFD) (2000/60/EC) is the most visionary piece of European environmental legislation that aims to achieve good water status of both surface water and groundwater bodies. The Directive provides a fundamental basis for surface water monitoring activities in the European Member States. The objective of this study is to investigate the occurrence of micropollutants in the Yesilirmak River and to develop a cost-effective monitoring strategy based on spatiotemporal data. A 2-year seasonal monitoring program was conducted between 2016 and 2018, and the water samples were analyzed for 45 priority substances as defined by the WFD and 250 national river basin-specific pollutants. In the basin, 166 pollutants were quantified in at least one of the samples with individual concentrations ranging from 6 × 10 -6 μg/L to 100 mg/L. Fifty-four pollutants with a frequency of occurrence greater than 5% were selected for further evaluation. Based on statistical evaluation of the data, 20 pollutants were identified as the pollutants of primary concern. These 20 pollutants were grouped under three categories (metals, biocides, and industrial organic compounds) and their spatiotemporal distributions in the basin were assessed to establish a monitoring strategy specific to each pollutant category. The results of the study revealed that the common season for the monitoring of all pollutant categories was the spring. This study provides a generic methodology for the development of a cost-effective water quality monitoring strategy, which can be applicable for use in different basins and pollutant datasets.

This study presents a configuration for the complete treatment of landfill leachate with high organic and ammonium concentrations. Ammonia stripping is performed to overcome the ammonia toxicity to aerobic microorganisms. By coagulation-flocculation process, COD and suspended solids (SS) were removed 36 and 46%, respectively. After pretreatment, an aerobic/anoxic membrane bioreactor (Aer/An MBR) accomplished the COD and total inorganic nitrogen (total-N(i)) removals above 90 and 92%, respectively, at SRT of 30 days. Concentrations of COD and total-N(i) (not considering organic nitrogen) in the Aer/An MBR effluent decreased to 450 and 40 mg/l, respectively, by significant organic oxidation and nitrification/denitrification processes. As an advanced treatment for the leachate, the reverse osmosis (RO) was applied to the collected Aer/An MBR effluents. Reverse osmosis provided high quality effluent by reducing the effluent COD from MBR to less than 4.0mg/l at SRT of 30 days.

Young leachate was a high strength wastewater with regard to carbon and nitrogen matter, and up to now many researchers have focused on a number of treatment methods to treat the leachate. By using various treatment processes, joint treatment of leachate with domestic wastewater, resulted from same community, is one of the most significant methods because domestic wastewater has either larger mass or lower strength than leachate. In this study, a submerged membrane bioreactor (sMBR) was used for treatment of blending wastewater, including differential mixture ratios of domestic wastewater and leachate. In raw leachate, BOD(5)/COD was between 0.40 and 0.67 and total phosphorus was between 17 and 24 mg/l. After the leachate was blended with domestic wastewater in the ratios of 1/5-1/20, the influent COD decreased from 8,500-14,200 mg/l to 750-2,400 mg/l as ammonium decreased from 1,100-2,150 mg/l to 30-180 mg/l. The sMBR, which was aerated intermittently, accomplished both COD oxidation and nutrient removal at optimal conditions without adding the external phosphorus source, providing < 15 mg COD/l, <1.3 mg NH(4) (+)-N/l, and <2.0 mg P/l on average at solid retention times (SRT) higher than 10 days. Consequently, the results showed the mixture of leachate and domestic wastewater could be an acceptable alternative by means of membrane bioreactor technology.

In the first part of this study, the treatability of marble processing wastewater by the coagulation-flocculation process was investigated. Optimum coagulant-flocculant doses for turbidity removal in wastewater from the cutting, faience and equalization processes were determined as 500, 200 and 500 ppm of Al2(SO4)3; 300, 500 and 300 ppm of FeCl3 and 600, 400 and 200 ppm of Agrofloc 100 (AGRON Water Treatment Technologies and Chemical Marketing Industry and Trade Limited Company, Izmir, Turkey), respectively. It was found that the removal of total solids from cutting and equalization process wastewaters was highest for the 100 ppm dosage of all chemicals used. The amount of total solids removed from faience process wastewater by Agrofloc 100 was higher than that removed by the other chemicals used. The removals of suspended solids from cutting, faience and equalization process wastewaters were similar to each other for each of the chemicals. The pH values after treatment by Agrofloc 100 were higher than the values determined after treatment by other chemicals for all process wastewater. Electrical conductivity values, however, were lower for Agrofloc 100 than for the others. Settled sludge volume experiments showed that settled sludge volumes decreased with time. The results of the quiescent settling experiment showed that the settling type could be termed flocculent settling. In the second part of the study, the usage of waste sludge from marble processing as an additive material in cement was investigated. The waste sludge originated from the wastewaters of different steps of the marble processing plant. Waste sludge was replaced with cement at various percentages by weight to prepare the mixtures of mortar. The specimens poured into the moulds were held for 24 h, removed from the moulds and held again for 28 days in lime-saturated water at 23 degrees C. Compressive and flexural strengths were evaluated with respect to percentages of waste sludge replaced with cement. The maximum compressive and flexural strengths were observed for specimens containing a 6% waste sludge when compared with control and it was also found that waste sludge up to 9% could effectively be used as an additive material in cement.