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Effects of exosomes from mesenchymal stem cells on functional recovery of a patient with total radial nerve injury: A pilot study

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World Journal of Stem Cells 2024年第1期16卷 19-32页

作者： ErdinçCivelek Serdar Kabatas Eyüp Can Savrunlu Furkan Diren necati Kaplan Demet Ofluoğlu Erdal Karaöz Department of Neurosurgery University of Health SciencesGaziosmanpaşa Training and Research HospitalGaziosmanpaşa 34255IstanbulTurkey Department of Neurosurgery University of Health Sciences TurkeyGaziosmanpaşa Training and Research HospitalGaziosmanpaşa 34255IstanbulTurkey Center for Stem Cell&Gene Therapy Research and Practice University of Health Sciences TurkeyGaziosmanpaşa 34255IstanbulTurkey Department of Neurosurgery Nevşehir State HospitalNevşehir 50300Turkey Department of Neurosurgery Istanbul Rumeli UniversityÇorlu Reyap HospitalÇorlu 59860TekirdağTurkey Department of Physical Medicine and Rehabilitation Ofluoğlu KlinikGöztepe 34728IstanbulTurkey Liv Hospital Center for Regenerative Medicine and Stem Cell Research&Manufacturing(LivMedCell)Beşiktaş34340IstanbulTurkey Department of Histology and Embryology Istinye UniversityFaculty of MedicineZeytinburnu 34010IstanbulTurkey Istinye University Center for Stem Cell and Tissue Engineering Research and PracticeBeşiktaş34340IstanbulTurkey

BACKGROUND Peripheral nerve injury can result in significant clinical complications that have uncertain ***,there is a lack of effective pharmacological interventions for nerve damage,despite the existence of several small compounds,Despite the objective of achieving full functional restoration by surgical intervention,the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve *** To examine the impact of exosomes on the process of functional recovery following a complete radial nerve *** A male individual,aged 24,who is right-hand dominant and an immigrant,arrived with an injury caused by a knife *** cut is located on the left arm,specifically below the *** neurological examination and electrodiagnostic testing reveal evidence of left radial nerve *** sural autograft was utilized for repair,followed by the application of 1 mL of mesenchymal stem cell-derived exosome,comprising 5 billion *** exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural *** patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic *** The duration of the patient’s follow-up period was 180 *** increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve *** the conclusion of the 6-mo post-treatment period,an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the *** assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon *** results indicated that the level of improvement in motor function was classified as M5,denoting an excellent ***,the level of improvement in sensory function was classified as S3+,indicating a good *** is

关键词： Mesenchymal stem cell Exosomes Radial nerve Sural nerve

Allogeneic mesenchymal stem cells may be a viable treatment modality in cerebral palsy

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World Journal of Clinical Cases 2024年第9期12卷 1585-1596页

作者： Osman Boyalı Serdar Kabatas ErdinçCivelek Omer Ozdemir Yeliz Bahar-Ozdemir necati Kaplan Eyüp Can Savrunlu Erdal Karaöz Department of Neurosurgery University of Health Sciences TurkeyGaziosmanpaşa Training and Research HospitalIstanbul 34360Turkey Center for Stem Cell&Gene Therapy Research and Practice University of Health Sciences TurkeyIstanbul 34360Turkey Department of Physical Medicine and Rehabilitation Health Sciences University Sultan Abdulhamid Han Training and Research HospitalIstanbul 34668Turkey Department of Neurosurgery Istanbul Rumeli UniversityÇorlu Reyap HospitalTekirdağ59860Turkey Department of Neurosurgery Nevşehir State HospitalNevşehir 50300Turkey Center for Regenerative Medicine and Stem Cell Research&Manufacturing(LivMedCell) Liv HospitalIstanbul 34340Turkey Department of Histology and Embryology Istinye UniversityFaculty of Medicineİstanbul 34010Turkey Center for Stem Cell and Tissue Engineering Research and Practice Istinye UniversityIstanbul 34340Turkey

BACKGROUND Cerebral palsy(CP)describes a group of disorders affecting movement,balance,and *** in motor functions constitute the main body of CP *** symptoms surface in early childhood and patients are affected for the rest of their ***,treatment involves various pharmacotherapies for different types of CP,including antiepileptics for epilepsy and Botox A for focal ***,none of these methods can provide full symptom *** has prompted researchers to look for new treatment modalities,one of which is mesenchymal stem cell therapy(MSCT).Despite being a promising tool and offering a wide array of possibilities,mesenchymal stem cells(MSCs)still need to be investigated for their efficacy and *** To analyze the efficacy and safety of MSCT in CP *** Our sample consists of four CP patients who cannot stand or walk without external *** of these cases received allogeneic MSCT six times as 1×106/kg intrathecally,intravenously,and intramuscularly using umbilical cord-derived MSCs(UC-MSC).We monitored and assessed the patients pre-and post-treatment using the Wee Functional Independence Measure(WeeFIM),Gross Motor Function Classification System(GMFCS),and Manual Ability Classification Scale(MACS)*** utilized the Modified Ashworth Scale(MAS)to measure *** We found significant improvements in MAS scores after the intervention on both *** months:Rightχ^(2)=4000,P=0.046,leftχ^(2)=4000,P=0.046;four months:Rightχ^(2)=4000,P=0.046,leftχ^(2)=4000,P=0.046;12 months:Rightχ^(2)=4000,P=0.046,leftχ^(2)=4000,P=***,there was no significant difference in motor functions based on WeeFIM results(P>0.05).GMFCS and MACS scores differed significantly at 12 months after the intervention(P=0.046,P=0.046).Finally,there was no significant change in cognitive functions(P>0.05).CONCLUSION In light of our findings,we believe that UC-MSC therapy has a positive effect on spasticity

关键词： Cerebral palsy Mesenchymal stem cell Transplantation Wharton’s jelly Muscle spasticity

Safety and efficiency of Wharton’s Jelly-derived mesenchymal stem cell administration in patients with traumatic brain injury:First results of a phase I study

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World Journal of Stem Cells 2024年第6期16卷 641-655页

作者： Serdar Kabatas ErdinçCivelek Osman Boyalı Gülseli Berivan Sezen Omer Ozdemir Yeliz Bahar-Ozdemir necati Kaplan Eyüp Can Savrunlu Erdal Karaöz Department of Neurosurgery University of Health Sciences TurkeyGaziosmanpaşa Training and Research HospitalIstanbul 34360Türkiye Center for Stem Cell&Gene Therapy Research and Practice University of Health Sciences TurkeyIstanbul 34255Türkiye Department of Neurosurgery University of Health SciencesGaziosmanpaşa Training and Research HospitalIstanbul 34255Türkiye Department of Physical Medicine and Rehabilitation Health Sciences University Sultan Abdulhamid Han Training and Research HospitalIstanbul 34668Türkiye Department of Neurosurgery Istanbul Rumeli UniversityÇorlu Reyap HospitalTekirdağ59860Türkiye Department of Neurosurgery Nevşehir State HospitalNevşehir 50300Türkiye Center for Regenerative Medicine and Stem Cell Research&Manufacturing(LivMedCell) Liv HospitalIstanbul 34340Türkiye Department of Histology and Embryology Istinye UniversityFaculty of MedicineIstanbul 34010Türkiye Center for Stem Cell and Tissue Engineering Research and Practice Istinye UniversityIstanbul 34340Türkiye

BACKGROUND Traumatic brain injury(TBI)is characterized by a disruption in the normal function of the brain due to an injury following a trauma,which can potentially cause severe physical,cognitive,and emotional *** cell transplantation has evolved as a novel treatment modality in the management of TBI,as it has the potential to arrest the degeneration and promote regeneration of new cells in the ***’s Jelly-derived mesenchymal stem cells(WJ-MSCs)have recently shown beneficial effects in the functional recovery of neurological *** To evaluate the safety and efficiency of MSC therapy in *** We present 6 patients,4 male and 2 female aged between 21 and 27 years who suffered a *** 6 patients underwent 6 doses of intrathecal,intramuscular(i.m.)and intravenous transplantation of WJ-MSCs at a target dose of 1×106/kg for each application *** was assessed using the Modified Ashworth scale(MAS),motor function according to the Medical Research Council Muscle Strength Scale,quality of life was assessed by the Functional Independence Measure(FIM)scale and Karnofsky Performance Status *** Our patients showed only early,transient complications,such as subfebrile fever,mild headache,and muscle pain due to ***,which resolved within 24 *** the one year follow-up,no other safety issues or adverse events were *** 6 patients showed improvements in their cognitive abilities,muscle spasticity,muscle strength,performance scores and fine motor skills when compared before and after the *** values,which we used to assess spasticity,were observed to statistically significantly decrease for both left and right sides(P<0.001).The FIM scale includes both motor scores(P<0.05)and cognitive scores(P<0.001)and showed a significant increase in pretest posttest *** difference observed in the participants’Karnofsky Performance Scale values pre and post the intervention was statistically si

关键词： Traumatic brain injury Wharton Jelly Stem cell therapy Transplantation Mesenchymal stem cell

Endothelins and liver cirrhosis

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Portal Hypertension & Cirrhosis 2022年第1期1卷 66-72页

作者： necatiÖrmeci Department of Gastroenterology and Hepatology İstanbul Health and Technology UniversityİstanbulTurkey

Endothelins are a family of 21‐amino acid oligopeptides,called endothelin‐1(ET‐1),endothelin‐2(ET‐2),and endothelin 3(ET‐3).Endothelins act on hepatocytes,liver endothelial cells,and Kupffer cells in a paracrine or autocrine manner through two G protein‐coated receptors,called endothelin A and B receptors,which are mainly located in interlobular veins,interlobular artery endothelial cells and hepatic stellate cells(HSCs).ET B receptor(ETBR)‐1 is responsible for the induction of endothelial nitric oxide synthase,resulting in nitric oxide release and vasodilatation,whereas ETBR‐2 is located on HSCs and is responsible for *** are not stored in the *** 20%of endothelins are secreted into the circulation system,and are rapidly cleared by the lungs,liver,heart,and *** a potent vasoconstrictor,endothelins may have a key role for the treatment of hypertensive vascular diseases,inflammation,fibrosis,and metabolic *** clearing ET‐1 from the circulation,endothelin A receptor(ETAR)antagonists can reduce intraportal vascular resistance by dilatating the portal vein,reducing the contraction of HSCs,increasing the diameter of sinusoids,facilitating the regression of liver fibrosis,and restoring liver ***‐1 induces nitric oxide synthase and upregulates cyclooxygenase 2 mRNA levels,making it a key factor during the onset of fibrosis and in the prognosis of patient *** can be used to treat porto‐pulmonary hypertension,portal hypertension,angiogenesis,and liver fibrosis and have been approved for the treatment of porto‐pulmonary *** are produced on mesangial cells,podocytes,tubular epithelium,and renal collecting tubes in high *** of ETAR supports the progression of kidney diseases,whereas activation of ETBR has protective effects on the ***‐1 plays an important role in normal cardiovascular *** are closely associated with severe systemic h

关键词： cirrhosis endothelin portal hypertension

Hematological profile of COVID-19 infected children before and after the spread of the Omicron variant in Istanbul

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Asian Pacific Journal of Tropical Medicine 2022年第12期15卷 551-557页

作者： Berkin Berk Akbeyaz AyŞe Karaaslan CerenÇetin Mehmet Tolga Köle Zeynep AltaŞ Yasemin Akın Department of Pediatrics University of Health SciencesKartal Dr.Lütfi Kirdar City HospitalPediatric Hematology and Oncology IstanbulTurkey Department of Pediatric Infectious Diseases University of Health SciencesKartal Dr.Lütfi Kirdar City HospitalIstanbulTurkey Department of Pediatrics University of Health SciencesKartal Dr.Lütfi Kirdar City HospitalIstanbulTurkey Department of Public Health Marmara UniversityIstanbulTurkey

Objective:To examine the effect of the COVID-19 virus,especially the Omicron variant,on hematological parameters of hospitalized pediatric patients during the COVID-19 ***:Medical records of pediatric COVID-19 patients hospitalized at Kartal Dr.Lütfi K?rdar City Hospital in Istanbul,Turkey,between March 2020 and May 2022 were retrospectively reviewed to analyze data regarding demographics,SARS-Co V-2 infection polymerase chain reaction(PCR)test results,reversetranscriptase(RT)-PCR for other respiratory agents,duration of hospital stay,and hematological and biochemical laboratory ***:Out of 467 children with a confirmed diagnosis of SARSCo V-2 infection,94(20.1%)had Omicron infection and 373(79.9%)were infected with other variants;the Omicron group had younger patients than the remaining samples(P<0.001).The most frequent clinical symptoms in all children were cough(53.5%)and fever(32.3%),followed by vomiting(20.8%).Lung involvement in the Omicron group(10.6%)was significantly lower than in the remaining samples(29.8%)(P<0.001).Hemoglobin and lymphocyte levels were lower in the Omicron-infected group(both P<0.001),while prothrombin time,activated partial thromboplastin time,international normalized ratio,and D-dimer levels were significantly higher in this group(P<0.001,P<0.001,P<0.001,and P=0.023,respectively).In terms of lung involvement,those with lung involvement were significantly older(P<0.001).Conclusions:Although lung involvement was less common with Omicron infection,this group had greater hematological system involvement,such as anemia,lymphopenia,D-dimer elevation,and coagulation disorders.

关键词： COVID Children Omicron Hematologic findings

Poles of L-Functions on Quaternion Groups

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Chinese Annals of Mathematics,Series B 2014年第4期35卷 519-526页

作者： ?etin üRTS Department of Mathematics TOBB University of Economics and Technology Ankara Turkey

The author shows that the(partial) standard Langlands L-functions on quarternion groups have at most simple poles at certain positive integers.

关键词：四元数群正整数数学教学教材

A Theoretical Study on Energy of a Gaseous System Vis-a-Vis Mass and Temperature

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Journal of Electronics Cooling and Thermal Control 2023年第1期12卷 1-8页

作者： Santosh K. Karn necati Demiroglu IGTMS University Arunachal Pradesh India DSI (State Hydraulic Works) 9th Regional Directorate 12th Branch Directorate Elazig Turkey

To study various properties of a gas has been a subject of rational curiosity in pneumatic sciences. A gaseous system, in general, is studied by using four measurable parameters namely, the pressure, volume, number of moles and temperature. In the present work, an attempt is made to study the variation of energy of an ideal gas with the two measurable parameters, the mass and temperature of the gas. Using the well known ideal gas equation, PV = nRT where symbols have their usual meanings and some simple mathematical operations widely used in physics, chemistry and mathematics in a transparent manner, an equation of state relating the three variables, the energy, mass and temperature of an ideal gas is obtained. It is found that energy of an ideal gas is equal to the product of mass and temperature of the gas. This gives a direct relationship between the energy, mass and temperature of the gas. Out of the three variables, the energy, mass and temperature of an ideal gas, if one of the parameters is held constant, the other two variables can be measured. At a constant temperature, when the power or energy is stabilized, the increase in the mass of the gas may affect the new works and an engine can therefore be prevented from overheating.

关键词： Hydrodynamics Low Temperature Fluid Flow Ideal Gas Equation of State Energy Mass Temperature and Their Relation

Compressive failure of spruce wood rings reinforced with glass epoxy composite

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Journal of Forestry Research 2015年第2期26卷 517-522页

作者： Nurdan ?etin Yerlikaya Alaattin Aktas Department of Industrial Design Faculty of Art and DesignYalova University Department of Mechanical Engineering Faculty of EngineeringIstanbul University

We experimentally tested under radial compressive loads and statistically analyzed rings constructed from spruce wood and reinforced with glass *** used the Weibull distribution in statistical analysis,and tested five types of rings including unreinforced and composite reinforced（CR） as wound around the ring,oriented as two layers at angles of 45°,60°,75° and 90° to the column *** calculated 95 % reliability of load carrying capacity of the rings by Weibull *** highest load carrying capacity was obtained with CR rings at 60° to the axial axis of the *** carrying capacities of rings at CR90,CR75,CR60 and CR45 were 137,192,215 and 126 %greater,respectively,than unreinforced *** unreinforced rings,failures resulted from catastrophic breaking of wood *** of the reinforced rings failed catastrophically because the outer surface of the rings was reinforced with glass–epoxy composite *** began at the core of the materials under the composite layer for all specimens and resulted in failure of the rings.

关键词： Reinforced ring Composite material Composite reinforced Spruce wood

Human bocavirus infection in children hospitalized with lower respiratory tract infections:Does viral load affect disease course?

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Asian Pacific Journal of Tropical Medicine 2022年第8期15卷 354-360页

作者： Ayşe Karaaslan CerenÇetin Serap Demir Tekol Ufuk Yükselmiş Mehmet Tolga Köle Yasemin Akın Department of Pediatric Infectious Diseases University of Health SciencesKartal Dr.Lütfi Kırdar City HospitalIstanbulTurkey Department of Microbiology University of Health SciencesKartal Dr.Lütfi Kırdar City HospitalIstanbulTurkey Department of Pediatric Intensive Care Unit University of Health SciencesKartal Dr.Lütfi Kırdar City HospitalIstanbulTurkey Department of Pediatrics University of Health SciencesKartal Dr.Lütfi Kırdar City HospitalIstanbulTurkey

Objective:To examine the effects of human bocavirus type 1(HBoV1)on the course of lower respiratory tract infections in cases of monoinfection and coinfection,and the effects of HBoV1 viral load on the disease in children under six years old hospitalized with a diagnosis of HBoV1-associated lower respiratory tract ***:Children under six years of age,who were hospitalized with the diagnosis of lower respiratory tract infection due to HBoV1 between 1 January 2021 and 1 January 2022 were included in the *** confirmation of the respiratory pathogens was performed using polymerase chain reaction(PCR).Results:Fifty-four(16.4%)children with HBoV1 among 329 children whose PCR was positive with bacterial/viral agent in nasopharyngeal swab samples were included in the *** were 28(51.9%)males and 26(48.1%)females with a median age 23.4 months[interquartile range(IQR):13.2,30.0 months](min-max:1 month-68 months).HBoV1 was detected as a monoinfecton in 26(48.1%)children,and as a coinfection with other respiratory agents in 28 children(51.9%).In multiple regression analysis,coinfection(P=0.032)was associated with the length of hospitalization(P<0.001;R^(2)=0.166).There was a negative correlation(r=−0.281,P=0.040)between cough and cycle *** was found to be positively correlated with C-reactive protein(r=0.568,P<0.001)and procalcitonin(r=0.472;P=0.001).Conclusions:Although we found a higher HBoV1 viral load in children with more cough symptoms in our study,it had no effect on the severity of the disease,such as length of hospital stay and need for intensive *** was found to affect the length of hospitalization.

关键词： Human bocavirus Lower respiratory tract infection Children Viral load