Clinical features and outcomes of 76 patients with COVID-19-related multi-system inflammatory syndrome in children

Clinical Rheumatology - Multi-system inflammatory syndrome in children (MIS-C) is a less understood and a rare complication of coronavirus disease-2019 (COVID-19). Given the scarce data regarding...     

Investigation of perfusion defects by Q-SPECT/CT in patients with mild-to-moderate course of COVID-19 and low clinical probability for pulmonary embolism

Annals of Nuclear Medicine - Pulmonary embolism is a severe source of mortality and morbidity in patients with severe and critical coronavirus disease 2019. It is not yet clear whether the tendency...     

Evaluation of styloid chain calcification related to temporomandibular joint disc displacement: a retrospective cohort study

Oral Radiology - The present study aimed to evaluate any relationship between elongated styloid process (ESP) and temporomandibular joint disc displacement (TMJD). Study design: A retrospective...     

Effects of laser modalities on shear bond strengths of composite superstructure to zirconia and PEEK infrastructures: an in vitro study

Odontology - In the last decade, demand for metal-free esthetic restorations has grown considerably due to the development of materials to fulfill the need for an esthetic prosthesis. We examined...     

Correlation of molecular biomarker concentrations between synovial fluid and saliva of the patients with temporomandibular disorders

Objectives

The synovial membrane and fluid are involved in the pathogenesis of temporomandibular joint (TMJ) disorders. This study aims to assess the relationship between matrix metalloproteinase-2 (MMP-2), chemerin and prostaglandin (PGE₂) levels in the synovial fluid (SF) and saliva of patients with TMJ disorder regarding their role in inflammation and the value of being a candidate for predictive biomarkers in the disease. Also, it is aimed to find out whether chemerin’s main function triggers the formation inflammatory cytokine markers in the associated area.

Materials and methods

Thirty-two samples of SF and saliva were obtained from patients with disc displacement without reduction with limited opening (DDWORwLO). Mann-Whitney-U test was used for the comparisons of the biomarker levels in SF and saliva. The correlation between chemerin and BMI (Body Mass Index) is analyzed by non-parametric Spearman’s rho correlation coefficient.

Results

For all of the three biomarkers, statistically significant differences were found between SF and saliva. An unexpectedly high level expression of chemerin was observed in SF. A statistically significant, positive correlation was observed between PGE₂ -MMP-2, and chemerin-PGE₂ in saliva, chemerin and MMP-2 in SF, respectively (p = 0.031, r = 0.382 / p = 0.039, r = 0.366 / p = 0.032, r = 0.379). A positive correlation was determined between saliva and SF levels of PGE₂ (p = 0.016, r = 0.421).

Conclusions

Chemerin, MMP-2, and PGE₂ can play a role as an inflammatory factor for the development of TMJ disorder.

Clinical relevance

The search for molecular markers in TMJ and the inhibition of the associated molecular signaling mechanism is important to reduce joint inflammation and cartilage degradation.

     

Effect of thiophene linker addition to fluorene-benzotriazole polymers with the purpose of achieving white emission in OLEDs

With the purpose of obtaining white emission from single layer organic light emitting diodes (OLEDs), fluorene benzotriazole based polymers with double bond subunits (namely TP2 and SP3 with and without thiophene linker, respectively) were synthesized by a Suzuki cross-coupling polymerization reaction. SP3 and TP2 were used as an emissive layer of the OLED devices due to their outstanding solubility in organic solvents, photoluminescence intensity and morphological suitability for fine thin film-forming capability. The optical, electrochemical, light emission and electroluminescence characteristics, Density Functional Theory (DFT) calculations and admittance spectroscopic analysis of OLEDs based on SP3 and TP2 were realized in detail to understand the effects of thiophene linker addition as a donor unit to the main chain of fluorene benzotriazole based polymers. As a result, TP2 emitted a bright yellow emission with a maximum brightness of 243 cd m⁻² at 40 mA cm⁻², and a maximum current efficiency of 1.38 cd A⁻¹ with more broad electroluminescence characteristics than SP3 polymer without the thiophene linker. SP3 emitted a greenish yellow emission with a maximum brightness of 1001 cd m⁻² at 845 mA cm⁻², and a maximum current efficiency of 0.33 cd A⁻¹. Carrier transport properties, charge carrier transit time and the equivalent circuit modelling studies were obtained through admittance spectroscopy. An equivalent circuit model with a combination of two resistors and one capacitor explained the charge conduction mechanism of SP3 and TP2 based OLEDs. SP3 and TP2 OLED devices represented typical p-type transporting characteristics with mobilities of 0.073 and 0.017 cm² V⁻¹ s⁻¹, respectively with simplified device configuration. All the results indicate that thiophene addition to the main chain of fluorene benzotriazole based polymers with double bond subunits lead to a promising candidate for white emissive materials used in single layer white OLEDs.

Fluorene-benzotriazole based polymers with double bound subunits were prepared for white light electroluminescence applications.     

Assessment of atherosclerosis risk due to the homocysteine–asymmetric dimethylarginine–nitric oxide cascade in children taking antiepileptic drugs

PurposeThe aim of this study was to assess the atherogenicity risk of antiepileptics in children by investigating the cascade, “hyperhomocysteinemia (HHcy) → asymmetric dimethylarginine (ADMA) increase → nitric oxide (NO) decrease”, which is thought to contribute to the developmental process of atherosclerosis.MethodsThe participants included 53 epilepsy patients who received either valproic acid (VPA, n = 26) or oxcarbazepine (OXC, n = 27). Twenty-four healthy sex- and age-matched children served as controls. Fasting plasma total homocysteine (tHcy), ADMA and NO levels were measured.ResultsThe differences in Hcy, ADMA, NO, vitamin B₁₂ and folate levels between VPA, OXC and control groups were all insignificant (p > 0.05 for all). In the patient group (VPA and OXC groups), 22.6% of the children (12/53) had tHcy levels above the normal cutoff (13.1 μmol/l) for children and 17% of the children (9/53) had tHcy levels of greater than 15 μmol/l which is accepted as the critical value for an increased atherosclerosis risk (p < 0.05 for both). The difference in rate of HHcy between VPA and OXC groups was statistically insignificant (p > 0.05, for both cut off levels of HHCy). There was a positive correlation of tHcy levels and antiepileptic drug treatment duration in the patient group (r = +0.276, p < 0.05).ConclusionHHcy may develop in patients using OXC. Contrary to some previous publications, our data do not suggest that OXC is safer than VPA in terms of HHcy risk. Further prospective, large scale and longer term studies investigating all suggested pathways responsible for development of atherosclerosis due to HHcy should be conducted to define the exact mechanism responsible for AEDs related atherosclerosis.