The Patient Perspective of Telemedicine in the Context of COVID-19 Pandemic.

COVID-19 Pandemic might be considered as a catalyst for transformation in healthcare experience via the use of video consultation as a method for telemedicine. The aim of our qualitative study is to understand the patient perception of video consultations in telemedicine, which has been used by a single pulmonologist in only one university hospital in Turkey since the first three months of the pandemic. Research findings are essential when it comes to a more effective and widespread future use of telemedicine, as it focuses on patient experience about a medical technology that is newly introduced. Totally 30 patients were randomly chosen and interviewed who get healthcare support via telemedicine. A semi-structured questionnaire was used to learn the experiences and opinions of the interviewees. The expressions of the patients highlight some advantages of using telemedicine such as being free from risk of contagion caused by exposure in the hospital, being able to save time and money while reaching to the physician online whenever needed, and success in technical details even though they were experiencing it for the first time. A very few of the patients are feeling discomfort to be in front of the screen. Almost all patients are applicants to suggest to other individuals the system they used, in conditions to be appropriate, and continuity after the pandemic period. Since the pandemic has propagated from one patient, the worldwide implementation of telemedicine might be catalyzed by following in the footsteps of the sporadic examples of decisiveness nourished from patient experiences.

Molecular and morphological characterization of pomegranate (Punica granatum L.) genotypes sampled from Coruh Valley in Turkey.

The pomegranate is one of the oldest fruits that are traditionally consumed by the local inhabitants of the Coruh Valley, Turkey. In this study, the molecular and morphological characteristics of 19 promising pomegranate genotypes selected from the Coruh Valley were evaluated. For the morphological evaluation, 22 quantitative fruit characteristics were used. For the molecular evaluation, 47 random amplified polymorphic DNA (RAPD) primers were used for polymerase chain reaction analysis. The principle component analysis of 22 quantitative fruit characteristics revealed that fruit weight and skin color are dominant traits for genotype discrimination. The unweighted average distance cluster of fruit characteristics revealed 3 distinct groups. Among the 47 RAPD primers, 9 exhibited reliable polymorphic patterns, and generated a total of 63 RAPD bands, of which 49.2% were polymorphic. The similarity matrix showed that the highest (0.920) and lowest (0.556) genetic similarities occurred between the APS13 and APS28 genotypes and the APS12 and APS42 genotypes, respectively. We determined clear discrepancies between the morphological and molecular data; consequently, the differences obtained among genotypes for fruit characteristics did not support genetic relationships among genotypes. In conclusion, molecular data provided the most reliable results at the DNA level.

Identification and characterization of odorant-binding protein 1 gene from the Asian malaria mosquito, Anopheles stephensi.

Insect odorant-binding proteins (OBPs) are small, water-soluble molecules that are thought to transport the hydrophobic odorants to their receptors in the chemosensory neurones. Here we report the identification and molecular characterization of the Anopheles stephensi odorant-binding protein 1 gene (AsteObp1), an Obp1 gene in An. stephensi, a major malaria vector in Asia. We show that AsteObp1 and Anopheles gambiae Obp1 (AgamObp1) are orthologues. These two genes share similar coding sequences and conserved noncoding sequences (CNSs) that may be involved in their regulation. Transcript of AsteObp1 was observed in larvae and reached a relatively high level in late pupae. Quantitative real-time PCR on female adult chemosensory tissues showed approximately 900-fold higher expression of AsteObp1 in antennae than in maxillary palp and proboscis. The amount of AsteObp1 in female legs was approximately 15-fold lower than that of maxillary palp and proboscis. The level of AsteObp1 transcript was seven and 85-fold higher in females than in males in the antennae, and maxillary palp and proboscis, respectively. Moreover, the AsteObp1 level was reduced by approximately 20-fold in maxillary palp and proboscis 24 h after a bloodmeal. Our results indicate that AsteObp1 is likely to function in the female olfactory response and may also be involved in blood-feeding behaviour.

Characterization of red raspberry (Rubus idaeus L.) genotypes for their physicochemical properties.

The worldwide tendency for growing more small fruits, including raspberries, shows permanent increase because this group of fruits has a relatively higher content of bioactive nutrients. To study the health benefits of red raspberry fruits, 11 preselected wild-grown and 1 well-known cultivar, Heritage, were evaluated for some of their physicochemical properties such as fruit weight, total antioxidant capacity (measured by beta-carotene bleaching and FRAP assays), total phenolics, ascorbic acid, soluble solid content (SSC), and acidity. Fruit weight, SSC, and ascorbic acid contents were between 1.47 and 2.32 g, 10.87% and 13.60%, and 21 and 36 mg/100 g, respectively. Antioxidant activity and total phenolic content varied among genotypes and the ERZ5 genotype had the highest antioxidant capacity as ascertained by both methods. This genotype also had the highest total phenolic (2031 microg GAE/g FW) content. There are linear relationships between antioxidant capacities and total phenols. The present study demonstrates the potential of certain wild genotypes, notably ERZ5, for improving the nutritional value through germplasm enhancement programs.

Characterization and expression of the odorant-binding protein 7 gene in Anopheles stephensi and comparative analysis among five mosquito species.

Odorant-binding proteins (OBPs) are important molecular players in insect olfaction, which has a great influence on the host-seeking behaviour of mosquitoes and other disease vectors. The mRNA level of the Anopheles gambiae Obp7 gene (Agam-Obp7) is higher in the adult female antennae and is slightly reduced in the female heads after blood-feeding. Here we report the cloning, sequencing, chromosomal mapping and transcript analysis of Aste-Obp7, the Obp7 gene from the Asian malaria mosquito Anopheles stephensi. Quantitative reverse transcription PCR showed that in adult female mosquitoes, Aste-Obp7 was expressed abundantly in the antennae, much less in pooled maxillary palp and proboscis and at the lowest level in the legs. The Aste-Obp7 level in female antennae was significantly higher than in male antennae and it slightly increased 24 h after a bloodmeal. The same pattern held for leg samples as well. The Aste-Obp7 mRNA level dropped more than 10-fold in the female maxillary palp and proboscis after a bloodmeal, although it was still significantly higher than in the males. Together, the above expression profiles suggest that Aste-Obp7 probably functions in female olfaction and may possibly be involved in behaviour related to blood-feeding. We also characterized the Obp7 gene from Anopheles quadriannulatus. Comparison among Anopheles Obp7 genes revealed conserved noncoding sequences that contain potential regulatory elements. The coding sequence and gene structure of Obp7 as well as local synteny of surrounding genes are conserved among the three Anopheles species and two divergent mosquitoes, Aedes aegypti and Culex pipiens quinquefasciatus. OBP7 protein phylogeny is congruent with the mosquito phylogeny and there is evidence of purifying selection acting on the mosquito Obp7 gene. Comparative genomics analysis will improve our understanding of the evolution and regulation of genes involved in mosquito olfaction.

Predictive value of magnetic resonance imaging signal and contrast-enhancement characteristics on post-embolization volume reduction of uterine fibroids.

PURPOSE: To assess the magnetic resonance imaging (MRI) signal and contrast-enhancement features of uterine fibroids before and after embolization, and to determine whether or not there are pre-embolization MRI characteristics that predict the volume reduction of fibroids. MATERIAL AND METHODS: Uterine fibroid embolization (UFE) was carried out in 28 fibroids of 20 patients, all of whom were symptomatic. The patients were prospectively evaluated with T1-weighted, T2-weighted, and gadolinium-enhanced T1 MRI sequences before and 6 months after embolization. The relationship between the characteristics of MRI signal and contrast-enhancement features of fibroids before the procedure and the change in size of the lesions after treatment was investigated. RESULTS: Before embolization, the mean volume of fibroids was 123 cm3 (8-560 cm3). The decrease rate in fibroid volumes was 44.6% (range 7-70%) 6 months after embolization. Volume reduction was more prominent in fibroids that had a high signal intensity on T2-weighted images and a marked contrast enhancement on T1-weighted images (P < 0.001). However, the volume reduction was insufficient in fibroids with high signal characteristics on pre-contrast T1-weighted images (P < 0.001). CONCLUSION: MRI is an effective method for revealing size and signal changes of fibroids after embolization. MRI signal characteristics and the contrast-enhancement pattern of fibroids before embolization can predict tumor volume reduction after embolization.

Antimicrobial effects of Quercus ilex L. extract.

The antimicrobial activities of the methanol extract of Quercus ilex L. (Pirnal oak) leaves were tested in vitro against a wide range of human and plant-associated microorganisms. A total of 132 microbial organisms belonging to 55 bacteria and five fungi and yeast species were studied using a disc-diffusion method and microdilution assays. The results were evaluated as inhibition zones around the disc impregnated with Q. ilex extract at a concentration of 300 micro L/mL. The results showed that Q. ilex did not have any antifungal activities against Alterneria alternata, Aspergillus flavus, Fusarium oxysporum, Penicillum spp., whereas there were inhibition effects on the growth of all Candida albicans isolates. In total 97 bacterial strains (74%) were found to be resistant to Q. ilex extract. The remaining 35 (27%) strains of seven different bacteria genera including Brucella, Bacillus, Enterobacter, Neisseria, Pseudomonas and Escherichia were susceptible to the extract tested. The minimum inhibitory concentrations (MIC) of the extract ranged from 125 to 500 micro L/mL. These results suggest that Q. ilex possesses compounds with antibacterial and anticandidal properties.

Evaluation of antimicrobial activities of Satureja hortensis L.

The present study was designated to evaluate the antimicrobial activities of methonol and hexane extracts of Satureja hortensis L. which is an annual herb used as traditional folk medicine in Eastern Anatolia region of Turkey for the treatment of different infectious diseases and disorders. The antimicrobial activities of the extracts against 147 laboratory strains belong to 55 bacterial species, and 31 isolates of 1 yeast and 4 fungi species were tested by using disc diffusion assay. The results showed that hexane extract of Satureja hortensis had no antifungal, but antibacterial activity against four strains of three Bacillus species whereas methanol extract of Satureja hortensis had both anticandidal and antibacterial effects. It inhibited the growth of 23 strains of 11 bacterial species and 6 isolates of Candida albicans, at the concentration of 300microg/ml. Satureja hortensis did not show antimicrobial activity against the remaining microorganisms (83%) tested including most and all of the clinic and plant pathogenic microorganisms, respectively. Methanol extract showed stronger and broader spectrum of antimicrobial activity as compared to hexane extract.

Antimicrobial activity of aqueous and methanol extracts of Juniperus oxycedrus L.

Aqueous and methanol extracts of the leaves of Juniperus oxycedrus were investigated for their in vitro antimicrobial properties. The plant was collected from Pelitli Village of Gebze, Kocaeli, in the Marmara region of Turkey. Juniperus oxycedrus is widely used as traditional folk medicine in Turkey for treatment of different infectious diseases. The antimicrobial activity of the extracts against 143 laboratory strains belonging to 56 bacterial species, and 31 isolates of 5 fungi species were evaluated based on the inhibition zone using the disc-diffusion assay, minimal inhibition concentration (MIC) and minimal bactericidal concentration (MBC) values. The aqueous extract of J. oxycedrus had no antimicrobial effect against the test microorganisms whereas the methanol extract had inhibitory effects on the growth of 57 strains of 24 bacterial species in the genera of Acinetobacter, Bacillus, Brevundimonas, Brucella, Enterobacter, Escherichia, Micrococcus, Pseudomonas, Staphylococcus, and Xanthomonas. In addition 11 Candida albicans isolates at a concentration of 31.25-250 micro g/ml were also inhibited.