Invention of the Guide Catheter Irrigation Monitoring Device for Neuroendovascular Therapy

Ozkul, Ayca,Park, Jong-Hyun,Shin, Dong-Seung,Yilmaz, Ali,Kim, Bum-Tae The Korean Neurosurgical Society 2017 Journal of Korean neurosurgical society Vol.60 No.4

Objective : The thromboembolic events during neuroendovascular therapy (NET) are the major complications of concern that can be occasionally fatal. The thrombotic occlusion of the guide catheter for NET is thought to be the risk of the thromboembolic events. We have developed an idea for inventing the monitoring system of the continuous irrigation through the guide catheter. We herein present a unique invention of the guide catheter irrigation monitoring device. Methods : We have developed ideas for preventing the thrombotic occlusion of the guide catheter. In order to design a convenient device working in the practical use, we have consulted and shared the ideas with the electrical engineers about putting the invention. Results : The guide catheter irrigation monitoring device (GCIMD) consisted of three parts of optical sensor, main body and electric adapter. In brief, the basic principles of working of the GCIMD are as follows. The optical sensor is attached to the dripping chamber of the line to irrigation solution. The main body had the small light and speaker to make an alarm sounds. The sensor monitors the dripping of flush solution. If the dripping stops more than three seconds, a warning alarm has been activated. So, the operating physicians can concentrate and check the guide catheter irrigation. After the use of the GCIMD, there was no major thromboembolic complication in conjunction with the thrombotic occlusion of the guide catheter in our institute. Conclusion : We have developed a brilliant invention of the GCIMD for NET.

Evaluation of Mixtures of Certain Market Wastes as Silage

Ozkul, H.,Kilic, A.,Polat, M. Asian Australasian Association of Animal Productio 2011 Animal Bioscience Vol.24 No.9

The aim of this study was to determine the usefulness of vegetable wastes as silage for ruminants. Varying amounts of wheat straw (WS), wheat bran (WB) and salt (S) were combined with minced vegetable wastes (VW) during ensilage. Seven different ingredient combinations were investigated viz: 100% VW (Group I, control), 90% VW+9% WS+1% S (Group II), 80% VW+15% WS+4% WB+1% S (Group III), 70% VW+20% WS+9% WB+1% S (Group IV), 90% VW+9% WB+1% S (Group V), 80% VW+15% WB+4% WS+1% S (Group VI) and 70% VW+20% WB+9% WS+1% S (Group VII). The inclusion of straw and bran increased (p<0.01) the DM content of silage. The highest contents of the pure silage were CP (p<0.001), EE (p<0.01) and NFE (p<0.05). NDF contents of VW silage and group V were significantly lower and especially the VW silage was found to have the lowest ADL content (p<0.01). The in vitro ME values of VW silage and bran added silage were higher than other groups (p<0.01). pH, lactic acid and acetic acid values of silage groups were changed between 4.09-4.20, 2.43-3.46% and 0.60-0.86%, respectively. In conclusion, different mixtures of VW have a high ensilage capacity and can serve as an alternative roughage source for ruminants. The addition of 9% bran significantly improved the silage in view of both dry matter content and nutritive value.

Histopathological and biochemical findings of congenital copper deficiency: are these similar to those of caprine arthritis-encephalitis?

I. Ayhan Ozkul,G. Alcigir,A. Sepici-Dincel,A. D. Yonguc,A. Akcora,J. Turkaslan 대한수의학회 2012 JOURNAL OF VETERINARY SCIENCE Vol.13 No.1

This study was done after identifying animals with a twisted carpal joint in goat herd. These included a kid goat walking on its articulus carpii and a newborn goat with a stiff leg. Necropsies of the diseased goats revealed swollen carpal joints that were twisted backwards. Arthritis was observed during microscopic examination of the carpal joints. Very low levels of eosinophil, leucocyte, and lymphocyte cell infiltration were found in the central nervous system and meninges. Serum copper levels were significantly decreased in most of the animals. All of these results led us to diagnose the animals with swayback disease.

Morphological Assessment of Cadaveric Radial, Brachial and Subclavian Arteries : A Neurointerventional Approach

Yilmaz, Ali,Ozkul, Ayca,Shin, Dong Seong,Im, Soo-Bin,Yoon, Seok-Mann,Kim, Bum-Tae The Korean Neurosurgical Society 2015 Journal of Korean neurosurgical society Vol.58 No.6

Objective : The transradial catheterization (TRC) is becoming widespread, primarily for neurointerventions. Therefore, the evaluation of radial artery puncture in clinical practice and a better understanding of the anatomy are important to improve the safety of neuroendovascular surgery. Methods : Ten formalin-fixed adult Korean cadavers were dissected to expose radial artery (RA), brachial artery (BrA) and subclvian artery (ScA), bilaterally. Vessel lengths and diameters were meaured using a caliper and distance between the specific point of vessels and the anatomical landmarks including the radial styloid process, the medial epicondyle of the humerus, the sternoclavicular joint, and the vertebral artery orifice were also measured. Results : The average length between the radial (RAPS) and the BrA puncture sites (BrAPS) and between the vertebral artery orifice (VAO) and the BrA bifurcation (BrAB) did not differ between sides (p>0.05). The average length between the radial styloid process (RSP) and the RAPS was $13.41{\pm}2.19mm$, and the RSP was $26.85{\pm}2.47mm$ from the median nerve (MN). The mean length between the medial epicondyle (ME) and the BrAPS as $44.23{\pm}5.47mm$, whereas the distance between the ME and the MN was $42.23{\pm}4.77mm$. The average VAO-ScA angle was $70.94{\pm}6.12^{\circ}$, and the length between the ScA junction (SCJ) and the VAO was $60.30{\pm}8.48mm$. Conclusion : This study provides basic anatomical information about the radial artery and the brachial route and can help improving new techniques, selection of size and shape of catheters for TRC. This can help neurointerventionists who adopt a transradial neuroendovascular approach and offers comprehensive and safe care to their patients.

The effects of limestone powder and fly ash as an addition on fresh, elastic, inelastic and strength properties of self-compacting concrete

Hilmioglu, Hayati,Sengul, Cengiz,Ozkul, M. Hulusi Techno-Press 2022 Advances in concrete construction Vol.14 No.2

In this study, limestone powder (LS) and fly ash (FA) were used as powder materials in self-compacting concrete (SCC) in increasing quantities in addition to cement, so that the two powders commonly used in the production of SCC could be compared in the same study. Considering the reduction of the maximum aggregate size in SCC, 10 mm or 16 mm was selected as the coarse aggregate size. The properties of fresh concrete were determined by slump flow (including T₅₀₀ time), V-funnel and J-ring experiments. The experimental results showed that as the amount of both LS and FA increased, the slump flow also increased. The increase in powder material had a negative effect on V-funnel flow times, causing it to increase; however, the increase in FA concretes was smaller compared to LS ones. The increase in the powder content reduced the amount of blockage in the J-ring test for both aggregate sizes. As the hardened concrete properties, the compressive and splitting strengths as well as the modulus of elasticity were determined. Longitudinal and transverse deformations were measured by attaching a special frame to the cylindrical specimens and the values of Poisson's ratio, initiation and critical stresses were obtained. Despite having a similar W/C ratio, all SCC exhibited higher compressive strength than NVC. Compressive strength increased with increasing powder content for both LS and FA; however, the increase of the FA was higher than the LS due to the pozzolanic effect. SCC with a coarse aggregate size of 16 mm showed higher strength than 10 mm for both powders. Similarly, the modulus of elasticity increased with the amount of powder material. Inelastic properties, which are rarely found in the literature for SCC, were determined by measuring the initial and critical stresses. Crack formation in SCC begins under lower stresses (corresponding to lower initial stresses) than in normal concretes, while critical stresses indicate a more brittle behavior by taking higher values.

The impact of collateral status on cerebral vasospasm and delayed cerebral ischemia in subarachnoid hemorrhage

Abdullah Topcu,Ayca Ozkul,Ali Yilmaz,Ho Jun Yi,Dong-Seong Shin,Bum-Tae Kim 대한뇌혈관외과학회 2023 Journal of Cerebrovascular and Endovascular Neuros Vol.25 No.3

Objective: Cerebral collateral circulation may affect subarachnoid hemorrhage (SAH) induced cerebral vasospasm and delayed cerebral ischemia. In this study our aim was to investigate the relationship between collateral status, vasospasm and delayed cerebral ischemia (DCI) in both aneurysmal and nonaneurysmal SAH. Methods: Patients diagnosed as SAH with and without aneurysm were included and their data investigated retrospectively. After the patients diagnosed as SAH according to cerebral computed tomography (CT)/magnetic resonance imaging (MRI), they underwent cerebral angiography to check for cerebral aneurysm. The diagnosis of DCI was made according to the neurological examination and control CT/MRI. All the patients had their control cerebral angiography on days 7 to 10 in order to assess vasospasm and also collateral circulation. The American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology (ASITN/SIR) Collateral Flow Grading System was modified to measure collateral circulation. Results: A total of 59 patients data were analyzed. Patients with aneurysmal SAH had higher Fisher scores and DCI was more common. Although there was no statistically significant difference between the patients with and without DCI in terms of demographics and mortality, patients with DCI had worse collateral circulation and more severe vasospasm. These patients had higher Fisher scores and more cerebral aneurysm overall. Conclusions: According to our data, patients with higher Fisher scores, more severe vasospasm, and poor cerebral collateral circulation may experience DCI more frequently. Additionally aneurysmal SAH had higher Fisher scores and DCI was seen more common. To improve the clinical results for SAH patients, we believe that physicians should be aware of the DCI risk factors.

Recent Advances in Autism Spectrum Disorders: Applications of Whole Exome Sequencing Technology

Elif Funda Sener,Halit Canatan,Yusuf Ozkul 대한신경정신의학회 2016 PSYCHIATRY INVESTIGATION Vol.13 No.3

Autism spectrum disorders (ASD) is characterized by three core symptoms with impaired reciprocal social interaction and communication, a pattern of repetitive behavior and/or restricted interests in early childhood. The prevalence is higher in male children than in female children. As a complex neurodevelopmental disorder, the phenotype and severity of autism are extremely heterogeneous with differences from one patient to another. Genetics has a key role in the etiology of autism. Environmental factors are also interacting with the genetic profile and cause abnormal changes in neuronal development, brain growth, and functional connectivity. The term of exome represents less than 1% of the human genome, but contains 85% of known disease-causing variants. Whole-exome sequencing (WES) is an application of the next generation sequencing technology to determine the variations of all coding regions, or exons of known genes. For this reason, WES has been extensively used for clinical studies in the recent years. WES has achieved great success in the past years for identifying Mendelian disease genes. This review evaluates the potential of current findings in ASD for application in next generation sequencing technology, particularly WES. WES and whole-genome sequencing (WGS) approaches may lead to the discovery of underlying genetic factors for ASD and may thereby identify novel therapeutic targets for this disorder.

Thermostructural shape memory effect observations of ductile Cu-Al-Mn smart alloy

Canbay, Canan Aksu,Karaduman, Oktay,Ibrahim, Pshdar A.,Ozkul, İskender Techno-Press 2021 Advances in materials research Vol.10 No.1

The Cu-Al-Mn shape memory alloy (SMA) with a new different composition was fabricated by arc melting method. The characteristic shape memory effect (SME) property of Cu-Al based SMA was revealed by performing thermostructural measurements. The differential scanning calorimetry (DSC) tests were taken to observe the reversible martensitic phase transformation peaks of the alloy as evidence of SME property of the alloy. To determine the basic thermodynamical parameters of the alloy, these endothermic and exothermic transformation peaks were analyzed by the tangent differentiation method that was performed automatically by the DSC analyzing program over a manually selected part on the DSC curve and by these analyses the characteristic martensitic transformation temperatures (working temperatures) that found below 100℃ and the enthalpy change values of the alloy were directly obtained. The other kinetic transformation parameters of the alloy - the entropy change, hysteresis, and equilibrium temperature - were also determined. The common high-temperature behavior of the Cu-Al based Heusler alloys was detected by differential thermal analysis (DTA) measurement. The XRD and metallography tests that were conducted at room temperature showed the presence of M18R and the dominant 2H martensite structures that formed in the alloy and this dual martensitic structure was also prescribed by determining the theoretical e/a ratio of the alloy. Furthermore, the microhardness tests on the alloy demonstrated the high ductility feature of the alloy. All results demonstrated that the CuAlMn alloy exhibiting a shape memory effect property can be useful in smart alloy applications.

mRNA Expression Level of Interleukin Genes in the Determining Phases of Behcet`s Disease

( Serpil Taheri ),( Murat Borlu ),( Cem Evereklioglu ),( Sevda Yesim Ozdemir ),( Yusuf Ozkul ) 대한피부과학회 2015 Annals of Dermatology Vol.27 No.3

Background: Behcet``s disease (BD), first described in 1937 as a triadic complex of symptoms (oral aphthae, genital ulcers, and hypopyon uveitis), is a chronic, relapsing, multisystemic idiopathic inflammatory disease. Objective: The objective of this study was to investigate the usability of messenger RNA (mRNA) expression of cytokine genes for following up patients with BD and also assess polymorphisms in these genes as to how they influence mRNA expression. Methods: This study investigated the role of the IL1A -889(C/T), IL1B - 511(C/T), and IL2 -330(T/G) polymorphisms by polymerase chain reaction (PCR)-restriction fragment length polymorphisms and the expression levels of the genes by real- time PCR in BD. Results: The frequency of the IL2 -330 G allele was found to be significantly higher in patients with BD. A decreased level of IL1A gene expression was found in the patient group with clinically active BD compared to controls. Increased IL1B gene expression levels werefound in patient groups with active, inactive, or ocular BD (p<0.001). IL2 gene expression level manifested no significant change compared to controls in the patient group with clinically active BD; it increased in the groups with clinically inactive BD or ocular involvement. Conclusion: IL1A, IL1B, and IL2 gene expression, and IL2 promoter polymorphisms, may be valuable markers for predicting risk in the development of BD. We believe that the results reveal the importance of achieving a better understanding of BD and the prospects of developing future therapeutic strategies. (Ann Dermatol 27(3) 291∼297, 2015)