Volume 7 Issue 1

İstanbul Yeni Yüzyıl Üniversitesi
Yeni Yüzyıl Journal of Medical Sciences

ARTICLES

A Bibliometric Analysis of Studies on Intraosseous and Intraligamentary Anesthesia

Aim: To analyze the distribution of publications on intraosseous and intraligamentary anesthesia in the Scopus database using bibliometric methods, aiming to reveal research trends and provide an overview of the literature. Methods: A search was performed in the Scopus database on March 14, 2025, using the keywords “intraligamentary, intraosseous, anesthesia, anesthetic, dental.” English-language research articles published between 1990 and 2024 were included. An initial total of 828 publications was identified, and after applying exclusion criteria, 115 articles were analyzed. Data were downloaded in CSV format and processed with the Biblioshiny software. Parameters such as number of authors, keyword usage, publishing journals, and contributing countries were evaluated. Results: A total of 370 authors contributed to the 115 analyzed articles. In these publications, 187 distinct keywords and 47 journals were recorded. The peak year for publications was 2024. The Journal of Endodontics had the highest number of publications, Beck M. was the most prolific author, and the Faculty of Dentistry was the most productive institution. The United States was the leading country in terms of output. The keywords “male” and “female” were among the most frequently used. Conclusion: This bibliometric analysis highlights the overall framework of the literature on intraosseous and intraligamentary anesthesia and reflects current research trends in dentistry. The results identify key contributors, institutions, and countries, and may serve as a guide for future studies. Furthermore, the findings provide useful insights for advancing clinical practice, updating educational content, and improving patient care quality.

The Role of NRF2 in Stress-Driven Signaling and Metabolic Reprogramming in Cancer

Tumor cells acquire the ability to reprogram their energy metabolism in response to environmental stresses such as hypoxia, oxidative stress, and therapeutic effects. Key factors driving this adaptive shift include Nrf2, a master transcriptional regulator of redox homeostasis and intermediary metabolism, and activation of associated signaling pathways. Nrf2 is known to play a role in regulating glycolysis, lipid metabolism, and amino acid turnover, each of which contributes to the emergence and maintenance of drug resistance. Activated Nrf2 can bind to AREs in the promoters of cytoprotective genes involved in glutathione biosynthesis, NADPH regeneration, and xenobiotic metabolism, thereby promoting both tumor progression and cell death by promoting p53 accumulation. Through transcriptional activation of genes involved in antioxidant defense and detoxification, Nrf2 protects cancer cells from oxidative damage and chemotherapeutic effects. Targeting Nrf2 glycation pathways is important as a strategy to enhance the efficacy of pro-oxidant therapies and weaken tumor antioxidant defenses. All of these transcriptional reprogrammings promote cellular survival by facilitating the detoxification of ROS, restoration of redox homeostasis, and repair of oxidative lesions. Under basal conditions, Nrf2 is ubiquitinated and degraded in the cytoplasm by Keap1. Increased ROS levels resulting from oncometabolite accumulation in tumorigenesis modify cysteine residues on Keap1, weakening its ability to target Nrf2 for degradation. This allows Nrf2 to translocate to the nucleus, where it activates the transcription of ARE-driven genes, enhancing cellular antioxidant capacity and supporting survival under oxidative stress. All of these reprogramming processes mentioned by NRF2 in cancer, particularly glycolysis, glutaminolysis, and redox buffering, are critical for supporting metabolic reprogramming and stress adaptation, including anabolic growth in cancer cells.

A Bibliometric Analysis of Theses on Psychosocial Factors Associated with Pediatric Primary Headaches in Türkiye

Aim: This study examines theses on headaches in children and adolescents diagnosed with primary headaches within the context of psychosocial variables, using a bibliometric analysis. Material and Methods: In this retrospective descriptive study, theses uploaded to the Council of Higher Education National Thesis Center of Türkiye database until December 2024 were examined in detail for compliance with the inclusion criteria, using the keywords “headache,” “headaches,” “migraine,” “child,” and “adolescent”. Following the review, a total of 32 theses that met the criteria were evaluated using various bibliometric parameters. Data were analyzed using frequency and percentage distributions, Chi-square and Fisher’s Exact tests for relationships between variables, and network visualizations generated with VOSviewer and the Kamada–Kawai layout algorithm. Results: The analysis results revealed that, although irregular, the number of theses on this topic in Türkiye has shown a marked and statistically significant increase over the past two decades (p<0,01). Most of the theses were medical specialty dissertations, with the highest number conducted within the Department of Pediatrics and at Mersin University. Significant relationships were found between the advisor’s academic title and the diversity of sample diagnostic groups and data collection strategies, as well as between the use of age-appropriate measurement tools and the department (p<0,05). The relationship between headaches in children and adolescents with psychological symptoms, quality of life, and psychiatric comorbidity was among the most frequently investigated topics, particularly within the disciplines of pediatrics, child psychiatry, and pediatric neurology. Furthermore, approximately half of the examined theses had been published in peer-reviewed journals indexed in national or international databases. Conclusion: This study can be considered the first comprehensive bibliometric analysis in Türkiye to identify research trends on the psychosocial aspects of pediatric headaches— an issue of growing global importance. Future studies, including various databases, publication types, and additional parameters, will further enrich the findings and related literature.

Determination Of The Presence And Amounts Of Lead And Cadmium Heavy Metals İn Eyeshadow And Lipstick Cosmetic Products Sold İn Turkey By Atomic Absorption Spectrophotometry (AAS)

Aim: The aim of this study is to examine the levels of heavy metal impurities in various commercially available cosmetic products (eyeshadow and lipstick), specifically to determine the presence and quantities of lead (Pb) and cadmium (Cd), and to evaluate the results in accordance with the Turkish Medicines and Medical Devices Agency Guideline on Heavy Metal Impurities in Cosmetic Products. Considering the potential health risks associated with heavy metal accumulation in cosmetics, the study aims to contribute to the protection of public health. Method: Cosmetic samples from various commercially available brands were obtained and subjected to standard sample preparation procedures. Calibration standards were prepared from certified stock solutions. The quantitative determination of Pb and Cd was performed using Graphite Furnace Atomic Absorption Spectroscopy (GF-AAS) due to its high sensitivity and suitability for tracelevel analysis. Analytical measurements were conducted at element specific wavelengths, and calibration curves with appropriate correlation coefficients were constructed to ensure method accuracy and reliability. Results: Trace levels of Pb and Cd were detected in all analyzed samples. While the concentrations generally remained within ranges considered to represent unavoidable impurities, notable variation among different brands and product types was observed. The analytical method demonstrated acceptable precision and accuracy, as reflected by the performance of the calibration curves and instrumental parameters. Conclusion: The study confirmed the presence of trace amounts of Pb and Cd in both eyeshadow and lipstick samples. Although the detected concentrations were largely below internationally accepted limit values, the potential for cumulative exposure through prolonged or frequent cosmetic use underscores the need for continuous monitoring and stricter quality control measures in the cosmetic industry. These findings highlight the relevance of routine surveillance to ensure consumer safety and regulatory compliance.

Investigating the Effect of Adults’ Perceived Emotional Violence on Perceived Empathic and Social Self-Efficacy

Aim: The aim of this study is to determine the effect of perceived emotional abuse on adults’ perceptions of empathic self-efficacy and social self-efficacy, and to examine these variables in terms of certain participant characteristics. Methods: The sample of the study consists of 306 healthy individuals aged between 18 and 65. In order to collect participant data, the Sociodemographic Information Form, the Perceived Emotional Abuse Scale, and the Perceived Empathic and Social Self-Efficacy Scale were used. The study employed a survey model, specifically utilizing the questionnaire method. Statistical analyses were performed using descriptive statistics, Pearson correlation analysis and simple linear regression analysis. Results: According to the simple linear regression analysis, perceived emotional violence level significantly predicted perceived empathic self-efficacy scores (R² = .09, F(1, 304) = 29.45, p < 0.001). The regression coefficient was significant and it was determined that each unit increase in perceived emotional violence was associated with a .31 unit increase in empathic self-efficacy scores (B = 0.31, t = 5.43, p < 0.001). Similarly, perceived emotional violence significantly predicted social selfefficacy scores (R² = .17, F(1, 304) = 64.08, p < 0.001). The regression coefficient was significant, and it was observed that each unit increase in perceived emotional violence was associated with a .46 unit increase in social self-efficacy score (B = 0.46, t = 8.01, p < 0.001). Conclusion: The findings of the study show that perceived emotional violence significantly predicts both empathic self-efficacy and social self-efficacy. The results of the study suggest that emotional violence shapes individuals' perceptions of their social relationships and empathic skills and that these processes should be taken into account in psychological intervention programs.

ISSN: 2687-5349 / E-ISSN: 2687-5411 / PERIOD: Quarterly / YEAR OF START: 2019 / PUBLISHER: Istanbul Yeni Yuzyil University

Istanbul Yeni Yuzyil University – Journal of Medical Sciences © 2019 is licensed under CC BY-NC-ND 4.0

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