Critical Micelle Concentration of Nafcillin Sodium Monohydrate in Aqueous Electrolytes and Non-electrolytes Solutions


Antika Das Gupta, Roksana Khatun* and MD. Sahidul Islam

Department of Chemistry, Chittagong University of Engineering and Technology, Raozan, Chattogram,  Bangladesh

Corresponding author Email:roksana@cuet.ac.bd

DOI : http://dx.doi.org/10.13005/ojc/410326

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ABSTRACT:

The effect of electrolytes and non-electrolytes on the micellization of Nafcillin sodium monohydrate (NafNa)(C21H21N2NaO5S.H2O) has been studied by conductance measurement. Conductivity of Nafcillin sodium monohydrate in aqueous electrolytes (MgCl2, CaCl2) and non-electrolytes (glucose, fructose) solutions were observed. From the experimental data critical micelle concentration (CMC) of Nafcillin sodium monohydrate were calculated. CMC values were found to be lower in magnitude with the increase of the concentration of MgCl2/CaCl2. Difference in the interaction with MgCl2/CaCl2 was also found. The CMC of Nafcillin reduction was found higher in CaCl2 systems than MgCl2 systems. On the other hand, CMC values were found to be reduced with the increase of the concentration of glucose but enhanced with the increase of concentration of fructose. In the presence of electrolytes and non-electrolytes solutions, the result provides extremely interesting information regarding the micellization of Nafcillin sodium monohydrate.

KEYWORDS:

Critical micelle concentration (CMC); Conductivity; CaCl2; Fructose; Glucose; MgCl2; Nafcillin Sodium Monohydrate

Introduction

To evaluate the drug action and understand the action mechanism at the molecular level examine the physiochemical properties of drugs conquering great concern. Drug-body interactions reveal information about the effects of drugs on the body and the body’s reactions to drugs through their physiochemical interactions with functionally significant molecules in living organisms.1-4 The majority of drug have organic moieties that have both hydrophilic and hydrophobic groups; as a result, these compounds exhibit certain characteristics and interact with electrostatic forces. They get self- assembled into liposomes or micelles when dispersed in aqueous media in high concentration. 5-7 A chemical that has antimicrobial properties and its active against bacteria called antibiotic. The majority of disorders are specifically treated with β- lactam antibiotics. A semi-synthetic antibiotic in class of penicillin, NafNa is a β-lactam antibiotic drug (narrow spectrum). The beta-lactum ring structure of NafNa is shown in Figure 1. It shows resistance to beta lactamase hence it is to treat infections caused by Staphylococcal strains that are resistant to other penicillin, except those caused by MRSA (Methicillin Resistant Staphylococcus Aureus). It is used as a penicillin to treat infections brought on by Gram positive bacteria. Most bacteria produce a cell wall composed in part of the peptidoglycan macromolecule, which is composed of short peptides and amino sugars. In human cells peptidoglycan is not produced or do not play any vital role. The stability of β- lactam ring structure is crucial to the microbiological activity of β-lactam antibiotics 8-12. The chemical species, including electrolytes and non-electrolytes, that are present in bodily fluids have a significant impact on the stability of beta-lactam ring structures and biomolecules 9,13.

Figure 1: Nafcillin Sodium Monohydrate (NafNa).Click here to View Figure

Carbohydrates are organic compounds found in living organisms that provide energy for working muscles, fuel for central nervous system, enable fat metabolism, serve as a preferred source of energy, and perform biological work. Glucose is an important carbohydrate for our body which is also called blood sugar. Any kind of carbohydrate we consume breaks down into glucose. This glucose then used as energy upon consumption. If there is any extra glucose in the bloodstream remains stored in liver and muscle tissue. Then that is used when any energy is needed. Fructose is a common carbohydrate in our daily life which is also called fruit sugar. It is found in fruits, vegetables, table sugar, and many processed foods. Fructose is converted into glucose in the liver to use it for energy 8,14,15. Calcium chloride is very important for human body primarily for its role in maintaining proper calcium levels. Calcium is very crucial for bones, muscle functions, nerve transmissions, and blood clotting. It also helps in maintaining the balance of electrolytes in the body, preventing issues like muscle cramps and irregular heartbeats 16,17. Magnesium chloride is a magnesium salt needed for muscle and nerve function, regulating blood sugar and blood pressure levels, and making protein, bones, and DNA. The chemical species present in body fluids, such as electrolytes, non-electrolytes so on the stability of beta-lactam ring of NafNa in electrolytes and non-electrolytes is important to study. Other researchers studied by spectrophotometry, High performance liquid chromatography (HPLC), Conductivity, volumetric and charge transfer techniques but no report on the micellization  of NafNa in aqueous glucose, fructose, MgCl2 and CaCl2 systems 12,18,19,  To completely comprehend NafNa micellization in the presence of electrolytes and non-electrolytes, more research is needed. With this view, the micellization investigation of  NafNa in electrolyte and non-electrolyte solutions is undertaken. And our report provides an overview of the amazing outcomes.

Experimental

Materials and Methods

Analytical reagent grade ingredients were all employed in this experiment and no purification was necessary. NafNa was purchased from Med Chem Express.com. Glucose, fructose, MgCl2 and CaCl2 from Research-Lab Fine Chem Industries Mumbai 400 002(India). All the solutions were prepared using de-ionized water having specific conductivity less than 2 µScm-1.

Table 1: Specifications of Chemicals

Chemical name Molar mass/kg.mol-1 Purity declared by supplier Origin
Nafcillin Sodium Monohydrate (NafNa) 0.4545 0.970 Med Chem Express.com
Calcium chloride (CaCl2) 0.1109 0.990 Research-Lab Fine Chem Industries Mumbai 400 002(India)
Magnesium Chloride (MgCl2) 0.9521 0.995 Research-Lab Fine Chem Industries Mumbai 400 002(India)
Glucose (C6H12O6) 0.1801 0.995 Research-Lab Fine Chem Industries Mumbai 400 002(India)
Fructose(C6H12O6) 0.1801 0.995 Research-Lab Fine Chem Industries Mumbai 400 002(India)

 Preparation of Solutions

The specific conductivity and pH of NafNa+H2O+MgCl2/CaCl2, NafNa +H2O+Glucose/Fructose systems were measured through Hanna EC/TDS/Salinity Benchtop Meter – HI2550 having cell constant 1cm-1 and the accuracy is (±.05 µScm-1). The analytical balance FA 2204 was utilized to measure weight. Every experiment was conducted at 25°C, which was managed using the SHWB-30 shaking water bath model. The experiment was conducted in accordance with the methodology described in the literature 20,21.

At first 20g solution of glucose,  fructose, CaCl2 and MgCl2 of different concentration such as 0.1 mol/kg, 0.3 mol/Kg, 0.5 mol/Kg was prepared in de-ionized water. Then 0.03 mol/Kg solution of NafNa was prepared using glucose or Fructose solution of different concentration. Stock solution of NafNa was gradually added to glucose fructose, CaCl2 and MgCl2 solutions targeting a desired concentration. After adding those solution every time, it was mixed properly.

The G (conductance) values were measured using a conductivity meter on each addition. Then values of G have been plotted against the respective concentrations of NafNa in solutions. The mathematical calculation for critical micelle concetration was done by Origin pro software (Version 10.0).

Results and Discussions

One of the mostly used methods for calculating the critical micelle concentrations (CMCs) is conductometry, it is a vulnerable method for to find out aggregation or analysis the micellar systems 22. With the increasing concentrations of electrolytes solutions drastically changes observed in the curve of conductivity in the plot area of CMC as a result increase of conductivity goes down 23. This kind of change of conductivity occurs due to less micelle formation in high electrical field because of the size variation of former.  The specific conductivity, G of NafNa in water, glucose + water, fructose + water, CaCl2+water, MgCl2+water systems are represented in the tables (2-6) and figures (2,5). In order to correctly ascertain the critical micelle concentration (CMC), the conductance, G value was fitted to the subsequent piece-wise linear model as a function of molality, c in eq. (1).

Here s1 and s2 represent the slops in the graphical data in pre and post region of CMC point, respectively and A indicates the intercepts.

Figure 3,4,6,7,8,9 represent the graphical data of CMC and various parameters to measure the CMC shown in the Table 7.

Critical micelle point, CMC indicates the self-assembly of ions produced from NafNa which has two parts one is hydrophilic and another one is hydrophobic. The CMC of NafNa + water system is 0.10532 mol.kg-1 which is good agreement with earlier reported value 12. Conductivity of NafNa was evaluated for all systems increased with the increasing concentration of NafNa until the CMC point.  After the CMC breakpoint increase rate became slower from the previous increasing rate 12,24,25. Addition of any kind of electrolytes and non-electrolytes such as CaCl2, MgCl2, glucose and fructose affect the CMC of drug and also the micellization process of counter ions produced from the drug. Water structure remain stable in the presence of neutral salts CaCl2 and MgCl2 due higher amount of Cl ions by complete dissociation of these electrolytes.  The hydrophilic heads of NafNa feel less electrostatic electrostatic repulsion in the presence of these neutral salts because they neutralize the surface charge which results micellization. Presence of neutral salts CaCl2 and MgCl2 stabilize the micelles formed by the counter ions produced from the NafNa. Among the both salts CaCl2 and MgCl2, CMC reduced more in the presence of CaCl2 in nafcillin+water+CaCl2 system. While in the NafNa+water+MgCl2 system CMC reduced lesser. The CMC values are greater in presence of MgCl2 than in presence of CaCl2. Because the cations having higher Z/R value are more hydrated and water structure maker. As Mg2+ have higher Z/R value , it decreases CMC values in higher magnitude 26. Thus, the CMC value decreased with the increasing concentration of salts due to the salting effect occurred by adding neutral salts in the systems.

Glucose acts as water structure maker in low concentration. When glucose is introduced, the NafNa hydrophobic residues might cause aggregation. This promotes the creation of micelles and results in a noticeable reduction in the hydrophilic group’s degree of hydration. So, the CMC values of NafNa decreases in presence of glucose. On the other hand, fructose works as water structure breaker. It increases the CMC values by interfering with the water molecules and by enhancing the dissolution of hydrophobic species 12,27. Addition of fructose at low concentrations into the micellar solution of NafNa interrupt the structure of water cluster causing disruption of the micelle and CMC increases. Two important parameters related to micellization alpha (α) and beta (β) value by which micellization of a drug can be described. The degree of dissociation of micelle describes as β and the degree of association of micelle describe as α. Less interaction of counter ions with micelle resultant stable micelle structure with higher alpha value.

The working mechanism, transportation and activity of NafNa can be described with apha and beta values 28. Because of low alpha value of antibiotics exhibit more strongly charged micelle which can interact strongly with the bacterial cell membrane, potentially enhancing the efficacy of any antibiotics. And on the other hand, beta (β) value represents the CMC point at which micelle starts to form.  The micelle ionization value, α was calculated from α =  , where s2= slope after CMC, s1= slope before CMC. And β values can be calculated from β=1-α. Low alpha value for NafNa indicates highly charged micelle structure with less interaction with the counter ions for this study Ca2+ and Mg2+. This effect hinders less binding and association with these counter ions because the bulky negatively charged carboxylate groups present in NafNa.

In our present study we evaluated the alpha values for all NafNa in glucose, fructose, CaCl2, MgCl2 systems. At definite concentration alpha value for NafNa +CaCl2+water system was lower than of NafNa + MgCl2 + water system which indicates the lesser interaction with Ca2+ ions. In the case of NafNa + glucose + water, NafNa + fructose + water systems alpha value was found low for NafNa +fructose + water system than that of NafNa + glucose + water system. Lower alpha values resultant larger micelle structure with highly negative charge. The alpha values were found to be low for NafNa + glucose +water, NafNa + fructose + water systems comparing to NafNa +CaCl2 + water, NafNa +MgCl2 + water systems which evaluate the larger micelle structure for NafNa + glucose + water, NafNa + fructose + water systems.

Table 2: Conductivity of NafNa in water system with different concentration of NafNa

NafNa +Water
Concentration ofNafNa, C (molKg-1) Specific Conductivity(mScm-1) Concentration ofNafNa, C (molKg-1) Specific Conductivity(mScm-1)
0.01250 0.409 0.16250 5.220
0.02500 0.852 0.17500 5.570
0.03750 1.295 0.18750 5.910
0.05000 1.737 0.20000 6.240
0.06250 2.180 0.21250 6.580
0.07500 2.623 0.22500 6.920
0.08750 3.060 0.23750 7.250
0.10000 3.500 0.25000 7.600
0.11250 3.880 0.26250 7.940
0.12500 4.220 0.27500 8.260
0.13750 4.570 0.28750 8.610
0.15000 4.900 0.30000 8.930

Table 3: Conductivity of NafNa + water + MgCl2 system with different concentration of electrolytes 

NafNa +water+0.05 mol/kg MgCl2 NafNa +water+0.075 mol/kg MgCl2 NafNa +water+0.1mol/kg MgCl2
Concentration, C of NafNa(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1)
0.00000 7.30 0.00000 7.30 0.00000 13.81
0.00912 7.43 0.00912 7.43 0.00897 14.01
0.01808 7.57 0.01808 7.57 0.01793 14.20
0.02707 7.70 0.02707 7.70 0.02692 14.40
0.03605 7.84 0.03605 7.84 0.03589 14.58
0.04789 7.98 0.04789 7.98 0.04793 14.78
0.05688 8.11 0.05688 8.11 0.05721 14.99
0.06604 8.25 0.06604 8.25 0.06619 15.19
0.07486 8.39 0.07486 8.39 0.07507 15.27
0.08345 8.52 0.08345 8.52 0.08379 15.36
0.09205 8.60 0.09205 8.60 0.09237 15.44
0.10035 8.66 0.10035 8.66 0.10059 15.52
0.10848 8.73 0.10848 8.73 0.10873 15.61
0.11656 8.81 0.11656 8.81 0.11684 15.69
0.12450 8.88 0.12450 8.88 0.12471 15.77
0.13224 8.95 0.13224 8.95 0.13235 15.84
0.13994 9.03 0.13994 9.03 0.14007 15.93

 Table 4: Conductivity of NafNa + water + CaCl2 system with different concentration of electrolytes. 

NafNa+Water+0.05 mol/Kg CaCl2 NafNa +water+0.075 mol/Kg CaCl2 NafNa + water +0.1mol/Kg CaCl2
Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1)
0.00000 6.89 0.00000 11.56 0.00000 14.41
0.00912 7.02 0.00911 11.67 0.00913 14.51
0.01808 7.16 0.01801 11.79 0.01807 14.58
0.02706 7.31 0.02691 11.89 0.02711 14.64
0.03612 7.45 0.03702 12.01 0.03615 14.74
0.04780 7.61 0.04765 12.12 0.04767 14.82
0.05720 7.76 0.05683 12.25 0.05695 14.91
0.06632 7.89 0.06600 12.37 0.06581 14.94
0.07526 8.01 0.07491 12.43 0.07475 14.98
0.08399 8.07 0.08372 12.48 0.08339 15.03
0.09250 8.14 0.09235 12.54 0.09180 15.08
0.10093 8.20 0.10078 12.61 0.10011 15.11
0.10901 8.26 0.10917 12.68 0.10834 15.15
0.11700 8.33 0.11711 12.72 0.11639 15.18
0.12489 8.41 0.12493 12.77 0.12422 15.23
0.13253 8.47 0.13269 12.82 0.13209 15.26
0.14038 8.54 0.14030 12.89 0.13973 15.31

­­­Table 5: Conductivity of NafNa + water + glucose system with different concentration of electrolytes. 

NafNa + water +0.1mol/Kg glucose NafNa +water+0.3 mol/Kg glucose NafNa +water+0.5mol/Kg glucose
Concentration of NafNa, C (molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C (molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C (molKg-1) Specific Conductivity(mScm-1)
0.00978 0.011 0.00000 0.190 0.00000 0.190
0.01958 0.361 0.00735 0.473 0.00735 0.473
0.02918 0.701 0.00819 0.505 0.00819 0.505
0.04038 1.051 0.01635 0.819 0.01635 0.819
0.05337 1.391 0.02448 1.132 0.02448 1.132
0.06590 1.721 0.03262 1.445 0.03262 1.445
0.07720 2.071 0.04180 1.798 0.04180 1.798
0.09256 2.421 0.05135 2.166 0.05135 2.166
0.10637 2.771 0.06119 2.544 0.06119 2.544
0.12117 3.010 0.07137 2.936 0.07137 2.936
0.13573 3.240 0.08186 3.340 0.08186 3.340
0.14616 3.480 0.09346 3.590 0.09346 3.590
0.15858 3.720 0.10454 3.850 0.10454 3.850
0.16897 3.950 0.11857 4.090 0.11857 4.090
0.18205 4.190 0.12736 4.360 0.12736 4.360
0.19753 4.420 0.13840 4.610 0.13840 4.610
0.20826 4.660 0.16024 5.120 0.16024 5.120
0.22137 4.910 0.18262 5.620 0.18262 5.620
0.23619 5.140 0.20412 6.100 0.20412 6.100
0.24886 5.380 0.22344 6.590 0.22344 6.590
0.25922 5.610 0.24394 7.110 0.24394 7.110
0.00978 0.011 0.26487 7.610 0.26487 7.610
0.01958 0.361 0.28052 8.090 0.28052 8.090
0.02918 0.701 0.29997 8.590 0.29997 8.590

Table 6: Conductivity of NafNa + water + fructose system with different concentration of electrolytes  

NafNa+water+0.1mol/kg Fructose NafNa +water+0.3mol/kg Fructose NafNa +water+0.5mol/kg Fructose
Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1) Concentration of NafNa, C(molKg-1) Specific Conductivity(mScm-1)
0.00000 0.2701 0.00738 0.126 0.00770 0.1480
0.01599 0.9060 0.00820 0.168 0.00860 0.1830
0.01773 1.0050 0.01638 0.585 0.01720 0.5200
0.02659 1.2870 0.02451 0.999 0.02575 0.8550
0.03538 1.6290 0.03266 1.414 0.03435 1.1920
0.04503 1.9880 0.04143 1.861 0.04395 1.5680
0.05494 2.4030 0.05046 2.321 0.05385 1.9560
0.06521 2.7600 0.05968 2.791 0.06395 2.3520
0.07561 3.1300 0.06902 3.240 0.07432 2.7580
0.08621 3.5000 0.07845 3.700 0.08501 3.1700
0.09691 3.8300 0.08790 4.150 0.09575 3.5600
0.10779 4.1300 0.10964 5.070 0.10680 3.9700
0.11861 4.5500 0.12057 5.530 0.11768 4.3700
0.12935 4.8200 0.13120 6.000 0.12836 4.7600
0.14004 5.1500 0.14160 6.260 0.13932 5.1600
0.16127 5.7200 0.16246 6.770 0.16055 5.5800
0.18272 6.2400 0.18365 7.270 0.18173 5.9900
0.20351 6.8400 0.20417 7.790 0.20257 6.4200
0.22387 7.3300 0.22478 8.280 0.22281 6.8400
0.24389 7.7400 0.24413 8.790 0.24317 7.2400
0.26357 8.3200 0.26354 9.290 0.26265 7.6700
0.28244 8.7900 0.28816 9.780 0.28182 8.0900
0.29998 9.1700 0.30000 8.5000

Table 7: Critical micelle concentration, CMC of NafNa in water and in water+MgCl2/CaCl2/glucose/ fructose solutions.

CMC of all systems:

Systems CMC  NafNa in water (molKg-1) α β
Nafcillin + water 0.10532 0.763069 0.23693
Concentration of MgCl2 , C (molKg-1) CMC of  NafNa in MgCl2 solution α β
0.000 0.10532 0.763069 0.23693
0.050 0.08519 0.62749 0.37250
0.075 0.07529 0.58114 0.41886
0.100 0.06619 0.49120 0.50880
Concentration of CaCl2 ,C (molKg-1) CMC of  NafNa in CaCl2 solution α β
0.000 0.10532 0.763069 0.23693
0.050 0.07039 0.53944 0.46056
0.075 0.06645 0.57864 0.42136
0.100 0.05598 0.56769 0.43231
Concentration of Glucose , C (molKg-1) CMC of  NafNa in Glucose solution α β
0.000 0.10532 0.763069 0.23693
0.100 0.08519 0.62749 0.37251
0.300 0.07681 0.62151 0.37849
0.500 0.06548 0.70593 0.29407
Concentration of Fructose , C ((molKg-1) CMC of  NafNa in Fructose solution α β
0.000 0.10532 0.763069 0.23693
0.100 0.11449 0.70613 0.29387
0.300 0.12404 0.50453 0.49547
0.500 0.13388 0.53964 0.46036
Figure 2: Conductivity, G of (a) (►-NafNa +Water ;■-NafNa +Water+MgCl2 (0.05mol/Kg); ●-NafNa +Water+MgCl2 (0.075mol/Kg);◄- NafNa +Water+MgCl2 (0.1mol/Kg).Click here to View Figure
Figure 3: Conductivities of (a) NafNa + Water, (b) NafNa + Water + MgCl2 (0.05 mol/Kg), (c) NafNa + Water + MgCl2 (0.075 mol/Kg).Click here to View Figure
Figure 4: Conductivities of (a) NafNa + Water,(b) NafNa + Water + CaCl2 (0.05 mol/Kg); (c) NafNa + Water + CaCl2 (0.075 mol/Kg), (d) NafNa + Water + CaCl2 (0.1 mol/Kg) Click here to View Figure
Figure 5: Conductivity, G of (1) (a)- NafNa +Water; (b)- NafNa +Water+Glucose (0.1mol/Kg); (c)- NafNa+Water+Glucose (0.3mol/Kg); (d)- NafNa +Water+Glucose (0.5mol/Kg) Click here to View Figure
Figure 6: Conductivities of (a) NafNa + Water, b) NafNa + Water + Glucose (0.1 mol/Kg), (c) NafNa + Water + Glucose (0.3 mol/Kg), (d) NafNa + Water + Glucose (0.5 mol/Kg).Click here to View Figure
Figure 7: Conductivities of (a) NafNa + Water, b) NafNa + Water + Fructose (0.1 mol/Kg), (c) NafNa + Water + Fructose (0.3 mol/Kg), (d) NafNa + Water + Fructose (0.5 mol/Kg) Click here to View Figure
Figure 8: CMC in NafNa + water + MgCl2/CaCl2 systems (■-represents CMC in presence of MgCl2 and ●- represents CMC in presence of CaCl2)Click here to View Figure
Figure 9: CMC in NafNa+ water + glucose/fructose systems (■-represents CMC in presence of Glucose and ●- represents CMC in presence of Fructose).Click here to View Figure

Conclusion

The Critical Micelle Concentration of Nafcillin Sodium Monohydrate in aqueous, aqueous electrolytes (CaCl2, MgCl2) and non-electrolytes (glucose and fructose) solutions was determined through conductometric method. CMC values of NafNa decrease in presence of electrolytes MgCl2 and CaCl2 systems but comparatively higher in presence of MgCl2 than CaCl2. On the other hand CMC values of NafNa decrease in presence of glucose solutions but increase in presence of fructose solution. The decrease of CMC with increasing concentration of CaCl2 and MgCl2 is due to the minimization of electrostatic repulsion among the polar head groups of NafNa in the presence of CaCl2 and MgCl2. In presence of glucose, micelle formation of NafNa is facilitated and decreases the degree of hydration of the hydrophilic group. Fructose increases the CMC value of NafNa due to disruption of water cluster structure and causing the disturbance of the micelle. For the pharmacological use of medications, NafNa micellization in an aqueous environment with electrolytes and non-electrolytes present might be beneficial. The data helps us to understand the nature of the drug-electrolytes and drug-non-electrolytes interaction. It might be crucial for better drug formulation as well as medication delivery methods.

Acknowledgment

The Chittagong University of Engineering & Technology, Bangladesh, Department of Chemistry is acknowledged by the authors for providing the funding and lab space needed to complete this research project.

Funding Sources

The author(s) received no financial support for the research, authorship, and/or publication of this article.

Conflict of Interest

The author(s) do not have any conflict of interest.

Data Availability Statement

This statement does not apply to this article.

Ethics Statement

This research did not involve human participants, animal subjects, or any material that requires ethical approval.

Informed Consent Statement

This study did not involve human participants, and therefore, informed consent was not required. 

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Article Publishing History
Received on: 28 Feb 2025
Accepted on: 24 May 2025

Article Review Details
Reviewed by: Dr. Binoj Kunjukunju
Second Review by: Dr. Majid Khan
Final Approval by: Dr. Murat Hatipoglu


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