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Effective Dose Of Intravenous Oxycodone Depending On Sex And Age For Attenuation Ofintubation-Related Hemodynamic Responses, Keum Young So, Ki Tae Jung, Bo Hyun Jang, Sang Hun Kim
Effective Dose Of Intravenous Oxycodone Depending On Sex And Age For Attenuation Ofintubation-Related Hemodynamic Responses, Keum Young So, Ki Tae Jung, Bo Hyun Jang, Sang Hun Kim
Turkish Journal of Medical Sciences
Background/aim: Preoperative intravenous oxycodone may help to prevent or attenuate intubation-related hemodynamic responses (IRHRs), but its pharmacokinetics differs according to age and sex. Therefore, we investigated the 95% effective dose (ED95) of intravenous oxycodone for attenuating all IRHRs, depending on the age and sex of the study population. Materials and methods: All patients were allocated to one of 6 groups: 1) 20-40 year old males, 2) 41-65yearold males, 3) 66-80 year old males, 4) 20-40 year old females, 5) 41-65yearold females, and 6) 66-80 year old females (groups YM, OM, EM, YF, OF, and EF, respectively). Using Dixon's up-and-down method, …
Can Urinary Biomarkers Predict Acute Kidney Injury In Newborns With Critical Congenitalheart Disease?, Özgün Uygur, Özge Altun Köroğlu, Reşi̇t Ertürk Levent, Eser Sözmen, Firat Ergi̇n, Yüksel Atay, Mehmet Yalaz, Mete Akisü, Ni̇lgün Kültürsay
Can Urinary Biomarkers Predict Acute Kidney Injury In Newborns With Critical Congenitalheart Disease?, Özgün Uygur, Özge Altun Köroğlu, Reşi̇t Ertürk Levent, Eser Sözmen, Firat Ergi̇n, Yüksel Atay, Mehmet Yalaz, Mete Akisü, Ni̇lgün Kültürsay
Turkish Journal of Medical Sciences
Background/aim: Congenital heart disease (CHD) is the most common congenital malformation group and is the leading cause of newborn mortality in developed countries. Most of the infants with CHD develop preoperative or postoperative acute kidney injury (AKI). Acute kidney injury may develop before the serum creatinine rise and oliguria. Urinary biomarkers such as kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), interleukin (IL)-18, and cystatin C may predict AKI in patients with critical CHD (CCHD) before the serum creatinine rise. In this study, we aimed to determine the AKI incidence among newborn patients with CCHD and investigate the predictivity of …
The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege
The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege
Turkish Journal of Medical Sciences
Background/aim: Programmed death ligand-1 (PD-L1) is a predictive marker for immunotherapeutic agents. However, heterogeneous staining of PD-L1 can cause false-negative results. The aim of this study is to evaluate the importance of histological patterns on PD-L1 staining heterogeneity in lung adenocarcinomas (LAC). Materials and methods: PD-L1 immunohistochemistry (IHC) stain was performed to two different tissue cores of 128 LAC cases, and cut-off values are given for grouping the cases according to the percentage of staining (1%-10%, 11%-49%, 50%-100%). Staining rates between cores were compared and analyzed by their histological patterns. Also, the relation of the PD-L1 expression with the clinicopathological …
Validation Of The Nosas Score For Screening Sleep-Disordered Breathing: A Sleep Clinicbasedstudy In Turkey, Burcu Oktay Arslan, Zeynep Zeren Uçar, Özgür Batum, Mehmet Nurullah Orman
Validation Of The Nosas Score For Screening Sleep-Disordered Breathing: A Sleep Clinicbasedstudy In Turkey, Burcu Oktay Arslan, Zeynep Zeren Uçar, Özgür Batum, Mehmet Nurullah Orman
Turkish Journal of Medical Sciences
Background/aim: The NoSAS score is a new tool for the identification of high-risk patients for sleep-disordered breathing (SDB). The aim of this study was to validate the NoSAS score in a sleep clinical population in Turkey and compare its performance with the Epworth Sleepiness Scale (ESS), STOP-Bang, and Berlin questionnaires for high-risk SDB. Materials and methods: This was a retrospective study. Patients who had a full-night PSG examination between 01.03.2017 and 01.01.2018 at the sleep center of our hospital were included in the study. Demographic characteristics, anthropometrics measurements, ESS, STOP-Bang, and Berlin scores were collected from the existing data of …
Galectin-3: Can It Be A Diagnostic Tool For Pneumonia In Covid-19 Patients?, Emi̇ne Kartal Baykan, Engi̇n Şebi̇n, Ömer Karaşahi̇n, Ahmed Rami̇z Baykan, Serkan Cerrah, Hasan Göğebakan, Can Sevi̇nç, Mustafa Kahraman, Yasemi̇n Coşkun Yavuz
Galectin-3: Can It Be A Diagnostic Tool For Pneumonia In Covid-19 Patients?, Emi̇ne Kartal Baykan, Engi̇n Şebi̇n, Ömer Karaşahi̇n, Ahmed Rami̇z Baykan, Serkan Cerrah, Hasan Göğebakan, Can Sevi̇nç, Mustafa Kahraman, Yasemi̇n Coşkun Yavuz
Turkish Journal of Medical Sciences
Background/aim: Biochemical markers are needed to show lung involvement in COVID-19 disease. Galectin-3 is known to play a key role in the inflammation and fibrosis process. We aimed to evaluate the predictive role of galectin-3 levels for pneumonia in patients with COVID-19. Materials and methods: Total of 176 patients with COVID-19, confirmed with reverse transcriptase polymerase chain reaction, admitted to the Erzurum Regional Training and Research Hospital was analyzed. The study was designed as a cross sectional. The baseline data of laboratory examinations, including galectin-3 were collected at the time of diagnosis. CT images evaluated by a single radiologist according …
Assessment Of Diagnostic Value Of Preoperative Elastography In Thyroid Nodules Havingindeterminate Cytology Results, Beki̇r Uçan, Mustafa Şahi̇n, Bi̇nnur Önal, Muhammed Kizilgül, Hakan Düğer, Muhammed Erkam Sencar, Erman Çakal, Mustafa Özbek
Assessment Of Diagnostic Value Of Preoperative Elastography In Thyroid Nodules Havingindeterminate Cytology Results, Beki̇r Uçan, Mustafa Şahi̇n, Bi̇nnur Önal, Muhammed Kizilgül, Hakan Düğer, Muhammed Erkam Sencar, Erman Çakal, Mustafa Özbek
Turkish Journal of Medical Sciences
Background/aim: The management of nodules with indeterminate cytology [atypia of undetermined significance (AUS), follicular lesion of undetermined significance (FLUS), follicular neoplasm (FN), suspicious for a follicular neoplasm (SFN), and suspicious for malignancy (SM)] results is controversial. To assess the role of the elastography technique in the diagnosis of malignancy in the subtypes of indeterminate thyroid nodules. Materials and methods: We included 132 patients with indeterminate cytology who underwent thyroid surgery. Sensitivity, specificity, area under the curve, and optimal cut-off points were calculated with receiver operating characteristic (ROC) analysis for elastography score (ES) and strain index (SI). Results: Malignancy was observed …
Neuropeptide-S Affects Cognitive Impairment And Depression-Like Behavior On Mptpinduced Experimental Mouse Model Of Parkinson?S Disease, Ayşe Özkan, Mehmet Bülbül, Nari̇n Deri̇n, Osman Si̇nen, Güven Akçay, Hande Parlak, Mutay Aydin Aslan, Aysel Ağar
Neuropeptide-S Affects Cognitive Impairment And Depression-Like Behavior On Mptpinduced Experimental Mouse Model Of Parkinson?S Disease, Ayşe Özkan, Mehmet Bülbül, Nari̇n Deri̇n, Osman Si̇nen, Güven Akçay, Hande Parlak, Mutay Aydin Aslan, Aysel Ağar
Turkish Journal of Medical Sciences
Background/aim: The present study proposes to investigate the effect of neuropeptide-S (NPS) on cognitive functions and depressionlike behavior of MPTP-induced experimental model of Parkinson's disease (PD). Materials and methods: Three-month-old C57BL/6 mice were randomly divided into three groups as; Control, Methyl-4-phenyl1,2,3,6-tetrahydropyridine (MPTP) and MPTP + NPS 0.1 nmol (received intraperitoneal injection of MPTP and intracerebroventricular injection of NPS, 0.1 nmol for seven days). The radial arm maze and pole tests were carried out, and the levels of tyrosine hydroxylase (TH) were determined using western blotting. A mass spectrometer was used to measure the levels of dopamine, glutamic acid, and glutamine. …
How Does Rerupture Affect Sleep And Quality Of Life In Patients Undergoing Arthroscopicrotator Cuff Repair?, İzzet Bi̇ngöl, Vedat Bi̇çi̇ci̇
How Does Rerupture Affect Sleep And Quality Of Life In Patients Undergoing Arthroscopicrotator Cuff Repair?, İzzet Bi̇ngöl, Vedat Bi̇çi̇ci̇
Turkish Journal of Medical Sciences
Background/aim: Sleep disturbance and related improvement in quality of life as a result of arthroscopic repair in rotator cuff tear (RCT) patients can be considered as an important parameter. The aim of our study is to evaluate the rotator cuff by ultrasonography (USG) in the first postoperative year and to examine whether there is a difference between sleep disturbance and quality of life between cases of rupture and healthy patients. In addition, we aim to compare the preoperative and at least the first postoperative year's sleep disturbances and quality of life among patients who underwent arthroscopic RCT repair and to …
Determinants Of Remission In A Case Series Of Medullary Thyroid Carcinoma, Tuğçe Apaydin, Eren İmre, Di̇lek Yavuz
Determinants Of Remission In A Case Series Of Medullary Thyroid Carcinoma, Tuğçe Apaydin, Eren İmre, Di̇lek Yavuz
Turkish Journal of Medical Sciences
Background/aim: We aimed to present the clinical results of patients with medullary carcinoma under follow-up in our center and to determine parameters affecting remission and lymph node metastases. Material and methods: A retrospective analysis was performed of the medical records of 27 patients with MTC who were followed up between 2004 and 2020. Results: The mean age at diagnosis was 47.7 ± 14 years. The mean follow-up was 7.29 ± 4.9 years. Metastatic neck lymphadenopathy was detected in eight (29.6%) patients; none had distant metastasis at the time of diagnosis. The median tumor diameter was 1.50 (range: 0.4-6) cm. The …
Nondamaging Retinal Laser Therapy In Recurrent Diabetic Macular Edema After Antivegf Injections, Mehmet Çitirik
Nondamaging Retinal Laser Therapy In Recurrent Diabetic Macular Edema After Antivegf Injections, Mehmet Çitirik
Turkish Journal of Medical Sciences
Background/aim: Subthreshold yellow nondamaging retinal laser therapy (NRT) could provide a greater safety profile when compared to conventional laser methods. NRT may also improve diabetic macular edema (DME). This study aims to assess whether the severity of DME affects the efficacy of subthreshold yellow NRT. Materials and methods: The study included 70 eyes that had previously been treated with ranibizumab for DME and then developed recurrent macular edema, which was treated with NRT once. The central foveal thickness (CFT) and best-corrected visual acuity (BCVA) were evaluated retrospectively 2 months following the NRT. The eyes in the study were divided into …
Turkey's Response To Covid-19 Pandemic: Strategy And Key Actions, Gülşen Barlas, Harun Öztürk, Gülen Pehli̇vantürk, Sabahatti̇n Aydin
Turkey's Response To Covid-19 Pandemic: Strategy And Key Actions, Gülşen Barlas, Harun Öztürk, Gülen Pehli̇vantürk, Sabahatti̇n Aydin
Turkish Journal of Medical Sciences
COVID-19 emerged at the end of 2019 in Wuhan, China, and spread rapidly around the world causing many deaths. Due to the intercontinental escalation in the epidemic, while WHO declared a pandemic on March 11, 2020, our country's first case was diagnosed. Before this, the MoH established the Operations Center against possible risks regarding the Pandemic Influenza Preparedness Plan on January 10, 2020 and formed the Scientific Committee, which has a critical importance in epidemic management. National and Provincial Pandemic Coordination Boards were established within the scope of this plan. Fast, effective and frequently updated decisions were implemented. The epidemic …
Going Back To Normal, But How? Re-Opening Policies And The Standards For A New Normal, Levent Akin
Going Back To Normal, But How? Re-Opening Policies And The Standards For A New Normal, Levent Akin
Turkish Journal of Medical Sciences
Governments implemented to nonpharmacological methods and various limitation policies such as closing nonessential businesses, schools and limiting group gatherings, promoting social distancing, use of personal protective equipment, advising staying at home. These policies have caused various problems in social and economic life and gradual increase in psychosocial well-being problems. All societies yearningly are waiting for the COVID-19 pandemic to be brought under control and the measures to be lifted in order to return to their previous lives. Indicators are needed to assess the burden of disease in the country while lifting measures to control the COVID-19 pandemic. When using these …
Managing Life During The Pandemic: Communication Strategies, Mental Health, And Theultimate Toll Of The Covid-19, Mehmet Hakan Türkçapar, Yasemi̇n Kahya, Tuğba Çapar Taşkesen, Hati̇ce Işik
Managing Life During The Pandemic: Communication Strategies, Mental Health, And Theultimate Toll Of The Covid-19, Mehmet Hakan Türkçapar, Yasemi̇n Kahya, Tuğba Çapar Taşkesen, Hati̇ce Işik
Turkish Journal of Medical Sciences
Background/aim: The purpose of this review was to present the ultimate toll of the COVID-19 pandemic by focusing on the communication strategies and mental health. Materials and methods: We unsystematically reviewed the studies published between 2020 and 2021 from databases such as Google Scholar, Web of Science and ScienceDirect. Firstly, "new-normal" life challenges during the pandemic were discussed along with the public risk communication strategies. Later, mental health problems, posttraumatic growth, and protective factors were reviewed. Results: Literature highlighted that individuals mainly experience COVID-19 related fear, anxiety, stress, negative emotions and sleep problems. Furthermore, the rates of clinically significant depression, …
Covid-19 And Sepsis, Zeli̇ha Koçak Tufan, Bi̇rcan Kayaaslan, Mervyn Mer
Covid-19 And Sepsis, Zeli̇ha Koçak Tufan, Bi̇rcan Kayaaslan, Mervyn Mer
Turkish Journal of Medical Sciences
The COVID-19 pandemic has created a major alteration in the medical literature including the sepsis discussion. From the outset of the pandemic, various reports have indicated that although there are some unique features pertinent to COVID-19, many of its acute manifestations are similar to sepsis caused by other pathogens. As a consequence, the old definitions now require consideration of this new etiologic agent, namely SARS-CoV-2. Although the pathogenesis of COVID-19 has not been fully explained, the data obtained so far in hospitalized patients has revealed that serum cytokine and chemokine levels are high in severe COVID-19 patients, similar to those …
Turkish Reliability And Validity Study Of The Medical Outcomes Study (Mos) Sleep Scale Inpatients With Obstructive Sleep Apnea, Bülent Devri̇m Akçay, Duygu Akçay, Si̇nan Yetki̇n
Turkish Reliability And Validity Study Of The Medical Outcomes Study (Mos) Sleep Scale Inpatients With Obstructive Sleep Apnea, Bülent Devri̇m Akçay, Duygu Akçay, Si̇nan Yetki̇n
Turkish Journal of Medical Sciences
Background/aim: The purpose of the present study was to evaluate the Turkish reliability and validity of the medical outcomes study (MOS) sleep scale in patients who have obstructive sleep apnea. Materials and methods: The data of the study were collected from 120 adult patients with obstructive sleep apnea and from 90 healthy individuals between March 04 and May 31, 2019. Results: The Cronbach's α internal consistency reliability coefficient of the MOS sleep scale was found as 0.82. The test-retest reliability was acceptable (r = 0.76-0.94). Six factors were identified by the factor analysis. These were the same as those in …
Dopamine Transporter Spect Imaging In Parkinson's Disease And Parkinsoniandisorders, Ümi̇t Özgür Akdemi̇r, Hati̇ce Ayşe Tokçaer Bora, Lütfi̇ye Özlem Atay
Dopamine Transporter Spect Imaging In Parkinson's Disease And Parkinsoniandisorders, Ümi̇t Özgür Akdemi̇r, Hati̇ce Ayşe Tokçaer Bora, Lütfi̇ye Özlem Atay
Turkish Journal of Medical Sciences
The dopamine transporter (DAT) imaging provides an objective tool for the assessment of dopaminergic function of presynaptic terminals which is valuable for the differential diagnosis of parkinsonian disorders related to a striatal dopaminergic deficiency from movement disorders not related a striatal dopaminergic deficiency. DAT imaging with single-photon emission computed tomography (SPECT) can be used to confirm or exclude a diagnosis of dopamine deficient parkinsonism in cases where the diagnosis is unclear. It can also detect the dopaminergic dysfunction in presymptomatic subjects at risk for Parkinson's disease (PD) since the reduced radiotracer binding to DATs in striatum is already present in …
Factors Influencing Anterior/Low Anterior Resection Syndrome After Rectal Or Sigmoidresections, Sami̇ Benli̇, Tahsi̇n Çolak, Mehmet Özgür Türkmenoğlu
Factors Influencing Anterior/Low Anterior Resection Syndrome After Rectal Or Sigmoidresections, Sami̇ Benli̇, Tahsi̇n Çolak, Mehmet Özgür Türkmenoğlu
Turkish Journal of Medical Sciences
Background/aim: Sphincter-preserving surgery is one of the main goals in the treatment of rectal cancer because it improves the quality of life (QoL). However, some patients may experience disrupted symptoms called anterior or low anterior resection syndrome (LARS). This study was designed to evaluate the frequency and influencing factors of LARS in patients who underwent sigmoid or rectal resection. Materials and methods: In this retrospective, clinical study, patients who underwent rectal or sigmoid resection and anastomosis due to any benign and malignant reasons were evaluated in terms of LARS between January 2010 and November 2019 at Medical Faculty Hospital of …
Basal And Pentagastrin-Stimulated Calcitonin Cut-Off Values In Diagnosis Of Preoperativemedullary Thyroid Cancer, Emi̇ne Kartal Baykan, Mehmet Erdoğan
Basal And Pentagastrin-Stimulated Calcitonin Cut-Off Values In Diagnosis Of Preoperativemedullary Thyroid Cancer, Emi̇ne Kartal Baykan, Mehmet Erdoğan
Turkish Journal of Medical Sciences
Background/aim: Medullary thyroid cancer (MTC) originates from parafollicular cells (C cell) and produces calcitonin (CT). Basal serum CT was used in the diagnosis and treatment of MTC. If basal CT level is 100 pg/mL or higher, it is likely to have MTC, but if basal CT level is below 10 pg/mL, the probability of developing thyroid disease is low. In cases with basal CT level between 10-100 pg/mL, pentagastrin-stimulated (PS) CT level is studied to evaluate MTC and C cell hyperplasia (CHH). This study aimed to determine cut-off value for basal and PS peak CT level for diagnosis of MTC. …
Evaluation Of Saliva Glutathione, Glutathione Peroxidase, And Malondialdehyde Levels Inhead-Neck Radiotherapy Patients, Gözde Deri̇ndağ, Hayati̇ Murat Akgül, Ahmet Kiziltunç, Hali̇l İbrahi̇m Özkan, Hi̇lal Kiziltunç Özmen, Ni̇lgün Akgül
Evaluation Of Saliva Glutathione, Glutathione Peroxidase, And Malondialdehyde Levels Inhead-Neck Radiotherapy Patients, Gözde Deri̇ndağ, Hayati̇ Murat Akgül, Ahmet Kiziltunç, Hali̇l İbrahi̇m Özkan, Hi̇lal Kiziltunç Özmen, Ni̇lgün Akgül
Turkish Journal of Medical Sciences
Background/aim: It is believed that radiotherapy has important effects on oxidant/antioxidant systems. Oxidative stress occurs when the balance between oxidant formation and antioxidant defense is disrupted in favor of oxidants. The aim of this study was to determine the biochemical changes in saliva pre- and postradiotherapy in head-neck radiotherapy patients and to find out the effects of radiation on glutathione (GSH), glutathione peroxidase (GSH-Px), and malondialdehyde (MDA) levels in saliva. Materials and methods: This study included 16 patients undergoing head-neck radiotherapy in Atatürk University Research Hospital. The levels of GSH, GSH-Px, and MDA were measured in saliva samples taken from …
Investigation Of The Expression Levels Of Cpeb4, Apc, Trip13, Eif2s3, Eif4a1, Ifng,Pik3ca And Ctnnb1 Genes In Different Stage Colorectal Tumors, Zafer Söylemez, Evri̇m Suna Arikan, Mustafa Solak, Yüksel Arikan, Çi̇ğdem Tokyol, Hüseyi̇n Şeker
Investigation Of The Expression Levels Of Cpeb4, Apc, Trip13, Eif2s3, Eif4a1, Ifng,Pik3ca And Ctnnb1 Genes In Different Stage Colorectal Tumors, Zafer Söylemez, Evri̇m Suna Arikan, Mustafa Solak, Yüksel Arikan, Çi̇ğdem Tokyol, Hüseyi̇n Şeker
Turkish Journal of Medical Sciences
Background/aim: The aim of the study is to assess expression levels of CPEB4, APC, TRIP13, EIF2S3, EIF4A1, IFNg, PIK3CA and CTNNB1 genes in tumors and peripheral bloods of colorectal cancer patients in stages I-IV. Materials and methods: The mRNA levels of the genes were determined in tumor tissues and peripheral blood samples of 45 colorectal cancer patients and colon tissues and peripheral blood samples of 5 healthy individuals. Real-time polymerase chain reaction method was used for the analysis. Results: The mRNA level of the CPEB4 gene was significantly downregulated in colorectal tumor tissues and was upregulated in the peripheral blood …
Assessment And Prevalence Of Concomitant Chemo-Radiotherapy-Induced Oral Mucositisin Patients With Oral Squamous Cell Carcinoma, Sadia Minhas, Aneequa Sajjad, Rabia Chaudhry, Hamza Zahid, Azfar Shahid, Muhammad Kashif
Assessment And Prevalence Of Concomitant Chemo-Radiotherapy-Induced Oral Mucositisin Patients With Oral Squamous Cell Carcinoma, Sadia Minhas, Aneequa Sajjad, Rabia Chaudhry, Hamza Zahid, Azfar Shahid, Muhammad Kashif
Turkish Journal of Medical Sciences
Background/aim: Quantification of oral mucositis that progresses during concomitant chemo-radiotherapy (CCRT) is essential for its management. It is important to determine the methods that are simple, reliable and beneficial in foreseeing mucositis at earlier stages of treatment. Materials and methods: A prospective study was conducted on 100 oral cancer patients receiving CCRT following the inclusion criteria. Patients were evaluated for mucositis i.e. erythema and ulcers by using the World Health Organization (WHO) scale and the oral mucositis assessment scale (OMAS), whereas mature and immature cells were identified by exfoliative cytology. Clinical examination and procedure of oral cavity were performed before, …
The Prognostic Value Of Fat Necrosis Deposits On Ct Imaging In Acute Pancreatitis, Şehnaz Evri̇mler, Münteha Çakmakçi, Adnan Karai̇brahi̇moğlu, Mustafa Kayan
The Prognostic Value Of Fat Necrosis Deposits On Ct Imaging In Acute Pancreatitis, Şehnaz Evri̇mler, Münteha Çakmakçi, Adnan Karai̇brahi̇moğlu, Mustafa Kayan
Turkish Journal of Medical Sciences
Background/aim: Investigate the prognostic value of the fat necrosis deposit (FND) pattern in acute pancreatitis. Materials and methods: The contrast-enhanced computed tomography (CT) images of 35 necrotizing pancreatitis (NP) and 51 edematous pancreatitis (EP) cases were included in our retrospective study. Computed tomography severity index (CTSI) and Ranson scores were calculated. Images were evaluated for FND, complications (infection/ hemorrhage), walled-off necrosis (WON), and venous thrombosis (VT). We developed a new grading system called fat necrosis deposit-CTSI (FND-CTSI), which was the sum of FND and CTSI scores. The relationship between grading systems and mortality, length of hospital-intensive care unit stay, surgical …
Rituximab Treatment For Difficult-To-Treat Nephrotic Syndrome In Children:A Multicenter, Retrospective Study, Mehmet Taşdemi̇r, Nur Canpolat, Nurdan Yildiz, Gül Özçeli̇k, Meryem Benzer, Seha Kami̇l Saygili, Emi̇ne Neşe Özkayin, Özde Ni̇sa Türkkan, Ayşe Balat, Cengi̇z Candan, Mehtap Çelakil, Sevgi̇ Yavuz, Nurver Akinci, Ni̇lüfer Göknar, Ci̇hangi̇r Akgün
Rituximab Treatment For Difficult-To-Treat Nephrotic Syndrome In Children:A Multicenter, Retrospective Study, Mehmet Taşdemi̇r, Nur Canpolat, Nurdan Yildiz, Gül Özçeli̇k, Meryem Benzer, Seha Kami̇l Saygili, Emi̇ne Neşe Özkayin, Özde Ni̇sa Türkkan, Ayşe Balat, Cengi̇z Candan, Mehtap Çelakil, Sevgi̇ Yavuz, Nurver Akinci, Ni̇lüfer Göknar, Ci̇hangi̇r Akgün
Turkish Journal of Medical Sciences
Background/aim: This study aimed to evaluate the efficacy of rituximab in children with difficult-to-treat nephrotic syndrome, considering the type of disease (steroid-sensitive or -resistant) and the dosing regimen. Materials and methods: This multicenter retrospective study enrolled children with difficult-to-treat nephrotic syndrome on rituximab treatment from 13 centers. The patients were classified based on low (single dose of 375 mg/m2 ) or high (2-4 doses of 375 mg/m2 ) initial dose of rituximab and the steroid response. Clinical outcomes were compared. Results: Data from 42 children [20 steroid-sensitive (frequent relapsing / steroid-dependent) and 22 steroid-resistant nephrotic syndrome, aged 1.9-17.3 years] were …
Association Between Active Pulmonary Tuberculosis And Circulating Micrornas: Apreliminary Study From Turkey, Fatma Kalayci Yüksek, Cenk Kiğ, Medi̇ha Gönenç Ortaköylü, Meltem Uzun
Association Between Active Pulmonary Tuberculosis And Circulating Micrornas: Apreliminary Study From Turkey, Fatma Kalayci Yüksek, Cenk Kiğ, Medi̇ha Gönenç Ortaköylü, Meltem Uzun
Turkish Journal of Medical Sciences
Background/aim: Tuberculosis is a public health problem that still remains significant. For prevention, diagnosis, and treatment of tuberculosis more effective novel biomarkers are needed. MicroRNAs can regulate innate and adaptive immune responses, alter host-pathogen interactions, and affect progression of diseases. The relationship between microRNA expression and active pulmonary tuberculosis (APT) has not yet been investigated in the Turkish population. We aimed to test the potential diagnostic value of some microRNAs whose levels were previously reported to be altered in APT patients. Materials and methods: Using two different references (U6 and miR-93), we compared the expression levels of potentially important microRNAs …
Evaluating The Efficiency Of Public Policy Measures Against Covid-19, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fi̇rdevs Aktaş
Evaluating The Efficiency Of Public Policy Measures Against Covid-19, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fi̇rdevs Aktaş
Turkish Journal of Medical Sciences
The World Health Organization (WHO) declared COVID-19 as a Public Health Emergency of international concern on January 30, 2020, and a pandemic on March 11, 2020. Afterward, it spread rapidly all over the world, causing almost 4 million deaths as of June 2021. It is clear that effective preventive measures are needed in this devastating disease, which still has no cure. In addition to mask using, social distancing, and hygiene practices, which enter our lives as the most basic precautions, communities aim to reduce the effects of the COVID-19 pandemic. All over the world, the measures taken and activities performed …
Rna-Based Covid-19 Vaccine Candidates With Clinical Phase Trials In Progress, Leyla İpek Rudvan Al, Meli̇ha Çağla Sönmezer, Serhat Ünal
Rna-Based Covid-19 Vaccine Candidates With Clinical Phase Trials In Progress, Leyla İpek Rudvan Al, Meli̇ha Çağla Sönmezer, Serhat Ünal
Turkish Journal of Medical Sciences
Due to the COVID-19 infection, which was recognized as a global pandemic by the WHO on March 11, 2020, the number of cases and disease-related deaths increases day by day globally. For this reason, antiviral agents used in treatment and vaccines, the most effective weapon in prevention, continue to be the most popular topic of the plan. Several situations are expected to affect the course of the pandemic. The loss of the ability of the virus to mutate and cause disease, the fact that those who become immunized by having the disease in the society reach a critical rate and …
The Use Of High-Flow Nasal Oxygen Vs. Standard Oxygen Therapy In Hematologicalmalignancy Patients With Acute Respiratory Failure In Hematology Wards, Ni̇lgün Özlem Alpteki̇noğlu Mendi̇l, Şahi̇n Temel, Recep Ci̇van Yüksel, Kürşat Gündoğan, Bülent Eser, Leylagül Kaynar, Murat Sungur
The Use Of High-Flow Nasal Oxygen Vs. Standard Oxygen Therapy In Hematologicalmalignancy Patients With Acute Respiratory Failure In Hematology Wards, Ni̇lgün Özlem Alpteki̇noğlu Mendi̇l, Şahi̇n Temel, Recep Ci̇van Yüksel, Kürşat Gündoğan, Bülent Eser, Leylagül Kaynar, Murat Sungur
Turkish Journal of Medical Sciences
Background/aim: High flow nasal cannula (HFNC) was mostly used in intensive care units (ICUs) with few studies in other departments. We hypothesized that HFNC applied at wards is beneficial for acute respiratory failure in hematological malignancy patients. Materials and methods: The study is a single center, randomized controlled study. Inclusion criteria were hypoxemic respiratory failure and hematological malignancy. Patients were randomized to either venturi mask/nasal cannula oxygen treatment or HFNC. Results: One hundred patients were included in the study. Median age was 58.5 (18-86) years and APACHE II score was 17 (5-29). HFNC group was 51 patients and the oxygen …
Is There Any Difference Between Oral Preemptive Pregabalin Vs. Placebo Administration Onresponse To Ebus-Tbna Under Sedation?, Semi̇h Aydemi̇r, Ali̇ Alagöz, Fatma Ulus, Mehtap Tunç, Hi̇lal Sazak, Ni̇lgün Yilmaz Demi̇rci̇
Is There Any Difference Between Oral Preemptive Pregabalin Vs. Placebo Administration Onresponse To Ebus-Tbna Under Sedation?, Semi̇h Aydemi̇r, Ali̇ Alagöz, Fatma Ulus, Mehtap Tunç, Hi̇lal Sazak, Ni̇lgün Yilmaz Demi̇rci̇
Turkish Journal of Medical Sciences
Background/aim: The aim of this study is to evaluate the effects of preemptive oral pregabalin on hemodynamic response, anxiety, sedation, and recovery in patients who underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) under sedation with intravenous ketamine-propofol combination. Materials and methods: Sixty patients were included in this study, and patients were randomly divided into two equal groups to receive the placebo (Group 1) versus pregabalin 150 mg (Group 2) one hour prior to EBUS- TBNA procedure. Patients received 0.25 mg kg-1 ketamine and 0.25 mg kg-1 propofol mixture (ketofol) for sedation. Timing of the parameters was defined as follows; T0: …
The Clinical Course Of Covid-19 In Hematopoietic Stem Cell Transplantation (Hsct)Recipients, Ayşe Karataş, Ümi̇t Yavuz Malkan, Mustafa Velet, Haluk Demi̇roğlu, Yahya Büyükaşik, Gülçi̇n Telli̇ Di̇zman, Ahmet Çağkan İnkaya, Batuhan Erdoğdu, Olgu Erki̇n Çinar, Eli̇fcan Aladağ Karakulak, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Ni̇lgün Sayinalp, Hakan Göker
The Clinical Course Of Covid-19 In Hematopoietic Stem Cell Transplantation (Hsct)Recipients, Ayşe Karataş, Ümi̇t Yavuz Malkan, Mustafa Velet, Haluk Demi̇roğlu, Yahya Büyükaşik, Gülçi̇n Telli̇ Di̇zman, Ahmet Çağkan İnkaya, Batuhan Erdoğdu, Olgu Erki̇n Çinar, Eli̇fcan Aladağ Karakulak, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Ni̇lgün Sayinalp, Hakan Göker
Turkish Journal of Medical Sciences
Background/aim: The disease caused by SARS-CoV-2 was named as COVID-19. There is as yet insufficient information about the effects of HSCT on the clinical course of COVID-19. In the present study, we aimed to investigate the clinical course of COVID-19 in patients who had undergone HSCT. Materials and methods: We analyzed baseline characteristics, clinical course and findings of COVID-19, hospitalization and death rates, overall survival, and case fatality rates of HSCT recipients diagnosed with COVID-19 retrospectively. Results: 57.6% of the patients underwent AHSCT, and 42.4% underwent allo-HSCT. 60.6%, 27.3%, and 12.1% of the patients had mild, moderate, and severe COVID-19 …
Decreased Exercise Capacity, Strength, Physical Activity Level And Quality Of Life In Adultpatients With Familial Mediterranean Fever, Nurten Gi̇zem Tore, Fulden Sari̇, Devri̇m Can Saraç, Seli̇n Bayram, Hasan Satiş, Hazan Karadeni̇z, Abdurrahman Tufan, Deran Oskay
Decreased Exercise Capacity, Strength, Physical Activity Level And Quality Of Life In Adultpatients With Familial Mediterranean Fever, Nurten Gi̇zem Tore, Fulden Sari̇, Devri̇m Can Saraç, Seli̇n Bayram, Hasan Satiş, Hazan Karadeni̇z, Abdurrahman Tufan, Deran Oskay
Turkish Journal of Medical Sciences
Background: Familial Mediterranean fever (FMF) is a systemic autoinflammatory disease that causes recurrent attacks of fever, polyserositis, arthritis or skin eruptions, resulting in pain in the abdomen, muscles, joints and chest. All of these might lead to a reduction in exercise capacity, muscle strength, physical activity level (PAL) and quality of life (QoL). Therefore, assesment of these parameters are important. The aim of this study was to assess exercise capacity, muscle strength, PAL, and QoL in patients with FMF as compared to controls. Materials and methods: A total of 40 subjects with FMF and 36 healthy control subjects participated in …