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Comparison Of Quality Of Life In Hepatitis B Virus Carriers Versus Chronic Hepatitis B Virus Carriers Versus The Normal Population, Meltem Işikgöz Taşbakan, Özen Önen Sertöz, Hüsnü Pullukçu, Şebnem Çalik, Oğuz Reşat Si̇pahi̇, Tansu Yamazhan
Comparison Of Quality Of Life In Hepatitis B Virus Carriers Versus Chronic Hepatitis B Virus Carriers Versus The Normal Population, Meltem Işikgöz Taşbakan, Özen Önen Sertöz, Hüsnü Pullukçu, Şebnem Çalik, Oğuz Reşat Si̇pahi̇, Tansu Yamazhan
Turkish Journal of Medical Sciences
To compare health related quality of life (HRQOL) in hepatitis B virus (HBV) carriers versus chronic HBV disease carriers versus the normal population. Materials and methods: The study sample consisted of 2 groups. HBV carriers were recruited from individuals who were regularly followed-up at the Infectious Diseases and Clinical Microbiology outpatient clinic of our setting due to inactivity in HBV infection. The control group was recruited from the same outpatient clinic among patients who had a diagnosis of chronic HBV infection and who were not undergoing active treatment yet. Both groups were requested to fill in the short form 36 …
Chronic Pain And Depression: A Descriptive Survey Among Adult Primary Health Care Centre Patients, Nüket Paksoy Erbaydar, Nesri̇n Çi̇li̇ngi̇roğlu
Chronic Pain And Depression: A Descriptive Survey Among Adult Primary Health Care Centre Patients, Nüket Paksoy Erbaydar, Nesri̇n Çi̇li̇ngi̇roğlu
Turkish Journal of Medical Sciences
Knowledge of chronic pain and its relationship to depression among primary health care patients in Turkey is inadequate. The aim of this study was to evaluate the frequency of chronic pain and its relationship to depression. Materials and methods: In this descriptive study, data was collected with a questionnaire based on sociodemographic and pain-related characteristics, which was administered to a study population (n = 259) of primary care patients, 18-64 years old. The Visual Analogue Scale (VAS) (min-max = 0-10) and Beck Depression Inventory (BDI) (min-max = 0-63) were used for the assessment of pain severity and depression. Results: Of …
Effect Of L-Carnitine On Diabetic Neuropathy And Ventricular Dispersion In Patients With Diabetes Mellitus, Hizir Ulvi̇, Recep Aygül, Recep Demi̇r
Effect Of L-Carnitine On Diabetic Neuropathy And Ventricular Dispersion In Patients With Diabetes Mellitus, Hizir Ulvi̇, Recep Aygül, Recep Demi̇r
Turkish Journal of Medical Sciences
Diabetes is a common cause of polyneuropathy. Cardiac arrhythmias and markedly increased mortality rate have been demonstrated in patients with diabetic neuropathy and also demonstrated that abnormally prolonged QT dispersion interval (QTd) is associated with a higher risk of ventricular arrhythmias and sudden death. We investigated the efficacy and tolerability of L-carnitine (LC) in the treatment of diabetic neuropathy and ventricular dispersion, mainly by evaluating the effects of treatment on electrophysiological parameters. Materials and methods: We recruited 30 patients with type I or type II diabetes (mean age: 60 ± 9 years, range: 36-75; 18 males, 12 females) meeting clinical …
Small-For-Gestational-Age Newborns Need A Special Fluid Therapy Strategy, Alparslan Tonbul, Cüneyt Tayman, Ahmet Karadağ, Hali̇se Akça, Nurdan Uras, Mustafa Mansur Tatli
Small-For-Gestational-Age Newborns Need A Special Fluid Therapy Strategy, Alparslan Tonbul, Cüneyt Tayman, Ahmet Karadağ, Hali̇se Akça, Nurdan Uras, Mustafa Mansur Tatli
Turkish Journal of Medical Sciences
To determine the fluid requirement of small-for-gestational-age (SGA) newborns and to compare them with that of appropriate for gestational age (AGA) newborns in the first 5 days of life. Materials and methods: The present study was conducted from January 2007 to August 2007, including newborns with a gestation age of 32-40 weeks, with respiratory problems, feeding problems, and prematurity, and required intravenous fluid for at least 3 days. Two study groups were established: SGA (group 1) and AGA (group 2) according to the Lubchenco scale. All newborns were cared at an ambient humidity of 40% in an incubator and received …
Psychological Characteristics Of Adolescent Suicide Attempters Presenting To A Pediatric Emergency Service, Di̇lek Di̇lli̇, Yildiz Dallar, İlyas Çakir
Psychological Characteristics Of Adolescent Suicide Attempters Presenting To A Pediatric Emergency Service, Di̇lek Di̇lli̇, Yildiz Dallar, İlyas Çakir
Turkish Journal of Medical Sciences
To determine the sociodemographic and behavioral characteristics of adolescents who attempt suicide and evaluate them by different scales. Materials and methods: The study was conducted with 116 adolescent suicide attempters and 98 age-matched healthy controls. Results: The mean age of all adolescents was 13.8 ± 1.2 years, with ages ranging from 11 to 16 years. Of these adolescents, 82.7% were girls. The total Suicide Probability Scale score was negatively correlated with the total Reasons for Living Inventory (r = -0.42, P = 0.001) and positively correlated with the Problem Solving Inventory score, which is indicative of low problem-solving capabilities (r …
Serum Leptin, Lipoprotein Levels, And Glucose Homeostasis Between National Wrestlers And Sedentary Males, Faruk Yamaner, Taner Bayraktaroğlu, Hulusi̇ Atmaca, Mehmet Aki̇f Zi̇yagi̇l, Kemal Tamer
Serum Leptin, Lipoprotein Levels, And Glucose Homeostasis Between National Wrestlers And Sedentary Males, Faruk Yamaner, Taner Bayraktaroğlu, Hulusi̇ Atmaca, Mehmet Aki̇f Zi̇yagi̇l, Kemal Tamer
Turkish Journal of Medical Sciences
Leptin is an important controller of the size of fat stores by inhibiting appetite. In wrestling, fat metabolism is important not only for aerobic energy system, but also for weight control and weight loss before competition. The aim of this study was to measure and compare the serum leptin levels, glucose homeostasis, and serum lipoproteins between Turkish national wrestlers and sedentary males. Materials and methods: Forty-five Turkish national wrestlers at the end of Olympic training camp before Beijing 2008 Olympic Games and 43 sedentary students were selected as subjects. Post-exercise levels of serum leptin, HOMA (Homeostasis model assessment) values, triglycerides, …
Serum Prolidase Activity In Patients With Degenerative And Rheumatic Heart Valve Diseases, Murat Bülent Rabuş, Recep Demi̇rbağ, Yusuf Sezen, Mehmet Taşar, Abdullah Taşkin, Nurten Aksoy, Kaan Kirali̇, Cevat Yakut
Serum Prolidase Activity In Patients With Degenerative And Rheumatic Heart Valve Diseases, Murat Bülent Rabuş, Recep Demi̇rbağ, Yusuf Sezen, Mehmet Taşar, Abdullah Taşkin, Nurten Aksoy, Kaan Kirali̇, Cevat Yakut
Turkish Journal of Medical Sciences
It is known that renin-angiotensin system, inflammation, signaling pathways, and genetic predisposition play a major role in the pathogenesis of heart valve disease. Scarring and collagen deposition in the valves and destruction of myocytes may result from the combined effects of rheumatic and degenerative process in heart valve diseases. Prolidase plays an important role in collagen metabolism, matrix remodeling and cell growth. The aim of the study was to comparatively assess the serum prolidase activity in rheumatic and degenerative heart valve diseases. Materials and methods: The study included 26 patients who had undergone valve replacement due to rheumatic etiology (Group …
Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand
Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand
Turkish Journal of Medical Sciences
Disturbances in the plasma sodium level in patients with severe brain injury (SBI) is not a rare phenomenon and may cause adverse effects on prognosis and treatment outcomes. The knowledge of the prevalence of risk factors helps in early detection and good management of the serum sodium level disturbance. Materials and methods: This is a prospective clinical trial double blind study. The target population included patients with SBI who had disturbances in their plasma sodium level and were admitted at the ICU of Kashani Hospital, Isfahan, Iran, between January and October 2006. The patients with renal insufficiency, diuretic therapy, massive …
The Association Of Tafi (Thrombin-Activatable Fibrinolysis Inhibitor) With Insulin Resistance And Components Of Metabolic Syndrome In Patients With Metabolic Syndrome, Alev Kural, Ahmet Omma, Hati̇ce Seval, Maci̇t Koldaş, Namik Yi̇ği̇t, Tülay Omma
The Association Of Tafi (Thrombin-Activatable Fibrinolysis Inhibitor) With Insulin Resistance And Components Of Metabolic Syndrome In Patients With Metabolic Syndrome, Alev Kural, Ahmet Omma, Hati̇ce Seval, Maci̇t Koldaş, Namik Yi̇ği̇t, Tülay Omma
Turkish Journal of Medical Sciences
To investigate the association of TAFI with components of metabolic syndrome and insulin resistance in patients with metabolic syndrome. Materials and methods: Patients between 20 and 70 years of age, who met at least 3 of the metabolic syndrome criteria, and had no known coronary artery disease were included in the study. The control group consisted of 20 healthy subjects with demographic characteristics similar to the patients. Fasting blood glucose, HbA1c, lipid profile, insulin, microalbumin, and TAFI Ag levels were investigated in the patients and controls. Insulin resistance was calculated according to the HOMA-IR [(fasting plasma insulin (\muIU/ml) x fasting …
Dermatoglyphics As Markers Of Prenatal Disturbances In Schizophrenia: A Case-Control Study, Bi̇rsen Özyurt, Ahmet Songur, Mustafa Sarsilmaz, Ömer Akyol, Mustafa Namli, Reha Demi̇rel
Dermatoglyphics As Markers Of Prenatal Disturbances In Schizophrenia: A Case-Control Study, Bi̇rsen Özyurt, Ahmet Songur, Mustafa Sarsilmaz, Ömer Akyol, Mustafa Namli, Reha Demi̇rel
Turkish Journal of Medical Sciences
Several studies have reported the importance of dermatoglyphics as markers of a prenatal disturbance in patients with schizophrenia. Due to the fact that finger- and handprints are formed by the end of the second trimester, they may provide clues to disturbances in early development. The aim of this study was to determine specific dermatoglyphical frequencies in a sample of patients with schizophrenia and normal controls. Materials and methods: Fingerprints and palm prints were obtained from 45 schizophrenic patients as well as 45 healthy controls. The dermatoglyphic patterns on the fingers (total finger ridge count [TFRC]) and palms (a-b, b-c, and …
Comparison Of Serum Levels Of Il-6, Il-8, Tnf-Α, C Reactive Protein And Heat Shock Protein 70 In Patients With Active Or Inactive Behçet’S Disease, Remzi̇ Karadağ, Cemi̇le Koca, Yüksel Totan, Ramazan Yağci, Murat Aydin, Ayşe Serap Karadağ, Celi̇le Gülfer Akbay, Hati̇ce Meral Ekşi̇oğlu, Muhammet Ramazan Yi̇ği̇toğlu
Comparison Of Serum Levels Of Il-6, Il-8, Tnf-Α, C Reactive Protein And Heat Shock Protein 70 In Patients With Active Or Inactive Behçet’S Disease, Remzi̇ Karadağ, Cemi̇le Koca, Yüksel Totan, Ramazan Yağci, Murat Aydin, Ayşe Serap Karadağ, Celi̇le Gülfer Akbay, Hati̇ce Meral Ekşi̇oğlu, Muhammet Ramazan Yi̇ği̇toğlu
Turkish Journal of Medical Sciences
The aim of this study was to elucidate serum levels of IL-6, IL-8, TNF-\alpha, CRP, and HSP 70 in patients with active or inactive Behçet's disease. Materials and methods: The study included 50 patients who met the International Study Group criteria for Behçet's disease. Of these, 26 had active disease and 24 had inactive disease. The control group was comprised of 25 age- and sex-matched healthy participants. Serum levels of IL-6, IL-8, TNF-\alpha, CRP, and HSP 70 were measured. Results: In patients with active disease, significantly higher mean serum levels of IL-6, IL-8, TNF-\alpha, and CRP were found compared to …
Comparison Of Remifentanil, Alfentanil, And Fentanil Co-Administered With Propofol To Facilitate Laryngeal Mask Insertion, Ali̇ Sizlan, Uğur Göktaş, Ceyda Özhan, Mehmet Özgür Özhan, Mehmet Emi̇n Orhan, Ercan Kurt
Comparison Of Remifentanil, Alfentanil, And Fentanil Co-Administered With Propofol To Facilitate Laryngeal Mask Insertion, Ali̇ Sizlan, Uğur Göktaş, Ceyda Özhan, Mehmet Özgür Özhan, Mehmet Emi̇n Orhan, Ercan Kurt
Turkish Journal of Medical Sciences
To compare the efficacy of different doses of fentanil, remifentanil, and alfentanil co-administered with propofol in patients undergoing minor surgery. Materials and methods: This double-blind, multi-centered, placebo-controlled study was conducted in 2 medical centers. One hundred forty-one ASA class I and II adult patients aged 18-65 years were included in the study. Patients received i.v. 1 µg kg^{-1} fentanil (group F, n = 33), 10 µg kg^{-1} alfentanil (group A, n = 33), 0.5 µg kg^{-1} remifentanil (group R, n = 36), or saline (control group, n = 39) co-administered with propofol 2.5 mg kg^{-1} without additives over 30 s. …
The Efficacy, Safety, And Pharmacokinetics Of Intramuscular And Oral Phenyramidol In Patients With Low Back Pain In An Emergency Department, Hakan Ergün, Onur Polat, N. Arda Demi̇rkan, Müge Günalp, Serdar Gürler
The Efficacy, Safety, And Pharmacokinetics Of Intramuscular And Oral Phenyramidol In Patients With Low Back Pain In An Emergency Department, Hakan Ergün, Onur Polat, N. Arda Demi̇rkan, Müge Günalp, Serdar Gürler
Turkish Journal of Medical Sciences
To compare the efficacy, safety, and pharmacokinetics of oral and intramuscular (i.m.) phenyramidol in patients with low back pain. Materials and methods: Consecutive patients with low back pain were recruited and randomized (5:3) to treatment with either 800 mg oral or i.m. phenyramidol. Pain was assessed by visual analogue scale every 30 min for 2 h. Blood samples were drawn at baseline and every 15 min for 2 h. A 5-point verbal global evaluation scale was performed by both patients and physicians. In addition, the need for rescue analgesics after 2 h was noted. After the acute phase, patients were …
Single Shot “3-In-1” Femoral Nerve Blockade With 0.25% Or 0.375% Levobupivacaine Provides Similar Postoperative Analgesia For Total Knee Replacement, Alpaslan Apan, Fi̇li̇z Sari, Alp Burak Ekmekçi̇
Single Shot “3-In-1” Femoral Nerve Blockade With 0.25% Or 0.375% Levobupivacaine Provides Similar Postoperative Analgesia For Total Knee Replacement, Alpaslan Apan, Fi̇li̇z Sari, Alp Burak Ekmekçi̇
Turkish Journal of Medical Sciences
To compare postoperative analgesia provided by single shot "3-in-1" femoral nerve blockade using 0.25% or 0.375% levobupivacaine in preceding with spinal anesthesia for unilateral total knee replacement surgery. Materials and methods: Forty consenting patients undergoing unilateral total knee arthroplasty were included in this prospective randomized study. Spinal anesthesia was achieved with 15 mg plain bupivacaine at the L3-4 or L4-5 interspace. After resolution of the spinal anesthesia, patients were randomized into 2 groups: "3-in-1" femoral nerve blocks were performed using 30 mL of 0.25% levobupivacaine (Group 1, n = 20) or 0.375% levobupivacaine (Group 2, n = 20). Pain was …
Serum Nitric Oxide And Peroxynitrite Levels In Adult Sero-Positive Rheumatoid Arthritis Treated With Disease Modifying Antirheumatic Drugs: A Preliminary Report, Marwan S.M. Al-Nimer, Samir Abdul-Hassan Al-Obaidi, Khalid S. Al-Dulaimi
Serum Nitric Oxide And Peroxynitrite Levels In Adult Sero-Positive Rheumatoid Arthritis Treated With Disease Modifying Antirheumatic Drugs: A Preliminary Report, Marwan S.M. Al-Nimer, Samir Abdul-Hassan Al-Obaidi, Khalid S. Al-Dulaimi
Turkish Journal of Medical Sciences
The contribution of inducible nitric oxide synthase (iNOS) to oxidative/nitrative stress is well documented in inflamed joints. Nitric oxide stimulates the synthesis of proinflammatory mediators and cytotoxic molecules with a pivotal role in apoptosis at the joint of rheumatoid arthritis. This study aimed to assess the serum levels of nitric oxide and peroxynitrite in sero positive rheumatoid patients treated with disease modifying antirheumatic drugs. Materials and methods: Sixteen known patients with sero-positive rheumatoid arthritis fulfilling the criteria of the American College of Rheumatology and on disease modifying antirheumatic drugs were allocated from the consultant clinic of rheumatology at Al-Yarmouk Teaching …
Assessment Of Procalcitonin And Other Inflammatory Markers In Peritoneal Dialysis-Related Peritonitis*, Reyhan Öztürk, Gül R. Yilmaz, Cemal Bulut, Hülya Parpucu, Sami̇ Kinikli, Murat Duranay, Ali̇ Pekcan Demi̇röz
Assessment Of Procalcitonin And Other Inflammatory Markers In Peritoneal Dialysis-Related Peritonitis*, Reyhan Öztürk, Gül R. Yilmaz, Cemal Bulut, Hülya Parpucu, Sami̇ Kinikli, Murat Duranay, Ali̇ Pekcan Demi̇röz
Turkish Journal of Medical Sciences
It is demonstrated that in end-stage renal failure without an infectious pathology conventional laboratory parameters such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) or other acute-phase proteins increase non-specifically. We aimed to evaluate procalcitonin (PCT) and other inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in patients with continuous ambulatory peritoneal dialysis (CAPD)-related peritonitis. Materials and methods: A case-control study was conducted in a 600-bed tertiary hospital. Fifty patients with CAPD-related peritonitis constituting the study group and 50 CAPD patients without infection as the control group were included in the study between February 2006 …
Subclinical Hypothyroidism In Obese Turkish Adolescents: The Relationship With Anthropometry And Fatty Liver, Şami̇l Hizli, Nur Arslan, Ayhan Abaci, Benal Büyükgebi̇z
Subclinical Hypothyroidism In Obese Turkish Adolescents: The Relationship With Anthropometry And Fatty Liver, Şami̇l Hizli, Nur Arslan, Ayhan Abaci, Benal Büyükgebi̇z
Turkish Journal of Medical Sciences
To evaluate whether subclinical hypothyroidism (SH) is associated with anthropometry and fatty infiltration of liver in obese adolescents. Materials and methods: The adolescents attended with the complaint of obesity aged 11 to 15 years included in the study. Patients were diagnosed as obese adolescents with fatty liver. Age-, gender-, and body weight-matched obese adolescents without fatty liver seen during the same period served as controls. Clinical characteristics, laboratory parameters, and frequency of subclinical hypothyroidism (SH) of both groups were compared. Results: The study population included 218 adolescents with obesity. Of 218, 30 (13.7%) had fatty liver at ultrasonography (group 1) …
Clinical Presentation Of Breast Tuberculosis In Eastern Anatolia, S. Selçuk Atamanalp, Cemal Gündoğdu, Pinar Polat, Gürkan Öztürk, Bülent Aydinli, Durkaya Ören, Mahmut Başoğlu, M. İlhan Yildirgan
Clinical Presentation Of Breast Tuberculosis In Eastern Anatolia, S. Selçuk Atamanalp, Cemal Gündoğdu, Pinar Polat, Gürkan Öztürk, Bülent Aydinli, Durkaya Ören, Mahmut Başoğlu, M. İlhan Yildirgan
Turkish Journal of Medical Sciences
Breast tuberculosis is a very rare disease of the breast. This report aimed to review our clinical experience of 20 years and 7 cases of breast tuberculosis. Materials and methods: The records of 7 patients with breast tuberculosis were reviewed retrospectively. Results: The surgical procedure applied for breast tuberculosis comprised 1.3% of all surgical procedures of breast surgery. The mean age of the breast tuberculosis patients was 36 years, and all of the patients were female. The mean symptom duration was 12.8 months. The most common symptoms were painful breast mass in all the patients, 2 (28.6%) of whom had …
Hospital-Acquired Pneumonia In Nonintensive Care Unit Wards, Meltem Avci, Onur Özgenç, Ayten Coşkuner, Berna Bozca, Levent Kidak, Gülşen Mermut, Mehmet Sezai̇ Taşbakan, Nesli̇han Genç, Gülşen Güloğlu, Alpay Ari
Hospital-Acquired Pneumonia In Nonintensive Care Unit Wards, Meltem Avci, Onur Özgenç, Ayten Coşkuner, Berna Bozca, Levent Kidak, Gülşen Mermut, Mehmet Sezai̇ Taşbakan, Nesli̇han Genç, Gülşen Güloğlu, Alpay Ari
Turkish Journal of Medical Sciences
To determine the incidence, risk factors, etiology, and antibiotic susceptibility of hospital-acquired pneumonia (HAP) in nonintensive care units (non-ICU) and nonintubated adult patients. Materials and methods: A prospective surveillance study was performed from January 2006 through December 2007 in the medical and surgical wards of the İzmir Teaching and Research Hospital. Results: During the study period, data on 57,133 patients with a total of 413,515 patient-days were analyzed. A total of 106 HAP episodes occurred in 99 patients. The infection rate per 100 patients and per 1000 patient-days was found to be 0.2% and 0.3%, respectively. HAP episodes were detected …
Insertions Of The Lateral Pterygoid Muscle To The Disc-Capsule Complex Of The Temporomandibular Joint And Condyle, Cenk Kiliç, Gühan Dergi̇n, Fati̇h Yazar, Bülent Kurt, Tunç Kutoğlu, Hasan Ozan, Hüseyi̇n Avni̇ Balcioğlu
Insertions Of The Lateral Pterygoid Muscle To The Disc-Capsule Complex Of The Temporomandibular Joint And Condyle, Cenk Kiliç, Gühan Dergi̇n, Fati̇h Yazar, Bülent Kurt, Tunç Kutoğlu, Hasan Ozan, Hüseyi̇n Avni̇ Balcioğlu
Turkish Journal of Medical Sciences
To investigate the disc-capsule complex and condyle attachments of the lateral pterygoid muscle and its variations. Materials and methods: Forty-nine temporomandibular joint (TMJ) specimens were used, obtained from 26 human cadavers. The insertion point of each muscle head was determined. The widths and lengths of the heads were measured. Results: In 32 specimens, 2-headed muscles were present, while 3 heads were observed in 17 specimens. We defined 4 different types of attachments of muscle heads. In the most common type of attachment, the upper head inserted into the disc-capsule complex and condyle, and the lower head inserted into the condyle …
A Novel Cut-Off For Abdominal Obesity Derived From Various Anthropometric Indices To Predict Body Composition: Arm Fat Area, Betül Çi̇çek, Ahmet Öztürk, Mümtaz M. Mazicioğlu, Neri̇man İnanç, Seli̇m Kurtoğlu
A Novel Cut-Off For Abdominal Obesity Derived From Various Anthropometric Indices To Predict Body Composition: Arm Fat Area, Betül Çi̇çek, Ahmet Öztürk, Mümtaz M. Mazicioğlu, Neri̇man İnanç, Seli̇m Kurtoğlu
Turkish Journal of Medical Sciences
Determination of fat and fat-free mass is of considerable interest in evaluation of nutritional status. The aim of the present study was to determine whether using arm fat area (AFA) is helpful in identifying abdominal obesity (waist circumference > 90^{th} percentile) in Turkish children and adolescents with high risk. According to AFA ≥ 85^{th} percentile indicating overweight, we determined age- and gender-specific cut-offs from anthropometric indices. Materials and methods: This study was conducted with 5358 (2621 boys, 2737 girls) children and adolescents aged 6-17 years. Height, weight, arm span, waist circumference (WC), mid-upper arm circumference (MUAC), and triceps skinfold thickness (TSF) …
The Comprehensive Evaluation Of Latent Tuberculosis Infection In Health Care Workers And Of Patients With Active Tuberculosis Using Tst, Elisa, And Elispot Methods, Hülya Şi̇mşek, Si̇bel Meryem Alpar, Kurtuluş Aksu, Funda Aksu, İsmai̇l Ceyhan, Sali̇h Cesur, Ayşegül Gözalan, Mustafa Ertek
The Comprehensive Evaluation Of Latent Tuberculosis Infection In Health Care Workers And Of Patients With Active Tuberculosis Using Tst, Elisa, And Elispot Methods, Hülya Şi̇mşek, Si̇bel Meryem Alpar, Kurtuluş Aksu, Funda Aksu, İsmai̇l Ceyhan, Sali̇h Cesur, Ayşegül Gözalan, Mustafa Ertek
Turkish Journal of Medical Sciences
Until recently, the tuberculin skin test (TST) has been the only assay used for detecting latent tuberculosis infection (LTBI), but two ex-vivo tests, used as alternative methods to TST, based on enumerating the M. tuberculosis-specific interferon (IFN)-\gamma response are now commercially licensed. The aim of this study was to compare the sensitivity and specificity of TST, QuantiFERON Gold (QFT-G), and T-SPOT.TB in diagnosing LTBI and active tuberculosis (TB). Materials and methods: This study was carried out with 95 participants including 3 groups (negative control, close contact, and patient groups) during a 10-month period from March 2007 to January 2008. Results: …
The Prevalence Of Home Injuries Among Elderly People In Samsun, Turkey, And The Influencing Factors, Hülya Doğan, Sevgi̇ Canbaz, Berna Tander, Yildiz Pekşen, Ferhan Cantürk, Ni̇met Özal Oruç
The Prevalence Of Home Injuries Among Elderly People In Samsun, Turkey, And The Influencing Factors, Hülya Doğan, Sevgi̇ Canbaz, Berna Tander, Yildiz Pekşen, Ferhan Cantürk, Ni̇met Özal Oruç
Turkish Journal of Medical Sciences
Home injuries are a serious public health problem for the elderly. Our aim was to investigate the prevalence of home injuries among elderly people in Samsun, Turkey, and the influencing factors. Materials and methods: This cross-sectional study was conducted between 1 January and 28 February 2007. A questionnaire, the Home-Screen Scale (HSS), and the Geriatric Depression Scale (GDS) were administered to the elderly subjects. Results: Of all participants, 20.6% had experienced some kind of home injury. Seven participants living alone and 14 living with their families had suffered home injuries, suggesting a statistically significant difference between these 2 groups (P < 0.05). Eleven (14.7%) subjects living in secure housing and 10 (37.0%) living in unsecure housing had suffered home injuries, the difference again being statistically significant (P < 0.05). Conclusion: Home injuries are more common among people living alone and in unsecure housing according to the HSS.
Thyroid Hormone Reference Intervals And The Prevalence Of Thyroid Antibodies, Aydan Çelebi̇ler, Si̇bel Bi̇lgi̇li̇, Emi̇ne Ömür Erkizan, Huri̇ye Seri̇n, Muhammet Baysal Karaca
Thyroid Hormone Reference Intervals And The Prevalence Of Thyroid Antibodies, Aydan Çelebi̇ler, Si̇bel Bi̇lgi̇li̇, Emi̇ne Ömür Erkizan, Huri̇ye Seri̇n, Muhammet Baysal Karaca
Turkish Journal of Medical Sciences
To establish new reference intervals for thyrotropin (TSH), free thyroxine (FT4), and free triiodothyronine (FT3) on the Beckman Coulter DxI 800 in healthy Turkish adults and assess the prevalence of laboratory evidence of thyroid antibodies in this population. Materials and methods: Specimens were obtained from 619 healthy volunteers (338 females, 281 males).The study was conducted with health care professionals and their relatives, The mean age of all the subjects was 34.7 and the median was 31 years, with ages ranging from 15 to 84. Moreover, the subjects had no evidence of thyroid autoimmunity or a history of drug use, both …
Adrenergic And Cholinergic Responses Of The Tracheal Smooth Muscle Is Enhanced During Estrus Phase In Rat, M. Kasim Çayci, Yasemi̇n Aydin, Kubi̇lay Uzuner
Adrenergic And Cholinergic Responses Of The Tracheal Smooth Muscle Is Enhanced During Estrus Phase In Rat, M. Kasim Çayci, Yasemi̇n Aydin, Kubi̇lay Uzuner
Turkish Journal of Medical Sciences
The aim of this study was to evaluate influences of hormonal changes during rat estrous cycle on airway responsiveness to bronchoconstrictor and bronchodilator agents. Materials and methods: The study was performed in 5 groups of rat tracheal smooth muscle obtained during proestrus, estrus, metestrus, and diestrus phases of the estrous cycle, as well as the ovariectomized group (n:8/group). Cumulative acetylcholine contractions ranging from 10^{-8} to 10^{-3} M bath doses and the cumulative isoproterenol relaxations ranging from 10^{-8} to 10^{-3} M precontracted with 10^{-5} M of acetylcholine were recorded on isolated tracheas placed in a computerized tissue bath system. Results: Acetylcholine-induced …
Serum Lipid And Lipoprotein Levels, Dyslipidemia Prevalence, And The Factors That Influence These Parameters In A Turkish Population Living In The Province Of Tokat*, İlhan Çeti̇n, Beytullah Yildirim, Şemsetti̇n Şahi̇n, İdri̇s Şahi̇n, İlker Eti̇kan
Serum Lipid And Lipoprotein Levels, Dyslipidemia Prevalence, And The Factors That Influence These Parameters In A Turkish Population Living In The Province Of Tokat*, İlhan Çeti̇n, Beytullah Yildirim, Şemsetti̇n Şahi̇n, İdri̇s Şahi̇n, İlker Eti̇kan
Turkish Journal of Medical Sciences
To determine the mean total LDL and HDL cholesterol values and trigliseride levels as well as dyslipidemia and the factors that influence the parameters mentioned above in the population living in the province of Tokat located in the Middle Black Sea (Northeastern) region of Turkey. Materials and methods: The study was performed in 58 rural and 12 urban residential areas. The 58 rural regions were selected using a cluster sampling method. A total of 1095 subjects were selected through a random sampling method. Results: The total serum cholesterol level was 186 ± 42 mg/dL with 33.7% of the participants having …
Is The Tanner–Whitehouse (Tw3) Method Sufficiently Reliable For Forensic Age Determination Of Turkish Children?*, Bora Büken, Alp Alper Şafak, Erhan Büken, Burhan Yazici, Zerri̇n Erkol, Ömer Utku Erzengi̇n
Is The Tanner–Whitehouse (Tw3) Method Sufficiently Reliable For Forensic Age Determination Of Turkish Children?*, Bora Büken, Alp Alper Şafak, Erhan Büken, Burhan Yazici, Zerri̇n Erkol, Ömer Utku Erzengi̇n
Turkish Journal of Medical Sciences
The purpose of our study was to determine the accuracy of Tanner-Whitehouse 3 (TW3-RUS) bone age (BA) assessments for forensic age estimations of Turkish children. Materials and methods: Plain radiographs of left hands and wrists of 324 children were evaluated. Mean chronological age (CA) was compared with mean bone age (BA) according to the TW3 atlas for each sex, and differences by age group were determined. Pearson correlation coefficients and cubic regression were used to determine the differences and model the relationships between mean BA and CA. Statistical analyses were carried out using R-project. Results: The difference between the mean …
Feminizing Genitoplasty: An Evaluation Of 41 Patients In 8 Years, Fati̇h Akbiyik, Hüseyi̇n Tuğrul Ti̇ryaki̇, Emrah Şenel, Ervi̇n Mambet, Yusuf Zi̇ya Li̇vaneli̇oğlu, Hali̇l Faruk Atayurt
Feminizing Genitoplasty: An Evaluation Of 41 Patients In 8 Years, Fati̇h Akbiyik, Hüseyi̇n Tuğrul Ti̇ryaki̇, Emrah Şenel, Ervi̇n Mambet, Yusuf Zi̇ya Li̇vaneli̇oğlu, Hali̇l Faruk Atayurt
Turkish Journal of Medical Sciences
The authors present early results of feminizing genitoplasty procedures. Materials and methods: Medical records of 41 patients who underwent feminizing genitoplasty in between 2001 and 2009 were evaluated retrospectively. Results: Follow-up period was 1 month to 7.5 years. Clitorolabial cosmesis was good in all patients except one. Neither clitoral necrosis nor enlargement was noted in postoperative period. The most common complication observed was vaginal stenosis. For 7 patients with severe stenosis, reoperations are planned at puberty. Conclusion: One-stage or staged genitoplasty is performed for disorders of sexual development (DSD) patients. Although results of clitoroplasty are satisfactory, reoperation rates due to …
Evaluation Of Coping Strategies, Social Support, And Depressive Symptoms In Spouses Of Patients With Hematological Cancer, Safi̇ye Özkan, Yasemi̇n Kutlu
Evaluation Of Coping Strategies, Social Support, And Depressive Symptoms In Spouses Of Patients With Hematological Cancer, Safi̇ye Özkan, Yasemi̇n Kutlu
Turkish Journal of Medical Sciences
The purpose of this study was the evaluation of coping strategies, social support, and depressive symptoms in spouses of patients with hematological cancer. Materials and methods: A descriptive design was used in current study. The study was carried out at the hematology clinic of 2 university hospitals located in İstanbul. The convenience sample consisted of 150 spouses of patients who had hematological cancer. The data were collected through structured face-to-face interviews using a questionnaire form, the "Ways of Coping" Questionnaire, the Multidimensional Perceived Social Support Scale, and Beck Depression Inventory. Percentage t-tests and Pearson's product moment correlation were used to …
The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca
The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca
Turkish Journal of Medical Sciences
As liver and kidney failure have a direct effect on mortality, morbidity, and intensive care unit (ICU) length of stay in sepsis patients, maintaining their functions or minimizing the degree of failure should be one of the most important goals of therapy. In this retrospective study we investigated the effects of recently introduced adjuvant therapies on hepatorenal functions in septic ICU patients. Materials and methods: We conducted comparative and retrospective data analysis of 108 patients with sepsis that were followed-up during a 2-year period in the ICU. We recorded AST, ALT, ALP, albumin, bilirubin, and INR in order to evaluate …