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Mild To Moderate Proteinuria Is A Heralding Sign For Acute Kidney Injury And Mortality For Intensive Care Unit Patients, Haci Hasan Yeter, Tolga Yildirim, Nesri̇n Damla Eyüpoğlu, Tural Pasayev, Abdullah Tarik Aslan, Sila Çeti̇k, Ömer Faruk Akçay, Arzu Topeli̇ İski̇t, Mustafa Arici Jan 2019

Mild To Moderate Proteinuria Is A Heralding Sign For Acute Kidney Injury And Mortality For Intensive Care Unit Patients, Haci Hasan Yeter, Tolga Yildirim, Nesri̇n Damla Eyüpoğlu, Tural Pasayev, Abdullah Tarik Aslan, Sila Çeti̇k, Ömer Faruk Akçay, Arzu Topeli̇ İski̇t, Mustafa Arici

Turkish Journal of Medical Sciences

Background/aim: Lack of early predictors of acute kidney injury is currently delaying timely diagnosis.This study was done to evaluate the relationship between mild to moderate proteinuria and incidence of acute kidney injury (AKI) and 28-day mortality in intensive care unit (ICU) patients. Material and methods: This observational, retrospective study was conducted in the internal medicine ICU. A total of 796 patients were screened and 525 patients were used for this analysis. Proteinuria was measured by urine dipstick test. AKI was defined according to the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. Results: Patients with dipstick urine protein positivity on admission …


Prevalence Of Atopy And Allergic Rhinitis In Patients With Adult Non-Cystic Fibrosis Bronchiectasis, Eli̇f Yelda Ni̇ksarlioğlu, Saci̇de Rana Işik, Mehmet Ati̇lla Uysal, Derya Ünal, Güngör Çamsari Jan 2019

Prevalence Of Atopy And Allergic Rhinitis In Patients With Adult Non-Cystic Fibrosis Bronchiectasis, Eli̇f Yelda Ni̇ksarlioğlu, Saci̇de Rana Işik, Mehmet Ati̇lla Uysal, Derya Ünal, Güngör Çamsari

Turkish Journal of Medical Sciences

Background/aim: Non-cystic fibrosis bronchiectasis (non-CF BR) is common in developing countries.Limited data are available regarding the impact of atopy, and no data are available regarding allergic rhinitis in patients with adult bronchiectasis.The aim of this study was to evaluate the prevalence of atopy and allergic rhinitis in the clinical conditions of patients with BR.Materials and methods: The study enrolled 101 patients who were diagnosed with non-CF BR using high-resolution computed chest tomography. Allergic rhinitis (AR) was defined by skin prick test (SPT) positivity and the presence of any nasal symptoms (watery runny nose, nasal obstruction, nasal itching, and sneezing). Results: …


Validity And Reliability Study Of The Turkish Version Of The Postoperative Recovery Index Of Patients Undergoing Surgical Intervention, Hande Cengi̇z, Di̇lek Aygi̇n Jan 2019

Validity And Reliability Study Of The Turkish Version Of The Postoperative Recovery Index Of Patients Undergoing Surgical Intervention, Hande Cengi̇z, Di̇lek Aygi̇n

Turkish Journal of Medical Sciences

Background/aim: For the purpose of providing the optimal postoperative care for patients and assisting them in terms of recovery, their health conditions and particular symptoms should be evaluated systematically with an appropriate measurement tool. This research was designed with the purpose of conducting the validity and reliability study of the Postoperative Recovery Index-Turkish Version (PoRI-TR) and determining the postoperative recovery conditions.Materials and methods: The sample of this study, which was planned methodologically and analytically, consisted of 382 patients who had a surgical intervention in a university hospital between September 2016 and June 2017. Analyses concerning the Turkish validity and reliability …


Reliability, Validity, And Cross-Cultural Adaptation Study Of The Turkish Version Of The Patient-Rated Wrist/Hand Evaluation Questionnaire, Deni̇z Öke Topcu, Sevği̇ İkbali̇ Afşar Jan 2019

Reliability, Validity, And Cross-Cultural Adaptation Study Of The Turkish Version Of The Patient-Rated Wrist/Hand Evaluation Questionnaire, Deni̇z Öke Topcu, Sevği̇ İkbali̇ Afşar

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to cross-culturally adapt the Turkish version of the Patient-Rated Wrist/Hand Evaluation (T-PRWHE) questionnaire for use in the Turkish patient population. Moreover, we aimed to evaluate the reliability and validity of the T-PRWHE questionnaire. Materials and methods: A total of 166 patients with hand and wrist problems were included in the study. They completed the T-PRWHE, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and the 36-Item Short-Form Health Survey (SF-36) at baseline and at the 3rd month of the study. Reliability was evaluated by analyzing internal consistency (Cronbach alpha coefficient) and …


Investigation Of The Relationship Between Ischemic Stroke And Endothelial Nitric Oxide Synthase Gene Polymorphisms [G894t, Intron 4 Vntr And T786c], Süleyman Ömer Anliaçik, Osman Serhat Tokgöz, Ayşegül Zamani̇, Mahmut Selman Yildirim, Mehmet Si̇nan İyi̇soy Jan 2019

Investigation Of The Relationship Between Ischemic Stroke And Endothelial Nitric Oxide Synthase Gene Polymorphisms [G894t, Intron 4 Vntr And T786c], Süleyman Ömer Anliaçik, Osman Serhat Tokgöz, Ayşegül Zamani̇, Mahmut Selman Yildirim, Mehmet Si̇nan İyi̇soy

Turkish Journal of Medical Sciences

Background/aim: We aimed to investigate the associations between endothelial nitric oxide synthase(eNOS) gene polymorphisms [G894T (rs1799983)], intron 4 (27-bpTR) variable number tandem repeat (VNTR) and T786C (rs2070744), and ischemic stroke in the Anatolian population.Materials and methods: This case-control study included 112 patients with "stroke of undetermined etiology" and 160 controls. Real-time polymerase chain reaction (RT-PCR) analysis was used to analyze these polymorphisms. Between-group frequencies of alleles and genotypes were compared using binary logistic regression analysis.Results: No significant difference was observed between the two groups in terms of the genotype and allele distributions of the eNOS G894T (rs1799983) polymorphism (P > 0.05). …


The Efficacy And Safety Of Targeted Narrowband Uvb Therapy: A Retrospective Cohort Study, Kübra Esen Salman, İlknur Altunay, Andaç Salman Jan 2019

The Efficacy And Safety Of Targeted Narrowband Uvb Therapy: A Retrospective Cohort Study, Kübra Esen Salman, İlknur Altunay, Andaç Salman

Turkish Journal of Medical Sciences

Background/aim: Phototherapy is a safe and effective treatment modality for numerous dermatological conditions. Recently, targeted phototherapy modalities have gained importance due to their advantages over conventional phototherapy.This retrospective study aimed to evaluate the safety and efficacy of targeted narrowband UVB phototherapy in patients with dermatological disorders.Materials and methods: This single-center study included 173 patients who were treated with targeted narrowband UVB phototherapy. Demographic features, phototherapy parameters, and adverse effects were evaluated in all patients, and the treatment response was assessed in patients who attended at least one follow-up visit. Results: A total of 173 patients (102 females; 71 males) with …


Relationship Between The Earlobe Crease And Brain White Matter Abnormalities In Apparently Healthy Subjects*, Hati̇ce Ayça Ata Korkmaz Jan 2019

Relationship Between The Earlobe Crease And Brain White Matter Abnormalities In Apparently Healthy Subjects*, Hati̇ce Ayça Ata Korkmaz

Turkish Journal of Medical Sciences

Background/aim: In the present study we aimed to investigate whether the earlobe crease (ELC) might provide predictive information about white matter intensities (WMIs) in the brain that reflect brain aging.Materials and methods: A total of 350 individuals examined from January 2016 to July 2016 were screened. Patients with known demyelinating white matter disease, neurodegenerative disorders, cerebrovascular event history, or brain tumors were excluded from the study. Finally, 285 cases were included in the study. The four-point cerebral intensity classification system of Fazekas was used in the evaluation of the brain. The ELC was evaluated by inspection.Results: A total of 285 …


Results Of Home-Based Modified Combined Decongestive Therapy In Patients With Lower Extremity Lymphedema, Ali̇s Kostanoğlu, Meltem Ramoğlu, Ethem Güneren Jan 2019

Results Of Home-Based Modified Combined Decongestive Therapy In Patients With Lower Extremity Lymphedema, Ali̇s Kostanoğlu, Meltem Ramoğlu, Ethem Güneren

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients with lower extremity lymphedema (LEL). Materials and methods: We retrospectively reviewed 95 patients aged 55.84 ± 15.70 years who had been diagnosed with LEL between May 2015 and May 2017. The patients were treated for 4 weeks with modified CDT, including self-manual lymphatic drainage, self-bandaging, decongestive exercises, and skin care.Results: The mean reduction amounts of edema volume before and after treatment were 296.05, 784.92, and 1038.50 mL for stages 1, 2, and 3 respectively (P = 0.001). There were significant differences …


Assessment Of Cardiac And Vessel Functions In Childhood Psoriasis, Berna Şaylan Çevi̇k, Fi̇gen Akalin, Eli̇f Erolu, Di̇lek Seçki̇n Gençosmanoğlu, Safi̇ye Atlas Tüli̇n Ergun Jan 2019

Assessment Of Cardiac And Vessel Functions In Childhood Psoriasis, Berna Şaylan Çevi̇k, Fi̇gen Akalin, Eli̇f Erolu, Di̇lek Seçki̇n Gençosmanoğlu, Safi̇ye Atlas Tüli̇n Ergun

Turkish Journal of Medical Sciences

Background/aim: Psoriasis is a chronic inflammatory disease. The effect of psoriasis on the cardiovascular system has not been studied in children before. We studied ventricular strain and vascular functions to assess early cardiovascular effects of psoriasis during childhood. Materials and methods: The study population consisted of 20 psoriatic and 20 age- and sex-matched control subjects. Two-dimensional echocardiography images, longitudinal and global strain, and carotid and brachial ultrasound studies were performed. Results: The mean age of psoriatic children was 14 ± 0.89 years and that of the controls was 14.05 ± 0.88. There were significant increases in terms of interventricular septum …


Elevated Neutrophil To Lymphocyte Ratio As An Indicator Of Secondary Erythema Nodosum, A Retrospective Observational Study, Yildiz Hayran, Ayşe Öktem, Emi̇ne Buket Şahi̇n, Pinar İncel Uysal, Nuran Alli, Başak Yalçin Jan 2019

Elevated Neutrophil To Lymphocyte Ratio As An Indicator Of Secondary Erythema Nodosum, A Retrospective Observational Study, Yildiz Hayran, Ayşe Öktem, Emi̇ne Buket Şahi̇n, Pinar İncel Uysal, Nuran Alli, Başak Yalçin

Turkish Journal of Medical Sciences

Background/aim: Erythema nodosum (EN) is an inflammatory disorder of subcutaneous tissue. Although etiopathogenesis of the disease is unknown, many predisposing factors such as infections, systemic disease, and drugs have been identified. Neutrophil to lymphocyte ratio (NLR) has been shown to be a novel inflammatory marker in many dermatological diseases. The aim of our study is to investigate NLR in EN patients and evaluate its relation to the underlying cause of the disease.Materials and methods: Between 2014 and 2018, clinical and laboratory data of 395 patients diagnosed with EN and 395 controls were extracted from patient files. EN patients were grouped …


Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya Jan 2019

Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya

Turkish Journal of Medical Sciences

Background/aim: This study aimed to reveal the optimum recording time of routine electroencephalogram (EEG) for adults with epilepsy.Materials and methods: In this clinical observational study we investigated features of paroxysms that emerged in EEGs recorded for 45 min in adults with epilepsy.Results: Paroxysms were detected in 38.14% of 97 patients. The probability of occurrence of paroxysm during the first 10 min was found to be statistically significantly low in comparison to the first 30 and 45 min (respectively P = 0.004, P = 0.0001). This probability was found to increase insignificantly when comparing the first 20 min with the first …


Analyzing The Effect Of Laparoscopy Duration Time On Peroperative Gastroesophageal Reflux, Gökhan Berktuğ Bahadir, Hakan Taşkinlar, Caner İsbi̇r, İsa Killi, Di̇lek Yünlüel, Ülkü Çömelekoğlu, Ali̇ Nayci Jan 2019

Analyzing The Effect Of Laparoscopy Duration Time On Peroperative Gastroesophageal Reflux, Gökhan Berktuğ Bahadir, Hakan Taşkinlar, Caner İsbi̇r, İsa Killi, Di̇lek Yünlüel, Ülkü Çömelekoğlu, Ali̇ Nayci

Turkish Journal of Medical Sciences

Background/aim: Intraabdominal pressure (IAP) is one of the main reasons for gastroesophageal reflux (GER). This study investigates whether IAP during laparoscopic surgery leads to GER in a time-dependent manner.Materials and methods: In a laparoscopy model, 15 mmHg IAP was created in 8 Wistar albino rats in the Trendelenburg position (TP). A 5 mm laparotomy was performed in the left lower abdominal region, and a 6 Fr catheter was placed intraabdominally. Air was insufflated into the abdominal cavity, and the pressure was kept constant at 15 mmHg. Esophageal pH alterations were measured by pH sticks for 4 h every 30 min.Results: …


Efficacy Of Chemical Shift Mri For Differentiating Diffuse Red Bone Marrow Reconversion And Hematological Malignancies, Burcu Akman, Hati̇ce Ayça Ata Korkmaz, Ahmet Sari Jan 2019

Efficacy Of Chemical Shift Mri For Differentiating Diffuse Red Bone Marrow Reconversion And Hematological Malignancies, Burcu Akman, Hati̇ce Ayça Ata Korkmaz, Ahmet Sari

Turkish Journal of Medical Sciences

Background/aim: The main purpose of our study was to determine the efficacy of chemical shift imaging (CSI) for differentiating diffuse red bone marrow reconversion (RBMR) and hematological malignancies. We also aimed to calculate the cut-off value for these entities with similar imaging features in routine magnetic resonance (MR) sequences.Materials and methods: A total of 54 patients were included: 17 patients (31.4%) with hematological malignancies (group 1), 16 patients (29.6%) with RBMR (group 2), and 21 patients (38.0%) with no clinical and hematological malignancies (control group). Patients with no pathological data or completed two-year follow-up and children were excluded from the …


The Results Of Nasopharyngeal Cancer Patients Treated By Simultaneous Integrated Boost Technique And Concomitant Chemotherapy, Mehmet Fai̇k Çeti̇ndağ, Ati̇ye Yilmaz Özsavran, Bülent Yalçin, İclal Çeti̇ndağ, Şeyda Türkölmez, Karabeki̇r Ercan, Di̇nçer Yeğen Jan 2019

The Results Of Nasopharyngeal Cancer Patients Treated By Simultaneous Integrated Boost Technique And Concomitant Chemotherapy, Mehmet Fai̇k Çeti̇ndağ, Ati̇ye Yilmaz Özsavran, Bülent Yalçin, İclal Çeti̇ndağ, Şeyda Türkölmez, Karabeki̇r Ercan, Di̇nçer Yeğen

Turkish Journal of Medical Sciences

Background/aim: To assess the efficacy and side effects of concurrent weekly chemotherapy and radiotherapy with simultaneous integrated boost (SIB) technique for nasopharyngeal cancer (NPC). Materials and methods: A total of 51 consecutive patients with diagnosis of NPC were treated between February 2010 and December 2015. The median dose for PTV70 (range: 60-82) was given in 33 fractions (range: 31-35). Forty-five of the patients received concomitant weekly chemotherapy between 3-7 cycles (median 6). Eleven patients received neoadjuvant and thirty-nine patients received adjuvant chemotherapy. Results: At a median follow-up 43 months (range: 2-76) the estimated 5-year overall survival and disease-free survival were …


Evaluation Of Sarcopenia, Sarcopenic Obesity, And Phase Angle In Geriatric Gastrointestinal Cancer Patients: Before And After Chemotherapy, Derya Hopanci Biçakli, Rüksan Çehreli̇, Ahmet Özveren, Reci̇ Meseri̇, Rüçhan Uslu, Mehmet Uyar, Bülent Karabulut, Selahatti̇n Fehmi̇ Akçi̇çek Jan 2019

Evaluation Of Sarcopenia, Sarcopenic Obesity, And Phase Angle In Geriatric Gastrointestinal Cancer Patients: Before And After Chemotherapy, Derya Hopanci Biçakli, Rüksan Çehreli̇, Ahmet Özveren, Reci̇ Meseri̇, Rüçhan Uslu, Mehmet Uyar, Bülent Karabulut, Selahatti̇n Fehmi̇ Akçi̇çek

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study was to determine sarcopenia, sarcopenic obesity and phase angle (PA) and the influence of chemotherapy (CT) on anthropometric measurements and and the PA in in geriatric patients with gastrointestinal (GI) cancer. Material and methods: The anthropometric measurements, calf circumference (CC), upper midarm circumference (UMAC), and hand grip strength (HGS), have been measured to understand muscle function of 153 patients (mean age of 70.5 ± 5.6 years, 28.8% female, 71.2% male). Sarcopenia and PA measurements have been evaluated by bioelectrical impedance analyses. The same evaluations were checked again after 1 cycle of CT (min: 4, …


Is There Any Difference Between Endometrial Hyperplasia And Endometrial Carcinoma In Terms Of Expression Of Trpm2 And Trpm7 Ion Channels?, Emre Yalçin, Şehmus Pala, Remzi̇ Atilgan, Tuncay Kuloğlu, Ebru Önalan, Gökhan Artaş, İlay Buran Jan 2019

Is There Any Difference Between Endometrial Hyperplasia And Endometrial Carcinoma In Terms Of Expression Of Trpm2 And Trpm7 Ion Channels?, Emre Yalçin, Şehmus Pala, Remzi̇ Atilgan, Tuncay Kuloğlu, Ebru Önalan, Gökhan Artaş, İlay Buran

Turkish Journal of Medical Sciences

Background/aim: This study compared TRPM2 and TRPM7 ion channel gene expression and immunohistochemical staining in endometrial hyperplasia and endometrium adenocarcinoma. Materials and methods: Sections were taken from paraffin blocks of 120 patients who were divided into 6 groups as follows: G1 (n = 20), proliferative endometrium (PE); G2 (n = 20), EH without atypia; G3 (n = 20), EH with atypia; G4 (n = 20), stage 1A, grade 1 EC; G5 (n = 20), stage 1A, grade 2 EC; and G6 (n = 20), stage 1A, grade 3 EC. TRPM2 and TRPM7 genes were analyzed with qRT-PCR in paraffin-embedded tissue …


Antibiotic Resistance Pattern And Spa Types Of Staphylococcus Aureus Strains Isolated From Food Business And Hospital Kitchen Employees In Çanakkale, Turkey, Nesri̇n Çakici, Alper Akçali, Nükhet Ni̇lüfer Zorba Jan 2019

Antibiotic Resistance Pattern And Spa Types Of Staphylococcus Aureus Strains Isolated From Food Business And Hospital Kitchen Employees In Çanakkale, Turkey, Nesri̇n Çakici, Alper Akçali, Nükhet Ni̇lüfer Zorba

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine antibiotic resistance profiles and spa types of Staphylococcus aureus strains isolated from food business employees in Çanakkale, Turkey.Materials and methods:S.aureus isolates were collected from hand and nasal swabs of 300 individuals working in 17 food businesses and 9 hospital kitchens. All S. aureus isolates obtained from each carrier were typed by staphylococcal protein A (spa) typing method.Staphylococcal cassette chromosome mec (SCCmec) and multilocus sequence typing (MLST) of MRSA were performed by sequencing method.Results: Of the 300 individuals, 125 (41.6%) were found to be carriers of S. aureus, 215 isolates of which …


In Vitro Combination Of Tigecycline With Other Antibiotics In Stenotrophomonas Maltophilia Isolates, Di̇lek Karamanlioğlu, Murat Di̇zbay Jan 2019

In Vitro Combination Of Tigecycline With Other Antibiotics In Stenotrophomonas Maltophilia Isolates, Di̇lek Karamanlioğlu, Murat Di̇zbay

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine the usefulness of tigecycline in combination treatment of Stenotrophomonas maltophilia infections by evaluating the in vitro synergistic effects of tigecycline with various antibiotics using the E-test method.Materials and methods: Synergy testing by E-test was performed with various antibiotic combinations in 10 S. maltophilia isolates identified as a cause of infection. The antibiotics used in the study included tigecycline (TGC), cefoperazone-sulbactam (CPS), ceftazidime (TZ), levofloxacin (LEV), and trimethoprim-sulfamethoxazole (cotrimoxazole)(TS). Four different combinations (TGC-CPS, TGC-TZ, TGC-LEV, TGC-TS) were studied with the E-test synergy method. Results: S. maltophilia isolates were found to have the …


The Impact Of Jak/Stat Inhibitor Ruxolitinib On The Genesis Of Lymphoproliferative Diseases, Can Türk, Müfi̇de Okay, Seyhan Türk, Eli̇f Sena Temi̇rci̇, Osama Jawad, Sali̇h Aksu, Ni̇lgün Sayinalp, İbrahi̇m Celaletti̇n Haznedaroğlu Jan 2019

The Impact Of Jak/Stat Inhibitor Ruxolitinib On The Genesis Of Lymphoproliferative Diseases, Can Türk, Müfi̇de Okay, Seyhan Türk, Eli̇f Sena Temi̇rci̇, Osama Jawad, Sali̇h Aksu, Ni̇lgün Sayinalp, İbrahi̇m Celaletti̇n Haznedaroğlu

Turkish Journal of Medical Sciences

Background/aim: Ruxolitinib, a JAK/STAT signaling pathway inhibitor targeted drug, has been approved for the controlling of disease symptoms and splenomegaly in patients with myeloproliferative neoplastic diseases. Recently, it has been proposed that ruxolitinib-induced JAK/STAT pathway inhibition in myelofibrosis is associated with an elevated frequency of aggressive B-cell lymphomas. However, the biological basis and significance of this pharmacobiological adverse event is unknown. The aim of this bioinformatics study is to detect any possible confounding effects of ruxolitinib on the genesis of lymphoproliferative disorders. Materials and methods: The gene expression data were retrieved from the E-MTAB-783 Cancer Genome Project database. Gene expression …


Down-Regulation Of Circular Rnaitch And Circhipk3 In Gastric Cancer Tissues, Sara Ghasemi, Modjtaba Emadi-Baygi, Parvaneh Nikpour Jan 2019

Down-Regulation Of Circular Rnaitch And Circhipk3 In Gastric Cancer Tissues, Sara Ghasemi, Modjtaba Emadi-Baygi, Parvaneh Nikpour

Turkish Journal of Medical Sciences

Background/aim: Gastric cancer (GC) is one of the major causes of cancer mortality worldwide. As a novel type of endogenous noncoding RNAs, circular RNAs (circRNAs) are formed by a covalent link between 5' and 3' ends. They are very stable and abundant in eukaryotes. As there were no reported studies on the expression profiles of circular RNA ITCH (cir-ITCH) and circHIPK3 in GC, in the current study, we aimed to delineate the expression profiles and clinicopathological relevance of these two circRNAs in GC tissues compared to their paired adjacent noncancerous tissues.Materials and methods: Quantitative real-time polymerase chain reaction was performed …


Protective Effects Of Ghrelin On Kidney Tissue In Rats With Partial Ureteral Obstruction, Serhan Çi̇men, Cemal Taşdemi̇r, Ni̇gar Vardi, Burhan Ateş, Seda Taşdemi̇r, Ayla Özaydoğdu Çi̇men Jan 2019

Protective Effects Of Ghrelin On Kidney Tissue In Rats With Partial Ureteral Obstruction, Serhan Çi̇men, Cemal Taşdemi̇r, Ni̇gar Vardi, Burhan Ateş, Seda Taşdemi̇r, Ayla Özaydoğdu Çi̇men

Turkish Journal of Medical Sciences

Background/aim: The aim was to investigate the protective and therapeutic effects of ghrelin, which has antioxidant and antiinflammatory activity, on preventing kidney damage that occurs by induced partial ureteral obstruction in rats.Materials and methods: Twenty-eight adult male rats were included in the study, and the rats were divided into 4 groups. After the laparotomy operation on the sham group, the ureter was identified in the retroperitoneal area and was duly sutured (n = 7). Ghrelin was administered for seven days intraperitoneally, and after the nephrectomy performed on the 15th day, the rats were sacrificed (n = 7). A partial ureteral …


Is Nocturnal Enuresis A Predisposing Factor For The Overactive Bladder?, Nicolaie Suditu, Irina Negru, Adelina Miron, Bogdan Novac, Catalin Ciuta Jan 2019

Is Nocturnal Enuresis A Predisposing Factor For The Overactive Bladder?, Nicolaie Suditu, Irina Negru, Adelina Miron, Bogdan Novac, Catalin Ciuta

Turkish Journal of Medical Sciences

Background/aim: This study aimed to perform a limited observational study to ascertain whether there is statistical support that nocturnal enuresis (NE) is a predisposing factor in the development of overactive bladder (OAB).Materials and methods: The authors recruited patients diagnosed with OAB over a period of twelve months, and those who declared a history of NE were asked additional questions regarding the features of their NE.Results: A total of 285 patients were diagnosed with overactive bladder, and 98 (34.38%) of them had previously displayed NE symptoms that had diminished before reaching the median age of 9.83. Separation of patients by sex …


A Pilot Study On The Beneficial Effects Of Additional Selenium Supplementation To Methimazole For Treating Patients With Graves' Disease, Bin Xu, Di Wu, Hong Ying, Ying Zhang Jan 2019

A Pilot Study On The Beneficial Effects Of Additional Selenium Supplementation To Methimazole For Treating Patients With Graves' Disease, Bin Xu, Di Wu, Hong Ying, Ying Zhang

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to assess the effect of a combination use of methimazole (MMI) and selenium (Se) in the treatment of Graves' disease (GD). Materials and methods: A total of 103 newly diagnosed hyperthyroidism patients were randomized to MMI and MMI + Se combination groups. After treatment for 6 months, the levels of triiodothyronine (FT3), free thyroxine (FT4), thyrotropin receptor antibody (TRAb), thyroid peroxidase antibody (TPOAb), and thyroglobulin antibody (TGAb) were observed. An in vitro culture model of thyroid cells was established and the protein expression and mRNA levels of TRAb, TPOAb, and TGAb were determined …


Dermoscopic Aspect Of Verrucous Epidermal Nevi: New Findings, Ömer Faruk Elmas, Necmetti̇n Akdeni̇z Jan 2019

Dermoscopic Aspect Of Verrucous Epidermal Nevi: New Findings, Ömer Faruk Elmas, Necmetti̇n Akdeni̇z

Turkish Journal of Medical Sciences

Background/aim: Verrucous epidermal nevi are cutaneous hamartomas with many clinical variants. Dermoscopic features of verrucous epidermal nevus have rarely been investigated. We aimed to identify dermoscopic findings of the entity which will facilitate the diagnostic process by reducing the use of invasive diagnostic methods. Materials and methods: The study included the patients with histopathologically approved verrucous epidermal nevus. Clinical, dermoscopic, and histopathological features of the patients were retrospectively reviewed and the findings identified were recorded. Dermoscopic examination was performed with a polarized-light handheld dermoscope with 10-fold magnification. Results: The most common dermoscopic features were thick brown circles, thick brown branched …


Diagnostic Value Of 3d Power Doppler Ultrasound In The Characterization Of Thyroid Nodules, Ayşegül Cansu, Emi̇n Ayan, Si̇bel Kul, İlker Eyüboglu, Şükrü Oğuz, Sevdegül Mungan Jan 2019

Diagnostic Value Of 3d Power Doppler Ultrasound In The Characterization Of Thyroid Nodules, Ayşegül Cansu, Emi̇n Ayan, Si̇bel Kul, İlker Eyüboglu, Şükrü Oğuz, Sevdegül Mungan

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the diagnostic value of vascular indices obtained using 3D power Doppler ultrasound (3D PDUS) in differentiation of benign and malignant thyroid nodules.Materials and methods: Sixty-seven patients (56 female, 11 male, mean age 44.6) with 81 thyroid nodules exhibiting mixed (peripheral and central) vascularization patterns, with the largest diameter between 10 and 30 mm, were prospectively evaluated using 3D PDUS. Nodule volume, vascularization index (VI), flow index (FI), and vascularization flow index (VFI) were calculated using the Virtual Organ Computer-aided Analysis (VOCAL) software, and these indices were then compared with regard to the cytohistopathology-based diagnosis. …


Validity And Reliability Of The Turkish Version Of The Modified Yale Preoperative Anxiety Scale, Zehra Hati̇poğlu, Oğuzhan Kirdök, Di̇lek Özcengi̇z Jan 2019

Validity And Reliability Of The Turkish Version Of The Modified Yale Preoperative Anxiety Scale, Zehra Hati̇poğlu, Oğuzhan Kirdök, Di̇lek Özcengi̇z

Turkish Journal of Medical Sciences

Background/aim: The modifiedYa l ePreoperative Anxiety Scale (m-YPAS) is widely used to measure children's anxiety levels. The aim of this study was to translate the m-YPAS into Turkish and test its validity and reliability in Turkish children.Materials and methods: The English version of the m-YPAS was translated into Turkish using the forward-back-forward translation technique. This study enrolled 120 children. The m-YPAS was administered to 120 children who were recorded on video. The State-Trait Anxiety Inventory for Children (STAIC) was used for only 30 of 120 children. The videotapes were evaluated by two experienced observers [an anesthesiologist, ObA(an), and a psychologist, …


Thyroid Volumes And Serum Vegf Levels In Dyslipidemic Patients: Effects Of Statin Treatment, Kadri̇ye Aydin Tezcan, Neşe Ersöz Gülçeli̇k, Murat Tuncel, Cafer Balci, Şafak Akin, Neşe Çinar, Fi̇rüzan Firat Özer, Meltem Çağlar Tuncali, Aydan Usman, Ömer Alper Gürlek Jan 2019

Thyroid Volumes And Serum Vegf Levels In Dyslipidemic Patients: Effects Of Statin Treatment, Kadri̇ye Aydin Tezcan, Neşe Ersöz Gülçeli̇k, Murat Tuncel, Cafer Balci, Şafak Akin, Neşe Çinar, Fi̇rüzan Firat Özer, Meltem Çağlar Tuncali, Aydan Usman, Ömer Alper Gürlek

Turkish Journal of Medical Sciences

Background/aim: Defective vascularization may be important in thyroid nodular disease. In this study, we aimed to investigate serum vascular endothelial growth factor (VEGF) levels in dyslipidemic patients with thyroid nodules, as well as the effects of statin therapy.Materials and methods: The study included 37 dyslipidemic patients with thyroid nodules and 32 dyslipidemic patients without thyroid nodules. Anthropometry, serum VEGF levels, biochemical parameters, thyroid-stimulating hormone (TSH), free triiodothyronine (fT3) and free thyroxine (fT4) levels, and thyroid sonography were determined before and after 6 months of statin therapy. Results: Patients with and without thyroid nodules had similar metabolic parameters. Serum VEGF levels …


Serum S100a12 And S100b Proteins Are Independent Predictors Of The Presence And Severity Of Obstructive Sleep Apnea, Gözde Demi̇rci̇ Sağlam, Adi̇l Zamani̇, Şebnem Yosunkaya, İbrahi̇m Kilinç Jan 2019

Serum S100a12 And S100b Proteins Are Independent Predictors Of The Presence And Severity Of Obstructive Sleep Apnea, Gözde Demi̇rci̇ Sağlam, Adi̇l Zamani̇, Şebnem Yosunkaya, İbrahi̇m Kilinç

Turkish Journal of Medical Sciences

Background/aim: Obstructive sleep apnea (OSA) is associated with serious cardiometabolic risks. Early diagnosis and treatment compliance are important. For this purpose, research is being carried out on biomarkers associated with the pathogenesis of the disease. We aimed to investigate whether serum S100A12 and S100B proteins could be used as biochemical markers in OSA patients to determine disease presence and severity. Materials and methods: A total of 60 (16 women, 44 men) patients with OSA and 50 (20 women, 30 men) controls were enrolled in this cross-sectional study. Each subject included in the study underwent full-night polysomnography (PSG). The presence and …


The Effect Of Medial Longitudinal Arch Height And Medial Longitudinal Arch Support Insoles On Postural Balance In Perimenopausal Women, Levent Karataş, Doğa Vuralli, Zafer Günendi̇ Jan 2019

The Effect Of Medial Longitudinal Arch Height And Medial Longitudinal Arch Support Insoles On Postural Balance In Perimenopausal Women, Levent Karataş, Doğa Vuralli, Zafer Günendi̇

Turkish Journal of Medical Sciences

Background/aim: Changes in balance and postural control have been reported during the perimenopausal period. We investigated the effect of medial longitudinal arch height and medial arch support insoles on postural sway and balance in middle-aged perimenopausal women. Materials and methods: 29 women with normal arches and 29 women with low arches were included in the study. The foot arches of the participants were determined using the arch height index. The static balance index (SBI) measured by Kinesthetic Ability Trainer 3000 and functional reach test were used to evaluate postural balance. Measurements were obtained from all participants with and without medial …


The Effectiveness Of Renal Nephrometry Score In Ablated Renal Tumors Via Radiofrequency Ablation Or Cryoablation, Seda Aladağ Kurt, Cem Yücel, Suna Özhan Oktar, Gonca Erbaş, Tevfi̇k Si̇nan Sözen, Ali̇ Yusuf Öner Jan 2019

The Effectiveness Of Renal Nephrometry Score In Ablated Renal Tumors Via Radiofrequency Ablation Or Cryoablation, Seda Aladağ Kurt, Cem Yücel, Suna Özhan Oktar, Gonca Erbaş, Tevfi̇k Si̇nan Sözen, Ali̇ Yusuf Öner

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the clinical efficacy of radiofrequency ablation (RFA) and cryotherapy and to scrutinize the therapeutic success of the RENAL (radius, exophytic/endophytic, nearness to collecting system, anterior/posterior, and location) nephrometry score in terms of possible complications and the predictive status of oncological results.Materials and methods: Forty-five patients with biopsy-proven renal cell carcinomas (32 males, 13 females) treated with RFA and cryotherapy were included. Patients were 22-90 years old (average: 59.2 years). Statistical analyses were performed using SPSS for Windows. Results: A total of 79 lesions with dimensions varying between 0.9 and 4.5 cm (average: 2.2 cm) …