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2021

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Articles 3811 - 3840 of 4146

Full-Text Articles in Medicine and Health Sciences

Global Health Emergencies During The Pandemic And Their Solutions, İrfan Şencan, Di̇lek Bulut, İsmai̇l Hakki Şencan, Canan Ağalar Jan 2021

Global Health Emergencies During The Pandemic And Their Solutions, İrfan Şencan, Di̇lek Bulut, İsmai̇l Hakki Şencan, Canan Ağalar

Turkish Journal of Medical Sciences

In this review, we evaluated health care problems, which were not common before pandemic outbreak but have been common issues after its appereance and approaches to control pandemic considering its influences on people. We revised current health care developing approaches under the light of experience obtained throughout the pandemic so far. The aim is to be prepared in advance for possible upcoming pandemics. As in Covid 19 pandemics, such long lasting and widely affecting situations, durability is also very important together with flexibility and quickness. To provide durability, we need global policies taking the health to its center as well …

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Nonpharmaceutical Interventions In Turkey And Worldwide During Covid-19 Pandemic, Mustafa Necmi̇ İlhan, Hakan Tüzün, Rahmi̇ Kiliç, Nuran Yildirim Jan 2021

Nonpharmaceutical Interventions In Turkey And Worldwide During Covid-19 Pandemic, Mustafa Necmi̇ İlhan, Hakan Tüzün, Rahmi̇ Kiliç, Nuran Yildirim

Turkish Journal of Medical Sciences

Nonpharmaceutical interventions (NPIs) are actions apart from getting vaccinated and medications, in order to promote deceleration of the spread of illness among people and communities during pandemic. In this article, we aim to examine NPIs applied in Turkey and worldwide due to the COVID-19 pandemic. Some of the NPIs such as isolation, quarantine, and contact tracing were maintained with updates of the Ministry of Health guidelines in Turkey. Some NPIs including travel and partial or full curfew mobilization restrictions were set in accordance with the various periods by the number of cases. Periods of restrictions at autumn 2021 to summer …

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Current Infection Prevention And Control Strategies Of Covid-19 In Hospitals, Gamze Kalin Ünüvar, Mehmet Doğanay, Emi̇ne Alp Jan 2021

Current Infection Prevention And Control Strategies Of Covid-19 In Hospitals, Gamze Kalin Ünüvar, Mehmet Doğanay, Emi̇ne Alp

Turkish Journal of Medical Sciences

Background/aim: Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has been appeared first in China since December 2019. Transmission of SARS-CoV-2 occurs primarily with droplets through coughing and sneezing and also occurs through inhalation of aerosolized secretions, which travel, remain suspended in the air longer. Materials and methods: Since early stages of the outbreak, COVID-19 cases have been described in healthcare workers (HCWs). However, in the early stages, the disease may be asymptomatic. This may lead to incorrect diagnosis or delayed diagnosis and may lead to the nosocomial spread of the virus. One of the …

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Pandemic Hospitals And Reorganizing Emergency Departments, Afşi̇n Emre Kayipmaz, Ahmet Demi̇rcan Jan 2021

Pandemic Hospitals And Reorganizing Emergency Departments, Afşi̇n Emre Kayipmaz, Ahmet Demi̇rcan

Turkish Journal of Medical Sciences

Emergency departments have always been the first point of contact for hospitals in many situations, including man-made and natural disasters. The first places where patients with symptoms of COVID-19 were met in health institutions were also emergency departments. Emergency departments play an important role in diagnosing the disease and isolating patients (by hospitalization if necessary). The process, which starts with the triage of outpatients admitted to the emergency department and brought by ambulance, continues as isolation of the patients in appropriate areas including physical evaluation, management of laboratory and scanning processes and, if necessary, providing cardiopulmonary resuscitation with airway support. …

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Evaluating The Efficiency Of Public Policy Measures Against Covid-19, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fi̇rdevs Aktaş Jan 2021

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 …

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How Efficient Are Facial Masks Against Covid-19? Evaluating The Mask Use Of Variouscommunities One Year Into The Pandemic, Aslıhan Candevi̇r, Cem Üngör, Fi̇gen Çi̇zmeci̇ Şenel, Yeşi̇m Taşova Jan 2021

How Efficient Are Facial Masks Against Covid-19? Evaluating The Mask Use Of Variouscommunities One Year Into The Pandemic, Aslıhan Candevi̇r, Cem Üngör, Fi̇gen Çi̇zmeci̇ Şenel, Yeşi̇m Taşova

Turkish Journal of Medical Sciences

Face masks are devices worn over the mouth and nose to protect against splashes, infectious respiratory droplets, or aerosols generated during breathing or coughing according to their filtering capacity. Medical masks, respirators, or cloth masks have been used for source control and for the protection of the exposed. After the first case on March 11, 2020, in Turkey, National COVID-19 Scientific Advisory Board published various contents for the correct use of masks. Medical face masks have been used in healthcare settings for both source control and potential personal protection before the COVID-19 pandemic. Adverse events associated with using masks are …

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Rna-Based Covid-19 Vaccine Candidates With Clinical Phase Trials In Progress, Leyla İpek Rudvan Al, Meli̇ha Çağla Sönmezer, Serhat Ünal Jan 2021

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 …

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Cerebral Hemodynamic Alterations In Patients With Covid-19, Ali̇ Riza Sonkaya, Bi̇lgi̇n Öztürk, Ömer Karadaş Jan 2021

Cerebral Hemodynamic Alterations In Patients With Covid-19, Ali̇ Riza Sonkaya, Bi̇lgi̇n Öztürk, Ömer Karadaş

Turkish Journal of Medical Sciences

Background/aim: Coronavirus 2019 disease (Covid-19) was first seen in December 2019 and afterwards it became pandemic. Several systemic involvements have been reported in Covid-19 patients. In this study, it was aimed to investigate the cerebrovascular hemodynamics in patients with Covid-19. Materials and methods: The sample of this study included 20 patients hospitalized in our clinic diagnosed with Covid-19 via PCR modality and 20 healthy volunteers of similar age and sex. Bilateral middle cerebral arteries were investigated with transcranial Doppler ultrasonography. Basal cerebral blood flow velocities and vasomotor reactivity rates were determined and statistically compared. Results: When patient and control groups …

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Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem Jan 2021

Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem

Turkish Journal of Medical Sciences

Background/aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Turkey on March 10, 2020 and the number of the patients are increasing day by day. Coronavirus disease 2019 (Covid-19) has high mortality rates in intensive care units (ICUs). We aimed to describe the demographic characteristics, comorbidities, treatment protocols, and clinical outcomes among the critically ill patients admitted to the ICU of our hospital. Materials and methods: This cohort study included 103 consecutive patients who had laboratory confirmed Covid-19 and admitted to ICU of Sakarya University Training and Research Hospital between March 19 and April 13, 2020. The …

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The Predictive And Diagnostic Accuracy Of Long Pentraxin-3 In Covid-19 Pneumonia, Ahmed Bi̇lal Genç, Selçuk Yaylaci, Hamad Dhei̇r, Ahmed Ci̇had Genç, Kubi̇lay İşsever, Deni̇z Çeki̇ç, Havva Kocayi̇ği̇t, Erdem Çokluk, Alper Karacan, Mehmet Ramazan Şekeroğlu, Hande Toptan, Ertuğrul Güçlü Jan 2021

The Predictive And Diagnostic Accuracy Of Long Pentraxin-3 In Covid-19 Pneumonia, Ahmed Bi̇lal Genç, Selçuk Yaylaci, Hamad Dhei̇r, Ahmed Ci̇had Genç, Kubi̇lay İşsever, Deni̇z Çeki̇ç, Havva Kocayi̇ği̇t, Erdem Çokluk, Alper Karacan, Mehmet Ramazan Şekeroğlu, Hande Toptan, Ertuğrul Güçlü

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study is to evaluate serum pentraxin-3 (PTX-3) levels in Sars-CoV-2 virus infection (COVID-19) patients and to investigate whether PTX-3 predicts the disease prognosis. Materials and methods: This study was conducted on 88 confirmed COVID-19 patients who were hospitalized due to symptomatic pneumonia between April 15 and August 15, 2020. The patients were divided into two groups as survived patients and non-survived patients. Both groups were compared according to demographic features, comorbid conditions and measurement of the PTX-3 and other laboratory parameters of the patients. Results: Of 88 patients with COVID-19, 59 (67%) were discharged with …

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Factors Affecting Mortality In Geriatric Patients Hospitalized With Covid-19, Rabi̇a Bağ Soytaş, Damla Ünal, Pinar Arman, Veysel Suzan, Tuğçe Emi̇roğlu Gedi̇k, Günay Can, Bora Korkmazer, Ridvan Karaali̇, Şermi̇n Börekçi̇, Mert Ahmet Kuşkucu, Hakan Yavuzer, Ülev Deni̇z Erdi̇nçler, Alper Döventaş Jan 2021

Factors Affecting Mortality In Geriatric Patients Hospitalized With Covid-19, Rabi̇a Bağ Soytaş, Damla Ünal, Pinar Arman, Veysel Suzan, Tuğçe Emi̇roğlu Gedi̇k, Günay Can, Bora Korkmazer, Ridvan Karaali̇, Şermi̇n Börekçi̇, Mert Ahmet Kuşkucu, Hakan Yavuzer, Ülev Deni̇z Erdi̇nçler, Alper Döventaş

Turkish Journal of Medical Sciences

Background/aim: We aimed to investigate the factors affecting the mortality of patients aged 65 years or older who were hospitalized with the diagnosis of new coronavirus pneumonia (COVID-19). Materials and methods: This is a retrospective study of patients 65 years old or older with COVID-19 who were hospitalized in İstanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty Hospital, between March 11 and May 28, 2020. Demographic, clinical, treatment, and laboratory data were extracted from electronic medical records. We used univariate and multivariate logistic regression methods to explore the risk factors for in-hospital death. Results: A total of 218 patients (112 men, 106 women) …

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The Necessity Of Treating Asymptomatic Bacteriuria With Antibiotics In The Perioperativeperiod Of Joint Arthroplasty: A Metaanalysis., Sayed Abdulla Jami, Jian Dang Shi, Zhanwen Zhou, Chang Hao Liu Jan 2021

The Necessity Of Treating Asymptomatic Bacteriuria With Antibiotics In The Perioperativeperiod Of Joint Arthroplasty: A Metaanalysis., Sayed Abdulla Jami, Jian Dang Shi, Zhanwen Zhou, Chang Hao Liu

Turkish Journal of Medical Sciences

Background/aim: Oral antibiotics are usually used to treat asymptomatic bacteriuria during the perioperative period of joint replacement. However, there is no unified conclusion as to whether asymptomatic bacteriuria causes infection around joint prostheses, and the efficacy of antibiotics is unknown. Materials and methods: We systematically searched PubMed, CNKI, Ovid, Cochrane Library, EMBASE, manual research, and references of relevant articles up to January 1, 2020, to identify and compare observational studies. The Cochrane systematic review method was used, and Review Manager 5.3 software was used for analysis. Results: Nine articles were included in the analysis, involving 29,844 cases of joint arthroplasty …

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Sural Nerve Harvest For Infants: Integrated With Information Based On Anatomicaldissections, Mustafa Büyükmumcu, Anil Di̇dem Aydin Kabakçi, Duygu Akin Saygin, Mehmet Tuğrul Yilmaz, Muzaffer Şeker Jan 2021

Sural Nerve Harvest For Infants: Integrated With Information Based On Anatomicaldissections, Mustafa Büyükmumcu, Anil Di̇dem Aydin Kabakçi, Duygu Akin Saygin, Mehmet Tuğrul Yilmaz, Muzaffer Şeker

Turkish Journal of Medical Sciences

Background/aim: The aim of the present study was to determine the course and possible variations of the sural nerve with all anatomical details in human fetal cadavers. Materials and methods: This study was performed on 60 fetal cadavers. Formation type and level of the sural nerve was detected. Results: According to trimesters, it was determined that the mean transverse and vertical distance between the lowest point of the LM and the SN varied between 1.1 and 2.9 mm and 1.54 and 3.58 mm, respectively. Type 2 was the most common seen type of sural nerve (35.83%). It was determined that …

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Retrospective Analysis Of The Effect Of Breast Surgery On Body Posture In Patients Withearly-Stage Breast Cancer After Cancer Treatment (Venus Study)(Breast Cancer And Body Posture), Özgür Tanriverdi̇, Ahmet Ozan Çeti̇n, Ali̇ Alkan Jan 2021

Retrospective Analysis Of The Effect Of Breast Surgery On Body Posture In Patients Withearly-Stage Breast Cancer After Cancer Treatment (Venus Study)(Breast Cancer And Body Posture), Özgür Tanriverdi̇, Ahmet Ozan Çeti̇n, Ali̇ Alkan

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine whether breast surgery changes body posture in patients with early-stage breast cancer. Materials and methods: Study variables include age, side and localization of the tumor in the breast, applied breast surgery, axillary interference, pathological tumor size, axillary lymph node metastasis, body mass index, bone density, adjuvant therapies, and histological type. Thoracic kyphosis angle due to the anatomically affected primary region to detect changes in body posture and Cobb's method were used to measure this. Results: There was a statistically significant difference in the mean Cobb's angle between the follow-up times of …

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Identification Of Novel Tubb1 Variants In Patients With Macrothrombocytopenia, Zi̇hni̇ Onur Çalişkaner, Abdullah Abdul Waheed, Merve Tuzlakoğlu Öztürk, Yeşi̇m Oymak, Uygar Hali̇s Tazebay, Mehmet Nejat Akar, Ayten Kandi̇lci̇, Di̇dem Özkan Jan 2021

Identification Of Novel Tubb1 Variants In Patients With Macrothrombocytopenia, Zi̇hni̇ Onur Çalişkaner, Abdullah Abdul Waheed, Merve Tuzlakoğlu Öztürk, Yeşi̇m Oymak, Uygar Hali̇s Tazebay, Mehmet Nejat Akar, Ayten Kandi̇lci̇, Di̇dem Özkan

Turkish Journal of Medical Sciences

Background/aim: Macrothrombocytopenia is an autosomal-dominant disorder characterized by increased platelet size and a decreased number of circulating platelets. The membrane skeleton and the link between actin filaments of the skeleton and microtubules, which consist of alpha and beta tubulin [including the tubulin beta-1 chain (TUBB1)] heterodimers, are important for normal platelet morphology, and defects in these systems are associated with macrothrombocytopenia. Materials and methods: In this study, we sequenced the exons of the TUBB1 gene using DNA isolated from the peripheral blood samples of healthy controls (n = 47) and patients with macrothrombocytopenia (n = 37) from Turkey. The TUBB1 …

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Pain During Walking And Ascending Stairs Before Hyaluronic Acid Injection Was Commonin Patients With Knee Osteoarthritis: A Qualitative Study, Ömer Özkan, Nai̇la Babayeva, Şeri̇fe Şeyma Torğutalp, Ömer Serkan Kara, Gürhan Dönmez, Feza Korkusuz Jan 2021

Pain During Walking And Ascending Stairs Before Hyaluronic Acid Injection Was Commonin Patients With Knee Osteoarthritis: A Qualitative Study, Ömer Özkan, Nai̇la Babayeva, Şeri̇fe Şeyma Torğutalp, Ömer Serkan Kara, Gürhan Dönmez, Feza Korkusuz

Turkish Journal of Medical Sciences

Background/aim: Knee osteoarthritis (OA) is a common pathology characterized by degeneration of the articular cartilage. The aim of the research was to ask patients how they decided to make the injection, what treatments they received, their complaints prior to and after the injection and how they feel at the moment, and whether they are currently exercising or not. Thus, to demonstrate the patients' outcomes with their own expression. Materials and methods: A total of 92 knee OA patients completed semistructured interviews, which included six open-ended questions. Results: A total of 92 patients (66 female, 26 male) aged between 36 and …

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Can Preoperative Modified Systemic Inflammation Score (Msis) Be Used To Predictmalignancy In Persistent Nondiagnostic Thyroid Nodules?, Hakan Ataş, Bi̇rol Korukluoğlu, Bülent Çomçali, Neşe Yakşi̇, Bariş Saylam, Mesut Tez Jan 2021

Can Preoperative Modified Systemic Inflammation Score (Msis) Be Used To Predictmalignancy In Persistent Nondiagnostic Thyroid Nodules?, Hakan Ataş, Bi̇rol Korukluoğlu, Bülent Çomçali, Neşe Yakşi̇, Bariş Saylam, Mesut Tez

Turkish Journal of Medical Sciences

Background/aim: Despite the use of ultrasound guidance, a significant part of thyroid biopsies are nondiagnostic (ND). We aimed to investigate the utility of the preoperative modified systemic inflammation score (mSIS) to predict malignancies in patients with persistent ND thyroid nodules (TNs). Materials and methods: Records of 924 patients underwent thyroidectomy between September 2016 and May 2019 were retrospectively reviewed. The calculation of mSIS was as follows: mSIS 0 [patients with albumin (ALB) ≥ 4.0 g/dL and lymphocyte to monocyte ratio (LMR) ≥ 3.4], mSIS 1 [ALB < 4.0 g/dL or LMR < 3.4], and mSIS 2 [ALB < 4.0 g/dL and LMR < 3.4]. Results: One hundred and thirty-six patients were included in the study. Of the patients with a median age of 49 (21-81) years, 26 (19.1%) were male, and 110 (80.9%) were female. Besides low lymphocyte count (P = 0.03), and ALB levels (P < 0.01), higher BMI (P = 0.02) were also associated with malignancy. In patients classified as mSIS 2, 1 and 0; malignancy rates were 100%, 25.8%, and 16.1%, respectively. The association between preoperative mSIS and thyroid malignancies was statistically significant (P < 0.01). Conclusion: We recommend that when patients with persistent ND TNs are assigned to mSIS 2 or 1, surgery should not be delayed due to the risk of malignancy.

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Acute Necrotizing Encephalopathy Of Childhood: A Single-Center Experience, Erhan Aksoy, Ülkühan Öztoprak, Hali̇l Çeli̇k, Fati̇h Mehmet Aki̇f Özdemi̇r, Mehbare Özkan, Hülya Kayilioğlu, Ayşegül Daniş, Özge Kucur, Selman Kesi̇ci̇, Mutlu Uysal Yazici, Ebru Azapağasi, Yasemi̇n Taşci Yildiz, Nesri̇n Ceylan, Sali̇ha Şenel, Deni̇z Yüksel Jan 2021

Acute Necrotizing Encephalopathy Of Childhood: A Single-Center Experience, Erhan Aksoy, Ülkühan Öztoprak, Hali̇l Çeli̇k, Fati̇h Mehmet Aki̇f Özdemi̇r, Mehbare Özkan, Hülya Kayilioğlu, Ayşegül Daniş, Özge Kucur, Selman Kesi̇ci̇, Mutlu Uysal Yazici, Ebru Azapağasi, Yasemi̇n Taşci Yildiz, Nesri̇n Ceylan, Sali̇ha Şenel, Deni̇z Yüksel

Turkish Journal of Medical Sciences

Background/aim: Acute necrotizing encephalopathy is a rare type of acute encephalopathy characterized by multi-ocal brain lesions and associated severe neurological findings and various organ dysfunctions may accompany it. Materials and Methods: Patients with acute necrotizing encephalopathy of childhood diagnosed by pediatric neurology and pediatric intensive care at Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital between 2007 and 2020 were included in this study. Results: Nine patients (six females, three males) with a mean age of 4.05 ± 1.94 years (age range 1-6.5) were included in this study. The interval range between fever and encephalopathy in patients …

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Evaluation Of Serum Anti-Müllerian Hormone Levels In Women With Hashimotothyroiditis In The Reproductive Age, İlknur Öztürk Ünsal, Sema Hepşen, Pinar Akhanli, Murat Çalapkulu, Muhammed Erkam Sencar, Ali̇ Yalçindağ, Erman Çakal Jan 2021

Evaluation Of Serum Anti-Müllerian Hormone Levels In Women With Hashimotothyroiditis In The Reproductive Age, İlknur Öztürk Ünsal, Sema Hepşen, Pinar Akhanli, Murat Çalapkulu, Muhammed Erkam Sencar, Ali̇ Yalçindağ, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: Autoimmune thyroid disease in women is associated with subfertility and early pregnancy loss, and patients with primary ovarian insufficiency have a high prevalence of thyroid autoimmune disorders. The aim of this study was to investigate the association between Hashimoto thyroiditis (HT) and ovarian reserve. Materials and methods: Levels of serum thyroid stimulating hormones, thyroid autoantibodies, and anti-Müllerian hormone (AMH) were measured in women with HT and a healthy control group between 2018 and 2019. Results: Evaluation was made of 108 premenopausal women with HT, and a control group of 172 healthy females with normal antithyroid antibody levels and thyroid …

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Umbilical Cord Levels Of Macrophage Migration Inhibitory Factor In Neonatal Respiratorydistress Syndrome, Süleyman Bayraktar, Bi̇lge Bayraktar, Ülkan Kiliç Jan 2021

Umbilical Cord Levels Of Macrophage Migration Inhibitory Factor In Neonatal Respiratorydistress Syndrome, Süleyman Bayraktar, Bi̇lge Bayraktar, Ülkan Kiliç

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the association of the umbilical cord macrophage migration inhibitory factor (MIF) with the respiratory distress syndrome (RDS) in preterm infants. Materials and methods: A total of eighty six preterm infants (38 with RDS and 48 without RDS) were involved in the study. ELISA is the technique assaying MIF values. Results: The mean of the infants' gestational ages and birth weights were significantly different (P = 0.0001). There were no significant differences in sex, delivery mode or exposure to antenatal steroid among the groups (P > 0.05). Umbilical cord MIF levels of the infants were not correlated …

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Role Of Dyslipidemia In Early Vascular Aging Syndrome, Alparslan Kiliç, Onur Baydar, Deni̇z Elçi̇k, Zi̇ya Apaydin, Mehmet Mustafa Can Jan 2021

Role Of Dyslipidemia In Early Vascular Aging Syndrome, Alparslan Kiliç, Onur Baydar, Deni̇z Elçi̇k, Zi̇ya Apaydin, Mehmet Mustafa Can

Turkish Journal of Medical Sciences

Background/aim: Arterial stiffness, known as a predictor of early vascular aging, was defined as the main determinant of cardiovascular mortality and morbidity. However, the relationship between lipid profile and increased arterial stiffness is not clear. The aim of this study is to investigate the relationship between lipid profiles and increased arterial stiffness in patients with early vascular aging syndrome. Materials and methods: A total of 1582 participants -504 (31.8%) of were male and the mean age was 52.8 ±14.2 years' were included in the study . Patients who applied to the hospital for various reasons and who had undergone 24-h …

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Does Treatment With Sodium-Glucose Co-Transporter-2 Inhibitors Have An Effect On Sleepquality, Quality Of Life, And Anxiety Levels In People With Type 2 Diabetes Mellitus?, Serdar Şahi̇n, Özlem Hali̇loğlu, Özge Polat Korkmaz, Emre Durcan, Hümeyra Rekali Şahi̇n, Volkan Demi̇rhan Yumuk, Taner Damci, Hasan Mahmut İlkova, Zeynep Oşar Si̇va Jan 2021

Does Treatment With Sodium-Glucose Co-Transporter-2 Inhibitors Have An Effect On Sleepquality, Quality Of Life, And Anxiety Levels In People With Type 2 Diabetes Mellitus?, Serdar Şahi̇n, Özlem Hali̇loğlu, Özge Polat Korkmaz, Emre Durcan, Hümeyra Rekali Şahi̇n, Volkan Demi̇rhan Yumuk, Taner Damci, Hasan Mahmut İlkova, Zeynep Oşar Si̇va

Turkish Journal of Medical Sciences

Background/aim: To evaluate the impact of treatment with sodium-glucose co-transporter-2 (SGLT2) Inhibitors on quality of life (QoL), sleep quality (SQ), and anxiety levels in patients with Type 2 diabetes mellitus (T2DM). Materials and methods: Ninety-seven patients with type 2 diabetes admitted to tertiary care hospital diabetes clinic were included. Fifty patients were randomized to receive SGLT2 inhibitors in addition to baseline treatment (Group A), 47 subjects continued with their baseline treatment or were added other medications as needed (Group B). Thirty healthy controls (HC) were recruited (Group C). All groups were subjected to the Turkish version of Short Form-36 (SF-36), …

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Dynamic Thiol/Disulfide Homeostasis As Oxidative Stress Marker In Diabetic Ketoacidosis, Yavuz Otal, Fati̇h Ahmet Kahraman, Fadi̇me Güllü Haydar, Özcan Erel Jan 2021

Dynamic Thiol/Disulfide Homeostasis As Oxidative Stress Marker In Diabetic Ketoacidosis, Yavuz Otal, Fati̇h Ahmet Kahraman, Fadi̇me Güllü Haydar, Özcan Erel

Turkish Journal of Medical Sciences

Background/aim: The aim of present study was to investigate the dynamic thiol/disulfide homeostasis as oxidative stress marker in diabetic ketoacidosis (DKA). Materials and methods: A total of 77 participants consisting of 32 patients with DKA and 45 healthy volunteers were included in the study. Thiol/disulfide homeostasis (TDH) [total thiol-native thiol/disulfide changes] were measured in both groups (patient group and control group) using a brand new method developed by Erel and Neselioglu. Half of the difference between total thiol and native thiol concentrations gives the amount of disulfide bond. Results: Total thiol, native thiol, and disulfide levels in blood were found …

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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 Jan 2021

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 …

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Volume And T2 Relaxation Time Measurements Of Quadriceps Femoris And Hamstringmuscles Are Reliable And Reproducible, Şeri̇fe Şeyma Torğutalp, Ömer Özkan, Şafak Parlak Sağol, Hati̇ce Kader Karli Oğuz, Feza Korkusuz Jan 2021

Volume And T2 Relaxation Time Measurements Of Quadriceps Femoris And Hamstringmuscles Are Reliable And Reproducible, Şeri̇fe Şeyma Torğutalp, Ömer Özkan, Şafak Parlak Sağol, Hati̇ce Kader Karli Oğuz, Feza Korkusuz

Turkish Journal of Medical Sciences

Background/aim: Volume and T2 relaxation time measurements of the skeletal muscle provide quantitative information. We aimed to evaluate the interobserver reliability and the intraobserver reproducibility of measurements of volumes and T2 relaxation times of the quadriceps femoris and the hamstring muscles. Materials and methods: A cross-sectional reliability study was conducted on ten recreational athletes. The images of the quadriceps and the hamstring muscles of both limbs were obtained using a 3.0 Tesla magnetic resonance imaging (MRI) scanner. Two sports medicine specialists measured muscle volumes from a total of 2560 images and T2 relaxation times from a total of 40 images, …

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Increased Incidence Of Malignancy In Patients With Primary Hyperparathyroidism, Meli̇a Karaköse, Muhammet Kocabaş, Mustafa Can, Hati̇ce Çalişkan Burgucu, İlker Çordan, Mustafa Kulaksizoğlu, Feri̇dun Karakurt Jan 2021

Increased Incidence Of Malignancy In Patients With Primary Hyperparathyroidism, Meli̇a Karaköse, Muhammet Kocabaş, Mustafa Can, Hati̇ce Çalişkan Burgucu, İlker Çordan, Mustafa Kulaksizoğlu, Feri̇dun Karakurt

Turkish Journal of Medical Sciences

Background/aim: Primary hyperparathyroidism (PHPT) is a disease that is diagnosed more frequently and generally in the asymptomatic period, with widely available biochemical tests. Evidence suggesting an association between PHPT and malignancy risk is increasing. Clarification of this association will be useful in PHPT for malignancy screening and management of patients with PHPT. In this study, we aimed to investigate the frequency of cancer in PHPT patients. Materials and methods: A total of 775 PHPT patients were included in the retrospective study. Demographic, clinical and laboratory data of the patients were evaluated retrospectively. Results: Malignancy was detected in 128 (16.50%) of …

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Assessment Of Fragmented Qrs Formation And Its Relationship With Left Ventricularhypertrophy In Nonhypertensive Acromegaly Patients, Muhammet Dural, Göknur Yorulmaz, Eli̇f Sevi̇l Alagüney, Kadi̇r Uğur Mert, Ezgi̇ Çamli, Ahmet Toygar Kalkan, Aysen Akalin, Medi̇ne Nur Kebapçi, Ahmet Serdar Yilmaz, Selda Murat, Fatma Belgi̇n Efe Jan 2021

Assessment Of Fragmented Qrs Formation And Its Relationship With Left Ventricularhypertrophy In Nonhypertensive Acromegaly Patients, Muhammet Dural, Göknur Yorulmaz, Eli̇f Sevi̇l Alagüney, Kadi̇r Uğur Mert, Ezgi̇ Çamli, Ahmet Toygar Kalkan, Aysen Akalin, Medi̇ne Nur Kebapçi, Ahmet Serdar Yilmaz, Selda Murat, Fatma Belgi̇n Efe

Turkish Journal of Medical Sciences

Background/aim: It is known that the presence of fragmented QRS (fQRS) on electrocardiography (ECG) is associated with cardiovascular events. The aim of this study was the evaluation of fQRS formation and its relationship with the left ventricular hypertrophy (LVH) parameters in acromegaly patients. Materials and methods: In total, 47 previously diagnosed with non-hypertensive acromegaly patients and 48 control subjects were included in the study. ECG and transthoracic echocardiography (TTE) were performed for each participant. Acromegaly patients were divided into two groups according to the fQRS formation on the ECG. Left ventricular wall thicknesses, and left atrial diameter (LAD), left ventricular …

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1,25-Dihydroxyvitamin D3 Regulates T Helper And B Lymphocyte Responsessubstantially In Drug-Naive Primary Sjögren's Syndrome Patients' Mononuclear Cells, Deni̇z Genç, Merve Sezer Kürkçü, Burcu Günaydin, Emi̇ne Fi̇gen Tarhan Jan 2021

1,25-Dihydroxyvitamin D3 Regulates T Helper And B Lymphocyte Responsessubstantially In Drug-Naive Primary Sjögren's Syndrome Patients' Mononuclear Cells, Deni̇z Genç, Merve Sezer Kürkçü, Burcu Günaydin, Emi̇ne Fi̇gen Tarhan

Turkish Journal of Medical Sciences

Background/aim: A correlation between vitamin D deficiency and primary Sjögren's syndrome (pSS) has already been described. The limited data has been reported regarding the pathological relevance of vitamin D in primary Sjögren's syndrome. In this study, the peripheral blood mononuclear cells were cocultured with 1,25-dihydroxyvitamin D3 to determine the modulatory effect of vitamin D3 on T and B lymphocyte phenotypes in pSS. Materials and methods: Venous blood samples were collected from 11 patients in the treatment phase and 9 drug-naive pSS patients. Peripheral blood mononuclear cells (PBMC) were isolated and separately cultured in the presence and absence of 1,25- dihydroxyvitamin …

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Can Omentin-1 Be A Prognostic Marker In Surgical Intensive Care Patients?, Yücel Gülteki̇n, İsmai̇l Bi̇ri̇, Afi̇g Gojayev, Selen Yilmaz Işikhan, Oytun Portakal Akçi̇n, Yusuf Alper Kiliç Jan 2021

Can Omentin-1 Be A Prognostic Marker In Surgical Intensive Care Patients?, Yücel Gülteki̇n, İsmai̇l Bi̇ri̇, Afi̇g Gojayev, Selen Yilmaz Işikhan, Oytun Portakal Akçi̇n, Yusuf Alper Kiliç

Turkish Journal of Medical Sciences

Background/aim: A member of the adipokine family, omentin-1 is selectively secreted from visceral fat tissue and the omentum. It has been shown that omentin-1 is involved in the pathogenesis of certain diseases and can be used as a prognostic marker. This study first investigated the prognostic significance of omentin-1 in surgical intensive care patients. In addition, the relationship between omentin-1 and laboratory and clinical parameters commonly used in intensive care units (ICUs) was evaluated. Materials and methods: One hundred and fifty-four patients hospitalized in the surgical ICU were included in the study. Blood samples for omentin-1 were collected from the …

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Elastography Acoustic Radiation Force Impulse (Arfi): An Investigation Of Ocularelasticity In Dogs With Chronic Secondary Glaucoma, Gabriela Morais Madruga, Marcus Antonio Rossi Feliciano, Marjury Cristina Maronezi, Marcella Rosa Filézio, Thaís Guimarães Morato Abreu, Alexandre Pinto Ribeiro, Feancimery Aparecida Fachini, Karina Kamachi Kobashigawa, Igor Cezar Kniphoff Da Cruz, Ricardo Andres Ramirez Uscategui, José Luiz Laus Jan 2021

Elastography Acoustic Radiation Force Impulse (Arfi): An Investigation Of Ocularelasticity In Dogs With Chronic Secondary Glaucoma, Gabriela Morais Madruga, Marcus Antonio Rossi Feliciano, Marjury Cristina Maronezi, Marcella Rosa Filézio, Thaís Guimarães Morato Abreu, Alexandre Pinto Ribeiro, Feancimery Aparecida Fachini, Karina Kamachi Kobashigawa, Igor Cezar Kniphoff Da Cruz, Ricardo Andres Ramirez Uscategui, José Luiz Laus

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to evaluate and compare the elasticity of the optic nerve (ON) and retinal-choroid-sclera complex (RCSC) in dogs with healthy eyes and secondary glaucoma using ARFI elastography. ARFI elastography was performed on normal eyes (n = 25) and affected by glaucoma (n = 25). The mean values of shear wave velocity (SWV) of the ON and RCSC were compared between groups by the Student?s t-test. The correlation between elastography measurements of the ON and RCSC and the intraocular pressure (IOP) was measured. The SWV of the optic nerve in glaucomatous eyes (4.77 ± 1.59 m/s) …

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