Avascular Necrosis Less Frequently Found In Systemic Lupus Erythematosus Patients With The Use Of Alternate Day Corticosteroid,
2020
TÜBİTAK
Avascular Necrosis Less Frequently Found In Systemic Lupus Erythematosus Patients With The Use Of Alternate Day Corticosteroid, İsmai̇l Doğan, Umut Kalyoncu, Levent Kiliç, Ali̇ Akdoğan, Ömer Karadağ, Sedat Ki̇raz, Şazi̇ye Şule Apraş Bi̇lgen, Ali̇ İhsan Ertenli̇
Turkish Journal of Medical Sciences
Background/aim: Avascular necrosis (AVN) is the death of bone due to compromise of blood flow. The etiology of AVN is multifactorial; corticosteroid usage is the second most significant factor after trauma, and systemic lupus erythematosus (SLE) is the most common underlying disease. The objective of this study was to assess the factors of AVN in SLE patients. Materials and methods: The study included 127 patients with SLE who fulfilled 1997 American College of Rheumatology (ACR) revised criteria. Demographic data, age at SLE diagnosis, disease duration, disease activity, body mass index, clinical findings, antiphospholipid syndrome, steroid usage, dose and duration, comorbid …
Characterization Of Silk Sutures Coated With Propolis And Biogenic Silver Nanoparticles (Agnps); An Eco-Friendly Solution With Wound Healing Potential Against Surgical Site Infections (Ssis), Tuba Baygar
Turkish Journal of Medical Sciences
Background/aim: Bacterial adherence to a suture material is one of the main causes of surgical site infections. An antibacterial suture material with enhanced wound healing function may protect the surgical site from infections. Thus, the present study aimed to investigate the synergistic effect of propolis and biogenic metallic nanoparticles when combined with silk sutures for biomedical use.Materials and methods: Silver nanoparticle (AgNP) synthesis was carried out via a microbial-mediated biological route and impregnated on propolis-loaded silk sutures using an in situ process. Silk sutures fabricated with propolis and biosynthesized AgNPs (bioAgNP-propolis-coated sutures) were intensively characterized using scanning electron microscopy (SEM), …
Does Selection Of Nostrils Really Affect Performance Of Nasotracheal Intubation With Nasotracheal Airtraq®?,
2020
TÜBİTAK
Does Selection Of Nostrils Really Affect Performance Of Nasotracheal Intubation With Nasotracheal Airtraq®?, Liu-Jia-Zi Shao, Shaohua Liu, Fushan Xue
Turkish Journal of Medical Sciences
No abstract provided.
Reply To Letter To The Editor,
2020
TÜBİTAK
Reply To Letter To The Editor, Zehra İpek Arslan Aydin
Turkish Journal of Medical Sciences
No abstract provided.
Geoepidemiology And Clinical Characteristics Of Neonatal Lupus Erythematosus: Asystematic Literature Review Of Individual Patients' Data, Abdulsamet Erden, Antonis Fanouri̇aki̇s, Levent Kiliç, Alper Sari, Berkan Armağan, Emre Bi̇lgi̇n, Yusuf Zi̇ya Şener, Benazi̇r Hymabaccus, Fati̇h Gürler, Serdar Ceylan, Sedat Ki̇raz, Ömer Karadağ, Dimitrious Boumpas
Turkish Journal of Medical Sciences
Background/aim: Neonatal lupus erythematosus (NLE) is an autoimmune syndrome caused by transplacental transmission of maternal autoantibodies, often with devastating consequences. The objective of this systematic literature review was to analyze the demographic data, geoepidemiology, clinical, and serological characteristics associated with NLE. Materials and methods: We performed a systematic literature search of the Pubmed database covering the period from 1976 to August 2015, using the MeSH terms "neonatal lupus" or "congenital heart block". To be included in the study, articles of any type (original articles, case series, and case reports) had to report on infants with NLE on an individualized (i.e. …
25-Hydroxy Vitamin D Level Is Associated With Sleep Disturbances In Patients With Chronickidney Disease On Hemodialysis: A Cross-Sectional Study, Demet Yavuz, Rahman Yavuz, Mehmet Derya Demi̇rağ, Düri̇ye Sila Karagöz Özen, Zeynep Banu Ramazanoğlu
Turkish Journal of Medical Sciences
Background/aim: Deficient levels of vitamin D are an important factor in the pathogenesis of some neurodegenerative diseases. The aim of this study is to determine the relationship between vitamin D deficiency and depression status and sleep disorders of patients on dialysis. Materials and methods: In this cross-sectional study, 121 hemodialysis patients were enrolled. All patients had been on hemodialysis for at least six months at the time of the study. Sleep quality and depression status were measured by using specific inventories. All the patients filled out Pittsburg Sleep Quality Index (PSQI) and Beck Depression Inventory (BDI), and gave blood samples. …
Different Perspectives Of Immunizations During Pregnancy,
2020
TÜBİTAK
Different Perspectives Of Immunizations During Pregnancy, Gökce Celep, Aysu Duyan Çamurdan, Fatma Nur Baran Aksakal, Osman Fadil Kara
Turkish Journal of Medical Sciences
Background/aim: Pregnant women and infants are at risk of severe lower respiratory tract infections induced by influenza or pertussis. The uptake of both vaccines is poor in spite of proven benefits and safety. We aimed to determine the knowledge and attitude of pregnant women and their primary healthcare providers towards immunization during pregnancy. Materials and methods: This cross-sectional and interventional study was conducted in northern Turkey in 2016. It had 3 different groups including 786 pregnant women, 146 primary healthcare staff, and 97 family practitioners. Different questionnaires were filled by each group. The intervention phase of the study consisted of …
Midkine Level May Be Used As A Noninvasive Biomarker In Crohn's Disease,
2020
TÜBİTAK
Midkine Level May Be Used As A Noninvasive Biomarker In Crohn's Disease, Murat Keki̇lli̇, Alpaslan Tanoğlu, Fati̇h Karaahmet, Zeynal Doğan, Murat Can, Abdurrahi̇m Sayilir, Başak Çakal, Tolga Düzenli̇, Yavuz Beyazi̇t
Turkish Journal of Medical Sciences
Background/aim: Crohn's disease (CD) is a kind of inflammatory bowel disease. Midkine (MDK) is an endogenous inflammatory marker. We aimed to investigate the relationship between MDK levels and inflammation and hence determine whether MDK can be used as a noninvasive biomarker in active CD. Materials and methods: Sixty-five consecutive patients over the age of 18 with CD and 36 healthy controls were included in this study. CD patients' venous blood samples were taken before treatment. Serum MDK levels were determined in human plasma samples by enzyme-linked immunosorbent assay (ELISA) method. Results: The mean age of the study patients was 44.8 …
Evaluation Of Major Complications Associated With Percutaneous Ct-Guided Biopsy Oflung Nodules Below 3 Cm,
2020
TÜBİTAK
Evaluation Of Major Complications Associated With Percutaneous Ct-Guided Biopsy Oflung Nodules Below 3 Cm, Özgür Çakir, İsa Çam, Ural Koç, Ercüment Çi̇ftçi̇
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to evaluate retrospectively the incidence and risk factors for the serious complications of pneumothorax and/or parenchymal haemorrhage occurring after computed tomography (CT) guided transthoracic biopsy. Materials and methods: The relation between the incidence of pneumothorax and parenchymal haemorrhage due to biopsy, age, sex, lesion localization, lesion size, duration of the procedure, depth of lesion, number of pleural insertions of the biopsy needle and pathology results were statistically evaluated. Results: Between 2016 and 2017, 309 cases with lesions below 3 cm in diameter of a total of 768 (40.2%) CT-guided chest biopsy patients were …
What Is The Effect Of The Early Follicular Phase Fsh/Lh Ratio On The Number Of Matureoocytes And Embryo Development?,
2020
TÜBİTAK
What Is The Effect Of The Early Follicular Phase Fsh/Lh Ratio On The Number Of Matureoocytes And Embryo Development?, Özgür Arat, Şükri̇ye Derya Deveci̇, Zehra Sema Özkan, Sevi̇m Tuncer Can
Turkish Journal of Medical Sciences
Background/aim: Basal level of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and antral follicle count are used as predictors of ovarian reserve before starting ovulation induction. We aimed to investigate the predictor potential of early follicular phase FSH/LH ratio on controlled ovarian hyperstimulation-intracytoplasmic sperm injection (COH-ICSI) cycle outcomes. Materials and methods: This retrospective cohort study was conducted with 648 COH-ICSI cycles performed between 2012 and 2014. Cycles were classified according to their basal FSH/LH ratio, group 1(G1) = FSH/LH ratio < 2, N = 473 and group 2(G2) = FSH/LH ratio ∠ 2, N = 175. Demographic characteristics and stimulation parameters were evaluated. Retrieved total oocyte count (TOC), mature oocyte count (MOC), transferred embryo number, and pregnancy results were obtained and transferred to computer by SPSS 21.0 programme. Results: TOC and MOC of G1 were significantly higher than those of G2. The total gonadotrophin doses of G2 were significantly higher than G1. There was no significant difference between groups for transferred embryo number. Pregnancy and live birth rates were similar in both groups. Conclusion: In our population, increased FSH/LH ratio did not affect the rates of pregnancy and live birth negatively.
Shearwave Elastographic Evaluation Of Uterine Leiomyomas After Uterine Arteryembolization: Preliminary Results,
2020
TÜBİTAK
Shearwave Elastographic Evaluation Of Uterine Leiomyomas After Uterine Arteryembolization: Preliminary Results, Cesur Samanci, Yilmaz Önal
Turkish Journal of Medical Sciences
Background/aim: We aimed to investigate the role of Shearwave Elastography (SWE) in the evaluation of response to uterine artery embolization (UAE) in patients with uterine leiomyomas. Materials and methods: SWE images of the dominant uterin leiomyomas were obtained before and 1.5 months after performing UAE in 33 women suffering from symptoms due to leiomyomas (menometrorrhagia, bulk related symptoms, pelvic pain). Leiomyomas were also evaluated by 2 observers for location and longest diameter in axial plane. Interobserver agreement in the quantitative SWE analysis was calculated using intraclass correlation coefficients. Results: Thirty-three women (mean age, 39.7 years; range, 31-48 years) were examined …
Effect Of Metformin And Detorsion Treatment On Serum Anti-Müllerian Hormonelevels And Ovarian Histopathology In A Rat Ovarian Torsion Model, Sema Karakaş, Ci̇han Kaya, Hakan Güraslan, Damlanur Sakiz, Sema Süzen Çaypinar, Hüseyi̇n Cengi̇z, Murat Eki̇n, Levent Yaşar
Turkish Journal of Medical Sciences
Background/aim: Adnexal torsion is a common gynaecological emergency, and considered to be a problem mostly in reproductive-age women. To evaluate the effect of metformin and detorsion treatment on reducing ovarian reserve in an ovarian torsion model. Materials and methods: Twenty-four nonpregnant, Wistar Hannover rats were included in the study. Animals were divided into 3 groups: the control group, the detorsion only group, and the metformin + detorsion group. The first group received only laparotomy. In the second group, ovaries were fixed to the abdominal wall after performing 360° ovarian torsion, followed by detorsion after a 3-h period of ischemia. The …
Validation Of The Turkish Version Of The Sunnybrook Facial Grading System,
2020
TÜBİTAK
Validation Of The Turkish Version Of The Sunnybrook Facial Grading System, Erdem Mengi̇, Cüneyt Orhan Kara, Fazil Necdet Ardiç, Funda Tümkaya, Fevzi̇ Barlay, Taylan Çi̇l, Hande Şenol
Turkish Journal of Medical Sciences
Background/aim: To adapt the Sunnybrook facial grading system (SFGS) into Turkish and perform validation and reliability studies on the Turkish version. Materials and Methods: The original English version of the SFGS was translated into Turkish by performing a linguistic validity study based on international standards. The evaluators comprised 6 physicians. Evaluations were performed twice independently using the video recordings of 65 facial palsy patients. Synchronously, the House-Brackman facial grading system (HBFGS) was filled out to display concurrent validity. The intraclass correlation coefficient (ICC) and Cronbach's alpha was used for the examination of the inter- and intra-rater reliability. As another indication …
Chest Ct Features Of The Novel Coronavirus Disease (Covid-19),
2020
TÜBİTAK
Chest Ct Features Of The Novel Coronavirus Disease (Covid-19), Furkan Ufuk, Recep Savaş
Turkish Journal of Medical Sciences
A new type of coronavirus (2019-nCoV) is rapidly spreading worldwide and causes pneumonia, respiratory distress, thromboembolic events, and death. Chest computed tomography (CT) plays an essential role in the diagnosis of viral pneumonia, monitoring disease progression, determination of disease severity, and evaluating therapeutic efficacy. Chest CT can show important clues of 2019-nCoV disease (also known as COVID-19) in patients with an appropriate clinic. Prompt diagnosis of COVID-19 is essential to prevent disease transmission and provides close clinical observation of patients with clinically severe disease. Therefore, radiologists and clinicians should be familiar with the CT imaging findings of COVID-19 pneumonia. Herein, …
Evaluation Of The Effect Of Percutaneous Mitral Balloon Valvuloplasty On Left Ventricularsystolic Functions Using Strain And Strain Rate Echocardiography, Ertuğrul Emre Güntürk, Oğuzhan Baran, Hasan Akkaya, Özcan Örsçeli̇k
Turkish Journal of Medical Sciences
Background/aim: This study aimed to evaluate the effect of successful percutaneous mitral balloon valvuloplasty (PMBV) on left ventricular systolic functions using strain and strain rate echocardiography in moderate-severe mitral stenosis (MS) patients with normal left ventricular systolic function confirmed by conventional echocardiography. Materials and methods: Patients with moderate-severe MS who had undergone successful PMBV were included. Conventional echocardiographic parameters were evaluated before and after PMBV. Peak systolic strain and strain rate values of basal, mid, and apical segments of the left ventricular anterior, inferior, septum, and lateral walls were determined. Results: After PMBV, significant decreases were determined in the peak …
The Antibiotic Prescribing Behaviors Of Physicians Are Changed Via Rapid Antigen Testpractice In The Context Of Rational Drug Use, Deni̇z Uzun, Hali̇l Kara, Muhammed Fati̇h Doğan, Seyfullah Oktay Arslan
Turkish Journal of Medical Sciences
Background/aim: Rapid antigen test (RAT) is a practical test to detect the presence of Group A beta hemolytic streptococcus antigens in throat swab samples. The aim of this study is to investigate the changes in the empiric antibiotic prescribing behavior of 10 family physicians in Kırıkkale Province after using RAT in 2017. Materials and methods: RAT test practice started in Family Medicine in February 2017. Family Medicine Information System (FMIS) includes clinical and prescription records of 10 family physicians, providing health service to approximately 35,000 residents in Kırıkkale. The numbers of antibiotics prescribed by the physicians according to the ICD-10 …
Effects Of Oral/Enteral Nutrition Alone Versus Plus Pantoprazole On Gastrointestinalbleeding In Critically Ill Patients With Low Risk Factor: A Multicenter, Randomizedcontrolled Trial, Kürşat Gündoğan, Emre Karakoc, Turgut Teke, Avşar Zerman, Ali̇ye Esmaoglu, Şahi̇n Temel, Muhammet Güven, Murat Sungur
Turkish Journal of Medical Sciences
Background/aim: Critically ill patients are at risk of developing gastrointestinal (GI) bleeding due to stress causing mucosal damage. Aim of the study was to determine the effect of oral/enteral nutrition with or without concomitant pantoprazole on upper GI bleeding in low risk critically ill patients. Materials and methods: This was a prospective, randomized, open-label, multicenter study conducted with intensive care unit (ICU) patients receiving oral/enteral nutritional support. Patients were randomly assigned into two groups including intervention group (received oral/EN plus pantoprazole) and control group (received only oral/EN). Results: A total of 300 patients (intervention group: 152, control group: 148) participated …
Validity And Reliability Of The Turkish Version Of The Michigan Neuropathy Screeninginstrument,
2020
TÜBİTAK
Validity And Reliability Of The Turkish Version Of The Michigan Neuropathy Screeninginstrument, Duygu Aktar Reyhani̇oğlu, Süleyman Cem Adiyaman, Murat Bektaş, Onur Bulut, Başak Özgen Saydam, Firat Bayraktar, Bi̇lge Kara
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to demonstrate the validity and reliability of the Turkish version of the Michigan Neuropathy Screening Instrument (MNSI-TR). Materials and methods: The study included 127 patients aged 45-76 years who were previously diagnosed with type 1 or 2 diabetes. Stability of the instrument was assessed by intraclass correlation coefficient. Reliability of the MNSI-TR was assessed using the Kuder- Richardson formula 20 test, item-total correlations, and floor/ceiling effect. Validity was evaluated with receiver operating characteristic curve analysis. A logistic regression model was used to determine to what degree the MNSI-TR explain nerve conduction study (NCS) …
Comparison The Accuracy And Trending Ability Of Cardiac Index Measured By The Fourth- Generation Of Flotrac With The Picco Device In Septic Shock Patients, Bodin Khwannimit, Rattina Jomsuriya
Turkish Journal of Medical Sciences
Background/aim: FloTrac/Vigileo is a noncalibrated arterial pressure waveform analysis for cardiac index (CI) monitoring. The aim of our study was to compare the CI measured by the 4th generation of FloTrac with PiCCO in septic shock patients. Materials and methods: We simultaneously measured the CI using FloTrac (CIv) and compared it with the CI derived from transpulmonary thermodilution (CItd) as well as the pulse contour-derived CI using PiCCO (CIp). Results: Thirty-one septic shock patients were included. The CIv correlated with CItd (r = 0.62, P < 0.0001). The Bland-Altman analysis showed a bias of 0.14, and the limits of agreement were ?1.62?1.91 L/min/m2 with a percentage error of 47.4%. However, the concordance rate between CIv and CItd was 93.6%. The comparison of CIv with CIp (n = 352 paired measurements) revealed a bias of -0.16, and the limits of agreement were ?1.45?1.79 L/min/m2 with a percentage error of 44.8%. The overall correlation coefficient between CIv and CIp was 0.63 (P < 0.0001), and the concordance rate was 85.4%. Conclusion: The 4th generation of FloTrac has not acceptable agreement to assess CI; however, it has the ability to tracked changes of CI, when compared with the transpulmonary thermodilution method by PiCCO.
The Effect Of Iatrogenic Subclinical Hyperthyroidism On Anxiety, Depression And Quality Of Life In Differentiated Thyroid Carcinoma, Nazli Gülsoy Kirnap, Özlem Turhan İyi̇di̇r, Yusuf Bozkuş, Şeri̇fe Mehli̇ka Işildak, Cüneyd Anil, Sevde Nur Firat, Canan Demi̇r, Asli Nar, Nesli̇han Başçil Tütüncü
Turkish Journal of Medical Sciences
Background/aim: Overt thyroidism is known to cause neuropsychiatric disorders but studies on subclinical hyperthyroidism (SCH) are limited. Subclinical hyperthyroidism induction by administering L-Thyroxine (LT4) is the standard treatment method in differentiated thyroid carcinoma (DTC) follow-up. Our aim was to investigate whether anxiety, depression and quality of life are affected in DTC patients followed-up with exogenous SCH. Materials and methods: The patients were divided into exogenous SCH by LT4-DTC (n = 127), euthyroid-DTC (n = 66) and exogenous euthyroid-benign thyroid noduüle (BTN) who underwent thyroidectomy for benign thyroid pathology (n = 85) groups. Results: The rate of moderate/severe anxiety was significantly …
