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Full-Text Articles in Entire DC Network
Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran
Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran
Turkish Journal of Medical Sciences
Background/aim:COVID-19 has become the biggest health problem of this century. It has been hypothesized that immunity against hepatitis A virus (HAV) may provide protection from COVID- 19. Materials and methods: As of 10June 2020, the infection had spread to 213 countries, with 7.3 million people infected and 413,733 dead. This data was combined with the World Health Organization susceptibility classification on the worldwide prevalence of HAV, and the relationship between HAV susceptibility and COVID-19 mortality were analyzed. Results: When the data from 213 countries were analyzed, it was found that there was a significant increasing trend in COVID-19 mortality rates …
Covid-19 Scientific Publications From Turkey, Rafi̇ye Çi̇ftçi̇ler, İbrahi̇m Celaletti̇n Haznedaroğlu, Abdurrahman Tufan, Mehmet Aki̇f Öztürk
Covid-19 Scientific Publications From Turkey, Rafi̇ye Çi̇ftçi̇ler, İbrahi̇m Celaletti̇n Haznedaroğlu, Abdurrahman Tufan, Mehmet Aki̇f Öztürk
Turkish Journal of Medical Sciences
No abstract provided.
A Sensitive Indicator For The Severity Of Covid-19: Thiol, Özcan Erel, Sali̇m Neşeli̇oğlu, Merve Ergi̇n Tunçay, Esra Firat Oğuz, Funda Eren, Meryem Sena Akkuş, Hati̇ce Rahmet Güner, İhsan Ateş
A Sensitive Indicator For The Severity Of Covid-19: Thiol, Özcan Erel, Sali̇m Neşeli̇oğlu, Merve Ergi̇n Tunçay, Esra Firat Oğuz, Funda Eren, Meryem Sena Akkuş, Hati̇ce Rahmet Güner, İhsan Ateş
Turkish Journal of Medical Sciences
Background/aim: Thiol status is a good reflector of the cellular redox and have vital roles in various cellular signaling pathways. The purpose of the study was to investigate thiol status in patients with SARS-CoV-2 infection. Materials and methods: A total of 587 subjects (517 patients/70 healthy controls) were enrolled in the study.The patients were categorized into the groups regarding to the severity of disease (mild, moderate, severe, and critical).Thiol status of all groups were compared. Results: The patients had significantly diminished thiol levels compared to controls. Thiol levels were gradually decreased as the severity of the disease increased. Logistic regression …
How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut
How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut
Turkish Journal of Medical Sciences
Background/aim: Approximately 40 million individuals worldwide have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). Despite the current literature about the cardiac effects of COVID-19 in children, more information is required. We aimed to determine both cardiovascular and arrhythmia assessment via electrocardiographic and echocardiographic parameters. Materials and methods: We evaluated seventy children who were hospitalized with COVID-19 infections and seventy children as normal control group through laboratory findings, electrocardiography (ECG), and transthoracic echocardiography (TTE). Results: We observed significantly increased levels of Tp-Te, Tp-Te/QT, and Tp-Te/QTc compared with the control group. Twenty-five of 70 (35.7%) patients …
Current Community Transmission And Future Perspectives On The Covid-19 Process, Seyhan Türk, Can Türk, Ümi̇t Yavuz Malkan, Eli̇f Sena Temi̇rci̇, Mustafa Çağri Peker, İbrahi̇m Celaletti̇n Haznedaroğlu
Current Community Transmission And Future Perspectives On The Covid-19 Process, Seyhan Türk, Can Türk, Ümi̇t Yavuz Malkan, Eli̇f Sena Temi̇rci̇, Mustafa Çağri Peker, İbrahi̇m Celaletti̇n Haznedaroğlu
Turkish Journal of Medical Sciences
Background/aim: COVID-19 syndrome due to the SARS-CoV-2 virus is a currently challenging situation ongoing worldwide. Since the current pandemic of the SARS-CoV-2 virus is a great concern for everybody in the World, the frequently asked question is how and when the COVID-19 process will be concluded. The aim of this paper is to propose hypotheses in order to answer this essential question. As recently demonstrated, SARS-CoV-2 RNAs can be reverse-transcribed and integrated into the human genome. Our main hypothesis is that the ultimate aim of the SARS-CoV-2 virus is the incorporation to human genome and being an element of the …
The Relationship Of Extent Of Initial Radiological Involvement With The Need Of Intensivecare, Mortality Rates, And Laboratory Parameters In Covid-19, Yusuf Aydemi̇r, Yasemi̇n Gündüz, Mehmet Köroğlu, Oğuz Karabay, Hamad Dhei̇r, Aysun Şengül, Selçuk Yaylaci, Havva Kocayi̇ği̇t, Ali̇ Fuat Erdem, Özlem Aydemi̇r, Ertuğrul Güçlü, Yusuf Yürümez
The Relationship Of Extent Of Initial Radiological Involvement With The Need Of Intensivecare, Mortality Rates, And Laboratory Parameters In Covid-19, Yusuf Aydemi̇r, Yasemi̇n Gündüz, Mehmet Köroğlu, Oğuz Karabay, Hamad Dhei̇r, Aysun Şengül, Selçuk Yaylaci, Havva Kocayi̇ği̇t, Ali̇ Fuat Erdem, Özlem Aydemi̇r, Ertuğrul Güçlü, Yusuf Yürümez
Turkish Journal of Medical Sciences
Background/aim: It is very important for the efficient use of limited capacity and the success of treatment to predict patients who may need ICU with high mortality rate in the Covid-19 outbreak. In our study, it was aimed to investigate the value of the radiological involvement on initial CT in demonstrating the ICU transfer and mortality rate of patients. Materials and methods: All PCR-positive patients were included in the study, whose CT, PCR, and laboratory values were obtained simultaneously at the time of first admission. Patients were divided into 4 groups in terms of the extent of radiological lesions. These …
Clinical Implications Of Fungal Isolation From Sputum In Adult Patients With Cystic Fibrosis, İli̇m Irmak, Ebru Damadoğlu, Damla Karadeni̇z Güven, Xursud Huseynova, Ahmet Çağkan İnkaya, Berri̇n Er, Ali̇ Korhan Siğ, Dolunay Gülmez Kivanç, Sevtap Arikan, Di̇lber Ademhan Tural, Deni̇z Doğru Ersöz, Hayri̇ye Uğur Özçeli̇k, Emi̇ne Nural Ki̇per, Ali̇ Fuat Kalyoncu
Clinical Implications Of Fungal Isolation From Sputum In Adult Patients With Cystic Fibrosis, İli̇m Irmak, Ebru Damadoğlu, Damla Karadeni̇z Güven, Xursud Huseynova, Ahmet Çağkan İnkaya, Berri̇n Er, Ali̇ Korhan Siğ, Dolunay Gülmez Kivanç, Sevtap Arikan, Di̇lber Ademhan Tural, Deni̇z Doğru Ersöz, Hayri̇ye Uğur Özçeli̇k, Emi̇ne Nural Ki̇per, Ali̇ Fuat Kalyoncu
Turkish Journal of Medical Sciences
Background/aim: Cystic fibrosis is an autosomal recessive disease with a defect in mucociliary activity that is characterized by recurrent pulmonary infections. Bacterial agents frequently implicated in airway colonization are Haemophilus influenzae, Staphylococcus spp., and Pseudomonas spp. Fungal isolation from sputum is common in adults. However, growth of fungal agent only in sputum culture in patients with cystic fibrosis is insufficient for the diagnosis of fungal diseases. There is limited data about the clinical significance of fungal isolation in sputum cultures. The aim of the study was to investigate the clinical outcomes andsignificance of fungal isolation from sputum samples in adult …
ประสิทธิภาพของการฉีดยาโบทูลินัมท็อกซินชนิดเอด้วยเข็มฉีดยาขนาดเล็กในผู้ป่วยโรคใบหน้ากระตุกครึ่งซีก, สุพพตา เมธารักษ์ชีพ
ประสิทธิภาพของการฉีดยาโบทูลินัมท็อกซินชนิดเอด้วยเข็มฉีดยาขนาดเล็กในผู้ป่วยโรคใบหน้ากระตุกครึ่งซีก, สุพพตา เมธารักษ์ชีพ
Chulalongkorn University Theses and Dissertations (Chula ETD)
ที่มา: การฉีดโบทูลินัมท็อกซินชนิดเอถือเป็นการรักษาทางเลือกแรกในผู้ป่วยที่มีอาการกระตุกที่ซีกหน้า แต่ผลการรักษาเป็นเพียงชั่วคราว ส่งผลให้เกิดการฉีดยาซ้ำซึ่งเกี่ยวข้องกับความเจ็บปวดและความรู้สึกไม่สบาย แม้ว่าการใช้เข็มขนาดเล็ก (microneedle) จะเป็นวิธีปฏิบัติทั่วไปสำหรับการทำหัตถการบนใบหน้าในเวชศาสตร์ความงาม และมีหลักฐานที่แสดงให้เห็นว่าสามารถลดความเจ็บปวดและลดรอยฟกช้ำ แต่ยังไม่มีหลักฐานการศึกษาในโรคใบหน้ากระตุกครึ่งซีก วัตถุประสงค์: จุดมุ่งหมายของการศึกษานี้คือเพื่อเปรียบเทียบความรุนแรงและลักษณะของความเจ็บปวดและรอยฟกช้ำจากการฉีดยาโบทูลินัมท็อกซินชนิดเอในผู้ป่วยใบหน้ากระตุกครึ่งซีกด้วยเข็มขนาดเล็ก (34-G) กับเข็มมาตรฐาน (30-G) วิธีการศึกษาวิจัย: รูปแบบการวิจัยเป็นการทดลองแบบ cross-over, double-blind, randomized controlled trial ศึกษาในผู้ป่วยโรคใบหน้ากระตุกครึ่งซีกทั้งหมด 62 ราย โดยอาสาสมัครจะได้รับการฉีดโบทูลินัมท็อกซินชนิดเอสองครั้ง ห่างกัน 12 สัปดาห์ด้วยเข็มมาตรฐานและ microneedle อาสาสมัครทุกคนได้รับการฉีดยาด้วยโดยผู้วิจัยคนเดียวกันโดยใช้เทคนิคการฉีดแบบเดียวกัน ปริมาณยาและจำนวนบริเวณที่ฉีดเท่ากันทั้งสองรอบ การวัดผลลัพธ์หลัก ได้แก่ ความรุนแรงและลักษณะของความเจ็บปวด ซึ่งวัดจากแบบสอบถามหลังจากการฉีดด้วย Visual Analogue Scale (VAS) และแบบสอบถาม Short-form McGill Pain Questionnaire (SF-MPQ-2) สำหรับผลลัพธ์รองคือคะแนนรอยฟกช้ำ ภาวะแทรกซ้อนอื่นๆ และประสิทธิภาพของการฉีดโบทูลินัมท็อกซินชนิดเอโดยใช้ Global rating scale และ Comprehensive scale โดยมีการวัดผลที่หนึ่งสัปดาห์และหนึ่งเดือนหลังการฉีด ผลการศึกษา: อาสาสมัครโรคใบหน้ากระตุกครึ่งซีกจำนวน 62 รายได้เข้าร่วมการศึกษา ส่วนใหญ่เป็นเพศหญิง (72.6%) โดยมีอายุเฉลี่ย 60.18 ± 11.12 ปีและระยะเวลาเป็นโรคเฉลี่ย 5.64 ± 3.98 ปี เมื่อเทียบกับการฉีดเข็มแบบมาตรฐาน การลดลงอย่างมีนัยสำคัญของ VAS (p<0.001), SF-MPQ-2 ทั้งหมด (p<0.001) และคะแนนรอยช้ำ (p<0.001) ถูกแสดงให้เห็นด้วยการฉีดด้วยเข็มขนาดเล็ก อัตราและประเภทของภาวะแทรกซ้อนไม่แตกต่างกันอย่างมีนัยสำคัญระหว่างสองขั้นตอน ประสิทธิภาพระหว่างสองขั้นตอน ซึ่งวัดที่การตรวจวัดพื้นฐาน หนึ่งสัปดาห์ และหนึ่งเดือนหลังการฉีด แสดงให้เห็นถึงผลกระทบด้านเวลาที่มีนัยสำคัญต่อการให้ Global rating scale และ Comprehensive scale ซึ่งบ่งชี้ว่าทั้งการฉีดแบบมาตรฐานและแบบการฉีดด้วยเข็มขนาดเล็กช่วยปรับปรุงผลลัพธ์ของผู้ป่วย สรุป: การฉีดโบทูลินัมท็อกซินด้วยเข็มขนาดเล็กในผู้ป่วยโรคใบหน้ากระตุกครึ่งซีกสามารถลดอาการปวดและรอยช้ำได้อย่างมีนัยสำคัญเมื่อเทียบกับเข็มขนาดมาตรฐาน โดยที่มีประสิทธิภาพในการรักษาไม่แตกต่างกัน
The Effect Of Xylitol And Erythritol In The Presence Of Sucrose On Single And Mixed-Species Biofilm Of Early Colonizer And Cariogenic Streptococci, Panadda Yuapibanrak
The Effect Of Xylitol And Erythritol In The Presence Of Sucrose On Single And Mixed-Species Biofilm Of Early Colonizer And Cariogenic Streptococci, Panadda Yuapibanrak
Chulalongkorn University Theses and Dissertations (Chula ETD)
Dental caries is caused by multiple factors. An essential factor is sucrose. Dental caries is the result of an imbalance between early colonizers and cariogenic bacteria in biofilms. Sugar alcohols, xylitol and erythritol, become more popular because they do not cause cavities and are also effective at preventing caries. In everyday life, however, sucrose consumption is unavoidable. Thus, the aim of this study was to investigate the effect of xylitol and erythritol in the presence of sucrose on single- and mixed-species biofilm of early colonizers and cariogenic bacteria. Bacteria were cultured in broth containing 1% sucrose compared to broth containing …
Treatment Of Sars-Cov-2 Pneumonia With Favipiravir: Early Results From The Egeuniversity Cohort, Turkey, Hüseyi̇n Aytaç Erdem, Pervi̇n Korkmaz Ekren, Derya Çağlayan, Meltem Taşbakan, Tansu Yamazhan, Mehmet Sezai̇ Taşbakan, Abdullah Sayiner, Ayşe Deni̇z Gökengi̇n
Treatment Of Sars-Cov-2 Pneumonia With Favipiravir: Early Results From The Egeuniversity Cohort, Turkey, Hüseyi̇n Aytaç Erdem, Pervi̇n Korkmaz Ekren, Derya Çağlayan, Meltem Taşbakan, Tansu Yamazhan, Mehmet Sezai̇ Taşbakan, Abdullah Sayiner, Ayşe Deni̇z Gökengi̇n
Turkish Journal of Medical Sciences
Background/aim: The aim of this descriptive article is to share the experience in Ege University, Turkey with favipiravir in the treatment of severe SARS-CoV-2 pneumonia. Materials and methods: This retrospective descriptive study included patients diagnosed with COVID-19 who presented with or developed severe pneumonia. Results: Forty patients who completed a full course (at least 5 days) of favipiravir were included in the study. At baseline, 30 (75%) patients required treatment for respiratory distress. Thirty-three patients (82.5%) were discharged from the hospital with full recovery, 6 patients (15%) died and 1 case (2.5%) was still at the intensive care unit (ICU) …
Lack Of Awareness Of Hepatitis B Screening And Vaccination In High-Risk Groups, Hati̇ce Yasemi̇n Balaban, Abdullah Tarik Aslan, Şefi̇ka Nur Ayar, Osman Dağ, Alpaslan Alp, Cem Şi̇mşek, Cavanşi̇r Vahabov, Tolga Yildirim, Hakan Göker, Yahya Büyükaşik, Hali̇s Şi̇mşek
Lack Of Awareness Of Hepatitis B Screening And Vaccination In High-Risk Groups, Hati̇ce Yasemi̇n Balaban, Abdullah Tarik Aslan, Şefi̇ka Nur Ayar, Osman Dağ, Alpaslan Alp, Cem Şi̇mşek, Cavanşi̇r Vahabov, Tolga Yildirim, Hakan Göker, Yahya Büyükaşik, Hali̇s Şi̇mşek
Turkish Journal of Medical Sciences
Background/aim: Hepatitis B virus (HBV) vaccination rates are insufficient in high-risk patients worldwide. This study aimed to investigate the screening, immunization, and vaccination rates in three high-risk groups for HBV infection: allogeneic hematopoietic stem cell transplantation (AHSCT), renal transplantation (RT), and chronic hepatitis C (CHC) groups. Materials and methods: The serological data of consecutive patients between 2014 and 2019 were reviewed using the hospital database. Results: The HBV screening rates were 100.0%, 90.4%, and 82.4% in the AHSCT, CHC, and RT groups, respectively (p = 0.003). The immunization rates against HBV through either previous exposure or vaccination were 79.5%, 71.7%, …
Correlation Of Neuroimaging And Thorax Ct Findings In Patients With Covid-19:A Large Single-Center Experience, Hedi̇ye Pinar Günbey, Günay Rona, Özge Adigüzel Karaoysal, Ayşe Batirel, Banu Özen Barut
Correlation Of Neuroimaging And Thorax Ct Findings In Patients With Covid-19:A Large Single-Center Experience, Hedi̇ye Pinar Günbey, Günay Rona, Özge Adigüzel Karaoysal, Ayşe Batirel, Banu Özen Barut
Turkish Journal of Medical Sciences
Background/aim: The aim of this current study was to describe the neuroimaging findings among patients with COVID-19 and to compare them with thorax CT imaging findings and clinicobiological profiles. Materials and methods: Between the period March 11 and December 31, 2020, we evaluated brain computed tomography (CT) and magnetic resonance (MR) images of patients with COVID-19. A total of 354 patients (mean age 65.2 ± 16.6, 52% female, 42% male) who had brain imaging were included in the study. Of this total sample, 218 had thorax CT scanning (65.5%). Neuroimaging and thorax CT findings, clinical course, neurologic findings, and laboratory …
Influenza And Pneumococcus Vaccination Rates In Pediatric Dialysis Patients Ineurope: Recommendations Vs Realitya European Pediatric Dialysis Working Group And European Society For Pediatricnephrology Dialysis Working Group Study, Yeşi̇m Özdemi̇r Ati̇kel, Sevcan Azi̇me Bakkaloğlu Ezgü, Fabio Paglialonga, Constantinos J. Stefanidis, Varvara Askiti, Enrico Vidal, Gema Ariceta, Engi̇n Melek, Enrico Verrina, Nikoleta Printza, Karel Vondrak, Aleksandra Zurowska, Ilona Zagozdzon, Mesi̇ha Eki̇m, Eli̇f Nursel Özmert
Influenza And Pneumococcus Vaccination Rates In Pediatric Dialysis Patients Ineurope: Recommendations Vs Realitya European Pediatric Dialysis Working Group And European Society For Pediatricnephrology Dialysis Working Group Study, Yeşi̇m Özdemi̇r Ati̇kel, Sevcan Azi̇me Bakkaloğlu Ezgü, Fabio Paglialonga, Constantinos J. Stefanidis, Varvara Askiti, Enrico Vidal, Gema Ariceta, Engi̇n Melek, Enrico Verrina, Nikoleta Printza, Karel Vondrak, Aleksandra Zurowska, Ilona Zagozdzon, Mesi̇ha Eki̇m, Eli̇f Nursel Özmert
Turkish Journal of Medical Sciences
Background/aim: Children on dialysis are under increased risk of influenza and invasive pneumococcal disease. Although vaccination against these microorganisms are recommended in dialysis patients and despite the fact that these vaccines can reduce disease burden and rates of hospitalization due to infection, vaccination rates are below expected and desired. We aimed to evaluate influenza and pneumococcal vaccination and infection rates in European pediatric dialysis centers. Materials and methods: In 16 centers from 11 countries, 357 pediatric dialysis patients were evaluated retrospectively during 1 year of observation period between 01.01.2014 and 01.01.2015. Results: In all centers, vaccination policy included immunization of …
Can Thrombocytosis Or Thrombocytopenia Predict Complicated Clinical Course And30-Days Mortality In Patients With Pneumonia?, Razi̇ye Si̇nem Misirlioğlu, Ersi̇n Aksay, Emre Şanci, Kemal Can Tertemi̇z
Can Thrombocytosis Or Thrombocytopenia Predict Complicated Clinical Course And30-Days Mortality In Patients With Pneumonia?, Razi̇ye Si̇nem Misirlioğlu, Ersi̇n Aksay, Emre Şanci, Kemal Can Tertemi̇z
Turkish Journal of Medical Sciences
Background/aim: While several different scoring systems aim to determine the clinical outcomes for patients with pneumonia, there is limited emphasis on the platelet count. This study investigated the relationships between thrombocyte count and 30-day mortality and complicated clinical course of patients with pneumonia. Materials and methods: This prospective cross-sectional study enrolled patients over 18 years old with a diagnosis of pneumonia in the emergency department for six months. The primary outcome was to establish the relationship between platelet count, mortality, complicated clinical course, and initial vital parameters on admission. The secondary outcome was comparing the platelet count with mortality and …
Risk Of Tuberculosis Is Increased In Behçet's Disease Compared To Other Rheumatologicaldisorders After Anti-Tnf∝ Treatments: A Case Series And Review Of The Literature, Ümmügülsüm Gazel, Derya Kocakaya, İrem Hi̇cret Topçu, Hakan Ömer Karataş, Murat Karabacak, Mehmet Pami̇r Atagündüz, Güzi̇de Nevsun İnanç, Fatma Ali̇baz Öner, Rafi̇ Haner Di̇reskeneli̇
Risk Of Tuberculosis Is Increased In Behçet's Disease Compared To Other Rheumatologicaldisorders After Anti-Tnf∝ Treatments: A Case Series And Review Of The Literature, Ümmügülsüm Gazel, Derya Kocakaya, İrem Hi̇cret Topçu, Hakan Ömer Karataş, Murat Karabacak, Mehmet Pami̇r Atagündüz, Güzi̇de Nevsun İnanç, Fatma Ali̇baz Öner, Rafi̇ Haner Di̇reskeneli̇
Turkish Journal of Medical Sciences
Background/aim: Tumor necrosis factor-alfa (TNF-a) antagonists are extensively utilized in the treatment of inflammatory rheumatic diseases and also shown to be effective in Behçet's disease (BD) patients with major organ involvement. In this study, we aimed to reevaluate the incidence of tuberculosis (TB) infection after anti-TNFa treatments and to reveal the risk of TB in BD. Methods: Data of patients who received anti-TNFa treatment between 2005 and 2018 were assessed retrospectively. Demographic features, TNF-a antagonist type/treatment time, tuberculosis skin test (TST) and QuantiFERON results, isoniazid prophylaxis status, and concomitant corticosteroid (CS) treatments were collected. Results: A total of 1277 (male/female …
Evaluation Of Extensively Drug-Resistant Gram-Negative Bacteremia Among Solid-Organtransplant Recipients: A Multicenter Study, Tuğba Yanik Yalçin, Özlem Azap, Adem Köse, Yaşar Bayindir, Eli̇f Muki̇me Saricaoğlu, Güle Çinar, Yeşi̇m Uygun Kizmaz, Ebru Kurşun, Hi̇kmet Eda Alişkan, Ayşe Yasemi̇n Tezer Tekçe, Oya Özlem Eren Kutsoylu, Tufan Egeli̇, Alpay Ari, Yurdagül Albayrak, Hati̇ce Çabadak
Evaluation Of Extensively Drug-Resistant Gram-Negative Bacteremia Among Solid-Organtransplant Recipients: A Multicenter Study, Tuğba Yanik Yalçin, Özlem Azap, Adem Köse, Yaşar Bayindir, Eli̇f Muki̇me Saricaoğlu, Güle Çinar, Yeşi̇m Uygun Kizmaz, Ebru Kurşun, Hi̇kmet Eda Alişkan, Ayşe Yasemi̇n Tezer Tekçe, Oya Özlem Eren Kutsoylu, Tufan Egeli̇, Alpay Ari, Yurdagül Albayrak, Hati̇ce Çabadak
Turkish Journal of Medical Sciences
Background/aim: The aim of this study is to evaluate the distribution, sources, clinical features, and mortality rates of bacteremia due to evaluation of extensively drug-resistant (XDR) gram negative among solid-organ transplant (SOT) recipients. Materials and methods: A retrospective study of SOT recipients with bacteremia due to XDR gram-negative pathogens in 11 centers between 2016 and 2018 was conducted. Patients' records were evaluated. Results: Of 171 bacteremia that occurred in 164 SOT recipients, 93 (56.7%) were liver, 46 (28%) kidney, 14 (8.5%) heart, and 11 (6.7%) lung recipients. Bacteremia episodes were recorded in the first year in 63.7% of the patients …
Circulating Mir-29c-3p Is Downregulated In Patients With Acromegaly, Hakan Korkmaz, Kuyaş Heki̇mler Öztürk, Bora Torus
Circulating Mir-29c-3p Is Downregulated In Patients With Acromegaly, Hakan Korkmaz, Kuyaş Heki̇mler Öztürk, Bora Torus
Turkish Journal of Medical Sciences
Background/aim: miRNAs control various biological functions, such as cell proliferation, differentiation, signaling pathways, apoptosis and metabolism. Recently, it has been shown that there is a relationship between changes in miRNA expression and the development of acromegaly. Studies are needed to identify new disease-specific miRNAs. The aim of the current study is to evaluate plasma miR-29c-3p, miR-31-5p and miR-18a-5p steady-state levels in acromegaly. Another aim is to investigate whether there is a difference in the levels of these miRNAs in patients with inadequate control and controlled acromegaly with somatostatin analog (SSA) therapy. These miRNAs targeting the IGF-1 gene were determined by …
Allergic Reactions Against Covıd-19 Vaccines, Hi̇lal Ünsal, Bülent Eni̇s Şekerel, Ümi̇t Murat Şahi̇ner
Allergic Reactions Against Covıd-19 Vaccines, Hi̇lal Ünsal, Bülent Eni̇s Şekerel, Ümi̇t Murat Şahi̇ner
Turkish Journal of Medical Sciences
Coronavirus Disease 2019 (COVID-19) affected the whole world in a short time. One of the most influential public health initiatives modern medicine has to offer, the vaccine has become even more important as the COVID-19 pandemic continues to worsen worldwide. Many vaccine trials were launched during the COVID-19 pandemic, and these vaccines were widely used around the world, offering realistic hope for ending the pandemic. Allergic reactions to vaccines were reported shortly after their approval. These reactions, in general, are rare, but, in some circumstances, they can be serious. Allergy to vaccines can occur because of either the active vaccine …
High Mobility Group Box-1 Levels May Be Associated With Disease Activity Of Behcet's Disease, Di̇lara Dönmez Güler, Ayşe Bahar Keleşoğlu Di̇nçer, Zeynep Ceren Karahan, Hasan Seli̇m Güler, Müçteba Enes Yayla, Serdar Sezer, Emi̇ne Gözde Aydemi̇r Gülöksüz, İlyas Ercan Okatan, Murat Torğutalp, Di̇dem Şahi̇n Eroğlu, Mehmet Levent Yüksel, Tahsi̇n Murat Turğay, Gülay Kinikli, Aşkin Ateş
High Mobility Group Box-1 Levels May Be Associated With Disease Activity Of Behcet's Disease, Di̇lara Dönmez Güler, Ayşe Bahar Keleşoğlu Di̇nçer, Zeynep Ceren Karahan, Hasan Seli̇m Güler, Müçteba Enes Yayla, Serdar Sezer, Emi̇ne Gözde Aydemi̇r Gülöksüz, İlyas Ercan Okatan, Murat Torğutalp, Di̇dem Şahi̇n Eroğlu, Mehmet Levent Yüksel, Tahsi̇n Murat Turğay, Gülay Kinikli, Aşkin Ateş
Turkish Journal of Medical Sciences
Background/aim: High mobility group box- 1 (HMGB- 1) is a nuclear protein acting as a proinflammatory molecule. The serum HMGB- 1 levels were found elevated in chronic inflammatory diseases. In this cross-sectional study, serum HMGB- 1 levels in Behcet's disease (BD) patients and healthy controls (HC) were studied. Also, its association with disease activity scores and clinical findings were evaluated. Materials and methods: Ninety BD patients and 50 age-sex matched HC were included in the study. Disease activity scores were assessed by Behcet Disease Current Activity Form (BDCAF) and Behcet Syndrome Activity Score (BSAS). Serum HMGB- 1 levels were measured …
Pretreatment Serum Uric Acid Level Is Not A Surrogate Marker For The Outcome Offavipiravir Treatment In Covid-19 Patients, Ahmet Çağkan İnkaya, Emre Kara, Nursel Çalik Başaran, Taha Koray Şahi̇n, Oğuz Abdullah Uyaroğlu, Ömrüm Uzun, Serhat Ünal
Pretreatment Serum Uric Acid Level Is Not A Surrogate Marker For The Outcome Offavipiravir Treatment In Covid-19 Patients, Ahmet Çağkan İnkaya, Emre Kara, Nursel Çalik Başaran, Taha Koray Şahi̇n, Oğuz Abdullah Uyaroğlu, Ömrüm Uzun, Serhat Ünal
Turkish Journal of Medical Sciences
No abstract provided.
Impact Of Low Molecular Weight Heparin Administration On The Clinical Course Of Thecovid-19 Disease, Burcu Yormaz, Di̇lek Ergün, Baykal Tülek, Recai̇ Ergün, Uğur Arslan, Fi̇kret Kanat
Impact Of Low Molecular Weight Heparin Administration On The Clinical Course Of Thecovid-19 Disease, Burcu Yormaz, Di̇lek Ergün, Baykal Tülek, Recai̇ Ergün, Uğur Arslan, Fi̇kret Kanat
Turkish Journal of Medical Sciences
Background: Lymphopenia is the most important criterion of mortality and discharging feature for patients infected with coronavirus disease 2019 (COVID-19). This study aimed to investigate the clinical impact of a low molecular weight heparin (LMWH) treatment on the clinical course of COVID-19. Materials and methods: Patients' clinical symptoms, radiologic outcomes, hematologic, biochemical, D-dimer, and C-reactive protein (CRP) results were obtained from their medical records. Participants were separated into 2 groups: one was treated with LMWH and the other was not. Improvement in the patients was compared before and after treatment. Results: Ninety-six patients who were diagnosed with COVID-19 between April …
การพัฒนาเครื่องมือประเมินคุณภาพชีวิตประจำวันโดยผู้ป่วยหรือผู้ดูแลเพื่อการบริบาลผู้ป่วยมะเร็งระยะท้าย, พรทิพย์ ปรีชาไชยวิทย์
การพัฒนาเครื่องมือประเมินคุณภาพชีวิตประจำวันโดยผู้ป่วยหรือผู้ดูแลเพื่อการบริบาลผู้ป่วยมะเร็งระยะท้าย, พรทิพย์ ปรีชาไชยวิทย์
Chulalongkorn University Theses and Dissertations (Chula ETD)
การศึกษาครั้งนี้มีวัตถุประสงค์ 1) เพื่อพัฒนาเครื่องมือการรายงานผลเกี่ยวกับภาวะสุขภาพด้วยตนเองสำหรับผู้ป่วยมะเร็งระยะท้ายที่ได้รับการดูแลแบบประคับประคอง (PROMs-TCP) และทดสอบความตรงและความเที่ยงของเครื่องมือ PROMs-TCP 2) การพยากรณ์สถานะสุขภาพด้วยแบบจำลอง Markov การศึกษาประกอบด้วย 3 ขั้นตอน ได้แก่ 1) การพัฒนาเครื่องมือใช้เทคนิคการทบทวนวรรณกรรม ร่วมกับการประชุมกลุ่มย่อย ในกลุ่มผู้เชี่ยวชาญ และกลุ่มพยาบาลที่ปฏิบัติงานในคลินิกดูแลผู้ป่วยแบบประคับประคอง และทดสอบความถูกต้องของเนื้อหาโดยการประเมินของผู้เชี่ยวชาญ 2) การทดสอบความตรงและความเชื่อถือได้ของเครื่องมือ โดยเก็บข้อมูลนาน 10 วัน ในอาสาสมัคร จำนวน 169 ราย ตรวจสอบความถูกต้องตามเกณฑ์ ความตรงเชิงจำแนก ความไวต่อการเปลี่ยนแปลง และความน่าเชื่อถือภายในและภายนอก 3) การพยากรณ์สถานะสุขภาพด้วยแบบจำลอง Markov ผลการศึกษาพบว่า เครื่องมือประเมินคุณภาพชีวิตโดยผู้ป่วยหรือผู้ดูแลเพื่อการบริบาลผู้ป่วยมะเร็งระยะท้าย หรือเครื่องมือการรายงานผลเกี่ยวกับภาวะสุขภาพด้วยตนเองสำหรับผู้ป่วยมะเร็งระยะท้ายที่ได้รับการดูแลแบบประคับประคอง (PROMs-TCP) ประกอบด้วย 6 ข้อคำถาม ความถูกต้องของเนื้อหารายข้อคำถาม (I-CVI) อยู่ระหว่าง 0.8 ถึง 1 และความถูกต้องของแบบสอบถามทั้งฉบับ (S-CVI) เท่ากับ 0.97 ความสัมพันธ์ระหว่าง PROMs-TCP และ Palliative care Outcome Scale (POS) อยู่ในระดับปานกลางถึงสูง (r = -0.7 ถึง -0.8) เครื่องมือ PROMs-TCP มีจุดตัดที่ 4 คะแนน คัดกรองสถานะสุขภาพไม่ดี ภายใต้พื้นที่ใต้โค้ง Receiver Operating Characteristic (ROC) เท่ากับ 0.91 (95% CI 0.90, 0.93) ความไวร้อยละ 76.91 ความจำเพาะร้อยละ 88.67 การทดสอบความเชื่อถือได้ของเครื่องมือ พบว่ามีความสอดคล้องภายในอยู่ในระดับดี ค่า Cronbach’s alpha coefficient = 0.85 ความสอดคล้องภายนอกระหว่างผู้ป่วยกับผู้ดูแล และระหว่างผู้ป่วยกับพยาบาลที่ให้การดูแล อยู่ในระดับปานกลางถึงดี (Cohen's Weighted …
Pseudomonas Aeruginosa Vaccine Development Using Dual-Species Whole Cell And Subunit Vaccines, Catherine Bell Blackwood
Pseudomonas Aeruginosa Vaccine Development Using Dual-Species Whole Cell And Subunit Vaccines, Catherine Bell Blackwood
Graduate Theses, Dissertations, and Problem Reports (ETD)
Pseudomonas aeruginosa is a Gram-negative opportunistic pathogen which can cause severe, recurrent, and chronic infections. The pathogen is highly adaptable, and pneumonia caused by it is associated with high morbidity and mortality, especially in individuals with the genetic disorder cystic fibrosis. Antibiotic resistance amongst clinical isolates of P. aeruginosa is steadily increasing, and multi-drug resistant strains are prevalent. There is currently no vaccine available for commercial use against P. aeruginosa. For these reasons, we sought to understand the immunity to P. aeruginosa induced by whole cell vaccination and identify antigens for development of future subunit vaccines. In this dissertation, …
Emerging Role Of Mir-345 And Its Effective Delivery As A Potential Therapeutic Candidate In Pancreatic Cancer And Other Cancers, Nagabhishek Sirpu Natesh, Brianna M. White, Maia M. C. White, Metin Uz, Rakhee Rathnam Kalari Kandy, Surinder K. Batra, Surya K. Mallapragada, Satyanarayana Rachagani
Emerging Role Of Mir-345 And Its Effective Delivery As A Potential Therapeutic Candidate In Pancreatic Cancer And Other Cancers, Nagabhishek Sirpu Natesh, Brianna M. White, Maia M. C. White, Metin Uz, Rakhee Rathnam Kalari Kandy, Surinder K. Batra, Surya K. Mallapragada, Satyanarayana Rachagani
Journal Articles: Biochemistry & Molecular Biology
Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy with high mortality, poor prognosis, and palliative treatments, due to the rapid upregulation of alternative compensatory pathways and desmoplastic reaction. miRNAs, small non-coding RNAs, have been recently identified as key players regulating cancer pathogenesis. Dysregulated miRNAs are associated with molecular pathways involved in tumor development, metastasis, and chemoresistance in PDAC, as well as other cancers. Targeted treatment strategies that alter miRNA levels in cancers have promising potential as therapeutic interventions. miRNA-345 (miR-345) plays a critical role in tumor suppression and is differentially expressed in various cancers, including pancreatic cancer (PC). The underlying …
Tocilizumab And Covid-19: A Meta-Analysis Of 2120 Patients With Severe Disease Andimplications For Clinical Trial Methodologies, Azza Sarfraz, Zouina Sarfraz, Muzna Sarfraz, Hinna Aftab, Zainab Pervaiz
Tocilizumab And Covid-19: A Meta-Analysis Of 2120 Patients With Severe Disease Andimplications For Clinical Trial Methodologies, Azza Sarfraz, Zouina Sarfraz, Muzna Sarfraz, Hinna Aftab, Zainab Pervaiz
Turkish Journal of Medical Sciences
Background/aim: Since the outbreak of the COVID-19, numerous therapies to counteract this severe disease have emerged. The benefits of Tocilizumab for severely infected COVID-19 patients and the methodologies of ongoing clinical trials are explored. Materials and methods: A systematic search adhering to PRISMA guidelines was conducted in PubMed, Cochrane Central, medRxiv, and bioRxiv using the following keywords: "Tocilizumab," "Actemra," "COVID-19." An additional subsearch was conducted on Clinicaltrials.gov to locate ongoing tocilizumab trials. Results: A total of 13 studies were included in the meta-analysis comprising 2120 patients. The treatment group had lower mortality compared to the control group (OR = 0.42, …
Development, Validity And Reliability Study Of A Compliance Scale For The Covid-19 Outbreak Prevention Recommendations, Eli̇f Köse, Esra Yazici, Ahmet Bülent Yazici, Abdülkadi̇r Aydin, Hasan Çeti̇n Ekerbi̇çer, Oğuz Karabay
Development, Validity And Reliability Study Of A Compliance Scale For The Covid-19 Outbreak Prevention Recommendations, Eli̇f Köse, Esra Yazici, Ahmet Bülent Yazici, Abdülkadi̇r Aydin, Hasan Çeti̇n Ekerbi̇çer, Oğuz Karabay
Turkish Journal of Medical Sciences
Background/aim: During the intense periods of the COVID-19 pandemic, legal measures were taken for its containment. However, since legal precautions cannot be implemented continuously, hand washing, mask usage and obeying social distance rules are important in combating the pandemic. Complying with these rules is mostly individual decisions. The behavior of individuals has a prominent place in the course of the pandemic. In this study, we aimed to develop a scale which could measure compliance with outbreak measures. Materials and methods: This study was conducted in two stages after evaluation of the content validity of the item pool formed by the …
Evaluation Of Initial Chest Computed Tomography (Ct) Findings Of Covid-19pneumonia In 117 Deceased Patients: A Retrospective Study, Yasemi̇n Gündüz, Oğuz Karabay, Ali̇ Fuat Erdem, Erbi̇l Arik, Mehmet Hali̇l Öztürk
Evaluation Of Initial Chest Computed Tomography (Ct) Findings Of Covid-19pneumonia In 117 Deceased Patients: A Retrospective Study, Yasemi̇n Gündüz, Oğuz Karabay, Ali̇ Fuat Erdem, Erbi̇l Arik, Mehmet Hali̇l Öztürk
Turkish Journal of Medical Sciences
Background/aim: There is no study in the literature in which only chest computed tomography (CT) findings of deceased cases obtained at admission were examined, and the relationship between these findings and mortality was evaluated. Materials and methods: In this retrospective study, a total of 117 deceased patients with COVID-19 infection confirmed by positive polymerase chain reaction and undergone chest CT were enrolled. We evaluated initial chest CT findings and their relationship, location, prevalence, and the frequency with mortality. Results: The mean age of patients was 73 ±18 years; 71 of all patients were male and 46 were female. The predominant …
Impact Of Hospital-Acquired Acute Kidney Injury On Covid-19 Outcomes In Patients Withand Without Chronic Kidney Disease: A Multicenter Retrospective Cohort Study, Savaş Öztürk, Kenan Turgutalp, Mustafa Arici, Hakki Çeti̇nkaya, Mehmet Riza Altiparmak, Zeki̇ Aydin, Zeki̇ Soypaçaci, Feyza Bora, Ekrem Kara, Egemen Cebeci̇, Tuba Eli̇f Özler, Mürşi̇de Esra Dölarslan, Savaş Si̇pahi̇, Yavuz Ayar, İdri̇s Şahi̇n
Impact Of Hospital-Acquired Acute Kidney Injury On Covid-19 Outcomes In Patients Withand Without Chronic Kidney Disease: A Multicenter Retrospective Cohort Study, Savaş Öztürk, Kenan Turgutalp, Mustafa Arici, Hakki Çeti̇nkaya, Mehmet Riza Altiparmak, Zeki̇ Aydin, Zeki̇ Soypaçaci, Feyza Bora, Ekrem Kara, Egemen Cebeci̇, Tuba Eli̇f Özler, Mürşi̇de Esra Dölarslan, Savaş Si̇pahi̇, Yavuz Ayar, İdri̇s Şahi̇n
Turkish Journal of Medical Sciences
Background/aim: Hospital-acquired acute kidney injury (HA-AKI) may commonly develop in Covid-19 patients and is expected to have higher mortality. There is little comparative data investigating the effect of HA-AKI on mortality of chronic kidney disease (CKD) patients and a control group of general population suffering from Covid-19. Materials and methods: HA-AKI development was assessed in a group of stage 3-5 CKD patients and control group without CKD among adult patients hospitalized for Covid-19. The role of AKI development on the outcome (in-hospital mortality and admission to the intensive care unit [ICU]) of patients with and without CKD was compared. Results: …
Evaluation Of Systemic Involvement Of Coronavirus Disease 2019 Through Spleen; Size Andtexture Analysis, Abdussamet Batur, Abi̇di̇n Kilinçer, Fati̇h Ateş, Nazlim Aktuğ Demi̇r, Recai̇ Ergün
Evaluation Of Systemic Involvement Of Coronavirus Disease 2019 Through Spleen; Size Andtexture Analysis, Abdussamet Batur, Abi̇di̇n Kilinçer, Fati̇h Ateş, Nazlim Aktuğ Demi̇r, Recai̇ Ergün
Turkish Journal of Medical Sciences
Background/aim: To investigate the changes in the spleen size, parenchymal heterogeneity, and computed tomography (CT) texture analysis features of patients diagnosed with Coronavirus disease 2019 (COVID-19) Materials and methods: The size and parenchymal structure of the spleen in 91 patients who underwent thoracic CT examination due to COVID-19 were evaluated. For the evaluation of parenchymal heterogeneity, CT texture analysis was performed using dedicated software (Olea Medical, France). The texture analysis of each case consisted of 15 first-order intensity-based features, 17 gray level cooccurrence matrix-based features, and 9 gray level run length matrix-based features. Results: A total of 91 patients (45 …
Evaluation Of The Chest Computed Tomography And Hemogram Data In Patients Withcovid-19: The Importance Of Thymus, Vefa Çakmak, Atakan Yilmaz, Tuğba Sari, Pinar Çakmak, Mert Özen, Duygu Herek, Alten Oskay
Evaluation Of The Chest Computed Tomography And Hemogram Data In Patients Withcovid-19: The Importance Of Thymus, Vefa Çakmak, Atakan Yilmaz, Tuğba Sari, Pinar Çakmak, Mert Özen, Duygu Herek, Alten Oskay
Turkish Journal of Medical Sciences
Background/aim: To investigate the relationship between imaging findings and peripheral blood cell counts of COVID-19 patients and the degree of thymus fat involution of these patients. Materials and methods: Computed tomography (CT) images of 87 patients with COVID-19 positive through RT-PCR testing were evaluated retrospectively by two radiologists. Ground glass densities and other signs of viral pneumonia were recorded, lung involvement was scored quantitatively. The patients thymus fat involution was graded on CT. Neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratios (PLR), lymphocyte and platelet counts were calculated. Imaging findings and degrees of thymus fat involution were compared with laboratory data. Results: Quantitative …