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Evaluating The Persian Versions Of Two Psoriatic Arthritis Screening Questionnairesearly Arthritis For Psoriatic Patients Questionnaire (Earp) And Psoriasis Epidemiologyscreening Tool (Pest) In Iranian Psoriatic Patients, Vahide Lajevardi, Seyed Zahra Ghodsi, Mahdieh Shafiei, Amir Teimourpour, Ifa Etesami Jan 2021

Evaluating The Persian Versions Of Two Psoriatic Arthritis Screening Questionnairesearly Arthritis For Psoriatic Patients Questionnaire (Earp) And Psoriasis Epidemiologyscreening Tool (Pest) In Iranian Psoriatic Patients, Vahide Lajevardi, Seyed Zahra Ghodsi, Mahdieh Shafiei, Amir Teimourpour, Ifa Etesami

Turkish Journal of Medical Sciences

Background/aim: The majority of psoriatic arthritis (PsA) patients present at dermatology clinics with cutaneous psoriasis up to 10 years prior to arthritis onset; therefore, applying a suitable screening tool to detect PsA early is essential for dermatologists. This study aimed to validate and evaluate the Persian version of two PsA screening questionnaires, the early arthritis for psoriatic patients questionnaire (EARP) and the psoriasis epidemiology screening tool (PEST) in Iranian psoriatic patients. Materials and methods: In this cross-sectional study, psoriatic patients who presented to the dermatology clinic without a previously established PsA were asked to fill out the Persian version of …


Can Urinary Biomarkers Predict Acute Kidney Injury In Newborns With Critical Congenitalheart Disease?, Özgün Uygur, Özge Altun Köroğlu, Reşi̇t Ertürk Levent, Eser Sözmen, Firat Ergi̇n, Yüksel Atay, Mehmet Yalaz, Mete Akisü, Ni̇lgün Kültürsay Jan 2021

Can Urinary Biomarkers Predict Acute Kidney Injury In Newborns With Critical Congenitalheart Disease?, Özgün Uygur, Özge Altun Köroğlu, Reşi̇t Ertürk Levent, Eser Sözmen, Firat Ergi̇n, Yüksel Atay, Mehmet Yalaz, Mete Akisü, Ni̇lgün Kültürsay

Turkish Journal of Medical Sciences

Background/aim: Congenital heart disease (CHD) is the most common congenital malformation group and is the leading cause of newborn mortality in developed countries. Most of the infants with CHD develop preoperative or postoperative acute kidney injury (AKI). Acute kidney injury may develop before the serum creatinine rise and oliguria. Urinary biomarkers such as kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), interleukin (IL)-18, and cystatin C may predict AKI in patients with critical CHD (CCHD) before the serum creatinine rise. In this study, we aimed to determine the AKI incidence among newborn patients with CCHD and investigate the predictivity of …


Muc1 And Muc5ac Implication In Tunisian Colorectal Cancer Patients, Meriam Hazgui, Marwa Weslati, Rahma Boughriba, Donia Ounissi, Dhouha Bacha, Saadia Bouraoui Jan 2021

Muc1 And Muc5ac Implication In Tunisian Colorectal Cancer Patients, Meriam Hazgui, Marwa Weslati, Rahma Boughriba, Donia Ounissi, Dhouha Bacha, Saadia Bouraoui

Turkish Journal of Medical Sciences

Background/aim: Mucins, such as MUC1 and MUC5AC, are known for their protective and moisturizing role in intestinal epithelium. Their expression is tightly controlled given their essential role in normal tissue homeostasis, whereas their deregulation leads to chronic inflammation, and even cancer. This study aimed to assess the expression profiles of MUC1 and MUC5AC and their implications in colorectal carcinogenesis. Materials and methods: A retrospective study of 202 patients who underwent colorectal cancer (CRC) surgery was conducted. The expression of MUC1 and MUC5AC was investigated by immunohistochemistry and reverse-transcription polymerase chain reaction (RT-PCR). Statistical analysis of mucin expression pattern, as well …


What Is The Predictive Value Of Preoperative Ca 125 Level On The Survival Rate Of Type 1endometrial Cancer?, Şafak Yilmaz Baran, Songül Alemdaroğlu, Gülşen Doğan Durdağ, Seda Yüksel Şi̇mşek, Fi̇li̇z Bolat, Fati̇h Köse, Hüsnü Çeli̇k Jan 2021

What Is The Predictive Value Of Preoperative Ca 125 Level On The Survival Rate Of Type 1endometrial Cancer?, Şafak Yilmaz Baran, Songül Alemdaroğlu, Gülşen Doğan Durdağ, Seda Yüksel Şi̇mşek, Fi̇li̇z Bolat, Fati̇h Köse, Hüsnü Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: To investigate the utility of preoperative serum cancer antigen 125 (CA 125) levels in type 1 endometrial carcinoma (EC) as a marker for determining poor prognostic factors and survival. Material and methods: All patients with endometrial cancer, who had been treated between 2012 and 2020, were retrospectively reviewed, and finally, 256 patients with type 1 endometrium carcinoma were included in the study. The relationship between the clinicopathological characteristics, CA 125 level, and survival rates were analyzed. The cut-off value for the preoperative serum CA 125 level was defined as 16 IU/L. Results: The median serum CA 125 levels were …


Prevalence And Characteristics Of Hymenoptera Venom Allergy In Urban School Childrenaged 6 To 18 Years Living In Trabzon, Özge Baba, Gülay Kaya, Mehtap Haktanir Abul, Neşe Kaklikkaya, Murat Çakir, Fazil Orhan Jan 2021

Prevalence And Characteristics Of Hymenoptera Venom Allergy In Urban School Childrenaged 6 To 18 Years Living In Trabzon, Özge Baba, Gülay Kaya, Mehtap Haktanir Abul, Neşe Kaklikkaya, Murat Çakir, Fazil Orhan

Turkish Journal of Medical Sciences

Background/aim: Hymenoptera venom allergy is one of the leading causes of systemic allergic reactions in both adults and children. The present study was conducted to evaluate the prevalence and characteristics of Hymenoptera venom allergy in urban school children aged 6 to 18 years living in Trabzon. Materials and methods: In this cross-sectional, two-level survey study, children were recruited using random sampling of public primary and secondary schools. Firstly, parents were asked about their child's age and sex and whether their child had ever been stung by any kind of bee. When they responded "yes" to the last question, they attended …


Investigation Of The Effects Of Angiotensin Converting Enzyme Inhibitors And Angiotensinreceptor Blockers On Anemia In Patients With Normal Or Mildly Low Glomerular Filtrationrate, Betül Ergün, Aysun Aybal Kutlugün, Mustafa Çağri Ergün, Gali̇p Aktürk, Esi̇n Beyan Jan 2021

Investigation Of The Effects Of Angiotensin Converting Enzyme Inhibitors And Angiotensinreceptor Blockers On Anemia In Patients With Normal Or Mildly Low Glomerular Filtrationrate, Betül Ergün, Aysun Aybal Kutlugün, Mustafa Çağri Ergün, Gali̇p Aktürk, Esi̇n Beyan

Turkish Journal of Medical Sciences

Background/aim: The relationship between the activation of the renin-angiotensin system and the increase in erythropoiesis has been shown in many studies. In addition, the use of angiotensin converting enzyme inhibitors (ACEIs) or angiotensin-receptor blockers (ARB) has been reported to reduce hemoglobin levels in various patient groups at risk for secondary erythrocytosis/polycythemia. The aim of our study is to investigate whether there is a change in hemoglobin levels after starting ACEIs or ARBs in patients who have not used them before. Materials and methods: Three hundred and fifty-one patients who were started on renin angiotensin aldosterone system (RAAS) blockers were evaluated …


Comparison Of Different Neuromuscular Facilitation Techniques And Conventionalphysiotherapy In Knee Osteoarthritis, Ayşenur Gökşen, Fi̇li̇z Can, Seval Yilmaz, Feza Korkusuz Jan 2021

Comparison Of Different Neuromuscular Facilitation Techniques And Conventionalphysiotherapy In Knee Osteoarthritis, Ayşenur Gökşen, Fi̇li̇z Can, Seval Yilmaz, Feza Korkusuz

Turkish Journal of Medical Sciences

Background/aim: This study was conducted to compare the effects of conventional physiotherapy and two different `proprioceptive neuromuscular facilitation' (PNF) techniques on knee muscle strength, knee muscular endurance, and proprioception in knee osteoarthritis (KOA). Materials and methods: The study included 35 patients between the ages of 47 and 62 who were diagnosed with stage 1-2 KOA. The patients were divided into three groups with block randomization method as Repeated Stretching Group (N = 12) With Repeated Stretching Technique, Combined Isotonic Contraction Group (N = 11) With Combined Isotonic Contractions (CIC) Technique, And Conventional Physiotherapy Group (n = 12). PNF was applied …


Evaluation Of The Effects Of Locally Applied Rosuvastatin On Bone Formation In A Threedimensional Reconstruction Rabbit Xenograft Model, Taha Özer, Alper Aktaş, Canseda Avağ, Ayşegül Firat, Mert Ocak, Fevzi̇ye Fi̇gen Kaymaz, Hakan Hamdi̇ Çeli̇k Jan 2021

Evaluation Of The Effects Of Locally Applied Rosuvastatin On Bone Formation In A Threedimensional Reconstruction Rabbit Xenograft Model, Taha Özer, Alper Aktaş, Canseda Avağ, Ayşegül Firat, Mert Ocak, Fevzi̇ye Fi̇gen Kaymaz, Hakan Hamdi̇ Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: Guided bone regeneration (GBR) is commonly performed to repair bone defects, and rigid occlusive titanium barriers play a vital role in bone formation in regions with no prior bone tissue. The statin, rosuvastatin (RSV), strongly affects bone apposition when applied locally. Here, we aimed to evaluate the anabolic effects of locally applied RSV with a xenograft placed on rabbit calvaria. Materials and methods: Two rigid occlusive titanium caps were used in 16 rabbits after decorticating the calvarial bone. In the control group, the area under the cap was filled with a xenograft, while in the RSV group, a xenograft …


The Effect Of Weather Variables On The Severity, Duration, And Frequency Of Headacheattacks In The Cases Of Episodic Migraine And Episodic Tension-Type Headache, Nergi̇s Akgün, Esra Aciman Demi̇rel, Mustafa Açikgöz, Ulufer Çelebi̇, Fürüzan Köktürk, Hüseyi̇n Tuğrul Atasoy Jan 2021

The Effect Of Weather Variables On The Severity, Duration, And Frequency Of Headacheattacks In The Cases Of Episodic Migraine And Episodic Tension-Type Headache, Nergi̇s Akgün, Esra Aciman Demi̇rel, Mustafa Açikgöz, Ulufer Çelebi̇, Fürüzan Köktürk, Hüseyi̇n Tuğrul Atasoy

Turkish Journal of Medical Sciences

Background/aim: Although many headache patients report that the frequency and severity of attacks vary according to the season or weather in clinical practice, the relationship between the characteristics of the attacks and the weather is not very clear in episodic headaches. We aimed to compare the effects of weather variables (temperature, wind speed, wind direction, humidity, pressure, ultraviolet index, and sunshine duration) on episodic migraine (EM) and episodic tension-type headache (ETTH) attacks (incidence, duration, and severity). Materials and methods: Fifty patients with EM and fifty patients with ETTH diagnosed according to International Classification of Headache Disorders-II are included in the …


Lutein/Zeaxanthin Isomers Regulate Neurotrophic Factors And Synaptic Plasticity Intrained Rats, Cemal Orhan, Füsun Erten, Beşi̇r Er, Mehmet Tuzcu, Nurhan Şahi̇n, Öznur Ece Durmaz Kurşun, Vijaya Juturu, Kazi̇m Şahi̇n Jan 2021

Lutein/Zeaxanthin Isomers Regulate Neurotrophic Factors And Synaptic Plasticity Intrained Rats, Cemal Orhan, Füsun Erten, Beşi̇r Er, Mehmet Tuzcu, Nurhan Şahi̇n, Öznur Ece Durmaz Kurşun, Vijaya Juturu, Kazi̇m Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: This study was conducted to elucidate the effects of lutein/zeaxanthin isomers (L/Zi) on lipid metabolism, oxidative stress, NF-ΚB/Nrf2 pathways, and synaptic plasticity proteins in trained rats. Materials and methods: Wistar rats were distributed into four groups: 1) control, 2) L/Zi: rats received L/Zi at the dose of 100 mg/kg by oral gavage, 3) exercise, 4) exercise+L/Zi: rats exercised and received L/Zi (100 mg/kg) by oral gavage. The duration of the study was eight weeks. Results: Exercise combined with L/Zi reduced lipid peroxidation and improved antioxidant enzyme activities of muscle and cerebral cortex in rats (p < 0.001). In the Exercise + L/Zi group, muscle and cerebral cortex Nrf2 and HO-1 levels increased, while NF-ΚB levels decreased (p


Low Immunity Against Vaccine Preventable Diseases In Turkish Hiv Cohort, Aslihan Candevi̇r, Feri̇t Kuşcu, Fi̇gen Yildirim, Süheyla Kömür, Gönül Çi̇çek Şentürk, Ayşe Seza İnal, Fatma Eser, Sali̇h Çeti̇ner, Behi̇ce Kurtaran, Yeşi̇m Taşova Jan 2021

Low Immunity Against Vaccine Preventable Diseases In Turkish Hiv Cohort, Aslihan Candevi̇r, Feri̇t Kuşcu, Fi̇gen Yildirim, Süheyla Kömür, Gönül Çi̇çek Şentürk, Ayşe Seza İnal, Fatma Eser, Sali̇h Çeti̇ner, Behi̇ce Kurtaran, Yeşi̇m Taşova

Turkish Journal of Medical Sciences

Background/aim: HIV infection increase the risk of serious disease resulting from common vaccine-preventable infections. Vaccinations are particularly important for HIV infected adults. We aimed to investigate the immunity rates against measles, mumps, rubella, hepatitis A, B, and tetanus in newly diagnosed HIV patients. Materials and methods: Patients who admitted to outpatient clinics of three centers with newly diagnosed HIV infection, between 1 January 2015 and 31 June 2017 were included. Measles, mumps, rubella, varicella zoster virus, hepatitis A, hepatitis B, and tetanus antibody levels were measured by commercial diagnostic kits. Demographical and laboratory data of the patients were recorded. Results: …


Allergic Bronchopulmonary Aspergillosis In Children, Özge Atay, Suna Asi̇lsoy, Gi̇zem Atakul, Serdar Al, Özge Kangalli Boyacioğlu, Nevi̇n Uzuner, Özkan Karaman Jan 2021

Allergic Bronchopulmonary Aspergillosis In Children, Özge Atay, Suna Asi̇lsoy, Gi̇zem Atakul, Serdar Al, Özge Kangalli Boyacioğlu, Nevi̇n Uzuner, Özkan Karaman

Turkish Journal of Medical Sciences

Background/aim: Allergic bronchopulmonary aspergillus (ABPA) is a lung disease caused by hypersensitivity from Aspergillus fumigatus. Diagnostic criteria, staging systems and treatment methods for ABPA disease have been reported in studies evaluating populations, the majority of which are adult patients. Our study aimed to discuss the use of ABPA diagnostic criteria in children, the success of other alternative regimens to oral corticosteroids in the treatment of ABPA, and the changes that occur during treatment, in the light of the literature. Materials and methods: Between January 2017 and 2020, patients diagnosed with ABPA at the Dokuz Eylül University Child Allergy and Immunology …


A Nationwide Retrospective Study In Turkish Children With Nephrocalcinosis, Serra Sürmeli̇ Döven, Sebahat Tülpar, Funda Baştuğ, Zeynep Nagehan Yürük Yildirim, Esra Karabağ Yilmaz, Nesli̇han Çi̇çek, Nuran Küçük, Eli̇f Çomak, Burcu Yazicioğlu, Hülya Nalçacioğlu, Ali̇ Deli̇baş, Berfi̇n Uysal, Ayşe Ağbaş, Ati̇lla Gemi̇ci̇, Nesli̇han Günay Jan 2021

A Nationwide Retrospective Study In Turkish Children With Nephrocalcinosis, Serra Sürmeli̇ Döven, Sebahat Tülpar, Funda Baştuğ, Zeynep Nagehan Yürük Yildirim, Esra Karabağ Yilmaz, Nesli̇han Çi̇çek, Nuran Küçük, Eli̇f Çomak, Burcu Yazicioğlu, Hülya Nalçacioğlu, Ali̇ Deli̇baş, Berfi̇n Uysal, Ayşe Ağbaş, Ati̇lla Gemi̇ci̇, Nesli̇han Günay

Turkish Journal of Medical Sciences

Background/aim: Nephrocalcinosis (NC) is defined as calcium deposition in the kidney parenchyma and tubules. This study aims to determine the etiology, risk factors, and follow-up results of patients with NC in Turkey. Materials and methods: Patients diagnosed with NC in the pediatric nephrology Department Units of 19 centers from all geographical regions of Turkey over a 10-year period (2010-2019) were included in the study. The medical records from the centers were reviewed and demographic data, admission complaints, medical history, systemic and genetic disorders, risk factors for NC, treatment details, and presence of NC after one-year follow-up, were recorded retrospectively. Results: …


Incidence, Risk Factors, And Adverse Outcomes Of Acute Kidney Injury In Very Prematureneonates: A Single Center Experience, Nuran Üstün Jan 2021

Incidence, Risk Factors, And Adverse Outcomes Of Acute Kidney Injury In Very Prematureneonates: A Single Center Experience, Nuran Üstün

Turkish Journal of Medical Sciences

Background/aim: Acute kidney injury (AKI) is a serious morbidity in premature neonates. The aim of this study was to determine the incidence of AKI and to evaluate its impact on morbidity and mortality in very premature infants. Materials and methods: This retrospective cohort study was conducted in the neonatal intensive care unit (NICU). A total of 410 preterm infants who were born before 32 gestational weeks were screened and 318 were included in this analysis. AKI was defined according to the modified neonatal Kidney Disease: Improving Global Outcomes criteria. Results: The incidence of AKI was 32.1% (102/318). Regression analyses revealed …


Diagnostic Value Of Procalcitonin And C Reactive Protein For Infection And Sepsis Inelderly Patients, Çi̇ler Zi̇nci̇rci̇oğlu, Kazim Rollas, Işil Güldoğan, Aykut Saritaş, Hüseyi̇n Özkarakaş, Gürsel Ersan, Ni̇met Şenoğlu Jan 2021

Diagnostic Value Of Procalcitonin And C Reactive Protein For Infection And Sepsis Inelderly Patients, Çi̇ler Zi̇nci̇rci̇oğlu, Kazim Rollas, Işil Güldoğan, Aykut Saritaş, Hüseyi̇n Özkarakaş, Gürsel Ersan, Ni̇met Şenoğlu

Turkish Journal of Medical Sciences

Background/aim: Biomarkers are useful for diagnosing infection and sepsis in adults, but data are limited in elderly patients. Furthermore, clinical symptoms of infection in elderly patients are usually atypical or unclear. We aimed to assess the usefulness of PCT, CRP, and WBC in distinguishing elderly patients infected with sepsis from infected without sepsis and those with no-infection. We also aimed to find a cut-off value for diagnosing sepsis and infection without sepsis in elderly critically ill patients. Materials and methods: In this single-center and prospective observational study, patients older than 65 years were enrolled. Serum levels of PCT, CRP, and …


Clinicopathologic Comparisons Of Iga Nephropathy And Iga Vasculitis Nephropathy Inchildren: A Ten-Year Single-Center Experience, Qingxiao Su, Yuheng Liang, Na Wang, Zhiyan Dou, Zanhua Rong, Xue Zhao, Bo Yu, Yuxue Wang, Xinliang Wang Jan 2021

Clinicopathologic Comparisons Of Iga Nephropathy And Iga Vasculitis Nephropathy Inchildren: A Ten-Year Single-Center Experience, Qingxiao Su, Yuheng Liang, Na Wang, Zhiyan Dou, Zanhua Rong, Xue Zhao, Bo Yu, Yuxue Wang, Xinliang Wang

Turkish Journal of Medical Sciences

Background/aim: To investigate the similarities and differences of renal clinical and renal pathology between IgA nephropathy (IgAN) and IgA vasculitis nephritis (IgAVN) in children. Materials and methods: A total of 237 children with IgAN and 190 children with IgAVN were included. The general conditions, clinical characteristics, final diagnosis, clinical and pathological classification of the children were intercepted at the time of admission, and the retrospective comparative analysis was carried out. Results: The results showed that the median course of disease in IgAN group was longer than that in IgAVN group (p = 0.02). Patients with IgAN had a significantly higher …


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 Jan 2021

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.


Effects Of Hydroxychloroquine And Favipiravir On Clinical Course In Outpatients Withcovid-19, Seyda Kayhan Ömeroğlu, Fehmi̇naz Temel, Di̇lek Altun, Mehmet Burak Öztop Jan 2021

Effects Of Hydroxychloroquine And Favipiravir On Clinical Course In Outpatients Withcovid-19, Seyda Kayhan Ömeroğlu, Fehmi̇naz Temel, Di̇lek Altun, Mehmet Burak Öztop

Turkish Journal of Medical Sciences

Background/aim: Due to the importance of early outpatient treatment to prevent hospitalization and disease progression, we examined the effects of hydroxychloroquine and favipiravir, which were initiated in early period, on the clinical course of COVID-19 outpatients. Materials and methods: Data of confirmed COVID-19 outpatients over a 4-month period were analyzed retrospectively. Public Health Management System (HSYS) was used for the case-based follow-up. Patients on antiviral therapy for at least five days, including hydroxychloroquine and / or favipiravir and patients who were followed-up for 30 days were included in this analysis. Results: We enrolled 1489 patients in this study. Overall, 775 …


Rituximab For The Treatment Of Idiopathic Membranous Nephropathy With Nephroticsyndrome: A Systematic Review And Meta-Analysis, Lu You, Peiyi Ye, Guangqing Xiao, Jiabao Liang, Yaozhong Kong Jan 2021

Rituximab For The Treatment Of Idiopathic Membranous Nephropathy With Nephroticsyndrome: A Systematic Review And Meta-Analysis, Lu You, Peiyi Ye, Guangqing Xiao, Jiabao Liang, Yaozhong Kong

Turkish Journal of Medical Sciences

Background/aim: This meta-analysis comprehensively investigated the efficacy and safety of rituximab (RTX) in patients with idiopathic membranous nephropathy (IMN). Materials and methods: We searched the MEDLINE, EMBASE and Cochrane Registry of Controlled Trials databases from January 2000 to January 2020. Studies evaluating the efficacy and safety of RTX in the treatment of IMN with nephrotic syndrome (NS) were included. Results: Nine studies (total of 357 patients) were included in the meta-analysis. The pooled complete response and overall response (OR) rates at 12 months were 13.2% [95% confidence interval (CI), 0.09-0.18] and 60% (95% CI, 0.48-0.72), and those at 24 months …


Transient Minimal Hydronephrosis On Contralateral Kidney In Infants With Unilateralhydronephrosis: Is It An Early Sign Of Worsening Of The Affected Kidney?, Mirzaman Huseynov, Rahşan Özcan, Şenol Emre, Nur Canpolat, Sebuh Kuruğoğlu, Haluk Burçak Sayman, Mehmet Eli̇çevi̇k, Yunus Söylet, Sabri̇ Nafi̇z Cenk Büyükünal, Haluk Emi̇r Jan 2021

Transient Minimal Hydronephrosis On Contralateral Kidney In Infants With Unilateralhydronephrosis: Is It An Early Sign Of Worsening Of The Affected Kidney?, Mirzaman Huseynov, Rahşan Özcan, Şenol Emre, Nur Canpolat, Sebuh Kuruğoğlu, Haluk Burçak Sayman, Mehmet Eli̇çevi̇k, Yunus Söylet, Sabri̇ Nafi̇z Cenk Büyükünal, Haluk Emi̇r

Turkish Journal of Medical Sciences

Background/aim: The criteria for surgical management of ureteropelvic junction obstruction are not well-defined, and there is a risk for loss of renal function before the operation. In this context, certain changes in contralateral kidney had been investigated in order to increase the sensitivity of diagnosis. In this study, we aimed to investigate whether contralateral transient minimal hydronephrosis (CTMH) can be considered as an "early alarm" sign for worsening of the affected kidney in infants with hydronephrosis. Materials and methods: A total of 182 infants (92 surgically treated and 90 conservatively followed-up) with unilateral hydronephrosis were retrospectively analyzed. Ultrasonography and renal …


Long Term Neurological Sequela Of Isolated Infarctions According To The Topographicareas Of Thalamus, Aygül Tanti̇k Pak, Zahi̇de Mai̇l Gürkan, Sebahat Nacar Doğan, Yildizhan Şengül Jan 2021

Long Term Neurological Sequela Of Isolated Infarctions According To The Topographicareas Of Thalamus, Aygül Tanti̇k Pak, Zahi̇de Mai̇l Gürkan, Sebahat Nacar Doğan, Yildizhan Şengül

Turkish Journal of Medical Sciences

Background/aim: Thalamus infarctions presented with various clinical findings are considered to be related to classical and variative infarction areas. In our study, we aimed to compare the sequela clinical findings of patients with isolated thalamus infarction according to anatomical areas. Materials and methods: Seventy patients diagnosed with isolated thalamus infarction in our clinic between 2010 and 2020 were included in the study. The infarction areas of the patients were divided into groups by the radiologist, including the variative areas to the classical areas using magnetic resonance imaging. Neurological examinations were performed and recorded. Sequela clinical findings of the groups were …


Determinants Of Remission In A Case Series Of Medullary Thyroid Carcinoma, Tuğçe Apaydin, Eren İmre, Di̇lek Yavuz Jan 2021

Determinants Of Remission In A Case Series Of Medullary Thyroid Carcinoma, Tuğçe Apaydin, Eren İmre, Di̇lek Yavuz

Turkish Journal of Medical Sciences

Background/aim: We aimed to present the clinical results of patients with medullary carcinoma under follow-up in our center and to determine parameters affecting remission and lymph node metastases. Material and methods: A retrospective analysis was performed of the medical records of 27 patients with MTC who were followed up between 2004 and 2020. Results: The mean age at diagnosis was 47.7 ± 14 years. The mean follow-up was 7.29 ± 4.9 years. Metastatic neck lymphadenopathy was detected in eight (29.6%) patients; none had distant metastasis at the time of diagnosis. The median tumor diameter was 1.50 (range: 0.4-6) cm. The …


Effect Of Decompressive Hemicraniectomy In Patients With Acute Middle Cerebral Arteryinfarction, Hali̇l İbrahi̇m Süner, Anil Tanburoğlu, Emre Durdağ, Soner Çi̇vi̇, Ayli̇n Güneşli̇ Yeti̇şken, Özgür Kardeş, Çağatay Andi̇ç, Kadi̇r Tufan Jan 2021

Effect Of Decompressive Hemicraniectomy In Patients With Acute Middle Cerebral Arteryinfarction, Hali̇l İbrahi̇m Süner, Anil Tanburoğlu, Emre Durdağ, Soner Çi̇vi̇, Ayli̇n Güneşli̇ Yeti̇şken, Özgür Kardeş, Çağatay Andi̇ç, Kadi̇r Tufan

Turkish Journal of Medical Sciences

Background/aim: We aimed to determine in which cases this procedure may be more effective based on the data of patients who underwent decompressive hemicraniectomy (DHC). Material and methods: Overall, 47 patients who underwent DHC due to acute middle cerebral artery (MCA) infarction between January 2014 and january 2019 were retrospectively investigated. These patients were divided into two groups: those who died after DHC (Group A) and those who survived DHC (Group B). The groups were compared in terms of various parameters. We investigated whether the patient's modified Rankin scale (mRS) status changed depending on age (> 60 and < 60 years). Results: The median age of all patients was 65 (37-80) years; groups A and B had median ages of 66.5 (37-80) and 61 (44-79) years (p = 0.111), respectively; 55.3% patients were male. The elapsed times until hospitalization after the onset of symptoms were 4.5 and 3 h in groups A and B, respectively (p = 0.014). The median GCS score at the time of admission was 7 (5-12) and 10 (8-14) in groups A and B, respectively (p = 0.0001). At the time of admission, 63.3% patients in group A had anisocoria, whereas no patient in group B had anisocoria (p = 0.0001). In postoperative period, 40% patients in group A and all patients in group B received AC/AA treatment. The survival of patients aged < 60 and > 60 years …


Dental And Temporomandibular Joint Alterations In Rheumatoid Arthritis Patients Andtheir Association With Salivary Oxidative Stress, Deni̇z Yaman, Duygu Göller Bulut, Gülbahar Ustaoğlu, Emre Avci, Murat Taşçi Jan 2021

Dental And Temporomandibular Joint Alterations In Rheumatoid Arthritis Patients Andtheir Association With Salivary Oxidative Stress, Deni̇z Yaman, Duygu Göller Bulut, Gülbahar Ustaoğlu, Emre Avci, Murat Taşçi

Turkish Journal of Medical Sciences

Background/aim: Rheumatoid arthritis (RA) is the most extensive inflammatory arthritis causing permanent deformities in the joint. Increasing evidence suggests that oxidative stress is a substantial factor in the pathogenesis of RA. This study aimed to examine the salivary oxidant-antioxidant status of RA and control groups and to compare these biomarkers by correlating them with disease activity, acute phase reactants, and clinical findings. Materials and methods: Age and sex-matched 60 participants including 30 patients with RA and 30 control (50 females, 10 males; mean age: 42.62 ± 10.89 years) were evaluated. RA disease activity and severity were evaluated by the disease …


The Study Of Tau And Phospho Tau Protein Levels In Attention Deficit And Hyperactivity, Hati̇ce Saraçoğlu, Eser Kiliç, Esra Demi̇rci̇ Jan 2021

The Study Of Tau And Phospho Tau Protein Levels In Attention Deficit And Hyperactivity, Hati̇ce Saraçoğlu, Eser Kiliç, Esra Demi̇rci̇

Turkish Journal of Medical Sciences

Background/aim: Attention deficit and hyperactivity disorder (ADHD) is a widespread neurodevelopmental disorder that begins in childhood and has negative consequences throughout adult life. The etiology and pathogenesis of ADHD are still unclear. Tau protein is a soluble microtubule-related protein expressed by neurons and localized in the cytoplasm as well as axons. Tau protein provides stability of microtubule in two ways: phosphorylation and isoforms. The excessive phosphorylation of Tau separates the protein from the microtubule, thus making it unstable. In this study, we aimed to investigate whether there is a relationship between serum Tau protein and phospho Tau (p-Tau181) levels and …


Evaluation Of Proprioception In Patients Who Underwent Acl Reconstruction:Measurement In Functional Position, Si̇nem Suner Kekli̇k, Nevi̇n Aysel Güzel, Gamze Çobanoğlu, Ni̇han Kafa, Muhammet Baybars Ataoğlu, Zekeri̇ya Öztemür Jan 2021

Evaluation Of Proprioception In Patients Who Underwent Acl Reconstruction:Measurement In Functional Position, Si̇nem Suner Kekli̇k, Nevi̇n Aysel Güzel, Gamze Çobanoğlu, Ni̇han Kafa, Muhammet Baybars Ataoğlu, Zekeri̇ya Öztemür

Turkish Journal of Medical Sciences

Background/aim: Anterior cruciate ligament (ACL) injuries cause mechanoreceptor loss in the joint; therefore, proprioceptive deficits are observed after injury. In particular, proprioceptive measurements made in the functional position give more accurate results, and this is an area that requires further studies. This study aimed to evaluate proprioception in patients who had undergone ACL reconstruction (ACLR) in functional positions used in daily life (closed kinetic chain position), according to joint angles where ACL injuries occur more frequently, in comparison with healthy controls. Materials and methods: Thirty-four participants who underwent ACLR using a hamstring tendon graft (aged 29.18 ± 8.16 years; body …


Is Conut Score A Prognostic Index In Patients With Diffuse Large Cell Lymphoma?, Gülsüm Akgün Çağliyan, Si̇bel Hacioğlu, Başak Ünver Koluman, Kadi̇r İlkkiliç, Ruki̇ye Nar, Mehmet Nuri̇ Başer, Asli Bozdemi̇r, Hande Şenol, Ni̇lay Şen Türk, Veysel Erol, Onurcan Yildirim, Ömer Çağliyan, Ni̇l Güler Jan 2021

Is Conut Score A Prognostic Index In Patients With Diffuse Large Cell Lymphoma?, Gülsüm Akgün Çağliyan, Si̇bel Hacioğlu, Başak Ünver Koluman, Kadi̇r İlkkiliç, Ruki̇ye Nar, Mehmet Nuri̇ Başer, Asli Bozdemi̇r, Hande Şenol, Ni̇lay Şen Türk, Veysel Erol, Onurcan Yildirim, Ömer Çağliyan, Ni̇l Güler

Turkish Journal of Medical Sciences

Background/aim: The aim of the study was to evaluate the effect of Controlling Nutritional Status (CONUT) score on the prognosis in patients with diffuse large B-cell lymphoma (DLBCL). Materials and methods: The present study was a retrospective study. The CONUT score was calculated based on serum albumin, total cholesterol and lymphocyte levels. This study included a total of 266 patients, 131 (49.2%) were female and 135 (50.8%) were male. The median follow-up period was 51 months (range: 1-190). Results: The median age was 64 years. The cut off CONUT was 1.5. There was a significant difference between patients with high …


Investigation Of The Effects Of Propofol/Ketamine Versus Propofol/Fentanyl On Nauseavomiting Administered For Sedation In Children Undergoing Magnetic Resonance Imaging:A Prospective Randomized Double-Blinded Study, Haci Semi̇h Gürcan, Ayşe Ülgey, Özlem Öz Gergi̇n, Si̇bel Seçki̇n Pehli̇van, Kara Mehmet Yildiz Jan 2021

Investigation Of The Effects Of Propofol/Ketamine Versus Propofol/Fentanyl On Nauseavomiting Administered For Sedation In Children Undergoing Magnetic Resonance Imaging:A Prospective Randomized Double-Blinded Study, Haci Semi̇h Gürcan, Ayşe Ülgey, Özlem Öz Gergi̇n, Si̇bel Seçki̇n Pehli̇van, Kara Mehmet Yildiz

Turkish Journal of Medical Sciences

Background/aim: In this study, we aimed to compare the effects of propofol-ketamine and propofol-fentanyl sedations on postprocedure nausea-vomiting in children undergoing magnetic resonance imaging (MRI). Materials and methods: This study included 100 pediatric patients (2-10 years old) who had propofol-ketamine and propofol-fentanyl for sedation to undergo MRI. The patients were divided into two groups, and sedation was performed through propofol-ketamine (Group K; n = 50) or propofol-fentanyl (Group F; n = 50). For sedation induction, intravenous (IV) bolus of 1.2 mg/kg propofol and 1 mg/kg ketamine were administered in Group K, IV bolus of 1.2 mg/kg propofol, and 1 µg/kg …


Extracorporeal Carbon Dioxide Removal (Ecco2r) In Copd And Ards Patients Withsevere Hypercapnic Respiratory Failure. A Retrospective Case-Control Study, Volkan İnal, Serdar Efe Jan 2021

Extracorporeal Carbon Dioxide Removal (Ecco2r) In Copd And Ards Patients Withsevere Hypercapnic Respiratory Failure. A Retrospective Case-Control Study, Volkan İnal, Serdar Efe

Turkish Journal of Medical Sciences

Background/aim: Treatment of severe hypercapnic respiratory failure (HRF) has some challenges in patients with chronic obstructive pulmonary disease (COPD) and acute respiratory distress syndrome (ARDS), especially when lung protective ventilation (LPV) strategies are required. Extracorporeal CO2 removal (ECCO2R) therapy is an emerging option to manage hypercapnia while allowing LPV in these cases. However, further data on ECCO2R use is still needed to make clear recommendations. Materials and methods: This study was conducted on patients admitted to intensive care unit (ICU) between January 1st, 2016 to December 31st, 2019. The medical records were retrospectively scanned in institutional software database. Patients who …


Flow Cytometric Analysis Of Platelet Surface Glycoproteins In The Diagnosis Of Thirty-Twoturkish Patients With Glanzmann Thrombasthenia: A Multicenter Experience, Berkay Saraymen, Sabahatti̇n Muhtaroğlu, Mustafa Yavuz Köker, Nazan Sarper, Emi̇ne Zengi̇n, Canan Albayrak, Davut Albayrak, Osman Bülent Zülfi̇kar, Sayi̇me Başak Koç Şenol, Esma Bentli̇, Semi̇h Yilmaz, Aysun Çeti̇n, Bülent Eser, Mustafa Çeti̇n Jan 2021

Flow Cytometric Analysis Of Platelet Surface Glycoproteins In The Diagnosis Of Thirty-Twoturkish Patients With Glanzmann Thrombasthenia: A Multicenter Experience, Berkay Saraymen, Sabahatti̇n Muhtaroğlu, Mustafa Yavuz Köker, Nazan Sarper, Emi̇ne Zengi̇n, Canan Albayrak, Davut Albayrak, Osman Bülent Zülfi̇kar, Sayi̇me Başak Koç Şenol, Esma Bentli̇, Semi̇h Yilmaz, Aysun Çeti̇n, Bülent Eser, Mustafa Çeti̇n

Turkish Journal of Medical Sciences

Background/aim: Glanzmann thrombasthenia (GT) is a rare autosomal recessively inherited bleeding disorder characterized by the quantitative (type 1 and type 2) or qualitative (type 3) deficiency in platelet membrane glycoprotein (GP) IIb/IIIa (CD41a/CD61) fibrinogen receptors. In type 1, 2, and 3, CD41a/CD61 expression is 5%, 5%-20% and above 20%, respectively. In this study, diagnosis of GT was confirmed and subgroups were identified in 32 Turkish patients by flow cytometry analysis. Materials and methods: CD41a/CD61 expression levels in platelet-rich plasma (PRP) obtained from peripheral venous EDTA blood samples were analyzed with a BD FACSCanto II flow cytometer (Becton Dickinson, Franklin Lakes, …