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Assessment Of Hcv-Rna Test Results And Access Rates To Antiviral Treatment In Patients With Anti-Hcv Positivity-A 10-Year Analysis, Emi̇ne Türkoğlu, Zafer Parlak, Hüseyi̇n Şener Barut Jan 2022

Assessment Of Hcv-Rna Test Results And Access Rates To Antiviral Treatment In Patients With Anti-Hcv Positivity-A 10-Year Analysis, Emi̇ne Türkoğlu, Zafer Parlak, Hüseyi̇n Şener Barut

Turkish Journal of Medical Sciences

Background/aim: Currently, hepatitis C virus (HCV) infection can be cured by direct-acting antivirals (DAAs). In this study, we aimed to find the rate of viremia among patients with a positive anti-HCV test and the rate of antiviral treatment given to viremic patients. We also aimed to reach patients with anti-HCV positivity but not tested for HCV-RNA, and patients, who were diagnosed with HCV-RNA positivity but received no treatment. Materials and methods: In this study, individuals tested for anti-HCV in Tokat Gaziosmanpaşa University Research and Application Hospital in the period between January 2010 and January 2020 were reviewed retrospectively. Anti-HCV positive …


Covid-19 Course In Granulomatosis With Polyangiitis: Single Center Experience With Review Of The Literature, Berkan Armağan, Mehmet Aki̇f Eksi̇n, Serdar Can Güven, Bahar Özdemi̇r, Pinar Akyüz Dağli, Orhan Küçükşahi̇n, Ahmet Omma, Abdulsamet Erden Jan 2022

Covid-19 Course In Granulomatosis With Polyangiitis: Single Center Experience With Review Of The Literature, Berkan Armağan, Mehmet Aki̇f Eksi̇n, Serdar Can Güven, Bahar Özdemi̇r, Pinar Akyüz Dağli, Orhan Küçükşahi̇n, Ahmet Omma, Abdulsamet Erden

Turkish Journal of Medical Sciences

Background/aim: Coronavirus disease 2019 (COVID-19) shares some clinical features with new-onset granulomatosis with polyangiitis (GPA) or GPA flare that may lead to a challenge in differential diagnosis. To date, little is known whether GPA can be induced by COVID-19. Herein, we aimed to seek the frequency and mortality rates of COVID-19 in our GPA cohort, and along with the literature cases, to evaluate clinical features and treatments of GPA patients with COVID-19. We also tried to identify clinical features of COVID-19 induced GPA. Materials and methods: As of July 2021, we conducted a systematic literature review using different spelling combinations …


Evaluation Of The Relationship Between Vitamin D Level And Adropin, Il-1ss, Il-6, And Oxidative Status In Women, Mehmet Zorlu, Abdüsselam Şekerci̇, Muhammed Tunç, Eray Meti̇n Güler, Bedi̇a Gülen, Cumali̇ Karatoprak, Muharrem Kiskaç, Mustafa Çakirca Jan 2022

Evaluation Of The Relationship Between Vitamin D Level And Adropin, Il-1ss, Il-6, And Oxidative Status In Women, Mehmet Zorlu, Abdüsselam Şekerci̇, Muhammed Tunç, Eray Meti̇n Güler, Bedi̇a Gülen, Cumali̇ Karatoprak, Muharrem Kiskaç, Mustafa Çakirca

Turkish Journal of Medical Sciences

Background/aim: Vitamin D, adropin, proinflammatory cytokines, and oxidative stress closely related with metabolic homeostasis and endothelial dysfunction. The aim of the present study is to investigate how vitamin D levels affect serum adropin, IL-1ß, IL-6, and oxidative stress. Materials and methods: A total of 77 female subjects were divided into 3 groups according to vitamin D levels. Biochemical parameters, adropin, IL-1ß, IL-6, oxidative stress markers were studied in these groups, and the results were compared statistically. Results: Serum adropin, IL-1ß, IL-6, total oxidant status (TOS) and total antioxidant status (TAS) and oxidative stress index (OSI) levels differed significantly between the …


Analysis Of The Relationship Between Tuberculosis-Related Mortality And Nitrous Oxide Emission Levels In The World With The Environmental Kuznets Curve Method, Şeri̇fe Torun, Kadi̇r Yilmaz, Şevket Özkaya, Şebnem Yosunkaya, Müşerref Şule Akçay Jan 2022

Analysis Of The Relationship Between Tuberculosis-Related Mortality And Nitrous Oxide Emission Levels In The World With The Environmental Kuznets Curve Method, Şeri̇fe Torun, Kadi̇r Yilmaz, Şevket Özkaya, Şebnem Yosunkaya, Müşerref Şule Akçay

Turkish Journal of Medical Sciences

Background/aim: It was aimed to analyze the relationship between tuberculosis-related mortality and nitrous oxide emission levels in the world with the Environmental Kuznets Curve (EKC) Method. Materials and methods: WHO ICD-10 mortality list data and the World Bank Country Data (WBCD) were used between 1997 and 2017 for 12 countries. Cubic regression analysis was used for EKC Analysis. Results: The difference between male and female deaths between 1996 and 1998 has increased sharply since 1999. Male deaths consistently occurred significantly more than female deaths. There was a significant and negative correlation between Nitrous oxide emissions (% change from 1990) and …


Low-Dose Valacyclovir Use With Preemptive Monitoring In Kidney Transplant Recipients With Intermediate Cytomegalovirus Infection Risk, Arzu Veli̇oğlu, Selma Alagöz, Di̇lek Barutçu Ataş, İzzet Hakki Arikan, Ebru Aşicioğlu, Mehmet Burak Aksu, Nurhan Seyahi̇, Zübeyde Serhan Tuğlular Jan 2022

Low-Dose Valacyclovir Use With Preemptive Monitoring In Kidney Transplant Recipients With Intermediate Cytomegalovirus Infection Risk, Arzu Veli̇oğlu, Selma Alagöz, Di̇lek Barutçu Ataş, İzzet Hakki Arikan, Ebru Aşicioğlu, Mehmet Burak Aksu, Nurhan Seyahi̇, Zübeyde Serhan Tuğlular

Turkish Journal of Medical Sciences

No abstract provided.


Circulating Mir-200c And Mir-33a May Be Used As Biomarkers For Predicting High Fructose Corn Syrup-Induced Fatty Liver And Vitamin D Supplementation-Related Liver Changes, Alpaslan Tanoğlu, Eylem Çağiltay, Esra Güzel Tanoğlu, Ayli̇n Gökhan, Cansin Şi̇ri̇n, Türker Çavuşoğlu, Recep Soner Yeşi̇lbaş Jan 2022

Circulating Mir-200c And Mir-33a May Be Used As Biomarkers For Predicting High Fructose Corn Syrup-Induced Fatty Liver And Vitamin D Supplementation-Related Liver Changes, Alpaslan Tanoğlu, Eylem Çağiltay, Esra Güzel Tanoğlu, Ayli̇n Gökhan, Cansin Şi̇ri̇n, Türker Çavuşoğlu, Recep Soner Yeşi̇lbaş

Turkish Journal of Medical Sciences

Background/aim: Nonalcoholic fatty liver is one of the most common forms of liver disease and role of microRNAs (miRNAs) on this illness is currently unclear. It was aimed to evaluate the predictive role of circulating miR-33a and mir-200c on high fructose corn syrup (HFCS)-induced fatty liver and vitamin D3 supplementation-related hepatic changes. Materials and methods: Twenty-four rats were randomized into three groups: sham (n = 8), experimental fatty liver group (n = 8), and fatty liver + vitamin D3 supplementation group (n = 8). In the treatment group, 10 µg/kg/week of vitamin D3 was given by orogastric tube weekly for …


Comparison Of Anakinra And Tocilizumab In Management Of Severe Covid-19: A Retrospective Cohort Study, Orhan Küçükşahi̇n, Abdulsamet Erden, Özlem Karakaş, Serdar Can Güven, Berkan Armağan, Enes Seyda Şahi̇ner, Osman İnan, Ali̇ Can Kurti̇pek, Emi̇n Gemci̇oğlu, Selma Karaahmetoğlu, Sema Turan, Seval İzdeş, Deni̇z Erdem, Adalet Aypak, Müge Ayhan Jan 2022

Comparison Of Anakinra And Tocilizumab In Management Of Severe Covid-19: A Retrospective Cohort Study, Orhan Küçükşahi̇n, Abdulsamet Erden, Özlem Karakaş, Serdar Can Güven, Berkan Armağan, Enes Seyda Şahi̇ner, Osman İnan, Ali̇ Can Kurti̇pek, Emi̇n Gemci̇oğlu, Selma Karaahmetoğlu, Sema Turan, Seval İzdeş, Deni̇z Erdem, Adalet Aypak, Müge Ayhan

Turkish Journal of Medical Sciences

Background/aim: Studies regarding effectiveness of anakinra and tocilizumab treatments in coronavirus disease 2019 (COVID-19) have contradictory results. Furthermore, there is scarce comparative data regarding superiority of any agent. To further elucidate any superiority between these two agents, we retrospectively investigated and compared outcomes in hospitalized COVID-19 patients of our inpatient cohort who received anakinra or tocilizumab. Materials and methods: This study was designed as a single-center, retrospective, cross-sectional cohort study. Hospitalized patients with confirmed diagnosis of COVID-19 who had Brescia-COVID respiratory severity scale score ?3 and hyperinflammation (defined as elevation of C reactive protein ?50 g/L or ferritin ?700 ng/mL) …


The Effect Of Frailty On The Development Of Acute Kidney Injury In Critically-Ill Geriatric Patients With Covid-19, Murat Küçük, Bi̇şar Ergün, Mehmet Nuri̇ Yakar, Özer Ural Çakici, Erdem Yaka, Bi̇lgi̇n Cömert, Ali̇ Necati̇ Gökmen, Begüm Ergan Jan 2022

The Effect Of Frailty On The Development Of Acute Kidney Injury In Critically-Ill Geriatric Patients With Covid-19, Murat Küçük, Bi̇şar Ergün, Mehmet Nuri̇ Yakar, Özer Ural Çakici, Erdem Yaka, Bi̇lgi̇n Cömert, Ali̇ Necati̇ Gökmen, Begüm Ergan

Turkish Journal of Medical Sciences

Background/aim: Acute kidney injury is strongly associated with mortality in critically ill patients with coronavirus disease 2019 (COVID-19); however, age-related risk factors for acute kidney injury are not clear yet. In this study, it was aimed to evaluate the effects of clinical factors on acute kidney injury development in an elderly COVID-19 patients. Materials and methods: Critically ill patients (?65years) with COVID-19 admitted to the intensive care unit were included in the study. Primary outcome of the study was the rate of acute kidney injury, and secondary outcome was to define the effect of frailty and other risk factors on …


Evaluation Of Coagulation With Teg In Patients Diagnosed Covid-19, Hülya Vatansev, Mehmet Ali̇ Karaselek, Resul Yilmaz, Serkan Küççüktürk, Ahmet Topal, Şebnem Yosunkaya, Adem Küçük, Celaletti̇n Vatansev Jan 2022

Evaluation Of Coagulation With Teg In Patients Diagnosed Covid-19, Hülya Vatansev, Mehmet Ali̇ Karaselek, Resul Yilmaz, Serkan Küççüktürk, Ahmet Topal, Şebnem Yosunkaya, Adem Küçük, Celaletti̇n Vatansev

Turkish Journal of Medical Sciences

Background and aim: A high D-dimer level may indicate the risk of coagulopathy and mortality in COVID-19 patients. Thromboelastography (TEG) is a test that evaluates clot formation and fibrinolysis in real-time, unlike routine coagulation tests. The study aimed to investigate the coagulation process with TEG in patients diagnosed with COVID-19. Materials and Methods: The study was performed at our university hospital, chest diseases outpatient clinic as a cross-section study. A total of 51 patients with 23 high D-dimer levels group (HDG) and 28 low D-dimers group (LDG) were included in the study. TEG analysis was performed at the pretreatment evaluation …


A Covid-19 First Evaluation Clinic At A University Hospital In Turkey, Gülçi̇n Telli̇ Di̇zman, Gökhan Metan, Çağlayan Merve Ayaz Ceylan, Hayri̇ye Altunay, Mertcan Uzun, Gamze Gürsoy, Zahi̇t Taş, Gi̇zem Karahan, Fari̇da Ahmadova, Tuğba Saricaoğlu, Zeynep Cansu Çalişkan, Alpaslan Alp, Meli̇ha Çağla Sönmezer, Ahmet Çağkan İnkaya, Ahmet Görkem Er Jan 2022

A Covid-19 First Evaluation Clinic At A University Hospital In Turkey, Gülçi̇n Telli̇ Di̇zman, Gökhan Metan, Çağlayan Merve Ayaz Ceylan, Hayri̇ye Altunay, Mertcan Uzun, Gamze Gürsoy, Zahi̇t Taş, Gi̇zem Karahan, Fari̇da Ahmadova, Tuğba Saricaoğlu, Zeynep Cansu Çalişkan, Alpaslan Alp, Meli̇ha Çağla Sönmezer, Ahmet Çağkan İnkaya, Ahmet Görkem Er

Turkish Journal of Medical Sciences

Background/aim: We aimed to analyze the usefulness of such a reserved area for the admission of the patients' symptoms suggesting COVID-19 and compare the demographic and clinical characteristics of the patients with COVID-19 and without COVID-19 who were admitted to C1 during the first month of the COVID-19 outbreak in our hospital. Materials and methods: A new area was set up in Hacettepe University Adult Hospital to limit the contact of COVID-19 suspicious patients with other patients, which was named as COVID-19 First Evaluation Outpatient Clinic (C1). C1 had eight isolation rooms and two sampling rooms for SARS-CoV-2 polymerase-chain-reaction (PCR). …


Evaluation Of Clinical And Laboratory Findings In Severe Group Covid-19 Pregnants Without Comorbidity, Fatma Bozkurt, Ömer Çoşkun, Sevda Yeleç, Muhammed Bekçi̇başi, Muhammet Asena, İhsan Bağli Jan 2022

Evaluation Of Clinical And Laboratory Findings In Severe Group Covid-19 Pregnants Without Comorbidity, Fatma Bozkurt, Ömer Çoşkun, Sevda Yeleç, Muhammed Bekçi̇başi, Muhammet Asena, İhsan Bağli

Turkish Journal of Medical Sciences

Background/aim: COVID - 19 disease may be seen with different clinical presentations in pregnant women. Comorbid diseases are important factors affecting the progression of this disease. In this study, we aimed to evaluate the clinical and laboratory findings in pregnant women with COVID - 19 who had no comorbid disease. Material and methods: This retrospective designed study included 217 patients with Covid PCR positive in typically COVID - 19 clinic. The patients were classified into asymptomatic, nonsevere, and severe disease groups. The symptoms, laboratory results, hospital follow- ups and intensive care records of the patients and the findings of new …


Sars-Cov-2 Vaccine: First-Month Results Of A Six-Month Follow-Up Study, Burak Mete, Ferdi̇ Tanir, Hakan Demi̇rhi̇ndi̇, Ertan Kara, Fi̇li̇z Ki̇bar, Sali̇h Çeti̇ner, Aslihan Candevi̇r, Rabi̇a Adevi̇yye Dal Jan 2022

Sars-Cov-2 Vaccine: First-Month Results Of A Six-Month Follow-Up Study, Burak Mete, Ferdi̇ Tanir, Hakan Demi̇rhi̇ndi̇, Ertan Kara, Fi̇li̇z Ki̇bar, Sali̇h Çeti̇ner, Aslihan Candevi̇r, Rabi̇a Adevi̇yye Dal

Turkish Journal of Medical Sciences

Background/aim: Various COVID-19 vaccines are being developed around the world. Important questions to be answered regarding vaccines are efficacy, safety, and whether antibodies are protective when used in different communities. This study aimed to determine seroconversion rates of the inactivated SARS-CoV-2 vaccine in healthcare workers in a hospital and short-term adverse events due to the vaccine. Materials and methods: The study carried out in Çukurova University, Turkey, comprised of 282 healthcare workers who received two doses of the inactivated SARS-CoV-2 vaccine administered in two 3 μg doses, 28 days apart. On day 28, after the second dose, anti- S-RBD IgG …


Circular Rna Circprmt5 Is Upregulated In Breast Cancer And Is Required For Cellproliferation And Migration, Xiaofeng Li, Dairong Zhang, Zuxi Feng, Xiangjing Xu, Jihong Zhang, Aiping Yu, Li Zhu, Jie Xiao, Junhua Du, Min Chen Jan 2022

Circular Rna Circprmt5 Is Upregulated In Breast Cancer And Is Required For Cellproliferation And Migration, Xiaofeng Li, Dairong Zhang, Zuxi Feng, Xiangjing Xu, Jihong Zhang, Aiping Yu, Li Zhu, Jie Xiao, Junhua Du, Min Chen

Turkish Journal of Medical Sciences

Background/aim: To evaluate the role of cyclic protein arginine methyltransferase 5 (circPRMT5) in the occurrence and development of breast cancer (BC). Materials and methods: A total of 90 BC patients who underwent radical mastectomy and 40 age-matched healthy female controls were recruited in the Second People's Hospital of China Three Gorges University, Yichang Second People's Hospital from 2017 to 2020. Quantitative reverse transcription polymerase chain reaction (RT-qPCR) was used to detect the expression levels of circPRMT5 in BC tissues, serum, normal breast cell line (MCF-10A), and BC cell line (T47D, MCF-7, BT549, Hs-578T, and MDA-MB-231, MDAMB-468). The associations between circPRMT5 …


Clinical And Imaging Findings Of Patients Diagnosed With Adenovirus-Positivepneumonia During 2015-2019 In Shanghai, China, Chunrong Huang, Dong Wei, Yahui Liu, Guo Chao Shi Jan 2022

Clinical And Imaging Findings Of Patients Diagnosed With Adenovirus-Positivepneumonia During 2015-2019 In Shanghai, China, Chunrong Huang, Dong Wei, Yahui Liu, Guo Chao Shi

Turkish Journal of Medical Sciences

Background/aim: This study was to describe the clinical characteristics, chest CT image findings, and potential role of T cells immunity in adenovirus positive pneumonia. Materials/methods: In this retrospective study, medical records of 53 adult Adv+ patients who were admitted to the Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, from May 2015 to August 2019 were included. The presence of adenovirus and other respiratory viruses was detected using polymerase chain reaction of throat swabs samples. Clinical features and chest computed tomography (CT) findings were compared between patients with Adv+ pneumonia and Adv+ non-pneumonia. Results: The top 3 most commonly …


A New Device For Bronchoscopy For Better Protection, Aslihan Gürün Kaya, Mi̇raç Öz, İnci̇fer Karnak Orhun, Serhat Erol, Aydin Çi̇ledağ, Demet Karnak, Akin Kaya Jan 2022

A New Device For Bronchoscopy For Better Protection, Aslihan Gürün Kaya, Mi̇raç Öz, İnci̇fer Karnak Orhun, Serhat Erol, Aydin Çi̇ledağ, Demet Karnak, Akin Kaya

Turkish Journal of Medical Sciences

Background/aim: During the COVID-19 pandemic, the risk of transmission of SARS-CoV-2 has not been precisely known in bronchoscopy procedures. We have designed a cabinet device called Ankara University Bronchoscopy Cabinet (Aubrocab® ) to protect healthcare. We aimed to evaluate preventing effect of Aubrocab® on aerosol spreading by measuring the particles in the bronchoscopy suite. Materials and methods: The patients were categorized into two groups as those who underwent bronchoscopy with and without Aubrocab® . We measured PM 0.5 levels before and after bronchoscopy in the bronchoscopy suite. Results: A total of 82 patients, 62 of whom underwent bronchoscopy with Aubrocab® …


Clinically Mild Encephalitis/Encephalopathy With A Reversible Splenial Lesion Of Thecorpus Callosum In Childhood: A Single-Center Experience, Hali̇l Çeli̇k, Betül Emi̇ne Deri̇nkuyu, Erhan Aksoy, Ülkühan Öztoprak, Nesri̇n Ceylan, Ebru Azapağasi, Suna Özdem, Melahat Melek Oğuz, Deni̇z Yüksel Jan 2022

Clinically Mild Encephalitis/Encephalopathy With A Reversible Splenial Lesion Of Thecorpus Callosum In Childhood: A Single-Center Experience, Hali̇l Çeli̇k, Betül Emi̇ne Deri̇nkuyu, Erhan Aksoy, Ülkühan Öztoprak, Nesri̇n Ceylan, Ebru Azapağasi, Suna Özdem, Melahat Melek Oğuz, Deni̇z Yüksel

Turkish Journal of Medical Sciences

Background/aim: Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a rare clinicoradiological syndrome that typically presents with central nervous system symptoms such as loss of consciousness, seizure, headache, and ophthalmoparesis. Materials and methods: Here, we highlight the characteristics of this syndrome together with the clinical and MRI findings of 6 pediatric patients with MERS. Results: Between January 2017 and October 2020, 6 patients with MERS (3 boys and 3 girls) presented to our center. The mean age was 122 ± 54.6 (min-max: 44-180) months. None of the patients had a chronic disease. In our study, infectious agents were detected …


Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap Jan 2022

Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap

Turkish Journal of Medical Sciences

Background/aim: About half of the cases of obsessive-compulsive disorder (OCD) occurring in childhood/adolescence occur with similar symptoms both in childhood and adulthood. Immunologic stress is claimed to be a risk factor in the etiology of childhood onset OCD. Our aim was to elucidate the relationship between childhood onset OCD risk and MHC complex I and II alleles. Materials and methods: MHC alleles of 49 OCD children together with 277 healthy children (aged 4-12) were analyzed by PCR. Results were evaluated by using univariate analysis and multivariate logistic regression analysis. Results: A2, A29, C4, DRB3.1, and DRB1*16 alleles were found to …


Evaluation Of The Frequency And Intensity Of Covid-19 In Patients With Ankylosingspondylitis Under Anti-Tnf Therapy, Sümeyye Merve Türk, Zeynep Öztürk, Damla Karataş, Ünal Erkorkmaz, Emel Gönüllü Jan 2022

Evaluation Of The Frequency And Intensity Of Covid-19 In Patients With Ankylosingspondylitis Under Anti-Tnf Therapy, Sümeyye Merve Türk, Zeynep Öztürk, Damla Karataş, Ünal Erkorkmaz, Emel Gönüllü

Turkish Journal of Medical Sciences

No abstract provided.


Endocarditis-Tr: Diagnosis, Treatment, And Prognosis Of The Infective Endocarditispatients Admitting Tertiary Centres Of Turkey, Ali̇ Nazmi̇ Çalik, Fatma Özlem Arican Özlük, Mehmet Baran Karataş, Yi̇ği̇t Çanga, Semi̇h Eren, Görkem Ayhan, Ayşe Sünbül, Ali̇ Pali̇ce, Aytaç Candemi̇r, Şükrü Akyüz, Mehdi̇ Zoghi̇, Ömer Kozan Jan 2022

Endocarditis-Tr: Diagnosis, Treatment, And Prognosis Of The Infective Endocarditispatients Admitting Tertiary Centres Of Turkey, Ali̇ Nazmi̇ Çalik, Fatma Özlem Arican Özlük, Mehmet Baran Karataş, Yi̇ği̇t Çanga, Semi̇h Eren, Görkem Ayhan, Ayşe Sünbül, Ali̇ Pali̇ce, Aytaç Candemi̇r, Şükrü Akyüz, Mehdi̇ Zoghi̇, Ömer Kozan

Turkish Journal of Medical Sciences

Background/aim: Infective endocarditis (IE) is still a significant cause of morbidity and mortality among cardiovascular diseases. ENDOCARDITIS-TR study aims to evaluate the compliance of the diagnostic and therapeutic methods being used in Turkey with current guidelines. Materials and methods: The ENDOCARDITIS-TR trial is a multicentre, prospective, observational study consisting of patients admitted to tertiary centres with a definite diagnose of IE. In addition to the demographic, clinical, microbiological, and echocardiographic findings of the patients, adverse events, indications for surgery, and in-hospital mortality were recorded during a 2-year time interval. Results: A total of 208 IE patients from 7 tertiary centres …


Turkey's Transition To Face-To-Face Schooling During The Covid-19 Pandemic, Mahmut Özer, Hayri̇ Eren Suna, Matjaz Perc, Sadri̇ Şensoy, Sevi̇l Uygun İli̇khan Jan 2022

Turkey's Transition To Face-To-Face Schooling During The Covid-19 Pandemic, Mahmut Özer, Hayri̇ Eren Suna, Matjaz Perc, Sadri̇ Şensoy, Sevi̇l Uygun İli̇khan

Turkish Journal of Medical Sciences

Background/aim: The COVID-19 pandemic majorly disrupted conventional schooling and many countries maintained educational services through distance education. The duration of school closures in Turkey was longer than most OECD countries, thus Turkey prioritized school reopenings in the 2021-2022 academic year to mitigate possible negative outcomes of closures. Here we study the compatibility of implications for school reopenings in Turkey with these practices and assess the first semester of face-to-face schooling. Materials and methods: We have used document analysis to present and compare the practices in Turkey with international practices. We also used a comparative approach to assess the coherence between …


The Clinical Follow-Up And Management Of Covid-19 In Children And Adolescents Withan Immunocompromised State Or A Malignancy, İrem Ceren Erbaş, Hati̇ce Karaoğlu Asrak, Ayşe Çakil Güzi̇n, Şi̇lem Özdem Alataş, Şefi̇ka Akyol, Meral Torun Bayram, Refi̇k Emre Çeçen, Di̇lek İnce, Özlem Tüfekçi̇, Nurşen Belet Jan 2022

The Clinical Follow-Up And Management Of Covid-19 In Children And Adolescents Withan Immunocompromised State Or A Malignancy, İrem Ceren Erbaş, Hati̇ce Karaoğlu Asrak, Ayşe Çakil Güzi̇n, Şi̇lem Özdem Alataş, Şefi̇ka Akyol, Meral Torun Bayram, Refi̇k Emre Çeçen, Di̇lek İnce, Özlem Tüfekçi̇, Nurşen Belet

Turkish Journal of Medical Sciences

Background/aim: It is still not known how an immunosuppressive state affects the response to coronavirus disease 2019 (COVID-19) in children and adolescents. The aim of this study was to evaluate clinical characteristics, outcomes, and follow-up results of COVID-19 in pediatric patients with a history of immunocompromise or malignancy, retrospectively. Materials and methods: Patients with a diagnosis of COVID-19 who were under 18 years of age and had a history of immunosuppressive chronic disease or under immunosuppressant treatment were included in the study. Patients were applied to our outpatient clinic or consulted to our department in a tertiary center during the …


Pertussis Prevalence Among Adult Patients With Acute Cough, Ahmet İlbay, Mi̇ne Durusu Tanriöver, Işkin Pinar Zarakol, Ezgi̇ Çalişkan Güzelce, Hati̇ce Bölek, Serhat Ünal Jan 2022

Pertussis Prevalence Among Adult Patients With Acute Cough, Ahmet İlbay, Mi̇ne Durusu Tanriöver, Işkin Pinar Zarakol, Ezgi̇ Çalişkan Güzelce, Hati̇ce Bölek, Serhat Ünal

Turkish Journal of Medical Sciences

Background/aim: Bordetella pertussis infection remains an important health problem in adults due to the increasing prevalence in recent years. Pertussis in adults can be easily overlooked or misdiagnosed. We aimed to determine the prevalence of pertussis in adult patients with acute cough and the clinical features of the pertussis cases. Materials and methods: Internal Medicine and Pulmonology inpatient wards and outpatient clinics were screened between March 2017 and June 2018. Patients with cough duration between 1 week and 1 month were enrolled. Those who were on antibiotics for more than 5 days were excluded. A total of 115 patients were …


Determination Of Covid-19 Pcr Positivity And Mutation Status In Coronavacvaccinated Individuals In Turkey, Ahmet Çalişkan, Mücahi̇t Seçme, İlknur Kaleli̇, Tuğba Sari, Sedef Zeli̇ha Öner, Sani̇ye Küçükakin Yaka, Büşra Dönmez Jan 2022

Determination Of Covid-19 Pcr Positivity And Mutation Status In Coronavacvaccinated Individuals In Turkey, Ahmet Çalişkan, Mücahi̇t Seçme, İlknur Kaleli̇, Tuğba Sari, Sedef Zeli̇ha Öner, Sani̇ye Küçükakin Yaka, Büşra Dönmez

Turkish Journal of Medical Sciences

Background/aim: CoronaVac is an inactivated virus-based COVID-19 vaccine used in Turkey and approved for emergency use by the World Health Organization (WHO). In this study, it was aimed to retrospectively evaluate the mutation status and clinical status in individuals who received two doses of CoronaVac vaccine and were infected with COVID-19 at least two weeks after the second dose. Materials and methods: 164 people were included in the study and COVID-19 diagnosis and mutation analyses were determined by RT-PCR using the Bioseepdy SARS CoV-2 Double Gene RT-qPCR Kit and the Biospeedy SARS-CoV-2 Variant Plus kit in accordance with the protocol …


The Efficacy Of Anakinra Compared To Standard Care Of Treatment For Covid-19: A Metaanalysis, Hamna Malik, Hira Bint Abdul Jabbar, Farah Latif, Azza Sarfraz, Zouina Sarfraz, Muzna Sarfraz Jan 2022

The Efficacy Of Anakinra Compared To Standard Care Of Treatment For Covid-19: A Metaanalysis, Hamna Malik, Hira Bint Abdul Jabbar, Farah Latif, Azza Sarfraz, Zouina Sarfraz, Muzna Sarfraz

Turkish Journal of Medical Sciences

Background/aim: As SARS-CoV-2 continues to spread worldwide, this study brings to light the link that anakinra, a recombinant IL-1 receptor antagonist, has in averting grave clinical outcomes. The objectives of this meta-analysis are to investigate the effects of anakinra in interventional groups compared to control/standard of care groups on mortality along with the provision of a prevalence estimate of the variables associated with death (C-reactive protein-CRP, ferritin, acute respiratory distress syndrome-ARDS). Materials and methods: According to the PRISMA 2020 statement guidelines, a systematic search was conducted from December 19, 2020, until December 10, 2021, with keywords including COVID-19, coronavirus, SARS-CoV-2, …


An Evaluation Of The Results Of Convalescent Plasma Therapy Applied To Pregnant Womendiagnosed As Covid-19- Positive In A Pandemic Center: A Prospective Cohort Study, Seyi̇t Ahmet Erol, Atakan Tanaçan, Hakan Apaydin, Şule Göncü Ayhan, Deni̇z Oluklu, Derya Uyan Hendem, Serpi̇l Ünlü, Abdulsamet Erden, Özlem Moraloğlu Teki̇n, Ahmet Omma, İhsan Ateş, Orhan Küçükşahi̇n, Di̇lek Şahi̇n Jan 2022

An Evaluation Of The Results Of Convalescent Plasma Therapy Applied To Pregnant Womendiagnosed As Covid-19- Positive In A Pandemic Center: A Prospective Cohort Study, Seyi̇t Ahmet Erol, Atakan Tanaçan, Hakan Apaydin, Şule Göncü Ayhan, Deni̇z Oluklu, Derya Uyan Hendem, Serpi̇l Ünlü, Abdulsamet Erden, Özlem Moraloğlu Teki̇n, Ahmet Omma, İhsan Ateş, Orhan Küçükşahi̇n, Di̇lek Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Convalescent plasma (CP) might be an additional treatment modality in COVID-19. The aim of this study was to compare CP-related clinical characteristics and perinatal outcomes in pregnant women with mild or moderate-severe COVID-19. Materials and methods: This prospective cohort study included 36 pregnant women (12 mild and 24 moderate-severe), who underwent CP therapy. The CP obtained from recently recovered donors was transfused to patients together with maximum supportive care and antiviral agents. The groups were then compared in respect of clinical characteristics, laboratory parameters, obstetric complications, and neonatal outcomes. Results: Significant differences were determined between the groups in respect …


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

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

Turkish Journal of Medical Sciences

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


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

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

Turkish Journal of Medical Sciences

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


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

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

Turkish Journal of Medical Sciences

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


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

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

Turkish Journal of Medical Sciences

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


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

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

Turkish Journal of Medical Sciences

The World Health Organization (WHO) declared COVID-19 as a Public Health Emergency of international concern on January 30, 2020, and a pandemic on March 11, 2020. Afterward, it spread rapidly all over the world, causing almost 4 million deaths as of June 2021. It is clear that effective preventive measures are needed in this devastating disease, which still has no cure. In addition to mask using, social distancing, and hygiene practices, which enter our lives as the most basic precautions, communities aim to reduce the effects of the COVID-19 pandemic. All over the world, the measures taken and activities performed …