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Articles 1 - 30 of 215
Full-Text Articles in Medicine and Health Sciences
Nutritional Assessment Via Anthropometric And Biochemical Measurements With Stable Copd, Mehmet Meral, Ömer Araz, Eli̇f Yilmazel Uçar, Nusret Yilmaz, Ni̇hal Arzu Mi̇ri̇ci̇
Nutritional Assessment Via Anthropometric And Biochemical Measurements With Stable Copd, Mehmet Meral, Ömer Araz, Eli̇f Yilmazel Uçar, Nusret Yilmaz, Ni̇hal Arzu Mi̇ri̇ci̇
Turkish Journal of Medical Sciences
Nutritional assessment is important for the management of chronic obstructive pulmonary disease (COPD). This study aims at investigating the relation between the anthropometric and biochemical parameters for nutritional assessment with pulmonary function tests in COPD. Materials and methods: This is a prospective, cross-sectional study. Thirty-nine patients with stable COPD were enrolled the study. We evaluated the anthropometric [body mass index (BMI), skinfold thickness (SFT), and arm muscle circumference (AMC)], biochemical [serum total protein, albumin, transferrin, and blood urea nitrogen (BUN)], and spirometric [forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), and FEV1/FVC] measurements, as well as …
Biochemical And Structural Changes Of The Kidney In Mice Exposed To Phenol, Zahra Tootian, Ali Louei Monfared, Simin Fazelipour, Mohammad Taghi Shybani, Fatemeh Rouhollah, Farhang Sasani, Ebrahim Molaemi
Biochemical And Structural Changes Of The Kidney In Mice Exposed To Phenol, Zahra Tootian, Ali Louei Monfared, Simin Fazelipour, Mohammad Taghi Shybani, Fatemeh Rouhollah, Farhang Sasani, Ebrahim Molaemi
Turkish Journal of Medical Sciences
Aim: To investigate the histology and function of the kidney in mice exposed to different concentrations of phenol through the gavage method for 10 consecutive days. Materials and methods: Forty female BALB/c mice were selected and randomly divided into 1 control group and 3 experimental groups. The control group was administered distilled water through the gavage method, while the experimental groups received daily doses of 80, 180, and 320 mg/kg of phenol, respectively. After 10 days, blood samples were collected and the sera were analyzed biochemically. Renal tissue samples were also taken and histopathological changes of the kidneys were examined …
Heart Rate Recovery In Patients With Obstructive Sleep Apnea Syndrome, Riza Murat Karaşen, Bülent Çi̇ftçi̇, Ahmet Ari̇f Yalçin, Baran Acar, Selma Firat Güven
Heart Rate Recovery In Patients With Obstructive Sleep Apnea Syndrome, Riza Murat Karaşen, Bülent Çi̇ftçi̇, Ahmet Ari̇f Yalçin, Baran Acar, Selma Firat Güven
Turkish Journal of Medical Sciences
To demonstrate the effects of obstructive sleep apnea syndrome (OSAS) on baroregulatory function by using heart rate recovery (HRR) parameters. Materials and methods: Fifty-four moderate and severe OSAS patients were included in the study. HRR was defined as the difference in heart rate between peak exercise and 1 min later; a value of 18 beats/min was considered abnormal. OSAS patients were enrolled in the study as group 1 (normal HRR; n = 12) and group 2 (abnormal HRR, n = 42). Left ventricular ejection fraction (LVEF, %) and other parameters were also measured by echocardiography in both groups. Results: There …
Results Of Robotic Radical Prostatectomy In The Hands Of Surgeons Without Previous Laparoscopic Radical Prostatectomy Experience, Abdullah Erdem Canda, Ali̇ Fuat Atmaca, Zi̇ya Akbulut, Erem Asi̇l, Meti̇n Kiliç, Abi̇di̇n Egemen İşgören, Mevlana Derya Balbay
Results Of Robotic Radical Prostatectomy In The Hands Of Surgeons Without Previous Laparoscopic Radical Prostatectomy Experience, Abdullah Erdem Canda, Ali̇ Fuat Atmaca, Zi̇ya Akbulut, Erem Asi̇l, Meti̇n Kiliç, Abi̇di̇n Egemen İşgören, Mevlana Derya Balbay
Turkish Journal of Medical Sciences
We report our initial experience related with robot-assisted laparoscopic radical prostatectomy (RALRP) performed by a urologic surgeon without previous laparoscopic radical prostatectomy (LRP) experience. Materials and methods: The data of the first 70 patients who underwent RALRP between February 2009 and February 2010 are presented. Results: Mean console time was 214 ± 55.5 min with pelvic lymph node dissection (LND) in 14 patients. Mean intraoperative blood loss was 215 ± 227.3 cc. Fourteen patients had positive surgical margins: pT3 (n = 12) and pT2 (n = 2). Lodge drains and urethral catheters were removed at a mean of 2.9 ± …
Better Marital Adjustment Is Associated With Lower Disease Activity In Early Inflammatory Arthritis, Sally Sabry Mustafa, Karl Julian Looper, Margaret Purden, Phyllis Zelkowitz, Murray Baron
Better Marital Adjustment Is Associated With Lower Disease Activity In Early Inflammatory Arthritis, Sally Sabry Mustafa, Karl Julian Looper, Margaret Purden, Phyllis Zelkowitz, Murray Baron
Turkish Journal of Medical Sciences
The aim of this study was to examine the association between marital adjustment and disease outcomes in patients with early inflammatory arthritis. Materials and methods: Patients with average disease duration of 7.66 ± 3.79 months were recruited from a larger early inflammatory arthritis registry, which recorded sociodemographic data and disease characteristics. The acute phase reactant C-reactive protein (CRP) levels were measured and disease activity was estimated using the Disease Activity Score in 28 joints (DAS28). Patient and spouse perceived marital adjustment was assessed by the Dyadic Adjustment Scale (DAS). Results: The study sample consisted of 73 patients living with their …
Tramadol As An Adjunct For Levobupivacaine In Axillary Plexus Blockade: A Prospective, Randomized, Double-Blind Study*, Bülent Serhan Yurtlu, Volkan Hanci, Ahmet Ege, Seli̇me Evri̇m Bostankolu, Hi̇lal Ayoğlu, Işil Özkoçak Turan
Tramadol As An Adjunct For Levobupivacaine In Axillary Plexus Blockade: A Prospective, Randomized, Double-Blind Study*, Bülent Serhan Yurtlu, Volkan Hanci, Ahmet Ege, Seli̇me Evri̇m Bostankolu, Hi̇lal Ayoğlu, Işil Özkoçak Turan
Turkish Journal of Medical Sciences
To evaluate the effect of tramadol addition to levobupivacaine in axillary plexus blockade in a prospective, randomized double-blind study. Materials and methods: A total of 60 patients scheduled to undergo hand and forearm surgery under axillary plexus blockade were randomly divided into 2 groups. Group L received 36 mL of racemic 0.5% levobupivacaine with 2 mL of saline, whereas Group LT received 2 mL (100 mg) of tramadol instead of saline. After routine monitorization, axillary block was performed with a multistimulation technique using a nerve stimulator. Motor (finger, wrist, and elbow movements) and sensory (pinprick sensation for the cutaneous supply) …
Outcomes In 12 Gynecologic Cancer Patients With Brain Metastasis: A Single Center’S Experience, Esra Çabuk Cömert, Tevfi̇k Berk Bi̇ldaci, Burcu Kisa Karakaya, Nefi̇se Çağla Tarhan, Özlem Özen, Sali̇h Gülşen, Polat Dursun, Ali̇ Ayhan
Outcomes In 12 Gynecologic Cancer Patients With Brain Metastasis: A Single Center’S Experience, Esra Çabuk Cömert, Tevfi̇k Berk Bi̇ldaci, Burcu Kisa Karakaya, Nefi̇se Çağla Tarhan, Özlem Özen, Sali̇h Gülşen, Polat Dursun, Ali̇ Ayhan
Turkish Journal of Medical Sciences
To present 12 gynecologic cancer cases with brain metastasis and a discussion of the relevant literature. Gynecologic malignancy is the second most common cancer in elderly women, following breast cancer. These cancers usually spread locally at first, and common distant metastatic sites are the lungs, liver, spleen, and distant lymph nodes. The brain is not a usual site of metastatic involvement. Materials and methods: The study included 12 cases with various gynecologic malignancies that were retrospectively analyzed. Therapeutic modalities, survival, and time between initial surgery and brain metastasis were recorded. Results: The mean survival was 41.4 months in 6 patients …
The Evaluation Of Plasma Arginine, Arginase, And Nitric Oxide Levels In Patients With Esophageal Cancer, İbrahi̇m Kaplan, Yener Aydin, Yusuf Bi̇len, Fatma Genç, Mevlüt Sai̇t Keleş, Ati̇la Eroğlu
The Evaluation Of Plasma Arginine, Arginase, And Nitric Oxide Levels In Patients With Esophageal Cancer, İbrahi̇m Kaplan, Yener Aydin, Yusuf Bi̇len, Fatma Genç, Mevlüt Sai̇t Keleş, Ati̇la Eroğlu
Turkish Journal of Medical Sciences
Many studies have been conducted to investigate plasma arginine, arginase, and nitric oxide (NO) levels in patients with different types of cancer, and it has been suggested that these might be important factors for patients with cancer. In the present study, plasma arginine, arginase, and nitric oxide levels were evaluated in patients with esophageal cancer. Materials and methods: A total of 100 patients (51 females and 49 males) diagnosed with esophageal cancer but not yet operated on were included in the study. The mean age of the study population was 62.03 ± 12.4 years. Patients treated with radiotherapy or chemotherapy …
Skin Prick Test And Immunotherapy In Children With Allergic Eye Disease, Tolga Kocatürk, Özlem Kocatürk, Volkan Dayanir, Kayi Eli̇açik
Skin Prick Test And Immunotherapy In Children With Allergic Eye Disease, Tolga Kocatürk, Özlem Kocatürk, Volkan Dayanir, Kayi Eli̇açik
Turkish Journal of Medical Sciences
To investigate the necessity and efficacy of immunotherapy in children with allergic eye disease. Materials and methods: The study included 57 patients with allergic eye disease who were followed by the Department of Ophthalmology and Department of Pediatrics at Adnan Menderes University Hospital. Blood and skin prick tests were carried out on 43 patients. Results: There were 38 male and 19 female patients with a mean age of 11 ± 4 years. The mean follow-up was 31 ± 3 months and 28 ± 4 months in 38 vernal keratoconjunctivitis (VKC) and 19 perennial allergic conjunctivitis (PAC) patients, respectively. Immunotherapy was …
Oral Findings In Children With Celiac Disease, Vi̇ldan Erteki̇n, Muhammed Aki̇f Sümbüllü, Mahya Sultan Tosun, Mukadder Ayşe Seli̇moğlu, Mustafa Kara, Ni̇hat Kiliç
Oral Findings In Children With Celiac Disease, Vi̇ldan Erteki̇n, Muhammed Aki̇f Sümbüllü, Mahya Sultan Tosun, Mukadder Ayşe Seli̇moğlu, Mustafa Kara, Ni̇hat Kiliç
Turkish Journal of Medical Sciences
Aim: To investigate whether Turkish children with celiac disease (CD) show dental enamel defects (DEDs), recurrent aphthous stomatitis (RAS), teeth missing, and xerostomia, and to compare the results with age- and sex-matched healthy children. Materials and methods: The oral cavity was explored in 81 patients with CD (mean age 8.7 ± 3.7 years; age range 2.5 to 17 years) and in 20 healthy controls. Enamel defects, teeth missing, RAS, and xerostomia were established. Results: Forty-three (53.1%) celiac patients and 5 (25%) control subjects had enamel defects. Enamel defects occurred more frequently in patients (P = 0.025) compared to controls. Regarding …
Effect Of Cycloplegia On Refractive Errors Measured With Three Different Refractometers In School-Age Children, Ceyhun Arici, Adem Türk, Soner Keski̇n, Osman Meli̇h Ceylan, Fati̇h Mehmet Mutlu, Hali̇l İbrahi̇m Altinsoy
Effect Of Cycloplegia On Refractive Errors Measured With Three Different Refractometers In School-Age Children, Ceyhun Arici, Adem Türk, Soner Keski̇n, Osman Meli̇h Ceylan, Fati̇h Mehmet Mutlu, Hali̇l İbrahi̇m Altinsoy
Turkish Journal of Medical Sciences
Aim: To compare 3 different refractometers with and without cycloplegia and to examine whether the photorefractometer necessitates cycloplegia in the measurement of refractive errors. Materials and methods: Included in the study were 62 eyes of 31 pediatric patients. The refractive errors of all of the eyes were measured with and without cycloplegia using a table-top autorefractometer (Potec PRK-6000), hand-held autorefractometer (Nidek ARK-30), and photorefractometer (Plusoptix S08), respectively. The spherical power, cylindrical power, cylindrical axis, spherical equivalent, and interpupillary distance values obtained were statistically compared. Results: The average age of the patients was 10.03 ± 2.79 years. There were statistically significant …
Effect Of Prenatal Exposure To Cigarette Smoke On The Conduction Of Sensory Nerve Fibers In The Rat, Jumah Shakhanbeh
Effect Of Prenatal Exposure To Cigarette Smoke On The Conduction Of Sensory Nerve Fibers In The Rat, Jumah Shakhanbeh
Turkish Journal of Medical Sciences
Aim: To investigate the effect of prenatal exposure to cigarette smoke (CS) on the conduction of sensory nerve fibers in the adult rat offspring. Materials and methods: Pregnant rats were exposed to CS by inhalation during the gestation period. The saphenous nerve in the adult offspring was exposed in vivo, and the conduction parameters of the threshold, maximum strength of stimulation, conduction velocity, and amplitude of compound action potentials (CAPs) of A\alpha\beta-, A\delta-, and C-fibers were examined. Results: Prenatal exposure to CS induced significant reduction (P < 0.005) in the peak amplitude of CAPs of A\alpha\beta- and A\delta-fibers. The conduction velocity of A\alpha\beta-fibers and C-fibers was significantly (P < 0.025-0.05) increased after prenatal exposure to CS. Conclusion: Prenatal exposure to CS attenuates the conduction of sensory nerve fibers in the rat saphenous nerve.
Ciprofloxacin Versus Levofloxacin In Avoidance Of Prostate Biopsy In Patients With Isolated Psa Elevation: A Prospective Randomized Study, Doğan Ünal, Aki̇f Koç, Ömer Faruk Karataş, Ersi̇n Çi̇mentepe
Ciprofloxacin Versus Levofloxacin In Avoidance Of Prostate Biopsy In Patients With Isolated Psa Elevation: A Prospective Randomized Study, Doğan Ünal, Aki̇f Koç, Ömer Faruk Karataş, Ersi̇n Çi̇mentepe
Turkish Journal of Medical Sciences
The efficiencies of ciprofloxacin and levofloxacin on prostate-specific antigen (PSA) elevation were compared in terms of avoidance of prostate biopsy in this study. Materials and methods: Included in the study were 43 men with PSA levels of >=3.5 ng/mL. They were randomized into either ciprofloxacin or levofloxacin groups for a 3-week course. PSA and free PSA levels were measured before and after the antibiotherapy. The patients in whom PSA remained >=3.5 ng/mL after therapy underwent biopsy. Results: The average age of the men was 64.44 years (standard deviation: 9.54). Following antibiotics, 76.7% of the patients showed a reduction in PSA …
Clinical And Electrophysiological Evaluation Of Shoulder Functions In Spinal Accessory Nerve-Preserving Neck Dissection, Özgür Tarkan, Ülkü Tuncer, Hacer Bozdemi̇r, Tunay Sarpel, Süleyman Özdemi̇r, Özgür Sürmeli̇oğlu
Clinical And Electrophysiological Evaluation Of Shoulder Functions In Spinal Accessory Nerve-Preserving Neck Dissection, Özgür Tarkan, Ülkü Tuncer, Hacer Bozdemi̇r, Tunay Sarpel, Süleyman Özdemi̇r, Özgür Sürmeli̇oğlu
Turkish Journal of Medical Sciences
The aim of this study was to evaluate shoulder functions after neck dissection with preservation of the spinal accessory nerve by objective physical examination, electromyographic findings, and subjective patient complaints, and also to investigate the effect of the type of neck dissection. Materials and methods: The present study included 29 patients on whom unilateral selective or modified radical neck dissection was performed for head and neck cancer and/or metastasis to the neck. Electromyographical findings, range of motion, and pain scores of the shoulder joint were determined for the operated and nonoperated (control) sides. Results: An electromyographic examination of the trapezius …
Urodynamic Evaluation Of Acute Effects Of Sildenafil On Voiding Among Males With Erectile Dysfunction And Symptomatic Benign Prostate, Fati̇h Rüştü Yalçinkaya, Mürsel Davarci, Soner Akçi̇n, Ahmet Gökçe, Eşref Oğuz Güven, Mehmet İnci̇, Mevlana Derya Balbay
Urodynamic Evaluation Of Acute Effects Of Sildenafil On Voiding Among Males With Erectile Dysfunction And Symptomatic Benign Prostate, Fati̇h Rüştü Yalçinkaya, Mürsel Davarci, Soner Akçi̇n, Ahmet Gökçe, Eşref Oğuz Güven, Mehmet İnci̇, Mevlana Derya Balbay
Turkish Journal of Medical Sciences
To evaluate the acute effects of sildenafil citrate on micturition of men with erectile dysfunction and symptomatic benign prostatic hyperplasia using urodynamic parameters. Materials and methods: Between June and December 2009, a total of 50 patients over the age of 40 participated in the study. The patients were admitted to our hospital with erectile dysfunction and moderate to severe lower urinary symptoms with benign prostatic hyperplasia. To examine the sexual function of the participants, we used the IIEF-5 Sexual Health Inventory for Men questionnaire. Patients were randomly divided into 2 groups: a treatment group and a control group. A basal …
The Effect Of Rem Sleep Behaviour Disorder On Clinical Severity In Parkinson's Disease, Dursun Aygün, Yakup Türkel, Adem Akkurt, Musa Kazi̇m Onar
The Effect Of Rem Sleep Behaviour Disorder On Clinical Severity In Parkinson's Disease, Dursun Aygün, Yakup Türkel, Adem Akkurt, Musa Kazi̇m Onar
Turkish Journal of Medical Sciences
Differently from previous studies that directly compared Parkinson's disease (PD) patients with and without rapid eye movement (REM) sleep behavioural disorder (RBD) for the stage, severity, and duration of disease, this study investigated the relationship between the duration and clinical severity of disease in PD patients with and without RBD. Materials and methods: This retrospective study consisted of 141 PD patients older than 18 years of age. The clinical diagnosis of RBD was based on the minimal diagnostic criteria of the revised 2001 International Classification of Sleep Disorders. The patients were divided into 2 subgroups, those with and without clinical …
The Esr1 Gene Polymorphisms In Patients With Coronary Artery Disease In The Southeastern Turkish Population, Abdussemet Hazar, Fuat Di̇lmeç, Aydemi̇r Koçarslan, Mustafa Göz, Mehmet Sali̇h Aydin, Abbas Heval Demi̇rkol
The Esr1 Gene Polymorphisms In Patients With Coronary Artery Disease In The Southeastern Turkish Population, Abdussemet Hazar, Fuat Di̇lmeç, Aydemi̇r Koçarslan, Mustafa Göz, Mehmet Sali̇h Aydin, Abbas Heval Demi̇rkol
Turkish Journal of Medical Sciences
The objective of this study was to evaluate the prevalence of the estrogen receptor 1 (ESR1) gene variants and their possible association with coronary artery disease (CAD) in Şanlıurfa province. Materials and methods: We used polymerase chain reaction and restriction enzyme digestion to determine the prevalence of the ESR1 gene (NM_001122742.1, GI: 2099): c.454-351 A>G (XbaI A>G) and c.454-397 T>C (PvuII T>C) polymorphisms in 100 healthy individuals and 80 angiographically confirmed CAD patients. Results: The body mass index (28.1 ± 5.4), low-density lipoprotein cholesterol (126.1 ± 42 mg/dL), diabetes (n = 13), and hypertension (n = …
Serum Nitric Oxide, Asymmetric Dimethylarginine, And Plasma Homocysteine Levels In Active Behçet's Disease, Murat Aydin, Cemi̇le Koca, Sema Uysal, Yüksel Totan, Ramazan Yağci, Ferah Armutcu, Zübeyde Cücen, Muhammet Ramazan Yi̇ği̇toğlu
Serum Nitric Oxide, Asymmetric Dimethylarginine, And Plasma Homocysteine Levels In Active Behçet's Disease, Murat Aydin, Cemi̇le Koca, Sema Uysal, Yüksel Totan, Ramazan Yağci, Ferah Armutcu, Zübeyde Cücen, Muhammet Ramazan Yi̇ği̇toğlu
Turkish Journal of Medical Sciences
Behçet's disease is a relapsing vasculitis characterized by endothelial dysfunction. This study was conducted to determine the levels of nitric oxide (NO) and 2 related parameters, asymmetric dimethylarginine (ADMA) and homocysteine levels, in relation to the pathogenesis of Behçet's disease. Materials and methods: A total of 49 Behçet's patients, comprising 26 patients with the active disease and 23 patients with the inactive disease, and a healthy control group of 24 individuals participated in this study. International Study Group Diagnostic Criteria were followed in the diagnosis of Behçet's disease; patients who had at least 2 signs were considered as having the …
Comparison Of The Outcomes Of The Tot Technique Using A Hand-Made Tot Material And A Commercial One, Ahmet Tunç Özdemi̇r, Serkan Altinova, Haci İbrahi̇m Çi̇men, Ege Can Şerefoğlu, Hasbey Hakan Koyuncu, Mesut Gürdal
Comparison Of The Outcomes Of The Tot Technique Using A Hand-Made Tot Material And A Commercial One, Ahmet Tunç Özdemi̇r, Serkan Altinova, Haci İbrahi̇m Çi̇men, Ege Can Şerefoğlu, Hasbey Hakan Koyuncu, Mesut Gürdal
Turkish Journal of Medical Sciences
The purpose of this study was to compare the effectiveness of handmade transobturator tape (TOT) devices (tailored polypropylene mesh by the surgeon during the operation) with commercially available ones. Materials and methods: We included 78 consecutive women with the complaint of pure stress urinary incontinence recalcitrant to lifestyle modifications, pelvic floor muscle training, and medical treatment. The patients underwent TOT procedures either with a commercially available product (I-Stop, CL Medical, Lyon, France) (group 1) or with a device prepared during the operation with polypropylene mesh of 35 × 2 cm in size (Prolen®, Ethicon Inc., Somerville, New Jersey, USA) (group …
Descending Necrotizing Mediastinitis: Increased Mortality Due To Delayed Presentation, Mehmet Muharrem Erol, Ahmet Ural, Hüseyi̇n Melek, Ahmet Sami̇ Bayram, Celal Teki̇nbaş, Cengi̇z Gebi̇teki̇n
Descending Necrotizing Mediastinitis: Increased Mortality Due To Delayed Presentation, Mehmet Muharrem Erol, Ahmet Ural, Hüseyi̇n Melek, Ahmet Sami̇ Bayram, Celal Teki̇nbaş, Cengi̇z Gebi̇teki̇n
Turkish Journal of Medical Sciences
To describe the clinical features of descending necrotizing mediastinitis (DNM) and to outline the diagnostic and therapeutic measures to be taken in its management. Materials and methods: We retrospectively analyzed the data from 13 patients with DNM treated between 2001 and 2012 in 2 tertiary care centers, together with their demographics, diagnostic methods, therapeutic interventions, and clinical outcomes. Results: The patients consisted of 10 males and 3 females, aged from 16 to 72 years (mean age: 44). Odontogenic and tonsillar infections were the probable sources of infection in the majority of cases. Computerized tomography is a crucial imaging modality in …
Right Diaphragmatic Lipoma: Report Of Five Cases And Review Of The Literature, Yener Aydin, Mustafa Esat Yamaç, Ali̇ Bi̇lal Ulaş, Habi̇b Bi̇len, Ati̇la Eroğlu
Right Diaphragmatic Lipoma: Report Of Five Cases And Review Of The Literature, Yener Aydin, Mustafa Esat Yamaç, Ali̇ Bi̇lal Ulaş, Habi̇b Bi̇len, Ati̇la Eroğlu
Turkish Journal of Medical Sciences
Approximately 40 diaphragmatic lipoma cases have been reported in the literature to date. Diaphragmatic lipoma is 2 times more likely to appear on the left rather than the right side. In the present study, diaphragmatic lipoma was evaluated in patients who underwent surgical management in light of the literature data. Materials and methods: This study retrospectively evaluated 5 consecutive diaphragmatic lipoma patients who underwent surgical treatment at the Thoracic Surgery Clinic between January 2003 and April 2012. Results: Of the patients, 3 were female and 2 were male. The average age of the patients was 62.2 years (range: 54-77). All …
Violence Among High School Students In Malatya: A Prevalence Study, Osman Celbi̇ş, Leyla Karaoğlu, Mücahi̇t Eğri̇, Bora Özdemi̇r
Violence Among High School Students In Malatya: A Prevalence Study, Osman Celbi̇ş, Leyla Karaoğlu, Mücahi̇t Eğri̇, Bora Özdemi̇r
Turkish Journal of Medical Sciences
To determine the prevalence of violence-related behaviors on school property and to identify the predictors of youth violence among high school adolescents in Malatya. Materials and methods: Using a cluster sampling method, a cross-sectional descriptive study was carried out involving 1175 students. Backward logistic regression analysis was performed to evaluate the independent association existing between the potential risk factors and violence-related behaviors. Results: Of the students, 24.5% had been in a physical fight, 5.5% were injured and had to be treated by a doctor or nurse, and 4.3% had carried a weapon on school property during the 12 months preceding …
Epidural Tramadol Infiltration Decreases Postoperative Analgesic Consumption After Lumbar Microdiscectomy, Yasemi̇n Şahi̇n, Alparslan Apan, Gökşen Öz, Çeti̇n Ayhan Evli̇yaoğlu
Epidural Tramadol Infiltration Decreases Postoperative Analgesic Consumption After Lumbar Microdiscectomy, Yasemi̇n Şahi̇n, Alparslan Apan, Gökşen Öz, Çeti̇n Ayhan Evli̇yaoğlu
Turkish Journal of Medical Sciences
To investigate the postoperative analgesic effects of epidural tramadol infiltration. Tramadol is a weak opioid that has local anesthetic and antiinflammatory properties. Materials and methods: Sixty patients of American Society of Anesthesiologists class I or II undergoing lumbar microdiscectomy with general anesthesia were included in the study. The induction of anesthesia was performed with propofol (2-2.5 mg kg^{-1}, rocuronium bromide (0.5 mg kg^{-1}), and fentanyl (1 µg kg^{-1}). A sevoflurane and N_2O/O_2 (FiO_2 = 35%) mixture was used for maintenance. Patients were randomly divided into 2 groups. Tramadol (1 mg kg^{-1}) in a 5-mL saline epidural infiltration was given in …
Plasma Lipid Levels In Patients With Acute Bacterial Infections, Mohammad Nassaji, Raheb Ghorbani
Plasma Lipid Levels In Patients With Acute Bacterial Infections, Mohammad Nassaji, Raheb Ghorbani
Turkish Journal of Medical Sciences
To assess the impact of acute bacterial infections on plasma lipid levels and to determine the value of plasma lipid measurements in the diagnosis of acute bacterial infection. Materials and methods: A cross-sectional study was conducted involving 112 patients with acute bacterial infections admitted in hospital and 112 healthy individuals as controls. Levels of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein, and triglycerides were measured in blood samples of all subjects. Mean levels of serum lipids were compared in both groups. Results: Both groups were matched based on age (P = 0.10), sex (P = 0.789), BMI (P = 0.515), …
Transient Bradycardia In Patients With Crimean-Congo Hemorrhagic Fever, Serpi̇l Erol, Zülal Özkurt, Kemaletti̇n Özden, Mehmet Parlak, Mustafa Kemal Erol
Transient Bradycardia In Patients With Crimean-Congo Hemorrhagic Fever, Serpi̇l Erol, Zülal Özkurt, Kemaletti̇n Özden, Mehmet Parlak, Mustafa Kemal Erol
Turkish Journal of Medical Sciences
To determine the features and clinical course of bradycardia in patients with Crimean-Congo hemorrhagic fever (CCHF). Materials and methods: Between May 2002 and September 2010, a total of 380 patients with CCHF were followed. All patients who had transient bradycardia during this period were included in the study. Results: A total of 14 patients had an episode of bradycardia. All patients were in sinus rhythm. Three patients had clinical symptoms of bradycardia; atropine was administered to them. In the other patients, bradycardia resolved spontaneously. No patient had underlying conditions for bradycardia. Bradycardia appeared 7.0 ± 1.7 days after the first …
Btla (C272) Expression On Cd4+ T Cells In Behçet Patients, Nafi̇ye Fulya İlhan, Nesri̇n Demi̇r, Tamer Demi̇r, Ahmet Gödekmerdan
Btla (C272) Expression On Cd4+ T Cells In Behçet Patients, Nafi̇ye Fulya İlhan, Nesri̇n Demi̇r, Tamer Demi̇r, Ahmet Gödekmerdan
Turkish Journal of Medical Sciences
To investigate the peripheral blood levels of B and T lymphocyte attenuator (BTLA/CD272) on T cells and its role in Behçet disease (BD), and to define the role of inhibitory receptors on BD. Materials and methods: Included in this study were 25 patients with BD and 20 healthy control subjects, matched for age and sex. Results: CD4+CD272+ (P < 0.001) and CD3+CD272+ (P < 0.001) T cell levels were significantly higher in BD patients (active and remission) compared to the healthy controls. However, there was no difference between the active patients and those in remission in terms of CD4+CD272+ T cells, while CD3+CD272+ T cell levels were significantly higher in active-phase BD patients compared to patients in the remission phase (P < 0.05). Conclusion: Further functional studies could be implemented to investigate the effectiveness of the present research parameter in the diagnosis or follow-up of certain diseases similar to BD and with obscure etiology, as well as its contribution to immune dysregulation of BD. BTLA can additionally modulate T cell response in BD on different inflammatory areas and it can be upregulated in BD because of T cell activation. The results of the present study indicate that BTLA expression on CD4+ Th (T helper) cells might play a limiting role on the inflammation at peripheral sites or organs in BD.
Effects Of Cigarette Smoking On Male Fertility, Farkhunda Nadeem, Amin Fahim, Saira Bugti
Effects Of Cigarette Smoking On Male Fertility, Farkhunda Nadeem, Amin Fahim, Saira Bugti
Turkish Journal of Medical Sciences
This study was done to compare the various semen parameters of infertile male smokers with nonsmokers and also draw comparisons among light, moderate, and heavy smokers. Materials and methods: A total of 130 infertile male patients were included in this study from the outpatient department of Gynecology and Obstetrics at Liaquat University of Medical and Health Sciences, Hyderabad, from January 2010 to May 2010. The subjects were infertile males married for more than 1 year, and they were selected randomly. The subjects were thoroughly interviewed and were selected according to inclusion criteria. History about cigarette smoking and its duration was …
The Perfect Food For Perfect Health And Pleasure?, Cem Ekmekçi̇oğlu
The Perfect Food For Perfect Health And Pleasure?, Cem Ekmekçi̇oğlu
Turkish Journal of Medical Sciences
How perfect a food or meal is depends on hedonic and nutritional factors. The hedonic component is influenced by all of our 5 senses. In addition, social, environmental, and cognitive/experiential factors may have an effect on our attitude towards a food. On the other hand, nutrient composition and content, as well as bioavailability, determine how nutritionally perfect a food is. So, does the perfect food exist? What makes a food or a meal perfect? This paper will try to answer these questions by briefly discussing the most important variables.
Sigmoid Volvulus In Pregnancy, Sabri̇ Selçuk Atamanalp, Gürkan Öztürk
Sigmoid Volvulus In Pregnancy, Sabri̇ Selçuk Atamanalp, Gürkan Öztürk
Turkish Journal of Medical Sciences
To review the clinical outcomes of 9 patients with sigmoid volvulus (SV), a rare complication during pregnancy. Materials and methods: The clinical records of the patients were reviewed retrospectively. Results: The age range of the patients was 24-39 years (mean: 30.6 years). All patients were multiparous, and 6 patients (66.7%) were in the third trimester when diagnosed with SV. The main clinical features were abdominal pain/tenderness, obstipation, and distention in all patients (100.0%). The correct diagnosis was achieved based on clinical examination in 66.7% of the cases. Endoscopic detorsion was attempted in 6 patients (66.7%), with an 83.3% success rate. …
Reducing Hospital Infection Rates In The Burn Unit By Adherence To Infection Control Measures: A Six-Year Experience, Zülal Özkurt, Ülkü Altoparlak, Si̇bel İba Yilmaz, Serpi̇l Erol, Kemaletti̇n Özden, Müfi̇de Nuran Akçay
Reducing Hospital Infection Rates In The Burn Unit By Adherence To Infection Control Measures: A Six-Year Experience, Zülal Özkurt, Ülkü Altoparlak, Si̇bel İba Yilmaz, Serpi̇l Erol, Kemaletti̇n Özden, Müfi̇de Nuran Akçay
Turkish Journal of Medical Sciences
To show the effect of infection control measures (ICMs) on nosocomial infections (NIs) in a burn unit. Materials and methods: This study was conducted retrospectively at a 15-bed pediatric and adult burn unit, and 1329 hospitalized patients from 2003 to 2008 were enrolled. Detection and surveillance of NIs was performed by the infection control team (ICT), actively and prospectively, and was patient and laboratory based. Pan-resistant P. aeruginosa strains were seen in the unit in 2003. A periodical education program was applied by the ICT, and some changes were recommended. The hydrotherapy tank was abandoned, antimicrobials were used by the …