Medicine and Health Sciences Commons^™

Cytokeratin 18 And H-Fabp Levels In Intestinal Ischemia–Reperfusion Injury: Role Of Coenzyme Q10, Muaz Belvi̇ranli, Ni̇lsel Okudan, Hakki Gökbel, Aysel Kiyici, Mehmet Öz, Ayşe Kumak

Turkish Journal of Medical Sciences

The objective of this study was to investigate whether coenzyme Q10 (CoQ10) supplementation affects M30 and heart-type fatty acid binding protein (h-FABP) levels in intestinal ischemia-reperfusion injury-induced rats. Materials and methods: Thirty-two male Wistar rats were randomly divided into 4 groups. 1) Sham: Animals exposed to laparotomy without clamping the superior mesenteric artery (SMA); 2) ischemia-reperfusion (IR): rats exposed to laparotomy with occlusion of the SMA for 45 min, followed by 120 min of reperfusion period; 3) CoQ10 plus sham: 10 mg kg body weight^{-1} CoQ10 was administrated via intraperitoneal injection for 20 days, and thereafter animals were exposed to …

Assessment Of Hearing Ability With Pure-Tone Audiometry And Otoacoustic Emission Methods In Patients Undergoing Spinal Anesthesia, Zi̇ya Kaya, Levent Gürbüzler, Mustafa Süren, Semi̇h Arici, Serkan Karaman

Turkish Journal of Medical Sciences

To investigate the frequency of hearing loss after spinal anesthesia in patients undergoing spinal anesthesia using pure-tone audiometry and otoacoustic emission methods. Materials and methods: A total of 80 patients (40 females, 40 males, aged 18-65 years) were included in the study. For spinal anesthesia, a 27-gauge Quincke spinal needle was entered at the first attempt into the subarachnoidal space through the L4-L5 interval with the patient in the lateral decubitus position. The first day before spinal anesthesia, pure-tone audiometry, transient evoked otoacoustic emission, distortion product otoacoustic emission, and tympanometry were performed on all patients, and the same procedures were …

Expression Of Cyclin D1, P27, P21, Bcl-2, And P53 In Laryngeal Squamous Cell Carcinoma And An Investigation Of The Correlation With Conventional Prognostic Factors, Gülçi̇n Şi̇mşek, Ünsal Han, Bi̇nnur Önal, Fatma Fulya Köybaşioğlu, İstemi̇han Akin, Muharrem Dağli

Turkish Journal of Medical Sciences

Because it is a multistep process, in carcinogenesis it is necessary to determine key genes such as cyclin D1, p27, p21, bcl-2, and p53 that are responsible for uncontrolled proliferation and other mechanisms. The aim of this study was to examine the correlation between the anomalous accumulation of these proteins and the prognosis of laryngeal carcinomas. Materials and methods: In our study, cyclin D1, p27, p21, bcl-2, and p53 expressions were analyzed immunohistochemically in laryngeal squamous cell carcinomas, and the findings were compared with conventional prognostic parameters such as patient age, sex, tumor localization and diameter, tumor differentiation, lymph node …

Invasive Device-Associated Hospital Infection Rates, Etiological Agents, And Their Antibiotic Susceptibilities In The Medical Intensive Care Unit Of A University Hospital In Turkey, Sali̇ha Çevi̇k, Vuslat Boşnak, Mustafa Namiduru, İlkay Karaoğlan, Ayşe Özlem Mete

Turkish Journal of Medical Sciences

To determine the rate, etiological agents, antibiotic susceptibilities, and empirical treatment options of etiological agents of invasive device-associated hospital infections (IDAHIs) in the medical intensive care unit of a university hospital. Materials and methods: Between February 2007 and December 2009, 780 IDAHI cases were evaluated in 1650 patients. Results: Ventilator associated pneumonia, catheter-associated urinary tract infection, and central venous catheter-associated blood stream infection were observed in 415, 242, and 143 IDAHI cases, respectively. The most frequently isolated etiological agents were Acinetobacter spp. in ventilator-associated pneumonia, coagulase-negative staphylococci (CoNS) in central venous catheter-associated blood stream infection, and Candida spp. and E. …

Intermittent Pneumatic Compression Pump In Upper Extremity Impairments Of Breast Cancer-Related Lymphedema, Hülya Uzkeser, Sali̇ha Karatay

Turkish Journal of Medical Sciences

To investigate the effect of intermittent pneumatic compression (IPC) pumps on upper extremity impairments in breast cancer-related lymphedema. Materials and methods: Twenty-five patients with lymphedema were randomized into 2 groups. For 3 weeks, the pneumatic compression group (n = 12) underwent a treatment program including skin care, compression bandage, exercise therapy, manual lymph drainage (MLD), and IPC. The control group (n = 13) participated in the same program, but without IPC. The range of motion (ROM) of the upper extremities was measured with goniometry, and dysfunction of the shoulder was assessed with the Constant-Murley scale. Results: Significant improvements were observed …

Do Dynamic Condylar Screw-Plates Lead To Iatrogenic Fracture?, Mahmut Nedi̇m Ayteki̇n, Fati̇h Küçükdurmaz, İsmai̇l Çeli̇k, Ali̇ Firat Esmer, Fuat Akpinar

Turkish Journal of Medical Sciences

Although many anatomic, morphologic, and radiologic studies have been carried out for the femur, as for all other bones of the skeletal system, we could not find any morphometric studies useful for orthopedic surgeons who want to understand the effects of dynamic condylar screw-plates (DCS-Plates) on the distal femur. The aim of this study was to determine the amount of cortex loss in the distal femur when inserting a DCS-Plate. Materials and methods: The lateral cortex width of 125 adult, dry, and grossly intact right and left cadaver femora was measured for the region of the femur in which the …

Leptin Regulation Of Pubertal Maturation In Intact And Pinealectomized Female Rats, Emi̇ne Kaçar, Si̇ğnem Eyuboğlu Di̇nç, Bayram Yilmaz, Haluk Keleşti̇mur

Turkish Journal of Medical Sciences

To explore the roles of leptin and melatonin in early pubertal maturation. Materials and methods: Wistar female rats were used as experimental animals. Leptin was subcutaneously infused for 28 days through osmotic minipumps starting from postnatal day 15 (preweaning). Pinealectomy was performed on postnatal day 21 (weaning), and the animals were decapitated when estrus was detected by vaginal smearing. Results: Chronic preweaning, by peripheral infusion of leptin through subcutaneous routes, advanced the onset of puberty in leptin-treated sham and pinealectomized groups as determined by vaginal opening, while causing no significant change in serum estradiol levels and uterus weight. Mean body …

The Safety And Efficacy Of Remifentanil Compared To Fentanyl In Pediatric Endoscopy, Rauf Gül, Şami̇l Hizli, Betül Kocamer, Senem Koruk, Levent Şahi̇n, Hüseyi̇n Kilinçaslan, Vahap Sariçi̇çek

Turkish Journal of Medical Sciences

To compare propofol combinations with low induction doses of remifentanil and fentanyl in respect to the complication frequency and efficiency in ease of procedure in children undergoing esophagogastroduodenoscopy. Materials and methods: Sixty-four patients, aged 3-14 years and undergoing elective esophagogastroduodenoscopy, were included in the study. The patients received an induction dose of 0.25 µg kg^{-1} remifentanil and 2 mg kg^{-1} propofol (group R), or 0.5 µg kg^{-1} fentanyl and 2 mg kg^{-1} propofol (group F) before the procedure. The procedure began with a sedation score of >=5. Hemodynamic values, movement, ease and duration of the procedure, the time to awakening, …

Double-J Stent Placement With Grasping Forceps Through Ureteroscope Working Channel: A Novel Technique, Aki̇f Koç, Ömer Bayrak

Turkish Journal of Medical Sciences

To report a new technique for the retrograde placement of a double-J stent with grasping forceps through the ureteroscope working channel. Materials and methods: In our technique, the ureteroscope is advanced to the renal pelvis or proximal location of the obstruction in the ureteral lumen; a double-J stent is then introduced into the ureteroscope working channel. The double-J stent is pushed forward until its proximal tip is seen; then the clamp over the distal tip of the pusher is opened and the guide-wire and pusher are removed from the channel, respectively. The grasping forceps is inserted into the working channel …

A Potential Association Between The Number Of Ca Repeats In The Promoter Region Of The Adamts9 Gene With Lymphatic Metastasis Of Breast Cancer, Mi̇kdat Bozer, Fatma Aşik, Muradi̇ye Acar, Hacer Haltaş, Si̇bel Yeni̇dünya, Meti̇n Canbal, Vehap Topçu, Muhammet Ramazan Yi̇ği̇toğlu, Mehmet Gündüz, Esra Gündüz, Satoshi Hirohata, Kadi̇r Demi̇rcan

Turkish Journal of Medical Sciences

We investigated the effect of the number of cytosine-adenine (CA) repeats in the ADAMTS9 promoter region on breast cancer lymphatic metastasis. Materials and methods: Thirty-one postoperative breast cancer patients were selected and examined retrospectively. The patients were classified into 2 groups: metastatic or nonmetastatic. Thirty healthy women were selected as the control group, and their peripheral blood was obtained. Following DNA isolation from the cancer tissue specimens and peripheral blood, the promoter region of the ADAMTS9 gene was directly sequenced and the number of CA repeats was determined. Results: The number of CA repeats ranged between 19 and 21 in …

Variations Of Transverse Foramens Of Cervical Vertebrae: A 3-Dimensional Multidetector Ct Study, Bumi̇n Deği̇rmenci̇, Ömer Yilmaz

Turkish Journal of Medical Sciences

The objective of this study was to display the transverse foramens (TFs) of cervical vertebrae with multidetector computed tomography (MDCT) and to identify their variations. Materials and methods: This study included 127 (63 women and 64 men) patients. The mean age was 46.4 years. MDCT images of cervical vertebrae were formed with volume rendering (VR) and multiplanar reconstruction. VR images were formed for each cervical vertebra between C1 and C7 and they were examined for the shape, diameter, and congenital variations of TFs. The TF diameters of each cervical vertebra were measured from MDCT images. Results: The widest TF diameters …

Comparison Of 2 Different Flap Techniques In The Surgical Removal Of Bilateral Impacted Mandibular Third Molars, Banu Özveri̇ Koyuncu, Mert Zeyti̇noğlu, Erdoğan Çeti̇ngül

Turkish Journal of Medical Sciences

To estimate the effects of flap design on wound dehiscence and the postoperative side effects after the extraction of bilateral impacted mandibular third molars. Materials and methods: This study was designed as a randomized, clinical trial composed of a sample of subjects =>18 years of age who required surgical extraction of the mandibular third molars. The predictor variable was flap type. A 3-cornered flap was used on one side and a modified triangular flap was used on the other. The primary outcome variable was wound dehiscence. The secondary outcome variables were pain, swelling, and trismus. Other variables were demographic …

The Correlation Between Cardiovascular Risk And Functional Disability And Disease Activity In The Patients With Rheumatoid Arthritis, Mustafa Güler, Saadet Yazgan Umut, Teoman Aydin, Ayli̇n Rezvani̇, Emi̇ne Poyraz

Turkish Journal of Medical Sciences

To determine the cardiovascular risk (CVR) in patients with rheumatoid arthritis (RA) and its correlation with disease activity and functional ability by using the Framingham risk score (FRS) and to compare the CVR of the RA patients with the control group with the help of the FRS. Materials and methods: Seventy-four RA patients, who were in conformity with the criteria of the American College of Rheumatology, were included in this study at Bezmialem Vakıf University Hospital. A total of 39 subjects without inflammatory arthritis were included as the control group. The FRS was calculated by evaluating age, smoking habits, diabetes, …

The Roles Of Primary Cilia In Polycystic Kidney Disease, Samred H. Kathem, Ashraf M. Mohieldin, Surya M. Nauli

Pharmacy Faculty Articles and Research

Autosomal dominant polycystic kidney disease (ADPKD) is an inherited genetic disorder that results in progressive renal cyst formation with ultimate loss of renal function and other systemic disorders. These systemic disorders include abnormalities in cardiovascular, portal, pancreatic and gastrointestinal systems. ADPKD is considered to be among the ciliopathy diseases due to the association with abnormal primary cilia function. In order to understand the full course of primary cilia and its association with ADPKD, the structure, functions and role of primary cilia have been meticulously investigated. As a result, the focus on primary cilia has emerged to support the vital roles …

Rhodopsin Trafficking And Retinal Function, Nicholas Joseph Reish

All ETDs from UAB

The health and maintenance of rod photoreceptors depends on the high-fidelity vectorial transport of rhodopsin from its site of synthesis in the inner segment to its final resting place in the outer segment disks. Multiple molecular interactions play a role in this process, including the interaction of the small GTPase rab11a with rhodopsin that was first described in vertebrates in amphibians. We found that the interaction of the small GTPase rab11a and rhodopsin is conserved in mammalian retina. This interaction is direct, is abrogated by human disease-causing truncation mutations in rhodopsin, and does not depend on the nucleotide binding status …

Gabaergic Dysfunction In Huntington Disease, Sarah Elizabeth Dougherty

All ETDs from UAB

GABAergic neurons are responsible for regulation of neuronal signaling through inhibition. Alterations in the delicate balance of excitation and inhibition have been observed in many neurological disorders, including neurodegenerative diseases. Huntington disease (HD) is an autosomal dominant neurodegenerative disorder that is characterized by motor, psychiatric, and cognitive disturbances. As the hallmark movement pathology of HD is hyperkinesis it is intriguing to postulate that alterations in inhibition, and by extension within GABAergic cell networks, could be part of the pathogenesis of this disorder. In order to elucidate the role of GABAergic cell populations in HD we have used behavioral paradigms, molecular …

The Impairment Of Macrophage-To-Feces Reverse Cholesterol Transport During Inflammation Does Not Depend On Serum Amyloid A, Maria C. De Beer, Joanne M. Wroblewski, Victoria P. Noffsinger, Ailing Ji, Jason M. Meyer, Deneys R. Van Der Westhuyzen, Frederick C. De Beer, Nancy R. Webb

Saha Cardiovascular Research Center Faculty Publications

Studies suggest that inflammation impairs reverse cholesterol transport (RCT). We investigated whether serum amyloid A (SAA) contributes to this impairment using an established macrophage-to-feces RCT model. Wild-type (WT) mice and mice deficient in SAA1.1 and SAA2.1 (SAAKO) were injected intraperitoneally with ³H-cholesterol-labeled J774 macrophages 4 hr after administration of LPS or buffered saline. ³H-cholesterol in plasma 4 hr after macrophage injection was significantly reduced in both WT and SAAKO mice injected with LPS, but this was not associated with a reduced capacity of serum from LPS-injected mice to promote macrophage cholesterol efflux in vitro. Hepatic accumulation of ^{3 …}

Thc-Mediated Induction Of Δfosb And Its Modulation Of Cb1r Signaling And Adaptation, Lazenka Matthew

Theses and Dissertations

The main psychoactive and therapeutic effects of Δ9-tetrahydrocannabinol (THC) are mediated through cannabinoid type 1 receptors (CB1Rs). The therapeutic uses of THC are mitigated by the development of tolerance to these therapeutic effects, whereas tolerance does not readily develop to some of the side-effects of THC, like motor impairment and reward. The development of tolerance occurs through adaptations at CB1Rs, which include desensitization (G-protein uncoupling) and downregulation (receptor degradation). Brain region-dependent differences in THC-mediated adaptations are proposed to explain the differences in tolerance to various THC-mediated effects. These studies focused on whether ΔFosB, a stable transcription factor, could regulate CB1R …

The Prevalence Of Smoking And The Knowledge Of Smoking Hazards And Smoking Cessation Strategies Among Hiv Positive Patients In Johannesburg, South Africa, Peter Waweru, R. Anderson, H. Steel, Wdf. Venter, D. Murdoch, C. Feldman

Internal Medicine, East Africa

Background: While the detrimental effects of smoking among HIV positive patients have been well documented, there is a paucity of data regarding cigarette smoking prevalence among these patients in South Africa.

Objectives: To establish the frequency, demographics, and knowledge of harmful effects and of smoking cessation strategies among HIV-positive patients in Johannesburg, South Africa.

Methods: A prospective cross-sectional survey, using a structured questionnaire interview, of HIV-positive patients attending the HIV Clinic at the Charlotte Maxeke Johannesburg Academic Hospital between 1 July 2011 and 31 October 2011.

Results: Of 207 HIV positive patients attending an ARV roll-out clinic, 31 (15%) were …

Structured Genome-Scale Variant And Clinical Data Reporting For Meta-Analysis In An Era Of Genomic Medicine, Darrell L. Dinwiddie, Carol J. Saunders, Emily G. Farrow, Sarah E. Soden, Neil A. Miller, Stephen F. Kingsmore

Manuscripts, Articles, Book Chapters and Other Papers

The Journal of Genomes and Exomes is a new, peer-reviewed, open-access, online publication whose scope comprises reporting of high quality genome, exome, and gene panel sequences with attendant, detailed phenotypes. The intent of this journal is to facilitate comparisons between genome, exome and gene panel sequencing studies in order to assist significance testing of the genotypephenotype associations, particularly those in uncommon genetic diseases. While there is yet to be a consensus regarding these classifications, the definition of an empiric set is helpful in understanding error models. Herein we have suggested structured templates for submissions and the rationale for the data …

Effect Of Blood Collection Practices On Emergency Department Blood Specimen Rejection Rates, Barbara K. Vernoski

UNF Graduate Theses and Dissertations

The practice of obtaining blood as part of the placement of a new peripheral venous access device (p-VAD) is a frequent practice in the emergency department (ED). Of the concerns related to this practice is the possibility of laboratory specimen rejection due to p-VAD catheter size, use of the wrong collection device, and the absence of a standardized collection process. The objective of this study, therefore, was to examine the effect of the use of evidence-based venipuncture and p-VAD blood collection protocols on the rejection rate of blood specimens drawn by staff in the adult areas of an urban academic …

Delivering Genetic Education And Genetic Counseling For Rare Diseases In Rural Brazil, A.X. Acosta, K Abe-Sandes, R Giugliani, Alan H. Bittles

Research outputs 2013

Brazil is the largest country in Latin America, with an ethnically diverse, Portuguese-speaking and predominantly Roman Catholic population of some 194 million. Universal health care is provided under the Federal Unified Health System (Sistema Único de Saúde) but, as in many other middle and low income countries, access to medical genetics services is limited in rural and remote regions of the country. Since there is no formally recognized Genetic Counseling profession, genetic counseling is provided by physicians, trained either in medical genetics or a related clinical discipline. A comprehensive medical genetics program has been established in Monte Santo, an inland …

The Characterisation Of Pax3 Expressant Cells In Adult Peripheral Nerve [Journal Article], Judith Blake, Melanie Ziman

Research outputs 2013

Pax3 has numerous integral functions in embryonic tissue morphogenesis and knowledge of its complex function in cells of adult tissue continues to unfold. Across a variety of adult tissue lineages, the role of Pax3 is principally linked to maintenance of the tissue’s resident stem/progenitor cell population. In adult peripheral nerves, Pax3 is reported to be expressed in nonmyelinating Schwann cells, however, little is known about the purpose of this expression. Based on the evidence of the role of Pax3 in other adult tissue stem and progenitor cells, it was hypothesised that the cells in adult peripheral nerve that express Pax3 …

Impedance Changes In Biceps Brachii Due To Isometric Contractions And Muscle Fatigue Using Electrical Impedance Myography (Eim), Travis Orth

College of Graduate Studies: Theses & Dissertations

Electrical impedance myography (EIM) is a non-invasive technique used to evaluate neuromuscular conditions by using a quantitative parameter called impedance (Z). It relies upon the application and measurement of high-frequency, low-intensity electrical current imbedded over a localized muscle to determine its opposition to current flow. In brevity, impedance determines the resistance of muscle fibers due to changes in muscle composition. The objective of this thesis was to establish a relationship between muscles at rest and during isometric contractions at various force levels(25%, 50%, and 100% of maximum voluntary contraction) of the biceps brachii over a multifrequency spectrum. Impedance measurements due …

Rational Use Of Antibiotics--A Quality Improvement Initiative In Hospital Setting, Sidrah Nausheen, Rabia Hammad, Ambreen Khan

Department of Obstetrics & Gynaecology

Objectives: To minimise irrational use of antibiotics by implementing guidelines for antibiotic usage in obstetrics and Gynaeocology.
Methods: The observational study was conducted from January to December 2010 at the maternity unit of Aga Khan Hospital for Women and children, Kharadar, a secondary care facility in Karachi, Pakistan. Data was collected from medical records related to the study period. Prophylactic antibiotics were given according to the American College of Obstetricians and Gynaecologists recommendation 2009. Surveillance was done by surgical site infection rates and infectious morbidity. Data was analysed on SPSS 13.
Results: Therapeutic antibiotic use was rationalized, reducing the use …

Insulin Resistance Impairs Response To Doxazosin Therapy In Men With Benign Prostatic Hyperplasia, Cevdet Serkan Gökkaya, Çeti̇n Volkan Özteki̇n, Cüneyt Özden, Emi̇n Öztürk, Bi̇nhan Kağan Aktaş, Ali̇ Memi̇ş

Turkish Journal of Medical Sciences

To evaluate the effects of insulin resistance (IR) on outcomes of doxazosin treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Materials and methods: This prospective study included 64 patients with LUTS due to BPH. LUTS were evaluated using the international prostate symptom score (IPSS) and maximum flow rate (Qmax) in uroflowmetry. Diagnosis of IR was achieved using homeostasis model assessment (HOMA) score and patients were grouped with respect to absence (group 1, n = 44) or presence (group 2, n = 20) of IR. Patients were evaluated before and after 3 months of daily doxazosin …

Molecular Characterization Of Acanthamoeba Isolated From Kayseri Well Water, Sali̇h Kuk, Süleyman Yazar, Süheyla Doğan, Ülfet Çeti̇nkaya, Çağri Şakalar

Turkish Journal of Medical Sciences

Potentially pathogenic free-living amoebae have a cosmopolitan distribution in soil, dust, air, and water. Generally, environmental free-living amoebae do not threaten human health. This study aimed to investigate the presence of Acanthamoeba in well waters drawn from different locations in Kayseri, Turkey, which are mainly used for drinking or irrigation by the residents in the region. Materials and methods: Twenty-nine samples, including 26 well water sediment samples and 3 tap water samples as the control, were collected from 3 different locations. Melting snow feeds 5, rain water 18, and tap water 3 of these wells. Results: Five of 26 well …

Right Ventricular Function And Its Relation With Timi Frame Count In The Coronary Slow Flow Phenomenon, Mustafa Yilmaz, Fatma Özlem Arican Özlük, Tezcan Peker, Adem Bekler, Kemal Karaağaç

Turkish Journal of Medical Sciences

To investigate right ventricular function using conventional and tissue Doppler echocardiography in patients with coronary slow flow. Materials and methods: Twenty-two patients with slow coronary flow and 22 healthy subjects were included in the study. Right ventricular function was evaluated by conventional and tissue Doppler echocardiography. Additionally, right ventricular global function was assessed by myocardial performance index. Results: The tricuspid annulus peak early diastolic velocity (11.4 ± 2.2 cm/s, 13.9 ± 3 cm/s) and ratio of early to late diastolic velocity (0.70 ± 0.17 cm/s, 1.2 ± 0.38 cm/s) were lower in the patient group than in the controls (P …

The Effects Of Formaldehyde Intoxication On The Inducible Nitric Oxide Synthase Expression And Nitric Oxide Level In The Liver Tissue Of Rats, Ergün Uçmakli, Ferah Armutcu, Alaatti̇n Öztürk

Turkish Journal of Medical Sciences

To investigate inductive activity of formaldehyde (FA) on the expression of inducible nitric oxide synthase (iNOS) and level of nitric oxide (NO) in the liver of rats. Materials and methods: Sixteen male Wistar albino rats of the same age (3 months old) were divided into 2 experimental groups, with 8 rats as the control and 8 rats formaldehyde-treated (FAt). The FAt group received intraperitoneal injection of 10 mg/kg FA for 10 days. Activity of iNOS was shown with immunohistochemical stain kits, and the concentration of NO level was measured by spectrophotometric method in the liver tissue. Results: The FAt group …

The Effects Of Valsartan Treatment On Visfatin Levels And Lipid Profiles In Newly Diagnosed Hypertensives, İsmai̇l Atacan, Adem Parlak, Ümi̇t Aydoğan, Oktay Sari, Deni̇z Engi̇n Gök, Tuncer Çayci, Kenan Sağlam

Turkish Journal of Medical Sciences

In this study, the curative effect of valsartan on hypertension based on its effect on visfatin levels and lipid profiles was investigated. Materials and methods: Forty patients aged 38-60 with hypertension were included in the study. In order to determine initial visfatin levels and lipid profiles, blood samples were taken from the patients and all were started on 80-mg valsartan tablets. All patients were monitored for 12 weeks. Results: By using multivariate regression analysis, it was determined that visfatin levels affected systolic blood pressure (SBP) (P = 0.012, beta; -0.43, 95% CI: -0.092 to -0.012). After the patients received the …