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Articles 1 - 30 of 83
Full-Text Articles in Medicine and Health Sciences
Short- And Long-Term Neurological Outcomes Of Congenital Cytomegalovirus Infection, Fati̇h Mehmet Aki̇f Özdemi̇r, Yasemi̇n Taşci Yildiz, Rüveyda Gümüşer Ci̇nni̇, Ayşegül Zenci̇roğlu, Deni̇z Yüksel
Short- And Long-Term Neurological Outcomes Of Congenital Cytomegalovirus Infection, Fati̇h Mehmet Aki̇f Özdemi̇r, Yasemi̇n Taşci Yildiz, Rüveyda Gümüşer Ci̇nni̇, Ayşegül Zenci̇roğlu, Deni̇z Yüksel
Turkish Journal of Medical Sciences
Background/aim: Cytomegalovirus (CMV) is the most common congenital viral infection. Although most children with congenital CMV (approximately 85%–90%) are asymptomatic at birth, findings such as sensorineural hearing loss, microcephaly, and neurodevelopmental retardation can be observed during the follow-up. Among the brain magnetic resonance imaging (MRI) findings of CMV are white matter abnormalities, polymicrogyria, and periventricular calcification. Since a definitive diagnosis of congenital CMV cannot be made after the neonatal period, the identification of the associated phenotype is diagnostically important, but data are limited in patients who have been retrospectively diagnosed with congenital CMV infection. The aim of this study was …
Total Kidney Volume In Autosomal Dominant Polycystic Kidney Disease: Intraobserver And Interobserver Agreement Of Two Methods With Mri, Eli̇f Gündoğdu, Çağatay Ci̇han, Celal Yazici
Total Kidney Volume In Autosomal Dominant Polycystic Kidney Disease: Intraobserver And Interobserver Agreement Of Two Methods With Mri, Eli̇f Gündoğdu, Çağatay Ci̇han, Celal Yazici
Turkish Journal of Medical Sciences
Background/aim: Total kidney volume (TKV) is a parameter used in both treatment decision and follow-up in autosomal dominant polycystic kidney disease (ADPKD) patients. The objective of this study was to evaluate intra- and interobserver agreement of the ellipsoid formula (EF) and manual boundary tracing method (MBTM) used in TKV measurement of ADPKD patients across different levels of experience radiologists. Additionally, the study aimed to evaluate the correlation between the EF and MBTM, which is considered the gold standard for TKV. Materials and methods: A retrospective evaluation was conducted on magnetic resonance imaging (MRI) data from 55 ADPKD patients who underwent …
How To Mitigate The Risks Of Deployment Of Artificial Intelligence In Medicine?, Sevi̇l Uygun İli̇khan, Mahmut Özer, Hande Tanberkan, Veysel Bozkurt
How To Mitigate The Risks Of Deployment Of Artificial Intelligence In Medicine?, Sevi̇l Uygun İli̇khan, Mahmut Özer, Hande Tanberkan, Veysel Bozkurt
Turkish Journal of Medical Sciences
The aim of this study is to examine the risks associated with the use of artificial intelligence (AI) in medicine and to offer policy suggestions to reduce these risks and optimize the benefits of AI technology. Artificial intelligence is a multifaceted technology. If harnessed effectively, it has the capacity to significantly impact the future of humanity in the field of health, as well as in several other areas. However, the rapid spread of this technology also raises significant ethical, legal, and social issues. This study examines the potential dangers of AI integration in medicine by reviewing current scientific work and …
Impact Of Celiac Disease In Behçet’S Syndrome Patients: A Study Based On The Database Of Türkiye, Nuray Yilmaz Çakmak, Nai̇m Ata, Serdar Can Güven, Emi̇n Gemci̇oğlu, Mustafa Mahi̇r Ülgü, Şuayi̇p Bi̇ri̇nci̇
Impact Of Celiac Disease In Behçet’S Syndrome Patients: A Study Based On The Database Of Türkiye, Nuray Yilmaz Çakmak, Nai̇m Ata, Serdar Can Güven, Emi̇n Gemci̇oğlu, Mustafa Mahi̇r Ülgü, Şuayi̇p Bi̇ri̇nci̇
Turkish Journal of Medical Sciences
Background/Aim Our primary aim was to investigate the effects of concomitant celiac disease (CD) on the clinical characteristics of Behçet’s syndrome (BS) patients. Materials and method The study was a retrospective, nationwide, multi-center study. Turkish Ministry of Health National Electronic Database (e-Nabız) is used under Health Ministry's supervision to extract the subject's data. Statistical Analysis Statistical analyses were made by the Statistical Package for Social Sciences (SPSS) software version 20 (IBM Corp., Armonk, New York). Continuous variables were presented by mean ± standard derivation (SD) or median (min–max) according to normality and compared by student-T test. Results A total of …
The Effect Of Phototherapy Treatment On Serum Melatonin Levels In Term Newborns, Ali̇ Bülbül, İlkay Özmeral Odabaşi, Duygu Besni̇li̇ Açar, Semra Ti̇ryaki̇ Demi̇r
The Effect Of Phototherapy Treatment On Serum Melatonin Levels In Term Newborns, Ali̇ Bülbül, İlkay Özmeral Odabaşi, Duygu Besni̇li̇ Açar, Semra Ti̇ryaki̇ Demi̇r
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to investigate the effect of phototherapy treatment on serum melatonin levels in term newborn infants. Material and methods: This study was planned as a single-center, prospective, observational, case-control study. Term infants (gestation week ≥37 weeks) who received at least 6 h of phototherapy due to jaundice constitute the phototherapy group, while the term infants without jaundice and who were exclusively breastfed constitute the control group. Melatonin levels were examined by taking blood samples from babies in both groups at 02:00 at night. Melatonin values were compared between groups. The effect of phototherapy on …
Evaluation Of The Results Of The Patients Who Underwent Plasmapheresis In The Pediatric Intensive Care Unit, Mehmet Nur Talay, Özhan Orhan, Murat Kanğin, Eşe Eda Turanli, Mehmet Nuri̇ Özbek
Evaluation Of The Results Of The Patients Who Underwent Plasmapheresis In The Pediatric Intensive Care Unit, Mehmet Nur Talay, Özhan Orhan, Murat Kanğin, Eşe Eda Turanli, Mehmet Nuri̇ Özbek
Turkish Journal of Medical Sciences
Background/aim: Therapeutic plasma exchange (TPE) is an extracorporeal treatment method that removes large molecular weight substances from plasma. In our study, we aimed to retrospectively examine the indications and procedural methods of the patients who had undergone TPE, and the complications that occurred during the procedure. Materials and methods: Forty-one patients who were monitored in thePICU of Gazi Yaşargil Training and Research Hospital and had indications for TPE between 2017 and 2021 were included in the study. Laboratory parameters were checked before and after the TPE procedure. In addition to these, patients’ diagnosis, weight, type of procedure and type of …
Comparison Of Radiologic Findings Between Sars-Cov-2 And Other Respiratory Tract Viruses In Critically Ill Children During The Covid-19 Pandemic, Oktay Perk, Tanil Kendi̇rli̇, Emel Uyar, Bi̇rsel Şen Akova, Hati̇ce Albayrak, Hasan Ağin, Ebru Ati̇ke Ongun, Eşe Eda Turanli, Sare Güntülü Şik, Şahi̇n Si̇ncar, Gürkan Bozan, Demet Demi̇rkol, Nazan Ülgen Tekerek, Mey Tali̇p, Arzu Oto, Feyza İnceköy Gi̇rgi̇n, Ferhat Sari, Nuretti̇n Onur Kutlu, Altan Güneş, Ömer Suat Fi̇töz
Comparison Of Radiologic Findings Between Sars-Cov-2 And Other Respiratory Tract Viruses In Critically Ill Children During The Covid-19 Pandemic, Oktay Perk, Tanil Kendi̇rli̇, Emel Uyar, Bi̇rsel Şen Akova, Hati̇ce Albayrak, Hasan Ağin, Ebru Ati̇ke Ongun, Eşe Eda Turanli, Sare Güntülü Şik, Şahi̇n Si̇ncar, Gürkan Bozan, Demet Demi̇rkol, Nazan Ülgen Tekerek, Mey Tali̇p, Arzu Oto, Feyza İnceköy Gi̇rgi̇n, Ferhat Sari, Nuretti̇n Onur Kutlu, Altan Güneş, Ömer Suat Fi̇töz
Turkish Journal of Medical Sciences
Background/aim: This study was planned because the radiological distinction of COVID-19 and respiratory viral panel (RVP)-positive cases is necessary to prioritize intensive care needs and ensure non-COVID-19 cases are not overlooked. With that purpose, the objective of this study was to compare radiologic findings between SARS-CoV-2 and other respiratory airway viruses in critically ill children with suspected COVID-19 disease.Materials and methods: This study was conducted as a multicenter, retrospective, observational, and cohort study in 24 pediatric intensive care units between March 1 and May 31, 2020. SARS-CoV-2- or RVP polymerase chain reaction (PCR)-positive patients’ chest X-ray and thoracic computed tomography …
Control Of Cardiometabolic Risk Factors And Their Association With Carotid Intima Media Thickness Among Patients With Type 2 Diabetes Mellitus-Single Center Experience In A Developing Country, Thilak Priyantha Weerarathna, Sarath Lekkamwasam, Iroshani Kodikara, Keddegoda Gamage Piyumi Wasana, Lakmal Fonseka
Control Of Cardiometabolic Risk Factors And Their Association With Carotid Intima Media Thickness Among Patients With Type 2 Diabetes Mellitus-Single Center Experience In A Developing Country, Thilak Priyantha Weerarathna, Sarath Lekkamwasam, Iroshani Kodikara, Keddegoda Gamage Piyumi Wasana, Lakmal Fonseka
Turkish Journal of Medical Sciences
Background/aim: Type 2 diabetes mellitus (T2DM) is closely associated with atherosclerotic cardiovascular diseases (ASCVD). The objective of this study was to describe the degree of ASCVD risk factor control and their association with carotid intima-media thickness (CIMT) in T2DM patients followed up at a diabetes clinic in Southern, Sri Lanka. Materials and methods: A crosssectional study was conducted to examine the association between CIMT and nonalcoholic fatty liver disease (NAFLD)in 300 T2DM patients. Both CIMT and its associations with modifiable cardiometabolic risk factors were examined using ultrasonography. The recommended optimal targets for risk factors were defined as glycated hemoglobin (HbA1C) …
Autism Spectrum Disorder: Evaluation Of Community-Based Screening Program, Mehmet Aki̇f Sezerol, Seli̇n Davun
Autism Spectrum Disorder: Evaluation Of Community-Based Screening Program, Mehmet Aki̇f Sezerol, Seli̇n Davun
Turkish Journal of Medical Sciences
Background/aim: This study was conducted to evaluate the results of autism spectrum disorder (ASD) screenings conducted in a region of İstanbul between 2018 and 2023.Materials and methods: This descriptive study was conducted between April 2018 and February 2023 among 25,839 children aged between 18–36 months who had been screened for autism spectrum disorder in Sultanbeyli, İstanbul. Children between 18–36 months are examined and a form consisting of 5 questions and typical symptoms of ASD is filled. Each question is answered as yes or no. Answering yes to at least one of the questions is sufficient to direct them to child …
Changes In Blink Reflex After Simultaneous Supraorbital And Mental Nerve Stimulations In Healthy Subjects, Ayşegül Gündüz, Tuba Cerrahoğlu Şi̇ri̇n, Pinar Bekdi̇k Şi̇ri̇nocak, Tuba Akinci, Burcu Nuran Arkali, Fatma Candan, Meral E. Kiziltan
Changes In Blink Reflex After Simultaneous Supraorbital And Mental Nerve Stimulations In Healthy Subjects, Ayşegül Gündüz, Tuba Cerrahoğlu Şi̇ri̇n, Pinar Bekdi̇k Şi̇ri̇nocak, Tuba Akinci, Burcu Nuran Arkali, Fatma Candan, Meral E. Kiziltan
Turkish Journal of Medical Sciences
Background/aim: In this study, we investigated the blink reflex (BR) after simultaneous and asynchronous stimulation of two trigeminal nerve branches. The objective was to characterize the physiology of trigeminal and facial circuits.Materials and methods: We performed three sets of experiments: recording BR response i. after supraorbital nerve stimulation (SON), after mental nerve stimulation (MN), and after simultaneous SON and MN stimulation (SON+MN) in 18 healthy individuals; ii. after MN (at an intensity eliciting BR response) preceding SON at various interstimulus intervals (ISIs) in seven healthy subjects; iii after MN (at sensory threshold) preceding SON at various ISIs. We compared the …
Cross-Cultural Adaptation Of The Thoracic Outlet Syndrome Index For Turkish-Speaking Patients With Thoracic Outlet Syndrome, Hakki Çağdaş Basat, Fati̇h Özyurt, Muhammed İhsan Kodak, Gülşah Özsoy, Caner Kararti
Cross-Cultural Adaptation Of The Thoracic Outlet Syndrome Index For Turkish-Speaking Patients With Thoracic Outlet Syndrome, Hakki Çağdaş Basat, Fati̇h Özyurt, Muhammed İhsan Kodak, Gülşah Özsoy, Caner Kararti
Turkish Journal of Medical Sciences
Background/aim: Considering that there is no specifically designed scale to measure quality of life (QoL) and level of functioning among Turkish-speaking patients with thoracic outlet syndrome (TOS), the aim of this study was to adapt the Thoracic Outlet Syndrome Index (TOSI) to the Turkish language (TOSI-TR) and analyze its psychometric properties in patients with TOS. Materials and methods: Thirty-nine patients with symptomatic TOS were included in the study. The participants were assessed using the following measures: the QuickDASH, the Western Ontario Rotator Cuff Index (WORC), and a visual analog scale (VAS). The psychometric properties of the TOSI-TR were examined in …
Is Gut Microbiota Of Patients With Als Different From Healthy Ones?, Zeri̇n Özaydin Göksun, Seyda Erdoğan, Ayşe Kalkanci, Eli̇f Ayça Şahi̇n, Tuğba Çuhadar, H. Özden Şener
Is Gut Microbiota Of Patients With Als Different From Healthy Ones?, Zeri̇n Özaydin Göksun, Seyda Erdoğan, Ayşe Kalkanci, Eli̇f Ayça Şahi̇n, Tuğba Çuhadar, H. Özden Şener
Turkish Journal of Medical Sciences
Background/aim: Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease. Several studies shown that alterations of microbiota, increase the risk of neurodegenerative disorders. We aimed to reveal whether there is a difference in the gut microbiota of patients with ALS. Materials and methods: The participants are divided into three groups. Group 1 formed patients with ALS. Healthy family members living in the same house of the patients formed Group 2. Lastly, sex, age-matched healthy people were included in Group 3. Fecal samples were collected in 15 mL falcon tubes and stored at -80 °C. Genomic DNA isolation was performed on …
Patterns Of Longitudinal Subcortical Atrophy Over One Year In Amnestic Mild Cognitive Impairment And Its Impact On Cognitive Performance: A Preliminary Study, Berri̇n Çavuşoğlu, Duygu Hünerli̇, Derya Durusu Emek Savaş, Görsev Yener, Emel Ada
Patterns Of Longitudinal Subcortical Atrophy Over One Year In Amnestic Mild Cognitive Impairment And Its Impact On Cognitive Performance: A Preliminary Study, Berri̇n Çavuşoğlu, Duygu Hünerli̇, Derya Durusu Emek Savaş, Görsev Yener, Emel Ada
Turkish Journal of Medical Sciences
Background/aim: Amnestic mild cognitive impairment (aMCI) is a risk factor for dementia, and thus, it is of interest to enlighten specific brain atrophy patterns in aMCI patients. We aim to define the longitudinal atrophy pattern in subcortical structures and its effect on cognition in patients with aMCI.Materials and methods: Twenty patients with aMCI and 20 demographically matched healthy controls with baseline and longitudinal structural magnetic resonance imaging scans and neuropsychological assessments were studied. The algorithm FIRST (FMRIB’s integrated registration and segmentation tool) was used to obtain volumes of subcortical structures (thalamus, putamen, caudate nucleus, nucleus accumbens, globus pallidus, hippocampus, and …
Central Thromboxane A2, Prostaglandin F2Α, Prostaglandin E, And Prostaglandin D Contribute To The Cardiovascular Effects Elicited By Nesfatin-1, Gökçen Güvenç Bayram, Murat Yalçin
Central Thromboxane A2, Prostaglandin F2Α, Prostaglandin E, And Prostaglandin D Contribute To The Cardiovascular Effects Elicited By Nesfatin-1, Gökçen Güvenç Bayram, Murat Yalçin
Turkish Journal of Medical Sciences
Background/aim: Our recent study revealed that the expression of lipoxygenase (LOX) and cyclooxygenase (COX) enzymes in the hypothalamus is activated by nesfatin-1, leading to the liberation of leukotrienes and prostaglandins (PG), respectively. Moreover, our prior report explained that intracerebroventricular (ICV) nesfatin-1 treatment triggers cardiovascular responses mediated by central LOX and COX enzymes. Building upon our prior reports, the present investigation sought to clarify the role of cardiovascularly active central COX products, such as thromboxane (TX) A2, PGF2α, PGE, and PGD, in orchestrating nesfatin-1-evoked reactions in mean arterial pressure (MAP) and heart rate (HR).Materials and methods: The Sprague Dawley rats, which …
Sting Activation Increases The Efficiency Of Temozolomide In Pten Harbouring Glioblastoma Cells, Zafer Yildirim, Eda Doğan, Hale Güler Kara, Buket Kosova, Vi̇ldan Bozok
Sting Activation Increases The Efficiency Of Temozolomide In Pten Harbouring Glioblastoma Cells, Zafer Yildirim, Eda Doğan, Hale Güler Kara, Buket Kosova, Vi̇ldan Bozok
Turkish Journal of Medical Sciences
Background/aim: Glioblastoma is one of the most aggressive tumours, resistant to all applied therapy regiments and prone to relapse. Median survival rates are therefore only expressed as months. STING agonists are immunomodulatory molecules that activate type I interferon expression, making them potentially useful in regulating the tumour microenvironment. Since PTEN serves as a critical phosphatase in activating interferon-regulating transcription factors and is frequently mutated in glioblastoma cells, this study aimed to investigate STING activation in glioblastoma cell lines, examining whether they harbour the PTEN protein or not.°Materials and methods: T98G and U118MG glioblastoma cell lines were treated with the 2ʹ3ʹ-c-di-AM(PS)2(Rp,Rp) …
Histomorphological Evaluation Of Osteoreplacement With Germanium-Doped Calcium Phosphate Ceramics For Model Bone Defects In Rabbits, Tetiana Todosiuk, Mykhailo Rublenko, Valeriy Chemerovskiy, Nataliia Ulianchych, Volodymyr Kolomiiets
Histomorphological Evaluation Of Osteoreplacement With Germanium-Doped Calcium Phosphate Ceramics For Model Bone Defects In Rabbits, Tetiana Todosiuk, Mykhailo Rublenko, Valeriy Chemerovskiy, Nataliia Ulianchych, Volodymyr Kolomiiets
Turkish Journal of Veterinary & Animal Sciences
To give calcium phosphate ceramics osteoinductive properties, they are doped with silicon, germanium, zinc, and magnesium ions. The aim of this study was to evaluate the effects of doped and undoped calcium phosphate ceramics on reparative osteogenesis in rabbits. Twenty-four California white rabbits, aged 3 months and weighing 2.5 kg each, were used for the study. The rabbits were divided equally into experimental (n=12) and control (n=12) groups. In the experimental group, defects were replaced with granules of germanium-doped hydroxyapatite ceramics (HA/β-TCP/l-Ge–700), while in the control group, defects were filled with granules of unalloyed ceramics (HA/β-TCP–700). Subsequently, clinical and histological …
Features Of Lying Behavior Of Gazella Marica Fawns In Semicaptive Conditions, Adi̇l Uztemur, Abdülkadi̇r Orman
Features Of Lying Behavior Of Gazella Marica Fawns In Semicaptive Conditions, Adi̇l Uztemur, Abdülkadi̇r Orman
Turkish Journal of Veterinary & Animal Sciences
The lying behavior of Gazella marica fawns was investigated in the gazelle breeding station established to prevent the extinction of this species, whose numbers are decreasing continuously in the wild. There are significant differences between the lying duration in the bedding sites of different kinds (plant-based site, soil-based, side of a stone or rock). Gazella marica fawns were lying on one side of the body 50.23 min on average in the plant-based bed sites, 36.06 min in the soil-based places, and 38.14 min in the stone/ rock area. Gazella marica fawns from semicaptive conditions lied on one body side longer …
Application Of Some Artificial Intelligence Optimization Methods To Determine The Freshness Of Eggs, Hasan Alp Şahi̇n, Hasan Önder
Application Of Some Artificial Intelligence Optimization Methods To Determine The Freshness Of Eggs, Hasan Alp Şahi̇n, Hasan Önder
Turkish Journal of Veterinary & Animal Sciences
Egg quality, can be divided into two groups as internal and external, is evaluated using various methods whether breaking eggs. Image processing makes digital images usable for various purposes such as image compression, image editing, object recognition, face recognition, medical imaging, and many other areas such as the automotive industry. This study aimed to determine the freshness of eggs using different artificial intelligence optimization methods with image processing without breaking the eggs. Artificial neural networks (ANNs), artificial bee colony, particle swarm optimization, and genetic algorithms were compared using classification coefficients. As a result of the study, it was determined that …
Displaced Sigmoid Notch Fracture And Higher Patient Age Are Associated With Distal Radioulnar Joint Subluxation, Saygın Kamaci, Melih Oral, Engin Türkay Yilmaz, Taha Aksoy, Barış Kafa, Mazhar Tokgözoğlu
Displaced Sigmoid Notch Fracture And Higher Patient Age Are Associated With Distal Radioulnar Joint Subluxation, Saygın Kamaci, Melih Oral, Engin Türkay Yilmaz, Taha Aksoy, Barış Kafa, Mazhar Tokgözoğlu
Turkish Journal of Medical Sciences
Background/aim : Distal radius fractures (DRFs) are frequently associated with distal radioulnar joint (DRUJ) instability. The purpose of this study is to evaluate the effect of the sigmoid notch and ulna styloid fracture types on DRUJ subluxation following closed reduction and casting of DRFs via calculating radioulnar ratio (RUR) on post-reduction computed tomography (CT) images. Materials and methods: In our study, post-reduction CT images of 202 patients with distal radius fractures was evaluated retrospectively. CT images were evaluated for RUR, sigmoid notch fracture, and ulna styloid types. Sigmoid notch fractures were classified as non-displaced in the sigmoid notch fractures (NDS) …
Relationship Between C-Reactive Protein/Albumin Ratio And Mucocutaneous Symptom Frequency And Disease Severity In Behçet’S Disease, Erdal Pala, Mustafa Bayraktar
Relationship Between C-Reactive Protein/Albumin Ratio And Mucocutaneous Symptom Frequency And Disease Severity In Behçet’S Disease, Erdal Pala, Mustafa Bayraktar
Turkish Journal of Medical Sciences
Background/aim: There is no specific marker that can be applied to determine the severity of Behçet’s disease. The aim of this study is to investigate the potential of C-reactive protein (CRP)/albumin (CAR) ratio as a tool for assessing the severity of Behçet’s disease.Materials and methods: A retrospective crosssectional study was conducted by examining hospital archives. The CRP and albumin levels of Behçet’s disease patients who presented to our dermatology clinic over a three-year period from February 2020 to February 2022 were included, along with the identical laboratory parameters in the control group. The CAR ratio was calculated and statistically compared …
Internal Mucosal Resection And Llc Suspension: A New Method To Establish A Stable Tip Rotation Angle And Reduce The Nasal Bridge Length, Mehmet Dadaci, Moath Zuhour, Bilsev İnce, Zeynep Altuntaş
Internal Mucosal Resection And Llc Suspension: A New Method To Establish A Stable Tip Rotation Angle And Reduce The Nasal Bridge Length, Mehmet Dadaci, Moath Zuhour, Bilsev İnce, Zeynep Altuntaş
Turkish Journal of Medical Sciences
Background/aim: Herein, we describe a new technique to obtain both the appropriate degree of rotation angle and the ideal nasal bridge length. The aim of this study is to investigate the long-term results of this new technique with regard to these two variables.Materials and methods: A total of 76 (27 males, 49 females) patients were operated in accordance with the presented technique. Internal caudal mucosal excision and lower lateral cartilage (LLC) suspension were applied to all the patients included in this prospective study. Preoperative, immediate postoperative, and postoperative 1st-year photographs were taken. NOSE scores were obtained in the postoperative 1st …
Serum And Urine Interferon-Inducible Protein 10, Galectin-9, And Siglec-1 As Biomarkers Of Disease Activity In Systemic Lupus Erythematosus, Şafak Mi̇ri̇oğlu, Suzan Çinar, Ömer Uludağ, Erdem Gürel, Sibel Varelci̇, Yasemin Özlük, Işın Kiliçaslan, Yasemin Yalçinkaya, Halil Yazici, Ahmet Gül, Murat İnanç, Bahar Artim Esen
Serum And Urine Interferon-Inducible Protein 10, Galectin-9, And Siglec-1 As Biomarkers Of Disease Activity In Systemic Lupus Erythematosus, Şafak Mi̇ri̇oğlu, Suzan Çinar, Ömer Uludağ, Erdem Gürel, Sibel Varelci̇, Yasemin Özlük, Işın Kiliçaslan, Yasemin Yalçinkaya, Halil Yazici, Ahmet Gül, Murat İnanç, Bahar Artim Esen
Turkish Journal of Medical Sciences
Background/aim: In this prospective study, we aimed to investigate the association of serum (s) and urine (u) IP-10, galectin-9, and SIGLEC-1 with disease activity in patients with systemic lupus erythematosus (SLE).Materials and methods: Sixty-three patients with active SLE (31 renal, 32 extrarenal) were included. Thirty patients with inactive SLE (15 renal, 15 extrarenal), 17 with renal active AAV, and 32 healthy volunteers were selected as control groups. Serum and urine IP-10, galectin-9, and SIGLEC-1 were tested using ELISA.Results: Levels of sIP-10 (p = 0.046), uIP-10 (p < 0.001), sGalectin-9 (p = 0.03), and uSIGLEC-1 (p = 0.006) were significantly higher in active SLE group compared to the inactive SLE; however, no differences were detected in the comparison of uGalectin-9 (p = 0.18) and sSIGLEC-1 (p = 0.69) between two groups. None of the biomarkers discriminated patients with active renal SLE from active extrarenal SLE. ROC analyses revealed an AUC of 0.63 (0.52–0.73) for sIP-10, 0.78 (0.68–0.86) for uIP-10, 0.64 (0.53–0.74) for sGalectin-9, and 0.68 (0.57–0.77) for uSIGLEC-1 in discriminating disease activity in SLE, which did not outperform C3 (0.75, 0.64–0.84) and C4 (0.72, 0.61–0.82). sIP-10 (p = 0.001), uIP-10 (p = 0.042), and uGalectin-9 (p = 0.009) were significantly increased in patients with active renal SLE compared to active renal AAV. sGalectin-9 (p < 0.001) and sIP-10 levels (p = 0.06) were decreased after 8 (5–22.5) months of treatment.Conclusion: sIP-10, uIP-10, sGalectin-9, and uSIGLEC-1 reflect global disease activity in SLE but do not outperform C3 and C4. sIP-10 and uIP-10 may be specific for active SLE compared to active AAV. sIP-10 and sGalectin-9 might be valuable in monitoring response after treatment.
Developing Patient Safety Scale For Hospitals, Metin Di̇nçer, Esra Karataş Okyay, Yunus Emre Karataş, Erol Göral
Developing Patient Safety Scale For Hospitals, Metin Di̇nçer, Esra Karataş Okyay, Yunus Emre Karataş, Erol Göral
Turkish Journal of Medical Sciences
Background/aim: The study aimed to contribute to the literature with a reliable and valid scale for hospitals to be used in determining the current patient safety culture and following up on its development.Materials and methods: The study was conducted with the participation of 1137 healthcare professionals selected using the convenience sampling method in 3 secondary-care state hospitals and three research and training hospitals, one of which was affiliated with a medical faculty, and two were affiliated with the Health Sciences University. To begin with, to discover the latent structure of the items on the scale, an Exploratory Factor Analysis (EFA) …
The Effect Of Human Recombinant Epidermal Growth Factor On Neovascularization And Pedicle Division Time In A Rat Interpolation Flap Model, Aziz Parspanci, Yavuz Keçeci̇, Peyker Temi̇z
The Effect Of Human Recombinant Epidermal Growth Factor On Neovascularization And Pedicle Division Time In A Rat Interpolation Flap Model, Aziz Parspanci, Yavuz Keçeci̇, Peyker Temi̇z
Turkish Journal of Medical Sciences
Background/aim: In practice, waiting 2–3 weeks for interpolation flaps pedicle division result in certain morbidities and discomfort for patient. The division time of flap pedicle depends on neovascularization from the recipient bed and includes wound healing stages. We aimed to investigate the effect of recombinant human epidermal growth factor (rhEGF) on the flap viability during early pedicle division.Materials and methods: Thirty-six rats were allocated to two main groups as control and study. A cranial based flap measuring 5 × 5 cm was elevated from the back, including all layers of the skin. While the cranial half of the defect was …
Clinical, Radiological, And Surgical Outcomes Of 431 Patients With Adrenal Incidentalomas: Retrospective Study Of A 10-Year Single-Center Experience, Nari̇n Nasiroğlu İmga, Yılmaz Aslan, Merve Çatak, İbrahim Can Aykanat, Altuğ Tuncel, Dilek Berker
Clinical, Radiological, And Surgical Outcomes Of 431 Patients With Adrenal Incidentalomas: Retrospective Study Of A 10-Year Single-Center Experience, Nari̇n Nasiroğlu İmga, Yılmaz Aslan, Merve Çatak, İbrahim Can Aykanat, Altuğ Tuncel, Dilek Berker
Turkish Journal of Medical Sciences
Background/aim: The incidence of adrenal tumors is increasing due to the widespread utilization of radiographic imaging techniques. Factors such as tumor size, radiological characteristics, and functionality of adrenal adenomas play crucial roles in diagnosis and subsequent management. In this retrospective study, we investigated the clinical, radiological, and surgical features of patients with adrenal incidentalomas (AIs) and evaluated their follow-up results.Materials and methods: We analyzed data from 431 patients diagnosed with AIs (130 males, 301 females) who underwent adrenal hormone evaluation at our center. We compared nonfunctioning and functioning AIs in terms of radiological features. We also compared baseline and follow-up …
Antiobesity And Antidyslipidemic Properties Of Clitoria Ternatea Petals Aqueous Extract Against Rats Induced By High-Fat Diet, I Gede Aswin Parisya Sasmana, Desak Made Wihandani, I Gede Krisna Arim Sadeva, Wilson Halim, Putu Putri Agustini, Lalita Samala, I Gusti Ngurah Agung Surya Pratama, Lidiya Nuraliza Rachmawati, Aizar Vesa Prasetyo, Ni Komang Ayu Amanda Setiari Jaya
Antiobesity And Antidyslipidemic Properties Of Clitoria Ternatea Petals Aqueous Extract Against Rats Induced By High-Fat Diet, I Gede Aswin Parisya Sasmana, Desak Made Wihandani, I Gede Krisna Arim Sadeva, Wilson Halim, Putu Putri Agustini, Lalita Samala, I Gusti Ngurah Agung Surya Pratama, Lidiya Nuraliza Rachmawati, Aizar Vesa Prasetyo, Ni Komang Ayu Amanda Setiari Jaya
Turkish Journal of Medical Sciences
Background/aim: Obesity is a chronic metabolic disease involving dysregulation of fat metabolism that affects 13% of the world’s population. Obesity has been linked to dyslipidemia with a lot of complication, including stroke, chronic kidney disease, fatty liver disease, and so on. One of the natural resources that have several potential effects including anticholesterol, antiobesity, and antidyslipidemia is the butterfly pea (Clitoria ternatea/CT). CT’s petal has been found to contain high levels of anthocyanins and tannins that can inhibit the biosynthesis of cholesterol and lipid. This study aims to investigate the antiobesity and antidyslipidemic effects of Clitoria ternatea extract (CTE).Materials and …
The Outcome In Pediatric Acute Myeloblastic Leukemia; Results Of The First-Line Treatment And Contribution Of Hematopoietic Stem Cell Transplantation To Survival Of Relapsed Patients, Nazan Sarper, Intzi Tachzin, Sema Aylan Gelen, Emine Zengi̇n
The Outcome In Pediatric Acute Myeloblastic Leukemia; Results Of The First-Line Treatment And Contribution Of Hematopoietic Stem Cell Transplantation To Survival Of Relapsed Patients, Nazan Sarper, Intzi Tachzin, Sema Aylan Gelen, Emine Zengi̇n
Turkish Journal of Medical Sciences
Background/aim: To analyze the long-term outcome of pediatric patients with acute myeloblastic leukemia.Materials and methods: Data from 69 patients 0–18 years of age diagnosed between December 2001 and October 2019 were analyzed in April 2023. Patients received MRC-AML10 chemotherapy (2ADE+MACE+MidAC). No maintenance chemotherapy or preventive cranial radiotherapy was administered. Twelve patients with Down syndrome and 15 patients with promyelocytic leukemia were in the cohort. Patients with Down syndrome received reduced chemotherapy (cumulative anthracycline 420 mg/m2, cytarabine 3.4 g/m2, etoposide 1400 mg/m2). ATRA was added to chemotherapy in promyelocytic leukemia.Results: Four patients (5.8%) died in the induction (two typhlitis, one intracranial …
Evaluation Of Smoking Cessation Counseling Practices Of Physicians Working In Primary Health Care Institutions, Fatma Nur Karaçorlu, Edibe Pi̇ri̇nçci̇
Evaluation Of Smoking Cessation Counseling Practices Of Physicians Working In Primary Health Care Institutions, Fatma Nur Karaçorlu, Edibe Pi̇ri̇nçci̇
Turkish Journal of Medical Sciences
Background/aim: In this study, we aimed to evaluate the self-reported practice of physicians working in primary health care institutions in Elazığ Province about smoking cessation counseling.Materials and methods: The population of this cross-sectional study consisted of 262 physicians working in primary health care institutions in Elazığ. We aimed to reach the entire population without using the sample selection method and we successfully reached 95.42% (250 people) of the population. A questionnaire form was used for data collection. The data obtained were evaluated by frequency, percentage, mean ± standard deviation, median and minimum–maximum, and binary logistic regression analysis.Results: The mean age …
Small Airway Resistance In Obese And Nonobese Patients With Obstructive Sleep Apnea Syndrome Using Impulse Oscillometry, Nejdiye Güngördü, Aytan İsmayi̇lova, Nigar Ali̇yeva, Tamer A M Alhelou, Ayşenur Özdi̇l Eser, Ilgım Vardaloğlu Koyuncu, Nihal Enşen, Ersan Atahan, Şermin Börekçi̇, Bilun Gemi̇ci̇oğlu
Small Airway Resistance In Obese And Nonobese Patients With Obstructive Sleep Apnea Syndrome Using Impulse Oscillometry, Nejdiye Güngördü, Aytan İsmayi̇lova, Nigar Ali̇yeva, Tamer A M Alhelou, Ayşenur Özdi̇l Eser, Ilgım Vardaloğlu Koyuncu, Nihal Enşen, Ersan Atahan, Şermin Börekçi̇, Bilun Gemi̇ci̇oğlu
Turkish Journal of Medical Sciences
Background/aim: There is limited information on the pathologic changes in the small airways among obese and nonobese patients with obstructive sleep apnea syndrome (OSAS). Impulse oscillometry (IOS) measures airway resistance and reactance independently of patient effort. This study aimed to compare airway resistance in small airways using IOS between obese and nonobese patients with OSAS.Materials and methods: In this real-life cross-sectional study, demographic information was collected from obese and nonobese subjects diagnosed with moderate and severe OSAS without any other underlying diseases. Spirometry and IOS measurements were conducted, and the values of both groups were statistically analyzed.Results: The nonobese group …
Preoperative Parent Education And Postoperative Nurse-Led Care For Boys Versus Routine Hospital Care For Urethroplasty For Hypospadias In Western China: A Retrospective Study, Lisi Wang, Zhengdong Wang, Xiaohui Mao, Yingjun Fu, Qian Lei, Qin Liao
Preoperative Parent Education And Postoperative Nurse-Led Care For Boys Versus Routine Hospital Care For Urethroplasty For Hypospadias In Western China: A Retrospective Study, Lisi Wang, Zhengdong Wang, Xiaohui Mao, Yingjun Fu, Qian Lei, Qin Liao
Turkish Journal of Medical Sciences
Background/aim: Urethroplasty is the preferred treatment for hypospadias but is affected by the severity of anomalies, making it a complex procedure with potential postoperative complications. Following surgery, parents receive instructions and recommendations, whether from nurses or physicians, regardless of complication rates. However, nurses play a crucial role in educating caregivers before surgery and providing postoperative care during follow-up. The study aims to assess parents’ knowledge and practices, as well as the frequency of complications in boys who underwent urethroplasty for hypospadias and received postoperative nurse-led care and whose parents received preoperative education against those of boys who underwent urethroplasty under …