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Treatment Of Sars-Cov-2 Pneumonia With Favipiravir: Early Results From The Egeuniversity Cohort, Turkey, Hüseyi̇n Aytaç Erdem, Pervi̇n Korkmaz Ekren, Derya Çağlayan, Meltem Taşbakan, Tansu Yamazhan, Mehmet Sezai̇ Taşbakan, Abdullah Sayiner, Ayşe Deni̇z Gökengi̇n Jan 2021

Treatment Of Sars-Cov-2 Pneumonia With Favipiravir: Early Results From The Egeuniversity Cohort, Turkey, Hüseyi̇n Aytaç Erdem, Pervi̇n Korkmaz Ekren, Derya Çağlayan, Meltem Taşbakan, Tansu Yamazhan, Mehmet Sezai̇ Taşbakan, Abdullah Sayiner, Ayşe Deni̇z Gökengi̇n

Turkish Journal of Medical Sciences

Background/aim: The aim of this descriptive article is to share the experience in Ege University, Turkey with favipiravir in the treatment of severe SARS-CoV-2 pneumonia. Materials and methods: This retrospective descriptive study included patients diagnosed with COVID-19 who presented with or developed severe pneumonia. Results: Forty patients who completed a full course (at least 5 days) of favipiravir were included in the study. At baseline, 30 (75%) patients required treatment for respiratory distress. Thirty-three patients (82.5%) were discharged from the hospital with full recovery, 6 patients (15%) died and 1 case (2.5%) was still at the intensive care unit (ICU) …


A Sensitive Indicator For The Severity Of Covid-19: Thiol, Özcan Erel, Sali̇m Neşeli̇oğlu, Merve Ergi̇n Tunçay, Esra Firat Oğuz, Funda Eren, Meryem Sena Akkuş, Hati̇ce Rahmet Güner, İhsan Ateş Jan 2021

A Sensitive Indicator For The Severity Of Covid-19: Thiol, Özcan Erel, Sali̇m Neşeli̇oğlu, Merve Ergi̇n Tunçay, Esra Firat Oğuz, Funda Eren, Meryem Sena Akkuş, Hati̇ce Rahmet Güner, İhsan Ateş

Turkish Journal of Medical Sciences

Background/aim: Thiol status is a good reflector of the cellular redox and have vital roles in various cellular signaling pathways. The purpose of the study was to investigate thiol status in patients with SARS-CoV-2 infection. Materials and methods: A total of 587 subjects (517 patients/70 healthy controls) were enrolled in the study.The patients were categorized into the groups regarding to the severity of disease (mild, moderate, severe, and critical).Thiol status of all groups were compared. Results: The patients had significantly diminished thiol levels compared to controls. Thiol levels were gradually decreased as the severity of the disease increased. Logistic regression …


Evaluation Of Systemic Involvement Of Coronavirus Disease 2019 Through Spleen; Size Andtexture Analysis, Abdussamet Batur, Abi̇di̇n Kilinçer, Fati̇h Ateş, Nazlim Aktuğ Demi̇r, Recai̇ Ergün Jan 2021

Evaluation Of Systemic Involvement Of Coronavirus Disease 2019 Through Spleen; Size Andtexture Analysis, Abdussamet Batur, Abi̇di̇n Kilinçer, Fati̇h Ateş, Nazlim Aktuğ Demi̇r, Recai̇ Ergün

Turkish Journal of Medical Sciences

Background/aim: To investigate the changes in the spleen size, parenchymal heterogeneity, and computed tomography (CT) texture analysis features of patients diagnosed with Coronavirus disease 2019 (COVID-19) Materials and methods: The size and parenchymal structure of the spleen in 91 patients who underwent thoracic CT examination due to COVID-19 were evaluated. For the evaluation of parenchymal heterogeneity, CT texture analysis was performed using dedicated software (Olea Medical, France). The texture analysis of each case consisted of 15 first-order intensity-based features, 17 gray level cooccurrence matrix-based features, and 9 gray level run length matrix-based features. Results: A total of 91 patients (45 …


How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut Jan 2021

How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut

Turkish Journal of Medical Sciences

Background/aim: Approximately 40 million individuals worldwide have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). Despite the current literature about the cardiac effects of COVID-19 in children, more information is required. We aimed to determine both cardiovascular and arrhythmia assessment via electrocardiographic and echocardiographic parameters. Materials and methods: We evaluated seventy children who were hospitalized with COVID-19 infections and seventy children as normal control group through laboratory findings, electrocardiography (ECG), and transthoracic echocardiography (TTE). Results: We observed significantly increased levels of Tp-Te, Tp-Te/QT, and Tp-Te/QTc compared with the control group. Twenty-five of 70 (35.7%) patients …


Current Community Transmission And Future Perspectives On The Covid-19 Process, Seyhan Türk, Can Türk, Ümi̇t Yavuz Malkan, Eli̇f Sena Temi̇rci̇, Mustafa Çağri Peker, İbrahi̇m Celaletti̇n Haznedaroğlu Jan 2021

Current Community Transmission And Future Perspectives On The Covid-19 Process, Seyhan Türk, Can Türk, Ümi̇t Yavuz Malkan, Eli̇f Sena Temi̇rci̇, Mustafa Çağri Peker, İbrahi̇m Celaletti̇n Haznedaroğlu

Turkish Journal of Medical Sciences

Background/aim: COVID-19 syndrome due to the SARS-CoV-2 virus is a currently challenging situation ongoing worldwide. Since the current pandemic of the SARS-CoV-2 virus is a great concern for everybody in the World, the frequently asked question is how and when the COVID-19 process will be concluded. The aim of this paper is to propose hypotheses in order to answer this essential question. As recently demonstrated, SARS-CoV-2 RNAs can be reverse-transcribed and integrated into the human genome. Our main hypothesis is that the ultimate aim of the SARS-CoV-2 virus is the incorporation to human genome and being an element of the …


Is Cervical Swab An Efficient Method For Developing A New Noninvasive Prenatal Diagnostictest For Numerical And Structural Chromosome Anomalies?, Erkan Yurtcu, Deni̇z Karçaaltincaba, Hasan Hüseyi̇n Kazan, Hali̇s Özdemi̇r, Meral Yi̇rmi̇beş Karaoğuz, Pinar Tokdemi̇r Çaliş, Gülsüm Kayhan, Sezen Günteki̇n Ergün, Ferda Emri̇ye Perçi̇n, Meri̇h Bayram, Mustafa Necmi̇ İlhan, Gamze Bi̇lgi̇li̇ Dedeoğlu, Tuğrul Kaymak, Mehmet Ali̇ Ergün Jan 2021

Is Cervical Swab An Efficient Method For Developing A New Noninvasive Prenatal Diagnostictest For Numerical And Structural Chromosome Anomalies?, Erkan Yurtcu, Deni̇z Karçaaltincaba, Hasan Hüseyi̇n Kazan, Hali̇s Özdemi̇r, Meral Yi̇rmi̇beş Karaoğuz, Pinar Tokdemi̇r Çaliş, Gülsüm Kayhan, Sezen Günteki̇n Ergün, Ferda Emri̇ye Perçi̇n, Meri̇h Bayram, Mustafa Necmi̇ İlhan, Gamze Bi̇lgi̇li̇ Dedeoğlu, Tuğrul Kaymak, Mehmet Ali̇ Ergün

Turkish Journal of Medical Sciences

Background/aim: Prenatal diagnosis is vital to obtain healthy generation for risky pregnancies. There have been several approaches, some of which are routinely applied in clinics to evaluate the possible prenatal deficiencies and/or diseases. In the present study, we aimed to isolate the fetal cells from endocervical samples and try to identify possible anomalies which were proved by Amniocentesis (AS) and chorionic villus sampling (CVS) methods. Materials and methods: Endoservical specimens were collected from 100 pregnant women. Cells were separated in parallel by fluorescence-activated cell sorting (FACS) and magnetic-activated cell sorting (MACS) using human leukocyte antigen (HLA) G233 and placental alkaline …


Peripheral Blood Soluble Elastin And Elastase As Auxiliary Diagnostic Indicators Forcoronary Artery Ectasia, Ruifeng Liu, Qianqian Sheng, Siwen Liang, Huiqiang Zhao Jan 2021

Peripheral Blood Soluble Elastin And Elastase As Auxiliary Diagnostic Indicators Forcoronary Artery Ectasia, Ruifeng Liu, Qianqian Sheng, Siwen Liang, Huiqiang Zhao

Turkish Journal of Medical Sciences

Background/aim: Damage to elastin fibres in coronary media might lead to coronary artery ectasia (CAE). This study evaluated whether CAE can be distinguished by detecting circulating soluble elastin (s-elastin), which is a degradation product of elastin fibres, and elastase, which is the main enzyme of elastin fibres. Materials and methods: Fifty-eight patients with CAE, 58 with coronary heart disease (CHD) and 61 with relatively normal coronary arteries, were included. Circulating s-elastin and elastase were measured, and receiver operating characteristic curves were used to demonstrate their respective optimal cut-off values for predicting CAE. Results: The concentrations of s-elastin and elastase were …


Comparison Of Greater Occipital Nerve And Greater Occipital Nerve + Supraorbital Nerveblock Effect In Chronic Medication Overuse Headache, Nermi̇n Tepe, Oktay Faysal Tertemi̇z Jan 2021

Comparison Of Greater Occipital Nerve And Greater Occipital Nerve + Supraorbital Nerveblock Effect In Chronic Medication Overuse Headache, Nermi̇n Tepe, Oktay Faysal Tertemi̇z

Turkish Journal of Medical Sciences

Background /aim: In this study, we aimed to compare the efficacy of greater occipital nerve (GON) block alone and GON combined with supraorbital nerve (SON) block in the treatment of medication overuse headache (MOH). Material and methods: 82 patients were divided into two groups: 41 patients were administered bilateral GON block while the other 41 patients GON + SON block. Nerve blocks were administered every 10 days for a total of 5 sessions. After each administration and 20 days after the last injection, information on pre and post treatment numerical rating scale (NRS) score, number of painful days, analgesic intake, …


A Comparison Of Mycophenolate Mofetil And Calcineurin Inhibitor As Maintenanceimmunosuppression For Kidney Transplant Recipients: A Meta-Analysis Of Randomizedcontrolled Trials, Jin Deng, Yi Lu, Lihong He, Jihong Ou, Hongping Xie Jan 2021

A Comparison Of Mycophenolate Mofetil And Calcineurin Inhibitor As Maintenanceimmunosuppression For Kidney Transplant Recipients: A Meta-Analysis Of Randomizedcontrolled Trials, Jin Deng, Yi Lu, Lihong He, Jihong Ou, Hongping Xie

Turkish Journal of Medical Sciences

Background/aim: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the comparison and its timing between mycophenolate mofetil (MMF) and calcineurin inhibitor (CNI) as maintenance immunosuppression for kidney transplant recipients. Materials and methods: The RCTs of MMF versus CNI as maintenance immunosuppression for kidney transplant recipients were searched from PubMed, Embase, Cochrane Central Register of Controlled Trials (CCRCT), and ClinicalTrials.gov. After screening relevant RCTs, two authors independently assessed the quality of included studies and performed a meta-analysis using RevMan5.3. Relative risk (RR) was used to report dichotomous data, while mean difference (MD) with 95% confidence …


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

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

Turkish Journal of Medical Sciences

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


Severe Chronic Periodontitis Is Not Common In Acromegaly: Potential Protective Role Ofgingival Bmp-2, Si̇bel Başçil, Özlem Turhan İyi̇di̇r, Ni̇lüfer Bayraktar, Melek Eda Ertörer, Nesli̇han Başçil Tütüncü Jan 2021

Severe Chronic Periodontitis Is Not Common In Acromegaly: Potential Protective Role Ofgingival Bmp-2, Si̇bel Başçil, Özlem Turhan İyi̇di̇r, Ni̇lüfer Bayraktar, Melek Eda Ertörer, Nesli̇han Başçil Tütüncü

Turkish Journal of Medical Sciences

Background/aim : Advanced chronic periodontitis is observed rarely in acromegaly. Periodontal tissue including the alveolar bone is seemed to be spared from the systemic metabolic derangements of bone in this patient population. Chronic elevation of growth hormone, IGF-1, and bone morphogenetic proteins may play a role in periodontal tissue regeneration in acromegalics. In this study, we aimed to evaluate the potential roles of local gingival bone morphogenetic proteins (BMP) in periodontal tissue pathology in acromegaly. Materials and methods: Thirty-five patients with acromegaly and 22 healthy subjects were recruited. All the participants were examined by the same periodontologist for the diagnosis …


Cadaver Versus Simulator Based Arthroscopic Training In Shoulder Surgery, Gazi̇ Huri̇, Mert Ruşen Gülşen, Ece Belen Karmiş, Doğaç Karagüven Jan 2021

Cadaver Versus Simulator Based Arthroscopic Training In Shoulder Surgery, Gazi̇ Huri̇, Mert Ruşen Gülşen, Ece Belen Karmiş, Doğaç Karagüven

Turkish Journal of Medical Sciences

Introduction: There are few studies that compare the cadaver dissections with the medical simulators in means of talent improvement. Therefore, the aim of this study is to find out if using cadaver dissections is still the golden standard for surgical training or using the medical simulators in surgery could replace cadaver dissections. Materials and methods: The study is conducted during the European Orthopaedics & Traumatology Education Platform accredited Shoulder Club International Cadaver Course including a number of 34 orthopedics trainees. The participants were randomly divided into two groups to be trained with the simulator (Group 1) and on cadavers (Group …


Clinical Implications Of Fungal Isolation From Sputum In Adult Patients With Cystic Fibrosis, İli̇m Irmak, Ebru Damadoğlu, Damla Karadeni̇z Güven, Xursud Huseynova, Ahmet Çağkan İnkaya, Berri̇n Er, Ali̇ Korhan Siğ, Dolunay Gülmez Kivanç, Sevtap Arikan, Di̇lber Ademhan Tural, Deni̇z Doğru Ersöz, Hayri̇ye Uğur Özçeli̇k, Emi̇ne Nural Ki̇per, Ali̇ Fuat Kalyoncu Jan 2021

Clinical Implications Of Fungal Isolation From Sputum In Adult Patients With Cystic Fibrosis, İli̇m Irmak, Ebru Damadoğlu, Damla Karadeni̇z Güven, Xursud Huseynova, Ahmet Çağkan İnkaya, Berri̇n Er, Ali̇ Korhan Siğ, Dolunay Gülmez Kivanç, Sevtap Arikan, Di̇lber Ademhan Tural, Deni̇z Doğru Ersöz, Hayri̇ye Uğur Özçeli̇k, Emi̇ne Nural Ki̇per, Ali̇ Fuat Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: Cystic fibrosis is an autosomal recessive disease with a defect in mucociliary activity that is characterized by recurrent pulmonary infections. Bacterial agents frequently implicated in airway colonization are Haemophilus influenzae, Staphylococcus spp., and Pseudomonas spp. Fungal isolation from sputum is common in adults. However, growth of fungal agent only in sputum culture in patients with cystic fibrosis is insufficient for the diagnosis of fungal diseases. There is limited data about the clinical significance of fungal isolation in sputum cultures. The aim of the study was to investigate the clinical outcomes andsignificance of fungal isolation from sputum samples in adult …


Fetal Us And Mri In Detection Of Craniospinal Anomalies With Postnatal Correlation:Single-Center Experience, İlker Eyüboğlu, Gülseren Di̇nç Jan 2021

Fetal Us And Mri In Detection Of Craniospinal Anomalies With Postnatal Correlation:Single-Center Experience, İlker Eyüboğlu, Gülseren Di̇nç

Turkish Journal of Medical Sciences

Background/aim: To reveal the contribution of magnetic resonance imaging (MRI) to ultrasound (US) in prenatal diagnosis of fetal craniospinal anomalies by retrospectively comparing the prenatal and postnatal findings. Materials and methods: After institutional review board approval, between January 2010 and May 2020, 301 pregnant women, which had a gestational age between 19-37 weeks (mean 26.5 ± 6.1 weeks), diagnosed with cranial and spinal anomalies on fetal US and later on imaged with MRI were evaluated, and in 179 of those cases prenatal imaging findings were compared with postnatal findings. Results: A total of 191 fetal craniospinal anomalies were detected in …


Clinical And Molecular Findings In 37 Turkish Patients With Isolated Methylmalonic Acidemia, Berna Şeker Yilmaz, Deni̇z Kör, Fatma Derya Bulut, Sebi̇le Kilavuz, Serdar Ceylaner, Hali̇se Nesli̇han Önenli̇ Mungan Jan 2021

Clinical And Molecular Findings In 37 Turkish Patients With Isolated Methylmalonic Acidemia, Berna Şeker Yilmaz, Deni̇z Kör, Fatma Derya Bulut, Sebi̇le Kilavuz, Serdar Ceylaner, Hali̇se Nesli̇han Önenli̇ Mungan

Turkish Journal of Medical Sciences

Background/aim: Isolated methylmalonic acidemia (MMA) is caused by complete or partial deficiency of the enzyme methylmalonylCoA mutase (mut0 or mut- enzymatic subtype), a defect of its cofactor adenosyl-cobalamin (cblA, cblB, or cblD-MMA), or deficiency of the enzyme methylmalonyl-CoA epimerase. While onset of the disease ranges from the neonatal period to adulthood, most cases present with lethargy, vomiting and ketoacidosis in the early infancy. Major secondary complications are; growth failure, developmental delay, interstitial nephritis with progressive renal failure, basal ganglia injury and cardiomyopathy. We aimed to demonstrate clinical and molecular findings based on long-term follow up in our patient cohort. Materials …


Lack Of Awareness Of Hepatitis B Screening And Vaccination In High-Risk Groups, Hati̇ce Yasemi̇n Balaban, Abdullah Tarik Aslan, Şefi̇ka Nur Ayar, Osman Dağ, Alpaslan Alp, Cem Şi̇mşek, Cavanşi̇r Vahabov, Tolga Yildirim, Hakan Göker, Yahya Büyükaşik, Hali̇s Şi̇mşek Jan 2021

Lack Of Awareness Of Hepatitis B Screening And Vaccination In High-Risk Groups, Hati̇ce Yasemi̇n Balaban, Abdullah Tarik Aslan, Şefi̇ka Nur Ayar, Osman Dağ, Alpaslan Alp, Cem Şi̇mşek, Cavanşi̇r Vahabov, Tolga Yildirim, Hakan Göker, Yahya Büyükaşik, Hali̇s Şi̇mşek

Turkish Journal of Medical Sciences

Background/aim: Hepatitis B virus (HBV) vaccination rates are insufficient in high-risk patients worldwide. This study aimed to investigate the screening, immunization, and vaccination rates in three high-risk groups for HBV infection: allogeneic hematopoietic stem cell transplantation (AHSCT), renal transplantation (RT), and chronic hepatitis C (CHC) groups. Materials and methods: The serological data of consecutive patients between 2014 and 2019 were reviewed using the hospital database. Results: The HBV screening rates were 100.0%, 90.4%, and 82.4% in the AHSCT, CHC, and RT groups, respectively (p = 0.003). The immunization rates against HBV through either previous exposure or vaccination were 79.5%, 71.7%, …


Impact Of Frailty And Ultrasonography-Based Sarcopenia On The Development Ofpostoperative Complications In Gastrointestinal Cancer Patients, Gözde Şengül Ayçi̇çek, Ti̇muçi̇n Erol, Peli̇n Ünsal, Olgun Deni̇z, Osman Abbasoğlu, Meltem Gülhan Hali̇l Jan 2021

Impact Of Frailty And Ultrasonography-Based Sarcopenia On The Development Ofpostoperative Complications In Gastrointestinal Cancer Patients, Gözde Şengül Ayçi̇çek, Ti̇muçi̇n Erol, Peli̇n Ünsal, Olgun Deni̇z, Osman Abbasoğlu, Meltem Gülhan Hali̇l

Turkish Journal of Medical Sciences

Background/aim: Gastrointestinal (GI) system cancers are frequent among older adults and it is still difficult to predict which are at increased risk for postoperative complications. Frailty and sarcopenia are increasing problems of older population and may be associated with adverse outcomes. In this study we aimed to examine the effect of sarcopenia and frailty on postoperative complications in older patients undergoing surgery for GI cancers. Materials and methods: Forty-nine patients admitted to general surgery clinic with the diagnosis of gastrointestinal system cancers were included in this cross-sectional study. Frailty status was assessed using the Edmonton Frail Scale (EFS). Sarcopenia was …


Effect Of Nondipper Hypertension On Coronary Artery Disease Progression In Patients Withchronic Coronary Syndrome, Deni̇z Elçi̇k, Mustafa Duran, Şaban Keleşoğlu, Zeki̇ Çeti̇nkaya, Si̇bel Boyluğ, Ridvan Yurt, Ali̇ Doğan, Mehmet Tuğrul İnanç, Ni̇hat Kalay Jan 2021

Effect Of Nondipper Hypertension On Coronary Artery Disease Progression In Patients Withchronic Coronary Syndrome, Deni̇z Elçi̇k, Mustafa Duran, Şaban Keleşoğlu, Zeki̇ Çeti̇nkaya, Si̇bel Boyluğ, Ridvan Yurt, Ali̇ Doğan, Mehmet Tuğrul İnanç, Ni̇hat Kalay

Turkish Journal of Medical Sciences

Background/aim: It has been suggested that there is a significant progress in coronary artery disease (CAD) by many pathophysiological mechanisms. Nondipper hypertension (NDH) has been shown to have higher target organ damage and have a higher rate of cardiovascular mortality and morbidity. In this study, we investigated the effect of nondipper hypertension on the progression of coronary atherosclerosis. Materials and methods: A total of 186 patients who underwent coronary angiography twice between 6 months and 3 years were included in the study. Coronary angiography was repeated on the admission day due to angina or positive exercise test and the patients …


Prognostic Value Of The C-Reactive Protein To Albumin Ratio In Patients Undergoingprimary Percutaneous Coronary Intervention For St-Segment Elevation Myocardialinfarction, Özgür Söğüt, Tarik Akdemi̇r, Mehmet Mustafa Can Jan 2021

Prognostic Value Of The C-Reactive Protein To Albumin Ratio In Patients Undergoingprimary Percutaneous Coronary Intervention For St-Segment Elevation Myocardialinfarction, Özgür Söğüt, Tarik Akdemi̇r, Mehmet Mustafa Can

Turkish Journal of Medical Sciences

Background/aim: This study investigated whether baseline serum level of C-reactive protein (CRP)/albumin ratio is associated with infarct localization, number of vascular lesions, and in-hospital mortality in patients undergoing primary percutaneous coronary intervention (PCI) for acute ST elevation myocardial infarction (STEMI). Methods: The study population consisted of 116 patients diagnosed with STEMI. The CRP/albumin ratio at first admission, cardiac troponin-I (cTnI), PCI results, and clinical outcomes were recorded. Results: The mean CRP/albumin ratio, cTnI level, and mean number of vascular lesions were significantly higher in non-survivors than in survivors (p = 0.006, p = 0.004, and p = 0.007, respectively). Multivariate …


Pancreas And Kidney Changes In Type 2 Diabetes Patients: The Role Of Diffusion-Weightedimaging, Mehmet Hamdi̇ Şahan, Adnan Özdemi̇r, Neşe Asal, Mi̇race Yasemi̇n Karadeni̇z Bi̇lgi̇li̇, Adi̇l Doğan, Aşkin Güngüneş Jan 2021

Pancreas And Kidney Changes In Type 2 Diabetes Patients: The Role Of Diffusion-Weightedimaging, Mehmet Hamdi̇ Şahan, Adnan Özdemi̇r, Neşe Asal, Mi̇race Yasemi̇n Karadeni̇z Bi̇lgi̇li̇, Adi̇l Doğan, Aşkin Güngüneş

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to compare renal and pancreatic apparent diffusion-coefficient (ADC) values of diabetic patients and control subjects and to examine their potential association with several diabetes-related clinical parameters. Materials and methods: A total of 80 sex- and age-matched patients were included in the study. Of them, 40 were patients with type 2 diabetes and 40 were nondiabetic participants. Abdominal diffusion-weighted MRIs of both groups were retrospectively reviewed. Diabetes-related clinical parameters were recorded. Results: The difference between the mean ADC values of the patient group and the control group was significant (p = 0.012). It was …


Turkish Validity And Reliability Study Of Type 2 Diabetes Stigma Assessment Scale, Bahar İnkaya, Ezgi̇ Karadağ Jan 2021

Turkish Validity And Reliability Study Of Type 2 Diabetes Stigma Assessment Scale, Bahar İnkaya, Ezgi̇ Karadağ

Turkish Journal of Medical Sciences

Background/aim: Stigma has a high incidence and adversely affects people with diabetes. In this context, patients face difficulties such as fear of losing their jobs, travel restrictions, isolation from social life, problems related to mental health, and feeling of wellness. The aim of this study was to investigate the validity and reliability of the stigma assessment scale in individuals with type 2 diabetes. Materials and methods: The study sample consisted of 153 diabetic individuals. The validity of language, content, and construct were examined to evaluate the validity of the type 2 diabetes stigma assessment scale. Cronbach's alpha was used to …


Does Previous Open Or Percutaneous Renal Stone Surgery Affect Retrograde Intrarenalsurgery Outcomes?, Özer Güzel, İbrahi̇m Can Aykanat, Yilmaz Aslan, Ahmet Asfuroğlu, Meli̇h Balci, Altuğ Tuncel Jan 2021

Does Previous Open Or Percutaneous Renal Stone Surgery Affect Retrograde Intrarenalsurgery Outcomes?, Özer Güzel, İbrahi̇m Can Aykanat, Yilmaz Aslan, Ahmet Asfuroğlu, Meli̇h Balci, Altuğ Tuncel

Turkish Journal of Medical Sciences

Background/aim: Open or percutaneous renal stone surgery can have an adverse effect on the collecting system of the kidney. We evaluated retrograde intrarenal surgery outcomes in patients with 󖼮 mm renal stones who had open or percutaneous renal stone surgery history. Materials and methods: A total of 707 patients who underwent retrograde intrarenal surgery treatment were included in this study. Fifty-six patients had open or percutaneous renal stone surgery history (Group 1) and the remaining did not (Group 2, n = 651). The groups were compared in terms of age, stone size, stone-free rates, and complications. Results: The mean age …


Prone Versus Barts "Flank-Free" Modified Supine Percutaneous Nephrolithotomy: Amatch-Pair Analysis, Uygar Mi̇çooğullari, Davut Kamaci, Mehmet Yildizhan, Furkan Umut Kiliç, Taha Çeti̇n, Özer Ural Çakici, Murat Keske, Mehmet Yi̇ği̇t Yalçin, Arslan Ardiçoğlu Jan 2021

Prone Versus Barts "Flank-Free" Modified Supine Percutaneous Nephrolithotomy: Amatch-Pair Analysis, Uygar Mi̇çooğullari, Davut Kamaci, Mehmet Yildizhan, Furkan Umut Kiliç, Taha Çeti̇n, Özer Ural Çakici, Murat Keske, Mehmet Yi̇ği̇t Yalçin, Arslan Ardiçoğlu

Turkish Journal of Medical Sciences

Background/aim: In this study, we aimed to compare the results of prone and Barts "flank-free" modified supine percutaneous nephrolithotomy (PCNL) operations in our clinic. Materials and methods: The data from patients that underwent Barts "flank-free" modified supine PCNL (BS-PCNL) (n = 52) between June 2018 and July 2020 and prone PCNL (P-PCNL) (n = 286) between April 2014 and June 2018 were retrospectively evaluated. Of those 286 patients, 104 patients whose sex, age, body mass index, American Society of Anesthesiology score, stone localization, stone size, and hydronephrosis matched the BS-PCNL group in a 1:2 ratio were included in the study. …


Effects Of Intraoperative Blood Loss During Liver Resection On Patients? Outcome: A Singlecenter Experience, Muhammed Seli̇m Bodur, Kadi̇r Tomas, Serdar Topaloğlu, Şükrü Oğuz, Hakan Küçükaslan, Davut Dohman, Erdem Karabulut, Adnan Çalik Jan 2021

Effects Of Intraoperative Blood Loss During Liver Resection On Patients? Outcome: A Singlecenter Experience, Muhammed Seli̇m Bodur, Kadi̇r Tomas, Serdar Topaloğlu, Şükrü Oğuz, Hakan Küçükaslan, Davut Dohman, Erdem Karabulut, Adnan Çalik

Turkish Journal of Medical Sciences

Background/aim: Operative bleeding is one of the major determinants of outcome in liver surgery. This study aimed to describe the impact of intraoperative blood loss on the postoperative course of liver resection (LR). Materials and methods: The data of 257 patients who were treated with LR between January 2007 and October 2018 were retrospectively analyzed. LRs were performed via intermittent portal triad clamping (PTC) under low central venous pressure. Results: LRs were performed for 67.7% of patients with a malignant disease and 32.3% of patients with a benign disease. Major LR was performed in 89 patients (34.6%). The mean PTC …


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

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

Turkish Journal of Medical Sciences

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


The Effects Of Water Immersion And Epidural Analgesia On Cellular Immune Response,Neuroendocrine, And Oxidative Markers, Özlem Uzunlar, Ümi̇t Yasemi̇n Sert Di̇nç, Nezaket Kadioğlu, Tuba Çandar, Yaprak Üstün Jan 2021

The Effects Of Water Immersion And Epidural Analgesia On Cellular Immune Response,Neuroendocrine, And Oxidative Markers, Özlem Uzunlar, Ümi̇t Yasemi̇n Sert Di̇nç, Nezaket Kadioğlu, Tuba Çandar, Yaprak Üstün

Turkish Journal of Medical Sciences

Background/aim: Water immersion and epidural analgesia are the most preferred pain relief methods during the labor process. Adverse effects related to these methods, impact on the labor, and perception of pain is well studied in the literature. We aimed to investigate the cord blood level of copeptin, total serum oxidant (TOS), antioxidant (TAS), interleukin (IL)-1, IL-6, and oxytocin after the labor with water immersion, epidural analgesia, and vaginal birth without pain relief. Materials and methods: The study was conducted with 102 healthy pregnant women admitted to the obstetric delivery unit for noncomplicated term birth. Copeptin, oxytocin, TAS, TOS, IL-1, and …


Points To Consider When Evaluating Three-Dimensional Digital Subtraction Angiography Ofintracranial Aneurysms And Their Effects On Treatment, İsmai̇l Yardimcioğlu, Yilmaz Önal, Murat Veli̇oğlu, Hakki Muammer Karakaş Jan 2021

Points To Consider When Evaluating Three-Dimensional Digital Subtraction Angiography Ofintracranial Aneurysms And Their Effects On Treatment, İsmai̇l Yardimcioğlu, Yilmaz Önal, Murat Veli̇oğlu, Hakki Muammer Karakaş

Turkish Journal of Medical Sciences

Background/aim: In this study, we aimed to investigate what should be regarded as potential determinants of treatment strategies when evaluating 3D digital subtraction angiography (DSA) images. Material and methods: Our inclusion criteria were as follows: (1) presence of at least one intracranial aneurysm demonstrated by conventional angiography, (2) having both 2D and 3D images, and (3) being over 18 years old. First, two-dimensional (2D) and then 3D angiography images of 226 aneurysms of 150 patients were scanned. Morphological characteristics such as size, configurations, relationship with parent artery, baby counts, and other incidental findings were determined. Results: Of the 226 aneurysms, …


Genistein Suppresses The Inflammation And Gsk-3 Pathway In An Animal Model Ofspontaneous Ovarian Cancer, Füsun Erten, Engi̇n Yeni̇ce, Cemal Orhan, Beşi̇r Er, Pinar Demi̇rel Öner, Patrick Brice Defo Deeh, Kazi̇m Şahi̇n Jan 2021

Genistein Suppresses The Inflammation And Gsk-3 Pathway In An Animal Model Ofspontaneous Ovarian Cancer, Füsun Erten, Engi̇n Yeni̇ce, Cemal Orhan, Beşi̇r Er, Pinar Demi̇rel Öner, Patrick Brice Defo Deeh, Kazi̇m Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Numerous studies show that cancer risk is reduced by consumption of soy-based foods containing genistein, but its effects on the glycogen synthase kinase-3 pathway (GSK-3) in ovarian cancer is unknown. Therefore, we tested the properties of genistein on inflammatory biomarkers and GSK-3 signaling pathways in the ovaries of old laying hens with ovarian cancer. Materials and methods: A total of 300 laying hens were distributed into three groups as follows: group 1, animals fed a standard diet (comprising 22.39 mg of genistein/kg of diet); groups 2 and 3, animals fed a standard diet reconstituted with supplementation of 400 mg …


Impact Of Fetal Brain Tissue Derived Mesenchymal Stem Cell And Fibrin Glue On Facial Nervecrash Injury, Ömer Bayir, Tuğba Karagöz, Ferda Alpaslan Pinarli, Güli̇stan Sanem Saribaş, Candan Özoğul, Kemal Keseroğlu, Güleser Saylam, Emel Çadalli Tatar, Sevi̇lay Karahan, Bülent Öcal, Mehmet Hakan Korkmaz Jan 2021

Impact Of Fetal Brain Tissue Derived Mesenchymal Stem Cell And Fibrin Glue On Facial Nervecrash Injury, Ömer Bayir, Tuğba Karagöz, Ferda Alpaslan Pinarli, Güli̇stan Sanem Saribaş, Candan Özoğul, Kemal Keseroğlu, Güleser Saylam, Emel Çadalli Tatar, Sevi̇lay Karahan, Bülent Öcal, Mehmet Hakan Korkmaz

Turkish Journal of Medical Sciences

Background/aim: To evaluate the clinical and histopathological effects of fetal brain tissue derived mesenchymal stem cells (FBTMSC) and fibrin glue (FG) on the facial nerve (FN) regeneration in rats with traumatic FN injury. Materials and methods: Twenty-eight Sprague Dawley rats were included in the study and divided into 4 groups. Traumatic FN injury (FP) was created by a surgical clamp compression to the main trunk of left FN in all groups. In the control group (group 1) no treatment was applied, in group 2 (FBTMSC group) 2 × 106 FBTMSC was injected, in group 3 (FG group) only FG was …


The Effect Of Testosterone Replacement Therapy On Bladder Functions, Histology, Apoptosis,And Rho-Kinase Expression In Bladder Outlet Obstruction And Hypogonadism Rat Model, Bariş Saylam, Ozan Efesoy, Rabi̇a Bozdoğan Arpaci, Ruki̇ye Nalan Ti̇fti̇k, Mesut Tek, Kansu Büyükafşar, Murat Bozlu, Selahi̇tti̇n Çayan Jan 2021

The Effect Of Testosterone Replacement Therapy On Bladder Functions, Histology, Apoptosis,And Rho-Kinase Expression In Bladder Outlet Obstruction And Hypogonadism Rat Model, Bariş Saylam, Ozan Efesoy, Rabi̇a Bozdoğan Arpaci, Ruki̇ye Nalan Ti̇fti̇k, Mesut Tek, Kansu Büyükafşar, Murat Bozlu, Selahi̇tti̇n Çayan

Turkish Journal of Medical Sciences

Background/aim: The effect of testosterone replacement therapy was investigated on bladder functions, histology, apoptosis as well as Rho-kinase expression in the rat bladder outlet obstruction (BOO) and hypogonadism models. Materials and methods: 30 mature male rats divided into 4 groups: sham group (n = 8), BOO group (n = 8), BOO + orchiectomy group (n = 7), BOO + orchiectomy + testosterone (T) treatment group (n = 7). Cystometric findings, apoptosis index, Rho-kinase (ROCK-2) expression, and smooth muscle/collagen ratio were compared. Results: BOO did not change ROCK-2 expression level, compared to sham group (P > 0.05). However, when compared to BOO …