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Full-Text Articles in Medicine and Health Sciences

The Effect Of 1,25-Dihydroxyvitamin D3 On Liver Damage, Oxidative Stress, And Advanced Glycation End Products In Experimental Nonalcoholicand Alcoholic- Fatty Liver Disease, İlknur Bi̇ngül, Abdurrahman Fati̇h Aydin, Canan Küçükgergi̇n, Asi̇ye Işin Doğan Eki̇ci̇, Semra Abbasoğlu, Mehmet Müjdat Uysal Jan 2021

The Effect Of 1,25-Dihydroxyvitamin D3 On Liver Damage, Oxidative Stress, And Advanced Glycation End Products In Experimental Nonalcoholicand Alcoholic- Fatty Liver Disease, İlknur Bi̇ngül, Abdurrahman Fati̇h Aydin, Canan Küçükgergi̇n, Asi̇ye Işin Doğan Eki̇ci̇, Semra Abbasoğlu, Mehmet Müjdat Uysal

Turkish Journal of Medical Sciences

Background/aim: Oxidative stress and advanced glycation end products (AGEs) formation are proposed as effective mechanisms in the pathogenesis of nonalcoholic fatty liver disease (NAFLD) and alcoholic liver disease (ALD). 1,25(OH)2 D3 was proposed to have antioxidant, antiinflammatory and antiglycation properties. In this study, the effect of 1,25(OH)2 D3 treatment on oxidative stress parameters and AGEs levels together with hepatic histopathology was investigated in high fructose (HFr) or ethanol (EtOH)-treated rats. Materials and methods: Rats were treated with fructose (30%) or ethanol (5-20%) in drinking water with and without 1,25(OH)2 D3 treatment (5 µg/kg two times a week) for 8 weeks. …


Sodium Valproate Improves Sensorimotor Gating Deficit Induced By Sleep Deprivation Atlow Doses, Muhammet Teki̇n, Fatma Duygu Kaya Yertutanol, Burcu Çevreli̇, Asi̇l Ali̇ Özdoğru, Hamza Kulaksiz, İsmai̇l Tayfun Uzbay Jan 2021

Sodium Valproate Improves Sensorimotor Gating Deficit Induced By Sleep Deprivation Atlow Doses, Muhammet Teki̇n, Fatma Duygu Kaya Yertutanol, Burcu Çevreli̇, Asi̇l Ali̇ Özdoğru, Hamza Kulaksiz, İsmai̇l Tayfun Uzbay

Turkish Journal of Medical Sciences

Background/aim: Sleep deprivation disrupts prepulse inhibition of acoustic startle reflex and can be used to mimic psychosis in experimental animals. On the other hand, it is also a model for other disorders of sensory processing, including migraine. This study aims to assess the effects of sodium valproate, a drug that is used in a variety of neuropsychiatric disorders, on normal and disrupted sensorimotor gating in rats. Materials and methods: Sixty-two Wistar albino rats were randomly distributed into 8 groups. Subchronic and intraperitoneal sodium valproate were administrated to the sleep-deprived and nonsleep-deprived rats by either 50-100 or 200 mg/kg/day. Prepulse inhibition …


Protective And Therapeutic Effect Of Hydrogen Sulfide On Hemorrhagic Cystitis And Testisdysfunction Induced With Cyclophosphamide, Fi̇kri̇ye Yasemi̇n Özati̇k, Orhan Özati̇k, Yasemi̇n Tekşen, Semra Yi̇ği̇taslan, Nezi̇ha Senem Ari Jan 2021

Protective And Therapeutic Effect Of Hydrogen Sulfide On Hemorrhagic Cystitis And Testisdysfunction Induced With Cyclophosphamide, Fi̇kri̇ye Yasemi̇n Özati̇k, Orhan Özati̇k, Yasemi̇n Tekşen, Semra Yi̇ği̇taslan, Nezi̇ha Senem Ari

Turkish Journal of Medical Sciences

Backround/aim: Cyclophosphamide (CP) is a drug used for treatment of many malignant diseases. However, it can cause serious side effects such as hemorrhagic cystitis and male infertility. Hydrogen sulfide (H2 S) is a gaseous mediator and is suggested to have antioxidant, antiinflammatory, and antiapoptotic effects. In this study, dose-dependent effects of H2 S donor sodium hydrosulfide (NaHS) on cyclophosphamide-induced hemorrhagic cystitis and testicular dysfunction were investigated in rats. Material and methods: Rats were divided into 5 groups (n = 8): control, CP, NaHS25 μmol/kg, NaHS50 μmol/kg, and NaHS100 μmol/ kg. After treatment for 7 days intraperitoneally (ip), a single ip …


Effect Of Betulinic Acid Administration On Tlr-9/Nf-Κb /Il-18 Levels In Experimentalliver Injury, Eda Dokumacioğlu, Hati̇ce İskender, Kübra Asena Teri̇m Kapaki̇n, Güler Yeni̇ce, Behzat Mokthare, İsmai̇l Bolat, Armağan Hayirli Jan 2021

Effect Of Betulinic Acid Administration On Tlr-9/Nf-Κb /Il-18 Levels In Experimentalliver Injury, Eda Dokumacioğlu, Hati̇ce İskender, Kübra Asena Teri̇m Kapaki̇n, Güler Yeni̇ce, Behzat Mokthare, İsmai̇l Bolat, Armağan Hayirli

Turkish Journal of Medical Sciences

Background/aim: Acetaminophen (APAP), used in the composition of thousands of preparations, is the most commonly used analgesic and antipyretic drug. The present study aimed to investigate the potential protective effects of the betulinic acid (BA) treatment through an APAP-induced hepatotoxicity rat model, using inflammatory, biochemical, and histopathological parameters. Materials and methods: The study consisted of four groups: control group, APAP group, BA group, and APAP+BA group. Experimental studies continued for fifteen days. Serum samples were analysed for glucose, total cholesterol (TChol), triglyceride (TG), low density lipoprotein (LDL), high density lipoprotein (HDL), aspartate amino transferase (AST), malondialdehyde (MDA), toll-like receptor-9 (TLR-9), …


Hyperbaric Oxygen Therapy Affects Insulin Sensitivity/Resistance By Increasingadiponectin, Resistin, And Plasminogen Activator Inhibitor-I In Rats, Cemi̇l Kahraman, Hüseyi̇n Yaman Jan 2021

Hyperbaric Oxygen Therapy Affects Insulin Sensitivity/Resistance By Increasingadiponectin, Resistin, And Plasminogen Activator Inhibitor-I In Rats, Cemi̇l Kahraman, Hüseyi̇n Yaman

Turkish Journal of Medical Sciences

Background/aim: Hyperbaric oxygen therapy (HBOT) causes insulin sensitivity, but the reason for this is not known yet. The aim of the present study was to investigate the effect of HBOT on insulin sensitivity via resistin, plasminogen activator inhibitor-I (PAI-I), and adiponectin. Materials and methods: The study was designed using HBOT and control groups, with eight rats in each group. After 20 days of HBOT under 2.5 atmospheres for 90 min, the fasting insulin (FI), resistin, PAI-I, homeostatic model assessment of insulin resistance scores (HOMA-IR), quantitative insulin sensitivity check index (QUICKI), fasting plasma glucose (FPG), triglyceride, and high-density lipoprotein cholesterol (HDL-C) …


Potential Antidiabetic Activity Of Benzimidazole Derivative Albendazole And Lansoprazoledrugs In Different Doses In Experimental Type 2 Diabetic Rats, Burak Di̇k, Devran Coşkun, Emre Bahçi̇van, Kami̇l Üney Jan 2021

Potential Antidiabetic Activity Of Benzimidazole Derivative Albendazole And Lansoprazoledrugs In Different Doses In Experimental Type 2 Diabetic Rats, Burak Di̇k, Devran Coşkun, Emre Bahçi̇van, Kami̇l Üney

Turkish Journal of Medical Sciences

Aim: The aim of this study is to determine the effects of different concentrations of albendazole and lansoprazole, which were benzimidazole derivatives, on endocrinologic and biochemical parameters in experimental type 2 diabetic (T2D) rats. Materials and methods: In this study, 46 male Wistar Albino rats were used. Animals were divided as healthy control (0.1 mL/rat/day saline, s.c, n = 6), diabetes control (0.1 mL/rat/day saline, s.c, n = 8), diabetes+low-dose albendazole (5 mg/kg, oral, n = 8), diabetes+highdose albendazole (10 mg/kg, oral n = 8), diabetes+low-dose lansoprazole (15 mg/kg, subcutaneous, n = 8), and diabetes+high-dose lansoprazole (30 mg/kg, subcutaneous, n …


What Is The Main Factor In Predicting The Morbidity And Mortality In Patients Withgastroschisis: Delivery Time, Delivery Mode, Closure Method, Or The Type Of Gastroschisis(Simple Or Complex)?, Mustafa Behram, Süleyman Cemi̇l Oğlak, Seyi̇than Özaydin, Sema Süzen Çaypinar, İlker Gönen, Şeyhmus Tunç, Yusuf Başkiran, İsmai̇l Özdemi̇r Jan 2021

What Is The Main Factor In Predicting The Morbidity And Mortality In Patients Withgastroschisis: Delivery Time, Delivery Mode, Closure Method, Or The Type Of Gastroschisis(Simple Or Complex)?, Mustafa Behram, Süleyman Cemi̇l Oğlak, Seyi̇than Özaydin, Sema Süzen Çaypinar, İlker Gönen, Şeyhmus Tunç, Yusuf Başkiran, İsmai̇l Özdemi̇r

Turkish Journal of Medical Sciences

Background/aim: There are numerous debates in the management of gastroschisis (GS). The current study aimed to evaluate perinatal outcomes and surgical and clinical characteristics among GS patients based on their type of GS, abdominal wall closure method, and delivery timing. Materials and methods: This study was a retrospective analysis of prospectively collected data of 29 fetuses with GS that were prenatally diagnosed, delivered, and managed between June 2015 and December 2019 at the Obstetrics and Pediatric Surgery Clinics of Kanuni Sultan Süleyman Training and Research Hospital. Results: Twenty-three of the patients had simple GS, and six of them had complex …


Two Separate And Important Points That Should Not Be Forgotten Among The Consequencesof The Pandemic: Psychology Of Healthcare Workers And Readmission Of Dischargedcovid-19 Patients, Oğuz Abdullah Uyaroğlu Jan 2021

Two Separate And Important Points That Should Not Be Forgotten Among The Consequencesof The Pandemic: Psychology Of Healthcare Workers And Readmission Of Dischargedcovid-19 Patients, Oğuz Abdullah Uyaroğlu

Turkish Journal of Medical Sciences

No abstract provided.


Treatment Approaches For Managing Patients With Hematological Malignancies In Thetime Of Covid-19 Pandemic, Güldane Cengi̇z Seval, Pervi̇n Topçuoğlu, Taner Demi̇rer Jan 2021

Treatment Approaches For Managing Patients With Hematological Malignancies In Thetime Of Covid-19 Pandemic, Güldane Cengi̇z Seval, Pervi̇n Topçuoğlu, Taner Demi̇rer

Turkish Journal of Medical Sciences

Background/aim: The COVID-19 pandemic is a unique challenge to the care of patients with hematological malignancies. We aim to provide supportive guidance to clinicians making individual patients decisions during the COVID-19 pandemic, in particular during periods that access to healthcare resources may be limited. Conclusion: This review also provides recommendations, which are convenient in evaluating indications for therapy, reducing therapy-associated immunosuppression, and reducing healthcare utilization in patients with specific hematological malignancies in the COVID-19 era. Specific decisions regarding treatment of hematological malignancies will need to be individualized, based on disease risk, risk of immunosuppression, rates of community transmission of SARS-CoV-2, …


Which Hematological Markers Have Predictive Value As Early Indicators Of Severecovid-19 Cases In The Emergency Department?, İshak Şan, Emi̇n Gemci̇oğlu, Mehmet Davutoğlu, Rami̇s Çatalbaş, Berkan Karabuğa, Enes Kaptan, Abdulsamet Erden, Orhan Küçükşahi̇n, İhsan Ateş, Selma Karaahmetoğlu, İmran Hasanoğlu, Osman İnan, Büşra Nur Ünal, Ecem Erdemi̇r, Fati̇h Ahmet Kahraman Jan 2021

Which Hematological Markers Have Predictive Value As Early Indicators Of Severecovid-19 Cases In The Emergency Department?, İshak Şan, Emi̇n Gemci̇oğlu, Mehmet Davutoğlu, Rami̇s Çatalbaş, Berkan Karabuğa, Enes Kaptan, Abdulsamet Erden, Orhan Küçükşahi̇n, İhsan Ateş, Selma Karaahmetoğlu, İmran Hasanoğlu, Osman İnan, Büşra Nur Ünal, Ecem Erdemi̇r, Fati̇h Ahmet Kahraman

Turkish Journal of Medical Sciences

Background/aim: Coronavirus 2019 disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a pandemic infectious disease that causes morbidity and mortality. As a result of high mortality rate among the severe COVID-19 patients, the early detection of the disease stage and early effective interventions are very important in reducing mortality. Hence, it is important to differentiate severe and nonsevere cases from each other. To date, there are no proven diagnostic or prognostic parameters that can be used in this manner. Due to the expensive and not easily accessible tests that are performed for COVID-19, researchers are investigating …


The Analysis Of Pleural Complications Of Covid-19 Pneumonia, Merve Şatir Türk, Irmak Akarsu, İsmai̇l Tombul, Aykut Kankoç, Nur Di̇lvi̇n Özkan, Elgun Valiyev, Muhammet Sayan, Ali̇ Çeli̇k, İsmai̇l Cüneyt Kurul, Olgun Kadi̇r Aribaş, Abdullah İrfan Taştepe Jan 2021

The Analysis Of Pleural Complications Of Covid-19 Pneumonia, Merve Şatir Türk, Irmak Akarsu, İsmai̇l Tombul, Aykut Kankoç, Nur Di̇lvi̇n Özkan, Elgun Valiyev, Muhammet Sayan, Ali̇ Çeli̇k, İsmai̇l Cüneyt Kurul, Olgun Kadi̇r Aribaş, Abdullah İrfan Taştepe

Turkish Journal of Medical Sciences

Background/aim: As the number of case reports related to the new type of coronavirus (COVID-19) increases, knowledge of and experience with the virus and its complications also increase. Pleural complications are one relevant issue. We aimed in this study to analyze pleural complications, such as pneumothorax, pneumomediastinum, and empyema, in patients hospitalized with the diagnosis of COVID-19 pneumonia. Materials and methods: The files of patients who have pleural complications of COVID-19 pneumonia and were consulted about thoracic surgery between March 2020 and December 2020 were retrospectively reviewed. The data of the patients were analyzed according to age, sex, length of …


Correlation Of Neuroimaging And Thorax Ct Findings In Patients With Covid-19:A Large Single-Center Experience, Hedi̇ye Pinar Günbey, Günay Rona, Özge Adigüzel Karaoysal, Ayşe Batirel, Banu Özen Barut Jan 2021

Correlation Of Neuroimaging And Thorax Ct Findings In Patients With Covid-19:A Large Single-Center Experience, Hedi̇ye Pinar Günbey, Günay Rona, Özge Adigüzel Karaoysal, Ayşe Batirel, Banu Özen Barut

Turkish Journal of Medical Sciences

Background/aim: The aim of this current study was to describe the neuroimaging findings among patients with COVID-19 and to compare them with thorax CT imaging findings and clinicobiological profiles. Materials and methods: Between the period March 11 and December 31, 2020, we evaluated brain computed tomography (CT) and magnetic resonance (MR) images of patients with COVID-19. A total of 354 patients (mean age 65.2 ± 16.6, 52% female, 42% male) who had brain imaging were included in the study. Of this total sample, 218 had thorax CT scanning (65.5%). Neuroimaging and thorax CT findings, clinical course, neurologic findings, and laboratory …


Decrease Of Left Ventricular Ejection Fraction In Severe Illness Patients Due To Covid-19may Improve As The Disease Resolves, Aykut Demi̇rkiran, Lütfi̇ Çağatay Onar, Mustafa Doğan Jan 2021

Decrease Of Left Ventricular Ejection Fraction In Severe Illness Patients Due To Covid-19may Improve As The Disease Resolves, Aykut Demi̇rkiran, Lütfi̇ Çağatay Onar, Mustafa Doğan

Turkish Journal of Medical Sciences

Background/aim: Increase in publications supporting myocardial involvement in the COVID-19 disease has led to need to gain insight into the the global burden of heart failure after pandemic. We examined the course of myocardial systolic function in patients without elevated troponin levels. Materials and methods: We performed a prospective study. Patients with high troponin levels were excluded from the study in order to definitively exclude complications known to cause permanent left ventricular systolic dysfunction, such as acute coronary syndromes. Two echocardiographic examinations were performed. The first evaluation was performed within the days of hospitalization, if possible, on the day when …


Rituximab For The Treatment Of Idiopathic Membranous Nephropathy With Nephroticsyndrome: A Systematic Review And Meta-Analysis, Lu You, Peiyi Ye, Guangqing Xiao, Jiabao Liang, Yaozhong Kong Jan 2021

Rituximab For The Treatment Of Idiopathic Membranous Nephropathy With Nephroticsyndrome: A Systematic Review And Meta-Analysis, Lu You, Peiyi Ye, Guangqing Xiao, Jiabao Liang, Yaozhong Kong

Turkish Journal of Medical Sciences

Background/aim: This meta-analysis comprehensively investigated the efficacy and safety of rituximab (RTX) in patients with idiopathic membranous nephropathy (IMN). Materials and methods: We searched the MEDLINE, EMBASE and Cochrane Registry of Controlled Trials databases from January 2000 to January 2020. Studies evaluating the efficacy and safety of RTX in the treatment of IMN with nephrotic syndrome (NS) were included. Results: Nine studies (total of 357 patients) were included in the meta-analysis. The pooled complete response and overall response (OR) rates at 12 months were 13.2% [95% confidence interval (CI), 0.09-0.18] and 60% (95% CI, 0.48-0.72), and those at 24 months …


Influenza And Pneumococcus Vaccination Rates In Pediatric Dialysis Patients Ineurope: Recommendations Vs Realitya European Pediatric Dialysis Working Group And European Society For Pediatricnephrology Dialysis Working Group Study, Yeşi̇m Özdemi̇r Ati̇kel, Sevcan Azi̇me Bakkaloğlu Ezgü, Fabio Paglialonga, Constantinos J. Stefanidis, Varvara Askiti, Enrico Vidal, Gema Ariceta, Engi̇n Melek, Enrico Verrina, Nikoleta Printza, Karel Vondrak, Aleksandra Zurowska, Ilona Zagozdzon, Mesi̇ha Eki̇m, Eli̇f Nursel Özmert Jan 2021

Influenza And Pneumococcus Vaccination Rates In Pediatric Dialysis Patients Ineurope: Recommendations Vs Realitya European Pediatric Dialysis Working Group And European Society For Pediatricnephrology Dialysis Working Group Study, Yeşi̇m Özdemi̇r Ati̇kel, Sevcan Azi̇me Bakkaloğlu Ezgü, Fabio Paglialonga, Constantinos J. Stefanidis, Varvara Askiti, Enrico Vidal, Gema Ariceta, Engi̇n Melek, Enrico Verrina, Nikoleta Printza, Karel Vondrak, Aleksandra Zurowska, Ilona Zagozdzon, Mesi̇ha Eki̇m, Eli̇f Nursel Özmert

Turkish Journal of Medical Sciences

Background/aim: Children on dialysis are under increased risk of influenza and invasive pneumococcal disease. Although vaccination against these microorganisms are recommended in dialysis patients and despite the fact that these vaccines can reduce disease burden and rates of hospitalization due to infection, vaccination rates are below expected and desired. We aimed to evaluate influenza and pneumococcal vaccination and infection rates in European pediatric dialysis centers. Materials and methods: In 16 centers from 11 countries, 357 pediatric dialysis patients were evaluated retrospectively during 1 year of observation period between 01.01.2014 and 01.01.2015. Results: In all centers, vaccination policy included immunization of …


Surgical Outcome Of Laminoplasty For Cervical Spondylotic Myelopathy: A Singleinstitution Experience, Mehmet Erhan Türkoğlu, Ahmet Gülmez, Çağri Elbi̇r, Ömer Selçuk Şahi̇n, Şahi̇n Hanali̇oğlu, Samet Di̇nç, Çağhan Tönge, Mehmet Kalan Jan 2021

Surgical Outcome Of Laminoplasty For Cervical Spondylotic Myelopathy: A Singleinstitution Experience, Mehmet Erhan Türkoğlu, Ahmet Gülmez, Çağri Elbi̇r, Ömer Selçuk Şahi̇n, Şahi̇n Hanali̇oğlu, Samet Di̇nç, Çağhan Tönge, Mehmet Kalan

Turkish Journal of Medical Sciences

Background/aim: Cervical spondylotic myelopathy (CSM) develops as a result of compression of the spinal cord in the cervical region. Early diagnosis and surgical treatment can limit the progression of symptoms. Various surgical approaches and strategies have been described in the literature. This study aims to evaluate the clinical and radiological results of open-door laminoplasty for the treatment of CSM. Materials and methods: In this study, we retrospectively analyzed the patients who underwent expansive open-door laminoplasty secured with titanium miniplates. Thirty-four patients with CSM who were followed up postoperatively for more than 12 months were included in the study. The modified …


Effect Of Hyperparathyroidism On Coagulation: A Global Assessment By Modifiedrotation Thromboelastogram (Rotem), Göknur Yorulmaz, Ahmet Toygar Kalkan, Aysen Akalin, Eli̇f Sevi̇l Alagüney, Eren Gündüz, Bartu Badak, Betül Aydin Buyruk, Medi̇ne Nur Kebapçi, Fatma Belgi̇n Efe, Muzaffer Bi̇lgi̇n, Olga Meltem Akay Jan 2021

Effect Of Hyperparathyroidism On Coagulation: A Global Assessment By Modifiedrotation Thromboelastogram (Rotem), Göknur Yorulmaz, Ahmet Toygar Kalkan, Aysen Akalin, Eli̇f Sevi̇l Alagüney, Eren Gündüz, Bartu Badak, Betül Aydin Buyruk, Medi̇ne Nur Kebapçi, Fatma Belgi̇n Efe, Muzaffer Bi̇lgi̇n, Olga Meltem Akay

Turkish Journal of Medical Sciences

Background/aim: Hyperparathyroidism is an endocrine disorder characterized by hypercalcemia. Because of calcium?s effects on parathyroid glands, bone, intestines, and kidneys, it has an important place in homeostasis. The results of studies regarding hyperparathyroidism hemostasis are conflicting. Thromboelastography helps to evaluate all steps of hemostatic system. Our aim in this study was to investigate the possible role of hemostatic mechanisms in the development of thrombosis in hyperparathyroid patients with the modified rotation thromboelastogram (ROTEM). Materials and methods: Twenty-two patients with primary hyperparathyroidism (PHPT) and 20 healthy controls were involved. This study was conducted in Eskisehir Osmangazi University Faculty of Medicine, Endocrinology …


Can Thrombocytosis Or Thrombocytopenia Predict Complicated Clinical Course And30-Days Mortality In Patients With Pneumonia?, Razi̇ye Si̇nem Misirlioğlu, Ersi̇n Aksay, Emre Şanci, Kemal Can Tertemi̇z Jan 2021

Can Thrombocytosis Or Thrombocytopenia Predict Complicated Clinical Course And30-Days Mortality In Patients With Pneumonia?, Razi̇ye Si̇nem Misirlioğlu, Ersi̇n Aksay, Emre Şanci, Kemal Can Tertemi̇z

Turkish Journal of Medical Sciences

Background/aim: While several different scoring systems aim to determine the clinical outcomes for patients with pneumonia, there is limited emphasis on the platelet count. This study investigated the relationships between thrombocyte count and 30-day mortality and complicated clinical course of patients with pneumonia. Materials and methods: This prospective cross-sectional study enrolled patients over 18 years old with a diagnosis of pneumonia in the emergency department for six months. The primary outcome was to establish the relationship between platelet count, mortality, complicated clinical course, and initial vital parameters on admission. The secondary outcome was comparing the platelet count with mortality and …


Comparison Of Usg-Guided Or Landmark Approach Fascia Iliaca Compartment Blockfor Positioning In Elderly Hip Fracture Patients With Spinal Anesthesia: A Randomizedcontrolled Observational Study, Tuna Ertürk, İbrahi̇m Gündoğmuş, Temel Güner, Cengi̇z Yildirim, Ayşin Ersoy Jan 2021

Comparison Of Usg-Guided Or Landmark Approach Fascia Iliaca Compartment Blockfor Positioning In Elderly Hip Fracture Patients With Spinal Anesthesia: A Randomizedcontrolled Observational Study, Tuna Ertürk, İbrahi̇m Gündoğmuş, Temel Güner, Cengi̇z Yildirim, Ayşin Ersoy

Turkish Journal of Medical Sciences

Background/aim: Currently, the elderly population in the world is rapidly increasing due to technological developments and convenient access to health services. Due to comorbidities in elderly patients, hip fractures are frequently observed after exposure to environmental trauma. To reduce pain during positioning in spinal anesthesia, fascia iliaca compartment block (FICB) can be applied easily and reliably. In our study, we aimed to compare the analgesic effects and duration of fascia iliaca compartment blocks performed with USG guidance or the landmark approach methods for relieving spinal anesthesia position pain. Materials and methods: Our study included 100 patients undergoing operations due to …


Diagnostic Performance Of Shear Wave Elastography And Diffusion-Weighted Magneticresonance Imaging In Cervical Lymph Nodes: A Comparative Study, Veli̇ Süha Öztürk, Ersen Erteki̇n Jan 2021

Diagnostic Performance Of Shear Wave Elastography And Diffusion-Weighted Magneticresonance Imaging In Cervical Lymph Nodes: A Comparative Study, Veli̇ Süha Öztürk, Ersen Erteki̇n

Turkish Journal of Medical Sciences

Background/aim: To investigate the potential diagnostic value of point shear wave elastography (pSWE) and the contribution of concurrent diffusion weighted magnetic resonance imaging (DW-MRI) to diagnostic performance in patients with cervical lymphadenopathy. Materials and methods: This cross-sectional study included 116 cervical lymph nodes of 94 patients. All lymph nodes were evaluated before the treatment or histopathological sampling. Gray scale ultrasonographic features, elastographic stiffness and apparent diffusion coefficient (ADC) values were measured and recorded. Lymph nodes were divided into benign and malignant groups with histopathological findings. Results: Short axis measurement, axis ratio, hilum morphology, vascularization patterns, pSWE, and ADC values were …


Giant Hepatic Hemangioma Treatment With Transcatheter Arterial Embolisation Andtranscatheter Arterial Chemoembolisation; Comparative Results, Özhan Özgür, Hakki Ti̇mur Si̇ndel Jan 2021

Giant Hepatic Hemangioma Treatment With Transcatheter Arterial Embolisation Andtranscatheter Arterial Chemoembolisation; Comparative Results, Özhan Özgür, Hakki Ti̇mur Si̇ndel

Turkish Journal of Medical Sciences

Background/aim: Treatment of hepatic hemangiomas is a controversial topic, and traditional treatment is surgical excision. Transcatheter arterial embolisation (TAE) and transcatheter arterial chemoembolisation (TACE) have been reported as minimally invasive treatment methods. To the best of our knowledge, there are no studies comparing use of TACE and TAE for hepatic hemangioma treatment. The aim of the study is to compare symptom resolution, size reducing effects, and complications of TACE and TAE for the treatment of giant hepatic hemangiomas. Materials and methods: A total of 104 patients underwent TACE using bleomycin, and 108 patients underwent TAE. The patients were followed-up for …


Differentiation Of Benign And Malignant Superficial Soft Tissue Lesions Using Real-Timestrain Elastography, Gökçe Annaç, Murat Canyi̇ği̇t, Si̇nan Tan, Ersi̇n Akşam, Nuran Süngü, Hali̇l Arslan Jan 2021

Differentiation Of Benign And Malignant Superficial Soft Tissue Lesions Using Real-Timestrain Elastography, Gökçe Annaç, Murat Canyi̇ği̇t, Si̇nan Tan, Ersi̇n Akşam, Nuran Süngü, Hali̇l Arslan

Turkish Journal of Medical Sciences

Background/aim: To evaluate benign and malignant cutaneous-subcutaneous lesions using real-time strain elastography (RTSE) and to compare the findings with histopathologic results. Materials and methods: Over a period of 10 months, 72 patients (38 with benign and 34 with malignant cutaneous and subcutaneous lesions) were prospectively included in this study. Elasticity patterns and strain ratios were examined for each lesion. Lesions were evaluated in 4 groups as yellow-red (soft; pattern-1), green-yellow (moderate; pattern-2), blue-green (hard; pattern-3) and blue (hardest; pattern-4). The stiffness of the lesions was displayed with strain ratios by comparing of a nearby reference tissue. The recorded images were …


Distal Spread And Tumor Regression Patterns Following Preoperative Chemoradiotherapyin Rectal Cancer Patients, İlter Özer, Nesli̇han İnci̇ Zengi̇n, Haci Murat Çayci, Adem Yüksel, Tahsi̇n Dalgiç, Murat Ulaş, Erdal Bi̇rol Bostanci, Musa Akoğlu Jan 2021

Distal Spread And Tumor Regression Patterns Following Preoperative Chemoradiotherapyin Rectal Cancer Patients, İlter Özer, Nesli̇han İnci̇ Zengi̇n, Haci Murat Çayci, Adem Yüksel, Tahsi̇n Dalgiç, Murat Ulaş, Erdal Bi̇rol Bostanci, Musa Akoğlu

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the regression pattern with the distal intramural spread (DIS) of rectum cancer after preoperative chemoradiation. Materials and methods: Specimens from 56 patients who underwent radical resection after preoperative chemoradiation for rectal cancer were examined. The regression pattern (total, fragmented) of the tumor was recorded. DIS status was evaluated by creating sections 0.2 to 0.3 cm thick. Results: A single macroscopic residual area was detected in all specimens. In 10 patients (17.8 %), pathologically complete responses were identified, and DIS was detected in 33 patients (58.9%). The average DIS distance was 0.56 ± 0.3 cm …


Electrocardiography Clues In Assessment Of Patients With Premature Ventricularcontractions, Ahmet Akdi̇, Bahar Teki̇n Tak, Eli̇f Hande Özcan Çeti̇n, Mehmet Serkan Çeti̇n, Çağri Yayla Jan 2021

Electrocardiography Clues In Assessment Of Patients With Premature Ventricularcontractions, Ahmet Akdi̇, Bahar Teki̇n Tak, Eli̇f Hande Özcan Çeti̇n, Mehmet Serkan Çeti̇n, Çağri Yayla

Turkish Journal of Medical Sciences

Background/aim: Some electrocardiography (ECG) parameters such as Tp-e interval, Tp-e / QT ratio, fragmented QRS (fQRS), and heart rate variability (HRV) are related to cardiovascular mortality and morbidity. We aim to investigate the relation between premature ventricular contraction burden and these parameters on 24-h ECG recording. Materials and methods: The study is a retrospective investigation of the 24-h Holter ECG and echocardiography of 199 patients who underwent the procedures due to complaints of palpitation. A frequency of < 10% PVCs / 24 h was classified as seldom group (98 patients), while > 10% PVCs / 24 h was designated as frequent group (101 patients). Results: Tp-e interval was significantly longer (62 [54-78] vs 75 [60-84], …


Frequency Of Peripheral Blood Eosinophilia And Obstructive Airway Disease In Sarcoidosis, Bi̇lal Rabahoğlu, Fatma Sema Oymak, Burcu Baran Ketenci̇oğlu, Nuri̇ Tutar, İnci̇ Gülmez, İnsu Yilmaz Jan 2021

Frequency Of Peripheral Blood Eosinophilia And Obstructive Airway Disease In Sarcoidosis, Bi̇lal Rabahoğlu, Fatma Sema Oymak, Burcu Baran Ketenci̇oğlu, Nuri̇ Tutar, İnci̇ Gülmez, İnsu Yilmaz

Turkish Journal of Medical Sciences

Background/aim: There is limited information about peripheral blood eosinophilia (PBE) and airway obstruction in sarcoidosis. Since pulmonary sarcoidosis affects the airways, it is often confused with asthma. The aims of the study are to investigate airway obstruction and PBE in sarcoidosis patients and to examine the similarity of clinical presentation with asthma. Materials and methods: The patients matching the ATS/ERS/WASOG diagnosis criteria and were between 18 and 80 years of age were included consecutively between 2018 and 2020. Other diseases causing granulomas were excluded. Results: A total of 84 patients were included of which 26 (31%) had a PBE level …


Investigation Of The Correlation Between Mood Disorder Symptoms And Disease Activityand Functional Status In Rheumatoid Arthritis Patients, Meli̇h Pamukcu, Tuğba İzci̇ Duran, Hasan Ulusoy, Kürşat Altinbaş Jan 2021

Investigation Of The Correlation Between Mood Disorder Symptoms And Disease Activityand Functional Status In Rheumatoid Arthritis Patients, Meli̇h Pamukcu, Tuğba İzci̇ Duran, Hasan Ulusoy, Kürşat Altinbaş

Turkish Journal of Medical Sciences

Background/aim: To investigate the correlation between depressive-anxiety symptoms, mixed features, disease activity, and functional status in patients with rheumatoid arthritis (RA) in the light of the shared underlying etiology in both disorders. Materials and methods: The study included 556 patients with RA. RA disease activity was measured using the Disease Activity Score 28-joint count C reactive protein (DAS28-CRP), and the patients were evaluated by a Health Assessment Questionnaire (HAQ). The Hospital Anxiety and Depression Scale (HADS), Mood Disorder Questionnaire (MDQ), and Modified Hypomania Checklist (mHCL) were used to evaluate the mixed depression and bipolarity status of the patients. Results: Of …


The Potential Role Of Human Hiv-1 Tat-Interactive Protein 2levels In The Pathogenesis Of Contact Dermatitis, Mahmut Sami̇ Meti̇n, Handan Bi̇len, Ömer Faruk Elmas, Necmetti̇n Akdeni̇z Jan 2021

The Potential Role Of Human Hiv-1 Tat-Interactive Protein 2levels In The Pathogenesis Of Contact Dermatitis, Mahmut Sami̇ Meti̇n, Handan Bi̇len, Ömer Faruk Elmas, Necmetti̇n Akdeni̇z

Turkish Journal of Medical Sciences

Background/aim: Human HIV-1 TAT interactive protein 2 (HTATIP2/TIP30) is a gene that is extensively expressed in human tissues as well as in tumor tissues. This study aimed to explore the potential role of HTATIP2/TIP30 in contact dermatitis (CD), which is one of the most common inflammatory cutaneous conditions. Materials and methods: This cross-sectional study involved adult patients with acute contact dermatitis who were admitted to the outpatient dermatology clinic of a tertiary hospital and healthy adult volunteers without any cutaneous or systemic diseases. The blood concentration of HTATIP2/TIP30 was measured using ELISA kits. Results: The research sample consisted of 31 …


Three-Dimensional Assessment Of Pharyngeal Airway In Individuals With Myotonicdystrophy Type 1, Burcu Evli̇ce, Ayşe Fi̇li̇z Koç, Hazal Duyan, Damla Soydan Çabuk Jan 2021

Three-Dimensional Assessment Of Pharyngeal Airway In Individuals With Myotonicdystrophy Type 1, Burcu Evli̇ce, Ayşe Fi̇li̇z Koç, Hazal Duyan, Damla Soydan Çabuk

Turkish Journal of Medical Sciences

Background/aim: The objectives of this study were to assess pharyngeal airway volume (PAV) in patients with myotonic dystrophy type 1 (DM1) by cone-beam computerized tomography (CBCT) and to evaluate the impact of diaphragm thickness and pulmonary function tests on PAV. Materials and methods: Thirty DM1 patients (10 female and 20 male; mean age 42.40 ± 12.07) were included in the study. Age and sex-matched thirty patients were participated as control group. In DM1 group pulmonary function tests (PFT) were performed. Independent t-test was used to compare PAV values of patients with DM1 and control group. The Mann-Whitney U test was …


Serum Chitotriosidase And Ykl-40 In Acute Pancreatitis: Reliability As Prognostic Markerfor Disease Severity And Correlation With Inflammatory Markers, Ece Ünal Çeti̇n, Fati̇h Kamiş, Adi̇l Uğur Çeti̇n, Yavuz Beyazi̇t, Murat Keki̇lli̇ Jan 2021

Serum Chitotriosidase And Ykl-40 In Acute Pancreatitis: Reliability As Prognostic Markerfor Disease Severity And Correlation With Inflammatory Markers, Ece Ünal Çeti̇n, Fati̇h Kamiş, Adi̇l Uğur Çeti̇n, Yavuz Beyazi̇t, Murat Keki̇lli̇

Turkish Journal of Medical Sciences

Background/aim: Chitotriosidase and YKL-40, also called chitinase 3-like protein 1, are homologs of family 18 glycosyl hydrolases, secreted by human macrophages and granulocytes under inflammatory conditions. Although increased levels of chitotriosidase and YKL-40 are linked with several inflammatory diseases, the physiological utility of these two enzymes is still not fully characterized. This study aims to analyse the serum YKL-40 and chitotriosidase levels of acute pancreatitis patients to assess whether their activity correlates with acute pancreatitis and its severity. Materials and methods: Chitotriosidase and YKL-40 levels, along with routine laboratory parameters, were determined from the serum samples of 41 acute pancreatitis …


Investigation Of The Effects Of Angiotensin Converting Enzyme Inhibitors And Angiotensinreceptor Blockers On Anemia In Patients With Normal Or Mildly Low Glomerular Filtrationrate, Betül Ergün, Aysun Aybal Kutlugün, Mustafa Çağri Ergün, Gali̇p Aktürk, Esi̇n Beyan Jan 2021

Investigation Of The Effects Of Angiotensin Converting Enzyme Inhibitors And Angiotensinreceptor Blockers On Anemia In Patients With Normal Or Mildly Low Glomerular Filtrationrate, Betül Ergün, Aysun Aybal Kutlugün, Mustafa Çağri Ergün, Gali̇p Aktürk, Esi̇n Beyan

Turkish Journal of Medical Sciences

Background/aim: The relationship between the activation of the renin-angiotensin system and the increase in erythropoiesis has been shown in many studies. In addition, the use of angiotensin converting enzyme inhibitors (ACEIs) or angiotensin-receptor blockers (ARB) has been reported to reduce hemoglobin levels in various patient groups at risk for secondary erythrocytosis/polycythemia. The aim of our study is to investigate whether there is a change in hemoglobin levels after starting ACEIs or ARBs in patients who have not used them before. Materials and methods: Three hundred and fifty-one patients who were started on renin angiotensin aldosterone system (RAAS) blockers were evaluated …