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The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege Jan 2021

The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege

Turkish Journal of Medical Sciences

Background/aim: Programmed death ligand-1 (PD-L1) is a predictive marker for immunotherapeutic agents. However, heterogeneous staining of PD-L1 can cause false-negative results. The aim of this study is to evaluate the importance of histological patterns on PD-L1 staining heterogeneity in lung adenocarcinomas (LAC). Materials and methods: PD-L1 immunohistochemistry (IHC) stain was performed to two different tissue cores of 128 LAC cases, and cut-off values are given for grouping the cases according to the percentage of staining (1%-10%, 11%-49%, 50%-100%). Staining rates between cores were compared and analyzed by their histological patterns. Also, the relation of the PD-L1 expression with the clinicopathological …


Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz Jan 2021

Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study was to evaluate the etiology, clinical characteristics, and outcome of nontraumatic coma (NTC) among children admitted to a pediatric intensive care unit (PICU). Materials and methods: A total of 159 children with NTC were included in the study. The modified Glasgow coma scale (GCS) was used to assess consciousness. Patients were classified with regard to etiology. For each patient, demographic and clinical characteristics, survival and degree of disability at PICU discharge were recorded. Results: Median age was 55 months (IQR: 17.0 - 109.0). The most common cause of NTC was neuroinfection (31.4%) followed by …


Imaging Modalities Used In Diagnosis And Follow-Up Of Patients With Takayasu's Arteritis, Ayşe Bahar Keleşoğlu Di̇nçer, Levent Kiliç, Abdulsamet Erden, Umut Kalyoncu, Tuncay Hazirolan, Sedat Ki̇raz, Ömer Karadağ Jan 2021

Imaging Modalities Used In Diagnosis And Follow-Up Of Patients With Takayasu's Arteritis, Ayşe Bahar Keleşoğlu Di̇nçer, Levent Kiliç, Abdulsamet Erden, Umut Kalyoncu, Tuncay Hazirolan, Sedat Ki̇raz, Ömer Karadağ

Turkish Journal of Medical Sciences

Background/aim: Takayasu's arteritis (TA) is a rare, large-vessel vasculitis of unknown etiology, affecting aortic arch, and its main branches. Noninvasive imaging methods are frequently used in diagnosis and follow-up in Takayasu's arteritis. Studies investigating optimal timing of follow up imaging are rare. This study is aimed to investigate the radiologic changes in vascular involvements of Takayasu's arteritis patients one year after diagnosis. Materials and methods: Database of our Vasculitis Center was analyzed retrospectively and 97 patients were included into the study. Demographic, clinical, radiological, and therapeutic findings of patients were recorded. Patients with follow-up imaging after approximately one year of …


Does Fludrocortisone Treatment Cause Hypomagnesemia In Children With Primaryadrenal Insufficiency?, İbrahi̇m Mert Erbaş, Selda Ayça Altincik, Gönül Çatli, Tolga Ünüvar, Bayram Özhan, Ayhan Abaci, Ahmet Anik Jan 2021

Does Fludrocortisone Treatment Cause Hypomagnesemia In Children With Primaryadrenal Insufficiency?, İbrahi̇m Mert Erbaş, Selda Ayça Altincik, Gönül Çatli, Tolga Ünüvar, Bayram Özhan, Ayhan Abaci, Ahmet Anik

Turkish Journal of Medical Sciences

Background/aim: Aldosterone is a mineralocorticoid that secreted from adrenal glands and a known factor to increase magnesium excretion by direct and indirect effects on renal tubular cells. Although the frequency of hypomagnesemia was found to be approximately 5% in adult studies, there is no study in the literature investigating the frequency of hypomagnesemia in children by using fludrocortisone, which has a mineralocorticoid activity. Materials and methods: A multi-center retrospective study was conducted, including children who were under fludrocortisone treatment for primary adrenal insufficiency and applied to participant pediatric endocrinology outpatient clinics. Results: Forty-three patients (58.1% male, 41.9% prepubertal) included in …


Diagnostic Efficacy Of Apparent Diffusion Coefficient Measurements In Differentiation Ofmalignant Intra-Axial Brain Tumors, İlker Eyüboğlu, İsmet Mi̇raç Çakir, Serdar Aslan, Ahmet Sari Jan 2021

Diagnostic Efficacy Of Apparent Diffusion Coefficient Measurements In Differentiation Ofmalignant Intra-Axial Brain Tumors, İlker Eyüboğlu, İsmet Mi̇raç Çakir, Serdar Aslan, Ahmet Sari

Turkish Journal of Medical Sciences

Background/aim: To evaluate diagnostic efficacy of the apparent diffusion coefficient measurements from tumor (ADCt) and tumor circumference hyperintensities (ADCtch) in different types of malignant intra-axial brain tumors. Materials and methods: Between April 2013 and June 2017, 125 patients (52 females (41.6%) and 73 males (58.4%); mean age: 53 years, age range: 14-81 years), who underwent diffusion-weighted imaging (DWI) with intracranial mass, were retrospectively evaluated. The mean ADCt and ADCtch values and ratios were measured. Results: Of the 125 patients, 22 (17.6%) had a low-grade glioma (LGG), 55 (44%) had a high-grade glioma (HGG), 32 (25.6%) had metastasis, and 16 (12.8%) …


Turkish Reliability And Validity Study Of The Medical Outcomes Study (Mos) Sleep Scale Inpatients With Obstructive Sleep Apnea, Bülent Devri̇m Akçay, Duygu Akçay, Si̇nan Yetki̇n Jan 2021

Turkish Reliability And Validity Study Of The Medical Outcomes Study (Mos) Sleep Scale Inpatients With Obstructive Sleep Apnea, Bülent Devri̇m Akçay, Duygu Akçay, Si̇nan Yetki̇n

Turkish Journal of Medical Sciences

Background/aim: The purpose of the present study was to evaluate the Turkish reliability and validity of the medical outcomes study (MOS) sleep scale in patients who have obstructive sleep apnea. Materials and methods: The data of the study were collected from 120 adult patients with obstructive sleep apnea and from 90 healthy individuals between March 04 and May 31, 2019. Results: The Cronbach's α internal consistency reliability coefficient of the MOS sleep scale was found as 0.82. The test-retest reliability was acceptable (r = 0.76-0.94). Six factors were identified by the factor analysis. These were the same as those in …


The Effect Of Induction Loop System Use Training On Adults With Hearing Aids, Merve Burcu Özay, Hüseyi̇n Özay, Selhan Gürkan, Serpi̇l Mungan Durankaya, Tahsi̇n Oğuz Başokçu, Günay Kirkim Jan 2021

The Effect Of Induction Loop System Use Training On Adults With Hearing Aids, Merve Burcu Özay, Hüseyi̇n Özay, Selhan Gürkan, Serpi̇l Mungan Durankaya, Tahsi̇n Oğuz Başokçu, Günay Kirkim

Turkish Journal of Medical Sciences

Background/aim: The study aimed to investigate the effect of training on hearing aid users to benefit from induction loop systems. Materials and methods: A five-question scale was developed to evaluate whether individuals using hearing aids could use the induction loop system effectively. In the first step, validity-reliability studies were performed with 264 individuals using hearing aids. In the second step, 30 individuals using hearing aids were given verbal and hands-on training on the induction loop system. Before and after training with hearing aids (noiseless, noise, noise + induction system active) in three different environments, questions on the scale were asked …


Efficacy, Retention, And Safety Of Tofacitinib In Real-Life: Hur-Bio Monocentric Experience, Emre Bi̇lgi̇n, Furkan Ceylan, Emi̇ne Duran, Bayram Fari̇soğullari, Ertuğrul Çağri Bölek, Gözde Kübra Yardimci, Levent Kiliç, Ali̇ Akdoğan, Ömer Karadağ, Şazi̇ye Şule Apraş Bi̇lgen, Sedat Ki̇raz, Ali̇ İhsan Ertenli̇, Umut Kalyoncu Jan 2021

Efficacy, Retention, And Safety Of Tofacitinib In Real-Life: Hur-Bio Monocentric Experience, Emre Bi̇lgi̇n, Furkan Ceylan, Emi̇ne Duran, Bayram Fari̇soğullari, Ertuğrul Çağri Bölek, Gözde Kübra Yardimci, Levent Kiliç, Ali̇ Akdoğan, Ömer Karadağ, Şazi̇ye Şule Apraş Bi̇lgen, Sedat Ki̇raz, Ali̇ İhsan Ertenli̇, Umut Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: To assess the real-life efficacy, retention rate, and safety data of tofacitinib in rheumatoid arthritis (RA) patients. Materials and methods: We analyzed all patients registered in the HURBİO database who received at least 1 dose of tofacitinib. Patients who received at least one dose were included in retention analysis; patients with at least 1 control visit were included in efficacy and safety analysis. Factors predicting good response at the last follow-up visit were analyzed by logistic regression analysis. Drug retention rates were calculated using the Kaplan-Meier method and predictors of drug retention were determined by Cox proportional hazard model. …


Muc1 And Muc5ac Implication In Tunisian Colorectal Cancer Patients, Meriam Hazgui, Marwa Weslati, Rahma Boughriba, Donia Ounissi, Dhouha Bacha, Saadia Bouraoui Jan 2021

Muc1 And Muc5ac Implication In Tunisian Colorectal Cancer Patients, Meriam Hazgui, Marwa Weslati, Rahma Boughriba, Donia Ounissi, Dhouha Bacha, Saadia Bouraoui

Turkish Journal of Medical Sciences

Background/aim: Mucins, such as MUC1 and MUC5AC, are known for their protective and moisturizing role in intestinal epithelium. Their expression is tightly controlled given their essential role in normal tissue homeostasis, whereas their deregulation leads to chronic inflammation, and even cancer. This study aimed to assess the expression profiles of MUC1 and MUC5AC and their implications in colorectal carcinogenesis. Materials and methods: A retrospective study of 202 patients who underwent colorectal cancer (CRC) surgery was conducted. The expression of MUC1 and MUC5AC was investigated by immunohistochemistry and reverse-transcription polymerase chain reaction (RT-PCR). Statistical analysis of mucin expression pattern, as well …


Impaired Integrity Of Commissural And Association Fibers In Essential Tremor Patients:Evidence From A Diffusion Tensor Imaging Study, Aygül Tanti̇k Pak, Yildizhan Şengül, Hafi̇ze Otcu Temur, Alpay Alkan Jan 2021

Impaired Integrity Of Commissural And Association Fibers In Essential Tremor Patients:Evidence From A Diffusion Tensor Imaging Study, Aygül Tanti̇k Pak, Yildizhan Şengül, Hafi̇ze Otcu Temur, Alpay Alkan

Turkish Journal of Medical Sciences

Background/aim: The evolving understanding of essential tremors (ET) has led to a new definition of neurodegenerative disease, pointing to diffuse brain network involvement with a wide spectrum of associated motor and nonmotor symptoms. Considering the fact that white matter should also be affected by the nature of the disease, our study aimed to evaluate the integrity of white matter and its clinical correlations in ET patients. Materials and methods: Approximately 40 patients diagnosed with ET and 40 age-and sex-matched control subjects (ranging between 18-80 years old) were included in the study. The sociodemographic characteristics and clinical features of the patients …


What Is The Predictive Value Of Preoperative Ca 125 Level On The Survival Rate Of Type 1endometrial Cancer?, Şafak Yilmaz Baran, Songül Alemdaroğlu, Gülşen Doğan Durdağ, Seda Yüksel Şi̇mşek, Fi̇li̇z Bolat, Fati̇h Köse, Hüsnü Çeli̇k Jan 2021

What Is The Predictive Value Of Preoperative Ca 125 Level On The Survival Rate Of Type 1endometrial Cancer?, Şafak Yilmaz Baran, Songül Alemdaroğlu, Gülşen Doğan Durdağ, Seda Yüksel Şi̇mşek, Fi̇li̇z Bolat, Fati̇h Köse, Hüsnü Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: To investigate the utility of preoperative serum cancer antigen 125 (CA 125) levels in type 1 endometrial carcinoma (EC) as a marker for determining poor prognostic factors and survival. Material and methods: All patients with endometrial cancer, who had been treated between 2012 and 2020, were retrospectively reviewed, and finally, 256 patients with type 1 endometrium carcinoma were included in the study. The relationship between the clinicopathological characteristics, CA 125 level, and survival rates were analyzed. The cut-off value for the preoperative serum CA 125 level was defined as 16 IU/L. Results: The median serum CA 125 levels were …


Subcapsular Local Anesthesia Approach In Percutaneous Liver Biopsy: Less Pain, Morecomfort, Özgür Çakir, Can Aksu Jan 2021

Subcapsular Local Anesthesia Approach In Percutaneous Liver Biopsy: Less Pain, Morecomfort, Özgür Çakir, Can Aksu

Turkish Journal of Medical Sciences

Background/aim: To compare the subjective level of pain in patients who underwent an ultrasound-guided percutaneous liver biopsy (PLB) after either pericapsular anesthesia (PA) or subcapsular anesthesia (SA), based on the numeric rating scale (NRS). Materials and methods: A total of 323 patients, mean age 51, range 21-82 years; 160 (49.5%) male, referred to the Interventional Radiology Clinic of Kocaeli University Faculty of Medicine for image-guided PLB, between June 2019 and May 2020 were included and randomized into two groups by anesthetic type; the first (n = 171) consisted of patients undergoing SA while the second (n = 152) included patients …


The Prognostic Value Of Serum Levels Of A Proliferation-Inducing Ligand (April) Intreatment-Naïve Patients With Chronic Lymphocytic Leukemia, Si̇nem Ni̇hal Esatoğlu, Di̇lek Keski̇n, Ahmet Emre Eşkazan, Tuğrul Elverdi̇, Ayşe Sali̇hoğlu, Muhli̇s Cem Ar, Şeni̇z Öngören, Zafer Başlar, Yildiz Aydin, Hafi̇ze Uzun, Teoman Soysal Jan 2021

The Prognostic Value Of Serum Levels Of A Proliferation-Inducing Ligand (April) Intreatment-Naïve Patients With Chronic Lymphocytic Leukemia, Si̇nem Ni̇hal Esatoğlu, Di̇lek Keski̇n, Ahmet Emre Eşkazan, Tuğrul Elverdi̇, Ayşe Sali̇hoğlu, Muhli̇s Cem Ar, Şeni̇z Öngören, Zafer Başlar, Yildiz Aydin, Hafi̇ze Uzun, Teoman Soysal

Turkish Journal of Medical Sciences

Background/aim: A proliferation-inducing ligand (APRIL) has been investigated as a prognostic marker in chronic lymphocytic leukemia (CLL) patients. However, there is no cut-off level for serum APRIL (sAPRIL) levels that predict time to treatment in CLL patients. Materials and methods: Between May and December 2012, 94 consecutive CLL patients and 25 healthy controls were assessed. sAPRIL levels were measured by ELISA. Demographic data and prognostic markers were obtained from the patients' files. Treatment-naïve patients were followed up for 6.5 years for any treatment need. Results: Patients were divided into 3 groups: Treatment-naïve (n = 47), chemotherapy receiving (n = 25), …


Assessment Of St2 And Reg3a Levels In Patients With Acute Graft-Versus-Host Disease Afterallogeneic Hematopoietic Stem Cell Transplantation, Eli̇fcan Aladağ Karakulak, Haluk Demi̇roğlu, Ümi̇t Yavuz Malkan, Ümi̇t Akman, Hakan Göker, Yahya Büyükaşik Jan 2021

Assessment Of St2 And Reg3a Levels In Patients With Acute Graft-Versus-Host Disease Afterallogeneic Hematopoietic Stem Cell Transplantation, Eli̇fcan Aladağ Karakulak, Haluk Demi̇roğlu, Ümi̇t Yavuz Malkan, Ümi̇t Akman, Hakan Göker, Yahya Büyükaşik

Turkish Journal of Medical Sciences

Background/aim: Graft-versus-host disease (GVHD) is a crucial complication leading to significant morbidity and mortality allogeneic hematopoietic stem cell transplantation which occurs in approximately half of the transplant recipients. Suppression of tumorigenicity 2 (ST2) and regenerating islet-derived 3-alpha(Reg3a) might be important biomarkers to predict acute GVHD. Materials and methods: In the present study, blood samples were collected from 17 patients with acute GVHD and 12 control patients after allogeneic stem cell transplantation. ST2 and Reg3a were measured in plasma samples compared in patients with acute GVHD and the controls. Results: Median age of the study population was 42 years (range 19-49). …


Lateral Frontal Galeal-Cutaneous Flap For Reconstruction After Orbital Exenteration Foradvanced Periorbital Skin Cancer, Predrag Kovacevic, Jasmina Djordjevic-Jocic, Milan Radojkovic Jan 2021

Lateral Frontal Galeal-Cutaneous Flap For Reconstruction After Orbital Exenteration Foradvanced Periorbital Skin Cancer, Predrag Kovacevic, Jasmina Djordjevic-Jocic, Milan Radojkovic

Turkish Journal of Medical Sciences

Background/aim: Orbital exenteration (OE) is one of the most disfiguring procedures leading to significant deformity. Defect reconstruction is challenging, especially in elderly patients. Herein, experiences with orbital exenteration and primary reconstruction with lateral frontal galeal-cutaneous flap based on superficial temporal artery were reviewed. Materials and methods: Data on patients treated for nonmelanoma skin cancer invading the orbit during a 10-year period were analyzed. The patient demographics, tumor features, reconstructive techniques used, complications, and survival were recorded with a median follow-up of 27.5 months. Results: Included in the study were 26 patients in whom OE was performed, comprising 14 males and …


Lycopene Sensitizes The Cervical Cancer Cells To Cisplatin Via Targeting Nuclear Factorkappab (Nf-��B) Pathway, Oktay Hali̇t Aktepe, Taha Koray Şahi̇n, Gürkan Güner, Zafer Arik, Şuayi̇b Yalçin Jan 2021

Lycopene Sensitizes The Cervical Cancer Cells To Cisplatin Via Targeting Nuclear Factorkappab (Nf-��B) Pathway, Oktay Hali̇t Aktepe, Taha Koray Şahi̇n, Gürkan Güner, Zafer Arik, Şuayi̇b Yalçin

Turkish Journal of Medical Sciences

Background/aim: Lycopene is associated with anticancer effects in various tumor types. However, the exact underlying mechanisms of action of lycopene in human cervical cancer remain to be determined. This study aimed to determine anticancer efficacy and mechanism of lycopene in human cervical carcinoma (HeLa) cells. Materials and methods: HeLa cells were treated with cisplatin (1 μM) alone, lycopene (10 μM) alone, and in combination for 72 h. The cell viability of HeLa cells was assessed via MTS assay. Western blot was used to analyze the expression levels of the nuclear factor-kappa B (NF-ΚB), B-cell-associated X protein (Bax), nuclear factor erythroid …


Stereological And Histopathological Evaluation Of The Effect Of Thymoquinone Onperidural Fibrosis Following Laminectomy In Rats, Dursun Türköz, Aytaç Türköz, Mehmet Emi̇n Önger, Eni̇s Kuruoğlu Jan 2021

Stereological And Histopathological Evaluation Of The Effect Of Thymoquinone Onperidural Fibrosis Following Laminectomy In Rats, Dursun Türköz, Aytaç Türköz, Mehmet Emi̇n Önger, Eni̇s Kuruoğlu

Turkish Journal of Medical Sciences

Background/aim: This study's aim was to investigate the effects of thymoquinone, which is the essential bioactive component of the volatile oil of Nigella sativa on the peridural fibrosis in rats following laminectomy. Materials and methods: Twenty female Wistar Albino rats were used in our study. The rats were randomly divided into 2 groups: Sham and Surgery + Thymoquinone. Both groups underwent laminectomy at L1 under general anesthesia. The Sham group was not subjected to any drug application. The 2nd group was treated with intraperitoneal 10-mg/kg thymoquinone once per day for a period of 28 days, following the same surgical procedure. …


Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran Jan 2021

Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran

Turkish Journal of Medical Sciences

Background/aim:COVID-19 has become the biggest health problem of this century. It has been hypothesized that immunity against hepatitis A virus (HAV) may provide protection from COVID- 19. Materials and methods: As of 10June 2020, the infection had spread to 213 countries, with 7.3 million people infected and 413,733 dead. This data was combined with the World Health Organization susceptibility classification on the worldwide prevalence of HAV, and the relationship between HAV susceptibility and COVID-19 mortality were analyzed. Results: When the data from 213 countries were analyzed, it was found that there was a significant increasing trend in COVID-19 mortality rates …


Covid-19 Third Wave: A Challenge For Overburdened And Underdeveloped Healthcaresystem Of Pakistan, Mohammad Ejaz, Muhammad Ali Syed Jan 2021

Covid-19 Third Wave: A Challenge For Overburdened And Underdeveloped Healthcaresystem Of Pakistan, Mohammad Ejaz, Muhammad Ali Syed

Turkish Journal of Medical Sciences

No abstract provided.


Retrospective Evaluation Of Seven Different Treatment Protocols In Hospitalizedcovid-19 Patients, Kübra Demi̇r Önder, Ayşegül Seremet Keski̇n, Hande Berk Cam, Derya Seyman, Nefi̇se Öztoprak Çuvalci Jan 2021

Retrospective Evaluation Of Seven Different Treatment Protocols In Hospitalizedcovid-19 Patients, Kübra Demi̇r Önder, Ayşegül Seremet Keski̇n, Hande Berk Cam, Derya Seyman, Nefi̇se Öztoprak Çuvalci

Turkish Journal of Medical Sciences

Background/aim: As the experience has increased regarding SARS-CoV-2 in time, treatment trends have changed since the beginning of the pandemic. This study aimed to compare the outcomes of different treatment modalities for inpatients in a tertiary pandemic hospital in Antalya, Turkey. Materials and methods: Individuals aged 18 years and above who tested positive for SARS-CoV-2 in PCR with presenting COVIDrelated radiological findings, hospitalized for at least 3 days, and completed follow-up between March 15, 2020 and November 30, 2020 were included in the study. Patients' data were reviewed retrospectively. Seven treatment groups based on the single or combined use of …


Value Of Strain-Wave Sonoelastography As An Imaging Modality In Assessment Ofbenign Acute Myositis In Children, Ayşe Seçi̇l Ekşi̇oğlu, Ayla Akca Çağlar, Seda Kaynak Şahap, Can Demi̇r Karacan, Ni̇lden Tuygun Jan 2021

Value Of Strain-Wave Sonoelastography As An Imaging Modality In Assessment Ofbenign Acute Myositis In Children, Ayşe Seçi̇l Ekşi̇oğlu, Ayla Akca Çağlar, Seda Kaynak Şahap, Can Demi̇r Karacan, Ni̇lden Tuygun

Turkish Journal of Medical Sciences

Background/aim: Although sonoelastography is applied in assessment of many organs, studies for evaluation of muscles are very few in number and are mostly limited to adults. With this prospective study, we aimed to evaluate the value of sonoelastography in assessment of influenza related benign acute myositis in children. Materials and methods: This study enrolled 25 patients with a clinical diagnosis of benign acute childhood myositis (BACM) and 25 age and sex-matched healthy controls. All patients presented to our emergency department with the complaint of inability to walk and had increased serum creatine kinase (CK) levels. All patients underwent strain elastography …


Evaluation Of The Effects Of Locally Applied Rosuvastatin On Bone Formation In A Threedimensional Reconstruction Rabbit Xenograft Model, Taha Özer, Alper Aktaş, Canseda Avağ, Ayşegül Firat, Mert Ocak, Fevzi̇ye Fi̇gen Kaymaz, Hakan Hamdi̇ Çeli̇k Jan 2021

Evaluation Of The Effects Of Locally Applied Rosuvastatin On Bone Formation In A Threedimensional Reconstruction Rabbit Xenograft Model, Taha Özer, Alper Aktaş, Canseda Avağ, Ayşegül Firat, Mert Ocak, Fevzi̇ye Fi̇gen Kaymaz, Hakan Hamdi̇ Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: Guided bone regeneration (GBR) is commonly performed to repair bone defects, and rigid occlusive titanium barriers play a vital role in bone formation in regions with no prior bone tissue. The statin, rosuvastatin (RSV), strongly affects bone apposition when applied locally. Here, we aimed to evaluate the anabolic effects of locally applied RSV with a xenograft placed on rabbit calvaria. Materials and methods: Two rigid occlusive titanium caps were used in 16 rabbits after decorticating the calvarial bone. In the control group, the area under the cap was filled with a xenograft, while in the RSV group, a xenograft …


Perspectives For Immune Plasma Treatment Of Covid-19, Başak Sayinalp, Olgu Erki̇n Çinar, İbrahi̇m Celaletti̇n Haznedaroğlu Jan 2021

Perspectives For Immune Plasma Treatment Of Covid-19, Başak Sayinalp, Olgu Erki̇n Çinar, İbrahi̇m Celaletti̇n Haznedaroğlu

Turkish Journal of Medical Sciences

Background/aim: The SARS-CoV-2 infection was declared as a pandemic by the World Health Organization (WHO) on March 11, 2020, and the death toll from COVID-19, which is the disease caused by SARS-CoV-2, has already surpassed that of many previous epidemics. A wide variety of treatment options are being considered for COVID-19, but there is still no definitive treatment or vaccine. This study aims to explain the background of convalescent plasma (CP) treatment and its relations with COVID-19 immunity, to define ideal treatment procedures, and to reveal present and future perspectives in the light of the rapidly growing data. Immunological basis …


Hydroxychloroquine Plus Azithromycin And Early Hospital Admission Are Beneficial Incovid-19 Patients: Turkish Experience With Real-Life Data, Eli̇f Tanriverdi̇, Mustafa Çörtük, Bi̇nnaz Zeynep Yildirim, Efsun Gonca Uğur Chousein, Demet Turan, Hali̇t Çinarka, Mehmet Aki̇f Özgül, Erdoğan Çeti̇nkaya Jan 2021

Hydroxychloroquine Plus Azithromycin And Early Hospital Admission Are Beneficial Incovid-19 Patients: Turkish Experience With Real-Life Data, Eli̇f Tanriverdi̇, Mustafa Çörtük, Bi̇nnaz Zeynep Yildirim, Efsun Gonca Uğur Chousein, Demet Turan, Hali̇t Çinarka, Mehmet Aki̇f Özgül, Erdoğan Çeti̇nkaya

Turkish Journal of Medical Sciences

Background/aim: New treatment regimens for COVID-19, which has threatened the world recently, continue to be investigated. Although some of the treatments are promising, it is thought to be early to state that there is definitive treatment. Experiences and treatment protocol studies from treatment centers are still important. The aim of this study is to evaluate factors affecting the treatment process of the first cases followed in our clinic. Materials and methods: The consecutive hospitalized patients with COVID-19 pneumonia were analyzed in this retrospective and cross-sectional study. Data were recorded from the electronic and written files of patients. Results: Eighty-three patients …


Comparison Of The Clinical And Sonographic Effects Of Ultrasound Therapy, Extracorporealshock Wave Therapy, And Kinesio Taping In Lateral Epicondylitis, Tarik Özmen, Sali̇h Süha Koparal, Özlem Karataş, Fi̇li̇z Eser, Bülent Özkurt, Tuba Ümi̇t Gafuroğlu Jan 2021

Comparison Of The Clinical And Sonographic Effects Of Ultrasound Therapy, Extracorporealshock Wave Therapy, And Kinesio Taping In Lateral Epicondylitis, Tarik Özmen, Sali̇h Süha Koparal, Özlem Karataş, Fi̇li̇z Eser, Bülent Özkurt, Tuba Ümi̇t Gafuroğlu

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to compare the clinical and sonographic effects of the ultrasound (US) therapy, extracorporeal shock wave therapy (ESWT), and Kinesio taping (KT) in the lateral epicondylitis (LE). Materials and methods: A total of 40 patients with LE were included in the present study. The patients were randomly assigned to 3 treatment groups: US (n = 13), ESWT (n = 14), and KT (n = 13) groups. Results: The visual analog scale (VAS) scores significantly decreased in all groups (P < 0.05). Grip strength significantly increased after 8 weeks in only the KT group (P < 0.05). The Patient-Rated Tennis Elbow Evaluation Scale (PRTEE) scores significantly decreased after 2 weeks and after 8 weeks in the US group and ESWT groups, and after 8 weeks in the KT group (P < 0.05). Common extensor tendon (CET) thicknesses significantly decreased after 8 weeks in only the ESWT group (P < 0.05). Conclusion: The US therapy, KT, and ESWT are effective in reducing pain and improving functionality. However, none of these treatment methods were found to be superior to others in reducing the pain and improving functionality.


Utility Of The Pleth Variability Index In Predicting Anesthesia-Induced Hypotension Ingeriatric Patients, Ahmet Yüksek Jan 2021

Utility Of The Pleth Variability Index In Predicting Anesthesia-Induced Hypotension Ingeriatric Patients, Ahmet Yüksek

Turkish Journal of Medical Sciences

Background/aim: Anesthesia-induced hypotension may have negative consequences in geriatric patients. Therefore, predicting hypotension remains an important topic for anesthesiologists. Pleth Variability Index (PVI) measurement provides information about the fluid status and vascular tonus of patients. In this study, the ability of the Pleth Variability Index to predict hypotension after general anesthesia induction was evaluated. Materials and methods: PVI values obtained from pulse oximetry were recorded, in addition to preoperative standard anesthesia monitoring. The correlation between the PVI value and mean arterial pressure (MAP), systolic arterial blood pressure (SAP) changes, and the power of PVI values to predict the incidence of …


Magnetic Resonance Imaging Histogram Analysis Of Corpus Callosum In A Functionalneurological Disorder, Sema Baykara, Murat Baykara, Osman Mermi̇, Hanefi̇ Yildirim, Murad Atmaca Jan 2021

Magnetic Resonance Imaging Histogram Analysis Of Corpus Callosum In A Functionalneurological Disorder, Sema Baykara, Murat Baykara, Osman Mermi̇, Hanefi̇ Yildirim, Murad Atmaca

Turkish Journal of Medical Sciences

Background/aim: The aim of the present study was to examine and compare the corpus callosum (CC) via histogram analysis (HA) on T1-weighted MR images of patients diagnosed with Functional Neurological Disorder (FND) and healthy controls. Materials and methods: The study group included 19 female patients diagnosed with FND, and the control group included 20 healthy subjects. All participants were scanned with a 1.5 T MR scanner. A high-resolution structural image of the entire brain was obtained with sagittal 3D spiral fast spin echo T1-weighted images. Gray level intensity, standard deviation of the histogram, entropy, uniformity, skewness, and kurtosis values were …


Continuous Renal Replacement Therapy In Critically Ill Children: Single-Center Experience, Gül Hati̇ce Erkol Tuncer, Mesi̇ha Eki̇m, Emel Okulu, Begum Atasay, Tanil Kendi̇rli̇ Jan 2021

Continuous Renal Replacement Therapy In Critically Ill Children: Single-Center Experience, Gül Hati̇ce Erkol Tuncer, Mesi̇ha Eki̇m, Emel Okulu, Begum Atasay, Tanil Kendi̇rli̇

Turkish Journal of Medical Sciences

Background/aim: Continuous renal replacement therapy (CRRT) has significant benefits in the treatment of critically ill children. The objective of this study is to describe the treatment indications, methods, demographics, and outcome of the patients who received CRRT in our pediatric intensive care unit and neonatal care unit, and, according to these results, we also aim to make improvements in our unit-based interventions. Material and methods: In this single-centered study, we retrospectively evaluated medical charts of the patients admitted to our intensive care units and received CRRT between February 2010 and November 2015. Results: Fifty of 60 patients were included in …


Evaluation Of Initial Chest Computed Tomography (Ct) Findings Of Covid-19pneumonia In 117 Deceased Patients: A Retrospective Study, Yasemi̇n Gündüz, Oğuz Karabay, Ali̇ Fuat Erdem, Erbi̇l Arik, Mehmet Hali̇l Öztürk Jan 2021

Evaluation Of Initial Chest Computed Tomography (Ct) Findings Of Covid-19pneumonia In 117 Deceased Patients: A Retrospective Study, Yasemi̇n Gündüz, Oğuz Karabay, Ali̇ Fuat Erdem, Erbi̇l Arik, Mehmet Hali̇l Öztürk

Turkish Journal of Medical Sciences

Background/aim: There is no study in the literature in which only chest computed tomography (CT) findings of deceased cases obtained at admission were examined, and the relationship between these findings and mortality was evaluated. Materials and methods: In this retrospective study, a total of 117 deceased patients with COVID-19 infection confirmed by positive polymerase chain reaction and undergone chest CT were enrolled. We evaluated initial chest CT findings and their relationship, location, prevalence, and the frequency with mortality. Results: The mean age of patients was 73 ±18 years; 71 of all patients were male and 46 were female. The predominant …


Impact Of Hospital-Acquired Acute Kidney Injury On Covid-19 Outcomes In Patients Withand Without Chronic Kidney Disease: A Multicenter Retrospective Cohort Study, Savaş Öztürk, Kenan Turgutalp, Mustafa Arici, Hakki Çeti̇nkaya, Mehmet Riza Altiparmak, Zeki̇ Aydin, Zeki̇ Soypaçaci, Feyza Bora, Ekrem Kara, Egemen Cebeci̇, Tuba Eli̇f Özler, Mürşi̇de Esra Dölarslan, Savaş Si̇pahi̇, Yavuz Ayar, İdri̇s Şahi̇n Jan 2021

Impact Of Hospital-Acquired Acute Kidney Injury On Covid-19 Outcomes In Patients Withand Without Chronic Kidney Disease: A Multicenter Retrospective Cohort Study, Savaş Öztürk, Kenan Turgutalp, Mustafa Arici, Hakki Çeti̇nkaya, Mehmet Riza Altiparmak, Zeki̇ Aydin, Zeki̇ Soypaçaci, Feyza Bora, Ekrem Kara, Egemen Cebeci̇, Tuba Eli̇f Özler, Mürşi̇de Esra Dölarslan, Savaş Si̇pahi̇, Yavuz Ayar, İdri̇s Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Hospital-acquired acute kidney injury (HA-AKI) may commonly develop in Covid-19 patients and is expected to have higher mortality. There is little comparative data investigating the effect of HA-AKI on mortality of chronic kidney disease (CKD) patients and a control group of general population suffering from Covid-19. Materials and methods: HA-AKI development was assessed in a group of stage 3-5 CKD patients and control group without CKD among adult patients hospitalized for Covid-19. The role of AKI development on the outcome (in-hospital mortality and admission to the intensive care unit [ICU]) of patients with and without CKD was compared. Results: …