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Clinical Features And Immunoglobulin Replacement Therapy Outcomes Of Adults Withcommon Variable Immunodeficiency: A Single Centre Experience, Uğur Haci̇ Muşabak, Tuba Erdoğan Jan 2021

Clinical Features And Immunoglobulin Replacement Therapy Outcomes Of Adults Withcommon Variable Immunodeficiency: A Single Centre Experience, Uğur Haci̇ Muşabak, Tuba Erdoğan

Turkish Journal of Medical Sciences

Background/aim: Common variable immunodeficiency (CVID) characterized by defective immunoglobulin production is the most prevalent form of symptomatic primary immunodeficiency (PID) in adults. We aimed to reveal the clinical features of adults with CVID and to evaluate the effects of immunoglobulin replacement treatment (IRT) on hemato-immunological findings. Materials and methods: This study included 26 adult patients receiving IRT. Two measurements of complete blood counts and major immunoglobulin levels obtained at the beginning-end of follow up period were used for comparisons. Lymphocyte subsets and B-cell subgroups were measured only at the time of presentation. Results: The most common complications were related to …


1,25-Dihydroxyvitamin D3 Regulates T Helper And B Lymphocyte Responsessubstantially In Drug-Naive Primary Sjögren's Syndrome Patients' Mononuclear Cells, Deni̇z Genç, Merve Sezer Kürkçü, Burcu Günaydin, Emi̇ne Fi̇gen Tarhan Jan 2021

1,25-Dihydroxyvitamin D3 Regulates T Helper And B Lymphocyte Responsessubstantially In Drug-Naive Primary Sjögren's Syndrome Patients' Mononuclear Cells, Deni̇z Genç, Merve Sezer Kürkçü, Burcu Günaydin, Emi̇ne Fi̇gen Tarhan

Turkish Journal of Medical Sciences

Background/aim: A correlation between vitamin D deficiency and primary Sjögren's syndrome (pSS) has already been described. The limited data has been reported regarding the pathological relevance of vitamin D in primary Sjögren's syndrome. In this study, the peripheral blood mononuclear cells were cocultured with 1,25-dihydroxyvitamin D3 to determine the modulatory effect of vitamin D3 on T and B lymphocyte phenotypes in pSS. Materials and methods: Venous blood samples were collected from 11 patients in the treatment phase and 9 drug-naive pSS patients. Peripheral blood mononuclear cells (PBMC) were isolated and separately cultured in the presence and absence of 1,25- dihydroxyvitamin …


The Role Of Gold Weight Implants In The Management Of Paralytic Lagophthalmos, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Recep Karamert, Süleyman Cebeci̇, Gökçen Cesur, Mücahi̇t Yalçin, Mehmet Düzlü, Hakan Tutar, Mehmet Bi̇rol Uğur, Alper Ceylan Jan 2021

The Role Of Gold Weight Implants In The Management Of Paralytic Lagophthalmos, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Recep Karamert, Süleyman Cebeci̇, Gökçen Cesur, Mücahi̇t Yalçin, Mehmet Düzlü, Hakan Tutar, Mehmet Bi̇rol Uğur, Alper Ceylan

Turkish Journal of Medical Sciences

Background/aim: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. Materials and methods: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The average age of the patients was 51.3 ± 14.5 years. Forty-five (57.7%) of them were male and 33 (42.3%) female. Patient satisfaction was measured with a questionnaire containing the most common complaints related to gold weight in the literature through telephone surveys. Results: The average follow-up time was 74.5 months. Ninety-three-point-five percent of subjects had operational causes, …


Warfarin Is Associated With The Risk Of Vascular Calcification In Abdominal Aorta Inhemodialysis Patients: A Multicenter Case-Control Study, Rezzan Eren Sadi̇oğlu, Evren Üstüner, İhsan Ergün, Süleyman Tevfi̇k Ecder, Gökhan Nergi̇zoğlu, Kenan Keven Jan 2021

Warfarin Is Associated With The Risk Of Vascular Calcification In Abdominal Aorta Inhemodialysis Patients: A Multicenter Case-Control Study, Rezzan Eren Sadi̇oğlu, Evren Üstüner, İhsan Ergün, Süleyman Tevfi̇k Ecder, Gökhan Nergi̇zoğlu, Kenan Keven

Turkish Journal of Medical Sciences

Background/aim: Vascular calcifications (VCs), recognized risk factor for increased mortality, are highly prevalent in hemodialysis (HD) patients. We aimed to investigate the relation between VC and warfarin use with plain radiography. Materials and methods: VCs were assessed using Adragao (radial and digital) and Kauppila (aortic) scores in 76 HD patients from six centers. Out of a total 711 HD patients, there were 32 (4.5%) who had been treated with warfarin for at least 1 year, and we included 44 control patients. Results: Of the patients, 47% were females, the mean age was 66 ± 9 years, 23% were diabetics, the …


Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n Jan 2021

Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n

Turkish Journal of Medical Sciences

Background/aim: Although allergic diseases are generally considered to be diseases of childhood and youth, the first symptoms of allergic diseases can be seen in old age sometimes. The aim of this study was to determine the prevalence and characteristics of allergic diseases in the elderly population admitted to the allergy unit on an outpatient basis. Materials and methods: The files of the patients who applied to our clinic's allergy unit during the 8-year period were retrospectively analyzed. The data of patients aged ≥ 65 years were obtained from the files of our allergy unit archive. Results: A total of 1272 …


The Role Of Circadian Rhythm In The Regulation Of Cellular Protein Profiles In The Brain, Mustafa Caglar Beker, Ertuğrul Kiliç Jan 2021

The Role Of Circadian Rhythm In The Regulation Of Cellular Protein Profiles In The Brain, Mustafa Caglar Beker, Ertuğrul Kiliç

Turkish Journal of Medical Sciences

Background/aim: Circadian rhythm plays a significant role in the regulation of almost all kinds of physiological processes. In addition, it may also have a direct or indirect effect on the neurodegenerative processes, including Alzheimer's disease, Parkinson's disease, and ischemic stroke. Therefore, the identification of circadian rhythm-related proteins is crucial to be able to understand the molecular mechanism of the circadian rhythm and to define new therapeutic target for the treatment of degenerative disorders. Materials and methods: To identify the light and dark regulated proteins, 8-12 weeks, male Balb/C mice were used at two different time points (morning (Zeitgeber time-0 (ZT0)) …


An Immunohistochemical Examination Of Cinnamon Extract Administration Ondistribution Of Ngf (Nerve Growth Factor) And Trk-A (Tyrosine Kinase-A) Receptor Fordiabetic Rats With Pancreatic Tissue, Şükran Yedi̇el Aras, Ebru Karadağ Sari Jan 2021

An Immunohistochemical Examination Of Cinnamon Extract Administration Ondistribution Of Ngf (Nerve Growth Factor) And Trk-A (Tyrosine Kinase-A) Receptor Fordiabetic Rats With Pancreatic Tissue, Şükran Yedi̇el Aras, Ebru Karadağ Sari

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to investigate the administration of cinnamon extract that is known to be effective in decreasing the high blood glucose and the distribution of NGF and Trk-A receptor in pancreas with immunohistochemistry way. Materials and methods: The experimental groups were defined as control, sham, cinnamon, diabetes, and diabetes-cinnamon. At the end of the experiment, the pancreatic tissue samples were obtained for the rats. The hematoxylin-eosin and triple staining were used to examine histology. The immunohistochemical methods were performed on the sections of pancreatic tissue. In all groups, the body weight and fasting blood glucose …


Effect Of Coronavirus Pandemic On Organ Donation And Transplantation In Turkey, Emi̇ne Gülşah Torun, Mutlu Uysal Yazici Jan 2021

Effect Of Coronavirus Pandemic On Organ Donation And Transplantation In Turkey, Emi̇ne Gülşah Torun, Mutlu Uysal Yazici

Turkish Journal of Medical Sciences

No abstract provided.


Effects Of Hydroxychloroquine And Favipiravir On Clinical Course In Outpatients Withcovid-19, Seyda Kayhan Ömeroğlu, Fehmi̇naz Temel, Di̇lek Altun, Mehmet Burak Öztop Jan 2021

Effects Of Hydroxychloroquine And Favipiravir On Clinical Course In Outpatients Withcovid-19, Seyda Kayhan Ömeroğlu, Fehmi̇naz Temel, Di̇lek Altun, Mehmet Burak Öztop

Turkish Journal of Medical Sciences

Background/aim: Due to the importance of early outpatient treatment to prevent hospitalization and disease progression, we examined the effects of hydroxychloroquine and favipiravir, which were initiated in early period, on the clinical course of COVID-19 outpatients. Materials and methods: Data of confirmed COVID-19 outpatients over a 4-month period were analyzed retrospectively. Public Health Management System (HSYS) was used for the case-based follow-up. Patients on antiviral therapy for at least five days, including hydroxychloroquine and / or favipiravir and patients who were followed-up for 30 days were included in this analysis. Results: We enrolled 1489 patients in this study. Overall, 775 …


Maintenance Of Pulmonary Rehabilitation Benefits In Patients With Copd: Is A Structured5-Year Follow-Up Program Helpful?, İpek Candemi̇r, Pinar Ergün, Mustafa Engi̇n Şahi̇n Jan 2021

Maintenance Of Pulmonary Rehabilitation Benefits In Patients With Copd: Is A Structured5-Year Follow-Up Program Helpful?, İpek Candemi̇r, Pinar Ergün, Mustafa Engi̇n Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Pulmonary rehabilitation (PR) has proven useful in patients with chronic obstructive pulmonary disease (COPD), but the benefits decrease over time. We evaluated the effects of a structured follow-up program after PR on patient pulmonary function, dyspnea, body composition, exercise capacity, quality of life, psychological status, i-BODE index, hospitalization status, 5-year survival rate. We explored whether this follow-up program could serve as a maintenance program. Materials and methods: COPD patients who completed PR attended follow-up visits over 5 years. We administered incremental (ISWT), endurance shuttle walk tests (ESWT), measured body (BMI), fat-free mass indices (FFMI), recorded modified Medical Research Council …


Assessment Of Diagnostic Value Of Preoperative Elastography In Thyroid Nodules Havingindeterminate Cytology Results, Beki̇r Uçan, Mustafa Şahi̇n, Bi̇nnur Önal, Muhammed Kizilgül, Hakan Düğer, Muhammed Erkam Sencar, Erman Çakal, Mustafa Özbek Jan 2021

Assessment Of Diagnostic Value Of Preoperative Elastography In Thyroid Nodules Havingindeterminate Cytology Results, Beki̇r Uçan, Mustafa Şahi̇n, Bi̇nnur Önal, Muhammed Kizilgül, Hakan Düğer, Muhammed Erkam Sencar, Erman Çakal, Mustafa Özbek

Turkish Journal of Medical Sciences

Background/aim: The management of nodules with indeterminate cytology [atypia of undetermined significance (AUS), follicular lesion of undetermined significance (FLUS), follicular neoplasm (FN), suspicious for a follicular neoplasm (SFN), and suspicious for malignancy (SM)] results is controversial. To assess the role of the elastography technique in the diagnosis of malignancy in the subtypes of indeterminate thyroid nodules. Materials and methods: We included 132 patients with indeterminate cytology who underwent thyroid surgery. Sensitivity, specificity, area under the curve, and optimal cut-off points were calculated with receiver operating characteristic (ROC) analysis for elastography score (ES) and strain index (SI). Results: Malignancy was observed …


Prognostic Factors For 30-Days Mortality In Eighty Years Aged And Older Critically Illpatients: A Single Center Retrospective Cohort Study, Umut Sabri̇ Kasapoğlu, Osman Kaçmaz, Abdullah Gök, Meri̇h Yildiz Eglen, Hasan Şayan, Fati̇h Çolak Jan 2021

Prognostic Factors For 30-Days Mortality In Eighty Years Aged And Older Critically Illpatients: A Single Center Retrospective Cohort Study, Umut Sabri̇ Kasapoğlu, Osman Kaçmaz, Abdullah Gök, Meri̇h Yildiz Eglen, Hasan Şayan, Fati̇h Çolak

Turkish Journal of Medical Sciences

Background/aim: Nowadays, with the rise in average life expectancy, the rate of hospitalization of the older population in intensive care unit (ICU) is gradually increasing. Unfortunately, there are no ideal combination of prognostic factors predicting the mortality in older patients admitted to the ICU. In the present study, we aim to determine the prognostic factors and their impacts on short-time mortality in older critically ill patients. Materials and methods: This retrospective cohort study was performed between January 2019 and February 2020. We included 133 patients aged ≥80 years and hospitalized ≥24 h in the ICU. Results: A total of 133 …


Clinicopathological Features Of Mammary Paget's Disease: A Single-Center Experience Inturkey, Haldun Kar, Sultan Deni̇z Altindağ, Demet Eti̇t, Seyran Yi̇ği̇t, Ni̇han Acar, Mustafa Agah Teki̇ndal, Emi̇ne Özlem Gür, Betül Bolat Küçükzeybek, Özgün Akgül, Murat Kemal Atahan Jan 2021

Clinicopathological Features Of Mammary Paget's Disease: A Single-Center Experience Inturkey, Haldun Kar, Sultan Deni̇z Altindağ, Demet Eti̇t, Seyran Yi̇ği̇t, Ni̇han Acar, Mustafa Agah Teki̇ndal, Emi̇ne Özlem Gür, Betül Bolat Küçükzeybek, Özgün Akgül, Murat Kemal Atahan

Turkish Journal of Medical Sciences

Background/aim: Paget's disease (PD) of the breast is a very rare presentation of breast malignancy, accounting for 1%-3% of all primary breast tumors. We aimed to evaluate and compare the clinicopathological features and clinical outcome of PD accompanied by in situ carcinoma and invasive cancer. Materials and methods: We used the archive of our pathology laboratory retrospectively for age, sex, history of surgery, histopathological findings, treatment modalities, and follow-up information. We used the Kaplan-Meier method for survival analysis. Results: There were 46 female patients diagnosed with PD. In 39 (84.7%) patients, invasive carcinoma accompanied PD, while 7 (15.3%) patients had …


Heart Rate Turbulence Measurements In Patients With Dipper And Non-Dipperhypertension: The Effects Of Autonomic Functions, Çağlar Alp, Mehmet Tolga Doğru, Vahi̇t Demi̇r Jan 2021

Heart Rate Turbulence Measurements In Patients With Dipper And Non-Dipperhypertension: The Effects Of Autonomic Functions, Çağlar Alp, Mehmet Tolga Doğru, Vahi̇t Demi̇r

Turkish Journal of Medical Sciences

Background/aim: Hypertensive patients have shown autonomic dysfunction that is closely associated with the measurements of heart rate variability (HRV) and heart rate turbulence (HRT). We aimed to show the alterations of HRV and HRT measurements in patients with both dipper and non-dipper hypertension. Materials and methods: This was a retrospective study consisting of one hundred and twenty-three participants (mean age ± SD, 55.7 ± 14.8 years; range, 18-90 years). The participants were divided into two groups: Group1: The patients with dipper hypertension, Group2: The patients with non-dipper hypertension. Two cardiologists performed HRV and HRT using 24-h electrocardiography (ECG) Holter and …


The Investigation Of Adrenal Involvement In Carbapenem Resistant Acinetobacterbaumannii Sepsis: Experimental Mouse Model, Esma Eryilmaz Eren, Gökçen Di̇nç, Olgun Kontaş, Emi̇ne Alp Meşe, Mehmet Doğanay Jan 2021

The Investigation Of Adrenal Involvement In Carbapenem Resistant Acinetobacterbaumannii Sepsis: Experimental Mouse Model, Esma Eryilmaz Eren, Gökçen Di̇nç, Olgun Kontaş, Emi̇ne Alp Meşe, Mehmet Doğanay

Turkish Journal of Medical Sciences

Background/aim: In the last years, incidence of carbapenem resistant Acinetobacter baumannii sepsis is increasing with high mortality. However, it is not clear whether this is due to inadequate antimicrobial choice or a more severe clinical course. We aimed to evaluate the inflammation and adrenal involvement in the carbapenem resistant A. baumannii by using experimental mouse model sepsis. Materials and methods: Balb/c female mice were randomly put into control and three sepsis groups (A. baumannii susceptible to carbapenem-CSAB-, A. baumannii resistant to carbapenem-CRAB-, Escherichia coli). A total of sixty mice were included in this study with each group having 15 mice. …


Lobectomy May Not Be Suitable For Patients With Follicular Neoplasm Cytology, Beki̇r Uçan, Mustafa Şahi̇n, Mustafa Özbek, Muhammed Kizilgül, Müyesser Sayki Arslan, Mustafa Çalişkan, Güleser Saylam, Erman Çakal Jan 2020

Lobectomy May Not Be Suitable For Patients With Follicular Neoplasm Cytology, Beki̇r Uçan, Mustafa Şahi̇n, Mustafa Özbek, Muhammed Kizilgül, Müyesser Sayki Arslan, Mustafa Çalişkan, Güleser Saylam, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: The most appropriate surgical management of follicular neoplasm/suspicious for follicular neoplasm (FN) lesions is still contradictory. We aimed to evaluate the data of our patients with follicular neoplasm treated with thyroidectomy. Materials and methods: We retrospectively analyzed the data of 74 patients who were diagnosed with follicular neoplasm cytology (FN cytology) by fine needle aspiration biopsy (FNAB) and had undergone total thyroidectomy or lobectomy with isthmectomy (LwI). Results: We examineda total of 74 patients, of which 64 (83.7%) were female and 10 (16.3%) were male. The malignancy rate in the pathological examinations of these patients was 31/74 (41.9%). The …


Continuous Venovenous Hemodiafiltration In The Treatment Of Newborns With An Inborn Metabolic Disease: A Single Center Experience, Hasan Akduman, Emel Okulu, Fatma Tuba Emi̇noğlu, Tanil Kendi̇rli̇, Gaffari̇ Tunç, Ebru Azapağasi, Oktay Perk, Ömer Erdeve, Begum Atasay, Saadet Arsan Jan 2020

Continuous Venovenous Hemodiafiltration In The Treatment Of Newborns With An Inborn Metabolic Disease: A Single Center Experience, Hasan Akduman, Emel Okulu, Fatma Tuba Emi̇noğlu, Tanil Kendi̇rli̇, Gaffari̇ Tunç, Ebru Azapağasi, Oktay Perk, Ömer Erdeve, Begum Atasay, Saadet Arsan

Turkish Journal of Medical Sciences

Background/aim: Most inborn metabolic diseases are diagnosed during the neonatal period. The accumulation of toxic metabolites may cause acute metabolic crisis with long-term neurological dysfunction and death. Renal replacement therapy (RRT) modalities allow the efficient removal of toxic metabolites. In this study, we reviewed our experience with continuous venovenous hemodiafiltration (CVVHDF) as RRT for newborns with an inborn metabolic disease.Materials and methods: Patients diagnosed with an inborn metabolic disease and who received CVVHDF treatment at our neonatal intensive care unit between January 2014 and December 2017 were included in this study. Their demographic and clinical data were collected, and the …


The Surgical Outcomes Of Trans-Scaphoid Perilunate Fracture-Dislocations, Cemal Kural, Bülent Tanriverdi̇, Ersi̇n Erçi̇n, Emre Baca, Murat Yilmaz Jan 2020

The Surgical Outcomes Of Trans-Scaphoid Perilunate Fracture-Dislocations, Cemal Kural, Bülent Tanriverdi̇, Ersi̇n Erçi̇n, Emre Baca, Murat Yilmaz

Turkish Journal of Medical Sciences

Background/aim: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. In this study, the aim is to provide midterm clinical and radiological evaluations of cases diagnosed and treated as TSPFD.Materials and methods: Eleven patients diagnosed with TSPFD as a result of wrist trauma were treated surgically and were analysed retrospectively. Clinical and radiological follow-up of the cases was evaluated. The mean age of the patients was …


Anti-Interleukin-6 (Tocilizumab) Therapy In Takayasu's Arteritis: A Real Life Experience, Levent Kiliç, Ömer Karadağ, Abdulsamet Erden, Alper Sari, Berkan Armağan, Gözde Kübra Yardimci, Esra Firat Şentürk, Umut Kalyoncu, Şazi̇ye Şule Apraş Bi̇lgen, Sedat Ki̇raz, Ali̇ İhsan Ertenli̇, Ali̇ Akdoğan Jan 2020

Anti-Interleukin-6 (Tocilizumab) Therapy In Takayasu's Arteritis: A Real Life Experience, Levent Kiliç, Ömer Karadağ, Abdulsamet Erden, Alper Sari, Berkan Armağan, Gözde Kübra Yardimci, Esra Firat Şentürk, Umut Kalyoncu, Şazi̇ye Şule Apraş Bi̇lgen, Sedat Ki̇raz, Ali̇ İhsan Ertenli̇, Ali̇ Akdoğan

Turkish Journal of Medical Sciences

Background/aim: Tumour necrosis factor inhibitors and anti-interleukin-6 (anti-IL-6) therapies are increasingly being used in Takayasu's arteritis (TA) patients who are unresponsive to corticosteroids ± conventional immunosuppressive agents.The aim of this study is to assess the efficacy and safety of anti-IL-6 (tocilizumab) therapy in refractory TA patients in real life.Materials and methods: Fifteen TA patients (86.7% were female) who received at least 3 cycles of tocilizumab therapy were retrospectively assessed by clinical, laboratory, and radiological evaluations before and after tocilizumab therapy. Results: The median (min-max) age of the patients at evaluation was 35 (20-58) years and the median disease duration from …


Effects Of Stage I Hypertension On The Recovery Of Early Postoperative Attention Network Function In Elderly Patients Undergoing Elective Hip Or Knee Arthroplasty Surgery, Dan Zhao, Jun Li, Rui Yang, Guanghong Xu Jan 2020

Effects Of Stage I Hypertension On The Recovery Of Early Postoperative Attention Network Function In Elderly Patients Undergoing Elective Hip Or Knee Arthroplasty Surgery, Dan Zhao, Jun Li, Rui Yang, Guanghong Xu

Turkish Journal of Medical Sciences

Background/aim: Hypertension is an important risk factor for cognitive impairment. This study explored whether elderly patients with stage I hypertension (HPs) and normotensive patients (NPs) showed differences in the recovery of postoperative attention network function according to the attentional network test (ANT) performance.Materials and methods: Of 110 patients screened, 25 HPs and 25 NPs completed this study. The Mini-Mental State Examination (MMSE) was applied to all participants before the operation and the ANT (on days 2 and 7) after the operation. All participants completed 1 day preoperatively and the ANT on postoperative days (PODs) 2 and 7.Results: Compared with NPs, …


Relationship Of Mesenteric Panniculitis With Visceral And Subcutaneous Adipose Tissue, Çi̇ğdem Özer Gökaslan, Eranil Aslan, Emi̇n Demi̇rel, Ayli̇n Yücel Jan 2020

Relationship Of Mesenteric Panniculitis With Visceral And Subcutaneous Adipose Tissue, Çi̇ğdem Özer Gökaslan, Eranil Aslan, Emi̇n Demi̇rel, Ayli̇n Yücel

Turkish Journal of Medical Sciences

Background/aim: Mesenteric panniculitis (MP) is an idiopathic benign disease characterized by fat necrosis, chronic inflammation, and fibrosis. The relationship between obesity and chronic low-grade inflammation has been reported. This study investigated the relationship of MP diagnosed using multidetector computed tomography (MDCT) with visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) areas.Materials and methods: We retrospectively enrolled 104 patients with no radiological findings other than MP. Additionally, 76 individuals without any indicative radiological findings were included as controls. VAT and SAT were separately calculated (cm2) using a 3-dimensional workstation. The abdominal circumference was measured (cm). Results: The mean abdominal circumference …


Multicenter Study Of Levodopa Carbidopa Intestinal Gel In Parkinson's Disease: The Turkish Experience, Murat Gülteki̇n, Çağri Ulukan, Sabi̇ha Tezcan Aydemi̇r, Okan Doğu, Haşmet Ayhan Hanağasi, Başar Bi̇lgi̇ç, Ayşe Bora Tokçaer, Rai̇f Çakmur, Bülent Eli̇bol, Meral Mi̇rza, Di̇lek Günal, Çi̇ğdem Sevda Erer Özbek, Gülay Kenangi̇l, Özge Yilmaz Küsbeci̇, Muhi̇tti̇n Cenk Akbostanci Jan 2020

Multicenter Study Of Levodopa Carbidopa Intestinal Gel In Parkinson's Disease: The Turkish Experience, Murat Gülteki̇n, Çağri Ulukan, Sabi̇ha Tezcan Aydemi̇r, Okan Doğu, Haşmet Ayhan Hanağasi, Başar Bi̇lgi̇ç, Ayşe Bora Tokçaer, Rai̇f Çakmur, Bülent Eli̇bol, Meral Mi̇rza, Di̇lek Günal, Çi̇ğdem Sevda Erer Özbek, Gülay Kenangi̇l, Özge Yilmaz Küsbeci̇, Muhi̇tti̇n Cenk Akbostanci

Turkish Journal of Medical Sciences

Background/aim: Our purpose was to determine the efficacy of levodopa carbidopa intestinal gel (LCIG) in a series of Turkish patients with Parkinson's disease (PD). Materials and methods: We had telephone calls with 54 patients from 11 neurology centers who were on LCIG treatment, and 44 patients or their caregivers were included in an eight-item survey between September 2015 and June 2016. The reliability and validity of the survey were evaluated with intraclass correlation coefficients for every question separately.Results: Average age of the patients were 63.48 and the duration of PD was 12.79 years. Average LCIG treatment period was 15.63 months. …


Dermoscopy Of Oral Mucocele: Three Types Of Extravasation Mucoceles, Erhan Ayhan, Serdar Feri̇t Toprak, Şeyhmus Kaya, Şeri̇ke Akkaynak Jan 2020

Dermoscopy Of Oral Mucocele: Three Types Of Extravasation Mucoceles, Erhan Ayhan, Serdar Feri̇t Toprak, Şeyhmus Kaya, Şeri̇ke Akkaynak

Turkish Journal of Medical Sciences

Background/aim: Dermoscopy is a diagnostic tool that assists in imaging the epidermis and dermis. Although it has also started to be used to diagnose nonmelanocytic lesions recently, it has not been tested much on oral mucosal masses, such as oral mucoceles. This study aimed to investigate whether dermoscopy is a valuable tool in diagnosing oral mucoceles.Materials and methods: In this study, the clinical and dermoscopic features of 21 oral mucocele lesions of 21 patients (11 females, 10 males) aged between 6 and 38 years who were confirmed histopathologically were evaluated.Results: Of the lesions studied, 95.2% (20) were extravasation and 4.8% …


Effects Of Early Mobilization And Weight Bearing On Postoperative Walking Ability And Pain In Geriatric Patients Operated Due To Hip Fracture: A Retrospective Analysis, Tolgahan Kuru, Haci Ali̇ Olçar Jan 2020

Effects Of Early Mobilization And Weight Bearing On Postoperative Walking Ability And Pain In Geriatric Patients Operated Due To Hip Fracture: A Retrospective Analysis, Tolgahan Kuru, Haci Ali̇ Olçar

Turkish Journal of Medical Sciences

Background/aim: Hip fractures in older adults are associated with high morbidity, mortality, and subsequent hospital costs and decreased quality of life. The objective of this study was to evaluate geriatric patients who underwent partial prosthesis surgery following hip fracture and effects of early mobilization and weight bearing on postoperative walking ability and pain. Materials and methods: A total of 52 geriatric patients with intertrochanteric and femoral neck fractures were included in the study. Patients' service files, system records, pre- and postoperative X-rays were retrospectively reviewed.Results: There were 52 patients in the study group with 36 (69.2%) being female. The mean …


An Epidemiologic Study Of Physician-Diagnosed Chronic Obstructive Pulmonary Disease In The Turkish Population: Copdturkey-1, Tarkan Özdemi̇r, Ni̇lgün Yilmaz Demi̇rci̇, Hati̇ce Kiliç, Orhan Koç, Akin Kaya, Can Öztürk Jan 2020

An Epidemiologic Study Of Physician-Diagnosed Chronic Obstructive Pulmonary Disease In The Turkish Population: Copdturkey-1, Tarkan Özdemi̇r, Ni̇lgün Yilmaz Demi̇rci̇, Hati̇ce Kiliç, Orhan Koç, Akin Kaya, Can Öztürk

Turkish Journal of Medical Sciences

Background/aim: Chronic obstructive pulmonary disease (COPD) is a common disease characterized by persistent airflow limitation and respiratory symptoms. It is a leading cause of morbidity and mortality all over the world. Our data on COPD in Turkey are limited. This study was intended to examine the epidemiologic characteristics of COPD in the Turkish population, between 2012 and 2016. Materials and methods: This population-based, descriptive, surveillance study examined physician-diagnosed COPD prevalence, incidence, and mortality in Turkey.The database of the Social Security System of Turkey was scanned and ICD-10 J44.0-J44.9 codes for diagnostic and/or therapeutic purposes were evaluated retrospectively. Results: In 2016, …


Cytomorphological Findings In Diagnosis Of Warthin Tumor, Fatma Fulya Köybaşioğlu, Bi̇nnur Önal, Ünsal Han, Ayşegül Adabağ, Ahmet Şahpaz Jan 2020

Cytomorphological Findings In Diagnosis Of Warthin Tumor, Fatma Fulya Köybaşioğlu, Bi̇nnur Önal, Ünsal Han, Ayşegül Adabağ, Ahmet Şahpaz

Turkish Journal of Medical Sciences

Background/aim: To define the cytomorphologic findings leading to difficulties in diagnosis of Warthin tumors (WTs).Materials and methods: Forty-eight histopathologically diagnosed WT patients who had fine needle aspiration cytology preoperatively were reevaluated for defining the presence or absence of lymphocytes, oncocytic cell layer, oncocytic cell papillae, granular debris background, mucoid background, macrophages, polymorphonuclear cells, mast cells, squamous-like cells, atypical vacuolated cytoplasmic cells, and giant cells.Results: Forty-seven tumors were in the parotid gland and one in the submandibular gland. There were 37 (77%) male and 11 (23%) female patients. Cytopathologically in 36 patients the diagnosis was benign neoplasm (WT); in 6, other …


Impact Of The Demographic And Aetiological Factors And Intraoperative Findings On Postoperative Outcomes In Chronic Otitis Media Surgery, Süleyman Cebeci̇, Mehmet Suat Özbi̇len, İsmet Bayramoğlu, Yusuf Kemal Kemaloğlu, Kadi̇r Kemal Uygur, Yildirim Ahmet Bayazit, Recep Karamert Jan 2020

Impact Of The Demographic And Aetiological Factors And Intraoperative Findings On Postoperative Outcomes In Chronic Otitis Media Surgery, Süleyman Cebeci̇, Mehmet Suat Özbi̇len, İsmet Bayramoğlu, Yusuf Kemal Kemaloğlu, Kadi̇r Kemal Uygur, Yildirim Ahmet Bayazit, Recep Karamert

Turkish Journal of Medical Sciences

Background/aim: Surgical success is related with many factors belonging to both the patient and the disease. This study aims to analyse the preoperative and intraoperative characteristics, the postoperative results, and the factors affecting the surgical success in different types of chronic otitis media (COM).Materials and methods: A total of 1510 ears of 1398 patients who underwent COM surgery were included in the study. Postoperative results were obtained from 376 ears of 356 patients who had been followed after surgery. The demographic characteristics of the patients, such as age and sex, operative findings, preoperative audiological examination results, and final audiometric and …


Can The Efficacy Of Subacromial Corticosteroid Injection Be Improved Using A Single-Session Mobilization Treatment In Subacromial Impingement Syndrome? A Randomized Single-Blind Controlled Trial, Fazil Kulakli, İlker İlhanli, İlker Fati̇h Sari, Adem Türköz, Canan Çeli̇k Jan 2020

Can The Efficacy Of Subacromial Corticosteroid Injection Be Improved Using A Single-Session Mobilization Treatment In Subacromial Impingement Syndrome? A Randomized Single-Blind Controlled Trial, Fazil Kulakli, İlker İlhanli, İlker Fati̇h Sari, Adem Türköz, Canan Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: The objective in this study is to assess the short-term effects of a single-session mobilization in addition to subacromial corticosteroid (SACS) injection in impingement syndrome.Materials and methods: The study was designed as a prospective randomized controlled single-blind, parallel group clinical trial. Patients (totally 84) were divided randomly into two groups equally. Forty-two patients in Group 1 received mobilization and SACS injection, whereas 42 patients in Group 2 only received SACS injections. A single SACS injection was applied in all patients. Mobilization was administered as a single session right after SACS injection. Patient' evaluations were performed measuring active range of …


Comparison Of Direct Laryngoscope And Mcgrath Videolaryngoscope In Terms Of Glottic View And Hemodynamics In Bariatric Surgery, Mehmet Çakir, Erhan Özyurt Jan 2020

Comparison Of Direct Laryngoscope And Mcgrath Videolaryngoscope In Terms Of Glottic View And Hemodynamics In Bariatric Surgery, Mehmet Çakir, Erhan Özyurt

Turkish Journal of Medical Sciences

Background/aim: In the recent years, videolaryngoscopes (VL) have emerged as alternative devices to direct laryngoscopes (DL) in difficult intubation situations. Therefore, we aimed to compare the Macintosh DL and McGrath VL in terms of the glottic image quality, intubation success, intubation time, hemodynamic response after intubation, and complications in bariatric surgery patients.Material and methods: After obtaining approval by the ethics committee and receiving informed consent, we recorded the demographic and physical data of patients undergoing bariatric surgery. Patients were divided into 2 groups: Group M was intubated with the Macintosh DL, and Group V was intubated with the McGrath VL. …


Avascular Necrosis Less Frequently Found In Systemic Lupus Erythematosus Patients With The Use Of Alternate Day Corticosteroid, İsmai̇l Doğan, Umut Kalyoncu, Levent Kiliç, Ali̇ Akdoğan, Ömer Karadağ, Sedat Ki̇raz, Şazi̇ye Şule Apraş Bi̇lgen, Ali̇ İhsan Ertenli̇ Jan 2020

Avascular Necrosis Less Frequently Found In Systemic Lupus Erythematosus Patients With The Use Of Alternate Day Corticosteroid, İsmai̇l Doğan, Umut Kalyoncu, Levent Kiliç, Ali̇ Akdoğan, Ömer Karadağ, Sedat Ki̇raz, Şazi̇ye Şule Apraş Bi̇lgen, Ali̇ İhsan Ertenli̇

Turkish Journal of Medical Sciences

Background/aim: Avascular necrosis (AVN) is the death of bone due to compromise of blood flow. The etiology of AVN is multifactorial; corticosteroid usage is the second most significant factor after trauma, and systemic lupus erythematosus (SLE) is the most common underlying disease. The objective of this study was to assess the factors of AVN in SLE patients. Materials and methods: The study included 127 patients with SLE who fulfilled 1997 American College of Rheumatology (ACR) revised criteria. Demographic data, age at SLE diagnosis, disease duration, disease activity, body mass index, clinical findings, antiphospholipid syndrome, steroid usage, dose and duration, comorbid …