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The Effect Of Iatrogenic Subclinical Hyperthyroidism On Anxiety, Depression And Quality Of Life In Differentiated Thyroid Carcinoma, Nazli Gülsoy Kirnap, Özlem Turhan İyi̇di̇r, Yusuf Bozkuş, Şeri̇fe Mehli̇ka Işildak, Cüneyd Anil, Sevde Nur Firat, Canan Demi̇r, Asli Nar, Nesli̇han Başçil Tütüncü Jan 2020

The Effect Of Iatrogenic Subclinical Hyperthyroidism On Anxiety, Depression And Quality Of Life In Differentiated Thyroid Carcinoma, Nazli Gülsoy Kirnap, Özlem Turhan İyi̇di̇r, Yusuf Bozkuş, Şeri̇fe Mehli̇ka Işildak, Cüneyd Anil, Sevde Nur Firat, Canan Demi̇r, Asli Nar, Nesli̇han Başçil Tütüncü

Turkish Journal of Medical Sciences

Background/aim: Overt thyroidism is known to cause neuropsychiatric disorders but studies on subclinical hyperthyroidism (SCH) are limited. Subclinical hyperthyroidism induction by administering L-Thyroxine (LT4) is the standard treatment method in differentiated thyroid carcinoma (DTC) follow-up. Our aim was to investigate whether anxiety, depression and quality of life are affected in DTC patients followed-up with exogenous SCH. Materials and methods: The patients were divided into exogenous SCH by LT4-DTC (n = 127), euthyroid-DTC (n = 66) and exogenous euthyroid-benign thyroid noduüle (BTN) who underwent thyroidectomy for benign thyroid pathology (n = 85) groups. Results: The rate of moderate/severe anxiety was significantly …


Subclinical Cardiac Structural And Electrical Abnormalities In Fibromyalgia Syndrome, Ekrem Aksu, Ejder Berk, Abdullah Sökmen, Güli̇zar Sökmen, Enes Çeli̇k Jan 2020

Subclinical Cardiac Structural And Electrical Abnormalities In Fibromyalgia Syndrome, Ekrem Aksu, Ejder Berk, Abdullah Sökmen, Güli̇zar Sökmen, Enes Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: In the literature, there is a paucity of data about the effects of fibromyalgia syndrome (FMS) on myocardial function and electrophysiological properties of atrium and ventricles. In this study, we investigated cardiac functions and noninvasive predictors of arrhythmias in patients with FMS. Materials and methods: The study included 43 female patients diagnosed with FMS and 30 age- and sex-matched healthy subjects. The presence of fragmented QRS (fQRS) morphology, P dispersion, QT dispersion, inter- and intraatrial electromechanical delay was evaluated in the groups with 12-lead ECG and standard and tissue Doppler echocardiography. Results: Among electrocardiographic parameters, P dispersion, QT dispersion, …


Reliability And Validity Of The Turkish Version Of The Vocal Fatigue Index, Seher Şi̇ri̇n, Mehmet Fati̇h Öğüt, Cem Bi̇lgen Jan 2020

Reliability And Validity Of The Turkish Version Of The Vocal Fatigue Index, Seher Şi̇ri̇n, Mehmet Fati̇h Öğüt, Cem Bi̇lgen

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to evaluate the reliability and validity of the Turkish version of the Vocal Fatigue Index (VFI). Materials and methods: The study was conducted with 535 participants including 285 patients with voice disorders and 250 healthy controls. Internal consistency and test-retest reliability were calculated for the reliability analysis. The mean VFI factor scores of both groups were compared. The strength and direction of the relation between VFI and Voice-Related Quality of Life (V-RQOL) measure was evaluated for the validity analysis. Results: The Cronbach's alpha coefficient of VFI factor scores was found to be 0.920 …


Comparing The Complications Of Laparoscopically Performed Simple, Radical And Donor Nephrectomy, Erkan Ölçücüoğlu Jan 2020

Comparing The Complications Of Laparoscopically Performed Simple, Radical And Donor Nephrectomy, Erkan Ölçücüoğlu

Turkish Journal of Medical Sciences

Bacground/aim: The aim of this study was to compare the complications of laparoscopic simple, radical and donor nephrectomies performed in a single center. Materials and methods: The study was conducted on 392 patients who underwent laparoscopic nephrectomy in University of Health Sciences, Ankara Türkiye Yüksek İhtisas Training and Research Hospital between January 1, 2008 and January 30, 2019. Clinical and laboratory parameters were recorded. Postoperative complications were recorded and graded as per Clavien-Dindo classification (CDC). All analyses were performed on SPSS v21.0 (IBM Corp., Armonk, NY, USA). Results: The mean age of the patients was 49.13 ± 15.45 years. The …


Effects Of Different Analgesic Methods Used For Vaginal Delivery On Mothers And Fetuses, Gülçi̇n Babaoğlu, Banu Kiliçaslan, Aysun Ankay Yilbaş, Bi̇lge Çelebi̇oğlu Jan 2020

Effects Of Different Analgesic Methods Used For Vaginal Delivery On Mothers And Fetuses, Gülçi̇n Babaoğlu, Banu Kiliçaslan, Aysun Ankay Yilbaş, Bi̇lge Çelebi̇oğlu

Turkish Journal of Medical Sciences

Background/aim: Knowledge regarding pain relief during labor remains insufficient. We aimed to determine and compare the effectiveness and safety of epidural analgesia, combined spinal-epidural analgesia, and parenteral meperidine on both mothers and fetuses. Materials and methods: This study was designed as an observational case-control study. We collected prospective data from patients whose labor pain management was conducted with meperidine in addition to retrospective cohort data of neuraxial methods; 138 patients were enrolled. Epidural analgesia group consisted of 68 patients, whereas combined spinal-epidural (CSE) analgesia group and meperidine group consisted of 50 and 20 patients, respectively. We compared the delivery patterns, …


The Profitmap-Neck - A Questionnaire For Measuring Symptoms And Functional Limitations In Neck Pain: Reliability, Validity And Cross-Cultural Adaptation Of The Turkish Version, Hati̇ce Çeti̇n, Nezi̇re Köse, Sevi̇l Bi̇lgi̇n, Haluk Tekerlek, Esra Dülger, Ceyhun Türkmen, Jale Karakaya Jan 2020

The Profitmap-Neck - A Questionnaire For Measuring Symptoms And Functional Limitations In Neck Pain: Reliability, Validity And Cross-Cultural Adaptation Of The Turkish Version, Hati̇ce Çeti̇n, Nezi̇re Köse, Sevi̇l Bi̇lgi̇n, Haluk Tekerlek, Esra Dülger, Ceyhun Türkmen, Jale Karakaya

Turkish Journal of Medical Sciences

Background/aim: The Profile Fitness Mapping neck questionnaire (ProFitMap-neck) is a reliable and valid assessment instrument for measuring neck-related symptoms and functional limitations in people with neck pain, but a Turkish version of it had not been published. The purpose of this study was to investigate the adaptation, validity, and intrarater reliability of the Turkish version of the ProFitMap-neck. Materials and methods: Two hundred and thirty-five individuals with chronic neck pain were enrolled in the study. Intrarater reliability was assessed by intraclass correlation coefficient (ICC) and Cronbach's alpha was calculated for internal consistency. For concurrent validity, ProFitMap-neck scores were compared with …


Psychometric Evaluation Of The Persian Version Of The Doloplus-2 (P-Doloplus-2) Scale In Elderly With Dementia, Mohammad Zare, Zahra Tagharrobi, Khadijeh Sharifi, Zahra Sooki, Javad Abolhasani Jan 2020

Psychometric Evaluation Of The Persian Version Of The Doloplus-2 (P-Doloplus-2) Scale In Elderly With Dementia, Mohammad Zare, Zahra Tagharrobi, Khadijeh Sharifi, Zahra Sooki, Javad Abolhasani

Turkish Journal of Medical Sciences

Background/aim: A scale for behavioural pain assessment is useful for the detection and determination of pain in the elderly with dementia. This study aimed to translate and evaluate the psychometric properties of Doloplus-2 in the elderly with dementia in Iran. Materials and methods: In this methodological study, after translation and evaluating the face and content validity of Doloplus-2, 100 elderly people were selected by the convenience sampling method in Kashan, 2018-2019. Exploratory factor analysis, convergent validity, and known-groups comparison were applied to determine construct validity. Reliability was also assessed through internal consistency, equivalence, and stability methods were used. The ceiling …


Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz Jan 2020

Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz

Turkish Journal of Medical Sciences

Background/aim: Mortality in the elderly population tends to be higher than in all other age groups; the risk factors that predict mortality among those in this age cohort are not fully understood. This large-scale clinical study aimed to identify effective risk factors that predict mortality in the elderly population with a particular focus on age and hospitalization status. Material and methods: We retrospectively analyzed outcomes from patients with clinical follow-up between July 2015 and January 2020 at 29 Mayıs State Hospital, Ankara, Turkey. Patient records with missing or ambiguous data were excluded. Age, sex, length of hospital stay, comorbidities, consultation …


Evaluation Of The Effects Of Ss1-Selective Beta-Blockers On Bone Mineral Density And Fracture Risk In Postmenopausal Women, Betül Yavuz Keleş, Meltem Vural, Burcu Önder, Kadri̇ye Öneş Jan 2020

Evaluation Of The Effects Of Ss1-Selective Beta-Blockers On Bone Mineral Density And Fracture Risk In Postmenopausal Women, Betül Yavuz Keleş, Meltem Vural, Burcu Önder, Kadri̇ye Öneş

Turkish Journal of Medical Sciences

Background/aim: ß1-selective beta-blockers (BBs) are sympatholytic agents, and discerning their effects on bone health would be of great importance. This study aimed to investigate the influence of ß1-selective BBs on bone mineral density (BMD) and fracture risk. Materials and methods: This study included postmenopausal women who used ß1-selective BBs (BB group) and control group. Sociodemographic characteristics, BMD and previous fragility fractures were recorded. Additionally, the 10-year probability of a major osteoporotic and hip fracture was calculated using the fracture risk assessment tool (FRAX). Results: A total of 60 participants were included in the study. L1-4 and L2-4 BMD values were …


Spectrum Of Germline Cancer Susceptibility Gene Mutations In Turkish Colorectal Cancer Patients: A Single Center Study, Haktan Bağiş Erdem, Taha Bahsi̇ Jan 2020

Spectrum Of Germline Cancer Susceptibility Gene Mutations In Turkish Colorectal Cancer Patients: A Single Center Study, Haktan Bağiş Erdem, Taha Bahsi̇

Turkish Journal of Medical Sciences

Background/aim: Quarter of colorectal cancer patients have a family history and 6% of these comprise hereditary cancer syndromes. For developing national health strategies for genetic screening, it is crucial to determine the spectrum of damaging alterations in causative genes and to describe frequent founder mutations. Materials and methods: One hundred and thirty six unrelated colorectal cancer cases were investigated. Qiagen large hereditary cancer panel and Hereditary Cancer Solution v1.1 panel were used for sequencing. The sequencing process was performed on the Illumina MiSeq system. The data analyses were performed on QIAGEN Clinical Insight (QCITM) Analyze software and Sophia DDM software. …


Posterior Fossa Horns; A New Calvarial Finding Of Mucopolysaccharidoses With Well-Known Cranial Mri Features, Çağri Damar, Betül Emi̇ne Deri̇nkuyu, Muazzez Asburçe Bi̇ke Olgaç Kiliçkaya, Mehmet Öztürk, Çi̇ğdem Öztunali, Ayşe Gül Alimli, Öznur Leman Boyunaga, Murat Uçar, Fati̇h Süheyl Ezgü, Leyla Tümer, Alp Özgün Börcek, Ahmet Siğirci Jan 2020

Posterior Fossa Horns; A New Calvarial Finding Of Mucopolysaccharidoses With Well-Known Cranial Mri Features, Çağri Damar, Betül Emi̇ne Deri̇nkuyu, Muazzez Asburçe Bi̇ke Olgaç Kiliçkaya, Mehmet Öztürk, Çi̇ğdem Öztunali, Ayşe Gül Alimli, Öznur Leman Boyunaga, Murat Uçar, Fati̇h Süheyl Ezgü, Leyla Tümer, Alp Özgün Börcek, Ahmet Siğirci

Turkish Journal of Medical Sciences

Background/aim: Mucopolysaccharidoses (MPS) are a group of hereditary metabolic diseases. The aim of this study was to share the previously unreported calvarial finding of internal hypertrophy of the occipitomastoid sutures (IHOMS) together with some other well- known cranial MRI findings in this patient series. Materials and methods: A retrospective evaluation was conducted of 80 cranial MRIs of patients who had been diagnosed and followed up with MPS from 2008 to 2019 in our center. Of these patients, 11 had Hurler, 14 had Hunter, 24 had Sanfilippo, 15 had Morquio, 14 had Maroteaux-Lamy, and 2 had Sly disease. The cranial MRIs …


Optimization Of Isothermal Amplification Method For Mycobacterium Tuberculosis Detection And Visualization Method For Fieldwork, Hati̇ce Esra Ağel, Hasan Sağcan, İsmai̇l Ceyhan, Riza Durmaz Jan 2020

Optimization Of Isothermal Amplification Method For Mycobacterium Tuberculosis Detection And Visualization Method For Fieldwork, Hati̇ce Esra Ağel, Hasan Sağcan, İsmai̇l Ceyhan, Riza Durmaz

Turkish Journal of Medical Sciences

Background/aim: Tuberculosis is still one of the most contagious diseases around the world. Key factors of tuberculosis control are rapid diagnostic, efficient treatment, and prevention of contamination by surveillance and monitoring. However, culture is the gold standard method for laboratory diagnosis of tuberculosis; the results are several weeks to obtain. In order to prevent contamination of tuberculosis, diagnosis must be made in short time and treatment should be started as soon as possible. The aim of this study is to optimize the loop-mediated isothermal amplification (LAMP) method, which provides a much faster and more sensitive result than the polymerase chain …


Does Capsaicin Have Therapeutic Benefits In Human Colon Adenocarcinoma? Selection Of The Most Reliable Dose Via Agnor, Mustafa Ni̇sari̇, Recep Eröz Jan 2020

Does Capsaicin Have Therapeutic Benefits In Human Colon Adenocarcinoma? Selection Of The Most Reliable Dose Via Agnor, Mustafa Ni̇sari̇, Recep Eröz

Turkish Journal of Medical Sciences

Background/aim: To determine the effect of different doses of capsaicin on AgNOR protein synthesis in human colon adenocarcinoma derivate from colon cancer (Caco-2 cell). Materials and methods: In this experimental study, after the cultured of Caco-2 cell line, the cells are divided into 4 groups as control and different capsaicin exposed doses (25uµ, 50uµ, and 75uµ). Mean AgNOR number and total AgNOR area/nuclear area (TAA/NA) were calculated. Results: A significant differences were detected between control and capsaicin (50uµ) (P = 0.001), between control and capsaicin (75uµ) (P = 0.000), between capsaicin (25uµ) and capsaicin (50uµ) (P = 0.001) and between …


Comparison Of The Efficacy Between Bilateral Proximal Tubal Occlusion And Total Salpingectomy On Ovarian Reserve And The Cholinergic System: An Experimental Study, Remzi̇ Atilgan, Şehmus Pala, Tuncay Kuloğlu, Cengi̇z Şanli, Şeyda Yavuzkir, Zehra Sema Özkan Jan 2020

Comparison Of The Efficacy Between Bilateral Proximal Tubal Occlusion And Total Salpingectomy On Ovarian Reserve And The Cholinergic System: An Experimental Study, Remzi̇ Atilgan, Şehmus Pala, Tuncay Kuloğlu, Cengi̇z Şanli, Şeyda Yavuzkir, Zehra Sema Özkan

Turkish Journal of Medical Sciences

Background and aim: To compare the effects of bilateral proximal tubal occlusion and bilateral total salpingectomy on ovarian reserve and the cholinergic system via rat experiment. Materials and methods: Twenty-one adult female rats were randomly divided into the following three groups: G1 (n = 7), sham group; G2 (n = 7), bilateral total salpingectomy group; and G3 (n = 7), bilateral proximal tubal occlusion group. Four weeks later, the abdomen of the rats was opened. The right ovarian tissues were stored in 10% formaldehyde, whereas the left ovarian tissues were stored at ?80 °C in aluminum foil. Serum samples were …


Ocular Toxicity Of Intravitreal Golimumab In A Rabbit Model, Ceren Durmaz Engi̇n, Serap Ci̇laker Miçili, Osman Yilmaz, Hüsnü Alper Bağriyanik, Beki̇r Uğur Ergür, Fatoş Önen, Ali̇ Osman Saatci̇ Jan 2020

Ocular Toxicity Of Intravitreal Golimumab In A Rabbit Model, Ceren Durmaz Engi̇n, Serap Ci̇laker Miçili, Osman Yilmaz, Hüsnü Alper Bağriyanik, Beki̇r Uğur Ergür, Fatoş Önen, Ali̇ Osman Saatci̇

Turkish Journal of Medical Sciences

Background/aim: To investigate the effect of intravitreal golimumab on rabbit retina histopathology. Materials and methods: Sixteen albino New Zealand rabbits were divided into three groups. The right eye of each rabbit in groups I, II, and III received a single intravitreal injection of 5 mg/0.05 mL (6 eyes), 10 mg/0.1 mL (6 eyes), or 20 mg/0.2 mL (4 eyes) golimumab, while left eyes served as controls with the same volume of a balanced salt solution injection. All animals were examined using slit-lamp biomicroscopy and indirect ophthalmoscopy before and after intravitreal injection and at days 1 and 7. Animals were euthanized …


Immunomagnetic Separation And Listeria Monocytogenes Detection With Surface- Enhanced Raman Scattering, Hande Yeğenoğlu Akçinar, Belma Aslim, Hi̇lal Torul, Burcu Güven, Adem Zengi̇n, Zeki̇ye Suludere, İsmai̇l Hakki Boyaci, Uğur Tamer Jan 2020

Immunomagnetic Separation And Listeria Monocytogenes Detection With Surface- Enhanced Raman Scattering, Hande Yeğenoğlu Akçinar, Belma Aslim, Hi̇lal Torul, Burcu Güven, Adem Zengi̇n, Zeki̇ye Suludere, İsmai̇l Hakki Boyaci, Uğur Tamer

Turkish Journal of Medical Sciences

Background/aim: We aimed to develop a rapid method to enumerate Listeria monocytogenes (L. monocytogenes) utilizing magnetic nanoparticle based preconcentration and surface-enhanced Raman spectroscopy measurements. Materials and methods: Biological activities of magnetic Au-nanoparticles have been observed to have the high biocompatibility, and a sample immunosensor model has been designed to use avidin attached Au-nanoparticles for L. monocytogenes detection. Staphylococcus aureus (S. aureus) and Salmonella typhimurium (S. typhimurium) bacteria cultures were chosen for control studies. Antimicrobial activity studies have been done to identify bio-compatibility and bio-characterization of the Au-nanoparticles in our previous study and capturing efficiencies to bacterial surfaces have been also …


The Effect Of Baicalein On Wnt/Ss-Catenin Pathway And Mir-25 Expression In Saos-2 Osteosarcoma Cell Line, Esra Örenli̇li̇ Yaylagül, Celal Ülger Jan 2020

The Effect Of Baicalein On Wnt/Ss-Catenin Pathway And Mir-25 Expression In Saos-2 Osteosarcoma Cell Line, Esra Örenli̇li̇ Yaylagül, Celal Ülger

Turkish Journal of Medical Sciences

Background/aim: Osteosarcoma is the most common primary bone malignancy that occurs frequently in children and adolescents. Baicalein, a flavonoid that has attracted great attention in recent years with its strong antitumor activity, shows a wide range of biological and pharmaceutical effects.MicroRNAs have been found to be involved in many critical processes in cancers. This study aimed to investigate the effect of baicalein and miR-25 on Wnt/ß-catenin signaling pathway of osteosarcoma cell line Saos-2. Materials and methods: Cell viability was assessed, and qRT-PCR and Western blot were performed to study the effects of baicalein on expression of Wnt/ß-catenin signaling pathway-realted genes …


Nanotoxicity: A Challenge For Future Medicine, Ramazan Akçan, Hali̇t Canberk Aydogan, Mahmut Şeri̇f Yildirim, Burak Taşteki̇n, Necdet Sağlam Jan 2020

Nanotoxicity: A Challenge For Future Medicine, Ramazan Akçan, Hali̇t Canberk Aydogan, Mahmut Şeri̇f Yildirim, Burak Taşteki̇n, Necdet Sağlam

Turkish Journal of Medical Sciences

Background/aim: Due to nanomaterials' potential benefits for diagnosis and treatment, they are widely used in medical applications and personal care products. Interaction of nanomaterials, which are very small in size, with tissue, cell and microenvironment, can reveal harmful effects that cannot be created with chemically identical and larger counterparts in biological organisms. In this review, a challenge for future medicine, nanotoxicity of nanomaterials is discussed. Materials and methods: A detailed review of related literature was performed and evaluated as per medical applications of nanomaterials their toxicity. Results and conclusion: Most authors state "the only valid technology will be nanotechnology in …


Alcohol Consumption And Alcohol Policy, Mustafa Necmi̇ İlhan, Di̇lek Yapar Jan 2020

Alcohol Consumption And Alcohol Policy, Mustafa Necmi̇ İlhan, Di̇lek Yapar

Turkish Journal of Medical Sciences

Alcohol is a unique addictive substance used by many people for different reasons. Alcohol use affects not only the users but also the family and the whole society in a negative way. Alcohol is one of the most commonly used substances for entertainment purposes in the world and 1 in 3 people is a current drinker. 2348 billion people (43% of the population) aged 15 and over are current drinkers and males drink about 2 times more frequently than females (53.6%/32.3%). According to the Global Alcohol and Health Report published by the World Health Organization (WHO) (2018), total alcohol per …


The Association Between Chronic Spontaneous Urticaria And Hla Class I And Class Ii Antigen, Nesli̇han Doğan, Songül Çi̇ldağ, Çi̇ğdem Yeni̇sey, Taşkin Şentürk Jan 2020

The Association Between Chronic Spontaneous Urticaria And Hla Class I And Class Ii Antigen, Nesli̇han Doğan, Songül Çi̇ldağ, Çi̇ğdem Yeni̇sey, Taşkin Şentürk

Turkish Journal of Medical Sciences

Background/aim: Chronic spontaneous urticaria (CSU) is a chronic disease with an unknown etiology. In human leukocyte antigen (HLA) system, the association of class I and class II antigens with autoimmune diseases has been identified and HLA antigens that have a tendency to or can prevent chronic urticaria have been studied. The aim of this study is to investigate the association between chronic spontaneous urticaria and HLA class I and class II antigens.Materials and methods: A total of 80 subjects, 40 patients with CSU and 40 healthy individuals were enrolled in the study. DNA sample isolation from blood was primarily done …


Validity And Reliability Study Of The Turkish Version Of The Self-Efficacy For Managing Chronic Disease 6-Item Scale, Kübra İnci̇rkuş, Nursen Nahci̇van Jan 2020

Validity And Reliability Study Of The Turkish Version Of The Self-Efficacy For Managing Chronic Disease 6-Item Scale, Kübra İnci̇rkuş, Nursen Nahci̇van

Turkish Journal of Medical Sciences

Background/aim: The measurement of self-efficacy is an important step toward improving chronic disease management, enhancing adherence to treatment, and assessing patients with chronic diseases. The purpose of this study was to assess the validity and reliability of the Turkish version of theSelf-Efficacy for Managing Chronic Disease 6-Item Scale. Materials and methods: In this methodological study, the sample consisted of 211 patients receiving chronic disease care in 2 family health centers in İstanbul, Turkey. Data were analyzed with descriptive statistics, exploratory and confirmatory factor analyses, concurrent validity, Cronbach's alpha, item-total correlation, and test-retest reliability.Results: Most of the sample were women (72%), …


Surgical Management Of Insulinomas At The Azerbaijan Medical University: A Retrospective Study Of 21 Cases Over A 10-Year Period, Rovshan Hasanov, Elgun Samadov, Nuru Bayramov, Ayteki̇n Ünlü, Patrizio Petrone Jan 2020

Surgical Management Of Insulinomas At The Azerbaijan Medical University: A Retrospective Study Of 21 Cases Over A 10-Year Period, Rovshan Hasanov, Elgun Samadov, Nuru Bayramov, Ayteki̇n Ünlü, Patrizio Petrone

Turkish Journal of Medical Sciences

Background/aim: This study represents the first report that evaluates the experience gathered from diagnosis, surgical treatment and outcome of insulinoma patients from Azerbaijan.Materials and methods: We retrospectively review of insulinoma patients for a 10-year period. Collected data included patient demographics, laboratory and imaging tests, detailed surgical reports, histopathological examination of resected specimens, and clinical follow-up.Results: Twenty-one insulinoma patients were identified. Male patients comprised 52.4%; mean age was 44 years. Mean time to diagnosis was 14 months; 61% patients had ≥3 medical referrals due to hypoglycemia-related symptoms. Diagnosis sensitivity of CT, MRI and US was 85%, 80%, and 55%, respectively. The …


Frequency Of Sarcopenia And Associated Outcomes In Patients With Chronic Obstructive Pulmonary Disease, Havva Demi̇rci̇oğlu, Fatma Gökşi̇n Ci̇han, Ruhuşen Kutlu, Şebnem Yosunkaya, Adi̇l Zamani̇ Jan 2020

Frequency Of Sarcopenia And Associated Outcomes In Patients With Chronic Obstructive Pulmonary Disease, Havva Demi̇rci̇oğlu, Fatma Gökşi̇n Ci̇han, Ruhuşen Kutlu, Şebnem Yosunkaya, Adi̇l Zamani̇

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the prevalence of sarcopenia and associated outcomes in patients with chronic obstructive pulmonary disease (COPD). Materials and methods: This cross-sectional study was performed on 219 patients aged 50 years and over who were diagnosed with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The study included 196 (89.5%) male and 23 (10.5%) female patients. The mean age of the patients was 66.9 ± 10.1 years. To diagnose sarcopenia, muscle function was determined by a gait speed test. Muscle strength was assessed with a hand dynamometer and …


The Association Between Temperament Features And Childhood Traumas In Patients With Juvenile Myoclonic Epilepsy, Ali̇şan Burak Yaşar, Ceyhun Sayman, Serap Erdoğan Taycan, Yilmaz Çeti̇nkaya, Anil Gündüz, Hülya Ti̇reli̇ Jan 2020

The Association Between Temperament Features And Childhood Traumas In Patients With Juvenile Myoclonic Epilepsy, Ali̇şan Burak Yaşar, Ceyhun Sayman, Serap Erdoğan Taycan, Yilmaz Çeti̇nkaya, Anil Gündüz, Hülya Ti̇reli̇

Turkish Journal of Medical Sciences

Background/aim: Epilepsy is a common chronic neurological problem that impairs daily activities, functionality, and quality of life. Childhood traumas (CTs) are known to be critical factors in the onset or development of many psychiatric and medical disorders. They also play a critical role in the development of temperament and personality. This study aimed to investigate the association between CTs and common temperament patterns and features seen in epilepsy patients. Materials and methods: The study included 38 patients who were diagnosed with juvenile myoclonic epilepsy (JME) and volunteered to participate in the study. In addition to the sociodemographic form and questions …


Oxidative Stress Parameters In Patients With Ascending Aortic Dilatation, Mehmet Erdoğan, Meli̇ke Polat, Muhammet Ci̇hat Çeli̇k, Selçuk Öztürk, Serdal Baştuğ, Yunus Emre Özbebek, Sali̇m Neşeli̇oğlu, Murat Akçay Jan 2020

Oxidative Stress Parameters In Patients With Ascending Aortic Dilatation, Mehmet Erdoğan, Meli̇ke Polat, Muhammet Ci̇hat Çeli̇k, Selçuk Öztürk, Serdal Baştuğ, Yunus Emre Özbebek, Sali̇m Neşeli̇oğlu, Murat Akçay

Turkish Journal of Medical Sciences

Background/aim: This study aimedto determine plasma thiol, disulphide, and serum ischemia-modified albumin (IMA) levels and ferroxidase activity in patients with ascending aorta dilatation (AAD) in comparison to those without AAD and to evaluate the predictive value of these oxidative stress parameters for AAD.Materials and methods: This study was designed as a cross-sectional study of 184 patients who applied to our cardiology clinic. Our study population consisted of patients with AAD (n = 85) and without AAD (n = 99). A spectrophotometric method was used to determine plasma thiol, disulphide, and serum IMA levels and ferroxidase activity.Results: The native thiol and …


Colchicine Intolerance In Fmf Patients And Primary Obstacles For Optimal Dosing, Hasan Satiş, Berkan Armağan, Erdal Bodakçi̇, Nuh Ataş, Alper Sari, Nazi̇fe Şule Yaşar Bi̇lge, Di̇lek Yapar, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Berna Göker, Şemi̇nur Haznedaroğlu, Ti̇muçi̇n Kaşi̇foğlu, Umut Kalyoncu Jan 2020

Colchicine Intolerance In Fmf Patients And Primary Obstacles For Optimal Dosing, Hasan Satiş, Berkan Armağan, Erdal Bodakçi̇, Nuh Ataş, Alper Sari, Nazi̇fe Şule Yaşar Bi̇lge, Di̇lek Yapar, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Berna Göker, Şemi̇nur Haznedaroğlu, Ti̇muçi̇n Kaşi̇foğlu, Umut Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: Colchicine is the mainstay of treatment in FMF. However, in daily practice it is not easy to maintain effective colchicine doses in a substantial number of patients due to its side effects. In this study, we aimed to investigate prevalence and risk factors for colchicine side effects that limit optimal drug dosing and cause permanent discontinuation. Materials and methods: All patients were recruited from "FMF in Central Anatolia" (FiCA) cohort, 915 adults with a minimum follow-up time of 6 months during which they had obeyed all treatment instructions. Demographic and anthropometric data, FMF disease characteristics, disease severity, complications, and …


Posttraumatic Growth And Death Anxiety In Caregivers Of Cancer Patients: Phoenix Study, Ali̇ Alkan, Eli̇f Berna Köksoy, Ebru Karci, Asli Alkan, Eduardo Bruera, Fi̇li̇z Çay Şenler Jan 2020

Posttraumatic Growth And Death Anxiety In Caregivers Of Cancer Patients: Phoenix Study, Ali̇ Alkan, Eli̇f Berna Köksoy, Ebru Karci, Asli Alkan, Eduardo Bruera, Fi̇li̇z Çay Şenler

Turkish Journal of Medical Sciences

Background/aim: Posttraumatic growth (PTG) is defined as positive psychological changes following a challenging or traumatic life event. The purpose of this study is to define the predictors of PTG and death anxiety (DAN) in caregivers of cancer patients and evaluate the impact of DAN on PTG.Materials and methods: The caregivers of cancer patients were evaluated using structured questionnaires, including a validated PTG scale and Templer death anxiety scale.Results: In 3 different cancer centers, 426 participants were evaluated. In multivariate analysis of factors associated with PTG, a high DAN score was the only parameter associated with high PTG scores [OR: 1.6, …


Treatment Of Idiopathic Granulomatous Mastitis And Factors Related With Disease Recurrence, Emre Tekgöz, Seda Çolak, Muhammet Çinar, Sedat Yilmaz Jan 2020

Treatment Of Idiopathic Granulomatous Mastitis And Factors Related With Disease Recurrence, Emre Tekgöz, Seda Çolak, Muhammet Çinar, Sedat Yilmaz

Turkish Journal of Medical Sciences

Background/aim: Idiopathic granulomatous mastitis is a rare, benign inflammatory disease of breast. There is no general agreement on the appropriate treatment choice.The aim of the study was to investigate the immunosuppressive administer for idiopathic granulomatous mastitis and risk factors related with disease recurrence.Materials and methods: The data of 53 patients with idiopathic granulomatous mastitis were evaluated for this cross-sectional retrospective study. Demographic features and clinical characteristics and course of the patients were obtained from file records. Results: The mean age of the patients was 37.2 ± 6.6 years. Fifty-one of 53 patients received immunosuppressive treatment with or without surgery. Forty-seven …


Protective Effects Of Apocynin On Damaged Testes Of Rats Exposed To Methotrexate, Kübra Kavram Sarihan, Melda Yardimoğlu Yilmaz, Fatma Ceyla Eraldemi̇r, Yusufhan Yazir, Esra Acar Jan 2020

Protective Effects Of Apocynin On Damaged Testes Of Rats Exposed To Methotrexate, Kübra Kavram Sarihan, Melda Yardimoğlu Yilmaz, Fatma Ceyla Eraldemi̇r, Yusufhan Yazir, Esra Acar

Turkish Journal of Medical Sciences

Background/aim: Methotrexate (MTX), widely used as a drug in cancer, has many adverse effects on tissues. Apocynin (APO) is a NADPH oxidase inhibitor and is known with many antioxidant properties. In this study, we aimed to evaluate the adverse effects of MTX on testicular tissue and the protective effects of APO at two different doses (20 mg/kg and 50 mg/kg) on MTX-induced testicular damage.Materials and methods: Fifty adult male Wistar albino rats (8 weeks old and weighing 200-250 g) were divided into five groups of 10 rats each: 1. saline control, 2. dimethyl sulfoxide (DMSO) control, 3. MTX, 4. APO-20 …


Response To Letter To The Editor: Radiological Approaches To Covid-19 Pneumonia, Müşerref Şule Akçay Jan 2020

Response To Letter To The Editor: Radiological Approaches To Covid-19 Pneumonia, Müşerref Şule Akçay

Turkish Journal of Medical Sciences

No abstract provided.