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Full-Text Articles in Medicine and Health Sciences

Evaluation Of Myocardial Dispersion Of Repolarization In Patients With Heart Transplantation, Cengi̇z Burak, Erkan Baysal, Muhammed Süleymanoğlu, Çağri Yayla, Serkan Çay, Ümi̇t Kervan Jan 2019

Evaluation Of Myocardial Dispersion Of Repolarization In Patients With Heart Transplantation, Cengi̇z Burak, Erkan Baysal, Muhammed Süleymanoğlu, Çağri Yayla, Serkan Çay, Ümi̇t Kervan

Turkish Journal of Medical Sciences

The number of patients with heart transplantation has dramatically increased in the last decade. Considerable studies have suggested that the interval from the peak to the end of the electrocardiographic T wave (Tp-e) may correspond to the transmural dispersion of repolarization and increased Tp-e interval and Tp-e/QT ratio are associated with malignant ventricular arrhythmias. We analyzed the dispersion of myocardial repolarization using electrocardiographic Tp-e interval and Tp-e/QTc ratio in patients with heart transplantation. Materials and methods: This observational study included 38 patients (12 female and 26 male) with heart transplantation and 38 well-matched controls. From electrocardiograms, Tp-e interval and Tp-e/QTc …


Possible Prediction Of Patterns Of Cervical Lymph Node Spread Based On Primary Tumor Location In Papillary Thyroid Carcinomas, Mehmet Eser Sancaktar, Güleser Saylam, Bülent Öcal, Ahmet Uluat, Ömer Bayir, Erman Çakal, Mehmet Hakan Korkmaz Jan 2019

Possible Prediction Of Patterns Of Cervical Lymph Node Spread Based On Primary Tumor Location In Papillary Thyroid Carcinomas, Mehmet Eser Sancaktar, Güleser Saylam, Bülent Öcal, Ahmet Uluat, Ömer Bayir, Erman Çakal, Mehmet Hakan Korkmaz

Turkish Journal of Medical Sciences

Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigate the predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials and methods: Medical records of 110 PTC patients were reviewed retrospectively. Tumor location was determined as upper, middle, and lower pole according to ultrasonography (USG) findings. The effects of age, sex, tumor size, and location on lymph node metastasis were investigated. Results: The series comprised 87% females (n = 96) and 13% males (n = 14). Forty-three patients had central neck metastasis (CNM) and 14 had lateral neck metastasis (LNM). Upper …


Polypharmacy And Drug-Related Problems Among People Living With Hiv/Aids: A Single-Center Experience, Emre Kara, Ahmet Çağkan İnkaya, Duygu Aydin Hakli, Salih Kutay Demirkan, Serhat Ünal Jan 2019

Polypharmacy And Drug-Related Problems Among People Living With Hiv/Aids: A Single-Center Experience, Emre Kara, Ahmet Çağkan İnkaya, Duygu Aydin Hakli, Salih Kutay Demirkan, Serhat Ünal

Turkish Journal of Medical Sciences

The HIV-infected population is aging, and the concomitant comorbidities increase the likelihood of polypharmacy. There is a scarcity of data for determining drug-related problems in people living with HIV/AIDS (PLWHA). Materials and methods: This cross-sectional study was carried out between 1 September 2015 and 1 July 2016. All patients underwent a face-to-face interview with a clinical pharmacist. PCNE Classification V 7.0 was used classify incident drug-related problems (DRPs). Results: The mean age of the patients was 40.4 ± 13.06 years. The rate of polypharmacy was 66.1% in patients with comorbidities and 12.3% in those without comorbidities (P < 0.001). DRPs were more prominent in older patients (46 vs. 37 years, P < 0.001), those with longer durations of antiretroviral therapy (ART) (45 vs. 27 months, P = 0.014), and those with lower education levels (P = 0.013). Receiving >3 ART drugs …


Percutaneous Plasma Laser Disc Coagulation And Navigable Ablation Decompression In The Treatment Of Cervical Disc Herniation: A Single Center Experience, Ayşegül Ceylan, İbrahi̇m Aşik Jan 2019

Percutaneous Plasma Laser Disc Coagulation And Navigable Ablation Decompression In The Treatment Of Cervical Disc Herniation: A Single Center Experience, Ayşegül Ceylan, İbrahi̇m Aşik

Turkish Journal of Medical Sciences

Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation. Materials and methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures.Results: Mean VAS scores were 7.55 and 3.1 points in the PDCT group and 7.6 and 3.00 points in the L-DISQ group; mean NPI scores were 34.2 and 20.75 points in the PDCT …


Do Pd-1 And Pd-L2 Expressions Have Prognostic Impact In Hematologic Malignancies?, Serdal Korkmaz, Selahatti̇n Erdem, Ebru Akay, Erdem Arzu Taşdemi̇r, Hati̇ce Karaman, Muzaffer Kekli̇k Jan 2019

Do Pd-1 And Pd-L2 Expressions Have Prognostic Impact In Hematologic Malignancies?, Serdal Korkmaz, Selahatti̇n Erdem, Ebru Akay, Erdem Arzu Taşdemi̇r, Hati̇ce Karaman, Muzaffer Kekli̇k

Turkish Journal of Medical Sciences

Background/aim: PD-1 (programmed death-1) is an immune checkpoint receptor that modulates T-cell activity in peripheral tissues via interaction with its ligands, PD-L1 (programmed death-ligand 1) and PD-L2 (programmed death-ligand 2). Tumor cells upregulate PD-L1 or PD-L2 to inhibit this T lymphocyte attack. Our goal was to determine the PD-1 and PD-L2 expression rates of various hematologic malignancies, and evaluate whether PD-1 and PD-L2 expressions have an impact on prognosis. Materials and methods: For this purpose, pretreatment bone marrow biopsy specimens of 83 patients [42 multiple myeloma (MM), 21 acute leukemia, and 20 chronic lymphocytic leukemia (CLL)] were stained with monoclonal …


Evaluation Of The Retinal Nerve Fiber Layer And Ganglion Cell Complex Thicknesses In Patients With Exfoliation Syndrome, Cem Alay, Oya Tekeli̇, Özge Yanik Odabaş, Feyza Çaliş Karanfi̇l Jan 2019

Evaluation Of The Retinal Nerve Fiber Layer And Ganglion Cell Complex Thicknesses In Patients With Exfoliation Syndrome, Cem Alay, Oya Tekeli̇, Özge Yanik Odabaş, Feyza Çaliş Karanfi̇l

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC) thicknesses using spectral domain optical coherence tomography (SD-OCT) in both unilateral and bilateral exfoliation syndrome (XFS) patients.Materials and methods: Twenty-four patients with unilateral XFS, 20 patients with bilateral XFS, and 23 healthy subjects were enrolled in this study. Eyes with XFS were compared with both fellow eyes and age-matched control subject eyes in terms of mean and segmental RNFL thickness and minimum, mean, and segmental GCC thickness. Results: In the bilateral XFS group, minimum GCC of the right eye (75.80 ± 11.6 μm) was …


Prevalence Of Multiple Sclerosis In An Urban Population Of Sivas Province In Turkey, Şeyda Fi̇gül Gökçe, Burhanetti̇n Çi̇ğdem, Sanem Nemmezi̇ Karaca, Asli Bolayir, Özlem Kayim Yildiz, Ahmet Suat Topaktaş, Hati̇ce Balaban Jan 2019

Prevalence Of Multiple Sclerosis In An Urban Population Of Sivas Province In Turkey, Şeyda Fi̇gül Gökçe, Burhanetti̇n Çi̇ğdem, Sanem Nemmezi̇ Karaca, Asli Bolayir, Özlem Kayim Yildiz, Ahmet Suat Topaktaş, Hati̇ce Balaban

Turkish Journal of Medical Sciences

Background/aim: Multiple sclerosis (MS) is a common neurological disorder that can be a leading cause of nontraumatic disability in several countries. Recent reports have indicated a moderate to high risk of MS in European countries. In this study, we examined the prevalence of MS in a well-defined urban population of provincial center in Sivas Province in Turkey.Materials and methods: This study sampled all registered residents of urban areas of provincial center in Sivas Province in April 2017 and 2018 January. All the included patients met the McDonald 2010 criteria. Medical records were reviewed, including all available previously acquired magnetic resonance …


Branch Retinal Vein Occlusion Associated With Platelet Activation, Emrullah Beyazyildiz, Mehmet Çitirik, Mert Şi̇mşek, Özlem Beyazyildiz, İbrahi̇m Celaletti̇n Haznedaroğlu Jan 2019

Branch Retinal Vein Occlusion Associated With Platelet Activation, Emrullah Beyazyildiz, Mehmet Çitirik, Mert Şi̇mşek, Özlem Beyazyildiz, İbrahi̇m Celaletti̇n Haznedaroğlu

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to study subclinical platelet activation by detecting three important platelet activation parameters of mean platelet volume (MPV), platelet distribution width (PDW), and plateletcrit (PCT) in patients with branch retinal vein occlusion (BRVO) in comparison to those in healthy control subjects.Materials and methods: This prospective study included 43 patients with BRVO (Group 1)and 40 control subjects (Group 2). The levels of MPV, PDW, and PCT were measured in both of the studied groups.Results: The mean serum level of MPV value was 7.64 ± 0.64 in Group 1 and 7.39 ± 0.42 in Group 2. …


Evaluation Of Measles Immunity In Turkey: Is It Still A Threat?, Selda Karaayvaz, Melahat Melek Oğuz, Ufuk Beyazova, Fatma Gülay Korukluoğlu, Yasemi̇n Coşgun, Zeli̇ha Güzelküçük, Fatma Nur Baran Aksakal, Fi̇gen Şahi̇n Dağli Jan 2019

Evaluation Of Measles Immunity In Turkey: Is It Still A Threat?, Selda Karaayvaz, Melahat Melek Oğuz, Ufuk Beyazova, Fatma Gülay Korukluoğlu, Yasemi̇n Coşgun, Zeli̇ha Güzelküçük, Fatma Nur Baran Aksakal, Fi̇gen Şahi̇n Dağli

Turkish Journal of Medical Sciences

Background/aim: Measles is one of the important vaccine-preventable diseases with many complications in childhood. This study presents cross-sectional seroepidemiological data, beginning from neonatal cord blood in infants to children under 6 years of age, about waning of measles antibody and tries to suggest the proper time for measles immunization.Materials and methods: A total of 564 blood samples consisting of neonatal cord blood and samples taken from infants and children at ages of 6, 9, 24-48, and 49-72 months were analyzed for measles seropositivity in a period of 6 months. Results: Measles seropositivity rate was 72.5% in 109 cord blood samples, …


Effects Of Ankaferd Hemostat On Red Blood Cell Aggregation: A Hemorheological Study, Rafi̇ye Çi̇ftçi̇ler, Sali̇h Aksu, Nesli̇han Hacer Di̇kmenoğlu Falkmarken, İbrahi̇m Celaletti̇n Haznedaroğlu Jan 2019

Effects Of Ankaferd Hemostat On Red Blood Cell Aggregation: A Hemorheological Study, Rafi̇ye Çi̇ftçi̇ler, Sali̇h Aksu, Nesli̇han Hacer Di̇kmenoğlu Falkmarken, İbrahi̇m Celaletti̇n Haznedaroğlu

Turkish Journal of Medical Sciences

Background/aim:Ankaferd hemostat (ABS; Ankaferd blood stopper, İstanbul, Turkey) is a prohemostatic agent affecting erythrocytes. The hemostatic action of ABS depends upon fibrinogen gamma chain, prothrombin, and red blood cells. The aim of this study was to assess the effects of ABS on erythrocyte aggregation via hemorheological analyses.Materials and methods: To measure erythrocyte aggregation, blood samples were obtained from healthy, nonsmoker volunteers who had not taken any medication in the previous 10 days. One mL of blood was placed into the laser-assisted optical rotational cell analyzer (LORCA), into the chamber formed by the gap between two concentric glass cylinders. The solution …


Virulence Factors And Antimicrobial Resistance In Uropathogenic Escherichiacoli Strains Isolated From Cystitis And Pyelonephritis, Hosseinali Ghazvini, Keyvan Taheri, Elahe Edalati, Ali Miri, Mansour Sedighi, Shiva Mirkalantari Jan 2019

Virulence Factors And Antimicrobial Resistance In Uropathogenic Escherichiacoli Strains Isolated From Cystitis And Pyelonephritis, Hosseinali Ghazvini, Keyvan Taheri, Elahe Edalati, Ali Miri, Mansour Sedighi, Shiva Mirkalantari

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to investigate the prevalence of virulence genes as well as patterns of antibiotic resistance in cystitis and pyelonephritis uropathogenic Escherichia coli (UPEC) isolates. Materials and methods: Two hundred UPEC isolates were collected from hospitalized patients with pyelonephritis (n = 50) and cystitis (n = 150) in Shafa Hospital in Iran. Antimicrobial susceptibility and ESBL production were determined with confirmatory tests. Polymerase chain reaction assay was performed to determine the prevalence of virulence genes in UPEC strains. Results: Of a total 200 UPEC isolates, the highest and lowest resistance rates to antibiotics were for …


In Silico Design And In Vitro Development Of A Highly Accurate Test To Detect Brucella Species, Hosein Safari, Setareh Shahnazari, Maysam Mard-Soltani, Somayeh Tavakoli, Bahman Khalesi Jan 2019

In Silico Design And In Vitro Development Of A Highly Accurate Test To Detect Brucella Species, Hosein Safari, Setareh Shahnazari, Maysam Mard-Soltani, Somayeh Tavakoli, Bahman Khalesi

Turkish Journal of Medical Sciences

Background: Conventionalmethods of detecting Brucella spp. suffer from technical and biological complications. Besides, newly characterized species of the genus Brucella could be neglected by previously designed polymerase chain reaction (PCR) tests. Therefore, a more accurate PCR-based test seems to be imminently needed. Materials and methods: Blood samples were collected from 39 patients diagnosed with brucellosis and 25 healthy controls. Multiple sequence alignments (MSA) were performed on 500 Omp2-related protein and gene sequences. Thereafter, specific primers were designed and synthesized for the regions with highest conservancy. The collected samples were assessed by PCR test. To overcome the cross-reactivity issue, PCR thermal …


Retracted Article: Prevalence And Antimicrobial Susceptibility Pattern Of Toxigenic Clostridium Difficilestrains Isolated In Iran, Maryam Mohammadbeigi, Zahra Safayi Delouyi, Nima Mohammadzadeh, Arash Ala'almohadesin, Keyvan Taheri, Elahe Edalati, Mansour Sedighi, Abed Zahedi Bialvaei Jan 2019

Retracted Article: Prevalence And Antimicrobial Susceptibility Pattern Of Toxigenic Clostridium Difficilestrains Isolated In Iran, Maryam Mohammadbeigi, Zahra Safayi Delouyi, Nima Mohammadzadeh, Arash Ala'almohadesin, Keyvan Taheri, Elahe Edalati, Mansour Sedighi, Abed Zahedi Bialvaei

Turkish Journal of Medical Sciences

No abstract provided.


Cloning And Molecular Characterization Of Thiol-Specific Antioxidant Gene Of Leishmania Tropica Turkey Isolate, Hamza Özavci, Mustafa Kaplan Jan 2019

Cloning And Molecular Characterization Of Thiol-Specific Antioxidant Gene Of Leishmania Tropica Turkey Isolate, Hamza Özavci, Mustafa Kaplan

Turkish Journal of Medical Sciences

Background/aim: Thiol-specific antioxidant (TSA) protein is one of the most promising molecules among candidates for vaccine against cutaneous leishmaniasis. It was found to be significantly protective against different Leishmania species. In this study, cloning and molecular characterization of thiol-specific antioxidant gene of L. tropica Turkey isolate (LtTSA) were aimed. Materials and methods: LtTSA was amplified by PCR using the specific primers of TSA gene and cloned into the pcDNA3.1 vector. The cloning was confirmed by PCR screening, restriction enzyme reactions, and DNA sequence analysis. Finally, three-dimensional structure and antigenic properties of the protein encoded by the LtTSA were determined.Results: Six …


Anticandidal Activities Of Lactic Acid Bacteria Isolated From The Vagina, Sevda Er, Ayşe İstanbullu Tosun, Gi̇zem Arik Berk, Meri̇h Kivanç Jan 2019

Anticandidal Activities Of Lactic Acid Bacteria Isolated From The Vagina, Sevda Er, Ayşe İstanbullu Tosun, Gi̇zem Arik Berk, Meri̇h Kivanç

Turkish Journal of Medical Sciences

Background/aim: Lactic acid bacteria prevent the overgrowth of pathogenic agents and opportunistic pathogens in the vagina. Moreover, lactic acid bacteria contribute to the preservation of vaginal microbiota by producing antimicrobial agents. Previous studies showed that some lactic acid bacteria exhibited antimicrobial activity against Candida species causing yeast vaginosis as well as many bacterial pathogens.Materials and methods: The antifungal activities of various lactic acid bacteria isolated from the vagina of healthy women on some Candida species isolated from the vagina were investigated by agar diffusion technique. Results: Most of the lactic acid bacteria that belong to the species of Lactobacillus crispatus, …


Determining The Insulin Secretion Potential For Certain Specific G-Protein Coupled Receptors In Min6 Pancreatic Beta Cells, Hasan Gençoğlu, Kazi̇m Şahi̇n, Peter M. Jones Jan 2019

Determining The Insulin Secretion Potential For Certain Specific G-Protein Coupled Receptors In Min6 Pancreatic Beta Cells, Hasan Gençoğlu, Kazi̇m Şahi̇n, Peter M. Jones

Turkish Journal of Medical Sciences

Background/aim: The polypeptide hormone insulin is essential for the maintenance of whole-body fuel homeostasis, and defects in insulin secretion and/or action are associated with the development of type 1 and type 2 diabetes. The aim of this study was to assess the role of some G-protein coupled receptors (GPCRs), GPR54, GPR56, and GPR75, and cannabinoid receptors CB1R and CB2R, in the regulation of pancreatic ß-cell function.Materials and methods: Insulin secretion from mouse insulinoma ß-cell line (MIN6) monolayers was assessed via insulin radioimmu-noassay (RIA). Reverse transcription-polymerase chain reaction (RT-PCR) was used to assess the expression of some specific GPCRs and the …


S1pr2 Deficiency Enhances Neuropathic Pain Induced By Partial Sciatic Nerve Ligation, Qiang Gu, Jin Chao Hou, Xiang Ming Fang Jan 2019

S1pr2 Deficiency Enhances Neuropathic Pain Induced By Partial Sciatic Nerve Ligation, Qiang Gu, Jin Chao Hou, Xiang Ming Fang

Turkish Journal of Medical Sciences

Background/aim: Sphingosine 1-phosphate receptor 2 (S1PR2), a member of the seven-transmembrane receptor family, can be activated by its natural ligand sphingosine 1-phosphate (S1P) to initiate signal transduction and is involved in a wide range of biological effects such as immune cell migration and vascular permeability. Its relationship with neuropathic pain (NP) has not been reported. In this study, the effects of S1PR2 on the development of NP were studied.Materials and methods: We generated a model of NP by partial sciatic nerve ligation (pSNL). The 50% paw withdrawal threshold of the wild-type (WT) group and the S1PR2 deficiency group were measured …


Mir-33 And Rip140 Participate In Lps-Induced Acute Lung Injury, Hua Li, Huan Hou, Shuang Liu, Yangyang Feng, Wansi Zhong, Xiaojuan Hu, Nianlong Yan Jan 2019

Mir-33 And Rip140 Participate In Lps-Induced Acute Lung Injury, Hua Li, Huan Hou, Shuang Liu, Yangyang Feng, Wansi Zhong, Xiaojuan Hu, Nianlong Yan

Turkish Journal of Medical Sciences

Background/aim: Pulmonary microvascular endothelial cells (PMVECs) play a pivotal role in the process of acute lung injury (ALI), which can be induced by lipopolysaccharide (LPS). Numerous reports have indicated that both miR-33 and RIP140 are involved in the inflammatory response in macrophages. In this study, we sought to investigate whether miR-33 and RIP140 participate in ALI induced by LPS.Materials and methods: First, we isolated and identified PMVECs from BALB/c mice. Subsequently, both PMVECs and BALB/c mice were treated with PBS, LPS, or pyrrolidine dithiocarbamate (PDTC) plus LPS and divided into three groups: control (PBS), LPS (LPS), and L+P (LPS plus …


About "Efficacy Of Bispectral Index Monitoring For Prevention Of Anesthetic Awareness And Complications During Oocyte Pick-Up Procedure", Ayşe Çi̇ğdem Tütüncü Jan 2019

About "Efficacy Of Bispectral Index Monitoring For Prevention Of Anesthetic Awareness And Complications During Oocyte Pick-Up Procedure", Ayşe Çi̇ğdem Tütüncü

Turkish Journal of Medical Sciences

No abstract provided.


Comparison Of Ga-68 Psma Positron Emission Tomography/Computerized Tomography With Tc-99m Mdp Bone Scan In Prostate Cancer Patients, Rabi̇a Lebri̇z Uslu Beşli̇, Muhammet Sai̇t Sağer, Eli̇fe Akgün, Sertaç Asa, Onur Erdem Şahi̇n, Çeti̇n Demi̇rdağ, Ekrem Güner, Seyedbaresh Razavi̇khosroshahi̇, Emre Karayel, Hüseyi̇n Pehli̇vanoğlu, Aslan Aygün, İlhami̇ Uslu, Zübeyr Talat, Keri̇m Sönmezoğlu Jan 2019

Comparison Of Ga-68 Psma Positron Emission Tomography/Computerized Tomography With Tc-99m Mdp Bone Scan In Prostate Cancer Patients, Rabi̇a Lebri̇z Uslu Beşli̇, Muhammet Sai̇t Sağer, Eli̇fe Akgün, Sertaç Asa, Onur Erdem Şahi̇n, Çeti̇n Demi̇rdağ, Ekrem Güner, Seyedbaresh Razavi̇khosroshahi̇, Emre Karayel, Hüseyi̇n Pehli̇vanoğlu, Aslan Aygün, İlhami̇ Uslu, Zübeyr Talat, Keri̇m Sönmezoğlu

Turkish Journal of Medical Sciences

Background/aim: The aim of our study was to compare Tc-99m MDP bone scan and Ga-68 PSMA PET/CT in terms of detection of bone metastasis in prostate cancer patients. Materials and methods: A total of 28 prostate cancer patients with bone scan and PSMA PET/CT performed within 90 days were retrospectively included in our analysis. All bone lesions were scored as negative (score-0), positive (score-1), or suspicious (score-2) for metastasis by two experienced nuclear medicine physicians. Both patient-based and region-based analyses were made for all osseous lesions. Results: On per-patient analysis; sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), …


Alterations In Serum Levels Of Copper, Zinc, And Selenium Among Children With Sickle Cell Anemia, Rana Hasanato Jan 2019

Alterations In Serum Levels Of Copper, Zinc, And Selenium Among Children With Sickle Cell Anemia, Rana Hasanato

Turkish Journal of Medical Sciences

Background/aim: Oxidative stress contributes to pathophysiological dysfunction in sickle cell anemia (SCA). Copper (Cu) is a prooxidant, whereas zinc (Zn) and selenium (Se) are antioxidant trace elements. This study investigates the serum levels of Cu, Zn, and Se among children with SCA.Materials and methods: This cross-sectional study was performed at King Khalid University Hospital, Riyadh. Thirty-three children with SCA in steady state and 33 age- and sex-matched normal healthy children were included in the study. Cu, Zn, and Se levels were measured by inductively coupled plasma-mass spectrometry (ICP-MS) instrument.Results: The median serum Cu levels among SCA patients (1.3 -g/mL) were …


Capillaroscopic Findings In Turkish Takayasu Arteritis Patients, Ali̇ Akdoğan, Abdulsamet Erden, Esra Firat Şentürk, Levent Kiliç, Alper Sari, Berkan Armağan, Ömer Karadağ, Sedat Ki̇raz Jan 2019

Capillaroscopic Findings In Turkish Takayasu Arteritis Patients, Ali̇ Akdoğan, Abdulsamet Erden, Esra Firat Şentürk, Levent Kiliç, Alper Sari, Berkan Armağan, Ömer Karadağ, Sedat Ki̇raz

Turkish Journal of Medical Sciences

Background/aim: Abnormal capillaroscopic findings have been reported in vasculitic syndromes such as Behçet's disease, Henoch-Schönlein purpura, and Wegener's granulomatosis. This study was conducted to define the capillaroscopic changes in patients with Takayasu arteritis (TA). Materials and methods: We studied 28 TA patients (27 females). The nail folds from the 2nd to 5th fingers on both hands were examined with video capillaroscopy for all. A patient was defined as having an abnormal capillaroscopic examination if more than 1 morphologic abnormality was present in at least 2 nail folds. Results: The median capillary density of TA patients was 9 (range: 9-11). There …


Prognostic Value Of Blood Gas Parameters And End-Tidal Carbon Dioxide Values In Out-Of-Hospital Cardiopulmonary Arrest Patients, Ayça Çalbay, Zeynep Çakir, Atif Bayramoğlu Jan 2019

Prognostic Value Of Blood Gas Parameters And End-Tidal Carbon Dioxide Values In Out-Of-Hospital Cardiopulmonary Arrest Patients, Ayça Çalbay, Zeynep Çakir, Atif Bayramoğlu

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the usefulness of blood gas and end-tidal carbon dioxide (EtCO2) measurements for predicting return of spontaneous circulation (ROSC) and for evaluating post-ROSC neurological survival.Materials and methods: This was a prospective case control study utilizing Atatürk University's database of adult nontraumatic patients (over 18 years old) with out-of-hospital cardiac arrest (OHCA) over the course of a year. The neurological status of the patients was evaluated after 1 h at ROSC and at hospital discharge, as defined by the cerebral performance category score. The blood gas parameters pH, PO2, PCO2, lactate, and BE were compared with …


Timely Identification Of Atypical Acute Aortic Dissection In The Emergency Department:A Study From A Tertiary Hospital, Youjin Jiang, Zhengfang Zhang, Zhiming Gu, Hengdi Zou, Wenhui Fan, Xiaojun Chen, Hongyou Wang Jan 2019

Timely Identification Of Atypical Acute Aortic Dissection In The Emergency Department:A Study From A Tertiary Hospital, Youjin Jiang, Zhengfang Zhang, Zhiming Gu, Hengdi Zou, Wenhui Fan, Xiaojun Chen, Hongyou Wang

Turkish Journal of Medical Sciences

Background/aim: Acute aortic dissection (AAD) is a rare but fatal disease if left untreated. Symptoms are often similar to common conditions; therefore, the diagnostic strategy is important. We aimed to identify the atypical symptoms in a timely manner without putting patients at greater risk for undetected AAD.Materials and methods: We conducted a retrospective observational study of 59 AAD patients with both atypical and typical symptoms from January 2012 to December 2016. Patients with atypical symptoms continuing more than 30 min underwent a D-dimer test and computed tomography (CT) or computed tomographic angiography (CTA).Results: Of the 59 AAD patients, 22 were …


Hemophagocytic Lymphohistiocytosis: Epidemiological, Clinical And Biological Profile, Hanane Zahir, Jihane Belkhir, Hanane Mouhib, Mustapha Ait Ameur, Mohammed Chakour Jan 2019

Hemophagocytic Lymphohistiocytosis: Epidemiological, Clinical And Biological Profile, Hanane Zahir, Jihane Belkhir, Hanane Mouhib, Mustapha Ait Ameur, Mohammed Chakour

Turkish Journal of Medical Sciences

Background/aim: Hemophagocytic lymphohistiocytosis (HLH) is a clinical, biological, and pathological entity that is rare but has certain morbidity that may be life-threatening. This work aims to establish a focus on the hemophagocytic lymphohistiocytosis and analyze different aspects of diagnosis while emphasizing the biological data.Materials and methods: We report the results of a retrospective study conducted in the hematology department of Avicenna Hospital in Marrakesh. Thirty-one patients with hemophagocytic lymphohistiocytosis were enrolled.Results: The clinical presentation was dominated by fever and deterioration of the general state for almost all our patients. Splenomegaly was objectified in 90% of the patients. Hepatomegaly, lymphadenopathy, and …


Neutrophil To Lymphocyte Ratio As A Predictor Of Treatment Response And Mortality In Septic Shock Patients In The Intensive Care Unit, Rabi̇a Sari, Zühal Karakurt, Mustafa Ay, Muhammed Emi̇n Çeli̇k, Ülgen Yalaz Tekan, Fulya Çi̇yi̇ltepe, Feyza Kargin, Cüneyt Saltürk, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Nalan Adigüzel Jan 2019

Neutrophil To Lymphocyte Ratio As A Predictor Of Treatment Response And Mortality In Septic Shock Patients In The Intensive Care Unit, Rabi̇a Sari, Zühal Karakurt, Mustafa Ay, Muhammed Emi̇n Çeli̇k, Ülgen Yalaz Tekan, Fulya Çi̇yi̇ltepe, Feyza Kargin, Cüneyt Saltürk, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Nalan Adigüzel

Turkish Journal of Medical Sciences

Background/aim: While C-reactive protein (CRP) is a well-studied marker for predicting treatment response and mortality in sepsis, it was aimed to assess the efficacy of the neutrophil lymphocyte ratio (NLR) as a predictor of mortality and treatment response in sepsis patients in the intensive care unit (ICU). Materials and methods: In this retrospective cross-sectional study, sepsis patients were divided according to the presence of septic shock on the 1st day of ICU stay, and then subgrouped according to mortality. Patient demographics, acute physiologic and chronic health evaluation II and sequential organ failure assessment scores, NLR and CRP (on the 1st, …


Comparison Of Atrial Fibrillation Predictors In Patients With Acute Coronary Syndrome Using Ticagrelor Or Clopidogrel, Engi̇n Algül, Hamza Sunman, Muhammet Dural, İlki̇n Guli̇yev, Mert Aker, Mehmet Ali̇ Felekoğlu, Mehmet Erat, Murat Tulmaç, Sadik Açikel, Tolga Çi̇men Jan 2019

Comparison Of Atrial Fibrillation Predictors In Patients With Acute Coronary Syndrome Using Ticagrelor Or Clopidogrel, Engi̇n Algül, Hamza Sunman, Muhammet Dural, İlki̇n Guli̇yev, Mert Aker, Mehmet Ali̇ Felekoğlu, Mehmet Erat, Murat Tulmaç, Sadik Açikel, Tolga Çi̇men

Turkish Journal of Medical Sciences

Background/aim: Ticagrelor is a drug widely used in patients with acute coronary syndromes (ACS) that specifically increases the plasma level of adenosine, which is likely to cause atrial fibrillation (AF). Therefore, in this study we aimed to investigate the electrocardiographic and echocardiographic predictors of AF development after P2Y12 receptor antagonists in ACS patients.Materials and methods: This cross-sectional study included 831 patients with ACS (486 [58.5%] with ST elevated myocardial infarction [STEMI] and 345 [41.5%] with non-ST elevated myocardial infarction [NSTEMI]). Patients were divided into ticagrelor (n = 410) and clopidogrel (n = 421) groups. P wave properties including P wave …


Evaluation Of Interleukin-23 Receptor (Il-23r) Gene Polymorphisms And Serum Il-23 Levels In Patients With Psoriasis, Başak Fi̇li̇z, Mehmet Yildirim, Kuyaş Heki̇mler Öztürk, Fevzi̇ye Burcu Şi̇ri̇n, Seda Çeli̇k, İjlal Erturan, Selma Korkmaz, Hi̇kmet Orhan Jan 2019

Evaluation Of Interleukin-23 Receptor (Il-23r) Gene Polymorphisms And Serum Il-23 Levels In Patients With Psoriasis, Başak Fi̇li̇z, Mehmet Yildirim, Kuyaş Heki̇mler Öztürk, Fevzi̇ye Burcu Şi̇ri̇n, Seda Çeli̇k, İjlal Erturan, Selma Korkmaz, Hi̇kmet Orhan

Turkish Journal of Medical Sciences

Background/aim: IL-23R gene polymorphisms and the association of these polymorphisms with serum IL-23 levels were investigated in patients with psoriasis in the current study. Materials and methods: Sixty-seven patients with psoriasis who were admitted to our dermatology outpatient clinic and 67 healthy controls were included in the study. Polymorphisms of the IL-23R gene were determined by KASP-PCR method, and serum IL-23 levels were determined by ELISA method.Results: The distribution of IL-23R gene polymorphisms rs2201841, rs11209026, rs7530511, rs1343152, and rs11465804 was not significantly different in the patient and control groups. The AA genotype of the rs2201841 locus in males and the …


Does Tumor Size Have Prognostic Value In Patients Undergoing Lymphadenectomy In Endometrioid-Type Endometrial Cancer Confined To The Uterine Corpus?, Caner Çakir, İsmet Çi̇ğdem Kiliç, Di̇lek Yüksel, Yalin Ay Karyal, Işin Üreyen, Gökhan Boyraz, Yasi̇n Durmuş, Murat Gülteki̇n, Nejat Özgül, Mustafa Alper Karalök, Mehmet Coşkun Salman, Kunter Yüce, Ahmet Taner Turan Jan 2019

Does Tumor Size Have Prognostic Value In Patients Undergoing Lymphadenectomy In Endometrioid-Type Endometrial Cancer Confined To The Uterine Corpus?, Caner Çakir, İsmet Çi̇ğdem Kiliç, Di̇lek Yüksel, Yalin Ay Karyal, Işin Üreyen, Gökhan Boyraz, Yasi̇n Durmuş, Murat Gülteki̇n, Nejat Özgül, Mustafa Alper Karalök, Mehmet Coşkun Salman, Kunter Yüce, Ahmet Taner Turan

Turkish Journal of Medical Sciences

Background/aim: We aimed to define the effect of tumor size on recurrence and survival rates in patients with stage I?II endometrioid-type endometrial cancer.Materials and methods: A total of 550 patients who had total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic-paraaortic lymphadenectomy were included. Patients with extrauterine spread, sarcomatous components, or synchronized tumor and those who did not undergo lymphadenectomy or did not have data on tumor size were excluded.Results: The median tumor size was 35 mm (range: 3?335 mm). According to the 2009 International Federation of Obstetrics and Gynecology (FIGO) criteria, 245 cases were defined as stage IA, 271 as stage …


Comparison Of 2-Year Clinical And Radiological Outcomes Between Volar Plating And External Fixation With Additional K-Wires For Ao Type C Distal Radius Fractures, Özgür Çi̇çekli̇, Erhan Şükür, Alauddi̇n Kochai̇, Levent Bayam, İzzet Bi̇ngöl, Uğur Özdemi̇r Jan 2019

Comparison Of 2-Year Clinical And Radiological Outcomes Between Volar Plating And External Fixation With Additional K-Wires For Ao Type C Distal Radius Fractures, Özgür Çi̇çekli̇, Erhan Şükür, Alauddi̇n Kochai̇, Levent Bayam, İzzet Bi̇ngöl, Uğur Özdemi̇r

Turkish Journal of Medical Sciences

Background/aim: Surgical treatment of distal intraarticular radius fractures remains controversial. Our aim was to compare the clinical and radiological outcomes between volar plating (VP) and external fixation (EF) for distal intraarticular radius fractures two years postoperatively. Materials and methods: This retrospective study included 59 patients with 62 intraarticular AO Type C distal radius fractures. We distinguished two groups: patients treated with internal fixation (volar locking plate, VP group: 41 fractures), and patients treated with an external fixator and K-wires (EF group: 21 fractures). The clinical assessment included range of motion, grip strength, disability of the arm, shoulder, and hand (DASH), …