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Full-Text Articles in Medicine and Health Sciences

The Effects Of Early Neurodevelopmental Bobath Approach And Mobilization On Quadriceps Muscle Thickness In Stroke Patients, Arzu Güçlü Gündüz, Gökhan Yazici, Çağla Özkul, Hami̇t Küçük, Hale Zeynep Batur Çağlayan, Bi̇jen Nazliel Jan 2019

The Effects Of Early Neurodevelopmental Bobath Approach And Mobilization On Quadriceps Muscle Thickness In Stroke Patients, Arzu Güçlü Gündüz, Gökhan Yazici, Çağla Özkul, Hami̇t Küçük, Hale Zeynep Batur Çağlayan, Bi̇jen Nazliel

Turkish Journal of Medical Sciences

Background/aim: Following stroke, damage to the central nervous system and adaptive changes in muscle tissue are factors responsible for the loss of muscle strength. Even though it is suggested that early physiotherapy and mobilization prevent structural adaptive changes in muscle tissue, studies regarding this issue are insufficient. The aim of this study is to investigate the effects of early physiotherapy and mobilization on quadriceps muscle thickness (QMT) in stroke patients.Materials and methods: Twelve stroke patients who were admitted to the neurology intensive care unit and 13 healthy controls were included in the study. QMT was examined at admission and discharge …


Serum Fetuin-A Is Associated With The Components Of Miac(Malnutrition, Inflammation, Atherosclerosis, Calcification) Syndrome In Different Stages, Rüya Mutluay, Ceyla Konca Değerteki̇n, Emel Işiktaş Sayilar, Ülver Deri̇ci̇, Serap Gülteki̇n, Sevi̇m Gönen, Seli̇m Turgay Arinsoy, Mahmut Şükrü Si̇ndel Jan 2019

Serum Fetuin-A Is Associated With The Components Of Miac(Malnutrition, Inflammation, Atherosclerosis, Calcification) Syndrome In Different Stages, Rüya Mutluay, Ceyla Konca Değerteki̇n, Emel Işiktaş Sayilar, Ülver Deri̇ci̇, Serap Gülteki̇n, Sevi̇m Gönen, Seli̇m Turgay Arinsoy, Mahmut Şükrü Si̇ndel

Turkish Journal of Medical Sciences

Background/aim: Fetuin-A, a circulating inhibitor of calcification, is a marker of inflammatory-nutritional state. We evaluated the association between serum fetuin-A levels and vascular calcification, intima-media thickness, and nutritional and inflammatory markers in different stages of chronic kidney disease (CKD). Materials and methods: CKD patients were sampled for calcium-phosphate parameters and nutritional and inflammatory markers [highly sensitive C-reactive protein (hs-CRP)], and serum fetuin-A levels. Intima-media thicknesses of the common carotid arteries (CIMT) were measured. Peripheral artery calcification scores were obtained.Results: A total of 238 patients were included in the study. Fetuin-A levels in patients with end-stage renal disease were significantly lower …


Risk Factors For Rectal Colonization Of Carbapenem-Resistant Enterobacteriaceae In A Tertiary Care Hospital: A Case-Control Study From Turkey, Fatma Eser, Gülruhsar Yilmaz, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fatma Yekta Ürkmez Korkmaz, Zi̇yaci̇bali̇ Açikgöz, Mehmet Akin Taşyaran Jan 2019

Risk Factors For Rectal Colonization Of Carbapenem-Resistant Enterobacteriaceae In A Tertiary Care Hospital: A Case-Control Study From Turkey, Fatma Eser, Gülruhsar Yilmaz, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fatma Yekta Ürkmez Korkmaz, Zi̇yaci̇bali̇ Açikgöz, Mehmet Akin Taşyaran

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the risk factors of patients colonized with carbapenem-resistant Enterobacteriaceae (CRE).Materials and methods: The study was conducted between January 2010 and March 2016. The colonized group consisted of patients who had a CRE strain in their rectal swab cultures, whereas patients with negative rectal surveillance cultures for CRE who were concurrently hospitalized in the same units with the colonized group patients were included in the control group.Results: The number of patients in the colonized and the control group was 71 and 120, respectively. Both groups were evaluated for demographic and healthcare-associated characteristics. Isolated microorganisms in …


Effects Of Ankaferd Hemostat On Helicobacter Pylori Strains And Antibiotic Resistance, Rafi̇ye Çi̇ftçi̇ler, Ahmet Koluman, İbrahi̇m Celaletti̇n Haznedaroğlu, Nejat Akar Jan 2019

Effects Of Ankaferd Hemostat On Helicobacter Pylori Strains And Antibiotic Resistance, Rafi̇ye Çi̇ftçi̇ler, Ahmet Koluman, İbrahi̇m Celaletti̇n Haznedaroğlu, Nejat Akar

Turkish Journal of Medical Sciences

Background/aim: Ankaferd hemostat (ABS; Ankaferd blood stopper, İstanbul, Turkey) is a folkloric medicinal plant extract. The aim of this study was to determine the effect of Ankaferd hemostat (ABS) on the fate of Helicobacter pylori strains. The study also aims to determine alterations in the antimicrobial resistance of three different H. pylori strains in response to ABS exposure.Materials and methods: H. pylori Strain 1 was obtained from the culture collection ATCC 43504 and passaged three times for viability. Strain 2 was isolated from a gastric ulcer patient and Strain 3 was isolated from a gastritis patient. 1% of ABS was …


Antinociceptive Effect Of Liposomal Bupivacaine Formulations After Intrathecal Administration In Rats, İlker Yi̇ği̇t, Berri̇n Günaydin, Ömer Hakan Emmez, Meci̇t Orhan Uludağ, Nur Banu Bal, İsmai̇l Tuncer Deği̇m Jan 2019

Antinociceptive Effect Of Liposomal Bupivacaine Formulations After Intrathecal Administration In Rats, İlker Yi̇ği̇t, Berri̇n Günaydin, Ömer Hakan Emmez, Meci̇t Orhan Uludağ, Nur Banu Bal, İsmai̇l Tuncer Deği̇m

Turkish Journal of Medical Sciences

Background/aim: Based on our previous in vitro study with multilamellar liposomal bupivacaine (MLB) versus bupivacaine alone in artificial cerebrospinal fluid, we aimed to investigate in vivo antinociceptive effect of intrathecal MLB by determining tail flick latency (TFL) time after thermal stimulation in rats. Materials and methods: After preparing MLB and high-yield drug entrapment in liposome (HYDEL) bupivacaine, 18 female Wistar rats were assigned to 3 groups as control (bupivacaine) and study groups (MLB and HYDEL bupivacaine) including 6 rats in each group to administer these drugs intrathecally. Antinociceptive activity was determined in terms of TFL time after thermal stimulation. Maximum …


A Comparative Biomechanical Analysis Of Suprapectineal And Infrapectineal Fixation On Acetabular Anterior Column Fracture By Finite Element Modeling, Mehmet Yücens, Kadi̇r Bahadir Alemdaroğlu, Ahmet Özmeri̇ç, Serkan İltar, Ahmet Özgür Yildirim, Nevres Hürri̇yet Aydoğan Jan 2019

A Comparative Biomechanical Analysis Of Suprapectineal And Infrapectineal Fixation On Acetabular Anterior Column Fracture By Finite Element Modeling, Mehmet Yücens, Kadi̇r Bahadir Alemdaroğlu, Ahmet Özmeri̇ç, Serkan İltar, Ahmet Özgür Yildirim, Nevres Hürri̇yet Aydoğan

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to compare the stability and implant stresses of suprapectineal plate with infrapectineal plate in three subconfigurations of the screw types. Materials and methods: The stabilities of different fixation methods were compared by finite element analysis on six models. Three infrapectineal and three suprapectineal models each with locked, unlocked, or combined screws were employed. Three-dimensional finite element stress analysis was performed by using isotropic materials with a load of 2.3 kN applied at standing positions. Motion at the fracture line was measured on four different points located on the pubic and iliac sides of …


Comparison Of Venous Repair Results Using Either Arterial Or Vein Grafts In A Crush-Avulsion Injury Model, Selami̇ Serhat Şi̇rvan, Işil Akgün Demi̇r, Fati̇h Irmak, Dağhan Dağdelen, Kamuran Zeynep Sevi̇m, Ayşe Ayşi̇m Özağari, Ayşi̇n Karasoy Yeşi̇lada Jan 2019

Comparison Of Venous Repair Results Using Either Arterial Or Vein Grafts In A Crush-Avulsion Injury Model, Selami̇ Serhat Şi̇rvan, Işil Akgün Demi̇r, Fati̇h Irmak, Dağhan Dağdelen, Kamuran Zeynep Sevi̇m, Ayşe Ayşi̇m Özağari, Ayşi̇n Karasoy Yeşi̇lada

Turkish Journal of Medical Sciences

Background/aim: Venous insufficiency after replantation or revascularization is one of the most common causes of limb loss in either the short or the long term. The aim of this study was to evaluate the results of a new technique to overcome venous insufficiency.Materials and Methods: A crush-avulsion type of injury was formed in the femoral veins of rats of 3 separate groups. In the control group, primary repair was applied to the damaged veins and the remaining 2 groups were repaired with either an arterial graft or a vein graft. The success rates of anastomosis were then compared.Results: In the …


Tenofovir Disoproxil Fumarate May Not Cause Renal And Bone Toxicity In Chronic Hepatitis B Patients: A Retrospective Cross-Sectional Study, Hati̇ce Rahmet Güner, Zeli̇ha Koçak Tufan, Gülruhsar Yilmaz, Mehmet Akin Taşyaran Jan 2019

Tenofovir Disoproxil Fumarate May Not Cause Renal And Bone Toxicity In Chronic Hepatitis B Patients: A Retrospective Cross-Sectional Study, Hati̇ce Rahmet Güner, Zeli̇ha Koçak Tufan, Gülruhsar Yilmaz, Mehmet Akin Taşyaran

Turkish Journal of Medical Sciences

No abstract provided.


The Distribution Of Mefv Mutations In Turkish Fmf Patients: Multicenter Study Representing Results Of Anatolia, Nazi̇fe Şule Yaşar Bi̇lge, İsmai̇l Sari, Di̇lek Solmaz, Abdurrahman Soner Şenel, Hakan Emmungi̇l, Levent Kiliç, Si̇bel Yilmaz Öner, Fati̇h Yildiz, Sedat Yilmaz, Emi̇ne Duygu Ersözlü, Müge Aydin Tufan, Sema Yilmaz, Veli̇ Yazisiz, Yavuz Pehli̇van, Cemal Bes Jan 2019

The Distribution Of Mefv Mutations In Turkish Fmf Patients: Multicenter Study Representing Results Of Anatolia, Nazi̇fe Şule Yaşar Bi̇lge, İsmai̇l Sari, Di̇lek Solmaz, Abdurrahman Soner Şenel, Hakan Emmungi̇l, Levent Kiliç, Si̇bel Yilmaz Öner, Fati̇h Yildiz, Sedat Yilmaz, Emi̇ne Duygu Ersözlü, Müge Aydin Tufan, Sema Yilmaz, Veli̇ Yazisiz, Yavuz Pehli̇van, Cemal Bes

Turkish Journal of Medical Sciences

Background/aim: The distribution of Mediterranean fever (MEFV) gene mutations in Turkish familial Mediterranean fever (FMF) patients varies according to geographic area of Turkey. There is a need for highly representative data for Turkish FMF patients. The aim of our study was to investigate the distribution of the common MEFV mutations in Turkish FMF patients in a nationwide, multicenter stu dy.Materials and methods: Data of the 2246 FMF patients, from 15 adult rheumatology clinics located in different parts of the country, were evaluated retrospectively. The following mutations have been tested in all patients: M694V, M680I, M694I, V726A, and E148Q.Results: There were …


Irak-4 Rs4251481 Gene Variant: As A Risk Factor On Inflammatory Bowel Disease, Gonca Candan, Resul Kahraman, Hayri̇ye Arzu Ergen Jan 2019

Irak-4 Rs4251481 Gene Variant: As A Risk Factor On Inflammatory Bowel Disease, Gonca Candan, Resul Kahraman, Hayri̇ye Arzu Ergen

Turkish Journal of Medical Sciences

Background/aim: Abnormal immune response occurs in individuals who have alleles associated with innate and adaptive immune mechanisms that predispose to inflammatory bowel disease (IBD). Interleukin-1 receptor-associated kinase 4 (IRAK-4) involved in the pathway produces cytokines that initiate and maintain inflammation through Toll-like receptors and interleukin-1 receptors on the membranes of innate immune cells are stimulated with antigens. It was aimed to investigate whether IRAK-4 rs3794262 and rs4251481 polymorphisms predispose to IBD and the possible effects of these polymorphisms by examining these gene polymorphisms with the clinic and prognostic parameters of IBD.Material and methods: Real-time PCR technique was used to detect …


The Results Of Nasopharyngeal Cancer Patients Treated By Simultaneous Integrated Boost Technique And Concomitant Chemotherapy, Mehmet Fai̇k Çeti̇ndağ, Ati̇ye Yilmaz Özsavran, Bülent Yalçin, İclal Çeti̇ndağ, Şeyda Türkölmez, Karabeki̇r Ercan, Di̇nçer Yeğen Jan 2019

The Results Of Nasopharyngeal Cancer Patients Treated By Simultaneous Integrated Boost Technique And Concomitant Chemotherapy, Mehmet Fai̇k Çeti̇ndağ, Ati̇ye Yilmaz Özsavran, Bülent Yalçin, İclal Çeti̇ndağ, Şeyda Türkölmez, Karabeki̇r Ercan, Di̇nçer Yeğen

Turkish Journal of Medical Sciences

Background/aim: To assess the efficacy and side effects of concurrent weekly chemotherapy and radiotherapy with simultaneous integrated boost (SIB) technique for nasopharyngeal cancer (NPC). Materials and methods: A total of 51 consecutive patients with diagnosis of NPC were treated between February 2010 and December 2015. The median dose for PTV70 (range: 60-82) was given in 33 fractions (range: 31-35). Forty-five of the patients received concomitant weekly chemotherapy between 3-7 cycles (median 6). Eleven patients received neoadjuvant and thirty-nine patients received adjuvant chemotherapy. Results: At a median follow-up 43 months (range: 2-76) the estimated 5-year overall survival and disease-free survival were …


The Efficacy And Safety Of Targeted Narrowband Uvb Therapy: A Retrospective Cohort Study, Kübra Esen Salman, İlknur Altunay, Andaç Salman Jan 2019

The Efficacy And Safety Of Targeted Narrowband Uvb Therapy: A Retrospective Cohort Study, Kübra Esen Salman, İlknur Altunay, Andaç Salman

Turkish Journal of Medical Sciences

Background/aim: Phototherapy is a safe and effective treatment modality for numerous dermatological conditions. Recently, targeted phototherapy modalities have gained importance due to their advantages over conventional phototherapy.This retrospective study aimed to evaluate the safety and efficacy of targeted narrowband UVB phototherapy in patients with dermatological disorders.Materials and methods: This single-center study included 173 patients who were treated with targeted narrowband UVB phototherapy. Demographic features, phototherapy parameters, and adverse effects were evaluated in all patients, and the treatment response was assessed in patients who attended at least one follow-up visit. Results: A total of 173 patients (102 females; 71 males) with …


Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya Jan 2019

Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya

Turkish Journal of Medical Sciences

Background/aim: This study aimed to reveal the optimum recording time of routine electroencephalogram (EEG) for adults with epilepsy.Materials and methods: In this clinical observational study we investigated features of paroxysms that emerged in EEGs recorded for 45 min in adults with epilepsy.Results: Paroxysms were detected in 38.14% of 97 patients. The probability of occurrence of paroxysm during the first 10 min was found to be statistically significantly low in comparison to the first 30 and 45 min (respectively P = 0.004, P = 0.0001). This probability was found to increase insignificantly when comparing the first 20 min with the first …


Efficacy Of Chemical Shift Mri For Differentiating Diffuse Red Bone Marrow Reconversion And Hematological Malignancies, Burcu Akman, Hati̇ce Ayça Ata Korkmaz, Ahmet Sari Jan 2019

Efficacy Of Chemical Shift Mri For Differentiating Diffuse Red Bone Marrow Reconversion And Hematological Malignancies, Burcu Akman, Hati̇ce Ayça Ata Korkmaz, Ahmet Sari

Turkish Journal of Medical Sciences

Background/aim: The main purpose of our study was to determine the efficacy of chemical shift imaging (CSI) for differentiating diffuse red bone marrow reconversion (RBMR) and hematological malignancies. We also aimed to calculate the cut-off value for these entities with similar imaging features in routine magnetic resonance (MR) sequences.Materials and methods: A total of 54 patients were included: 17 patients (31.4%) with hematological malignancies (group 1), 16 patients (29.6%) with RBMR (group 2), and 21 patients (38.0%) with no clinical and hematological malignancies (control group). Patients with no pathological data or completed two-year follow-up and children were excluded from the …


Validation And Reliability Study Of The Turkish Version Of The Neuroquality Of Life (Neuro-Qol)-Stigma Scale For Neurological Disorders, Si̇bel Karşidağ, Ni̇lgün Çinar, Şevki̇ Şahi̇n, Nurdan Kotevoğlu, Mi̇runa Florenti̇na Ateş Jan 2019

Validation And Reliability Study Of The Turkish Version Of The Neuroquality Of Life (Neuro-Qol)-Stigma Scale For Neurological Disorders, Si̇bel Karşidağ, Ni̇lgün Çinar, Şevki̇ Şahi̇n, Nurdan Kotevoğlu, Mi̇runa Florenti̇na Ateş

Turkish Journal of Medical Sciences

Background/aim: Stigma can be defined as a negative perception of chronically ill patients by their relatives or by society, or a similar self-perception by the patients themselves. We aimed to validate the Turkish version of the Neuroquality of Life (Neuro-QoL)-Stigma Scale for neurologic diseases. Materials and methods: Forms were filled out by a total of 152 randomized patients under regular follow-up in the outpatient clinic (29 polyneuropathy, 25 epilepsy, 23 stroke, 24 tension-type headache, 28 multiple sclerosis, 27 Parkinson disease). The forms consisted of the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), WHOQOL-BREF quality of life scale, the Multidimensional …


Does Hand Grip Strength Decrease In Chronic Obstructive Pulmonary Disease Exacerbation? A Cross-Sectional Study, Zeynep Turan, Özden Özyemi̇şci̇ Taşkiran, Zeynep Erden, Nurdan Köktürk, Gülçi̇n Kaymak Karataş Jan 2019

Does Hand Grip Strength Decrease In Chronic Obstructive Pulmonary Disease Exacerbation? A Cross-Sectional Study, Zeynep Turan, Özden Özyemi̇şci̇ Taşkiran, Zeynep Erden, Nurdan Köktürk, Gülçi̇n Kaymak Karataş

Turkish Journal of Medical Sciences

Background/aim: Respiratory and peripheral muscle strength are reduced in chronic obstructive pulmonary disease (COPD). There is a well-known correlation between handgrip strength (HGS) and strenght extremity muscles. Our aim in this study was to measure HGS and investigate the related factors in COPD patients with exacerbation.Materials and methods: Subjects with COPD exacerbation (n = 101) and stable COPD (n = 22), and subjects without COPD (n = 201), were enrolled in this study. Age, sex, and body mass index were similar. HGS was measured using a Vigorimeter. Pulmonary function tests and 6-min walk tests were performed.Results: The mean HGS was …


Retrograde Intrarenal Surgery Technique Without Using Fluoroscopy And Access Sheet In The Treatment Of Kidney Stones, Fati̇h Firdolaş, Neci̇p Pi̇ri̇nççi̇, Tunç Ozan, Ahmet Karakeçi̇, İrfan Orhan Jan 2019

Retrograde Intrarenal Surgery Technique Without Using Fluoroscopy And Access Sheet In The Treatment Of Kidney Stones, Fati̇h Firdolaş, Neci̇p Pi̇ri̇nççi̇, Tunç Ozan, Ahmet Karakeçi̇, İrfan Orhan

Turkish Journal of Medical Sciences

Background/aim: In this study, we aimed to present our results on single-guidewire flexible ureteroscopy and retrograde intrarenal surgery without fluoroscopy and an access sheet, and to evaluate the efficacy and safety of this procedure retrospectively.Material and methods: Our routine technique can be described as the evaluation of the ureter using a semirigid ureterorenoscope (URS), leading in the guidewire through the semirigid URS, pulling the semirigid URS back, inserting the flexible URS with the aid of the guidewire, inserting the laser probe through the flexible URS, and performing laser lithotripsy. Results: Our study included 400 male and 198 female patients with …


The Relationship Between Serum Levels Of Surfactant Protein D In Copd Exacerbation Severity And Mortality, Fatma Esra Günaydin, Nurdan Kalkan, Gülşah Günlüoğlu, Esma Nur Aktepe, Bariş Demi̇rkol, Sedat Altin Jan 2019

The Relationship Between Serum Levels Of Surfactant Protein D In Copd Exacerbation Severity And Mortality, Fatma Esra Günaydin, Nurdan Kalkan, Gülşah Günlüoğlu, Esma Nur Aktepe, Bariş Demi̇rkol, Sedat Altin

Turkish Journal of Medical Sciences

Background/aim: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality. In COPD patients, various inflammatory markers such as cytokines and acute phase proteins, which show systemic inflammation in the circulation, increase during exacerbations. In our study, we aimed to determine the relationship between serum SP-D levels and exacerbation severity, clinical course of the disease, and early mortality after discharge.Materials and methods: Fifty hospitalized patients with COPD acute exacerbation (46 male and 4 female) were recruited in this study. Thirty-three of the subjects (31 male and 2 female) were reevaluated after discharge. Venous blood samples were taken …


Evaluation Of Malignancy With Thyroid Imaging Reporting And Data System (Ti-Rads) In Thyroid Nodules With Persistent Nondiagnostic Cytology, Hüsni̇ye Başer, Oya Topaloğlu, Sevgül Faki, Afra Alkan, Mustafa Ömer Yazicioğlu, Hayri̇ye Tatli Doğan, İbrahi̇m Kilinç, Reyhan Ersoy, Beki̇r Çakir Jan 2019

Evaluation Of Malignancy With Thyroid Imaging Reporting And Data System (Ti-Rads) In Thyroid Nodules With Persistent Nondiagnostic Cytology, Hüsni̇ye Başer, Oya Topaloğlu, Sevgül Faki, Afra Alkan, Mustafa Ömer Yazicioğlu, Hayri̇ye Tatli Doğan, İbrahi̇m Kilinç, Reyhan Ersoy, Beki̇r Çakir

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the utility of thyroid imaging reporting and data system (TI-RADS) in prediction of malignancy in thyroid nodules with persistent nondiagnostic (ND) cytology. Materials and methods: A total of 246 thyroid nodules which were surgically removed and had at least two fine-needle aspirations (FNAs) with ND cytology were included in this study. Ultrasonography features and TI-RADS scores were recorded. Results: Of 246 nodules, 218 (88.6%) had benign and 28 (11.4%) had malignant final histopathology. Frequencies of taller than wide shape, solidity, hypoechogenicity, microcalcifications, and presence of irregular borders were similar between benign and malignant nodules (P …


Effect Of Dilutional Anemia That Can Be Treated With Only One Unit Of Red Blood Cell Transfusion On Tissue Oxygenation In Cardiac Surgery Patients, Büşra Tezcan, Demet Bölükbaşi, Alev Şaylan, Sema Turan, Sultan Sevi̇m Yakin, Di̇lek Kazanci, Ayşegül Özgök, Hi̇ja Yazicioğlu Jan 2019

Effect Of Dilutional Anemia That Can Be Treated With Only One Unit Of Red Blood Cell Transfusion On Tissue Oxygenation In Cardiac Surgery Patients, Büşra Tezcan, Demet Bölükbaşi, Alev Şaylan, Sema Turan, Sultan Sevi̇m Yakin, Di̇lek Kazanci, Ayşegül Özgök, Hi̇ja Yazicioğlu

Turkish Journal of Medical Sciences

Background/aim: Cardiac surgery, especially in the presence of cardiopulmonary bypass (CPB), is associated with an inflammatory reaction that may promote microcirculatory alterations, in addition to the general impact on system hemodynamics. Anemia and transfusion make patients more susceptible to the deleterious effects of CPB. In this study, it was aimed to evaluate the effect of dilutional anemia, which is caused by CPB and can be treated with 1?2 units of red blood cell (RBC) transfusion, on global tissue oxygenation parameters in cardiac surgery patients.Materials and methods: This prospective observational study comprised 127 patients who had a relatively stable operation period …


The Impact Of Different Etiologies Of Diminished Ovarian Reserve On Pregnancy Outcome In Ivf-Et Cycles, Runa Ozelci, Oya Aldemi̇r, Serdar Di̇lbaz, Eni̇s Özkaya, İnci̇ Kahyaoğlu, Berna Di̇lbaz, Özlem Moraloğlu Teki̇n Jan 2019

The Impact Of Different Etiologies Of Diminished Ovarian Reserve On Pregnancy Outcome In Ivf-Et Cycles, Runa Ozelci, Oya Aldemi̇r, Serdar Di̇lbaz, Eni̇s Özkaya, İnci̇ Kahyaoğlu, Berna Di̇lbaz, Özlem Moraloğlu Teki̇n

Turkish Journal of Medical Sciences

Background/aim: Diminished ovarian reserve (DOR) represents a major challenge in reproductive medicine, as it is often associated with poor ovarian stimulation response, high cycle cancellation rate, and low pregnancy rate. The aim of the present study is to compare the clinical pregnancy rates in intracytoplasmic sperm injection-embryo transfer (ICSI-ET) cycles in patients with different DOR etiologies. Materials and methods: Patient data were recorded with a computer-based program called Success Estimation Using a Ranking Algorithm (SERA). Overall, 459 patients were divided into 3 groups according to their DOR etiologies (Group A: idiopathic, n = 81; Group B: age-related, n = 294; …


Risk Factors For Community-Onset Urinary Tract Infections Caused By Extended-Spectrum Ss-Lactamase-Producing Escherichia Coli, Türkan Tüzün, Selda Sayin Kutlu, Murat Kutlu, İlknur Kaleli̇ Jan 2019

Risk Factors For Community-Onset Urinary Tract Infections Caused By Extended-Spectrum Ss-Lactamase-Producing Escherichia Coli, Türkan Tüzün, Selda Sayin Kutlu, Murat Kutlu, İlknur Kaleli̇

Turkish Journal of Medical Sciences

Background/aim: Community-onset urinary tract infections(UTIs) caused by extended-spectrum ß-lactamase (ESBL)-producing Escherichia coli have increased in many parts of the world. This study aimed to determine the prevalence and risk factors for community-onset UTI caused by ESBL-producing E. coli.Materials and methods: This prospective cohort study was conducted between January 2012 and March 2014 in cases of community-onset UTI caused by E. coli. Patients with UTI due to ESBL-producing E. coli and patients with UTI due to non-ESBL-producing E. coliwere compared to identify risk factors for ESBL-producing E. coli in the community.Results: A total of 305 patients (116 males [46.4%]; mean age: …


Review Of The Effect Of 3d Medical Printing And Virtual Reality On Urology Training With `Medtrain3dmodsim' Erasmus + European Union Project, İlkan Tatar, Emre Huri̇, İlker Selçuk, Young Lee Moon, Alberto Paoluzzi, Andreas Skolarikos Jan 2019

Review Of The Effect Of 3d Medical Printing And Virtual Reality On Urology Training With `Medtrain3dmodsim' Erasmus + European Union Project, İlkan Tatar, Emre Huri̇, İlker Selçuk, Young Lee Moon, Alberto Paoluzzi, Andreas Skolarikos

Turkish Journal of Medical Sciences

Background/aim: It is necessary to incorporate novel training modalities in medical education, especially in surgical fields, because of the limitations of cadaveric training. Traditional medical education has many drawbacks, such as residency working hour restrictions, patient safety conflicts with the learning needs, and the lack of hands-on workshops. The MedTRain3DModsim Project aimed to produce 3-dimensional (3D) medical printed models, simulations, and innovative applications for every level of medical training using novel worldwide technologies. It was aimed herein to improve the interdisciplinary and transnational approaches, and accumulate existing experience for medical education, postgraduate studies, and specialty training. Materials and methods: This …


Does Smoking Increase The Anesthetic Requirement?, Erdoğan Öztürk, Mustafa Sai̇d Aydoğan, Kazim Karaaslan, Zafer Doğan, Ufuk Topuz Jan 2019

Does Smoking Increase The Anesthetic Requirement?, Erdoğan Öztürk, Mustafa Sai̇d Aydoğan, Kazim Karaaslan, Zafer Doğan, Ufuk Topuz

Turkish Journal of Medical Sciences

Background/aim:To examine the effects of active and passive smoking on perioperative anesthetic and analgesic consumption. Materials and methods: Patients were divided into three groups: group S, smokers; group PS, passive smokers; and group NS, individuals who did not have a history of smoking and were not exposed to smoke. All patients underwent the standard total intravenous anesthesia method. The primary endpoint of this study was determination of the total amount of propofol and remifentanil consumed. Results: The amount of propofol used in induction of anesthesia was significantly higher in group S compared to groups PS and NS. Moreover, the total …


Profiling Of 17 Y-Str Loci In Mazandaran And Gilan Provinces Of Iran, Minoo Sayyari, Ali Salehzadeh, Mohamad Amin Tabatabaiefar, Ali Abbasi Jan 2019

Profiling Of 17 Y-Str Loci In Mazandaran And Gilan Provinces Of Iran, Minoo Sayyari, Ali Salehzadeh, Mohamad Amin Tabatabaiefar, Ali Abbasi

Turkish Journal of Medical Sciences

Background/aim: TheY-chromosome mainly consists of heterochromatin regions that have a father-to-son inheritance. Short tandem repeat polymorphic (STRP) markers distributed all over the chromosome provide the opportunity for investigations in forensic medicine and ancestral lineage studies. Due to the existence of wide varieties of geographical and ethnic groups in Iran, studying Y-STRP markers is necessary for further applications. Here we investigated the provinces of Mazandaran and Gilan for the first time. Materials and methods: Samples included 119 and 90 unrelated males from Mazandaran and Gilan, respectively. Using a PCR amplification kit, 17 Y-STRP markers were amplified and genotyping was conducted by …


Stage 1 Hybrid Palliation Of Hypoplastic Left Heart Syndrome: An Initial Experience In Pulmonary Trunk Approach, Procedural Modifications, And Complication Management, Emrah Akay, Onur Işik, Ayşen Yaprak Engi̇n, Volkan Çakir Jan 2019

Stage 1 Hybrid Palliation Of Hypoplastic Left Heart Syndrome: An Initial Experience In Pulmonary Trunk Approach, Procedural Modifications, And Complication Management, Emrah Akay, Onur Işik, Ayşen Yaprak Engi̇n, Volkan Çakir

Turkish Journal of Medical Sciences

Background/aim: Hypoplastic left heart syndrome (HLHS) is a rare pathology with a very high mortality rate. The present study aimed to share our initial experience with the ductus arteriosus stenting procedure using the pulmonary trunk approach in the treatment of HLHS, as well as provide some technical suggestions and discuss complications and their management.Materials and methods: The medical records of 9 neonates (age range: 1-8 days) with HLHS, who were operated on within a 12-month period, were reviewed retrospectively. Preprocedural planning was performed by computed tomography angiography and echocardiography. The operations were performed in a hybrid surgery room by interventional …


Plasma Thrombin-Activatable Fibrinolysis Inhibitor (Tafi) Antigen Levels In Acromegaly Patients In Remission, Mehmet Erdoğan, Mustafa Özbek, Erdem Akbal, Kemal Üreten Jan 2019

Plasma Thrombin-Activatable Fibrinolysis Inhibitor (Tafi) Antigen Levels In Acromegaly Patients In Remission, Mehmet Erdoğan, Mustafa Özbek, Erdem Akbal, Kemal Üreten

Turkish Journal of Medical Sciences

Background/aim: Acromegaly is associated with increased morbidity andmortality, mostly due to cardiovascular complications.Plasma thrombin-activatable fibrinolysis inhibitor (TAFI) antigen levels are associated with coagulation/fibrinolysis and inflammation. Plasma TAFI may play a role in arterial thrombosis in cardiovascular diseases. In this study, it was aimed to evaluate the thrombin-activatable fibrinolysis inhibitor (TAFI) antigen and homocysteine levels in patients with acromegaly and healthy control subjects.Materials and methods: Plasma TAFI antigen and homocysteine levels in 29 consecutive patients with acromegaly and 26 age-matched healthy control subjects were measured. All patients included in the study were in remission. The TAFIa/ai antigen in the plasma samples …


Il-1rn Vntr, Il-2(-330), And Il-4 Vntr Gene Polymorphisms In Patients With Chronic Rhinosinusitis With Sinonasal Polyposis, Gökhan Kuran, Hüseyi̇n Aslan, Süheyl Haytoğlu, Özge Özalp Yüreği̇r, Sevcan Tuğ Bozdoğan Jan 2019

Il-1rn Vntr, Il-2(-330), And Il-4 Vntr Gene Polymorphisms In Patients With Chronic Rhinosinusitis With Sinonasal Polyposis, Gökhan Kuran, Hüseyi̇n Aslan, Süheyl Haytoğlu, Özge Özalp Yüreği̇r, Sevcan Tuğ Bozdoğan

Turkish Journal of Medical Sciences

Background/aim: Sinonasal polyposis is a complex chronic disease displaying contributions from multiple genetic and environmental factors. In this study, we analyzed possible genetic factors that increase susceptibility to this widespread inflammatory disease. Materials and methods: A total of 176 adult patients, including 78 patients with sinonasal polyposis and 98 healthy controls, were analyzed for IL-1RN VNTR, IL-2(-330), and IL-4 VNTR gene polymorphisms using polymerase chain reaction and enzyme restriction.Results: IL-1RN and IL-4 VNTR polymorphisms were notably associated with sinonasal polyposis (P = 0.0001 and P = 0.036, respectively); however, regarding the IL-2(-330) gene polymorphism, no significant difference was shown between …


Canal Wall Down Versus Canal Wall Up Surgeries In The Treatment Of Middle Ear Cholesteatoma, Recep Karamert, Faki̇h Ci̇hat Eravci, Süleyman Cebeci̇, Mehmet Düzlü, Mehmet Ekrem Zorlu, Nagi̇han Gülhan Yaşar, Hakan Tutar, Mehmet Bi̇rol Uğur, Ayşe İri̇z, Yildirim Ahmet Bayazit Jan 2019

Canal Wall Down Versus Canal Wall Up Surgeries In The Treatment Of Middle Ear Cholesteatoma, Recep Karamert, Faki̇h Ci̇hat Eravci, Süleyman Cebeci̇, Mehmet Düzlü, Mehmet Ekrem Zorlu, Nagi̇han Gülhan Yaşar, Hakan Tutar, Mehmet Bi̇rol Uğur, Ayşe İri̇z, Yildirim Ahmet Bayazit

Turkish Journal of Medical Sciences

Background/aim: To compare outcomes of canal wall up (CWU) and canal wall down (CWD) techniques in the treatment of middle ear cholesteatoma.Materials and methods: Medical records of 76 patients who had a primary surgery due to middle ear cholesteatoma between July 2015 and November 2017 were reviewed retrospectively. Hearing thresholds, speech discrimination scores (SDS), recurrences, and revision surgeries of CWU and CWD surgeries were compared. Results: Of 76 cholesteatoma cases, 40 (52.6%) had a CWU and 36 (47.4%) had a CWD operation. Postoperatively, the mean air conduction thresholds were significantly better in CWU compared to CWD surgeries (P = 0.016). …


The Frequency Of Raynaud?S Phenomenon In Patients With Methylenetetrahydrofolate Reductase Gene Mutation And Hyperhomocysteinemia, Kadi̇r Serkan Yalçin, Ali̇ Koşar Jan 2019

The Frequency Of Raynaud?S Phenomenon In Patients With Methylenetetrahydrofolate Reductase Gene Mutation And Hyperhomocysteinemia, Kadi̇r Serkan Yalçin, Ali̇ Koşar

Turkish Journal of Medical Sciences

Background/aim: Raynaud?s phenomenon (RP) is not a rare health problem; global prevalence is about 3%?20%. Etiology and pathophysiology of this pathology has not been clarified. There are many precipitating factors resulting in RP. Hyperhomocysteinemia resulting from methylenetetrahydrofolate reductase (MTHFR) gene mutationmay have a role in its etiology. The aim of this study was to observe the frequency of RP in patients with MTFHR gene mutation and hyperhomocysteinemia. Possible relationships among vitamin B12, folic acid, complete blood count (leukocytes and platelets), and c-reactive protein levels and RP were also analyzed. Materials and methods: A total of 388 patients admitted to the …