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Comprehensive Comparison Of Clinicoradiological, Laboratory, And Prognostic Factors Of Community-Acquired Pneumonia In Diabetic And Nondiabetic Hospitalized Patients, Seyyed Hamid Hashemi, Fatemeh Saki, Shiva Borzouei, Rashed Bawand, Alireza Soltanian Dec 2023

Comprehensive Comparison Of Clinicoradiological, Laboratory, And Prognostic Factors Of Community-Acquired Pneumonia In Diabetic And Nondiabetic Hospitalized Patients, Seyyed Hamid Hashemi, Fatemeh Saki, Shiva Borzouei, Rashed Bawand, Alireza Soltanian

Turkish Journal of Medical Sciences

Background/aim: Community-acquired pneumonia (CAP) is one of the leading infectious causes of mortality, and diabetes mellitus is a globally prevalent disease. Consequently, the cooccurrence of these two disorders can be common and create challenging medical conditions. Therefore, it was aimed to compare the various aspects of CAP in diabetic and nondiabetic patients, in order to have a comprehensive and comparative picture of the differences. Materials and methods: In this cross-sectional study, CAP patients with and without diabetes were assessed for clinicoradiological signs, laboratory features, disease severity, and pneumonia outcomes. Results: Analyzed herein were 172 CAP patients (77 had diabetes and …


Neurodevelopmental Evaluation Of Newborns Who Underwent Hypothermia With A Diagnosis Of Hypoxic Ischemic Encephalopathy Based On The Bayley-Iii Scale, Mehmet Fati̇h Deveci̇, Şenay Güven Baysal, Meral Alagöz, İsmai̇l Kürşad Gökçe, Derya Doğan, Ramazan Özdemi̇r Dec 2023

Neurodevelopmental Evaluation Of Newborns Who Underwent Hypothermia With A Diagnosis Of Hypoxic Ischemic Encephalopathy Based On The Bayley-Iii Scale, Mehmet Fati̇h Deveci̇, Şenay Güven Baysal, Meral Alagöz, İsmai̇l Kürşad Gökçe, Derya Doğan, Ramazan Özdemi̇r

Turkish Journal of Medical Sciences

Background/ aim: Hypoxic ischemic encephalopathy (HIE) is one of the common causes of mortality and morbidity in newborns. Despite therapeutic hypothermia, an important treatment with proven efficacy, the morbidity and mortality rates remain high. The aim of this study was to neurodevelopmentally evaluate patients who underwent therapeutic hypothermia. Material and method: Included herein were patients who underwent hypothermia between 2018 and 2020. Their medical files were reviewed retrospectively, and their demographic and clinical information was recorded. Patients whose contact information was available were called to the developmental pediatrics outpatient clinic for a neurodevelopmental evaluation. The Bayley Scales of Infant and …


Electroencephalographic Abnormalities In Children With Type 1 Diabetes Mellitus: A Prospective Study, Ruken Yildirim, Ceren Günbey Dec 2023

Electroencephalographic Abnormalities In Children With Type 1 Diabetes Mellitus: A Prospective Study, Ruken Yildirim, Ceren Günbey

Turkish Journal of Medical Sciences

Background/aim: The aim herein was to investigate epileptiform discharges on electroencephalogram (EEG), their correlation with glutamic acid decarboxylase 65 autoantibody (GAD-ab) in newly diagnosed pediatric type 1 diabetes mellitus (T1DM) patients and interpret their medium-term utility in predicting epilepsy. Materials and methods: Children presenting with T1DM between July 2018 and December 2019 were included in this prospective longitudinal study. Patients with a history of head injury, chronic illness, neurological disorder, seizure, autism, or encephalopathy were excluded. EEGs were obtained within the first 7 days of diagnosis and later reviewed by a pediatric neurologist. All of the children were clinically followed-up …


Is Electrophysiological Study A Novel Predictor For Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation?, Zeki̇ Çeti̇nkaya, Deni̇z Elçi̇k, Şaban Keleşoğlu, Burak Cesur, Mustafa Yaşan, Uğur Karabiyik, Bi̇lge Bi̇ngöl, Ni̇hat Kalay, Ramazan Topsakal, Aydin Tunçay, Ali̇ Doğan, Mehmet Tuğrul İnanç Dec 2023

Is Electrophysiological Study A Novel Predictor For Permanent Pacemaker Implantation After Transcatheter Aortic Valve Implantation?, Zeki̇ Çeti̇nkaya, Deni̇z Elçi̇k, Şaban Keleşoğlu, Burak Cesur, Mustafa Yaşan, Uğur Karabiyik, Bi̇lge Bi̇ngöl, Ni̇hat Kalay, Ramazan Topsakal, Aydin Tunçay, Ali̇ Doğan, Mehmet Tuğrul İnanç

Turkish Journal of Medical Sciences

Background/aim: Despite advancements in valve technology and increased clinical experience, complications related to conduction defects after transcatheter aortic valve implantation (TAVR) have not improved as rapidly as expected. In this study, we aimed to predict the development of complete atrioventricular (AV) block and bundle branch block during and after the TAVR procedure and to investigate any changes in the cardiac conduction system before and after the procedure using electrophysiological study. Materials and methods: A total of 30 patients who were scheduled for TAVR at our cardiovascular council were planned to be included in the study. TAVR was performed on patients …


Assessment Of Changes In Macular Structural Retinal Layers In Patients With Pathological Myopia, Mehmet Çitirik, Kami̇l Yavuzer, Fatma Bağci Dec 2023

Assessment Of Changes In Macular Structural Retinal Layers In Patients With Pathological Myopia, Mehmet Çitirik, Kami̇l Yavuzer, Fatma Bağci

Turkish Journal of Medical Sciences

Background/aim: This study aimed to examine changes in the thickness of individual macular retinal layers in eyes with pathological myopia (PM) and to compare the thickness of each retinal layer between the PM and control groups to gain insights into retinal perfusion. Materials and methods: The study included 51 eyes in the PM group and 51 eyes in the control group. Optical coherence tomography (OCT) was used to measure the thickness of each retinal layer in the central fovea, parafoveal, and perifoveal regions. Optical coherence tomography angiography (OCT-A) was used to evaluate the retinal capillary density. Results: In the PM …


What Is The Impact Of Intraperitoneal Surfactant Administration Against Postoperative Intraabdominal Adhesion Formation? An Experimental Study, Şehmus Pala, Tuncay Kuloğlu, Remzi̇ Atilgan, Zehra Sema Özkan, Serhat Hançer Dec 2023

What Is The Impact Of Intraperitoneal Surfactant Administration Against Postoperative Intraabdominal Adhesion Formation? An Experimental Study, Şehmus Pala, Tuncay Kuloğlu, Remzi̇ Atilgan, Zehra Sema Özkan, Serhat Hançer

Turkish Journal of Medical Sciences

Background/Aim: Surfactant is a surface-active substance that, in addition to its detergent effect, also has effects that reduce inflammation and fibrosis. Because of these effects, it was aimed herein to investigate the effect of intraperitoneal surfactant application on preventing postoperative peritoneal adhesion formation in a uterine horn adhesion model. Materials and methods: Twenty-one Wistar albino rats were randomly divided into 3 groups (G1-G3), as follows: G1 (n = 7): control group. The abdomen was opened and then closed; G2 (n = 7): adhesion group. The abdomen was opened. Then, a 2-cm linear incision was made over the right uterine horn, …


Comparison Of The Effectiveness Of Instrument-Assisted Soft Tissue Mobilization And Extracorporeal Shock Wave Therapy In Myofascial Pain Syndrome, Şeyda Candeni̇z, Seyi̇t Çitaker, Gökhan Maraş, Hati̇ce Esra Yavuzer, Hasan Yildirim, Zafer Günendi̇ Dec 2023

Comparison Of The Effectiveness Of Instrument-Assisted Soft Tissue Mobilization And Extracorporeal Shock Wave Therapy In Myofascial Pain Syndrome, Şeyda Candeni̇z, Seyi̇t Çitaker, Gökhan Maraş, Hati̇ce Esra Yavuzer, Hasan Yildirim, Zafer Günendi̇

Turkish Journal of Medical Sciences

Background/aim: To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and extracorporeal shock wave therapy (ESWT) used in myofascial pain syndrome (MPS) and to determine whether they are superior to conservative treatment (CT). Materials and methods: A total of 42 female patients (aged 18-60 years) diagnosed with MPS were enrolled and randomly assigned to either the CT (n = 14), CT+IASTM (n = 14), or CT+ESWT group (n = 14). All of the groups received treatment for 3 weeks (CT: 5 sessions per week, 15 sessions in total, ESWT and IASTM: 2 sessions per week, 6 sessions in total). …


Development Of A Gestational Diabetes Risk Assessment Scale: A Validity And Reliability Study, Selma Dağci, Besey Ören Dec 2023

Development Of A Gestational Diabetes Risk Assessment Scale: A Validity And Reliability Study, Selma Dağci, Besey Ören

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to develop a gestational diabetes risk assessment scale (GEDRISK). Materials and methods: This methodological study included 652 pregnant women who presented to six public health institutions in İstanbul between September 2021 and February 2022. Content validity was evaluated using the content validity index, while construct validity was assessed through exploratory and confirmatory factor analyses. Item discrimination was examined using Cronbach's alpha coefficients, Spearman-Brown and Guttman coefficients, item-total correlation tests, and 27% lower and upper quartile t tests. Reliability was determined through test-retest analysis methods. Results: The scale-level content validity index demonstrated strong coherence …


Individualized Hemodialysis: Is Similar Hemodialysis Adequacy Possible Using Less Water?, Ali̇ Aktaş, Hakan Özer, İsmai̇l Baloğlu, Hali̇l Zeki̇ Tonbul, İbrahi̇m Güney, Nedi̇m Yilmaz Selçuk Dec 2023

Individualized Hemodialysis: Is Similar Hemodialysis Adequacy Possible Using Less Water?, Ali̇ Aktaş, Hakan Özer, İsmai̇l Baloğlu, Hali̇l Zeki̇ Tonbul, İbrahi̇m Güney, Nedi̇m Yilmaz Selçuk

Turkish Journal of Medical Sciences

Background and aim: There are over 60,000 hemodialysis (HD) patients in Türkiye, and the number of patients is increasing yearly. Dialysate flow rate (Qd) is a factor in HD adequacy. Approximately 150 L of water are consumed per session to prepare the dialysate. We aimed to investigate whether HD effectiveness can be achieved at a low Qd in different patient groups for the purpose of saving water. Materials and methods: This prospective study included 81 HD patients from 2 centers. The patients underwent an aggregate total of 486 HD sessions, including 3 sessions at a Qd of 500 mL/min and …


Vital Indicators In Predicting Burn Mortality: A Comparison Of Shock Indices And Burn Shock Indices, Mustafa İçer, Ercan Gündüz, Cahfer Güloğlu, Serkan Erbatur, Di̇cle Polat, Hali̇me Özkan, Tuğçe Bayrak, Şi̇lan Göger Ülgüt Dec 2023

Vital Indicators In Predicting Burn Mortality: A Comparison Of Shock Indices And Burn Shock Indices, Mustafa İçer, Ercan Gündüz, Cahfer Güloğlu, Serkan Erbatur, Di̇cle Polat, Hali̇me Özkan, Tuğçe Bayrak, Şi̇lan Göger Ülgüt

Turkish Journal of Medical Sciences

Background/aim: In many studies, shock indices have proven to be good tools for predicting mortality. In the present study, burn shock index (BSI), percentage of total body surface area burned (TBSA%) multiplied by shock index; burn modified shock index (BMSI), TBSA% multiplied by modified shock index; burn age shock index (BASI), TBSA% multiplied by age shock index; burn rivers shock index (BrSI), TBSA% multiplied by rivers shock index; burn rivers shock index multiplied by Glasgow Coma Scale score (BrSIG) were examined in burn patients. We defined these burn shock indices for the first time. This study aimed to evaluate the …


Suicide Attempt Management Among Turkish And American Adolescents: A Comparison Of Two Pediatric Emergency Departments, Ali̇ Yurtseven, Caner Turan, Deborah Mary Ort, Mehrin Islam, Sezen Köse, Eylem Ulaş Saz, Hali̇m Hennes Dec 2023

Suicide Attempt Management Among Turkish And American Adolescents: A Comparison Of Two Pediatric Emergency Departments, Ali̇ Yurtseven, Caner Turan, Deborah Mary Ort, Mehrin Islam, Sezen Köse, Eylem Ulaş Saz, Hali̇m Hennes

Turkish Journal of Medical Sciences

Background/aim: Suicide is one of the leading causes of death among adolescents. This study aimed to compare the characteristics and short-term outcomes of Turkish and American adolescents with suicide attempts and determine the differences in management and resource utilization between two pediatric emergency departments; one in Türkiye and one in the United States of America. Materials and methods: Adolescents who presented to the emergency departments with a chief complaint of suicide attempt between October 2017 and September 2018 were eligible for including in the study. Characteristics and other information of 217 (131 American and 86 Turkish) suicide attempter adolescents were …


Protective Effects Of Safranal On Kidney Tissue In A Rat Model Of Distant Ischemiareperfusion Injury With Infrarenal Aortic Occlusion, Mehmet Tort, Hülya Sevi̇l, Fehi̇m Can Sevi̇l, Neci̇p Beci̇t, Uğur Aksu, Zülfükar Kadi̇r Saritaş, Hasan Hüseyi̇n Demi̇rel, Azi̇z Bülbül, Zehra Yaşar, Merve Beci̇t Kizilkaya, Hazen Saritaş Dec 2023

Protective Effects Of Safranal On Kidney Tissue In A Rat Model Of Distant Ischemiareperfusion Injury With Infrarenal Aortic Occlusion, Mehmet Tort, Hülya Sevi̇l, Fehi̇m Can Sevi̇l, Neci̇p Beci̇t, Uğur Aksu, Zülfükar Kadi̇r Saritaş, Hasan Hüseyi̇n Demi̇rel, Azi̇z Bülbül, Zehra Yaşar, Merve Beci̇t Kizilkaya, Hazen Saritaş

Turkish Journal of Medical Sciences

Background/aim: Ischemia-reperfusion (IR) injury to a part of the body can cause damage to distant organs such as the kidney and heart. This study investigated the protective effects of safranal against IR-induced renal injury. Materials and methods: Used in this study were 24 Wistar Albino male rats, which were divided into 3 equal and randomised groups. The sham group underwent laparotomy only. In the IR group, the infrarenal aorta was clamped for 1 h, and then reperfused for 2 h. In the IR-safranal group, safranal was administered 30 min before the procedure and IR injury was induced in the same …


Effects Of Acetylsalicylic Acid And Ultrasound Elastography On Testicular Torsion In Rats, Ezgi̇ Gün Soytürk, Ünal Biçakci, Serdar Aslan, Tolga Güvenç, Meltem Neci̇be Ceyhan Bi̇lgi̇ci̇ Dec 2023

Effects Of Acetylsalicylic Acid And Ultrasound Elastography On Testicular Torsion In Rats, Ezgi̇ Gün Soytürk, Ünal Biçakci, Serdar Aslan, Tolga Güvenç, Meltem Neci̇be Ceyhan Bi̇lgi̇ci̇

Turkish Journal of Medical Sciences

Background/aim: To investigate the effects of acetylsalicylic acid (ASA) and the use of ultrasound elastography on testicular torsion. Materials and methods: Herein, 6 equal groups of rats were formed (n: 48): control group, sham group, torsion/detorsion (T/D)-1 h group, T/D-1 h + ASA group, T/D-8 h group, and T/D-8 h + ASA group. Testicular torsion was created by rotating the left testis 720° clockwise. At 30 min before torsion, 100 mg/kg of ASA was injected intraperitoneally. Elastography was performed at 8 and 24 h. After orchiectomy, specimens were collected for histopathological evaluation. Results: When comparing the left testicular volume (LV) …


Tripartite Motif Protein 6 Promotes Hepatocellular Carcinoma Progression Via Multiple Pathways, Yifeng Zhang, Lin Yuan, Shanshan Cui, Song Wu Oct 2023

Tripartite Motif Protein 6 Promotes Hepatocellular Carcinoma Progression Via Multiple Pathways, Yifeng Zhang, Lin Yuan, Shanshan Cui, Song Wu

Turkish Journal of Medical Sciences

Background/aim: Hepatocellular carcinoma (HCC) ranks among the most prevalent malignancies worldwide and the third leading cause of cancer-related death. The TRIM (tripartite motif-containing) protein family members had been reported to be involved in carcinogenesis and tumor progression. Here we aimed to explore the expression profile of TRIM6 in HCC and investigate its clinical significance as well as underlying mechanisms. Materials and methods: We retrospectively enrolled 138 HCC patients that underwent surgical resection in our hospital and tested protein expression level of TRIM6 through immunohistochemical staining. The correlation between TRIM6 and patients? characteristics was assessed by Chi-square test. Log-rank test and …


Propofol Mitigates Brain Injury And Oxidative Stress, And Enhances Gabaa Receptor ?1 Subunit Expression In A Rat Model Of Lithium Chloride-Pilocarpine Induced Status Epilepticus, Lei Li, Xiu Liu, Juan Du, Wangyan Yang, Runqiao Fu, Yunfeng Li, Wei Zhao, Henglin Wang Oct 2023

Propofol Mitigates Brain Injury And Oxidative Stress, And Enhances Gabaa Receptor ?1 Subunit Expression In A Rat Model Of Lithium Chloride-Pilocarpine Induced Status Epilepticus, Lei Li, Xiu Liu, Juan Du, Wangyan Yang, Runqiao Fu, Yunfeng Li, Wei Zhao, Henglin Wang

Turkish Journal of Medical Sciences

Background/aim: Propofol is a positive allosteric modulator of GABAA receptor (GABAAR) and has potent antioxidant activity. The aim of this study was to investigate the effect of propofol on damage to the cerebral cortex and hippocampus in a lithium chloride (LiCl)- pilocarpine animal model of status epilepticus (SE). Materials and methods: Adult male Sprague Dawley rats were injected with LiCl-pilocarpine to induce SE. They were then randomized and injected 30 min later with vehicle saline (SE+saline), propofol (SE+PPF, 50 mg/kg), Diazepam (SE+DZP, 10 mg/kg), Scopolamine (SE+SCOP, 10 mg/kg), or MK-801 (SE+MK-801, 2 mg/kg). Another group of rats received saline only …


Cd39 Expression On Immune Cells Predicts Methotrexate Response In Rheumatoid Arthritis Patients, Bariş Boral, İbrahi̇m Tuncer, Fi̇li̇z Ki̇bar, Sali̇h Çeti̇ner, Suade Özlem Badak, Emrah Salman, Emrah Koç, Eren Erken, Akgün Yaman Oct 2023

Cd39 Expression On Immune Cells Predicts Methotrexate Response In Rheumatoid Arthritis Patients, Bariş Boral, İbrahi̇m Tuncer, Fi̇li̇z Ki̇bar, Sali̇h Çeti̇ner, Suade Özlem Badak, Emrah Salman, Emrah Koç, Eren Erken, Akgün Yaman

Turkish Journal of Medical Sciences

Background/aim: Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting mostly small joints, such as hand and foot joints symmetrically with irreversible joint destruction. In this study, the relationship between CD39 expression and the treatment response of RA patients was examined to investigate its potential as a biomarker that demonstrates treatment response. Materials and methods: This study included 77 RA patients and 40 healthy controls (HC). The RA patients were divided into 2 groups based on their response to RA treatment, those with a good response to methotrexate (MTX) monotherapy and those with an inadequate response based on the American …


Should Valgus-Impacted Proximal Humerus Fractures Necessarily Be Operated On? Radiological Versus Functional Results, Muhli̇k Akyürek, Emre Koraman, Yusuf İyeti̇n, Mehmet Akan Oct 2023

Should Valgus-Impacted Proximal Humerus Fractures Necessarily Be Operated On? Radiological Versus Functional Results, Muhli̇k Akyürek, Emre Koraman, Yusuf İyeti̇n, Mehmet Akan

Turkish Journal of Medical Sciences

Background/aim: Impacted valgus proximal humerus fracture has been known to be challenging in terms of treatment and outcomes since it was defined. Moreover, it is a type of fracture that is difficult to treat. In addition, exact limits have not yet been determined regarding which parameters affect patients? functional and reported outcomes. The purpose of this study was to compare the radiological results of patients with impacted valgus proximal humerus fractures treated conservatively and surgically and to evaluate the effect of these radiological parameters on functional outcomes. Materials and methods: A total of 79 patients who were treated between 2015 …


Clinical Characteristics And Predictors For Recurrence In Chronic Nonbacterial Osteomyelitis: A Retrospective Multicenter Analysis, Kadi̇r Ulu, Rana İşgüder, Şeri̇fe Gül Karadağ, Esra Bağlan, Gülşah Kavrul Kayaalp, Gülçi̇n Otar Yener, Kübra Öztürk, Hafi̇ze Emi̇ne Sönmez, Semanur Özdel, Ferhat Demi̇r, Balahan Makay, Şevket Erbi̇l Ünsal, Betül Sözeri̇, Nuray Aktay Ayaz, Mustafa Çakan Oct 2023

Clinical Characteristics And Predictors For Recurrence In Chronic Nonbacterial Osteomyelitis: A Retrospective Multicenter Analysis, Kadi̇r Ulu, Rana İşgüder, Şeri̇fe Gül Karadağ, Esra Bağlan, Gülşah Kavrul Kayaalp, Gülçi̇n Otar Yener, Kübra Öztürk, Hafi̇ze Emi̇ne Sönmez, Semanur Özdel, Ferhat Demi̇r, Balahan Makay, Şevket Erbi̇l Ünsal, Betül Sözeri̇, Nuray Aktay Ayaz, Mustafa Çakan

Turkish Journal of Medical Sciences

Background/aim: Chronic nonbacterial osteomyelitis (CNO) is a rare disease of unknown etiology and most commonly occurs during childhood or adolescence. The purpose of this study is to collect data on the clinical features, outcomes, and management of the disease and to identify the factors affecting recurrence. Materials and methods: This is a retrospective multicenter cross-sectional study of pediatric patients diagnosed with CNO. A total of 87 patients with a diagnosis of CNO followed for at least 6 months in 8 pediatric rheumatology centers across the country between January 2010 and December 2021 were included in this study. Results: The study …


The Effect Of Natural Surfactants On The Development Of Postoperative Intraabdominal Adhesion, Ahmet Gökhan Güler, Ali̇ Erdal Karakaya, Ahmet Burak Doğan, Abdulkadi̇r Yasi̇r Bahar, Sadik Yurttutan Oct 2023

The Effect Of Natural Surfactants On The Development Of Postoperative Intraabdominal Adhesion, Ahmet Gökhan Güler, Ali̇ Erdal Karakaya, Ahmet Burak Doğan, Abdulkadi̇r Yasi̇r Bahar, Sadik Yurttutan

Turkish Journal of Medical Sciences

Background/aim: The development of postoperative adhesion after abdominal surgery is sometimes a severe problem. Our study investigates the effectiveness of exogenous surfactant application in preventing adhesion development in the experimental adhesion model. Materials and methods: This randomized-controlled interventional study was carried out in the animal laboratory of Kahramanmaraş Sütçü İmam University between March 1 and March 31, 2020. An experimental intra-abdominal adhesion model was established in 24 adult female rats by cecal abrasion. Rats were randomly divided into four groups. Groups I, II, and III were taken intraperitoneally as beractant, poractant, and calfactant applied groups, respectively. Group IV was the …


Rasch Analysis, Reliability, And Validity Of The Turkish Version Of The Lumbar Spine Instability Questionnaire, Erkan Erol, Umut Apaydin, Ramazan Yildiz, Ayşe Yildiz, Si̇nem Erturan, Derya Gökmen, Özlem Akkoyun Sert, Bayram Sönmez Ünüvar, Hasan Gerçek, Bülent Elbasan Oct 2023

Rasch Analysis, Reliability, And Validity Of The Turkish Version Of The Lumbar Spine Instability Questionnaire, Erkan Erol, Umut Apaydin, Ramazan Yildiz, Ayşe Yildiz, Si̇nem Erturan, Derya Gökmen, Özlem Akkoyun Sert, Bayram Sönmez Ünüvar, Hasan Gerçek, Bülent Elbasan

Turkish Journal of Medical Sciences

Background/aim: Lumbar instability is an important condition that can be seen frequently in people with low back pain, affecting both the progression and the choice of appropriate exercise. The Lumbar Spine Instability Questionnaire (LSIQ) is a simple and low-cost tool for evaluating disturbed back stability in people with low back pain. The aim of this study is to develop the Turkish version of the LSIQ (LSIQ-T) and to evaluate its psychometric properties using the Rasch model. Materials and methods: One hundred participants with chronic low back pain completed the LSIQ-T. The LSIQ-T was repeated for 30 participants after 1 week …


Awareness And Acceptability Of Monkeypox Vaccine In Men Who Have Sex With Men, Arda Karapinar, Damla Akdağ, Ayşe Deni̇z Gökengi̇n Oct 2023

Awareness And Acceptability Of Monkeypox Vaccine In Men Who Have Sex With Men, Arda Karapinar, Damla Akdağ, Ayşe Deni̇z Gökengi̇n

Turkish Journal of Medical Sciences

Background/aim: To determine the knowledge about and acceptance level of monkeypox vaccine in men who have sex with men (MSM). Materials and methods: A 14-item questionnaire, developed by the European Centers for Disease Control (ECDC), was presented online to MSM, aged ?18 years old, via smartphone applications (Grindr and Hornet), between June 30th and August 12th, 2022. Results: Of the 737 participants who completed the survey, 678 were born in Türkiye and 59 were migrants/visitors born in different countries. All of the participants were living in Türkiye. The median age was 31 (range 18?68) years. Overall, 21.9% were HIV-positive, 94.9% …


Validity And Reliability Study Of The Quality Of Recovery Scale In Turkish, Ümmühan Kiliç, Di̇lek Kiymaz, Esra Saraçoğlu, Bahadir Yazicioğlu Oct 2023

Validity And Reliability Study Of The Quality Of Recovery Scale In Turkish, Ümmühan Kiliç, Di̇lek Kiymaz, Esra Saraçoğlu, Bahadir Yazicioğlu

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to adapt the ?Quality of Recovery-15 Scale?, developed to measure the postoperative recovery quality of individuals, into Turkish by carrying out validity and reliability studies. Materials and methods: This methodological study was conducted with a total of 150 patients who underwent surgery under general anesthesia between November 2021 and January 2022 in a training and research hospital in the Black Sea region. Data was collected from the patients through the face-to-face interview method before the operation, on the 24th and the 48th hour postoperatively. First, the linguistic validity of the scale and then …


Effects Of Progressive Functional Ankle Exercises In Spastic Cerebral Palsy, Plantarflexors Versus Dorsiflexors: A Randomized Trial, Melek Volkan Yazici, Gamze Çobanoğlu, Gökhan Yazici, Bülent Elbasan Oct 2023

Effects Of Progressive Functional Ankle Exercises In Spastic Cerebral Palsy, Plantarflexors Versus Dorsiflexors: A Randomized Trial, Melek Volkan Yazici, Gamze Çobanoğlu, Gökhan Yazici, Bülent Elbasan

Turkish Journal of Medical Sciences

Background/aim: Children with cerebral palsy (CP), even those who have very mild impairment, have lower muscle strength than their typically developing peers. The ankle dorsiflexors (DFs) and plantarflexors (PFs) of children with CP are especially weak. Weakness in the ankle muscles causes problems in functional skills, mobility, and balance in spastic CP (SCP). The aim of this study was to investigate the effects of progressive functional exercises (PFEs) on the DF, PF, or dorsi-plantar flexor (DPF) muscles in children with SCP, specifically, the functional mobility, balance, and maximum voluntary contraction (MVC), and compare the effects of strengthening these muscles individually …


Clinical And Laboratory Features In Health Care Volunteers With Inactivated Sars-Cov-2 Vaccination, Zhijie Li, Yafang Wan, Lanlan Xu, Wenjia Zhang, Yu Zhang, Pu Liao Oct 2023

Clinical And Laboratory Features In Health Care Volunteers With Inactivated Sars-Cov-2 Vaccination, Zhijie Li, Yafang Wan, Lanlan Xu, Wenjia Zhang, Yu Zhang, Pu Liao

Turkish Journal of Medical Sciences

Background/aim: To better optimize the inactivated vaccine-induced immune response and improve vaccine protection efficiency, a preliminary study was conducted on the influencing factors of producing neutralizing antibody (NAb) titers against the inactivated coronavirus disease 2019 (COVID-19) vaccine. Materials and methods: A total of 91 health care volunteers were enrolled from the Immunology Division of the Laboratory Department of Chongqing General Hospital from February to March 2021. The study had a cross-sectional design. All of the volunteers were scheduled to receive a complete dose regimen of the inactivated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine and the vaccination interval between …


Pathobiological Alterations Affecting The Distinct Clinical Courses Of Pediatric Versus Adult Covid-19 Syndrome, Emrah Şenel, Seyhan Türk, Ümi̇t Yavuz Malkan, Mustafa Çağri Peker, Can Türk, Hati̇ce Rahmet Güner, Gülberk Uçar, Seval İzdeş, Bi̇rcan Kayaaslan, Gülsüm İclal Bayhan, Serhat Emeksi̇z, İmran Hasanoğlu, Şeri̇fe Gökbulut Bektaş, Şeyma Bütün Türk, Serhan Özcan Oct 2023

Pathobiological Alterations Affecting The Distinct Clinical Courses Of Pediatric Versus Adult Covid-19 Syndrome, Emrah Şenel, Seyhan Türk, Ümi̇t Yavuz Malkan, Mustafa Çağri Peker, Can Türk, Hati̇ce Rahmet Güner, Gülberk Uçar, Seval İzdeş, Bi̇rcan Kayaaslan, Gülsüm İclal Bayhan, Serhat Emeksi̇z, İmran Hasanoğlu, Şeri̇fe Gökbulut Bektaş, Şeyma Bütün Türk, Serhan Özcan

Turkish Journal of Medical Sciences

Background/aim: The clinical presentation of pediatric coronavirus disease 2019 (COVID-19) is associated with a milder disease course than the adult COVID-19 syndrome. The disease course of COVID-19 has three clinicobiological phases: initiation, propagation, and complication. This study aimed to assess the pathobiological alterations affecting the distinct clinical courses of COVID-19 in pediatric age groups versus the adult population. We hypothesized that critical biogenomic marker expressions drive the mild clinical presentations of pediatric COVID-19. Materials and methods: Blood samples were obtained from 72 patients with COVID-19 hospitalized at Ankara City Hospital between March and July 2021. Peripheral blood mononuclear cells were …


Which Sequence Should Be Used In The Thorax Magnetic Resonance Imaging Of Covid-19: A Comparative Study, Ayşe Şule Ateş, Burak Yağdiran, Onur Taydaş, Ömer Faruk Ateş Oct 2023

Which Sequence Should Be Used In The Thorax Magnetic Resonance Imaging Of Covid-19: A Comparative Study, Ayşe Şule Ateş, Burak Yağdiran, Onur Taydaş, Ömer Faruk Ateş

Turkish Journal of Medical Sciences

Background and aim: To evaluate and compare magnetic resonance imaging (MRI) sequences that could potentially be used in the diagnosis of coronavirus disease 2019 (COVID-19). Materials and methods: Included in the study were 42 patient who underwent thorax computed tomography (CT) for COVID-19 pneumonia and thorax MRI for any reason within 24 h after CT. The T2-weighted fast spin echo periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) (T2W-FSE-P), fast imaging employing steady-state acquisition, T2 fat-saturated FSE, axial T1 liver acquisition with volume acceleration (LAVA) and single-shot FSE images were compared in terms of their ability to show COVID-19 …


Novel Parameters For Predicting Fluid Responsiveness During The Mini Fluid Challenge And Ability Of The Cardiac Power Index: An Observational Cohort Study, Taner Abdullah, Hürü Ceren Gökduman, İşbara Alp Eni̇şte, Ayşe Gülşah Atasever, Achmet Ali, Funda Gümüş Özcan Oct 2023

Novel Parameters For Predicting Fluid Responsiveness During The Mini Fluid Challenge And Ability Of The Cardiac Power Index: An Observational Cohort Study, Taner Abdullah, Hürü Ceren Gökduman, İşbara Alp Eni̇şte, Ayşe Gülşah Atasever, Achmet Ali, Funda Gümüş Özcan

Turkish Journal of Medical Sciences

Background/aim: The percentage change in the stroke volume index (SVI) due to the mini fluid challenge (MFC) (MFC-?SVI%) is used commonly in daily practice. However, up to 20% of patients remain in the gray zone of this variable. Thus, it was aimed to compare the MFC-?SVI% and the percentage change in the cardiac power index (CPI) due to the MFC (MFC-?CPI%) with the baseline values of the pulse pressure variation (PPV) and stroke volume variation (SVV) in terms of their abilities to predict fluid responsiveness. Materials and methods: The SVI, CPI, SVV, and PPV were recorded before 100 mL of …


Investigating The Physiological Role Of S199a And S199d Mutants Of Phf6 Protein In T-Cell Acute Lymphoblastic Leukemia, Gökçe Erdoğan, Osman Ni̇dai̇ Özeş, Osman Alphan Küpesi̇z, Şükran Burçak Yoldaş Oct 2023

Investigating The Physiological Role Of S199a And S199d Mutants Of Phf6 Protein In T-Cell Acute Lymphoblastic Leukemia, Gökçe Erdoğan, Osman Ni̇dai̇ Özeş, Osman Alphan Küpesi̇z, Şükran Burçak Yoldaş

Turkish Journal of Medical Sciences

Background/aim: T-cell acute lymphoblastic leukemia (T-ALL) is a form of leukemia characterized by the proliferation of immature T lymphocytes. NOTCH1 is one of the most frequently mutated genes in T-ALL. NOTCH1 expression in T-cell development depends on plant homeodomain finger protein 6 (PHF6), which plays a tumor suppressor role in T-ALL. Several studies have shown that PHF6 expression is essential for NOTCH1 expression. Therefore, whether posttranslational modification of PHF6 plays a role in the regulation of NOTCH1 expression and T-ALL cell line proliferation was investigated herein. Materials and methods: The amino acid sequence of PHF6 was analyzed and it was …


Recurrence Of Lumbar Disk Herniation After Microdiscectomy: A Two-Center Retrospective Analysis Of 1214 Cases And Identification Of Risk Factors, Bülent Gülensoy, Ebru Güzel, Müge Kuzu Kumcu, Hüseyi̇n Karasu, Serkan Şi̇mşek, Aslan Güzel Oct 2023

Recurrence Of Lumbar Disk Herniation After Microdiscectomy: A Two-Center Retrospective Analysis Of 1214 Cases And Identification Of Risk Factors, Bülent Gülensoy, Ebru Güzel, Müge Kuzu Kumcu, Hüseyi̇n Karasu, Serkan Şi̇mşek, Aslan Güzel

Turkish Journal of Medical Sciences

Background/aim: To present the incidence of recurrent lumbar disc herniation (RLDH) and to identify radiological and patient-related risk factors that lead to recurrence after lumbar disc herniation (LDH) treatment with microdiscectomy. Materials and methods: Between January 2013 and December 2021, 1214 patients who had undergone microdiscectomy for LDH were included in this retrospective study. Patients were divided into two groups, the recurrent group and the non-recurrent group, and their demographic, clinical and radiologic characteristics were recorded. The association between the variables and RLDH was assessed by univariate and multivariable logistic regression analyses. Results: Mean ages were similar in the recurrent …


Serum Amylase On Postoperative Day One Is A Strong Predictor Of Pancreatic Fistula After Pancreaticoduodenectomy: A Retrospective Cohort, Oğuzhan Özşay, Mehmet Can Aydin, Sali̇h Can Çeli̇k, Kağan Karabulut, Sai̇m Savaş Yürüker Oct 2023

Serum Amylase On Postoperative Day One Is A Strong Predictor Of Pancreatic Fistula After Pancreaticoduodenectomy: A Retrospective Cohort, Oğuzhan Özşay, Mehmet Can Aydin, Sali̇h Can Çeli̇k, Kağan Karabulut, Sai̇m Savaş Yürüker

Turkish Journal of Medical Sciences

Background/aim: Early identification of patients at risk for developing postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) may facilitate drain management. In this context, it was aimed to examine the efficiency of the serum amylase (SA) value on postoperative day (PoD) 1 in predicting the occurrence of POPF. Materials and methods: A total of 132 patients who underwent PD were studied. Occurrences of POPF were classified according to the International Study Group on Pancreatic Fistula classification as a biochemical leak (BL) or clinically relevant grade b/c POPF (CRPOPF). Receiver operating characteristic analysis identified a threshold value of SA on PoD 1 …