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Effects Of Vitrification Solution Supplemented With Platelet-Rich Plasma In Rat Ovarian Tissue Cryopreservation, Ayli̇n Gökhan, Türker Çavuşoğlu, Kubi̇lay Doğan Kiliç, Cansin Şi̇ri̇n, Canberk Tomruk, Gürkan Yi̇ği̇ttürk, Oytun Erbaş, Eser Sözmen, Meral Baka Oct 2023

Effects Of Vitrification Solution Supplemented With Platelet-Rich Plasma In Rat Ovarian Tissue Cryopreservation, Ayli̇n Gökhan, Türker Çavuşoğlu, Kubi̇lay Doğan Kiliç, Cansin Şi̇ri̇n, Canberk Tomruk, Gürkan Yi̇ği̇ttürk, Oytun Erbaş, Eser Sözmen, Meral Baka

Turkish Journal of Medical Sciences

Background/aim: The subject of this study was to investigate the utility of platelet-rich plasma (PRP) in the cryopreservation process to reduce cryodamage and increase tissue viability. Materials and methods: Twenty-one female Wistar rats were randomly allocated to three groups. In Group 1 (G1), rats were not subjected to vitrification (n = 7). Group 2 (G2) was the vitrification group in which PRP was added to the basic vitrification solution (n = 7). Group 3 (G3) was the vitrification group in which fetal bovine serum was added to the basic vitrification solution (n = 7). Warmed tissues were evaluated with histochemical …


Evaluation Of Diaphragm Functions With Diaphragm Ultrasound And Pulmonary Function Tests In Individuals With Friedreich?S Ataxia, Nur Aleyna Yetki̇n, Mehmet Fati̇h Yetki̇n, Burcu Baran Ketenci̇oğlu, Fatma Sema Oymak, İnci̇ Gülmez, İnsu Yilmaz, Nuri̇ Tutar Oct 2023

Evaluation Of Diaphragm Functions With Diaphragm Ultrasound And Pulmonary Function Tests In Individuals With Friedreich?S Ataxia, Nur Aleyna Yetki̇n, Mehmet Fati̇h Yetki̇n, Burcu Baran Ketenci̇oğlu, Fatma Sema Oymak, İnci̇ Gülmez, İnsu Yilmaz, Nuri̇ Tutar

Turkish Journal of Medical Sciences

Background/aim: It is known that the correlation of pulmonary function tests (PFT) with muscle dysfunction is insufficient. Here, we aimed to evaluate the diaphragm functions in individuals with Friedreich?s ataxia (FRDA) and to examine its relationship with respiratory parameters and disease severity. Materials and methods: This prospective study, conducted between November and December 2022, at Erciyes University, included 14 individuals with genetically confirmed FRDA and an age- and gender-matched healthy control group of eight individuals. We examined pulmonary functions with spirometric methods and evaluated diaphragm excursion, and diaphragm thickness-expiratory (Tde) and ? end of inspiration (Tdi) with ultrasonography during calm …


Evaluation Of Syringin?S Neuroprotective Effect In A Model Of Neonatal Hypoxic-Ischemic Brain Injury, Ezgi̇ Yangin Ergon, Asli Çeli̇k, Ayşe Gülden Di̇ni̇z Ünlü, Rüya Çolak, Senem Alkan Özdemi̇r, Şebnem Çalkavur, Osman Yilmaz Oct 2023

Evaluation Of Syringin?S Neuroprotective Effect In A Model Of Neonatal Hypoxic-Ischemic Brain Injury, Ezgi̇ Yangin Ergon, Asli Çeli̇k, Ayşe Gülden Di̇ni̇z Ünlü, Rüya Çolak, Senem Alkan Özdemi̇r, Şebnem Çalkavur, Osman Yilmaz

Turkish Journal of Medical Sciences

Background/aim: A significant cause of mortality and morbidity in the neonatal era is hypoxic-ischemic encephalopathy (HIE). This study examined the histopathological analysis and neuroprotective impact of syringin (SYR) in an experimental HIE rat model. Material and methods: On the 7th postnatal day, 24 Wistar albino rats were evaluated in 3 groups using the HIE model under gas anesthesia. In the experiment, Group A received 10 mg/kg SYR plus dimethyl sulfoxide (DMSO), Group B received DMSO only, and Group C served as a sham group. Immunohistochemical techniques were used to assess apoptotic cell measurement and proinflammatory cytokines (TNF-? and IL-1ß primary …


Comparison Of Craniotomy And Limited Membranectomy With Conventional Techniques In The Treatment Of Chronic Subdural Hematoma, Mehmet Emi̇n Akyüz, Mehmet Hakan Şahi̇n, Mehmet Kürşat Karadağ Oct 2023

Comparison Of Craniotomy And Limited Membranectomy With Conventional Techniques In The Treatment Of Chronic Subdural Hematoma, Mehmet Emi̇n Akyüz, Mehmet Hakan Şahi̇n, Mehmet Kürşat Karadağ

Turkish Journal of Medical Sciences

Background/aim: Chronic subdural hematoma is the most frequently operated on intracranial hemorrhage worldwide. Although surgical results are satisfactory, recurrence remains an important problem. In this study, it was aimed to evaluate patients who underwent craniotomy with limited membranectomy (CwLM) in terms of recurrence rate and other complications. Materials and methods: Electronic records of 291 consecutive patients who were operated on at our clinic (Atatürk University Yakutiye Research Hospital) between 2015 and 2020 were retrospectively reviewed. Their radiological images at the time of admission, clinical status, any early postoperative complications, and clinical status at the 6-month follow-up were all evaluated. Results: …


Reporting The Clinical Spectrum Of Children With Igav In A Retrospective 24-Year Cohort: Influences Of Age And Sex On Clinical Presentation, Sema Yildirim, Müferet Ergüven Oct 2023

Reporting The Clinical Spectrum Of Children With Igav In A Retrospective 24-Year Cohort: Influences Of Age And Sex On Clinical Presentation, Sema Yildirim, Müferet Ergüven

Turkish Journal of Medical Sciences

Background/aim: Immunoglobulin A vasculitis (IgAV) is one of the most common types of vasculitis in children. The aims of this study were to investigate the clinical characteristics of the disease, and the effects of age and sex on the clinical course in children with IgAV. Materials and methods: This was a retrospective study including pediatric patients diagnosed with IgAV who attended follow-ups at the pediatric rheumatology department of a tertiary healthcare institution between January 1997 and December 2020. The patients were grouped and compared according to sex and age at diagnosis (<7 years vs. ?7 years). Results: The study included 709 children with IgAV, 392 (55.3%) of whom were male. The mean age at diagnosis was 7.9 ± 3.2 years. The most common disease onset season was autumn (31.2%). Upper respiratory infections (27.8%) were the most common predisposing factors. Gastrointestinal system (GIS), joint, and renal involvement were observed in 52.8%, 47.5%, and 17.5% of patients, respectively. Renal involvement, GIS involvement, and disease relapse were significantly more common among those diagnosed after 7 years of age compared to those diagnosed before the age of 7 (p < 0.001, p = 0.033, and p < 0.001, respectively). Scrotal involvement and subcutaneous edema were more common among those diagnosed at younger than 7 years compared to those aged ?7 years at diagnosis (p < 0.001 and p = 0.016, respectively). GIS involvement was more frequently seen in males compared to females (p = 0.046). Conclusion: It was demonstrated that being ?7 years of age at diagnosis or being a male were associated with higher likelihood of renal and GIS involvement in children with IgAV.


Developmental Characteristics Of Williams-Beuren Syndrome And Evaluation Of Adaptive Behavioral Skills, Şenay Güven Baysal, Feyzullah Necati̇ Arslan, Mehmet Aki̇f Büyükavci, Fatma Hi̇lal Yağin, Cemal Eki̇ci̇, Zeynep Esener, Derya Doğan Oct 2023

Developmental Characteristics Of Williams-Beuren Syndrome And Evaluation Of Adaptive Behavioral Skills, Şenay Güven Baysal, Feyzullah Necati̇ Arslan, Mehmet Aki̇f Büyükavci, Fatma Hi̇lal Yağin, Cemal Eki̇ci̇, Zeynep Esener, Derya Doğan

Turkish Journal of Medical Sciences

Background/aim: Williams-Beuren syndrome (WBS) is a rare genetic disorder with delays in language and cognitive development, but, with increased awareness of clinical features and a reliable diagnostic test, WBS is becoming more widely recognized in childhood. Adaptive behavior skills and/or maladaptive behavior are important for the prognosis of individuals with WBS. The aim of this study was to investigate the clinical and developmental characteristics of patients with WBS and further increase awareness about it by evaluating the adaptive skills and maladaptive behaviors of the patients. Materials and methods: The data of WBS patients followed-up at the Developmental Behavioral Pediatrics Unit …


Comparison Of The Efficiencies Of Intrathecal And Intraganglionic Injections In Mouse Dorsal Root Ganglion, Mehmet Şeri̇f Aydin, Esra Nur Yi̇ği̇t Oct 2023

Comparison Of The Efficiencies Of Intrathecal And Intraganglionic Injections In Mouse Dorsal Root Ganglion, Mehmet Şeri̇f Aydin, Esra Nur Yi̇ği̇t

Turkish Journal of Medical Sciences

Background/aim: Dorsal root ganglia (DRG) are structures containing primary sensory neurons. Intraganglionic (IG) and intrathecal (IT) applications are the most common methods used for viral vector transfer to DRG. We aim to compare the efficiencies and pathological effects of IT and IG viral vector delivery methods to DRG, through in vivo imaging. Materials and methods: Mice were divided into four groups of six each: IT, IG, IT-vehicle, and IG-vehicle. Adeno-associated virus (AAV) injection was performed for EGFP expression in IT/IG groups. DRGs were made visible through vertebral window surgery and visualized with multiphoton microscopy. After imaging, spinal cords and DRGs …


Hsa-Circ-0006091 Modulates The Proliferation Of Hepatocellular Carcinoma Via The Mir-622/Ccnb1 Axis, Xiaofeng Zhao, Ling He Oct 2023

Hsa-Circ-0006091 Modulates The Proliferation Of Hepatocellular Carcinoma Via The Mir-622/Ccnb1 Axis, Xiaofeng Zhao, Ling He

Turkish Journal of Medical Sciences

Background/aim: Hepatocellular carcinoma (HCC) is a common type of cancer. We hypothesize that circular RNA-0006091 (circ0006091) affects the progression of HCC. The study aims to investigate the effect of circ-0006091 in HCC cells. Materials and methods: The levels of circ-0006091, microRNA-622 (miR-622), and cyclin B1 (CCNB1) were assayed using qRT-PCR and western blotting. The metastasis of the HCC cells was measured with wound healing and transwell assays. The protein expression levels of MMP-2 and MMP-9 were assayed with western blotting. Dual-luciferase reporter and RNA-pulldown assays were used to determine the link between miR-622 and circ-0006091 or CCNB1. Mice-based tests were …


Adjustable Bone Plate: From Bench To Operating Room, Gazi̇ Huri̇, Erdi̇ Özdemi̇r, Ömer Sunkar Bi̇çer, Pinar Huri̇, Sai̇t Polat, Tuğçe Sapmaz, Mahmut Nedi̇m Doral Oct 2023

Adjustable Bone Plate: From Bench To Operating Room, Gazi̇ Huri̇, Erdi̇ Özdemi̇r, Ömer Sunkar Bi̇çer, Pinar Huri̇, Sai̇t Polat, Tuğçe Sapmaz, Mahmut Nedi̇m Doral

Turkish Journal of Medical Sciences

Background/aim: We have designed an adjustable bone plate (ABP) which allows bone shortening and lengthening after fixation, which is a property not present in any of the plate systems available today. The aim of the current study was to examine the new ABP?s segmental bone transfer capability for the treatment of a segmental bone defect in an animal model. Materials and methods: Five sheep had ABPs attached to 10 of their tibias and bone defects of 15 mm in size were created. The pinion mechanism was moved with a manual screwdriver at a rate of 1mm/day for 15 days starting …


Recurrent Lower Urinary Tract Infections: More Than An Infection For Older Women, Sencer Gani̇dağli, Ercüment Öztürk, Zeynel Abi̇di̇n Öztürk Oct 2023

Recurrent Lower Urinary Tract Infections: More Than An Infection For Older Women, Sencer Gani̇dağli, Ercüment Öztürk, Zeynel Abi̇di̇n Öztürk

Turkish Journal of Medical Sciences

Background/aim: Older adults tend to have more urinary tract infections (UTIs). The frequency of recurrent lower urinary tract infections (rLUTIs) increases with age. rLUTIs are associated with long-term chronic effects on geriatric syndromes in older adults. We aimed to investigate possible risk factors that influence rLUTIs in older adults based on comprehensive geriatric assessment (CGA). Materials and methods: This cross-sectional study included 235 older adults admitted to Gaziantep University?s Geriatric Outpatient Clinic between June 1 and November 30, 2022. All patients underwent CGA. The Geriatric Depression Scale (GDS), the European Quality of Life-Five Dimension (EQ-5D) questionnaire, the Pittsburgh Sleep Quality …


The Importance Of Length And Area Estimate For Forensic Medicine Without Using A Measurement Tool, Ahmet Turla, Hüseyi̇n Kara, Ni̇lay Cankurt Ayar, Berna Aydin, Fulya Zeynep Levent, Oğuzhan Külbaz Oct 2023

The Importance Of Length And Area Estimate For Forensic Medicine Without Using A Measurement Tool, Ahmet Turla, Hüseyi̇n Kara, Ni̇lay Cankurt Ayar, Berna Aydin, Fulya Zeynep Levent, Oğuzhan Külbaz

Turkish Journal of Medical Sciences

Background/aim: Accurately measuring and recording the length or area of lesions affects the judgement of the forensic report, surgical wound management and, in some countries, the billing of health care services. The aim of this study was to determine whether the length and area of lesions described by physicians by estimation are accurate. Materials and methods: This study was designed as a cross-sectional descriptive study and was conducted with 494 participants consisting of internists and physicians at Ondokuz Mayıs University, Faculty of Medicine. The participants were asked to estimate the lengths or areas of 6 different shapes in the questionnaire …


Mirror Neuron Activity Depending On The Content And Stage Of The Observed Action: A Tms Study, H. Evren Boran, Hasan Kilinç, Bülent Cengi̇z Oct 2023

Mirror Neuron Activity Depending On The Content And Stage Of The Observed Action: A Tms Study, H. Evren Boran, Hasan Kilinç, Bülent Cengi̇z

Turkish Journal of Medical Sciences

Background/aim: The firing rate of the mirror neuron system in monkeys decreases systematically with more repetitions. The aim of this study is to investigate whether the activity of the mirror neuron system varies based on the observed movement and the contents of the action, as well as whether there is inhibition in the mirror neuron system when humans observe repeated actions. If inhibition is present, the second question of the study is whether it is related to the organization of the observed action. Materials and methods: Fourteen healthy volunteers participated in the study. Transcranial magnetic stimulation was applied to the …


The Validity And Reliability Of The Diabetic Foot Scale-Short Form (Dfs-Sf) In The Turkish Population: A Methodological Study, Meryem Kiliç, Ayi̇şe Karadağ, Neşe Koçakgöl Oct 2023

The Validity And Reliability Of The Diabetic Foot Scale-Short Form (Dfs-Sf) In The Turkish Population: A Methodological Study, Meryem Kiliç, Ayi̇şe Karadağ, Neşe Koçakgöl

Turkish Journal of Medical Sciences

Background/aim: Diabetic foot ulcers (DFUs) cause decreased quality of life due to prolonged hospital stay, loss of workforce, disabilities, psychological trauma, and increased healthcare costs. This study aims to assess the validity and reliability of the Diabetic Foot ScaleShort Form (DFS-SF) for Turkish-speaking individuals with DFUs. Materials and methods: This was a methodological study conducted with 174 Turkish patients with DFUs from March 2020 to December 2020. Translation?back translation was performed for language equivalence and expert opinions were obtained for content validity. The scale?s construct validity was tested with confirmatory factor analysis, exploratory factor analysis, and known-group validity. Cronbach?s alpha …


The Press-Fit Technique Without Screws And Bone Graft Can Be Used As An Alternative Method In Crowe Type Ii And Iii Hip Dysplasia, Azi̇z Çataltepe, Yusuf İyeti̇n Oct 2023

The Press-Fit Technique Without Screws And Bone Graft Can Be Used As An Alternative Method In Crowe Type Ii And Iii Hip Dysplasia, Azi̇z Çataltepe, Yusuf İyeti̇n

Turkish Journal of Medical Sciences

Background/aim: Developmental dysplasia of the hip (DDH) is the most common cause of secondary hip arthrosis. The primary purpose of this study was to assess the results of an oversized hemispherical cup via the press-fit technique used for Crowe type II and III DDH without screws and to determine if adequate medialization and initial stability of the acetabular component would allow us to avoid screw and graft use. Materials and methods: Between February 2012 and May 2020, the current study analyzed 43 hips with Crowe type II and III DDH treated with a porous-coated cup by placing the press-fit technique …


Clinical Parameters Of Laminoplasty And Laminectomy With Fusion In The Treatment Of Cervical Spondylosis And Analysis Of Postoperative Sagittal Balance, Mehmet Yi̇ği̇t Akgün, Özkan Ateş, Mehmet Ali̇ Tepebaşili, Caner Günerbüyük, Ali̇ Fahi̇r Özer Oct 2023

Clinical Parameters Of Laminoplasty And Laminectomy With Fusion In The Treatment Of Cervical Spondylosis And Analysis Of Postoperative Sagittal Balance, Mehmet Yi̇ği̇t Akgün, Özkan Ateş, Mehmet Ali̇ Tepebaşili, Caner Günerbüyük, Ali̇ Fahi̇r Özer

Turkish Journal of Medical Sciences

Background/aim: Cervical spondylosis is a progressive disease that causes degenerative changes affecting the spine, intervertebral discs, facets, and ligaments. With anterior and posterior surgical interventions, effective treatments can be applied in cervical spondylotic myelopathy (CSM). The relationship between regional and global spinal alignment and functional and pain outcomes was examined and it was revealed that these parameters play a significant role in obtaining good results. The aim of this study was to compare the perioperative and follow-up results of patients with CSM who underwent laminoplasty or laminectomy with fusion. Materials and method: CSM patients who were operated on between 2015 …


Correlation Of Metal Ions With Specific Brain Region Volumes In Neurodegenerative Diseases, İsmet Murat Melek, Berna Kuş, Zülal Kaptan, Emi̇ne Petekkaya Oct 2023

Correlation Of Metal Ions With Specific Brain Region Volumes In Neurodegenerative Diseases, İsmet Murat Melek, Berna Kuş, Zülal Kaptan, Emi̇ne Petekkaya

Turkish Journal of Medical Sciences

Background/aim: There are reports stating that deteriorations in metal homeostasis in neurodegenerative diseases promote abnormal protein accumulation. In this study, the serum metal levels in Alzheimer?s disease (AD) and Parkinson?s disease (PD) and its relationship with the cortical regions of the brain were investigated. Materials and methods: The patients were divided into 3 groups consisting of the AD group, PD group, and healthy control group (n = 15 for each). The volumes of specific brain regions were measured over the participants? 3-dimensional magnetic resonance images, and they were compared across the groups. Copper, zinc, iron, and ferritin levels in the …


Evaluation Of Chronic Pruritus And Associated Skin Findings In Patients With Diabetes Mellitus, Fatma Avci Merdi̇n, Ahmet Taha Aydemi̇r, Fatma Nur Korkmaz, Fatma Tuğçe Şah Ünal, Asena Gökçay Canpolat, Ayşe Öktem, Özgür Demi̇r, Mustafa Şahi̇n, Rifat Emral, Murat Fai̇k Erdoğan, Sevi̇m Güllü, Aydin Vedi̇a Gedi̇k, Peli̇n Koçyi̇ği̇t, Demet Çorapçioğlu Oct 2023

Evaluation Of Chronic Pruritus And Associated Skin Findings In Patients With Diabetes Mellitus, Fatma Avci Merdi̇n, Ahmet Taha Aydemi̇r, Fatma Nur Korkmaz, Fatma Tuğçe Şah Ünal, Asena Gökçay Canpolat, Ayşe Öktem, Özgür Demi̇r, Mustafa Şahi̇n, Rifat Emral, Murat Fai̇k Erdoğan, Sevi̇m Güllü, Aydin Vedi̇a Gedi̇k, Peli̇n Koçyi̇ği̇t, Demet Çorapçioğlu

Turkish Journal of Medical Sciences

Background/aim: To explore the dermatological lesions associated with chronic pruritus in patients who were followed up at our clinic for type 1 and type 2 diabetes mellitus (DM). Materials and methods: The study population consisted of 249 patients with DM, who presented to the endocrinology clinic at Ankara University Faculty of Medicine between January 2022, and March 2022, regardless of whether they had reported experiencing pruritus symptoms. The visual analog scale and 5-D itch scale were used to determine the severity of itching in patients. Dermatological examination findings were also evaluated. Results: Of the 249 patients with DM, mean duration …


Unraveling The Impact Of Primary Immunodeficiency Disorders On The Microbiota Of Dental Caries In Children Through 16s Rrna Gene-Based Metagenomic Analysis, Bushra Al-Kebsi̇, Gökhan Kars, Hazal Özer, Şükrü Nai̇l Güner Oct 2023

Unraveling The Impact Of Primary Immunodeficiency Disorders On The Microbiota Of Dental Caries In Children Through 16s Rrna Gene-Based Metagenomic Analysis, Bushra Al-Kebsi̇, Gökhan Kars, Hazal Özer, Şükrü Nai̇l Güner

Turkish Journal of Medical Sciences

Background/aim: Dental caries is a frequently occurring and multifactorial chronic disease in children resulting from the interaction of cariogenic bacteria and host susceptibility. The aim of this study was to elucidate the impacts of primary immunodeficiency disorders (PIDs) on microbiota of dental caries in children by 16S rRNA gene-based metagenomic analysis. Materials and methods: Enrolled in this study were 15 children with primary PID with caries (PID group) and 15 healthy children with caries as a control (CG). The DMFT index, saliva flow rate, and buffering capacity of each participant were assessed before the metagenomic analyses were conducted. For taxonomic …


Postauricular Linear Basal Cell Carcinomas Related To Medical Mask Cords: A Possible Association, Bengü Ni̇sa Akay, Di̇lan Kizilirmak, Aylin Heper Oct 2023

Postauricular Linear Basal Cell Carcinomas Related To Medical Mask Cords: A Possible Association, Bengü Ni̇sa Akay, Di̇lan Kizilirmak, Aylin Heper

Turkish Journal of Medical Sciences

Linear basal cell carcinoma (BCC) is a distinct clinical morphological variant of BCC. Although it has been speculated that trauma and the Koebner phenomenon may be linked to linear BCC, the pathophysiology has not yet been shown. Herein, 5 cases of BCC were presented that developed in the postauricular region as a result of trauma caused by the cords of the medical face masks worn during the COVID-19 pandemic.


Dietary Inflammatory Index Score And Its Association With Body Mass Index, Body Fat Percentage, Body Fat Mass, And Lipid Profile In Patients With Multiple Sclerosis, Seda Kaya, Zeynep Uzdi̇l, Ni̇ti̇n Shi̇vappa, James R. Hebert, Pinar Sökülmez Kaya, Murat Terzi̇ Oct 2023

Dietary Inflammatory Index Score And Its Association With Body Mass Index, Body Fat Percentage, Body Fat Mass, And Lipid Profile In Patients With Multiple Sclerosis, Seda Kaya, Zeynep Uzdi̇l, Ni̇ti̇n Shi̇vappa, James R. Hebert, Pinar Sökülmez Kaya, Murat Terzi̇

Turkish Journal of Medical Sciences

Background/aim: Multiple sclerosis (MS) may cause modifications in body composition, particularly for body fat associated with obesity and some biochemical parameters such as lipid profiles. We investigated whether there is a link between the inflammatory contents of diets and body composition and lipid profiles in patients with MS. Materials and methods: This was a cross-sectional study that included 85 MS patients. The study data of the patients were collected in the Neurology Clinic of Ondokuz Mayıs University?s Health Practice and Research Center. The data included demographic characteristics; anthropometric measurements such as body weight, height, body mass index, waist circumference, hip …


Current Developments In Surface Electromyography, Veysel Alcan, Murat Zi̇nnuroğlu Oct 2023

Current Developments In Surface Electromyography, Veysel Alcan, Murat Zi̇nnuroğlu

Turkish Journal of Medical Sciences

Background/aim: Surface electromyography (surface EMG) is a primary technique to detect the electrical activities of muscles through surface electrodes. In recent years, surface EMG applications have grown from conventional fields into new fields. However, there is a gap between the progress in the research of surface EMG and its clinical acceptance, characterized by the translational knowledge and skills in the widespread use of surface EMG among the clinician community. To reduce this gap, it is necessary to translate the updated surface EMG applications and technological advances into clinical research. Therefore, we aimed to present a perspective on recent developments in …


Levetiracetam Ameliorates Epileptogenesis By Modulating The Adenosinergic Pathway In A Kindling Model Of Epilepsy In Mice, Muhammad Jamal, Muhammad Azam, Salman Ali Khan, Zaheer Ul-Haq, Shabana Usman Simjee Oct 2023

Levetiracetam Ameliorates Epileptogenesis By Modulating The Adenosinergic Pathway In A Kindling Model Of Epilepsy In Mice, Muhammad Jamal, Muhammad Azam, Salman Ali Khan, Zaheer Ul-Haq, Shabana Usman Simjee

Turkish Journal of Medical Sciences

Background: Levetiracetam (LEV) has been found to have an antihyperalgesic effect via acting on the adenosine system. However, the effects of LEV on the modulation of the adenosine system in the brain have not been elucidated in the prevention of seizures and epilepsy. The present study aimed to explore the possible LEV mechanisms of action in the adenosine signaling systems in an animal model of epilepsy. Methodology: A docking study was initially performed to determine the possible interaction of LEV with adenosine A1 receptors (A1Rs) and equilibrative nucleoside transporters-1 (ENT1). The experimental study was divided into an acute seizure test …


Thrombotic Risk Assessment In Antiphospholipid Syndrome: Do Noncriteria Antibodies Contribute?, Ömer Uludağ, Suzan Çinar, Thomas Mcdonnell, Erhan Çene, Yasemi̇n Yalçinkaya, Ahmet Gül, Murat İnanç, Bahar Artim Esen Oct 2023

Thrombotic Risk Assessment In Antiphospholipid Syndrome: Do Noncriteria Antibodies Contribute?, Ömer Uludağ, Suzan Çinar, Thomas Mcdonnell, Erhan Çene, Yasemi̇n Yalçinkaya, Ahmet Gül, Murat İnanç, Bahar Artim Esen

Turkish Journal of Medical Sciences

Background/aim: In this cross-sectional study, it was aimed to test the predictive value of noncriteria antiphospholipid antibodies (aPL) in addition to the global antiphospholipid syndrome score (GAPSS) in predicting vascular thrombosis (VT) in a cohort of patients with APS and aPL (+) systemic lupus erythematosus (SLE). Material and methods: This study included 50 patients with primary APS, 68 with SLE/APS, and 52 with aPL (+) SLE who were classified according to VT as VT ± pregnancy morbidity (PM), PM only or aPL (+) SLE. Antiphospholipid serology consisting of lupus anticoagulant (LA), anticardiolipin (aCL) immunoglobulin G (IgG)/IgM/IgA, antibeta2 glycoprotein I (aß2GPI) …


The Diagnostic Profile And Clinical Course Of Patients With Rheumatic Diseases In The Medical Intensive Care Unit, Kani̇ye Aydin, İpek Türk Oct 2023

The Diagnostic Profile And Clinical Course Of Patients With Rheumatic Diseases In The Medical Intensive Care Unit, Kani̇ye Aydin, İpek Türk

Turkish Journal of Medical Sciences

Background/aim: Immunosuppressive and immunomodulatory treatments developed in recent years as a result of a better understanding of the pathophysiology of systemic rheumatic diseases (SRDs) improve the prognosis. Despite medical advances, individuals with SRDs at any stage may require intensive care and have a high mortality rate. The aim of this study was to investigate the demographic and clinical characteristics of patients with rheumatic diseases admitted to the intensive care unit (ICU), and the factors associated with the risk of mortality. Materials and methods: This was a retrospective, cross-sectional study that included patients with rheumatic diseases in the medical ICU. Factors …


Impact Of 24-Week Dapagliflozin Treatment On Body Weight, Body Composition, And Cardiac Risk Indicators Of Patients With Type-2 Diabetes Mellitus, Pinar Akhanli, Sema Hepşen, İsmai̇l Emre Arslan, Hakan Düğer, Hayri̇ Bostan, Muhammed Kizilgül, Beki̇r Uçan, Erman Çakal Oct 2023

Impact Of 24-Week Dapagliflozin Treatment On Body Weight, Body Composition, And Cardiac Risk Indicators Of Patients With Type-2 Diabetes Mellitus, Pinar Akhanli, Sema Hepşen, İsmai̇l Emre Arslan, Hakan Düğer, Hayri̇ Bostan, Muhammed Kizilgül, Beki̇r Uçan, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: To reveal the impacts of dapagliflozin, a sodium glucose transporter-2 inhibitor (SGLT-2i), on body weight and body composition, cardiovascular risk indices, and carotid intima-media thickness (CIMT). Materials and methods: The data of patients with type-2 diabetes mellitus (T2DM) who applied to Department of Endocrinology and Metabolic Disorders between September 2019 and 2020, and had started dapagliflozin treatment along with their current medications were recorded retrospectively. Body weights, body compositions measured through bioelectrical impedance, and CIMT with T2DM receiving SGLT-2i treatment and medication were measured at weeks 1, 12, and 24 of 42. The visceral adiposity index (VAI), lipid accumulation …


Alterations In B And Nk Cells Highly Correlate With Disease Severity In Children With Covid-19, Ezgi̇ Topyildiz, Nesli̇han Karaca, Razi̇ye Burcu Taşkin, Ayşe Aygün, Zümrüt Şahbudak Bal, Eylem Ulaş Saz, Nuri̇ Zafer Kurugöl, Neci̇l Kütükçüler, Güzi̇de Aksu Oct 2023

Alterations In B And Nk Cells Highly Correlate With Disease Severity In Children With Covid-19, Ezgi̇ Topyildiz, Nesli̇han Karaca, Razi̇ye Burcu Taşkin, Ayşe Aygün, Zümrüt Şahbudak Bal, Eylem Ulaş Saz, Nuri̇ Zafer Kurugöl, Neci̇l Kütükçüler, Güzi̇de Aksu

Turkish Journal of Medical Sciences

Background/aim: Children with coronavirus disease 2019 (COVID-19) present milder symptoms than adults and are at lower risk of hospitalization and life-threatening complications. However, the kinetics of lymphocyte subsets and serum immunoglobulins in the peripheral blood during COVID-19 infection remains unclear. In this study, it was aimed to determine the changes in hematological and immunological parameters, especially in the lymphocyte subsets, in the peripheral blood of children with different COVID-19 disease severity. Materials and methods: The study was planned as a prospective cohort and included 68 children aged 0?18 years who were admitted to Ege University Faculty of Medicine Department of …


When Should A Premature Neonate (24?35 Weeks) Be Discharged? Five-Year Experience From A Single-Center Neonatal Intensive Care Unit In Türkiye, Ayşen Orman, Yalçin Çeli̇k, Semra Erdoğan Oct 2023

When Should A Premature Neonate (24?35 Weeks) Be Discharged? Five-Year Experience From A Single-Center Neonatal Intensive Care Unit In Türkiye, Ayşen Orman, Yalçin Çeli̇k, Semra Erdoğan

Turkish Journal of Medical Sciences

Background/aim: The survival rate among preterm infants has improved, and hospital stays have been prolonged, consistent with positive developments in perinatal and neonatal care. The aim of this study was to provide evidence-based information for healthcare professionals concerning the ideal time for discharge by evaluating the reasons for prolonged hospital stays. Materials and methods: Six hundred eighty-one premature babies born at 24?35 weeks at the Mersin University Medical Faculty Hospital between January 2016 and May 2020 and admitted to the neonatal intensive care unit were included in the study following a retrospective file examination. Date of birth (gestational age) and …


Cupressus Arizonica: An Emerging Aeroallergen For East Mediterranean Children, Hi̇lal Ünsal, Ümi̇t Murat Şahi̇ner, Özge Uysal Soyer, Bülent Eni̇s Şekerel Oct 2023

Cupressus Arizonica: An Emerging Aeroallergen For East Mediterranean Children, Hi̇lal Ünsal, Ümi̇t Murat Şahi̇ner, Özge Uysal Soyer, Bülent Eni̇s Şekerel

Turkish Journal of Medical Sciences

Background/aim: Cupressus sempervirens is a tree native to the Mediterranean region. We aimed to investigate the frequency of sensitization/allergy to Cupressus arizonica pollen, which is not native to Anatolia. Materials and methods: Patients aged 5?18 years who underwent respiratory allergy screening in Türkiye?s largest referral center over a 1-year period were reviewed retrospectively for a diagnostic study of Cupressus allergy. Results: Of 246 patients, 207 (67.6% male) with a median age of 11.7 (IQR 9.2?15) years were found to be aeroallergen-sensitive and C. arizonica (32%) was the second most common sensitivity after grass pollen (83.6%). In the C. arizonica-sensitive subgroup, …


Effect Of Thoracic Mobilization Exercises On Hamstring Flexibility: A Randomized Controlled Trial, Aybüke Ersi̇n, Meltem Kaya Oct 2023

Effect Of Thoracic Mobilization Exercises On Hamstring Flexibility: A Randomized Controlled Trial, Aybüke Ersi̇n, Meltem Kaya

Turkish Journal of Medical Sciences

Background and aim: The aim was to investigate the effect of thoracic mobilization exercises on hamstring flexibility. Materials and methods: One hundred twenty individuals with hamstring tightness were included in the study. The participants were randomized into two groups: the experimental group (EG) (n = 60) or the control group (CG) (n = 60). The EG performed a homebased thoracic mobilization exercise program comprising 2 sets with 10 repetitions, once a day, 3 days a week, for 4 weeks. The CG performed active-assisted stretching of the hamstring comprising 3 sets with 10 repetitions for 15 seconds. The active knee extension …


Body Mass Index Does Not Affect Response Of Rituximab In Patients With Rheumatoid Arthritis: Results From The Turkbi̇o Registry, Ahmet Karataş, Rabi̇a Pi̇şki̇n Sağir, Süleyman Serdar Koca, Hüseyi̇n Edi̇z Dalkiliç, Gerçek Can, Yavuz Pehli̇van, Ayten Yazici, Güzi̇de Nevsun İnanç, Ayşe Çefle, Zeynep Ertürk, Servet Akar, Soner Şenel, Ahmet Meri̇h Bi̇rli̇k, Nurullah Akkoç, Fatoş Önen Oct 2023

Body Mass Index Does Not Affect Response Of Rituximab In Patients With Rheumatoid Arthritis: Results From The Turkbi̇o Registry, Ahmet Karataş, Rabi̇a Pi̇şki̇n Sağir, Süleyman Serdar Koca, Hüseyi̇n Edi̇z Dalkiliç, Gerçek Can, Yavuz Pehli̇van, Ayten Yazici, Güzi̇de Nevsun İnanç, Ayşe Çefle, Zeynep Ertürk, Servet Akar, Soner Şenel, Ahmet Meri̇h Bi̇rli̇k, Nurullah Akkoç, Fatoş Önen

Turkish Journal of Medical Sciences

Background/aim: Adipose tissue produces several inflammatory mediators. Thus, obesity affects the disease course and the responses to the antirheumatic agents in inflammatory diseases. The aim of the study was to determine whether the body mass index (BMI) is involved in the response to rituximab in rheumatoid arthritis (RA). Materials and methods: This multicenter retrospective study included 206 RA patients who received rituximab from the Turkish Biologic (TURKBIO) registry between 2011 and the end of May 2017. Demographic and clinical data including age, sex, disease type, disease duration, and previous or current treatment with disease-modifying antirheumatic drugs (DMARDs) and biological drug …