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Full-Text Articles in Medicine and Health Sciences

Highlights In The Association Of Fragmented Qrs With Myocardial Fibrosis, Mehmet Eyüboğlu Jan 2022

Highlights In The Association Of Fragmented Qrs With Myocardial Fibrosis, Mehmet Eyüboğlu

Turkish Journal of Medical Sciences

No abstract provided.


Fragmented Qrs Formation In Nonhypertensive Acromegaly Patients, Muhammet Dural, Göknur Yorulmaz, Kadi̇r Uğur Mert, Selda Murat Jan 2022

Fragmented Qrs Formation In Nonhypertensive Acromegaly Patients, Muhammet Dural, Göknur Yorulmaz, Kadi̇r Uğur Mert, Selda Murat

Turkish Journal of Medical Sciences

No abstract provided.


Microglial Iron Trafficking: New Player In Brain Injury, Elif Keles, Hasan Hüseyi̇n Kazan, Lati̇fe Arzu Aral, Hayrunni̇sa Bolay Belen Jan 2022

Microglial Iron Trafficking: New Player In Brain Injury, Elif Keles, Hasan Hüseyi̇n Kazan, Lati̇fe Arzu Aral, Hayrunni̇sa Bolay Belen

Turkish Journal of Medical Sciences

Neonatal brain injury is a significant reason of neurodevelopmental abnormalities and long-term neurological impairments. Hypoxic-ischemic encephalopathy and preterm brain injury, including intraventricular hemorrhage are the most common grounds of brain injury for full-term and preterm neonates. The prevalence of hypoxic ischemic encephalopathy varies globally, ranging from 1 to 3.5/1000 live births in high-resource countries and 26/1000 in low-resource countries. Preterm birth's global incidence is 15 million, a significant reason for infant mortality and morbidity, permanent neurologic problems, and the associated social and economic burden. The widespread neurodevelopmental effects of neonatal brain injury could have an unfavorable impact on a variety …


Circulating Mir-200c And Mir-33a May Be Used As Biomarkers For Predicting High Fructose Corn Syrup-Induced Fatty Liver And Vitamin D Supplementation-Related Liver Changes, Alpaslan Tanoğlu, Eylem Çağiltay, Esra Güzel Tanoğlu, Ayli̇n Gökhan, Cansin Şi̇ri̇n, Türker Çavuşoğlu, Recep Soner Yeşi̇lbaş Jan 2022

Circulating Mir-200c And Mir-33a May Be Used As Biomarkers For Predicting High Fructose Corn Syrup-Induced Fatty Liver And Vitamin D Supplementation-Related Liver Changes, Alpaslan Tanoğlu, Eylem Çağiltay, Esra Güzel Tanoğlu, Ayli̇n Gökhan, Cansin Şi̇ri̇n, Türker Çavuşoğlu, Recep Soner Yeşi̇lbaş

Turkish Journal of Medical Sciences

Background/aim: Nonalcoholic fatty liver is one of the most common forms of liver disease and role of microRNAs (miRNAs) on this illness is currently unclear. It was aimed to evaluate the predictive role of circulating miR-33a and mir-200c on high fructose corn syrup (HFCS)-induced fatty liver and vitamin D3 supplementation-related hepatic changes. Materials and methods: Twenty-four rats were randomized into three groups: sham (n = 8), experimental fatty liver group (n = 8), and fatty liver + vitamin D3 supplementation group (n = 8). In the treatment group, 10 µg/kg/week of vitamin D3 was given by orogastric tube weekly for …


Determination Of Mir-373 And Mir-204 Levels In Neuronal Exosomes In Alzheimer?S Disease, Eli̇fcan Taşdelen, Erguvan Tuğba Özel Kizil, Sabi̇ha Tezcan Aydemi̇r, Ömer Eray Yalap, Ayşe Petek Bi̇ngöl, Nüket Kutlay Jan 2022

Determination Of Mir-373 And Mir-204 Levels In Neuronal Exosomes In Alzheimer?S Disease, Eli̇fcan Taşdelen, Erguvan Tuğba Özel Kizil, Sabi̇ha Tezcan Aydemi̇r, Ömer Eray Yalap, Ayşe Petek Bi̇ngöl, Nüket Kutlay

Turkish Journal of Medical Sciences

Background/aim: NLRP3 inflammasome activation has been known to be involved in the etiology and progression of Alzheimer?s disease (AD). Furthermore, AD and diabetes mellitus have common pathomechanisms. It has been shown that P2X7R whose expression is increased in brain tissues with AD and plays a role in the activation of NLRP3 inflammasome is suppressed by miR-373 in patients with osteoarthritis. Therefore, the question of whether the suppressive effect of miR-373 on NLRP3 may have a role in the pathophysiology of AD comes to mind. On the other hand, it is known that the miR-204 level increases in response to TXNIP, …


Frequency Of Alpha-1 Antitrypsin Deficiency And Unexpected Results In Copd Patients In Turkey; Rare Variants Are Common, Mustafa Çörtük, Bariş Demi̇rkol, Meli̇h Akay Arslan, Umut İlhan, Yunus Emre Kalkan, Demet Turan, Şule Gül, Hali̇t Çinarka, Kürşad Nuri̇ Baydi̇li̇, Erdoğan Çeti̇nkaya Jan 2022

Frequency Of Alpha-1 Antitrypsin Deficiency And Unexpected Results In Copd Patients In Turkey; Rare Variants Are Common, Mustafa Çörtük, Bariş Demi̇rkol, Meli̇h Akay Arslan, Umut İlhan, Yunus Emre Kalkan, Demet Turan, Şule Gül, Hali̇t Çinarka, Kürşad Nuri̇ Baydi̇li̇, Erdoğan Çeti̇nkaya

Turkish Journal of Medical Sciences

Background/aim: Alpha-1 antitrypsin (?1-AT) is a protease inhibitor that is largely released from liver cells. It inhibits neutrophil elastase and its deficiency increases the risk of developing chronic obstructive pulmonary disease (COPD). The frequency of ?1-AT deficiency has been reported with different prevalence rates in different parts of the world. The most common ?1-AT variant causing ?1-AT deficiency is the Pi*Z allele. In this study, we aimed to determine the frequency of the ?1-AT genotypic variant in COPD patients in our country. Materials and methods: In this study, 196 consecutive COPD patients admitted to our clinic were included. In addition …


Comparison Of Anakinra And Tocilizumab In Management Of Severe Covid-19: A Retrospective Cohort Study, Orhan Küçükşahi̇n, Abdulsamet Erden, Özlem Karakaş, Serdar Can Güven, Berkan Armağan, Enes Seyda Şahi̇ner, Osman İnan, Ali̇ Can Kurti̇pek, Emi̇n Gemci̇oğlu, Selma Karaahmetoğlu, Sema Turan, Seval İzdeş, Deni̇z Erdem, Adalet Aypak, Müge Ayhan Jan 2022

Comparison Of Anakinra And Tocilizumab In Management Of Severe Covid-19: A Retrospective Cohort Study, Orhan Küçükşahi̇n, Abdulsamet Erden, Özlem Karakaş, Serdar Can Güven, Berkan Armağan, Enes Seyda Şahi̇ner, Osman İnan, Ali̇ Can Kurti̇pek, Emi̇n Gemci̇oğlu, Selma Karaahmetoğlu, Sema Turan, Seval İzdeş, Deni̇z Erdem, Adalet Aypak, Müge Ayhan

Turkish Journal of Medical Sciences

Background/aim: Studies regarding effectiveness of anakinra and tocilizumab treatments in coronavirus disease 2019 (COVID-19) have contradictory results. Furthermore, there is scarce comparative data regarding superiority of any agent. To further elucidate any superiority between these two agents, we retrospectively investigated and compared outcomes in hospitalized COVID-19 patients of our inpatient cohort who received anakinra or tocilizumab. Materials and methods: This study was designed as a single-center, retrospective, cross-sectional cohort study. Hospitalized patients with confirmed diagnosis of COVID-19 who had Brescia-COVID respiratory severity scale score ?3 and hyperinflammation (defined as elevation of C reactive protein ?50 g/L or ferritin ?700 ng/mL) …


Serum Visfatin Concentrations Are Positively Associated With Ventricular Arrhythmias: A Single-Center Preliminary Study, Rongrong Shen, Peiyu Zhang, Rong Guo, Yawei Xu Jan 2022

Serum Visfatin Concentrations Are Positively Associated With Ventricular Arrhythmias: A Single-Center Preliminary Study, Rongrong Shen, Peiyu Zhang, Rong Guo, Yawei Xu

Turkish Journal of Medical Sciences

Background/aim: Visfatin has been reported to be closely related to cardiovascular diseases associated with inflammation, but the correlation between visfatin and ventricular arrhythmia (VA) has not been discussed yet. The study aims to explore the association between serum visfatin concentrations and VA in patients. Materials and methods: Sixty-seven hospitalized patients diagnosed with VA and 131 control subjects were enrolled in this crosssectional study between May 20, 2017 and November 8, 2019. Classification of VA types was based on the presence of structural heart disease (SHD). The patients? blood samples were collected to examine their serum levels of visfatin. Results were …


The Role Of Pericytes On The Efficacy Of Bevacizumab In Colorectal Cancer, Merve Besler, Fatma Sena Dost, Fi̇li̇z Çay Şenler, Bi̇lge Ayça Kirmizi, Berna Savaş, Hakan Akbulut Jan 2022

The Role Of Pericytes On The Efficacy Of Bevacizumab In Colorectal Cancer, Merve Besler, Fatma Sena Dost, Fi̇li̇z Çay Şenler, Bi̇lge Ayça Kirmizi, Berna Savaş, Hakan Akbulut

Turkish Journal of Medical Sciences

Background/aim: Pericytes are mesenchymal cells surrounding capillary vessels and are known to play an essential role in tumor angiogenesis. Chondroitin sulfate proteoglycan 4 (CSPG4) is a cell surface proteoglycan and its release from pericytes and vascular smooth muscle cells is very important in tumor angiogenesis. Bevacizumab, which is a monoclonal antibody frequently used in the treatment of metastatic colorectal cancer, binds to the ligand of vascular endothelial growth factor A (VEGFA) and inhibits tumor angiogenesis. However, no reliable biomarker for predicting patients that will show a good response to this therapy has been established yet. In this study, we aimed …


The Use Of Fulvestrant Before Chemotherapy Improves Survival In Hormone-Positive Breast Cancer: A Real-Life Study, Deni̇z Can Güven, Hasan Çağri Yildirim, Enes Erul, Taha Koray Şahi̇n, İbrahi̇m Yahya Çakir, Oktay Hali̇t Aktepe, Neyran Kertmen, Ömer Di̇zdar, Sercan Aksoy Jan 2022

The Use Of Fulvestrant Before Chemotherapy Improves Survival In Hormone-Positive Breast Cancer: A Real-Life Study, Deni̇z Can Güven, Hasan Çağri Yildirim, Enes Erul, Taha Koray Şahi̇n, İbrahi̇m Yahya Çakir, Oktay Hali̇t Aktepe, Neyran Kertmen, Ömer Di̇zdar, Sercan Aksoy

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the efficacy of fulvestrant and its affecting clinical factors, including the optimal sequencing of fulvestrant and chemotherapy in a real-life cohort. Methods: The data of 256 metastatic hormone-positive breast cancer patients treated with fulvestrant were evaluated. The association of clinical factors with survival was analyzed with Kaplan-Meier and Cox-regression analyses. Results: The median age of patients was 57 years. More than half of the patients used fulvestrant in later lines and after chemotherapy (75.8%). The median progression-free (PFS) and overall survival (OS) of all cohort were 6.05 ± 0.56 and 29.70 ± 1.61 months, respectively. …


Retrospective Comparison Of Flot And Modified Dcf As First-Line Chemotherapy In Metastatic Gastric Adenocarcinoma, Fati̇h Gürler, Deni̇z Can Güven, Ergi̇n Aydemi̇r, Osman Sütcüoğlu, Bedi̇z Kurt İnci̇, Zafer Arik, Şuayi̇b Yalçin, Nuri̇ye Özdemi̇r, Ahmet Özet, Ozan Yazici Jan 2022

Retrospective Comparison Of Flot And Modified Dcf As First-Line Chemotherapy In Metastatic Gastric Adenocarcinoma, Fati̇h Gürler, Deni̇z Can Güven, Ergi̇n Aydemi̇r, Osman Sütcüoğlu, Bedi̇z Kurt İnci̇, Zafer Arik, Şuayi̇b Yalçin, Nuri̇ye Özdemi̇r, Ahmet Özet, Ozan Yazici

Turkish Journal of Medical Sciences

Background/aim: The aim of our study was to compare the efficacy and the safety of the FLOT and the modified DCF (mDCF) regimens in patients with metastatic gastric (GC) and gastroesophageal junction (GEJ) adenocarcinoma as first-line treatment. Materials and methods: The medical records of 72 patients were retrospectively reviewed. Survivals and hematological adverse events of the patients were examined. Factors affecting survivals were analyzed in univariate analysis. A multivariate analysis was performed with the factors contributing to survivals in univariate analysis. Results: The median PFS (mPFS) was 10.1 months (95% CI, 6.8?13.4) in the FLOT arm (n = 33) and …


Is Microcystic, Elongated, And Fragmented Pattern Of Myometrial Invasion In Endometrioid Endometrial Carcinoma Associated With Survival?, Sultan Deni̇z Altindağ, Seyran Yi̇ği̇t, Serhat Şen Jan 2022

Is Microcystic, Elongated, And Fragmented Pattern Of Myometrial Invasion In Endometrioid Endometrial Carcinoma Associated With Survival?, Sultan Deni̇z Altindağ, Seyran Yi̇ği̇t, Serhat Şen

Turkish Journal of Medical Sciences

Background/aim: Microcystic, elongated, and fragmented (MELF) pattern is one of the myometrial invasion patterns in endometrioid endometrial carcinoma (EEC), and it has been associated with poor prognostic parameters, especially lymphovascular space invasion (LVSI) and lymph node metastasis (LNM). This study aims to represent the frequency of MELF pattern in EEC and the relationship between MELF pattern with clinicopathological parameters, overall survival (OS), and disease-free survival (DFS). Materials and methods: In this retrospective cohort study, we examined 233 patients with EEC diagnoses with the result of a total hysterectomy and bilateral salpingo-oophorectomy between 2009 and 2014. The association of MELF pattern …


The Survival Outcomes And Prognostic Factors Of Hepatocellular Carcinoma Among Type 2 Diabetes Patients: A Two-Centre Retrospective Cohort Study, Noor Atika Azit, Shahnorbanun Sahran, Voon Meng Leow, Manisekar K. Subramaniam, Suryati Mokhtar, Azmawati Mohammed Nawi Jan 2022

The Survival Outcomes And Prognostic Factors Of Hepatocellular Carcinoma Among Type 2 Diabetes Patients: A Two-Centre Retrospective Cohort Study, Noor Atika Azit, Shahnorbanun Sahran, Voon Meng Leow, Manisekar K. Subramaniam, Suryati Mokhtar, Azmawati Mohammed Nawi

Turkish Journal of Medical Sciences

Background/aim: To determine the survival outcomes and prognostic factors associated with hepatocellular carcinoma (HCC) survival in type 2 diabetes (T2D) patients. Materials and methods: This was a retrospective cohort study involving two hepatobiliary centres from January 1, 2012, to June 30, 2018. Medical records were analysed for sociodemographic, clinical characteristics, laboratory testing, and HCC treatment information. Survival outcomes were examined using the Kaplan?Meier and log-rank test. Prognostic factors were determined using multivariate Cox regression. Results: A total of 212 patients were included in the study. The median survival time was 22 months. The 1-, 3-, and 5-year survival rates were …


Can The Hummingbird Sign Contribute To The Diagnosis Of Idiopathic Normal Pressure Hydrocephalus?, Hali̇l Önder, Selcuk Çomoğlu Jan 2022

Can The Hummingbird Sign Contribute To The Diagnosis Of Idiopathic Normal Pressure Hydrocephalus?, Hali̇l Önder, Selcuk Çomoğlu

Turkish Journal of Medical Sciences

To the Editor,


Prospective Analysis Of Intoxicated Patients Developing Shock And/Or Organ Failure, Faysal Teki̇n, Ayça Açikalin Akpinar, Ömer Taşkin, Ufuk Akday, Nezi̇hat Rana Di̇şel, Emre Karakoç Jan 2022

Prospective Analysis Of Intoxicated Patients Developing Shock And/Or Organ Failure, Faysal Teki̇n, Ayça Açikalin Akpinar, Ömer Taşkin, Ufuk Akday, Nezi̇hat Rana Di̇şel, Emre Karakoç

Turkish Journal of Medical Sciences

Background/aim: Data on intoxication patients with shock and acute organ failure is valuable for the prediction of the tailored scale prognosis of the patients in the emergency department. Materials and methods: Our study was designed prospectively as a cross-sectional and observational over the course of four years. The patients over 18 years of age were included and the epidemiological data related to development of shock and acute organ failure, the treatments, and the outcome were recorded. The organic phosphate severity score was also calculated for all patients. Results: A total of 89 patients with shock and/or acute organ failure 72 …


Identification Of Subclinical Iron Deficiency Using New Erythrocytes, Leukocytes, And Reticulocytes Parameters During Nonsevere Acute Infection In Pediatric Outpatients, Nazmi̇ Mutlu Karakaş, Serap Ki̇rki̇z Kayali, Zühre Kaya Jan 2022

Identification Of Subclinical Iron Deficiency Using New Erythrocytes, Leukocytes, And Reticulocytes Parameters During Nonsevere Acute Infection In Pediatric Outpatients, Nazmi̇ Mutlu Karakaş, Serap Ki̇rki̇z Kayali, Zühre Kaya

Turkish Journal of Medical Sciences

Background/aim: This study aims to investigate the diagnostic utility of new erythrocytes, leukocytes, and reticulocytes parameters for the identification of subclinical iron deficiency (ID) in children under 6 years with nonsevere acute infection in pediatric outpatients. Materials and methods: The study included 102 children with acute infections and 31 true ID. Traditional and new hematology parameters were measured in a Sysmex-XN® , along with C-reactive protein level, and iron parameters. Participants? ID were categorized as: the ferritin < 100 ng/mL, transferrin saturation < 20% was defined as ?subclinical or functional ID (FID) in Group 1?; ferritin < 30 ng/mL, transferrin saturation < 20%, as ?absolute-ID (AID)? in Group 2; ferritin < 12 ng/mL without anemia and infection, as ?true ID? in Group 3. Results: The frequencies of FID and AID among the 102 children with acute infection were 24% and 76%, respectively. Compared with the Group 2 patients, Group 1 had a significantly higher mean percentage of hypochromic erythrocytes (Hypo-He), and significantly lower levels of hemoglobin (Hb) and Hb content of reticulocytes (RET-He) (p < 0.05 for all). Compared with Group 2 and Group 3 patients, Group 1 had a significantly higher mean percentage of immature reticulocyte fraction (IRF) and immature granulocyte (IG) values (p < 0.05 for all). The RET-He, IRF%, Hypo-He%, and IG% cut-off values for predicting FID during infection were 27.0 pg, 10.6%, 2.5%, and 0.35% respectively. Conclusion: The RET-He, Hypo-He, IRF, and IG may be useful parameters for identifying subclinical ID in small children with nonsevere acute infection in pediatric outpatients.


Evaluation Of The Effect Of Hyperchloremia On The Prognosis And Mortality Of Medical Intensive Care Patients: A Single-Center Study, Habi̇p Yilmaz, Başak Çakir Güney Jan 2022

Evaluation Of The Effect Of Hyperchloremia On The Prognosis And Mortality Of Medical Intensive Care Patients: A Single-Center Study, Habi̇p Yilmaz, Başak Çakir Güney

Turkish Journal of Medical Sciences

Background/aim: While chloride (Cl) is the most abundant anion in the serum, it is unfortunately one of the most commonly disregarded laboratory test results routinely drawn upon admission into the medical intensive care unit (MICU). We aimed to investigate the relation between in-hospital mortality, different pathologies requiring admission to the MICU, serum Cl levels, and other biochemical tests in a tertiary center. Materials and methods: The prospective study included data from 373 patients admitted to the ICU of a tertiary care center between 2017 and 2019. Data of patients under 18, pregnant patients or patients who were in the MICU …


Copy Number Variations In Patients With Idiopathic Recurrent Pregnancy Loss: An Arraycgh Approach, Onur Yildiz, Fatma Silan, Taner Karakaya, Öztürk Özdemi̇r Jan 2022

Copy Number Variations In Patients With Idiopathic Recurrent Pregnancy Loss: An Arraycgh Approach, Onur Yildiz, Fatma Silan, Taner Karakaya, Öztürk Özdemi̇r

Turkish Journal of Medical Sciences

Background/aim: It is not always possible to determine the causative basis of pregnancy losses and even today it has been reported that 50% of cases with recurrent pregnancy loss (RPL) have no reason to be detected. In our study, it is aimed to reveal the copy number variations (CNVs) of the genes which presumably have a potential effect in individuals with RPL and contribute to subsequent functional studies in the follow-up. Materials and methods: We retrospectively evaluated the array-comparative genomic hybridization (aCGH) data of cytogenetically 64 normal individuals (21 couples, 11 unrelated women, and 11 unrelated men) who had applied …


Performance Of Indirect Immunofluorescence Test And Immunoblot Tests In The Evaluation Of Antinuclear And Antimitochondrial Antibodies, Ömer Öztürk, Selay Demi̇rci̇ Dos Santos Duarte, Hati̇ce Yasemi̇n Balaban, Hali̇s Şi̇mşek, Burçi̇n Şener Jan 2022

Performance Of Indirect Immunofluorescence Test And Immunoblot Tests In The Evaluation Of Antinuclear And Antimitochondrial Antibodies, Ömer Öztürk, Selay Demi̇rci̇ Dos Santos Duarte, Hati̇ce Yasemi̇n Balaban, Hali̇s Şi̇mşek, Burçi̇n Şener

Turkish Journal of Medical Sciences

Background/aim: Antinuclear antibodies (ANA) and antimitochondrial antibodies (AMA) have essential markers for the diagnosis of autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC). These autoantibodies are detecting different laboratory methods. In this study, we studied the diagnostic performance of used methods in detecting ANA and AMA. Materials and methods: The autoantibody profiles of patients with AIH and PBC groups were analyzed with the indirect immunofluorescence test (IIF) and liver-specific antigens containing immunoblot test (IB). Results: There were 45 (87%) women in the study group and 8 (53%) women in the control group. The mean age of the patients was 50.5 …


The Respiratory Manifestations In Patients With Primary Sjögren?S Syndrome: Is Interstitial Lung Disease Related To Disease Activity?, Özlem Özdemi̇r Işik, Ayten Yazici, Ayşe Çefle Jan 2022

The Respiratory Manifestations In Patients With Primary Sjögren?S Syndrome: Is Interstitial Lung Disease Related To Disease Activity?, Özlem Özdemi̇r Işik, Ayten Yazici, Ayşe Çefle

Turkish Journal of Medical Sciences

Background/aim: Sjögren?s syndrome is a systemic, autoimmune disease and can affect many organs and systems. In this study, we aimed to evaluate the respiratory manifestations, and the association between interstitial lung disease (ILD) and disease activity in primary SS (pSS) patients. Materials and methods: The study design was retrospective cross-sectional, and 151 patients followed up with a diagnosis of pSS between 2004 and 2019 were included in the study. Demographic and clinical data, laboratory results, chest radiographs and thorax computed tomography (CT) results were obtained from patient files and hospital imaging system. Thorax CT was requested from all patients with …


Ultrasound-Guided Rhomboid Intercostal Block For Myofascial Pain Syndrome: A Prospective Clinical Study, Seli̇n Güven Köse, Hali̇l Ci̇han Köse, Serkan Tulgar, Ömer Taylan Akkaya Jan 2022

Ultrasound-Guided Rhomboid Intercostal Block For Myofascial Pain Syndrome: A Prospective Clinical Study, Seli̇n Güven Köse, Hali̇l Ci̇han Köse, Serkan Tulgar, Ömer Taylan Akkaya

Turkish Journal of Medical Sciences

Background/aim: Myofascial pain syndrome (MPS) is a common chronic pain syndrome that may affect quality of life, daily living activities, and psychological status. Ultrasound (US)-guided rhomboid intercostal block (RIB) is a recently defined plane block and used for chronic pain such as postmastectomy syndrome and MPS. Our aim was to evaluate the efficacy of US-guided RIB for the management of pain, quality of life, physical disability, and patient satisfaction in MPS. Materials and methods: In this prospective study, between February and March 2021, a total of 30 patients who applied with the diagnosis of MPS, were included. The patients received …


Association Of Trinucleotide Repeat Polymorphisms Cag And Ggc In Exon 1 Of The Androgen Receptor Gene With Male Infertility: A Cross-Sectional Study, Mussarat Ashraf, Dr. Shahana Urooj Kazmi, Hemaila Tariq, Adnan Munir, Rehana Rehman Jan 2022

Association Of Trinucleotide Repeat Polymorphisms Cag And Ggc In Exon 1 Of The Androgen Receptor Gene With Male Infertility: A Cross-Sectional Study, Mussarat Ashraf, Dr. Shahana Urooj Kazmi, Hemaila Tariq, Adnan Munir, Rehana Rehman

Turkish Journal of Medical Sciences

Background/aim: Infertility is a global problem that brings about serious sexual and social consequences that strain the health sector and society. The expansion of CAG and GGC repeats in androgen receptor (AR) gene (Ensembl number ENSG00000169083) may lead to reduced fertility. Our objective was to determine the association of CAG and GGC repeats with altered sperm parameters in male infertile subjects. Materials and methods: This was a cross-sectional study conducted at Aga Khan University, Karachi, Pakistan. A total of 376 males were recruited, out of which group A (N = 208) and group B (N = 168) were comprised of …


Enhancing Effect Of Nicotine On Electrical Field Stimulation Elicited Contractile Responses In Isolated Rabbit Bladder Straight Muscle; The Role Of Cannabinoid And Vanilloid Receptors, Sevi̇l Özger İlhan, Gökçe Sevi̇m Öztürk Fi̇ncan, Yağmur Okçay, Derya Sebi̇le Koç, Celi̇l İlker Aşkin, Ayşe Kübra Ki̇bar, İsmai̇l Mert Vural, Yusuf Sarioğlu Jan 2022

Enhancing Effect Of Nicotine On Electrical Field Stimulation Elicited Contractile Responses In Isolated Rabbit Bladder Straight Muscle; The Role Of Cannabinoid And Vanilloid Receptors, Sevi̇l Özger İlhan, Gökçe Sevi̇m Öztürk Fi̇ncan, Yağmur Okçay, Derya Sebi̇le Koç, Celi̇l İlker Aşkin, Ayşe Kübra Ki̇bar, İsmai̇l Mert Vural, Yusuf Sarioğlu

Turkish Journal of Medical Sciences

Background/aim: Nicotine acts as an agonist of nicotinic acetylcholine receptors (nAChR). These receptors belong to a superfamily of ligand-gated ion channels. We previously demonstrated that nicotine increased electrical field stimulation (EFS)-induced contractile or relaxation responses, possibly by facilitating neurotransmitter release from nerve terminals in various rabbit tissues. Studies have shown that there is an interaction between the endocannabinoid and nicotinic systems. This study aimed to investigate the interaction between nicotine and the endocannabinoid system in the rabbit urine bladder and also investigate the enhancing effect of nicotine on EFS-induced contractile responses in rabbit isolated bladder smooth muscle and its interaction …


Assessment Of S-Nitrosothiol And Thiol/Disulfide Levels In Acute Coronary Syndrome Patients, Mehmet Murat Yi̇ği̇tbaşi, Abdullah Nabi̇ Aslan, Harun Kundi̇, Mücahi̇t Furkan Erkiliç, Özcan Erel, Haci Ahmet Kasapkara Jan 2022

Assessment Of S-Nitrosothiol And Thiol/Disulfide Levels In Acute Coronary Syndrome Patients, Mehmet Murat Yi̇ği̇tbaşi, Abdullah Nabi̇ Aslan, Harun Kundi̇, Mücahi̇t Furkan Erkiliç, Özcan Erel, Haci Ahmet Kasapkara

Turkish Journal of Medical Sciences

Background/aim: The level of nitric oxide (NO) is important to protect the heart from ischemic damage in acute coronary syndrome (ACS) patients. S-nitrosothiol (SNO) is a molecule that represents the main form of NO storage in the vascular structure. In addition, dynamic thiol/disulfide homeostasis (TDH) is known to play an important role in maintaining the oxidant-antioxidant balance. In this study, our aim is to evaluate the oxidative/nitrosative stress status according to SNO level and TDH in patients with ACS. Materials and methods: The study included 124 patients who were admitted to the emergency service and 124 consecutive individuals who applied …


Investigation Of Ceftazidime-Avibactam Susceptibility In Clinical Isolates Of Gram-Negative Bacteria, Ridvan Dumlu, Neval Yurttutan Uyar, Meltem Ayaş, Ni̇lay Aksoy, Nur Öztürk, Ayşe Sesi̇n Kocagöz Jan 2022

Investigation Of Ceftazidime-Avibactam Susceptibility In Clinical Isolates Of Gram-Negative Bacteria, Ridvan Dumlu, Neval Yurttutan Uyar, Meltem Ayaş, Ni̇lay Aksoy, Nur Öztürk, Ayşe Sesi̇n Kocagöz

Turkish Journal of Medical Sciences

Background/aim: Our study investigated the susceptibility rate of ceftazidime-avibactam and the risk factors associated with its resistance by analyzing gram-negative bacteria isolated from various patient samples. Materials and methods: Between March and November 2020, 1119 gram-negative bacteria strains were isolated from patient samples in Acıbadem Healthcare Group hospitals; ceftazidime-avibactam susceptibility results were evaluated using a 10/4µg (Oxoid, UK) disc and evaluated according to Eucast 2020 recommendations. Patient and isolate characteristics that could be risk factors were retrospectively investigated and statistically analyzed using SPSS 25.0. Results: Male patients made up 52% (n = 581) of the study's total patient population, and …


The Effect Of Topically Administered Lavender Aromatherapy On The Pain Of Insulin Injection In Diabetic Patients: A Double-Blind Randomized Controlled Clinical Trial, Hati̇ce Demi̇rağ, Sevi̇lay Hi̇nti̇stan, Enes Bulut Jan 2022

The Effect Of Topically Administered Lavender Aromatherapy On The Pain Of Insulin Injection In Diabetic Patients: A Double-Blind Randomized Controlled Clinical Trial, Hati̇ce Demi̇rağ, Sevi̇lay Hi̇nti̇stan, Enes Bulut

Turkish Journal of Medical Sciences

Background/aim: Needle phobia occurs in more than half of diabetic patients due to the pain caused by frequent insulin injections. Therefore, this study evaluated the effect of topically administered lavender aromatherapy on the pain of insulin injections in diabetic patients. Materials and methods: In this double-blind randomized controlled and experimental study, patients who met the study criteria were divided into three groups; topical lavender oil (n = 60), placebo (n = 60), and control (n = 60) groups. The data were collected using the "Patient Information Form", the "Follow-up Form", the "Verbal Category Scale (VCS)", and the "Visual Analogue Scale …


Low Handgrip Strength Is Associated With Diabetic Foot Disease In Geriatric Patients With Type 2 Diabetes, Eren İmre, Neşe Koçakgöl, Erdi̇ İmre Jan 2022

Low Handgrip Strength Is Associated With Diabetic Foot Disease In Geriatric Patients With Type 2 Diabetes, Eren İmre, Neşe Koçakgöl, Erdi̇ İmre

Turkish Journal of Medical Sciences

Background/aim: This study aims to reveal the prevalence of low handgrip strength in older patients with type 2 diabetes who have diabetic foot disease and to assess the association of handgrip strength with diabetic foot disease in older patients with type 2 diabetes. Materials and methods: Eighty-nine geriatric patients with diabetic foot ulcers and 69 patients without diabetic foot ulcers who presented to the endocrinology outpatient clinic between August 2020 and November 2021 were included in the study. The exclusion criteria were the usage of steroids, stroke-induced quadriplegia, myopathy, disability, hemodialysis treatment, type 1 diabetes, patients under 65 years of …


Effect Of Vitamin D On Myocardial Remodeling And Inflammatory Status In Children With Congenital Heart Disease, Sabi̇re Gökalp, Fatma Sedef Tunaoğlu, Fatma Canbeyli̇, Semi̇ha Terlemez, Vi̇ldan Atasayan, Lati̇fe Arzu Aral, Serdar Kula, Ayşe Deni̇z Oğuz Jan 2022

Effect Of Vitamin D On Myocardial Remodeling And Inflammatory Status In Children With Congenital Heart Disease, Sabi̇re Gökalp, Fatma Sedef Tunaoğlu, Fatma Canbeyli̇, Semi̇ha Terlemez, Vi̇ldan Atasayan, Lati̇fe Arzu Aral, Serdar Kula, Ayşe Deni̇z Oğuz

Turkish Journal of Medical Sciences

Background/aim: Vitamin D insufficiency is a common public health problem that is often unrecognized in children with congenital heart disease, and is not generally evaluated at congenital heart disease (CHD) follow-up. Recent studies have suggested that inadequate vitamin D status may have an adverse effect on cardiovascular health. This study investigates the relationship between vitamin D levels and hemodynamic parameters in children with CHD. Methods: Included in the study 40 patients (25 females, 15 males) with CHD, who were evaluated for Ross heart failure score, vitamin D, parathyroid hormone (PTH), calcium, phosphorus, alkaline phosphatase (ALP), whole blood count (WBC) and …


Clinicoradiological Evaluation Of Oxidative Stress Activity In Acute Cerebral Infarction In The First 24 H And The Qualitative Importance Of Dysfunctional Hdl In Stroke, Esra Demi̇r Ünal, Gönül Vural, Funda Eren, Sali̇m Neşeli̇oğlu, Özcan Erel Jan 2022

Clinicoradiological Evaluation Of Oxidative Stress Activity In Acute Cerebral Infarction In The First 24 H And The Qualitative Importance Of Dysfunctional Hdl In Stroke, Esra Demi̇r Ünal, Gönül Vural, Funda Eren, Sali̇m Neşeli̇oğlu, Özcan Erel

Turkish Journal of Medical Sciences

Background/aim: Acute cerebral infarction (ACI) occurs as a result of instant disruption of vascular flow that causes disbalance between oxidative/antioxidative activity. We examined the relationship of serum neuro-oxidative stress parameters with stroke severity and infarct volume in ACI and emphasized the qualitative importance of high-density lipoprotein (HDL) on its relationship with myeloperoxidase (MPO) and paraoxonase-1 (PON1) in the acute period of stroke. Materials and methods: One hundred ACI patients applied within the first 24 h and 50 healthy volunteers were included. The patient group was evaluated with demographic data (including arrival serum biochemical assessment), clinical disability scores, infarct volume, serum …


Central Vein Sign: Comparison Of Multiple Sclerosis And Leukoaraiosis, Hüseyi̇n Gökhan Yavaş, Ergi̇n Sağtaş Jan 2022

Central Vein Sign: Comparison Of Multiple Sclerosis And Leukoaraiosis, Hüseyi̇n Gökhan Yavaş, Ergi̇n Sağtaş

Turkish Journal of Medical Sciences

Background/aim: Leukoaraiosis produces white matter lesions (WML) similar to multiple sclerosis (MS) on brain magnetic resonance imaging (MRI), and the distinction between these two conditions is difficult radiologically. This study aimed to investigate the role of the central vein sign (CVS) in susceptibility-weighted imaging (SWI) sequence in distinguishing MS lesions from leukoaraiosis lesions in Turkish population. Materials and methods: In this prospective study, axial SWI and sagittal three-dimensional fluid-attenuated inversion recovery (3DFLAIR) were obtained in 374 consecutive patients. The study consisted of 169 (89 MS patients, 80 patients with leukoaraiosis) patients according to the inclusion and exclusion criteria. Two observers …