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Patterns Of Postmastectomy Radiation Therapy In Clinically Node-Positive Breast Cancerpatients With Pathologically Negative Lymph Nodes After Neoadjuvant Chemotherapy, Mutlay Sayan, Irina Vergalasova, Mridula George, Maria Kowzun, Lindsay Potdevin, Shicha Kumar, Bruce Haffty, Nisha Ohri Jan 2022

Patterns Of Postmastectomy Radiation Therapy In Clinically Node-Positive Breast Cancerpatients With Pathologically Negative Lymph Nodes After Neoadjuvant Chemotherapy, Mutlay Sayan, Irina Vergalasova, Mridula George, Maria Kowzun, Lindsay Potdevin, Shicha Kumar, Bruce Haffty, Nisha Ohri

Turkish Journal of Medical Sciences

Background/aim: To analyze postmastectomy radiation therapy (PMRT) utilization and its association with overall survival (OS) in patients presenting with node-positive breast cancer who are pathologically node-negative (ypN0) after neoadjuvant chemotherapy (NAC). Materials and methods: Using the National Cancer Data Base (NCDB), we identified patients diagnosed between 2004 and 2013 with clinical T1-4 node-positive nonmetastatic breast cancer who received NAC and underwent mastectomy with pathologically negative lymph node sampling. Multivariable regression models identified factors associated with PMRT use. The Cox proportional hazards model was used to evaluate predictors of mortality. Results: The study included 8766 clinically node-positive patients who met the …


Predictive Values Of Carotid High-Resolution Magnetic Resonance Imaging For Large Embolus Shedding In Carotid Artery Stenting, Xingyue Zheng, Erling Wang, Xiaoqian Guo, Chan Gu, Zhongrui Yan, Peng Yan, Shan Li, Chuanqiang Qu, Jifeng Li, Xiyun Ruan, Qinjian Sun Jan 2022

Predictive Values Of Carotid High-Resolution Magnetic Resonance Imaging For Large Embolus Shedding In Carotid Artery Stenting, Xingyue Zheng, Erling Wang, Xiaoqian Guo, Chan Gu, Zhongrui Yan, Peng Yan, Shan Li, Chuanqiang Qu, Jifeng Li, Xiyun Ruan, Qinjian Sun

Turkish Journal of Medical Sciences

Background/aim: Embolus shedding is one of the important complications in carotid artery stenting (CAS). Carotid high-resolution magnetic resonance imaging (HR-MRI) is often used to directly reflect important biological characteristics, such as plaque size and composition, as well as the structure of the carotid artery wall. The aim of this study was to investigate the predictive values of carotid HR-MRI for large embolus shedding in CAS. Materials and methods: In total, 195 patients with carotid stenosis were enrolled. Preoperative carotid HR-MRI was performed to define the nature of the carotid plaques. CAS was performed in all patients, and intraoperative embolic protection …


Factors That Affect Placental Retinol Transfer In Preterm Infants And Mothers With Retinoldeficiency, Kadi̇r Şerafetti̇n Tekgündüz, Di̇lara Di̇lek, Mustafa Kara, Nuri̇nni̇sa Öztürk, Si̇bel Ejder Tekgündüz Jan 2022

Factors That Affect Placental Retinol Transfer In Preterm Infants And Mothers With Retinoldeficiency, Kadi̇r Şerafetti̇n Tekgündüz, Di̇lara Di̇lek, Mustafa Kara, Nuri̇nni̇sa Öztürk, Si̇bel Ejder Tekgündüz

Turkish Journal of Medical Sciences

Background/aim: The retinol level and retinol delivery to the placenta may vary depending on various factors involving the mother and newborn. The present study evaluates the factors affecting retinol levels in newborns and the transplacental retinol passage in preterm newborns. Materials and methods: In this prospective cohort study, the retinol and retinol binding protein (RBP) in the umbilical cord blood of 44 preterm infants with a gestation age of


Circular Rna Circprmt5 Is Upregulated In Breast Cancer And Is Required For Cellproliferation And Migration, Xiaofeng Li, Dairong Zhang, Zuxi Feng, Xiangjing Xu, Jihong Zhang, Aiping Yu, Li Zhu, Jie Xiao, Junhua Du, Min Chen Jan 2022

Circular Rna Circprmt5 Is Upregulated In Breast Cancer And Is Required For Cellproliferation And Migration, Xiaofeng Li, Dairong Zhang, Zuxi Feng, Xiangjing Xu, Jihong Zhang, Aiping Yu, Li Zhu, Jie Xiao, Junhua Du, Min Chen

Turkish Journal of Medical Sciences

Background/aim: To evaluate the role of cyclic protein arginine methyltransferase 5 (circPRMT5) in the occurrence and development of breast cancer (BC). Materials and methods: A total of 90 BC patients who underwent radical mastectomy and 40 age-matched healthy female controls were recruited in the Second People's Hospital of China Three Gorges University, Yichang Second People's Hospital from 2017 to 2020. Quantitative reverse transcription polymerase chain reaction (RT-qPCR) was used to detect the expression levels of circPRMT5 in BC tissues, serum, normal breast cell line (MCF-10A), and BC cell line (T47D, MCF-7, BT549, Hs-578T, and MDA-MB-231, MDAMB-468). The associations between circPRMT5 …


Assessment Of Takayasu Arteritis In Routine Practice With Petvas, An 18f-Fdg Petquantitative Scoring Tool, Sema Kaymaz Tahra, Sali̇h Özgüven, Ali̇ Uğur Ünal, Fatma Ali̇baz Öner, Tunç Öneş, Tanju Yusuf Erdi̇l, Rafi̇ Haner Di̇reskeneli̇ Jan 2022

Assessment Of Takayasu Arteritis In Routine Practice With Petvas, An 18f-Fdg Petquantitative Scoring Tool, Sema Kaymaz Tahra, Sali̇h Özgüven, Ali̇ Uğur Ünal, Fatma Ali̇baz Öner, Tunç Öneş, Tanju Yusuf Erdi̇l, Rafi̇ Haner Di̇reskeneli̇

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the value of the PET vascular activity score (PETVAS) during the follow-up of patients with Takayasu arteritis. Materials and methods: Takayasu arteritis patients who underwent 18F-Fluorodeoxyglucose (FDG) PET imaging were evaluated retrospectively. In 8 patients both 1 and 2-h imagings were also performed prospectively. For PETVAS, 9 arterial areas were scored between 0-3 according to the FDG uptake. Results: Forty-six images of 34 patients were evaluated. PETVAS was higher in patients with clinically active disease (p = 0.03) and in the C-reactive protein (CRP) elevated group among clinically inactive patients (p …


Validity And Reliability Of Fried Frailty Phenotype In Turkish Population, Hacer Doğan Varan, Olgun Deni̇z, Süheyla Çöteli̇, Rana Tuna Doğrul, Muhammet Cemal Kizilarslanoğlu, Berna Göker Jan 2022

Validity And Reliability Of Fried Frailty Phenotype In Turkish Population, Hacer Doğan Varan, Olgun Deni̇z, Süheyla Çöteli̇, Rana Tuna Doğrul, Muhammet Cemal Kizilarslanoğlu, Berna Göker

Turkish Journal of Medical Sciences

Background/aim: Frailty is an important, multidimensional geriatric syndrome defined as increased vulnerability to stressors. Fried frailty phenotype (FFP) is one of the most widely used models to define physical frailty. The aim of this study is to investigate the crosscultural validity and reliability of Fried frailty phenotype (FFP) in older Turkish population. Materials and methods: A total of 450 patients, aged 59 years and over, were included. FFP translated into Turkish was used. Hand grip strength cut-off values that best predict low skeletal muscle mass index (SMI) for Turkish men and women were calculated. A modified version of FFP was …


Clinical And Imaging Findings Of Patients Diagnosed With Adenovirus-Positivepneumonia During 2015-2019 In Shanghai, China, Chunrong Huang, Dong Wei, Yahui Liu, Guo Chao Shi Jan 2022

Clinical And Imaging Findings Of Patients Diagnosed With Adenovirus-Positivepneumonia During 2015-2019 In Shanghai, China, Chunrong Huang, Dong Wei, Yahui Liu, Guo Chao Shi

Turkish Journal of Medical Sciences

Background/aim: This study was to describe the clinical characteristics, chest CT image findings, and potential role of T cells immunity in adenovirus positive pneumonia. Materials/methods: In this retrospective study, medical records of 53 adult Adv+ patients who were admitted to the Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, from May 2015 to August 2019 were included. The presence of adenovirus and other respiratory viruses was detected using polymerase chain reaction of throat swabs samples. Clinical features and chest computed tomography (CT) findings were compared between patients with Adv+ pneumonia and Adv+ non-pneumonia. Results: The top 3 most commonly …


The Evaluation Of Disease Awareness, Caregiver Burden, And Workday Loss In Caregivers Ofcopd Patients, Ayşe Baha, Nurdan Köktürk, Burcu Öztürk Şahi̇n, Eli̇f Yildirim, İpek Özmen, Alev Gürgün, Ayşe Füsun Topçu, Evri̇m Eylem Akpinar, Funda Elmas Uysal, Hadi̇ce Seli̇moğlu Şen, Nalan Ogan, Yeşi̇m Önder, Ömer Tamer Doğan, Mehmet Polatli, Züleyha Bi̇ngöl Jan 2022

The Evaluation Of Disease Awareness, Caregiver Burden, And Workday Loss In Caregivers Ofcopd Patients, Ayşe Baha, Nurdan Köktürk, Burcu Öztürk Şahi̇n, Eli̇f Yildirim, İpek Özmen, Alev Gürgün, Ayşe Füsun Topçu, Evri̇m Eylem Akpinar, Funda Elmas Uysal, Hadi̇ce Seli̇moğlu Şen, Nalan Ogan, Yeşi̇m Önder, Ömer Tamer Doğan, Mehmet Polatli, Züleyha Bi̇ngöl

Turkish Journal of Medical Sciences

Background/aim: Our aim is to determine the caregiver burden of chronic obstructive lung disease (COPD) patient's caregivers, and to determine whether there is a workday loss. Materials and methods: 252 COPD patients and their caregivers were included. Disease information of the patients were recorded and a questionnaire was applied. Socio-demographic characteristics of the caregivers were recorded and a questionnaire consisting of 24 questions including COPD disease, treatment and loss of working days, and the Zarit Scale were used. Results: 128(50.8%) of the patients according to GOLD were group-D, 97(38.5%) of the patient's relatives were working, 62(24.7%) were not able to …


Pregnancy And Its Outcomes In Hemodialysis Patients In Turkey, Hamad Dhei̇r, Özkan Güngör, Memnune Sena Ulu, Ebru Gök Oğuz, Necmi̇ Eren, Orçun Altunören, Erhan Tatar, Kadi̇r Gökhan Atilgan, Süleyman Karaköse, İbrahi̇m Güney, Eray Eroğlu, Rüya Mutluay, İlter Bozaci, Alper Alp, Hakan Akdam Jan 2022

Pregnancy And Its Outcomes In Hemodialysis Patients In Turkey, Hamad Dhei̇r, Özkan Güngör, Memnune Sena Ulu, Ebru Gök Oğuz, Necmi̇ Eren, Orçun Altunören, Erhan Tatar, Kadi̇r Gökhan Atilgan, Süleyman Karaköse, İbrahi̇m Güney, Eray Eroğlu, Rüya Mutluay, İlter Bozaci, Alper Alp, Hakan Akdam

Turkish Journal of Medical Sciences

Background/aim: This study aimed to investigate pregnancy frequency and evaluate the factors affecting live births in hemodialysis (HD) patients. Materials and methods: Female HD patients whose pregnancy was retrospectively reported between January 1, 2014, and December 31, 2019. The duration of HD, primary disease, and the information on whether the pregnancy resulted in abortion, stillbirth, or live birth, whether the HD duration was prolonged after diagnosing the pregnancy and whether it accompanied preeclampsia were recorded. Results: In this study, we reached 9038 HD female patients' data in the study. A total of 235 pregnancies were detected in 145 patients. The …


A New Device For Bronchoscopy For Better Protection, Aslihan Gürün Kaya, Mi̇raç Öz, İnci̇fer Karnak Orhun, Serhat Erol, Aydin Çi̇ledağ, Demet Karnak, Akin Kaya Jan 2022

A New Device For Bronchoscopy For Better Protection, Aslihan Gürün Kaya, Mi̇raç Öz, İnci̇fer Karnak Orhun, Serhat Erol, Aydin Çi̇ledağ, Demet Karnak, Akin Kaya

Turkish Journal of Medical Sciences

Background/aim: During the COVID-19 pandemic, the risk of transmission of SARS-CoV-2 has not been precisely known in bronchoscopy procedures. We have designed a cabinet device called Ankara University Bronchoscopy Cabinet (Aubrocab® ) to protect healthcare. We aimed to evaluate preventing effect of Aubrocab® on aerosol spreading by measuring the particles in the bronchoscopy suite. Materials and methods: The patients were categorized into two groups as those who underwent bronchoscopy with and without Aubrocab® . We measured PM 0.5 levels before and after bronchoscopy in the bronchoscopy suite. Results: A total of 82 patients, 62 of whom underwent bronchoscopy with Aubrocab® …


The Relationship Between Ethmoidal Foramina And Orbital Fat Herniation, Fati̇h Çankal, Mustafa Kaya, İbrahi̇m Tekdemi̇r Jan 2022

The Relationship Between Ethmoidal Foramina And Orbital Fat Herniation, Fati̇h Çankal, Mustafa Kaya, İbrahi̇m Tekdemi̇r

Turkish Journal of Medical Sciences

Background/aim: The aims of this study are to determine the incidence and more frequent localizations of orbital fat tissue herniation accompanying dehiscences in the medial orbital wall and to investigate the relationship between orbital fat tissue herniations and the anterior and posterior ethmoidal foramina. Material and methods: One thousand two hundred patients who had undergone computed tomography with a preliminary diagnosis of sinusitis and who had no previous facial, orbital, paranasal sinus surgeries or history of trauma were retrospectively analyzed. The localization of the ethmoidal foramina and orbital fat tissue herniations were marked. In patients with orbital fat tissue herniation, …


Delirium, Dementia, And Depression (3d) Assessment Of Older Patients In The Emergencydepartment: 5-Year Survival Analysis, İsa Kiliçaslan, Myat Soe Thet, Hüseyi̇n Berkay Karahacioğlu, Merve Sevi̇m Artykov, Zekeri̇ya Ülger, Mehmet Ali̇ Aslaner, Banu Kiliçaslan Jan 2022

Delirium, Dementia, And Depression (3d) Assessment Of Older Patients In The Emergencydepartment: 5-Year Survival Analysis, İsa Kiliçaslan, Myat Soe Thet, Hüseyi̇n Berkay Karahacioğlu, Merve Sevi̇m Artykov, Zekeri̇ya Ülger, Mehmet Ali̇ Aslaner, Banu Kiliçaslan

Turkish Journal of Medical Sciences

Background: While physicians tend to emphasize on physical medical problems, behavioral and cognitive disorders of geriatric patients are usually missed, especially in emergency settings. The aim of the study was to determine the prevalence of delirium, dementia, and depression (3D) among older patients (≥65 years old) in the Emergency Department (ED) and to evaluate the effect of geriatric 3D on the 6-month and 5-year mortality. Materials and methods: This was a prospective, observational cohort study, including 415 patients from eligible 512 consecutive older patients, who are 65 years of age or older, presenting to the ED of a tertiary care …


Clinically Mild Encephalitis/Encephalopathy With A Reversible Splenial Lesion Of Thecorpus Callosum In Childhood: A Single-Center Experience, Hali̇l Çeli̇k, Betül Emi̇ne Deri̇nkuyu, Erhan Aksoy, Ülkühan Öztoprak, Nesri̇n Ceylan, Ebru Azapağasi, Suna Özdem, Melahat Melek Oğuz, Deni̇z Yüksel Jan 2022

Clinically Mild Encephalitis/Encephalopathy With A Reversible Splenial Lesion Of Thecorpus Callosum In Childhood: A Single-Center Experience, Hali̇l Çeli̇k, Betül Emi̇ne Deri̇nkuyu, Erhan Aksoy, Ülkühan Öztoprak, Nesri̇n Ceylan, Ebru Azapağasi, Suna Özdem, Melahat Melek Oğuz, Deni̇z Yüksel

Turkish Journal of Medical Sciences

Background/aim: Mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is a rare clinicoradiological syndrome that typically presents with central nervous system symptoms such as loss of consciousness, seizure, headache, and ophthalmoparesis. Materials and methods: Here, we highlight the characteristics of this syndrome together with the clinical and MRI findings of 6 pediatric patients with MERS. Results: Between January 2017 and October 2020, 6 patients with MERS (3 boys and 3 girls) presented to our center. The mean age was 122 ± 54.6 (min-max: 44-180) months. None of the patients had a chronic disease. In our study, infectious agents were detected …


Tp-E Interval, Tp-E/Qt, And Tp-E/Qtc Ratios In Patients With Primaryhyperparathyroidism And Their Relationship With Cardiac Arrhythmic Events, Yücel Yilmaz, Şaban Keleşoğlu, Ferhat Gökay, Yasi̇n Şi̇mşek Jan 2022

Tp-E Interval, Tp-E/Qt, And Tp-E/Qtc Ratios In Patients With Primaryhyperparathyroidism And Their Relationship With Cardiac Arrhythmic Events, Yücel Yilmaz, Şaban Keleşoğlu, Ferhat Gökay, Yasi̇n Şi̇mşek

Turkish Journal of Medical Sciences

Background/aim: Primary hyperparathyroidism (PHPT) is an endocrine disorder characterized by hypercalcemia caused by excessive parathyroid hormone (PTH) secretion from the parathyroid gland. PHPT was previously shown to increase cardiac arrhythmias. Besides, new indices, such as the Tpeak-Tend (Tp-e) interval, Tp-e interval/QT interval (Tp-e/QT) ratio, and Tp-e interval/corrected QT interval (Tp-e/QTc) ratio may be associated with ventricular arrhythmias and sudden cardiac death. Therefore, we aimed to investigate the relationship between PHPT and the changes to Tp-e interval, Tp-e/QT ratio, and Tp-e/QTc ratio. Materials and methods: We carried out the study with 41 patients with PHPT and 40 control subjects. We calculated …


Efficacy Of Eltrombopag In Thrombocytopenia After Hematopoietic Stem Celltransplantation, Ayşe Karataş, Hakan Göker, Haluk Demi̇roğlu, Ümi̇t Yavuz Malkan, Mustafa Velet, Olgu Erki̇n Çinar, Batuhan Erdoğdu, Mi̇ne Karadeni̇z, Ni̇lgün Sayinalp, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Yahya Büyükaşik Jan 2022

Efficacy Of Eltrombopag In Thrombocytopenia After Hematopoietic Stem Celltransplantation, Ayşe Karataş, Hakan Göker, Haluk Demi̇roğlu, Ümi̇t Yavuz Malkan, Mustafa Velet, Olgu Erki̇n Çinar, Batuhan Erdoğdu, Mi̇ne Karadeni̇z, Ni̇lgün Sayinalp, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Yahya Büyükaşik

Turkish Journal of Medical Sciences

Background/aim: Thrombocytopenia is a common complication following hematopoietic stem cell transplantation (HSCT). Eltrombopag has been used in thrombocytopenia treatment after HSCT in recent years. Herein, we present our experience of 25 patients treated with eltrombopag for post-HSCT thrombocytopenia. Materials and methods: Fifteen autologous hematopoietic stem cell transplantation (AHSCT) and 10 allogenic hematopoietic stem cell transplantation (allo-HSCT) recipients treated with eltrombopag for treatment of prolonged isolated thrombocytopenia (PIT) or secondary failure of platelet recovery (SFPR) in the stem cell transplantation unit of Hacettepe University Hematology Department between 2017 and 2021 were included in the study. The primary endpoint of this study …


Additional Gastric Resection After One Anastomosis Gastric Bypass-Are There Benefits?, Haci Murat Çayci, Umut Eren Erdoğdu, Mehmet Aki̇f Türkoğlu, Ali̇ Tardu, Ufuk Arslan, Gözde Doğan, Hasan Çantay Jan 2022

Additional Gastric Resection After One Anastomosis Gastric Bypass-Are There Benefits?, Haci Murat Çayci, Umut Eren Erdoğdu, Mehmet Aki̇f Türkoğlu, Ali̇ Tardu, Ufuk Arslan, Gözde Doğan, Hasan Çantay

Turkish Journal of Medical Sciences

Background/aim: Mini/one anastomosis gastric bypass (MGB-OAGB) is a bariatric surgery procedure that has proved effective for weight loss and the resolution of metabolic disorders. The present study evaluates the effect on postoperative outcomes of resecting the corpus and fundus as an addition to OAGB. Materials and methods: This retrospective study recorded and evaluated the data of 83 patients who underwent laparoscopic OAGB due to morbid obesity (Body Mass Index-BMI ≥ 40 kg/m2 ) in our clinic between January 2018 and January 2020. The patients were divided into two groups: the first group comprised patients undergoing standard OAGB (n = 49), …


Linguistic Validation Of A Widely Used Recovery Score: Quality Of Recovery-15 (Qor-15), Umut Kara, Fati̇h Şi̇mşek, Hasan Kamburoğlu, Mehmet Özgür Özhan, Ümi̇t Alakuş, Mehmet Emi̇n İnce, Sami̇ Eksert, Gökhan Özkan, Mehmet Burak Eşki̇n, Serkan Şenkal Jan 2022

Linguistic Validation Of A Widely Used Recovery Score: Quality Of Recovery-15 (Qor-15), Umut Kara, Fati̇h Şi̇mşek, Hasan Kamburoğlu, Mehmet Özgür Özhan, Ümi̇t Alakuş, Mehmet Emi̇n İnce, Sami̇ Eksert, Gökhan Özkan, Mehmet Burak Eşki̇n, Serkan Şenkal

Turkish Journal of Medical Sciences

Background/aim: The quality of recovery-15 (QoR-15) is a patient reported outcome questionnaire that measures the quality of recovery after surgery and anesthesia. The QoR-15 has been validated in many languages; Turkish version of the QoR-15 has not yet been established. The aims of this study were to translate the QoR-15 questionnaire into Turkish and to perform a full psychometric evaluation of the Turkish version. Materials and methods: After translating the original English version of the QoR-15 scale into Turkish, the QoR-15T scale was psychometrically validated. This process included validity, reliability, responsiveness, feasibility. The QoR-15T was evaluated before the surgery and …


Development Of Speech Intelligibility In Geriatric Individuals With Hearing Loss, Bünyami̇n Çildir, Meral Di̇dem Türkyilmaz Jan 2022

Development Of Speech Intelligibility In Geriatric Individuals With Hearing Loss, Bünyami̇n Çildir, Meral Di̇dem Türkyilmaz

Turkish Journal of Medical Sciences

Background/aim: In our study, we aimed to evaluate the hearing aid benefit and speech intelligibility with hearing aids using objective and subjective measurements, according to the type of hearing loss in elderly individuals who used different types of hearing aids. Materials and methods: The objective and subjective findings from a total of 47 elderly individuals between the ages of 60 and 84, who used regular hearing aids for at least six months, and who were diagnosed with different types and degrees of hearing loss were evaluated by scanning them retrospectively. Results: In our study, the Adaptive Turkish matrix sentence test …


Endocarditis-Tr: Diagnosis, Treatment, And Prognosis Of The Infective Endocarditispatients Admitting Tertiary Centres Of Turkey, Ali̇ Nazmi̇ Çalik, Fatma Özlem Arican Özlük, Mehmet Baran Karataş, Yi̇ği̇t Çanga, Semi̇h Eren, Görkem Ayhan, Ayşe Sünbül, Ali̇ Pali̇ce, Aytaç Candemi̇r, Şükrü Akyüz, Mehdi̇ Zoghi̇, Ömer Kozan Jan 2022

Endocarditis-Tr: Diagnosis, Treatment, And Prognosis Of The Infective Endocarditispatients Admitting Tertiary Centres Of Turkey, Ali̇ Nazmi̇ Çalik, Fatma Özlem Arican Özlük, Mehmet Baran Karataş, Yi̇ği̇t Çanga, Semi̇h Eren, Görkem Ayhan, Ayşe Sünbül, Ali̇ Pali̇ce, Aytaç Candemi̇r, Şükrü Akyüz, Mehdi̇ Zoghi̇, Ömer Kozan

Turkish Journal of Medical Sciences

Background/aim: Infective endocarditis (IE) is still a significant cause of morbidity and mortality among cardiovascular diseases. ENDOCARDITIS-TR study aims to evaluate the compliance of the diagnostic and therapeutic methods being used in Turkey with current guidelines. Materials and methods: The ENDOCARDITIS-TR trial is a multicentre, prospective, observational study consisting of patients admitted to tertiary centres with a definite diagnose of IE. In addition to the demographic, clinical, microbiological, and echocardiographic findings of the patients, adverse events, indications for surgery, and in-hospital mortality were recorded during a 2-year time interval. Results: A total of 208 IE patients from 7 tertiary centres …


Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap Jan 2022

Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap

Turkish Journal of Medical Sciences

Background/aim: About half of the cases of obsessive-compulsive disorder (OCD) occurring in childhood/adolescence occur with similar symptoms both in childhood and adulthood. Immunologic stress is claimed to be a risk factor in the etiology of childhood onset OCD. Our aim was to elucidate the relationship between childhood onset OCD risk and MHC complex I and II alleles. Materials and methods: MHC alleles of 49 OCD children together with 277 healthy children (aged 4-12) were analyzed by PCR. Results were evaluated by using univariate analysis and multivariate logistic regression analysis. Results: A2, A29, C4, DRB3.1, and DRB1*16 alleles were found to …


Pasireotide Treatment In Cushing's Disease: A Single Tertiary Center's Experience, Serdar Şahi̇n, Gular Kari̇mova, Şeyda Gül Özcan, Emre Durcan, Hande Mefkure Özkaya, Pinar Kadioğlu Jan 2022

Pasireotide Treatment In Cushing's Disease: A Single Tertiary Center's Experience, Serdar Şahi̇n, Gular Kari̇mova, Şeyda Gül Özcan, Emre Durcan, Hande Mefkure Özkaya, Pinar Kadioğlu

Turkish Journal of Medical Sciences

Background/aim: Cushing's disease (CD), which cannot be controlled by surgery, requires medical treatment. In this situation, treatments with long-term effectiveness and safety profiles are needed. We aimed to evaluate the effects and adverse effects of pasireotide treatment in CD. Materials and methods: Patients who were followed up for CD and treated with pasireotide between 2014-2020 at Cerrahpaşa Medical Faculty, were evaluated retrospectively. The efficacy and adverse effects of pasireotide were evaluated in this study. Results: Thirty-two patients were evaluated. The mean duration of treatment was 26.5 [range, 12.0-37.0] months. The 24-h urinary free cortisol (UFC) decreased 46% during the treatment …


Evaluation Of The Relationship Between Insulin Resistance And Visceral Adiposity Index Inpatients With Acne Vulgaris, İbrahi̇m Fuat Kayihan Kaya, M. Ali̇ Eryilmaz, Selma Pekgör, Orhan Külahci Jan 2022

Evaluation Of The Relationship Between Insulin Resistance And Visceral Adiposity Index Inpatients With Acne Vulgaris, İbrahi̇m Fuat Kayihan Kaya, M. Ali̇ Eryilmaz, Selma Pekgör, Orhan Külahci

Turkish Journal of Medical Sciences

Background/aim: Acne vulgaris (AV) is a chronic inflammatory skin disease that is common among adolescents. Its etiology involves hormones, diet, genetics, and environmental factors. The aim of this study was to investigate the association between acne vulgaris and insulin resistance (IR) and visceral adiposity index (VAI). Materials and methods: The study included 184 individuals. Participants' height, weight, waist and hip circumference and blood pressure were measured. Morning fasting blood was obtained from all participants for measuring glucose, insulin, triglyceride (TG), and cholesterol levels. The HOMA index and visceral adiposity index were calculated. The collected data were analyzed using statistical methods. …


Proximal Femoral Nail Antirotation Versus Cemented Calcar-Replacement Hemiarthroplastyfor Unstable Intertrochanteric Fracture In Elderly: An Overall Survival Study, Fati̇h Durgut, Erdem Şahi̇n, Sadetti̇n Çi̇ftci̇, Bahatti̇n Kerem Aydin Jan 2022

Proximal Femoral Nail Antirotation Versus Cemented Calcar-Replacement Hemiarthroplastyfor Unstable Intertrochanteric Fracture In Elderly: An Overall Survival Study, Fati̇h Durgut, Erdem Şahi̇n, Sadetti̇n Çi̇ftci̇, Bahatti̇n Kerem Aydin

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to compare the perioperative complications and overall survival of patients who underwent proximal femoral nail antirotation (PFNA) and patients who underwent cemented calcar-replacement hemiarthroplasty (CCRH) for unstable intertrochanteric fracture in patients aged 75 years and older. Materials and methods: A total of 94 patients who underwent PFNA or CCRH between 2010 and 2012 because of femur fracture (A2.2 and A2.3 according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification) were analyzed retrospectively. Hospitalization times, blood transfusion needs, reoperation rates, and overall survival were compared. Results: Forty-eight patients in the PFNA group and …


Evaluation Of Irrational Drug Use Of Individuals Over The Age Of 18 Who Applied To Auniversity Hospital, Sevi̇l Özger İlhan, Mücahi̇t Yildiz, Hakan Tüzün, Asi̇ye Uğraş Di̇kmen Jan 2022

Evaluation Of Irrational Drug Use Of Individuals Over The Age Of 18 Who Applied To Auniversity Hospital, Sevi̇l Özger İlhan, Mücahi̇t Yildiz, Hakan Tüzün, Asi̇ye Uğraş Di̇kmen

Turkish Journal of Medical Sciences

Background/aim: Irrational drug use not only causes a delay in the treatment of patients, failure to achieve full well-being, drug interactions and side effects, drug resistance but also creates economic negativities such as waste of resources and unnecessary workload. This study aims to investigate the irrational drug use behaviors of individuals over the age of 18 who applied to a university hospital. Materials and methods: This sectional study included 1247 people over the age of 18 who applied for Gazi University Health, Research and Application Center. A questionnaire was applied to the applicants by face-to-face interview technique. Logistic regression analysis …


The Effectiveness Of Anti-Interleukin-1 Therapy On Subclinical Inflammation Parametersduring The Attack-Free Period In Familial Mediterranean Fever Patients: A Case-Control Study, Ebru Atalar, İsmai̇l Doğan, Kevser Gök, Serdar Can Güven, Yüksel Maraş, Gülay Güleç Ceylan, Şükran Erten Jan 2022

The Effectiveness Of Anti-Interleukin-1 Therapy On Subclinical Inflammation Parametersduring The Attack-Free Period In Familial Mediterranean Fever Patients: A Case-Control Study, Ebru Atalar, İsmai̇l Doğan, Kevser Gök, Serdar Can Güven, Yüksel Maraş, Gülay Güleç Ceylan, Şükran Erten

Turkish Journal of Medical Sciences

Background/aim: Anti IL-1 therapy is useful in suppressing attacks in FMF patients with colchicine resistance, however, it is not certain whether subclinical inflammation can sufficiently be inhibited with anti-IL-1 therapy in FMF patients with amyloidosis. Materials and methods: Forty-six FMF patients receiving anti-interleukin-1 therapy and 36 healthy control patients were compared in terms of laboratory parameters. Also, FMF patients were further divided into two groups; those with amyloidosis and those without it, and these subgroups were compared to each other in terms of clinical and laboratory findings. Results: In comparison between the FMF and healthy control groups, erythrocyte sedimentation rate …


The Role Of Il-6 And Osteoprotegerin In Bone Metabolism In Patients With Graves' Disease, Tülay Omma, Çi̇ğdem Yücel, Erdi̇m Sertoğlu, Sevde Nur Firat, Cavi̇t Çulha, Taner Özgürtaş Jan 2022

The Role Of Il-6 And Osteoprotegerin In Bone Metabolism In Patients With Graves' Disease, Tülay Omma, Çi̇ğdem Yücel, Erdi̇m Sertoğlu, Sevde Nur Firat, Cavi̇t Çulha, Taner Özgürtaş

Turkish Journal of Medical Sciences

Background/aim: Increased bone turnover is a hallmark of hyperthyroidism. The underlying factors of how thyroid hormones affect bone cells are still under the spotlight. Previous studies indicated serum osteoprotegerin (OPG), receptor activator of NF-kB ligand (RANKL), and interleukin-6 (IL-6) as mediators of the effect of thyroid hormones on bone metabolism. Ultimately, the present research aimed to examine the association of IL-6 with OPG and RANKL in patients with hyperthyroidism. Materials and methods: We carried out this study with 39 newly diagnosed and untreated Graves' patients and 43 healthy controls. In addition to routine tests, we measured serum OPG, RANKL, and …


The Impact Of Bone Marrow-Derived Mesenchymal Stem Cells On Experimental Testiculartorsion In Rats, Ahmet Ertürk, Sabri̇ Demi̇r, Yasemi̇n Dere Günal, Mehmet Zengi̇n, Mi̇yase Çinar, Di̇nçer Yildiz, Si̇yami̇ Karahan, Emrah Şenel Jan 2022

The Impact Of Bone Marrow-Derived Mesenchymal Stem Cells On Experimental Testiculartorsion In Rats, Ahmet Ertürk, Sabri̇ Demi̇r, Yasemi̇n Dere Günal, Mehmet Zengi̇n, Mi̇yase Çinar, Di̇nçer Yildiz, Si̇yami̇ Karahan, Emrah Şenel

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to investigate the healing effects of bone marrow-derived mesenchymal stem cells (BMMSCs) on experimental testicular torsion in rats. Materials and methods: Three groups consisting of 10 Wistar albino rats were created. In Group I, the left testicle was explored and relocated in the scrotum without any attempt to modify it. In Group II, the left testicle underwent torsion for three h and then was detorsed and relocated. In Group III, in addition to torsion and detorsion, BM-MSCs were administered intratesticularly. The rats were sacrificed on the seventh day, and the healing status of …


Irisin Relaxes Rat Thoracic Aorta Through Inhibiting Signaling Pathways Implicatingprotein Kinase C, Sadetti̇n Demi̇rel, Serdar Şahi̇ntürk, Naci̇ye İşbi̇l, Fadil Özyener Jan 2022

Irisin Relaxes Rat Thoracic Aorta Through Inhibiting Signaling Pathways Implicatingprotein Kinase C, Sadetti̇n Demi̇rel, Serdar Şahi̇ntürk, Naci̇ye İşbi̇l, Fadil Özyener

Turkish Journal of Medical Sciences

Background/aim: Irisin, a newly identified exercise-derived myokine, has been found involved in a peripheral vasodilator effect. However, little is known regarding the potential vascular activity of irisin, and the mechanisms underlying its effects on vascular smooth muscle have not been fully elucidated. This study was aimed to investigate the effects of irisin on vascular smooth muscle contractility in rat thoracic aorta, and the hypothesis that protein kinase C (PKC) may have a role in these effects. Materials and methods: Isometric contraction-relaxation responses of thoracic aorta rings were measured with an isolated organ bath model. The steady contraction was induced with …


Evaluation Of The Frequency And Intensity Of Covid-19 In Patients With Ankylosingspondylitis Under Anti-Tnf Therapy, Sümeyye Merve Türk, Zeynep Öztürk, Damla Karataş, Ünal Erkorkmaz, Emel Gönüllü Jan 2022

Evaluation Of The Frequency And Intensity Of Covid-19 In Patients With Ankylosingspondylitis Under Anti-Tnf Therapy, Sümeyye Merve Türk, Zeynep Öztürk, Damla Karataş, Ünal Erkorkmaz, Emel Gönüllü

Turkish Journal of Medical Sciences

No abstract provided.


The Role Of Leptin In Primary Sjögren Syndrome: A Clinical And Histopathologicalassessment Study, Mustafa Erdogan, Kayhan Basak, Mehmet Engin Tezcan Jan 2022

The Role Of Leptin In Primary Sjögren Syndrome: A Clinical And Histopathologicalassessment Study, Mustafa Erdogan, Kayhan Basak, Mehmet Engin Tezcan

Turkish Journal of Medical Sciences

No abstract provided.