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Quantitative Analysis Of Distal Femoral Epiphysis Blood Supply In Healthy Infants Withsuperb Microvascular Imaging: A Pilot Study, Emi̇ne Çalişkan, Muhammed Samed Cansiz, Hati̇ce Ariöz Habi̇bi̇, Mehmet Öztürk Jan 2021

Quantitative Analysis Of Distal Femoral Epiphysis Blood Supply In Healthy Infants Withsuperb Microvascular Imaging: A Pilot Study, Emi̇ne Çalişkan, Muhammed Samed Cansiz, Hati̇ce Ariöz Habi̇bi̇, Mehmet Öztürk

Turkish Journal of Medical Sciences

Background/aim: This study aimed to determine the blood supply of the distal femoral epiphysis (DFE) using superb microvascular imaging in newborns and infants, and to investigate the correlation with ossification center (OC) length, sex, and age. Materials and methods: A total of 140 cases were evaluated in this study. The cases were divided into 2 groups of less than 90 days and over 90 days. Cartilage blood supply was measured with vascularity index (%) (VI). Results: The mean OC length and median VI values were measured as 10.20 ± 3.72 mm and 0.80% (0.58-1.50) for boys and 10.03 ± 3.36 …


The Visceral Adiposity Index, Lipid Accumulation Product, And Plasma Atherogenicindex Are Associated With Subclinical Atherosclerosis In Patients With Newly Diagnosedacromegaly, Mustafa Özbek, Murat Çalapkulu, Sema Hepşen, Muhammed Erkam Sencar, Hayri̇ Bostan, İlknur Öztürk Ünsal, Erman Çakal Jan 2021

The Visceral Adiposity Index, Lipid Accumulation Product, And Plasma Atherogenicindex Are Associated With Subclinical Atherosclerosis In Patients With Newly Diagnosedacromegaly, Mustafa Özbek, Murat Çalapkulu, Sema Hepşen, Muhammed Erkam Sencar, Hayri̇ Bostan, İlknur Öztürk Ünsal, Erman Çakal

Turkish Journal of Medical Sciences

Background /aim: Acromegaly is a rare chronic endocrine disorder, the active form of which is associated with an increased risk of cardiovascular and metabolic disease. Therefore, early diagnosis and treatment of cardiovascular diseases in acromegaly patients are important in terms of morbidity and mortality. The aim of this study was to determine whether the visceral adiposity index (VAI), lipid accumulation product (LAP), and plasma atherogenic index (PAI) are early cardiovascular risk markers in patients with active acromegaly. Materials and methods: The study included 45 patients newly diagnosed with acromegaly and 45 age-sex matched healthy control subjects. The VAI, LAP, and …


Warfarin Is Associated With The Risk Of Vascular Calcification In Abdominal Aorta Inhemodialysis Patients: A Multicenter Case-Control Study, Rezzan Eren Sadi̇oğlu, Evren Üstüner, İhsan Ergün, Süleyman Tevfi̇k Ecder, Gökhan Nergi̇zoğlu, Kenan Keven Jan 2021

Warfarin Is Associated With The Risk Of Vascular Calcification In Abdominal Aorta Inhemodialysis Patients: A Multicenter Case-Control Study, Rezzan Eren Sadi̇oğlu, Evren Üstüner, İhsan Ergün, Süleyman Tevfi̇k Ecder, Gökhan Nergi̇zoğlu, Kenan Keven

Turkish Journal of Medical Sciences

Background/aim: Vascular calcifications (VCs), recognized risk factor for increased mortality, are highly prevalent in hemodialysis (HD) patients. We aimed to investigate the relation between VC and warfarin use with plain radiography. Materials and methods: VCs were assessed using Adragao (radial and digital) and Kauppila (aortic) scores in 76 HD patients from six centers. Out of a total 711 HD patients, there were 32 (4.5%) who had been treated with warfarin for at least 1 year, and we included 44 control patients. Results: Of the patients, 47% were females, the mean age was 66 ± 9 years, 23% were diabetics, the …


Autoimmunity In Psoriatic Arthritis: Pathophysiological And Clinical Aspects, Hakan Emmungi̇l, Ufuk İlgen, Rafi̇ Haner Di̇reskeneli̇ Jan 2021

Autoimmunity In Psoriatic Arthritis: Pathophysiological And Clinical Aspects, Hakan Emmungi̇l, Ufuk İlgen, Rafi̇ Haner Di̇reskeneli̇

Turkish Journal of Medical Sciences

Psoriatic arthritis (PsA) is an underdiagnosed entity with a broad impact on the quality of life. Although the pathogenesis is largely unknown, autoimmune footprints of the inflammation in PsA have increasingly been recognized. Most of the genetic variation predisposing to PsA is mapped to the class I major histocompatibility complex (MHC) region and shared by a variety of autoimmune diseases. Polymorphisms in the genes IL12B, IL23R, IL13, TNIP1, TRAF3IP2, TYK2, and many others explain the nonHLA genetic risk with little known functional consequences. Entheseal and synovial cellular infiltrate with oligoclonal CD8+ T cells and occasional germinal centers, loss of regulatory …


Risk Of Tuberculosis Is Increased In Behçet's Disease Compared To Other Rheumatologicaldisorders After Anti-Tnf∝ Treatments: A Case Series And Review Of The Literature, Ümmügülsüm Gazel, Derya Kocakaya, İrem Hi̇cret Topçu, Hakan Ömer Karataş, Murat Karabacak, Mehmet Pami̇r Atagündüz, Güzi̇de Nevsun İnanç, Fatma Ali̇baz Öner, Rafi̇ Haner Di̇reskeneli̇ Jan 2021

Risk Of Tuberculosis Is Increased In Behçet's Disease Compared To Other Rheumatologicaldisorders After Anti-Tnf∝ Treatments: A Case Series And Review Of The Literature, Ümmügülsüm Gazel, Derya Kocakaya, İrem Hi̇cret Topçu, Hakan Ömer Karataş, Murat Karabacak, Mehmet Pami̇r Atagündüz, Güzi̇de Nevsun İnanç, Fatma Ali̇baz Öner, Rafi̇ Haner Di̇reskeneli̇

Turkish Journal of Medical Sciences

Background/aim: Tumor necrosis factor-alfa (TNF-a) antagonists are extensively utilized in the treatment of inflammatory rheumatic diseases and also shown to be effective in Behçet's disease (BD) patients with major organ involvement. In this study, we aimed to reevaluate the incidence of tuberculosis (TB) infection after anti-TNFa treatments and to reveal the risk of TB in BD. Methods: Data of patients who received anti-TNFa treatment between 2005 and 2018 were assessed retrospectively. Demographic features, TNF-a antagonist type/treatment time, tuberculosis skin test (TST) and QuantiFERON results, isoniazid prophylaxis status, and concomitant corticosteroid (CS) treatments were collected. Results: A total of 1277 (male/female …


The Relationship Of Carotid Intima-Media Thickness With Anthropometric And Metabolicparameters In Patients With Classic Congenital Adrenal Hyperplasia, Hale Ünver Tuhan, Tülay Öztürk Atasoy, Gönül Çatli, Sezer Acar, Ayhan Abaci, Tuğba Üçüncü Egeli̇, Korcan Demi̇r, Penbe Şule Can, Handan Güleryüz, Bumi̇n Nuri̇ Dündar, Ece Böber Jan 2021

The Relationship Of Carotid Intima-Media Thickness With Anthropometric And Metabolicparameters In Patients With Classic Congenital Adrenal Hyperplasia, Hale Ünver Tuhan, Tülay Öztürk Atasoy, Gönül Çatli, Sezer Acar, Ayhan Abaci, Tuğba Üçüncü Egeli̇, Korcan Demi̇r, Penbe Şule Can, Handan Güleryüz, Bumi̇n Nuri̇ Dündar, Ece Böber

Turkish Journal of Medical Sciences

Background/aim: We aimed to determine the presence of subclinical atherosclerosis using carotid intima-media thickness (CIMT) and biochemical parameters in children and adolescents with congenital adrenal hyperplasia (CAH). Materials and methods: Thirty-four patients with classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency on regular glucocorticoid treatment for ≥3 years and 31 healthy subjects were included in the study. The patients were divided into two groups according to the degree of control of the clinic, laboratory, and radiological parameters as a) "uncontrolled" [n= 22; with increased height velocity (HV) standard deviation score (SDS) (≥2 SDS), advanced bone age, serum 17-OH progesterone 0.05]. …


Rituximab Treatment For Difficult-To-Treat Nephrotic Syndrome In Children:A Multicenter, Retrospective Study, Mehmet Taşdemi̇r, Nur Canpolat, Nurdan Yildiz, Gül Özçeli̇k, Meryem Benzer, Seha Kami̇l Saygili, Emi̇ne Neşe Özkayin, Özde Ni̇sa Türkkan, Ayşe Balat, Cengi̇z Candan, Mehtap Çelakil, Sevgi̇ Yavuz, Nurver Akinci, Ni̇lüfer Göknar, Ci̇hangi̇r Akgün Jan 2021

Rituximab Treatment For Difficult-To-Treat Nephrotic Syndrome In Children:A Multicenter, Retrospective Study, Mehmet Taşdemi̇r, Nur Canpolat, Nurdan Yildiz, Gül Özçeli̇k, Meryem Benzer, Seha Kami̇l Saygili, Emi̇ne Neşe Özkayin, Özde Ni̇sa Türkkan, Ayşe Balat, Cengi̇z Candan, Mehtap Çelakil, Sevgi̇ Yavuz, Nurver Akinci, Ni̇lüfer Göknar, Ci̇hangi̇r Akgün

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the efficacy of rituximab in children with difficult-to-treat nephrotic syndrome, considering the type of disease (steroid-sensitive or -resistant) and the dosing regimen. Materials and methods: This multicenter retrospective study enrolled children with difficult-to-treat nephrotic syndrome on rituximab treatment from 13 centers. The patients were classified based on low (single dose of 375 mg/m2 ) or high (2-4 doses of 375 mg/m2 ) initial dose of rituximab and the steroid response. Clinical outcomes were compared. Results: Data from 42 children [20 steroid-sensitive (frequent relapsing / steroid-dependent) and 22 steroid-resistant nephrotic syndrome, aged 1.9-17.3 years] were …


The Frequency Of Achilles And Plantar Calcaneal Spurs In Gout Patients, Emi̇ne Duran, Emre Bi̇lgi̇n, Ali̇ İhsan Ertenli̇, Umut Kalyoncu Jan 2021

The Frequency Of Achilles And Plantar Calcaneal Spurs In Gout Patients, Emi̇ne Duran, Emre Bi̇lgi̇n, Ali̇ İhsan Ertenli̇, Umut Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: Gout may cause various radiographic abnormalities such as cartilage loss, spurs, sclerosis, and periostal new bone formation. The purpose of this study was to investigate the frequency of Achilles and plantar spurs and related factors in gout patients. Matherial and methods: We performed a retrospective review of gout patients, treated at Hacettepe University hospitals between 2014 and 2019. We identified patients from the hospital records using the ICD-10 code (M10). Demographic and clinical features, comorbidities, and foot radiographies were collected. The radiographies were evaluated by a rheumatologist (U.K.) who was experienced in musculoskeletal radiography. Factors predicting the spurs were …


Evaluation Of Proprioception In Patients Who Underwent Acl Reconstruction:Measurement In Functional Position, Si̇nem Suner Kekli̇k, Nevi̇n Aysel Güzel, Gamze Çobanoğlu, Ni̇han Kafa, Muhammet Baybars Ataoğlu, Zekeri̇ya Öztemür Jan 2021

Evaluation Of Proprioception In Patients Who Underwent Acl Reconstruction:Measurement In Functional Position, Si̇nem Suner Kekli̇k, Nevi̇n Aysel Güzel, Gamze Çobanoğlu, Ni̇han Kafa, Muhammet Baybars Ataoğlu, Zekeri̇ya Öztemür

Turkish Journal of Medical Sciences

Background/aim: Anterior cruciate ligament (ACL) injuries cause mechanoreceptor loss in the joint; therefore, proprioceptive deficits are observed after injury. In particular, proprioceptive measurements made in the functional position give more accurate results, and this is an area that requires further studies. This study aimed to evaluate proprioception in patients who had undergone ACL reconstruction (ACLR) in functional positions used in daily life (closed kinetic chain position), according to joint angles where ACL injuries occur more frequently, in comparison with healthy controls. Materials and methods: Thirty-four participants who underwent ACLR using a hamstring tendon graft (aged 29.18 ± 8.16 years; body …


Flow Cytometric Analysis Of Platelet Surface Glycoproteins In The Diagnosis Of Thirty-Twoturkish Patients With Glanzmann Thrombasthenia: A Multicenter Experience, Berkay Saraymen, Sabahatti̇n Muhtaroğlu, Mustafa Yavuz Köker, Nazan Sarper, Emi̇ne Zengi̇n, Canan Albayrak, Davut Albayrak, Osman Bülent Zülfi̇kar, Sayi̇me Başak Koç Şenol, Esma Bentli̇, Semi̇h Yilmaz, Aysun Çeti̇n, Bülent Eser, Mustafa Çeti̇n Jan 2021

Flow Cytometric Analysis Of Platelet Surface Glycoproteins In The Diagnosis Of Thirty-Twoturkish Patients With Glanzmann Thrombasthenia: A Multicenter Experience, Berkay Saraymen, Sabahatti̇n Muhtaroğlu, Mustafa Yavuz Köker, Nazan Sarper, Emi̇ne Zengi̇n, Canan Albayrak, Davut Albayrak, Osman Bülent Zülfi̇kar, Sayi̇me Başak Koç Şenol, Esma Bentli̇, Semi̇h Yilmaz, Aysun Çeti̇n, Bülent Eser, Mustafa Çeti̇n

Turkish Journal of Medical Sciences

Background/aim: Glanzmann thrombasthenia (GT) is a rare autosomal recessively inherited bleeding disorder characterized by the quantitative (type 1 and type 2) or qualitative (type 3) deficiency in platelet membrane glycoprotein (GP) IIb/IIIa (CD41a/CD61) fibrinogen receptors. In type 1, 2, and 3, CD41a/CD61 expression is 5%, 5%-20% and above 20%, respectively. In this study, diagnosis of GT was confirmed and subgroups were identified in 32 Turkish patients by flow cytometry analysis. Materials and methods: CD41a/CD61 expression levels in platelet-rich plasma (PRP) obtained from peripheral venous EDTA blood samples were analyzed with a BD FACSCanto II flow cytometer (Becton Dickinson, Franklin Lakes, …


Consensus Recommendations For Botulinum Toxin Injections In The Spasticitymanagement Of Children With Cerebral Palsy During Covid-19 Outbreak, Ebru Yilmaz Yalçinkaya, Nai̇me Evri̇m Karadağ Saygi, Özden Özyemi̇şci̇ Taşkiran, Nalan Çapan, Şehi̇m Kutlay, Bi̇rkan Sonel Tur, Özlem El, Ece Ünlü Akyüz, Süda Teki̇n, Demet Ofluoğlu, Murat Zi̇nnuroğlu, Pinar Akpinar, Tuğçe Özekli̇ Misirlioğlu, Berri̇n Hüner, Ahmet Hakan Nur Jan 2021

Consensus Recommendations For Botulinum Toxin Injections In The Spasticitymanagement Of Children With Cerebral Palsy During Covid-19 Outbreak, Ebru Yilmaz Yalçinkaya, Nai̇me Evri̇m Karadağ Saygi, Özden Özyemi̇şci̇ Taşkiran, Nalan Çapan, Şehi̇m Kutlay, Bi̇rkan Sonel Tur, Özlem El, Ece Ünlü Akyüz, Süda Teki̇n, Demet Ofluoğlu, Murat Zi̇nnuroğlu, Pinar Akpinar, Tuğçe Özekli̇ Misirlioğlu, Berri̇n Hüner, Ahmet Hakan Nur

Turkish Journal of Medical Sciences

Spasticity is the most common motor disturbance in cerebral palsy (CP). Lockdown in the COVID-19 outbreak has profoundly changed daily routines, and similarly caused the suspension of spasticity treatment plans. Besides, the delay in botulinum toxin (BoNT) injection, which is important in the management of focal spasticity, led to some problems in children. This consensus report includes BoNT injection recommendations in the management of spasticity during the COVID-19 pandemic in children with CP. In order to develop the consensus report, physical medicine and rehabilitation (PMR) specialists experienced in the field of pediatric rehabilitation and BoNT injections were invited by Pediatric …


Vertebral Compression Fractures: Still An Unpredictable Aspect Of Osteoporosis, Fatma Yeşi̇m Kutsal, Gi̇zem Olgu Ergi̇n Ergani̇ Jan 2021

Vertebral Compression Fractures: Still An Unpredictable Aspect Of Osteoporosis, Fatma Yeşi̇m Kutsal, Gi̇zem Olgu Ergi̇n Ergani̇

Turkish Journal of Medical Sciences

Vertebral compression fracture is a hallmark of osteoporosis (OP) and by far the most prevalent fragility fracture. It is well proven that patients who develop a vertebral compression fracture are at substantial risk for additional fractures. Diagnosis is based on adequate clinical evaluation, imaging, and laboratory tests. The imaging of OP and fragility fractures includes conventional radiology to evaluate spinal fractures, bone mineral density (BMD) testing by dual energy x-ray densitometry, quantitative computerized tomography, magnetic resonance imaging, bone scintigraphy (if necessary), and ultrasound. Screening and treatment of individuals with high risk of osteoporotic fracture are cost-effective, but approximately two-thirds of …


Cerebral Hemodynamic Alterations In Patients With Covid-19, Ali̇ Riza Sonkaya, Bi̇lgi̇n Öztürk, Ömer Karadaş Jan 2021

Cerebral Hemodynamic Alterations In Patients With Covid-19, Ali̇ Riza Sonkaya, Bi̇lgi̇n Öztürk, Ömer Karadaş

Turkish Journal of Medical Sciences

Background/aim: Coronavirus 2019 disease (Covid-19) was first seen in December 2019 and afterwards it became pandemic. Several systemic involvements have been reported in Covid-19 patients. In this study, it was aimed to investigate the cerebrovascular hemodynamics in patients with Covid-19. Materials and methods: The sample of this study included 20 patients hospitalized in our clinic diagnosed with Covid-19 via PCR modality and 20 healthy volunteers of similar age and sex. Bilateral middle cerebral arteries were investigated with transcranial Doppler ultrasonography. Basal cerebral blood flow velocities and vasomotor reactivity rates were determined and statistically compared. Results: When patient and control groups …


Clinical Course Of Covid-19 Disease In Immunosuppressed Renal Transplant Patients, Hamad Dhei̇r, Savaş Si̇pahi̇, Selçuk Yaylaci, Esma Seda Çeti̇n, Ahmed Bi̇lal Genç, Necatti̇n Firat, Mehmet Köroğlu, Gürkan Muratdaği, Yakup Tomak, Kezban Özmen Süner, Ömer Faruk Ateş, Oğuz Karabay Jan 2021

Clinical Course Of Covid-19 Disease In Immunosuppressed Renal Transplant Patients, Hamad Dhei̇r, Savaş Si̇pahi̇, Selçuk Yaylaci, Esma Seda Çeti̇n, Ahmed Bi̇lal Genç, Necatti̇n Firat, Mehmet Köroğlu, Gürkan Muratdaği, Yakup Tomak, Kezban Özmen Süner, Ömer Faruk Ateş, Oğuz Karabay

Turkish Journal of Medical Sciences

Background/aim: We aimed to identify clinical settings of renal transplant patients with COVID-19. Materials and methods: In this retrospective study, we included kidney transplant inpatients with laboratory confirmed COVID-19 who had been discharged or had died by October 1st, 2020. Characteristics of the patients, including basal and last outpatient biochemical parameters were recorded. Discontinuation or dosage reduction of immunosuppressives and other treatment information was documented. Results: Twenty patients were included in this study, of whom 18 were discharged and 2 died in hospital. The mean duration of hospitalization and follow-up were 9.7 ± 6.4 days and 4.5 ± 2.0 months, …


The Predictive And Diagnostic Accuracy Of Long Pentraxin-3 In Covid-19 Pneumonia, Ahmed Bi̇lal Genç, Selçuk Yaylaci, Hamad Dhei̇r, Ahmed Ci̇had Genç, Kubi̇lay İşsever, Deni̇z Çeki̇ç, Havva Kocayi̇ği̇t, Erdem Çokluk, Alper Karacan, Mehmet Ramazan Şekeroğlu, Hande Toptan, Ertuğrul Güçlü Jan 2021

The Predictive And Diagnostic Accuracy Of Long Pentraxin-3 In Covid-19 Pneumonia, Ahmed Bi̇lal Genç, Selçuk Yaylaci, Hamad Dhei̇r, Ahmed Ci̇had Genç, Kubi̇lay İşsever, Deni̇z Çeki̇ç, Havva Kocayi̇ği̇t, Erdem Çokluk, Alper Karacan, Mehmet Ramazan Şekeroğlu, Hande Toptan, Ertuğrul Güçlü

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study is to evaluate serum pentraxin-3 (PTX-3) levels in Sars-CoV-2 virus infection (COVID-19) patients and to investigate whether PTX-3 predicts the disease prognosis. Materials and methods: This study was conducted on 88 confirmed COVID-19 patients who were hospitalized due to symptomatic pneumonia between April 15 and August 15, 2020. The patients were divided into two groups as survived patients and non-survived patients. Both groups were compared according to demographic features, comorbid conditions and measurement of the PTX-3 and other laboratory parameters of the patients. Results: Of 88 patients with COVID-19, 59 (67%) were discharged with …


Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem Jan 2021

Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem

Turkish Journal of Medical Sciences

Background/aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Turkey on March 10, 2020 and the number of the patients are increasing day by day. Coronavirus disease 2019 (Covid-19) has high mortality rates in intensive care units (ICUs). We aimed to describe the demographic characteristics, comorbidities, treatment protocols, and clinical outcomes among the critically ill patients admitted to the ICU of our hospital. Materials and methods: This cohort study included 103 consecutive patients who had laboratory confirmed Covid-19 and admitted to ICU of Sakarya University Training and Research Hospital between March 19 and April 13, 2020. The …


The Necessity Of Treating Asymptomatic Bacteriuria With Antibiotics In The Perioperativeperiod Of Joint Arthroplasty: A Metaanalysis., Sayed Abdulla Jami, Jian Dang Shi, Zhanwen Zhou, Chang Hao Liu Jan 2021

The Necessity Of Treating Asymptomatic Bacteriuria With Antibiotics In The Perioperativeperiod Of Joint Arthroplasty: A Metaanalysis., Sayed Abdulla Jami, Jian Dang Shi, Zhanwen Zhou, Chang Hao Liu

Turkish Journal of Medical Sciences

Background/aim: Oral antibiotics are usually used to treat asymptomatic bacteriuria during the perioperative period of joint replacement. However, there is no unified conclusion as to whether asymptomatic bacteriuria causes infection around joint prostheses, and the efficacy of antibiotics is unknown. Materials and methods: We systematically searched PubMed, CNKI, Ovid, Cochrane Library, EMBASE, manual research, and references of relevant articles up to January 1, 2020, to identify and compare observational studies. The Cochrane systematic review method was used, and Review Manager 5.3 software was used for analysis. Results: Nine articles were included in the analysis, involving 29,844 cases of joint arthroplasty …


Sural Nerve Harvest For Infants: Integrated With Information Based On Anatomicaldissections, Mustafa Büyükmumcu, Anil Di̇dem Aydin Kabakçi, Duygu Akin Saygin, Mehmet Tuğrul Yilmaz, Muzaffer Şeker Jan 2021

Sural Nerve Harvest For Infants: Integrated With Information Based On Anatomicaldissections, Mustafa Büyükmumcu, Anil Di̇dem Aydin Kabakçi, Duygu Akin Saygin, Mehmet Tuğrul Yilmaz, Muzaffer Şeker

Turkish Journal of Medical Sciences

Background/aim: The aim of the present study was to determine the course and possible variations of the sural nerve with all anatomical details in human fetal cadavers. Materials and methods: This study was performed on 60 fetal cadavers. Formation type and level of the sural nerve was detected. Results: According to trimesters, it was determined that the mean transverse and vertical distance between the lowest point of the LM and the SN varied between 1.1 and 2.9 mm and 1.54 and 3.58 mm, respectively. Type 2 was the most common seen type of sural nerve (35.83%). It was determined that …


Retrospective Analysis Of The Effect Of Breast Surgery On Body Posture In Patients Withearly-Stage Breast Cancer After Cancer Treatment (Venus Study)(Breast Cancer And Body Posture), Özgür Tanriverdi̇, Ahmet Ozan Çeti̇n, Ali̇ Alkan Jan 2021

Retrospective Analysis Of The Effect Of Breast Surgery On Body Posture In Patients Withearly-Stage Breast Cancer After Cancer Treatment (Venus Study)(Breast Cancer And Body Posture), Özgür Tanriverdi̇, Ahmet Ozan Çeti̇n, Ali̇ Alkan

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine whether breast surgery changes body posture in patients with early-stage breast cancer. Materials and methods: Study variables include age, side and localization of the tumor in the breast, applied breast surgery, axillary interference, pathological tumor size, axillary lymph node metastasis, body mass index, bone density, adjuvant therapies, and histological type. Thoracic kyphosis angle due to the anatomically affected primary region to detect changes in body posture and Cobb's method were used to measure this. Results: There was a statistically significant difference in the mean Cobb's angle between the follow-up times of …


Identification Of Novel Tubb1 Variants In Patients With Macrothrombocytopenia, Zi̇hni̇ Onur Çalişkaner, Abdullah Abdul Waheed, Merve Tuzlakoğlu Öztürk, Yeşi̇m Oymak, Uygar Hali̇s Tazebay, Mehmet Nejat Akar, Ayten Kandi̇lci̇, Di̇dem Özkan Jan 2021

Identification Of Novel Tubb1 Variants In Patients With Macrothrombocytopenia, Zi̇hni̇ Onur Çalişkaner, Abdullah Abdul Waheed, Merve Tuzlakoğlu Öztürk, Yeşi̇m Oymak, Uygar Hali̇s Tazebay, Mehmet Nejat Akar, Ayten Kandi̇lci̇, Di̇dem Özkan

Turkish Journal of Medical Sciences

Background/aim: Macrothrombocytopenia is an autosomal-dominant disorder characterized by increased platelet size and a decreased number of circulating platelets. The membrane skeleton and the link between actin filaments of the skeleton and microtubules, which consist of alpha and beta tubulin [including the tubulin beta-1 chain (TUBB1)] heterodimers, are important for normal platelet morphology, and defects in these systems are associated with macrothrombocytopenia. Materials and methods: In this study, we sequenced the exons of the TUBB1 gene using DNA isolated from the peripheral blood samples of healthy controls (n = 47) and patients with macrothrombocytopenia (n = 37) from Turkey. The TUBB1 …


Reliability And Validity Of The National Institutes Of Health Chronic Prostatitis Symptomindex Questionnaire In The Turkish Population, Alper Coşkun, Utku Can, Fati̇h Tarhan, Övünç Kavukoğlu, Kami̇l Fehmi̇ Narter Jan 2021

Reliability And Validity Of The National Institutes Of Health Chronic Prostatitis Symptomindex Questionnaire In The Turkish Population, Alper Coşkun, Utku Can, Fati̇h Tarhan, Övünç Kavukoğlu, Kami̇l Fehmi̇ Narter

Turkish Journal of Medical Sciences

Background/aim: To develop the first Turkish version of the National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI) questionnaire and to investigate its validity and reliability in men with chronic prostatitis/chronic pelvic pain syndrome (CP/ CPPS) and healthy controls. Material and methods: A total of 204 patients, 116 CP/CPPS and a control group which consisted of 88 healthy individuals were included in this prospective study. The NIH-CPSI form was first translated into Turkish and later on back into English. Using the Turkish version of the NIH CPSI, 40 patients completed the same questionnaires twice at 2-week intervals for test-retest concordance. …


Risk Factors For Evisceration In Gynecological Oncology Surgeries, Fati̇h Kiliç, Günsu Ki̇myon Cömert, Mehmet Ünsal, İsmet Çi̇ğdem Kiliç, Caner Çakir, Di̇lek Yüksel, Mustafa Alper Karalök, Osman Türkmen, Ahmet Taner Turan Jan 2021

Risk Factors For Evisceration In Gynecological Oncology Surgeries, Fati̇h Kiliç, Günsu Ki̇myon Cömert, Mehmet Ünsal, İsmet Çi̇ğdem Kiliç, Caner Çakir, Di̇lek Yüksel, Mustafa Alper Karalök, Osman Türkmen, Ahmet Taner Turan

Turkish Journal of Medical Sciences

Background/aim: To investigate the risk factors for evisceration in a gynecological oncology population. The secondary aim was to evaluate the impact of evisceration on survival. Materials and methods: Inclusion criteria consisted of having had an elective surgery performed through a xiphoidopubic incision in our institution and having a gynecological malignancy based on pathology. A total of 198 patients were evaluated, 54 with evisceration and 144 without evisceration. Due to the widely varied prognosis of female genital cancers, the survival was analyzed on a homogenized group, including only 62 patients with primary advanced stage epithelial ovarian-tubal-peritoneal cancer. Results: The preoperative factors …


Angiographic Prostatic Arterial Anatomy In A Turkish Population With Benign Prostatichyperplasia, Fatma Gonca Eldem, Firat Atak, Osman Öcal, Ali̇ Cansu Bozaci, Ahmet Güdeloğlu, Bora Peyni̇rci̇oğlu Jan 2021

Angiographic Prostatic Arterial Anatomy In A Turkish Population With Benign Prostatichyperplasia, Fatma Gonca Eldem, Firat Atak, Osman Öcal, Ali̇ Cansu Bozaci, Ahmet Güdeloğlu, Bora Peyni̇rci̇oğlu

Turkish Journal of Medical Sciences

Background/aim: Prostatic artery embolization (PAE) is a minimally invasive effective method in the treatment of benign prostatic hyperplasia (BPH). The procedure is technically challenging, as pelvic vascular anatomy is highly prone to variations and the identification of the prostatic artery (PA) is the most time-consuming step, which can lead to increased procedure times. The aim of this study was to categorize the anatomic variations in the prostatic supply in patients with BPH treated with PAE. Materials and methods: The digital subtraction angiography findings of 68 PAE procedures were reviewed retrospectively and the age, PA origin, number, and procedure of the …


Pattern Of Systemic Antibiotic Use And Potential Drug Interactions: Evaluations Through Apoint Prevalence Study In Ankara University Hospitals, İrem Akdemi̇r Kalkan, Güle Çinar, Aysel Pehli̇vanli, Fati̇h Ürkmez, İzel Ezgi̇ Topaloğlu, Büşra Akyol, Arzu Beşi̇kci̇, Alpay Azap, Kemal Osman Memi̇koğlu Jan 2021

Pattern Of Systemic Antibiotic Use And Potential Drug Interactions: Evaluations Through Apoint Prevalence Study In Ankara University Hospitals, İrem Akdemi̇r Kalkan, Güle Çinar, Aysel Pehli̇vanli, Fati̇h Ürkmez, İzel Ezgi̇ Topaloğlu, Büşra Akyol, Arzu Beşi̇kci̇, Alpay Azap, Kemal Osman Memi̇koğlu

Turkish Journal of Medical Sciences

Background/aim: Most of the hospitalized patients are on a number of drugs for comorbidities and/or to prevent nosocomial infections. This necessitates a careful consideration of drug interactions not only to avoid possible toxicities but also to reach the highest efficiency with drug treatment. We aimed to investigate drug interactions related to systemic antibiotic use and compare three different databases to check for drug interactions while characterizing the main differences between medical and surgical departments. Materials and methods: This point prevalence study covered data on 927 orders for patients hospitalized between June 3 and 10, 2018 in Ankara University Hospitals. Systemic …


Fatigue And Its Relationship With Disease-Related Factors In Patients With Systemicsclerosis: A Cross-Sectional Study, Hazal Yakut, Sevgi̇ Özalevli̇, Ahmet Meri̇h Bi̇rli̇k Jan 2021

Fatigue And Its Relationship With Disease-Related Factors In Patients With Systemicsclerosis: A Cross-Sectional Study, Hazal Yakut, Sevgi̇ Özalevli̇, Ahmet Meri̇h Bi̇rli̇k

Turkish Journal of Medical Sciences

Background/aim: Fatigue is very common symptom in patients with systemic sclerosis (SSc) and adversely affects health-related quality of life and the ability to perform daily living activities. This study aimed to determine the severity of fatigue, and its related factors, in patients with SSc. Materials and methods: A total of 35 patients with SSc (6 males and 29 females, mean age of 50.71 ± 10.09 years) and 35 healthy control subjects (8 males and 27 females, mean age of 54.14 ± 9.51 years) were included in this study. The Fatigue Impact Scale for fatigue, Modified Medical Research Council Scale for …


Frailty Is Associated With Poor Sleep Quality In The Oldest Old, Çağatay Çavuşoğlu, Olgun Deni̇z, Rana Tuna Doğrul, Süheyla Çöteli̇, Ali̇ Öncül, Muhammet Cemal Kizilarslanoğlu, Berna Göker Jan 2021

Frailty Is Associated With Poor Sleep Quality In The Oldest Old, Çağatay Çavuşoğlu, Olgun Deni̇z, Rana Tuna Doğrul, Süheyla Çöteli̇, Ali̇ Öncül, Muhammet Cemal Kizilarslanoğlu, Berna Göker

Turkish Journal of Medical Sciences

Background/aim: Sleep disorders and frailty increase with advancing age, along with physical disabilities, cognitive dysfunction, mood disorders, and social vulnerability. Thus, the study objective was to evaluate the relationship between frailty and sleep quality in the oldest old patients. Materials and methods: In this study, 100 patients aged ≥ 80 years were assessed using comprehensive geriatric assessment (CGA) including basic activities of daily living (ADL), instrumental ADL, handgrip strength, the Geriatric Depression Scale-15, the MiniMental State Examination, and the Mini-Nutritional Assessment-Short Form. The sleep quality and frailty status of the patients were evaluated using the Pittsburgh Sleep Quality Index (PSQI) …


Interobserver And Intermethod Variability In Data Interpretation Of Breast Strainelastography In Suspicious Breast Lesions, Hale Turnaoğlu, Kemal Murat Haberal, Serdar Arslan, Meri̇ç Yavuz Çolak, Funda Ulu Öztürk, Ni̇hal Uslu Jan 2021

Interobserver And Intermethod Variability In Data Interpretation Of Breast Strainelastography In Suspicious Breast Lesions, Hale Turnaoğlu, Kemal Murat Haberal, Serdar Arslan, Meri̇ç Yavuz Çolak, Funda Ulu Öztürk, Ni̇hal Uslu

Turkish Journal of Medical Sciences

Background/aim: Strain elastography has the disadvantage of being operator-dependent. Interobserver variability is observed during image acquisition and interpretation. This study aimed to analyze the interobserver and intermethod variability of strain elastography in image interpretation and evaluate the diagnostic performance combining elasticity score and strain ratio with ultrasonography. Materials and methods: A retrospective study was conducted on 70 breast lesions evaluated with B-mode ultrasonography and strain elastography. B-mode ultrasonography findings, elasticity scores, and strain ratio values were evaluated using static images by two radiologists. BI-RADS assessment of the lesions and the decision of both observers as to whether the biopsy was …


Emergency Department Extracorporeal Membrane Oxygenation May Also Includenoncardiac Arrest Patients, Yunus Emre Özlüer, Mücahi̇t Avci̇l, Duygu Ege, Kezban Şeker Yaşar Jan 2021

Emergency Department Extracorporeal Membrane Oxygenation May Also Includenoncardiac Arrest Patients, Yunus Emre Özlüer, Mücahi̇t Avci̇l, Duygu Ege, Kezban Şeker Yaşar

Turkish Journal of Medical Sciences

Background/aim: The primary purpose of this study is to report the experience on the extracorporeal membrane oxygenation (ECMO) process for patients in the critical care unit (CCU) of an emergency department of a tertiary hospital in Turkey, from cannulation to decannulation, including follow-up procedures. Materials and methods: This retrospective and observational study included eight patients who received ECMO from January 2018 to January 2020. We evaluated the demographics, indications for ECMO, laboratory values, Respiratory ECMO Survival Prediction, Survival After Veno-Arterial ECMO and ECMO net scores, the management process, and patient outcomes. Blood gas analyses done after the first hour of …


The Effect Of Measurement Area Size On The Reliability Of Myocardial Iron Load Measurementin Cardiac Magnetic Resonance Imaging Examinations Of Thalassemia Patients, İbrahi̇m Önder Yeni̇çeri̇, Fati̇h Mehmet Azik, Funda Di̇nç Eli̇bol Jan 2021

The Effect Of Measurement Area Size On The Reliability Of Myocardial Iron Load Measurementin Cardiac Magnetic Resonance Imaging Examinations Of Thalassemia Patients, İbrahi̇m Önder Yeni̇çeri̇, Fati̇h Mehmet Azik, Funda Di̇nç Eli̇bol

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the intraobserver and interobserver reliability of cardiac T2* MRI measurements in different region of interest (ROI) sizes. Materials and methods: Cardiac T2* MRIs of 24 thalassemia major patients were evaluated. Two different ROI sizes were used for measurement. In the first measurement, an ROI approximately 5 mm in diameter was used in the interventricular septal myocardium. In the other method, the whole ventricular septal myocardium was used as the measurement. The intraobserver and interobserver variabilities were assessed with the intraclass correlation coefficient (ICC). Results: The measurement of the first observer, the …


Evaluation Of Cardiac Functions After Catheter Ablation Of Atrioventricular Nodal Reentranttachycardia, Ahmet Çağri Aykan, Can Yücel Karabay, Mustafa Yildiz Jan 2021

Evaluation Of Cardiac Functions After Catheter Ablation Of Atrioventricular Nodal Reentranttachycardia, Ahmet Çağri Aykan, Can Yücel Karabay, Mustafa Yildiz

Turkish Journal of Medical Sciences

Background/aim: Radiofrequency catheter ablation (RFA) is the most effective method of supraventricular tachycardia therapy. Recurrent supraventricular tachycardia causes systolic dysfunction and dilated cardiomyopathy. The aim of this study was to evaluate the long-term alterations of atrial and ventricular functions after RFAof typical atrioventricular nodal reentrant tachycardia (AVNRT). Materials and methods: This cross-sectional study included 55 consecutive patients with symptomatic drug-resistant AVNRT who had had an invasive electrophysiology study and RFA. Speckle-tracking-based echocardiographic assessment was performed shortly before and 1 year after the operation. Left ventricle (LV) and right ventricle (RV) peak systolic strain (PSS) and atrial strain measurements were performed. …