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Articles 1261 - 1290 of 4871
Full-Text Articles in Medicine and Health Sciences
The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege
The Importance Of Histological Patterns On Pd-L1 Staining Heterogeneity: Should Weuse Pattern-Based Approach For Selecting Tumor Samples For Pd-L1 Testing In Lungadenocarcinomas?, Pinar Bulutay, Pinar Firat, Emi̇ne Handan Zeren, Suat Erus, Serhan Tanju, Mustafa Şükrü Di̇lege
Turkish Journal of Medical Sciences
Background/aim: Programmed death ligand-1 (PD-L1) is a predictive marker for immunotherapeutic agents. However, heterogeneous staining of PD-L1 can cause false-negative results. The aim of this study is to evaluate the importance of histological patterns on PD-L1 staining heterogeneity in lung adenocarcinomas (LAC). Materials and methods: PD-L1 immunohistochemistry (IHC) stain was performed to two different tissue cores of 128 LAC cases, and cut-off values are given for grouping the cases according to the percentage of staining (1%-10%, 11%-49%, 50%-100%). Staining rates between cores were compared and analyzed by their histological patterns. Also, the relation of the PD-L1 expression with the clinicopathological …
Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz
Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz
Turkish Journal of Medical Sciences
Background/aim: The purpose of this study was to evaluate the etiology, clinical characteristics, and outcome of nontraumatic coma (NTC) among children admitted to a pediatric intensive care unit (PICU). Materials and methods: A total of 159 children with NTC were included in the study. The modified Glasgow coma scale (GCS) was used to assess consciousness. Patients were classified with regard to etiology. For each patient, demographic and clinical characteristics, survival and degree of disability at PICU discharge were recorded. Results: Median age was 55 months (IQR: 17.0 - 109.0). The most common cause of NTC was neuroinfection (31.4%) followed by …
Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran
Hepatitis A Susceptibility Parallels High Covid-19 Mortality, Fai̇k Sariali̇oğlu, Fatma Burcu Belen, Kadi̇r Mutlu Hayran
Turkish Journal of Medical Sciences
Background/aim:COVID-19 has become the biggest health problem of this century. It has been hypothesized that immunity against hepatitis A virus (HAV) may provide protection from COVID- 19. Materials and methods: As of 10June 2020, the infection had spread to 213 countries, with 7.3 million people infected and 413,733 dead. This data was combined with the World Health Organization susceptibility classification on the worldwide prevalence of HAV, and the relationship between HAV susceptibility and COVID-19 mortality were analyzed. Results: When the data from 213 countries were analyzed, it was found that there was a significant increasing trend in COVID-19 mortality rates …
An Evaluation Of Suspected Cases Of Hantavirus Infection Admitted To A Tertiary Care University Hospital In Düzce, Turkey, Between 2012 And 2018, Nevi̇n İnce, Kürşad Öneç, Tansu Sav, Mehmet Ali̇ Sungur, Di̇lek Menemenli̇oğlu
An Evaluation Of Suspected Cases Of Hantavirus Infection Admitted To A Tertiary Care University Hospital In Düzce, Turkey, Between 2012 And 2018, Nevi̇n İnce, Kürşad Öneç, Tansu Sav, Mehmet Ali̇ Sungur, Di̇lek Menemenli̇oğlu
Turkish Journal of Medical Sciences
Background/aim: Hantavirus is a rodent borne zoonosis caused by the members of the virus family Bunyaviridae, genus Hantavirus. In this study, we aimed to determine the role of peripheral blood leukocyte ratio in differential diagnosis of Hantavirus disease. Materials and methods: The medical records of patients at the Düzce University Medical Faculty were examined retrospectively. A total of 20 patients diagnosed with hantavirus infection confirmed by serologic tests were included in the study (Group 1). The other group consisted of 30 patients suspected of hantavirus infection but found negative (Group 2). Demographic, clinical and laboratory characteristics, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte …
Validation Of The Nosas Score For Screening Sleep-Disordered Breathing: A Sleep Clinicbasedstudy In Turkey, Burcu Oktay Arslan, Zeynep Zeren Uçar, Özgür Batum, Mehmet Nurullah Orman
Validation Of The Nosas Score For Screening Sleep-Disordered Breathing: A Sleep Clinicbasedstudy In Turkey, Burcu Oktay Arslan, Zeynep Zeren Uçar, Özgür Batum, Mehmet Nurullah Orman
Turkish Journal of Medical Sciences
Background/aim: The NoSAS score is a new tool for the identification of high-risk patients for sleep-disordered breathing (SDB). The aim of this study was to validate the NoSAS score in a sleep clinical population in Turkey and compare its performance with the Epworth Sleepiness Scale (ESS), STOP-Bang, and Berlin questionnaires for high-risk SDB. Materials and methods: This was a retrospective study. Patients who had a full-night PSG examination between 01.03.2017 and 01.01.2018 at the sleep center of our hospital were included in the study. Demographic characteristics, anthropometrics measurements, ESS, STOP-Bang, and Berlin scores were collected from the existing data of …
Covid-19 Scientific Publications From Turkey, Rafi̇ye Çi̇ftçi̇ler, İbrahi̇m Celaletti̇n Haznedaroğlu, Abdurrahman Tufan, Mehmet Aki̇f Öztürk
Covid-19 Scientific Publications From Turkey, Rafi̇ye Çi̇ftçi̇ler, İbrahi̇m Celaletti̇n Haznedaroğlu, Abdurrahman Tufan, Mehmet Aki̇f Öztürk
Turkish Journal of Medical Sciences
No abstract provided.
Development, Validity And Reliability Study Of A Compliance Scale For The Covid-19 Outbreak Prevention Recommendations, Eli̇f Köse, Esra Yazici, Ahmet Bülent Yazici, Abdülkadi̇r Aydin, Hasan Çeti̇n Ekerbi̇çer, Oğuz Karabay
Development, Validity And Reliability Study Of A Compliance Scale For The Covid-19 Outbreak Prevention Recommendations, Eli̇f Köse, Esra Yazici, Ahmet Bülent Yazici, Abdülkadi̇r Aydin, Hasan Çeti̇n Ekerbi̇çer, Oğuz Karabay
Turkish Journal of Medical Sciences
Background/aim: During the intense periods of the COVID-19 pandemic, legal measures were taken for its containment. However, since legal precautions cannot be implemented continuously, hand washing, mask usage and obeying social distance rules are important in combating the pandemic. Complying with these rules is mostly individual decisions. The behavior of individuals has a prominent place in the course of the pandemic. In this study, we aimed to develop a scale which could measure compliance with outbreak measures. Materials and methods: This study was conducted in two stages after evaluation of the content validity of the item pool formed by the …
Efficacy And Safety Of Ruxolitinib In Patients With Myelofibrosis: A Retrospective Andmulticenter Experience In Turkey, Nur Soyer, Ridvan Ali̇, Mehmet Turgut, İbrahi̇m Celaletti̇n Haznedaroğlu, Asu Fergün Yilmaz, İsmet Aydoğdu, Ali̇ Pi̇r, Volkan Karakuş, Gökhan Özgür, Cem Ki̇s, Funda Ceran, Gül İlhan, Melda Özkan, Müzeyyen Aslaner, İdri̇s İnce
Efficacy And Safety Of Ruxolitinib In Patients With Myelofibrosis: A Retrospective Andmulticenter Experience In Turkey, Nur Soyer, Ridvan Ali̇, Mehmet Turgut, İbrahi̇m Celaletti̇n Haznedaroğlu, Asu Fergün Yilmaz, İsmet Aydoğdu, Ali̇ Pi̇r, Volkan Karakuş, Gökhan Özgür, Cem Ki̇s, Funda Ceran, Gül İlhan, Melda Özkan, Müzeyyen Aslaner, İdri̇s İnce
Turkish Journal of Medical Sciences
Background/aim: The aim of this study is to assess the efficacy and safety of ruxolitinib in patients with myelofibrosis. Materials and methods: From 15 centers, 176 patients (53.4% male, 46.6% female) were retrospectively evaluated. Results: The median age at ruxolitinib initiation was 62 (28-87) and 100 (56.8%) of all were diagnosed as PMF. Constitutional symptoms were observed in 84.7%. The median initiation dose of ruxolitinib was 30 mg (10-40). Dose change was made in 69 (39.2%) patients. Forty seven (35.6%) and 20 (15.2%) of 132 patients had hematological and nonhematological adverse events, respectively. The mean spleen sizes before and after …
The Effect Of Different Levels Of Pneumoperitoneum Pressures On Regional Cerebraloxygenation During Robotic Assisted Laparoscopic Prostatectomy, Arzu Karaveli̇, Ali̇ Sai̇t Kavakli, Murat Özçeli̇k, Mutlu Ateş, Kerem İnanoğlu, Sadik Özmen
The Effect Of Different Levels Of Pneumoperitoneum Pressures On Regional Cerebraloxygenation During Robotic Assisted Laparoscopic Prostatectomy, Arzu Karaveli̇, Ali̇ Sai̇t Kavakli, Murat Özçeli̇k, Mutlu Ateş, Kerem İnanoğlu, Sadik Özmen
Turkish Journal of Medical Sciences
Background/aim: This study aimed to evaluate the effect of low- and high-pressure pneumoperitoneum pressures applied during robotic-assisted laparoscopic prostatectomy (RALP) using near-infrared spectroscopy (NIRS) on regional cerebral oxygenation saturation (rSO2 ). Materials and methods: The prospective, comparative, and observational study included patients aged 18-80 years, with the American Society of Anesthesiologists (ASA) physical status I-II, who would undergo elective RALP. The patients were divided into two groups (12 mmHg of pneumoperitoneum pressure group, n=22 and 15 mmHg of pneumoperitoneum pressure group, n=23). Patients' demographic data, durations of anesthesia, surgery, pneumoperitoneum, and Trendelenburg position, intraoperative estimated blood loss, fluid therapy, urine …
Assessment Of Psychometric Properties, Cross-Cultural Adaptation, And Translation Of Theturkish Version Of The Icu Mobility Scale, İsmai̇l Özsoy, Buse Özcan Kahraman, Turhan Kahraman, Ayli̇n Tanriverdi̇, Serap Acar, Ebru Özpeli̇t, Bi̇hter Şentürk, Bahri̇ Akdeniz, Sema Savci
Assessment Of Psychometric Properties, Cross-Cultural Adaptation, And Translation Of Theturkish Version Of The Icu Mobility Scale, İsmai̇l Özsoy, Buse Özcan Kahraman, Turhan Kahraman, Ayli̇n Tanriverdi̇, Serap Acar, Ebru Özpeli̇t, Bi̇hter Şentürk, Bahri̇ Akdeniz, Sema Savci
Turkish Journal of Medical Sciences
Background/aim: The aim of the study was to carry out the cultural adaptation and translation of the ICU mobility scale (IMS) into Turkish and research the psychometric properties. Materials and methods: This study was based on methodological design. The IMS was translated from English to the Turkish through a regularised translation process. Two physiotherapists assessed patients independently in the coronary intensive care unit. The measures such as construct validity, intra and interrater reliability, and internal consistency of the IMS Turkish version were assessed. Results: A total of 70 intensive care patients were included in the study. The intrarater and interrater …
Lticentered Study On Efficiency Of Noninvasive Ventilation Procedures(Safe-Niv), Ebru Ati̇ke Ongun, Oğuz Dursun, Ayşe Berna Anil, Ümüt Altuğ, Özlem Temel Köksoy, Başaknur Akyildiz, Serkan Özsoylu, Tanil Kendi̇rli̇, Serhan Özcan, Riza Di̇nçer Yildizdaş, İlknur Tolunay, Bülent Karapinar, Mehmet Arda Kilinç, Demet Demi̇rkol
Lticentered Study On Efficiency Of Noninvasive Ventilation Procedures(Safe-Niv), Ebru Ati̇ke Ongun, Oğuz Dursun, Ayşe Berna Anil, Ümüt Altuğ, Özlem Temel Köksoy, Başaknur Akyildiz, Serkan Özsoylu, Tanil Kendi̇rli̇, Serhan Özcan, Riza Di̇nçer Yildizdaş, İlknur Tolunay, Bülent Karapinar, Mehmet Arda Kilinç, Demet Demi̇rkol
Turkish Journal of Medical Sciences
Background/aim: To characterize the clinical course of noninvasive positive pressure ventilation (NIPPV) and high flow humidified nasal cannula ventilation (HFNC) procedures; perform risk analysis for ventilation failure. Material and methods: This prospective, multi-centered, observational study was conducted in 352 PICU admissions (1 month-18 years) between 2016 and 2017. SPSS-22 was used to assess clinical data, define thresholds for ventilation parameters and perform risk analysis. Results: Patient age, onset of disease, previous intubation and hypoxia influenced the choice of therapy mode: NIPPV was preferred in older children (p = 0.002) with longer intubation (p < 0.001), ARDS (p = 0.001), lower respiratory tract infections (p < 0.001), chronic respiratory disease, (p = 0.005), malignancy (p = 0.048) and immune deficiency (p = 0.026). The failure rate was 13.4%. sepsis, ARDS, prolonged intubation, and use of nasal masks were associated with NIV failure (p = 0.001, p < 0.001, p < 0.001, p = 0.025). The call of intubation or re-intubation was given due to respiratory failure in twenty-seven (57.5%), hemodynamic instability in eight (17%), bulbar dysfunction or aspiration in 5 (10.6%), neurological deterioration in 4 (8.5%) and developing ARDS in 3 (6.4%) children. A reduction of less than 10% in the respiration within an hour increased the odds of failure by 9.841 times (OR: 9.841, 95% CI: 2.0021-48.3742). FiO2 > 55% at 6th hours and PRISM-3 >8 …
The Study Of Sirtuins In Breast Cancer Patients Before And After Radiotherapy, Nazli Helvaci, Hati̇ce Saraçoğlu, Oğuz Gali̇p Yildiz, Eser Kiliç
The Study Of Sirtuins In Breast Cancer Patients Before And After Radiotherapy, Nazli Helvaci, Hati̇ce Saraçoğlu, Oğuz Gali̇p Yildiz, Eser Kiliç
Turkish Journal of Medical Sciences
Background/aim: Targeting the new and unique proteins is an important medical strategy for treating breast cancer. It is quite important to find out proteins that have a role in the development of cancer. Sirtuins (SIRT) are well related in different physiological activities and connected with cancer. We aimed to determine the effect of radiotherapy on SIRT1 and SIRT2, which have not been yet been clarified as a tumor suppressor or promoter. Materials and methods: Twenty-two women with nonmetastatic breast cancer enrolled in the study. Blood samples were taken before and after radiotherapy, soluble SIRT1 and SIRT2 levels were determined with …
The Clinical Course Of Covid-19 In Hematopoietic Stem Cell Transplantation (Hsct)Recipients, Ayşe Karataş, Ümi̇t Yavuz Malkan, Mustafa Velet, Haluk Demi̇roğlu, Yahya Büyükaşik, Gülçi̇n Telli̇ Di̇zman, Ahmet Çağkan İnkaya, Batuhan Erdoğdu, Olgu Erki̇n Çinar, Eli̇fcan Aladağ Karakulak, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Ni̇lgün Sayinalp, Hakan Göker
The Clinical Course Of Covid-19 In Hematopoietic Stem Cell Transplantation (Hsct)Recipients, Ayşe Karataş, Ümi̇t Yavuz Malkan, Mustafa Velet, Haluk Demi̇roğlu, Yahya Büyükaşik, Gülçi̇n Telli̇ Di̇zman, Ahmet Çağkan İnkaya, Batuhan Erdoğdu, Olgu Erki̇n Çinar, Eli̇fcan Aladağ Karakulak, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Ni̇lgün Sayinalp, Hakan Göker
Turkish Journal of Medical Sciences
Background/aim: The disease caused by SARS-CoV-2 was named as COVID-19. There is as yet insufficient information about the effects of HSCT on the clinical course of COVID-19. In the present study, we aimed to investigate the clinical course of COVID-19 in patients who had undergone HSCT. Materials and methods: We analyzed baseline characteristics, clinical course and findings of COVID-19, hospitalization and death rates, overall survival, and case fatality rates of HSCT recipients diagnosed with COVID-19 retrospectively. Results: 57.6% of the patients underwent AHSCT, and 42.4% underwent allo-HSCT. 60.6%, 27.3%, and 12.1% of the patients had mild, moderate, and severe COVID-19 …
First Known Covid-19 Case And Contact Tracing Efforts In İstanbul, Turkey, Abdullah Emre Güner, Aral Sürmeli̇, Kemal Kural, Esra Şahi̇n, Peri̇han Alkan, Erdoğan Kocayi̇ği̇t, Mustafa Hati̇poğlu, Şuayip Bi̇ri̇nci̇, Kemal Memi̇şoğlu, Işil Maral
First Known Covid-19 Case And Contact Tracing Efforts In İstanbul, Turkey, Abdullah Emre Güner, Aral Sürmeli̇, Kemal Kural, Esra Şahi̇n, Peri̇han Alkan, Erdoğan Kocayi̇ği̇t, Mustafa Hati̇poğlu, Şuayip Bi̇ri̇nci̇, Kemal Memi̇şoğlu, Işil Maral
Turkish Journal of Medical Sciences
Background/aim: COVID-19 has now become a global pandemic. Understanding the routes of transmission is vital in the mitigation and suppression of the disease. İstanbul has become one of the disease's epicenters. This study aims to describe the first COVID-19 case and contact tracing efforts around it in İstanbul. Materials and methods: The descriptive study was conducted in İstanbul, Turkey. The first COVID-19 cases and those associated with them were investigated with contact tracing, and primary and secondary cases were described. Results: The source case was an individual who returned to Turkey from international travel at the beginning of March and …
Phenotypic Characterization Of Familial Mediterranean Fever Patients Harboring Variantsof Uncertain Significance, Alper Sari, Erdal Bodakçi̇, Berkan Armağan, Hasan Satiş, Nuh Ataş, Nazi̇fe Şule Yaşar Bi̇lge, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Mehmet Aki̇f Öztürk, Şemi̇nur Haznedaroğlu, Berna Göker, Umut Kalyoncu, Ti̇muçi̇n Kaşi̇foğlu
Phenotypic Characterization Of Familial Mediterranean Fever Patients Harboring Variantsof Uncertain Significance, Alper Sari, Erdal Bodakçi̇, Berkan Armağan, Hasan Satiş, Nuh Ataş, Nazi̇fe Şule Yaşar Bi̇lge, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Mehmet Aki̇f Öztürk, Şemi̇nur Haznedaroğlu, Berna Göker, Umut Kalyoncu, Ti̇muçi̇n Kaşi̇foğlu
Turkish Journal of Medical Sciences
Background/aim: Familial Mediterranean Fever (FMF) is the prototype of hereditary autoinflammatory disorders and caused by mutations on the MEFV gene located on the short arm of chromosome 16. Although some MEFV variants are clearly associated with disease phenotype, there are numerous variants with unknown clinical association which are termed as variants of uncertain significance (VUS). Here, we present clinical correlations of VUS in a large cohort of adult FMF patients from three tertiary centers located in Central Anatolia. Materials and methods: All patients were recruited from FMF in Central Anatolia (FiCA) cohort. Demographic (sex, age at disease onset) and clinical …
Folfirinox Versus Gemcitabine-Cisplatin Combination As First-Line Therapy Intreatment Of Pancreaticobiliary Cancer, Nesli̇han Kayahan Satiş, Mustafa Karaca, Hasan Satiş, Di̇lek Yapar, Ahmet Özet
Folfirinox Versus Gemcitabine-Cisplatin Combination As First-Line Therapy Intreatment Of Pancreaticobiliary Cancer, Nesli̇han Kayahan Satiş, Mustafa Karaca, Hasan Satiş, Di̇lek Yapar, Ahmet Özet
Turkish Journal of Medical Sciences
Background/aim: The purpose of this study was to compare efficacy and safety of a combination chemotherapy regimen consisting of oxaliplatin, irinotecan, fluorouracil, and leucovorin (FOLFIRINOX) and gemcitabine-cisplatin as first-line therapy in patients with pancreatic cancer. Materials and methods: Pancreaticobiliary cancer patients who had Eastern Cooperative Oncology Group performance status score of 0 or 1 (on a scale of 0 to 5, with higher scores indicating greater severity of illness) were evaluated to receive folfirinox or gemcitabine plus cisplatin. The primary endpoints were progression-free and overall survival time. Safety analysis was also evaluated as secondary measures. Results: There were 32 patients …
The Frequency Of Achilles And Plantar Calcaneal Spurs In Gout Patients, Emi̇ne Duran, Emre Bi̇lgi̇n, Ali̇ İhsan Ertenli̇, Umut Kalyoncu
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 …
A New Approach To Predicting Shoulder Dystocia: Fetal Clavicle Measurement, Eli̇f Terzi̇
A New Approach To Predicting Shoulder Dystocia: Fetal Clavicle Measurement, Eli̇f Terzi̇
Turkish Journal of Medical Sciences
Background/aim: This study aimed to evaluate the relationship between second- and third-trimester clavicle lengths and birth weight and shoulder dystocia. Materials and methods: This prospective observational study included 181 patients who presented to the Private Etlik Lokman Hekim Hospital for routine pregnancy visits between March 2019 and March 2020. In addition to routine pregnancy examinations, the patients also underwent ultrasonography twice at weeks 20-23 and 33-36 to determine the length of the fetal clavicle. The patients were evaluated for shoulder dystocia in the second stage of labor. The birth weight of the neonates was recorded. The primary objective of this …
Predictors Of Full Functional Recovery In Endovascularly Treated Patients With Aneurysmalsubarachnoid Hemorrhage, Fati̇h Uzunkaya, Ayşegül İdi̇l Soylu
Predictors Of Full Functional Recovery In Endovascularly Treated Patients With Aneurysmalsubarachnoid Hemorrhage, Fati̇h Uzunkaya, Ayşegül İdi̇l Soylu
Turkish Journal of Medical Sciences
Background/aim: The knowledge of factors influencing functional outcomes after aneurysmal subarachnoid hemorrhage (ASH) has significantly increased in recent decades, still not enough. We aimed to identify the predictors of full functional recovery (FFR) in endovascularly treated patients with ASH. Materials and methods: A retrospective review was performed of adult patients who underwent endovascular treatment for ASH in a 5-year period. The association was evaluated of variables with FFR, defined as a modified Rankin Scale score of 0 or 1 at a 3-month follow-up. Results: This study included 204 patients with a percentage of FFR of 62.7%. On univariate analysis, the …
Wnt Signaling Pathway Activities May Be Altered In Primary Sjogren's Syndrome, Ahmet Karataş, Zühal Ömerci̇koğlu, Burak Öz, Adi̇le Ferda Dağli, Onur Çatak, Fazi̇let Erman, Kazim Şahi̇n, Nevzat Gözel, Süleyman Serdar Koca
Wnt Signaling Pathway Activities May Be Altered In Primary Sjogren's Syndrome, Ahmet Karataş, Zühal Ömerci̇koğlu, Burak Öz, Adi̇le Ferda Dağli, Onur Çatak, Fazi̇let Erman, Kazim Şahi̇n, Nevzat Gözel, Süleyman Serdar Koca
Turkish Journal of Medical Sciences
Background/aim: Sjögren's syndrome (SS) is an autoimmune disease and its pathogenesis is still not completely clear. The wingless (Wnt)/ß-catenin pathway has recently been shown to play an important role in inflammation. This study aims to determine the serum and saliva levels of Dickkopf (DKK)1 and sclerostin and to evaluate Wnt-1 and Wnt-3a expression in the salivary gland in patients with primary SS. Materials and methods: This study included 30 patients diagnosed with SS, 30 patients diagnosed with systemic lupus erythematosus (SLE), and 29 healthy controls. Serum and saliva levels of DKK1 and sclerostin were measured and the expressions of Wnt1 …
Can Treating Critically-Ill Haematological Malignancy Patients In A Separate Intensive Careunit Decrease Intensive Care Unit Mortality?, Şahender Gülbi̇n Aygencel Bikmaz, Nazlihan Boyaci Dündar, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Can Treating Critically-Ill Haematological Malignancy Patients In A Separate Intensive Careunit Decrease Intensive Care Unit Mortality?, Şahender Gülbi̇n Aygencel Bikmaz, Nazlihan Boyaci Dündar, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Turkish Journal of Medical Sciences
Background/aim: The aim of the study was to investigate whether treating haematological malignancy (HM) patients in a separate intensive care unit (ICU) would reduce ICU mortality. Materials and methods: HM patients treated by the same ICU team in a general medical ICU (GM-ICU) and a separate haematology ICU (H-ICU) were included in this study. Patients' demographic characteristics and ICU data were recorded retrospectively. Differences in the ICU course and prognosis between these two groups were determined. Results: A total of 251 patients (102 from GM-ICU, 149 from H-ICU) were included in this study. The disease severity and organ failure scores …
Two Different Methods Of Lidocaine Inhalation Before Diagnostic Flexible Bronchoscopy:Effects On Post-Bronchoscopy Respiratory Symptoms, Hasan Yüksel, Adem Yaşar, Arzu Açikel, İsmet Topçu, Özge Yilmaz
Two Different Methods Of Lidocaine Inhalation Before Diagnostic Flexible Bronchoscopy:Effects On Post-Bronchoscopy Respiratory Symptoms, Hasan Yüksel, Adem Yaşar, Arzu Açikel, İsmet Topçu, Özge Yilmaz
Turkish Journal of Medical Sciences
Background/aim: Use of topical anesthesia before flexible bronchoscopy for the evaluation of the upper airways prevents cough and stridor during and after the procedure while reducing the need for sedation. In practice, lidocaine is the medication of choice before bronchoscopy. There various types of nebulizers used for inhalation treatments. In this study, we compared the respiratory tract symptoms after flexible bronchoscopy between children who received pre-procedure topical lidocaine with mesh or jet nebulizers. Materials and methods: We enrolled 4-18 years old subjects that underwent flexible bronchoscopy due to treatment-resistant asthma in this retrospective case-control study. Twenty subjects received topical lidocaine …
Investigation Of The Effects Of Propofol/Ketamine Versus Propofol/Fentanyl On Nauseavomiting Administered For Sedation In Children Undergoing Magnetic Resonance Imaging:A Prospective Randomized Double-Blinded Study, Haci Semi̇h Gürcan, Ayşe Ülgey, Özlem Öz Gergi̇n, Si̇bel Seçki̇n Pehli̇van, Kara Mehmet Yildiz
Investigation Of The Effects Of Propofol/Ketamine Versus Propofol/Fentanyl On Nauseavomiting Administered For Sedation In Children Undergoing Magnetic Resonance Imaging:A Prospective Randomized Double-Blinded Study, Haci Semi̇h Gürcan, Ayşe Ülgey, Özlem Öz Gergi̇n, Si̇bel Seçki̇n Pehli̇van, Kara Mehmet Yildiz
Turkish Journal of Medical Sciences
Background/aim: In this study, we aimed to compare the effects of propofol-ketamine and propofol-fentanyl sedations on postprocedure nausea-vomiting in children undergoing magnetic resonance imaging (MRI). Materials and methods: This study included 100 pediatric patients (2-10 years old) who had propofol-ketamine and propofol-fentanyl for sedation to undergo MRI. The patients were divided into two groups, and sedation was performed through propofol-ketamine (Group K; n = 50) or propofol-fentanyl (Group F; n = 50). For sedation induction, intravenous (IV) bolus of 1.2 mg/kg propofol and 1 mg/kg ketamine were administered in Group K, IV bolus of 1.2 mg/kg propofol, and 1 µg/kg …
Interleukin-21: A Potential Biomarker For Diagnosis And Predicting Prognosis In Covid-19 Patients, Ni̇lüfer Ayli̇n Acet Öztürk, Ahmet Ursavaş, Asli Görek Di̇lektaşli, Ezgi̇ Demi̇rdöğen, Necmi̇ye Funda Coşkun, Dane Edi̇ger, Ayşe Esra Uzaslan, Di̇ğdem Yöyen Ermi̇ş, Mert Karaca, Orkun Eray Terzi̇, Merve Bayram, Di̇lara Ömer Topçu, Büşra Yi̇ği̇tli̇ler, Ahmet Yurttaş, Shahri̇yar Maharramov
Interleukin-21: A Potential Biomarker For Diagnosis And Predicting Prognosis In Covid-19 Patients, Ni̇lüfer Ayli̇n Acet Öztürk, Ahmet Ursavaş, Asli Görek Di̇lektaşli, Ezgi̇ Demi̇rdöğen, Necmi̇ye Funda Coşkun, Dane Edi̇ger, Ayşe Esra Uzaslan, Di̇ğdem Yöyen Ermi̇ş, Mert Karaca, Orkun Eray Terzi̇, Merve Bayram, Di̇lara Ömer Topçu, Büşra Yi̇ği̇tli̇ler, Ahmet Yurttaş, Shahri̇yar Maharramov
Turkish Journal of Medical Sciences
Background/aim: COVID-19 patients have a wide spectrum of disease severity. Several biomarkers were evaluated as predictors for progression towards severe disease. IL-21 is a member of common γ-chain cytokine family and creates some specific effects during programming and maintenance of antiviral immunity. We aimed to assess IL-21 as a biomarker for diagnosis and outcome prediction in patients hospitalized with COVID-19. Materials and methods: Patients with a preliminary diagnosis of COVID-19 and pneumonia other than COVID-19 admitted to a tertiary care hospital were included consecutively in this comparative study. Results: The study population consisted of 51 patients with COVID-19 and 11 …
Assessment Of Olfactory And Gustatory Functions In Covid-19 Patients, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Mücahi̇t Yalçin, Gökçen Cesur, Mehmet Yildiz, Pinar Aysert Yildiz, Hasan Selçuk Özger, Süleyman Cebeci̇, Recep Karamert, Mehmet Düzlü, Hakan Tutar, Murat Di̇zbay, Alper Ceylan
Assessment Of Olfactory And Gustatory Functions In Covid-19 Patients, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Mücahi̇t Yalçin, Gökçen Cesur, Mehmet Yildiz, Pinar Aysert Yildiz, Hasan Selçuk Özger, Süleyman Cebeci̇, Recep Karamert, Mehmet Düzlü, Hakan Tutar, Murat Di̇zbay, Alper Ceylan
Turkish Journal of Medical Sciences
Background/aim: This study aims to evaluate of olfactory and gustatory functions of COVID-19 patients and possible risk factors for olfactory and gustatory dysfunctions. Materials and methods: The cross-sectional study included adult patients who were diagnosed with COVID-19 in Gazi University Hospital between April 2020 and June 2020. Volunteered patients participated in a survey in which olfactory and gustatory functions and various clinical information were questioned. Sinonasal Outcome Test-22 was also administrated to all patients. Results: A hundred and seventy-one patients participated in this study. Olfactory and gustatory dysfunctions rates were 10.5% (n: 18) and 10.5% (n: 18), respectively. Patients without …
Central Nervous System Involvement In Patients With Acute Myeloid Leukemia, Hati̇me Arzu Yaşar, Olgu Erki̇n Çinar, Nur Yazdali Köylü, İbrahi̇m Barişta, Hakan Göker, Yahya Büyükaşik
Central Nervous System Involvement In Patients With Acute Myeloid Leukemia, Hati̇me Arzu Yaşar, Olgu Erki̇n Çinar, Nur Yazdali Köylü, İbrahi̇m Barişta, Hakan Göker, Yahya Büyükaşik
Turkish Journal of Medical Sciences
Background/aim: To evaluate the incidence, clinical features, risk factors, and prognosis of central nervous system (CNS) involvement in patients with acute myeloid leukemia (AML). Materials and methods: All AML patients who were admitted to Hacettepe University hospital between 2000 and 2021 were evaluated. The medical records of 548 AML cases were retrospectively analyzed. Results: The frequency of CNS involvement was 2.4% (n = 13) at diagnosis and 4.6% (n = 25) at diagnosis or during follow-up. Parenchymal involvement was seen in 5 patients, leptomeningeal involvement was seen in 11 patients. Three patients had both leptomeningeal and parenchymal involvements, and 6 …
Clinical Features And Immunoglobulin Replacement Therapy Outcomes Of Adults Withcommon Variable Immunodeficiency: A Single Centre Experience, Uğur Haci̇ Muşabak, Tuba Erdoğan
Clinical Features And Immunoglobulin Replacement Therapy Outcomes Of Adults Withcommon Variable Immunodeficiency: A Single Centre Experience, Uğur Haci̇ Muşabak, Tuba Erdoğan
Turkish Journal of Medical Sciences
Background/aim: Common variable immunodeficiency (CVID) characterized by defective immunoglobulin production is the most prevalent form of symptomatic primary immunodeficiency (PID) in adults. We aimed to reveal the clinical features of adults with CVID and to evaluate the effects of immunoglobulin replacement treatment (IRT) on hemato-immunological findings. Materials and methods: This study included 26 adult patients receiving IRT. Two measurements of complete blood counts and major immunoglobulin levels obtained at the beginning-end of follow up period were used for comparisons. Lymphocyte subsets and B-cell subgroups were measured only at the time of presentation. Results: The most common complications were related to …
The Role Of Gold Weight Implants In The Management Of Paralytic Lagophthalmos, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Recep Karamert, Süleyman Cebeci̇, Gökçen Cesur, Mücahi̇t Yalçin, Mehmet Düzlü, Hakan Tutar, Mehmet Bi̇rol Uğur, Alper Ceylan
The Role Of Gold Weight Implants In The Management Of Paralytic Lagophthalmos, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Recep Karamert, Süleyman Cebeci̇, Gökçen Cesur, Mücahi̇t Yalçin, Mehmet Düzlü, Hakan Tutar, Mehmet Bi̇rol Uğur, Alper Ceylan
Turkish Journal of Medical Sciences
Background/aim: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. Materials and methods: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The average age of the patients was 51.3 ± 14.5 years. Forty-five (57.7%) of them were male and 33 (42.3%) female. Patient satisfaction was measured with a questionnaire containing the most common complaints related to gold weight in the literature through telephone surveys. Results: The average follow-up time was 74.5 months. Ninety-three-point-five percent of subjects had operational causes, …
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
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 …
Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n
Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n
Turkish Journal of Medical Sciences
Background/aim: Although allergic diseases are generally considered to be diseases of childhood and youth, the first symptoms of allergic diseases can be seen in old age sometimes. The aim of this study was to determine the prevalence and characteristics of allergic diseases in the elderly population admitted to the allergy unit on an outpatient basis. Materials and methods: The files of the patients who applied to our clinic's allergy unit during the 8-year period were retrospectively analyzed. The data of patients aged ≥ 65 years were obtained from the files of our allergy unit archive. Results: A total of 1272 …