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Articles 1771 - 1800 of 4871
Full-Text Articles in Medicine and Health Sciences
Abnormal Retinal Microvasculature Found In Active Rheumatoid Arthritis:A Different Perspective Of Microvascular Health, Hakan Babaoğlu, Ata Baytaroğlu, Murat Torğutalp, Abdulsamet Erden, Si̇bel Kadayifçilar, Umut Kalyoncu
Abnormal Retinal Microvasculature Found In Active Rheumatoid Arthritis:A Different Perspective Of Microvascular Health, Hakan Babaoğlu, Ata Baytaroğlu, Murat Torğutalp, Abdulsamet Erden, Si̇bel Kadayifçilar, Umut Kalyoncu
Turkish Journal of Medical Sciences
We aimed to assess the association between retinal vascular caliber (RVC) scores and disease activity in rheumatoid arthritis (RA) patients.Materials and methods: Forty-seven RA patients, 32 systemic lupus erythematosus (SLE) patients, and 45 healthy people were enrolled. RA and SLE patients were subdivided into groups according to C-reactive protein (CRP) levels. RA patients were also grouped according to Disease Activity Score-28 (DAS-28). Fundus photography was performed for all patients. RVC was summarized as the central retinal artery and vein equivalents (CRAE and CRVE).Results: Mean CRVE for RA patients was 213.3 ± 17.8 µm compared with 209.2 ± 14.1 µm for …
High Rates Of Malnutrition And Epilepsy: Two Common Comorbidities In Children With Cerebral Palsy, Kürşad Aydin, Ayşe Kartal, Esma Keleş Alp
High Rates Of Malnutrition And Epilepsy: Two Common Comorbidities In Children With Cerebral Palsy, Kürşad Aydin, Ayşe Kartal, Esma Keleş Alp
Turkish Journal of Medical Sciences
The aim of this study was to evaluate the nutritional status of children with cerebral palsy and determine the particular characteristics of the disorder. Materials and methods: The nutritional status of the children was assessed by the Gomez classification using weight-for-age. The Gross Motor Function Classification System was used to determine the gross and fine motor functions.Results: The study was conducted with 197 children (58.4% males) between the ages of 1 and 18 years old. Asphyxia (44.1%) was the primary etiological factor, and spastic quadriplegia (41.6%) was the most common type of cerebral palsy. Malnutrition was the most frequent comorbidity …
Comparison Of Early And Long Term Outcomes Of Open Lichtenstein Repair And Totally Extraperitoneal Herniorrhaphy For Primary Inguinal Hernias, Bariş Sevi̇nç, Nurullah Damburaci, Murat Güner, Ömer Karahan
Comparison Of Early And Long Term Outcomes Of Open Lichtenstein Repair And Totally Extraperitoneal Herniorrhaphy For Primary Inguinal Hernias, Bariş Sevi̇nç, Nurullah Damburaci, Murat Güner, Ömer Karahan
Turkish Journal of Medical Sciences
Inguinal hernia repair is one of the most common surgical procedures worldwide. There is still controversy over which method has the best postoperative results. The aim of this study was to compare early and late postoperative results of laparoscopic totally extraperitoneal herniorrhaphy (TEP) and open Lichtenstein herniorrhaphy (OLR). Materials and methods: The study was conducted in a randomized prospective manner and it was concluded with 302 patients (147 cases in TEP group and 155 cases in OLR group). All procedures were performed by two experienced surgeons in both open and laparoscopic inguinal hernia repair.Results: The groups were similar in terms …
Differentiation Between Intestinal Behçet's Disease And Crohn's Disease Based On Endoscopy, Jing Fen Ye, Jian Long Guan
Differentiation Between Intestinal Behçet's Disease And Crohn's Disease Based On Endoscopy, Jing Fen Ye, Jian Long Guan
Turkish Journal of Medical Sciences
Differentiating intestinal Behçet's disease (BD) from Crohn's disease (CD) is highly challenging, as they often mimic each other in terms of clinical manifestations. Endoscopy is an important modality for distinguishing bowel lesions. The study was designed to identify clinical manifestations that are easily confused and to evaluate the efficacy of endoscopy for distinguishing intestinal BD from CD by several overlapping signs.Materials and methods: The data from 111 patients with intestinal BD and 81 patients with CD were retrospectively analyzed. Logistic regression was applied to establish a prediction model based on endoscopic findings for the differential diagnosis. The diagnostic efficacy of …
The Effects Of Uterine Size With Or Without Abdominal Obesity On Spinal Block Level And Vasopressor Requirement In Elective Cesarean Section: A Prospective Observational Study, İlkben Günüşen, Asuman Sargin, Ali̇ Akdemi̇r, Ahmet Mete Ergenoğlu
The Effects Of Uterine Size With Or Without Abdominal Obesity On Spinal Block Level And Vasopressor Requirement In Elective Cesarean Section: A Prospective Observational Study, İlkben Günüşen, Asuman Sargin, Ali̇ Akdemi̇r, Ahmet Mete Ergenoğlu
Turkish Journal of Medical Sciences
Hypotension is a serious complication caused by spinal anesthesia that places both the mother and fetus at increased risk. We aimed to investigate the effects of uterine size with or without abdominal obesity on sensory block level of pregnant women receiving spinal anesthesia. Materials and methods: This study included 125 term parturients who underwent cesarean section. Motor and sensory block characteristics, the distance between the symphysis pubis and the fundus (SPF), the distance between the symphysis pubis and the xiphoid (SPX), newborn and placental weights, adverse effects, and doses of ephedrine were recorded. Results: Sensory block level and ephedrine dose …
Current Perspectives For The Treatment Of Chronic Myeloid Leukemia, Eli̇fcan Aladağ Karakulak, İbrahi̇m Celaletti̇n Haznedaroğlu
Current Perspectives For The Treatment Of Chronic Myeloid Leukemia, Eli̇fcan Aladağ Karakulak, İbrahi̇m Celaletti̇n Haznedaroğlu
Turkish Journal of Medical Sciences
With an annual incidence of 1-2 in a million, Ph*(+) chronic myeloid leukemia (CML) is a clonal hematopoietic stem cell disease that makes myeloid neoplastic cells breed out of control. This BCR-ABL(+) myeloproliferative disease makes up about 15%-20% of all leukemia cases in adults. CML is seen more in males than females, with a rate of three to two. However, it does not show differences in prevalence in terms of age. CML consists of three clinical phases. The first one is the chronic phase, defined by rising white blood cell levels and also by myeloid proliferation and bone marrow maturation. …
The Role Of Hepcidin, Gdf15, And Mitoferrin-1 In Iron Metabolism Of Polycythemia Vera And Essential Thrombocytosis Patients, Canan Albayrak Yaşar, Pinar Tarkun, Eli̇f Bi̇rtaş Ateşoğlu, Fatma Ceyla Eraldemi̇r, Özgür Doğa Özsoy, Esra Terzi̇ Demi̇rsoy, Özgür Mehtap, Ayfer Gedük, Abdullah Haci̇hani̇fi̇oğlu
The Role Of Hepcidin, Gdf15, And Mitoferrin-1 In Iron Metabolism Of Polycythemia Vera And Essential Thrombocytosis Patients, Canan Albayrak Yaşar, Pinar Tarkun, Eli̇f Bi̇rtaş Ateşoğlu, Fatma Ceyla Eraldemi̇r, Özgür Doğa Özsoy, Esra Terzi̇ Demi̇rsoy, Özgür Mehtap, Ayfer Gedük, Abdullah Haci̇hani̇fi̇oğlu
Turkish Journal of Medical Sciences
GDF15, hepcidin and mitoferrin-1 (mfrn-1) are proteins involved in systemic iron regulation. There are no studies in the literature demonstrating the serum mfrn-1 levels in polycythemia vera (PV) and essential thrombocythemia (ET) patients. The aim of this study was to investigate GDF15, hepcidin and mfrn-1 levels in PV and ET patients.Materials and methods: Ten PV, 17 ET patients, and 27 healthy controls (HCs) were enrolled. GDF15, hepcidin and mfrn-1 values were measured with enzyme-linked immunosorbent assay (ELISA).Results: GDF15 levels were higher in the myeloproliferative neoplasm (MPN) group (P = 0.002). Hepcidin levels were not different between MPN patients and HCs. …
The Investigation Of Strongyloides Stercoralis Seroprevalence In Immunosupressed Patients In Turkey, Fi̇li̇z Kaya, Ahmet Çağkan İnkaya, Ali̇ İhsan Ertenli̇, Osman Abbasoğlu, Sercan Aksoy, Yakut Akyön Yilmaz, Si̇bel Ergüven
The Investigation Of Strongyloides Stercoralis Seroprevalence In Immunosupressed Patients In Turkey, Fi̇li̇z Kaya, Ahmet Çağkan İnkaya, Ali̇ İhsan Ertenli̇, Osman Abbasoğlu, Sercan Aksoy, Yakut Akyön Yilmaz, Si̇bel Ergüven
Turkish Journal of Medical Sciences
In immunosuppressed patients, strongyloidiasis can be lifethreatening because of hyperinfection or dissemination. Therefore, diagnosis of S. stercoralis is important in immunosuppressed patients with chronic strongyloidiasis. In this study, our objective was to investigate the presence of S. stercoralis antibodies by an ELISA method in immunosuppressed patients. Materials and methods: A total of 100 immunosuppressed patients' sera were included in the study. Forty-two of the patients were receiving immunosuppressive therapies for cancer or being treated for hematopoietic malignancies, 38 of the patients were receiving immunosuppressive drugs for rheumatic diseases, 14 were receiving immunosuppressive therapies for liver transplantation. Two of the patients …
A Neglected Causative Agent In Diabetic Foot Infection: A Retrospective Evaluation Of 13 Patients With Fungal Etiology, Anil Murat Ozturk, Meltem Taşbakan, Di̇lek Yeşi̇m Meti̇n, Can Yener, Serhat Uysal, Ilgin Yildirim Şi̇mşi̇r, İlgen Ertam, Hüsnü Pullukçu, Bi̇lgi̇n Arda, Şevki̇ Çeti̇nkalp
A Neglected Causative Agent In Diabetic Foot Infection: A Retrospective Evaluation Of 13 Patients With Fungal Etiology, Anil Murat Ozturk, Meltem Taşbakan, Di̇lek Yeşi̇m Meti̇n, Can Yener, Serhat Uysal, Ilgin Yildirim Şi̇mşi̇r, İlgen Ertam, Hüsnü Pullukçu, Bi̇lgi̇n Arda, Şevki̇ Çeti̇nkalp
Turkish Journal of Medical Sciences
Clinicians often neglect fungal infections and do not routinely investigate deep tissue from the wound for fungal culture and sensitivity due to insufficient information in the literature. In this study, we aimed to evaluate fungal etiology of invasive fungal diabetic foot which is rarely reported in the literature.Materials and methods: The patients who were unresponsive to antibiotic therapy and those with positive fungal in bone or deep tissue culture were enrolled in the study. Detailed hospital records were retrieved for demographics and clinical features. Results: A total of 13 patients who were diagnosed with invasive fungal diabetic foot (ten females, …
Fatigue And Sleep In Children And Adolescents With Juvenile Idiopathic Arthritis:A Cross-Sectional Study, Ela Tarakci, Sai̇me Ni̇lay Arman, Kenan Barut, Sezgi̇n Şahi̇n, Amra Adrovi̇ç, Özgür Kasapçopur
Fatigue And Sleep In Children And Adolescents With Juvenile Idiopathic Arthritis:A Cross-Sectional Study, Ela Tarakci, Sai̇me Ni̇lay Arman, Kenan Barut, Sezgi̇n Şahi̇n, Amra Adrovi̇ç, Özgür Kasapçopur
Turkish Journal of Medical Sciences
The aims of this study were to primarily investigate fatigue and sleep and to secondarily examine possible relationships between disease activity, pain, and functional ability in children and adolescents with juvenile idiopathic arthritis (JIA). Materials and methods: Ninety-six patients were enrolled in the study. Disease activity, functional ability, fatigue symptoms, fatigue severity, and sleep quality were assessed with the Juvenile Arthritis Disease Activity Score (JADAS), Childhood Health Assessment Questionnaire (CHAQ), Pediatric Quality of Life Inventory-Multidimensional Fatigue Scale (PedsQL-F), visual analog scale (VAS), and Pittsburgh Sleep Quality Index (PSQI), respectively. Results: Fatigue severity was moderate to high in 75% of patients …
Comparison Of Reference Systems In The Assessment Of Age-Related Serum Immunoglobulin Levels In Pediatric Patients, İlknur Külhaş Çeli̇k, Ersoy Ci̇velek, Ayşe Meti̇n, Tayfur Gi̇ni̇ş, Müge Toyran, Emi̇ne Di̇bek Misirlioğlu, Can Naci̇ Kocabaş
Comparison Of Reference Systems In The Assessment Of Age-Related Serum Immunoglobulin Levels In Pediatric Patients, İlknur Külhaş Çeli̇k, Ersoy Ci̇velek, Ayşe Meti̇n, Tayfur Gi̇ni̇ş, Müge Toyran, Emi̇ne Di̇bek Misirlioğlu, Can Naci̇ Kocabaş
Turkish Journal of Medical Sciences
Ig level assessment is frequently used in the diagnosis and follow-up of immunodeficiency, as well as in studies investigating the prevalence of low serum Ig level in specific diseases.Material and methods: Patients who underwent Ig testing in the inpatient and outpatient clinics of our hospital in the years 2010-2016 were included. The Ig levels of the patients were assessed separately according to two reference systems commonly used in Turkey and another reference system used in the USA.Results: A total of 20,138 patients (57.6% male) were included in the study. The median age of the patients was 55.7 months (interquartile range: …
A Comparison Of The Effects Of Mirror Therapy And Phantom Exercises On Phantom Limb Pain, Bahar Külünkoğlu, Fati̇h Erbahçeci̇, Afra Alkan
A Comparison Of The Effects Of Mirror Therapy And Phantom Exercises On Phantom Limb Pain, Bahar Külünkoğlu, Fati̇h Erbahçeci̇, Afra Alkan
Turkish Journal of Medical Sciences
Although mirror therapy (MT) and phantom exercises (PE) have been shown to reduce pain, the efficacy of these methods in terms of pain, quality of life (QoL), and psychological status (PS) has not been investigated and compared to date. The aim of this study was to determine whether there is any difference between MT and PE in the treatment of phantom limb pain (PLP).Materials and methods: Forty unilateral transtibial amputees (aged 18-45 years) participated in this study. The subjects were randomly divided into `MT group' and `PE group'. QoL was assessed using Short-Form 36 (SF-36), psychological status using the Beck …
8-Armed Octopus: Evaluation Of Clinicopathologic Prognostic Factors Of Urothelial Carcinoma Of The Upper Urinary System, Sümeyye Ekmekci̇, Ülkü Küçük, Yelda Dere, İzzeti̇ye Ebru Çakir, Hati̇ce Ceren Sayar, Batuhan Ergani̇, Özgür Çakmak, Ozan Bozkurt, Kutsal Yörükoğlu
8-Armed Octopus: Evaluation Of Clinicopathologic Prognostic Factors Of Urothelial Carcinoma Of The Upper Urinary System, Sümeyye Ekmekci̇, Ülkü Küçük, Yelda Dere, İzzeti̇ye Ebru Çakir, Hati̇ce Ceren Sayar, Batuhan Ergani̇, Özgür Çakmak, Ozan Bozkurt, Kutsal Yörükoğlu
Turkish Journal of Medical Sciences
This study was designed to determine the characteristic features of upper urinary system urothelial carcinomas (UUSUCs) and to evaluate the clinicopathological parameters associated with prognosis.Materials and methods: A total of 74 cases of UUSUC were included, from three different centers. Demographic data and histopathological features such as tumor localization, concomitant tumor in the urinary system, distant metastasis with overall survival and disease-free survival obtained from the hospital records were evaluated retrospectively. Histopathologic prognostic features such as grade, perineural invasion, lymphovascular invasion, tumor necrosis, and surgical margin status were also evaluated.Results: Seventy cases (94.6%) underwent open nephroureterectomy whereas 4 cases (5.4%) …
Reliability And Validity Of The Turkish Version Of The Physical Activity Questionnaire For Older Children (Paq-C), Leyla Erdi̇m, Ayşe Ergün, Sema Kuğuoğlu
Reliability And Validity Of The Turkish Version Of The Physical Activity Questionnaire For Older Children (Paq-C), Leyla Erdi̇m, Ayşe Ergün, Sema Kuğuoğlu
Turkish Journal of Medical Sciences
The Physical Activity Questionnaire for Older Children (PAQ-C) is one of the most frequently used questionnaires for evaluating moderate to vigorous levels of physical activity in children. However, a Turkish version of the questionnaire was not available. This study aimed to create a Turkish version of the PAQ-C and examine its psychometric characteristics and factor structure.Materials and methods: The study was conducted with 784 primary school students (ages 9-14 years). The PAQ-C was examined for content and construct validity and analyzed in terms of reliability. Content validity was evaluated with the content validity index (CVI), construct validity, exploratory factor analysis …
Which Nostril Should Be Used For Nasotracheal Intubation With Airtraq Nt®: The Right Or Left? A Randomized Clinical Trial, Zehra İpek Arslan Aydin, Neşe Türkyilmaz
Which Nostril Should Be Used For Nasotracheal Intubation With Airtraq Nt®: The Right Or Left? A Randomized Clinical Trial, Zehra İpek Arslan Aydin, Neşe Türkyilmaz
Turkish Journal of Medical Sciences
Nasotracheal Airtraq is specifically designed to improve the glottis view and ease the nasotracheal intubation process in normal and difficult cases. Materials and methods: After Ethics committee approval, we decided to enroll 40 patients with an ASA physical status of I or II, between 18 and 70 years of age undergoing elective maxillofascial, oral, and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. Patients were randomized into the right and left nostril groups. Results: Demographic and airway characteristics were similar among the groups. Nasotracheal intubation through the right nostril was shorter than …
Ischemic Modified Albumin As A New Biomarker In Predicting Oxidative Stress In Alopecia Areata, Hati̇ce Ataş, Müzeyyen Gönül, Yasi̇n Öztürk, Mustafa Kavutçu
Ischemic Modified Albumin As A New Biomarker In Predicting Oxidative Stress In Alopecia Areata, Hati̇ce Ataş, Müzeyyen Gönül, Yasi̇n Öztürk, Mustafa Kavutçu
Turkish Journal of Medical Sciences
Results show that oxidative stress is a pathophysiologic factor for alopecia areata (AA); however, the markers used can be confounding. Thus, we aimed to investigate the role of oxidative stress in the pathogenesis of AA through an evaluation of ischemia-modified albumin (IMA); other markers of the oxidant/antioxidant system, such as SOD, CAT, GSH-ST, and MDA; and contributing clinical risk factors. Materials and methods: The usefulness of IMA as a new marker for oxidative stress was compared with that of other markers and evaluated in patients with AA.Results: The mean serum level of IMA was of higher statistical significance in AA …
Determination Of Medication Adherence And Related Factors Among People Living With Hiv/Aids In A Turkish University Hospital, Erdal Ceylan, Ayşegül Koç, Ahmet Çağkan İnkaya, Serhat Ünal
Determination Of Medication Adherence And Related Factors Among People Living With Hiv/Aids In A Turkish University Hospital, Erdal Ceylan, Ayşegül Koç, Ahmet Çağkan İnkaya, Serhat Ünal
Turkish Journal of Medical Sciences
Widespread use of antiretroviral treatment (ART) has led to decrease in the incidence of HIV/AIDS-related mortality. Besides the availability of ART, medication adherence is essential for treatment success. There is a scarcity of data reported from Turkey regarding ART adherence among people living with HIV/AIDS (PLWHA). Therefore, this study was undertaken to determine medication adherence and related factors among PLWHA in Turkey.Materials and methods: The sample consisted of 158 PLWHA, who were being followed up at Infectious Diseases Outpatient Clinic of Hacettepe University Hospital. Data were collected using an individual questionnaire and the Turkish version of the Morisky Medication Adherence …
The Role Of Ifih1 Gene Rs1990760 And Rs2111485 Single-Nucleotide Polymorphisms In Generalized Vitiligo Predisposition, Duru Onan, Ahu Yorulmaz, Fati̇h Süheyl Ezgü, Kadi̇r Mutlu Hayran, Seray Külcü Çakmak, Refi̇ka Ferda Artüz, Başak Yalçin
The Role Of Ifih1 Gene Rs1990760 And Rs2111485 Single-Nucleotide Polymorphisms In Generalized Vitiligo Predisposition, Duru Onan, Ahu Yorulmaz, Fati̇h Süheyl Ezgü, Kadi̇r Mutlu Hayran, Seray Külcü Çakmak, Refi̇ka Ferda Artüz, Başak Yalçin
Turkish Journal of Medical Sciences
Interferon-induced helicase (IFIH1) is a gene locus that has been recently defined as a candidate for susceptibility to generalized vitiligo (GV). The objectives of this study were to assess the association of IFIH1 gene, rs2111485, and rs1990760 single-nucleotide polymorphisms (SNP) with susceptibility to GV and the autoimmune diseases accompanying GV.Materials and methods: We prospectively studied GV patients and frequency-matched healthy controls by age and sex. The genotypes of the participants were determined for rs1990760 and rs2111485 SNPs of IFIH1. Dominant, recessive, and additive models were evaluated for each SNP adjusted for age and sex. Results: The patients and their controls …
Association Of Common Il-10 Promoter Gene Variants With The Susceptibility To Head And Neck Cancer In Tunisia, Lamia Makni, Cherif Ben Hamda, Abrar Al Ansari, Oussema Souaiai, Ezzedine Gazouani, Amel Mezlini, Wassim Y. Almawi, Besma Yacoubi-Loueslati
Association Of Common Il-10 Promoter Gene Variants With The Susceptibility To Head And Neck Cancer In Tunisia, Lamia Makni, Cherif Ben Hamda, Abrar Al Ansari, Oussema Souaiai, Ezzedine Gazouani, Amel Mezlini, Wassim Y. Almawi, Besma Yacoubi-Loueslati
Turkish Journal of Medical Sciences
Background/aim: We investigated the association of three IL-10 promoter single-nucleotide polymorphisms and altered IL-10 plasma levels with the risk of head and neck cancer (HNC). Materials and methods: Study subjects comprised 194 HNC patients [137 nasopharyngeal cancer (NPC) and 57 laryngeal cancer (LC)], and 263 healthy controls. Genotyping of rs1800896 (-1082A>G), rs1800871 (-819C>T), and rs1800872 (-592A>C) IL-10 variants was performed by real-time PCR; IL-10 levels were measured by enzyme amplified immuno sensitivity assay (EAISA). Results: Carriage of rs1800896 A/A genotype was more frequent in the HNC and NPC cases, but was less frequent in the controls than …
Possible Prediction Of Patterns Of Cervical Lymph Node Spread Based On Primary Tumor Location In Papillary Thyroid Carcinomas, Mehmet Eser Sancaktar, Güleser Saylam, Bülent Öcal, Ahmet Uluat, Ömer Bayir, Erman Çakal, Mehmet Hakan Korkmaz
Possible Prediction Of Patterns Of Cervical Lymph Node Spread Based On Primary Tumor Location In Papillary Thyroid Carcinomas, Mehmet Eser Sancaktar, Güleser Saylam, Bülent Öcal, Ahmet Uluat, Ömer Bayir, Erman Çakal, Mehmet Hakan Korkmaz
Turkish Journal of Medical Sciences
Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigate the predictive role of tumor location for lymph node metastasis pattern in PTCs.Materials and methods: Medical records of 110 PTC patients were reviewed retrospectively. Tumor location was determined as upper, middle, and lower pole according to ultrasonography (USG) findings. The effects of age, sex, tumor size, and location on lymph node metastasis were investigated. Results: The series comprised 87% females (n = 96) and 13% males (n = 14). Forty-three patients had central neck metastasis (CNM) and 14 had lateral neck metastasis (LNM). Upper …
Polypharmacy And Drug-Related Problems Among People Living With Hiv/Aids: A Single-Center Experience, Emre Kara, Ahmet Çağkan İnkaya, Duygu Aydin Hakli, Salih Kutay Demirkan, Serhat Ünal
Polypharmacy And Drug-Related Problems Among People Living With Hiv/Aids: A Single-Center Experience, Emre Kara, Ahmet Çağkan İnkaya, Duygu Aydin Hakli, Salih Kutay Demirkan, Serhat Ünal
Turkish Journal of Medical Sciences
The HIV-infected population is aging, and the concomitant comorbidities increase the likelihood of polypharmacy. There is a scarcity of data for determining drug-related problems in people living with HIV/AIDS (PLWHA). Materials and methods: This cross-sectional study was carried out between 1 September 2015 and 1 July 2016. All patients underwent a face-to-face interview with a clinical pharmacist. PCNE Classification V 7.0 was used classify incident drug-related problems (DRPs). Results: The mean age of the patients was 40.4 ± 13.06 years. The rate of polypharmacy was 66.1% in patients with comorbidities and 12.3% in those without comorbidities (P < 0.001). DRPs were more prominent in older patients (46 vs. 37 years, P < 0.001), those with longer durations of antiretroviral therapy (ART) (45 vs. 27 months, P = 0.014), and those with lower education levels (P = 0.013). Receiving >3 ART drugs …
Iron Supplementation Should Be Given In Breath-Holding Spells Regardless Of Anemia, Gürkan Gürbüz, Peren Perk Yücel, Turgay Çokyaman, Özge Berfu Gürbüz
Iron Supplementation Should Be Given In Breath-Holding Spells Regardless Of Anemia, Gürkan Gürbüz, Peren Perk Yücel, Turgay Çokyaman, Özge Berfu Gürbüz
Turkish Journal of Medical Sciences
The purpose of this retrospective study was to determine the effectiveness of oral iron therapy in breath-holding spells and evaluation of electrocardiographical changes.Materials and methods: Three hundred twelve children aged 1-48 months and diagnosed with breath-holding spells between January 2017 and April 2018 were included. Patients' laboratory findings were compared with 100 patients who had one simple febrile seizure.Results: Cyanotic breath-holding spells were diagnosed in 85.3% (n = 266) of patients, pallid spells in 5.1% (n = 16), and mixed-type spells in 9.6% (n = 30). Sleep electroencephalograms were applied for all patients, 98.2% (n = 306) of which were …
Calcification Of Breast Artery As Detected By Mammography: Association With Coronary And Aortic Calcification, Ayşegül İdi̇l Soylu, Korhan Soylu, Ramazan Aydin, Fati̇h Uzunkaya, Keri̇m Aslan, Ahmet Veysel Polat
Calcification Of Breast Artery As Detected By Mammography: Association With Coronary And Aortic Calcification, Ayşegül İdi̇l Soylu, Korhan Soylu, Ramazan Aydin, Fati̇h Uzunkaya, Keri̇m Aslan, Ahmet Veysel Polat
Turkish Journal of Medical Sciences
Coronary artery calcification (CAC) and aortic calcification (AC) are significant risk factors for coronary atherosclerosis. This study investigated how breast arterial calcification (BAC) detected from routine mammography correlates with coronary artery calcification and aortic calcification.Materials and methods: A total of 404 female patients above 40 years of age who, within a 6-month period, had undergone thoracic computed tomography and mammography for various reasons were screened retrospectively at our clinic. Mammographies were assessed for BAC and thoracic CT investigations were assessed for CAC and AC. Patients included in the study were scored as 0 (none), 1 (mild), 2 (moderate), or 3 …
Percutaneous Plasma Laser Disc Coagulation And Navigable Ablation Decompression In The Treatment Of Cervical Disc Herniation: A Single Center Experience, Ayşegül Ceylan, İbrahi̇m Aşik
Percutaneous Plasma Laser Disc Coagulation And Navigable Ablation Decompression In The Treatment Of Cervical Disc Herniation: A Single Center Experience, Ayşegül Ceylan, İbrahi̇m Aşik
Turkish Journal of Medical Sciences
Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation. Materials and methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures.Results: Mean VAS scores were 7.55 and 3.1 points in the PDCT group and 7.6 and 3.00 points in the L-DISQ group; mean NPI scores were 34.2 and 20.75 points in the PDCT …
Serum Endocan Level And Diastolic Functions In The Case Of Lead Exposure, Hali̇l Kara, Uğur Nadi̇r Karakulak, Meşi̇de Gündüzöz, Ceylan Bal, Murat Alişik, Murat Büyükşekerci̇, Servet Bi̇rgi̇n İri̇taş, Ömer Hinç Yilmaz, Lütfi̇ye Tutkun
Serum Endocan Level And Diastolic Functions In The Case Of Lead Exposure, Hali̇l Kara, Uğur Nadi̇r Karakulak, Meşi̇de Gündüzöz, Ceylan Bal, Murat Alişik, Murat Büyükşekerci̇, Servet Bi̇rgi̇n İri̇taş, Ömer Hinç Yilmaz, Lütfi̇ye Tutkun
Turkish Journal of Medical Sciences
Lead can cause morphological and functional changes in heart, and inflammation and endothelial dysfunction in vasculature. Endocan, as a novel indicator of endothelial dysfunction, has been used for cardiovascular diseases. This study investigated the relationship between lead exposure, endocan levels, and diastolic functions.Materials and methods: A total of 51 lead-exposed workers without a known cardiovascular disease or risk factors and 54 healthy controls were enrolled. All participants underwent transthoracic echocardiography. Blood lead and serum endocan levels were analyzed.Results: Baseline demographic and clinical characteristics were found to be similar between groups. Median blood lead (32 vs 1.5 µg/dL, P < 0.001) and serum endocan levels (67 vs 57.1 pg/mL, P = 0.02) were significantly higher in the lead-exposed group. Serum endocan level showed a positive correlation with blood lead levels (r = 0.404, P = 0.003) in lead-exposed workers. Serum endocan level was an independent risk factor for increased E/E' ratio (ß = 0.704, P = 0.002) and left atrial volume index (ß = 1.158, P = 0.011) and higher level of lead in blood was an independent risk factor for increased E wave (ß = 8.004, P = 0.022) in lead-exposed workers. Conclusion: Worsened diastolic functions may be seen in the course of lead exposure. Due to sharing a similar mechanism, a higher serum level of endocan may be a valuable laboratory clue for impaired diastolic function in this population.
Relationship Between Plasma Ykl-40 Levels And Endothelial Dysfunction In Chronic Kidney Disease, Gül Sema Yildiran Keski̇n, Özant Helvaci, Çağri Yayla, Özge Tuğçe Paşaoğlu, Çağlar Keski̇n, Seli̇m Turgay Arinsoy, Ülver Deri̇ci̇
Relationship Between Plasma Ykl-40 Levels And Endothelial Dysfunction In Chronic Kidney Disease, Gül Sema Yildiran Keski̇n, Özant Helvaci, Çağri Yayla, Özge Tuğçe Paşaoğlu, Çağlar Keski̇n, Seli̇m Turgay Arinsoy, Ülver Deri̇ci̇
Turkish Journal of Medical Sciences
We aimed to evaluate the relationship between YKL-40 and endothelial dysfunction in chronic kidney disease. Materials and methods: Twenty-nine hemodialysis patients, 101 patients with nondialytic (stage 2, 3, 4, and 5 ND) chronic kidney disease (CKD), and 38 healthy individuals as a control group were included. YKL-40 levels were measured by ELISA. Endothelial dysfunction was indirectly measured by flow-mediated dilatation percentage (FMD) in the brachial artery. Results: YKL-40 levels were higher in CKD patients than controls and highest in HD patients (P = 0.001). FMD values were lower in nondialytic CKD patients and lowest in HD patients (P = 0.001). …
Validity And Reliability Of The Amsterdam Preoperative Anxiety And Information Scale In The Turkish Population, Funda Çeti̇nkaya, Esi̇n Kavuran, Kevser Sevgi̇ Ünal Aslan
Validity And Reliability Of The Amsterdam Preoperative Anxiety And Information Scale In The Turkish Population, Funda Çeti̇nkaya, Esi̇n Kavuran, Kevser Sevgi̇ Ünal Aslan
Turkish Journal of Medical Sciences
This study aimed to adapt the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure the preoperative anxiety of adult Turkish patients undergoing surgery.Materials and methods: The sample of this methodological study included 210 patients. Data were collected by using personal information forms, the APAIS, and the State Anxiety Scale (STAI). Cronbach's ∝-coefficient was calculated, and test-retest reliability was tested. Results: Cronbach's ∝-coefficients of the APAIS anxiety and information requirement subscales were 0.897 and 0.786, respectively. The mean test and retest scores of the APAIS were not different. The test and retest scores of the patients were significantly, positively, and …
The Neutrophil-Lymphocyte Ratio And Its Relationship With Insulin Resistance In Obesity, Serdar Karakaya, Mustafa Altay, Fatma Kaplan Efe, İbrahi̇m Karadağ, Oktay Ünsal, Oktay Bulur, Murat Eser, Derun Taner Ertuğrul
The Neutrophil-Lymphocyte Ratio And Its Relationship With Insulin Resistance In Obesity, Serdar Karakaya, Mustafa Altay, Fatma Kaplan Efe, İbrahi̇m Karadağ, Oktay Ünsal, Oktay Bulur, Murat Eser, Derun Taner Ertuğrul
Turkish Journal of Medical Sciences
In this study, our aim was to investigate the neutrophil/lymphocyte (N/L) ratio, variations in leukocytes and leukocyte subtypes, and the relationship between N/L ratio and insulin resistance (IR) in obesity.Materials and methods: Ninety-six patients and 40 healthy controls were included in this study. Patients' blood glucose levels, insulin levels, and hemogram parameters upon 8 h of fasting were determined. Body mass index (BMI) and Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) values were calculated.Results: Neutrophil numbers were found to be higher among obese patients with IR than among non-IR obese patients. The N/L ratio was, moreover, found to be higher among obese …
Does Chest Compression During Cardiopulmonary Resuscitation Provide Sufficient Cerebral Oxygenation?, Mehmet Aki̇f Yazar, Mehmet Bariş Açikgöz, Adnan Bayram
Does Chest Compression During Cardiopulmonary Resuscitation Provide Sufficient Cerebral Oxygenation?, Mehmet Aki̇f Yazar, Mehmet Bariş Açikgöz, Adnan Bayram
Turkish Journal of Medical Sciences
Background/aim: Some of the patients suffering from cardiac arrest (CA) remain in a chronic unconscious state in intensive care units (ICUs). The primary aim of this study was to evaluate the efficacy of chest compression (CC) on cerebral oxygenation during cardiopulmonary resuscitation (CPR). As a secondary goal, we attempted to determine the effects of regional cerebral oxygen saturation (rSO2) values on consciousness and the survival rate using the Full Outline of Unresponsiveness (FOUR) scoring method.Materials and methods: This observational preliminary study was carried out with 20 patients with CA who were hospitalized in ICUs. The rSO2 values measured by near-infrared …
Antinociceptive Effect Of Liposomal Bupivacaine Formulations After Intrathecal Administration In Rats, İlker Yi̇ği̇t, Berri̇n Günaydin, Ömer Hakan Emmez, Meci̇t Orhan Uludağ, Nur Banu Bal, İsmai̇l Tuncer Deği̇m
Antinociceptive Effect Of Liposomal Bupivacaine Formulations After Intrathecal Administration In Rats, İlker Yi̇ği̇t, Berri̇n Günaydin, Ömer Hakan Emmez, Meci̇t Orhan Uludağ, Nur Banu Bal, İsmai̇l Tuncer Deği̇m
Turkish Journal of Medical Sciences
Background/aim: Based on our previous in vitro study with multilamellar liposomal bupivacaine (MLB) versus bupivacaine alone in artificial cerebrospinal fluid, we aimed to investigate in vivo antinociceptive effect of intrathecal MLB by determining tail flick latency (TFL) time after thermal stimulation in rats. Materials and methods: After preparing MLB and high-yield drug entrapment in liposome (HYDEL) bupivacaine, 18 female Wistar rats were assigned to 3 groups as control (bupivacaine) and study groups (MLB and HYDEL bupivacaine) including 6 rats in each group to administer these drugs intrathecally. Antinociceptive activity was determined in terms of TFL time after thermal stimulation. Maximum …