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What Is The Yield Of Ebus-Tbna For Re-Evaluation Of Previously Treated Non-Small-Cell Lung Cancer?, Ayperi̇ Öztürk, Tuğba Çi̇çek, Aydin Yilmaz Jan 2023

What Is The Yield Of Ebus-Tbna For Re-Evaluation Of Previously Treated Non-Small-Cell Lung Cancer?, Ayperi̇ Öztürk, Tuğba Çi̇çek, Aydin Yilmaz

Turkish Journal of Medical Sciences

Background/aAim: Locoregional recurrence in lung cancer still remains an important problem. We aimed to indicate the effectiveness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for reevaluation in previously treated nonsmall cell lung cancer (NSCLC). Materials and methods: NSCLC patients who underwent EBUS for rebiopsy of suspicious recurrent or progressive lesions between January 2010 and June 2017 were reviewed. Patients were categorized into two groups based on the previous treatment modalities: Group 1 (G1) consisted of patients who had been treated with chemoradiotherapy, and Group 2 (G2) consisted of patients who had undergone radical surgery. Results: Of 115 patients, 100 patients …


The Effect Of Different Boron Compounds On Nutrient Digestibility, Intestinal Nutrient Transporters, And Liver Lipid Metabolism, Emre Şahi̇n, Cemal Orhan, Füsun Erten, Fi̇kretti̇n Şahi̇n, Nurhan Şahi̇n, Kazi̇m Şahi̇n Jan 2023

The Effect Of Different Boron Compounds On Nutrient Digestibility, Intestinal Nutrient Transporters, And Liver Lipid Metabolism, Emre Şahi̇n, Cemal Orhan, Füsun Erten, Fi̇kretti̇n Şahi̇n, Nurhan Şahi̇n, Kazi̇m Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Gastrointestinal health is essential for maintaining a healthy lifestyle. Improving nutrient absorption and energy metabolism are the critical targets for intestinal health. This study aimed to determine the effects of different boron (B) derivatives on nutrient digestibility, intestinal nutrient transporters, and lipid metabolism in rats. Materials and methods: Twenty-one rats were allocated to three groups (n = 7) as follows: (i) Control, (ii) Sodium pentaborate pentahydrate (SPP), and (iii) boric acid (BA). The rats were fed a chow diet (AIN-93M) and supplemented with 8 mg/kg elemental B from SPP (45.2 mg/kg BW) and BA (42.7 mg/kg BW) via oral …


T1 Relaxation Time Is Prolonged In Healthy Aging: A Whole Brain Study, Hayri̇ye Aktaş Di̇nçer, Ahmet Muhteşem Ağildere, Di̇dem Gökçay Jan 2023

T1 Relaxation Time Is Prolonged In Healthy Aging: A Whole Brain Study, Hayri̇ye Aktaş Di̇nçer, Ahmet Muhteşem Ağildere, Di̇dem Gökçay

Turkish Journal of Medical Sciences

Background/aim: Measurement of tissue characteristics such as the longitudinal relaxation time (T1) provides complementary information to the volumetric and surface based structural analyses. We aimed to investigate T1 relaxation time characteristics in healthy aging via an exploratory design in the whole brain. The data processing pipeline was designed to minimize errors related to aging effects such as atrophy. Materials and methods: Sixty healthy participants underwent MRI scanning (28 F, 32 M, age range: 18-78, 30 young and 30 old) in November 2017-March 2018 at the Bilkent University UMRAM Center. Four images with varying flip angles with FLASH (fast low angle …


A National, Multicenter, Retrospective Study Evaluating Retention Rate And Efficacy Of Tocilizumab Treatment In Patients With Active Rheumatoid Arthritis Who Had An Inadequate Response To Csdmards And/Or Tnf Inhibitors, Güzi̇de Nevsun İnanç, Mustafa Ender Terzi̇oğlu, Yusuf Karabulut, Zevcet Yilmaz, Emi̇ne Fi̇gen Tarhan, Mehmet Emi̇n Eneci̇k, Ali̇ Şahi̇n, Adem Küçük, Ayşe Ayan, Meti̇n Özgen, Uğur Karasu, Servet Yolbaş Jan 2023

A National, Multicenter, Retrospective Study Evaluating Retention Rate And Efficacy Of Tocilizumab Treatment In Patients With Active Rheumatoid Arthritis Who Had An Inadequate Response To Csdmards And/Or Tnf Inhibitors, Güzi̇de Nevsun İnanç, Mustafa Ender Terzi̇oğlu, Yusuf Karabulut, Zevcet Yilmaz, Emi̇ne Fi̇gen Tarhan, Mehmet Emi̇n Eneci̇k, Ali̇ Şahi̇n, Adem Küçük, Ayşe Ayan, Meti̇n Özgen, Uğur Karasu, Servet Yolbaş

Turkish Journal of Medical Sciences

Background/aim: To describe the disease activity and retention rate in rheumatoid arthritis (RA) patients with inadequate response (IR) to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and/or tumor necrosis factor inhibitors (TNFis) who were prescribed tocilizumab (TCZ) as first-line or second-line biologic treatment in real-world setting. Materials and methods: Data gathered from patients' files was used in a multicenter and retrospective context. Retention rates and the Disease Activity Score in 28 joints with CRP (DAS28-CRP) were evaluated at time points. The relationship of drug efficacy with factors such as smoking, obesity, and previous use of TNFis was also examined. Results: One …


Is It Tuberculosis Mastitis Or Granulomatous Mastitis? A Thirteen-Year Experience At A University Hospital, Handan İnönü Köseoğlu, Mehmet Fati̇h Daşiran, Reşi̇t Doğan Köseoğlu, Zeki̇ye Ruken Yüksekkaya Çeli̇kyay, Mehmet Berati̇ Kaleli̇oğlu Jan 2023

Is It Tuberculosis Mastitis Or Granulomatous Mastitis? A Thirteen-Year Experience At A University Hospital, Handan İnönü Köseoğlu, Mehmet Fati̇h Daşiran, Reşi̇t Doğan Köseoğlu, Zeki̇ye Ruken Yüksekkaya Çeli̇kyay, Mehmet Berati̇ Kaleli̇oğlu

Turkish Journal of Medical Sciences

Background/aim: Granulomatous mastitis (GM) is a rare inflammatory disease of the breast. Tuberculosis mastitis (TM), one of the causes of GM, is a rare form of extrapulmonary tuberculosis. The clinical, radiological, and histopathological findings of TM and GM are similar, and sometimes it is difficult to make a distinction between these disease states. In this study, we aimed to evaluate the clinical and radiological features, diagnostic techniques, treatment modalities and treatment outcomes of the patients with GM and TM. Materials and methods: The data of the patients with confirmed GM by histopathologic examination of biopsy specimens between 2007 and 2020 …


The Effect Of Hydrochlorothiazide On The Recurrence Of Nonmelanoma Skin Cancer: A 7-Year Retrospective Study Comprising 300 Patients, Burak Özkan, Süleyman Savran, Kadri̇ Akinci, Abbas Albayati̇, Pinar İncel Uysal, Ahmet Çağri Uysal Jan 2023

The Effect Of Hydrochlorothiazide On The Recurrence Of Nonmelanoma Skin Cancer: A 7-Year Retrospective Study Comprising 300 Patients, Burak Özkan, Süleyman Savran, Kadri̇ Akinci, Abbas Albayati̇, Pinar İncel Uysal, Ahmet Çağri Uysal

Turkish Journal of Medical Sciences

Background/aim: Hydrochlorothiazide (HCTZ) possesses well-described photosensitizing properties, and a causal association with nonmelanoma skin cancer (NMSC) was recently shown. However, previous studies have not shown whether HCTZ use is associated with the risk of recurrence of basal cell carcinoma (BCC) or squamous cell carcinoma (SCC). This study aims to investigate the association between HCTZ use and recurrence in patients with NMSC. Materials and methods: We identified cases with NMSC from our hospital archives during the period between 2013 and 2019. Patients were divided into groups according to the pathological diagnosis, HCTZ use, and recurrence. Multivariable analysis was performed to determine …


The Impact Of Smoking On Response To Tumor Necrosis Factor-Α Inhibitor Treatment In Patients With Ankylosing Spondylitis, Handan Yarkan Tuğsal, Gökçe Kenar Artin, Gerçek Can, Sedat Çapar, Berri̇n Zengi̇n, Servet Akar, Hüseyi̇n Edi̇z Dalkiliç, Abdurrahman Soner Şenel, Süleyman Serdar Koca, Berna Göker, Ayten Yazici, Güzi̇de Nevsun İnanç, Hülya Elli̇dokuz, Nurullah Akkoç, Fatoş Önen Jan 2023

The Impact Of Smoking On Response To Tumor Necrosis Factor-Α Inhibitor Treatment In Patients With Ankylosing Spondylitis, Handan Yarkan Tuğsal, Gökçe Kenar Artin, Gerçek Can, Sedat Çapar, Berri̇n Zengi̇n, Servet Akar, Hüseyi̇n Edi̇z Dalkiliç, Abdurrahman Soner Şenel, Süleyman Serdar Koca, Berna Göker, Ayten Yazici, Güzi̇de Nevsun İnanç, Hülya Elli̇dokuz, Nurullah Akkoç, Fatoş Önen

Turkish Journal of Medical Sciences

Background/aim: To investigate the impact of smoking on disease activity, treatment retention, and response in patients with ankylosing spondylitis (AS) treated with their first tumor necrosis factor-α inhibitor (TNFi). Materials and methods: AS patients who started their first TNFi treatment for the active axial disease (BASDAI ≥ 4) from TURKBIO Registry were included. Treatment response of smoker (current and ex-smokers) and nonsmoker (never smoker) patients were primarily evaluated as achievement of BASDAI50 or improvement in BASDAI at least 20 mm at 3 months and 6 months compared to baseline. Results: There were 322 patients with AS (60% male, 59% smoker, …


The Effects Of Pilates Training On Abdominal Muscle Thickness And Core Endurance In Patients With Parkinson's Disease: A Single-Blind Controlled Clinical Study, Evri̇m Göz, Seher Özyürek, Burçi̇n Aktar, Berri̇l Dönmez Çolakoğlu, Bi̇rgül Balci Jan 2023

The Effects Of Pilates Training On Abdominal Muscle Thickness And Core Endurance In Patients With Parkinson's Disease: A Single-Blind Controlled Clinical Study, Evri̇m Göz, Seher Özyürek, Burçi̇n Aktar, Berri̇l Dönmez Çolakoğlu, Bi̇rgül Balci

Turkish Journal of Medical Sciences

Background/aim: This study aims at examining the effects of Pilates training on the transversus abdominis (TrA) and internal obliques (IO) muscle thickness and core endurance in different positions in patients with Parkinson's Disease. Materials and methods: Patients were divided into 2 groups as Pilates training (n = 13) and control (n = 10) groups. Pilates training was performed twice a week for 6 weeks. The participants' muscle thickness and core endurance were measured at the beginning of the study (pretraining), and the effectiveness of Pilates training was then assessed in the 6th week (posttraining) and in the 12th-week follow-up. The …


A Device That Facilitates Screwing At An Appropriate Angle In Quadrilateral Surface Fractures: 105-Degree Drill Attachment, Emre Gültaç, Cem Yalin Kilinç, Fati̇h İlker Can, İsmai̇l Gökhan Şahi̇n, Ahmet Emrah Açan, Çağatay Gemci̇, Nevres Hürri̇yet Aydoğan Jan 2022

A Device That Facilitates Screwing At An Appropriate Angle In Quadrilateral Surface Fractures: 105-Degree Drill Attachment, Emre Gültaç, Cem Yalin Kilinç, Fati̇h İlker Can, İsmai̇l Gökhan Şahi̇n, Ahmet Emrah Açan, Çağatay Gemci̇, Nevres Hürri̇yet Aydoğan

Turkish Journal of Medical Sciences

No abstract provided.


Hydroxychloroquine Induces Endothelium-Dependent And Endothelium-Independent Relaxation Of Rat Aorta, Seyfullah Oktay Arslan, Muhammed Fati̇h Doğan, Sali̇ha Ayşenur Çam, Ibraheem Akram Omar, Fatma Uysal, Ali̇ Parlar, Ahmet Cenk Andaç, Oğuzhan Yildiz Jan 2022

Hydroxychloroquine Induces Endothelium-Dependent And Endothelium-Independent Relaxation Of Rat Aorta, Seyfullah Oktay Arslan, Muhammed Fati̇h Doğan, Sali̇ha Ayşenur Çam, Ibraheem Akram Omar, Fatma Uysal, Ali̇ Parlar, Ahmet Cenk Andaç, Oğuzhan Yildiz

Turkish Journal of Medical Sciences

No abstract provided.


Conservative Management Of Patients With Endometrial Intraepithelial Neoplasia (Ein): Factors That Could Affect Response And Pregnancy Rates., Christos Iavazzo, Ioannis Gkegkes Jan 2022

Conservative Management Of Patients With Endometrial Intraepithelial Neoplasia (Ein): Factors That Could Affect Response And Pregnancy Rates., Christos Iavazzo, Ioannis Gkegkes

Turkish Journal of Medical Sciences

No abstract provided.


Response To Letter To The Editor, Esra İşçi̇ Bostanci, Yasi̇n Durmuş, Si̇nem Ayşe Duru Çöteli̇, Fulya Kayikçioğlu, Nuretti̇n Boran Jan 2022

Response To Letter To The Editor, Esra İşçi̇ Bostanci, Yasi̇n Durmuş, Si̇nem Ayşe Duru Çöteli̇, Fulya Kayikçioğlu, Nuretti̇n Boran

Turkish Journal of Medical Sciences

No abstract provided.


Remdesivir Treatment For Patients With Moderate To Severe Covid-19, İmran Hasanoğlu, Hati̇ce Rahmet Güner, İlhami̇ Çeli̇k, Fi̇kret Kanat, Ayşe Batirel, Gülçi̇n Telli̇ Di̇zman, Esma Eryilmaz Eren, Di̇lek Yildiz Sevgi̇, İlkay Bozkurt, Kadri̇ye Kart Yaşar, Sevtap Şenoğlu, Esra Kazak, Ridvan Karaali̇, Aysel Kocagül Çeli̇kbaş, Hüsnü Pullukçu Jan 2022

Remdesivir Treatment For Patients With Moderate To Severe Covid-19, İmran Hasanoğlu, Hati̇ce Rahmet Güner, İlhami̇ Çeli̇k, Fi̇kret Kanat, Ayşe Batirel, Gülçi̇n Telli̇ Di̇zman, Esma Eryilmaz Eren, Di̇lek Yildiz Sevgi̇, İlkay Bozkurt, Kadri̇ye Kart Yaşar, Sevtap Şenoğlu, Esra Kazak, Ridvan Karaali̇, Aysel Kocagül Çeli̇kbaş, Hüsnü Pullukçu

Turkish Journal of Medical Sciences

Background/aim: Remdesivir, which was first developed for the treatment of Ebola disease but failed to meet expectations, has become hope in the fight against the COVID-19 pandemic. This study aimed to evaluate risk factors for mortality and prognosis of adult moderate/severe COVID-19 patients treated with remdesivir, and safety and tolerability of 5 days of remdesivir treatment. Materials and methods: This multicenter prospective observational study was conducted in 14 centers in Turkey. Pregnancy or breastfeeding, multiorgan failure, or usage of vasopressors for septic shock, ALT > 5 × the upper limit of the normal range, or eGRF


Presentation Characteristics And Clinical Outcome Of Patients With Giant Cell Arteritis Followed By A Single Center, Mert Öztaş, Hami̇t Özgül, Emi̇re Seyahi̇, Serdal Uğurlu Jan 2022

Presentation Characteristics And Clinical Outcome Of Patients With Giant Cell Arteritis Followed By A Single Center, Mert Öztaş, Hami̇t Özgül, Emi̇re Seyahi̇, Serdal Uğurlu

Turkish Journal of Medical Sciences

Background/aim: Giant cell arteritis (GCA) is a large vessel vasculitis that may cause significant morbidity in the elderly population. We aimed to evaluate presentation characteristics, treatment, and outcome in a cohort of patients with GCA diagnosed and followed in a single center. Materials and methods: A retrospective chart review revealed 84 (41 M/43 F) registered patients diagnosed with GCA between 1990 and 2020. Clinical features at presentation and follow-up, radiographical imaging, temporal artery biopsy (TAB), and laboratory findings were retrieved from digital medical records or hard-copy patient files. Of these, 33 patients- follow-up period was less than 12 months; hence, …


The Neurodevelopmental Profile Of Healthy Children With Premature Anterior Fontanel Closure, Meltem Di̇rek, Khatuna Makharoblidze, Burçi̇n Gönüllü Polat, Asena Ayça Özdemi̇r, Çeti̇n Okuyaz Jan 2022

The Neurodevelopmental Profile Of Healthy Children With Premature Anterior Fontanel Closure, Meltem Di̇rek, Khatuna Makharoblidze, Burçi̇n Gönüllü Polat, Asena Ayça Özdemi̇r, Çeti̇n Okuyaz

Turkish Journal of Medical Sciences

Background/aim: We aimed to assess the neurodevelopmental status of healthy children with premature anterior fontanel closure. Materials and methods: This retrospective observational study was conducted on 40 (20 M, 20 F) children admitted to Mersin University Pediatric Neurology Outpatient Clinic between 2015-2020 with complaints of premature fontanel closure. Patients with dysmorphic features, microcephaly, craniosynostosis, hypoxic-ischemic sequelae, infections, metabolic disorders, intracranial hemorrhage, epilepsy, endocrine problems, additional congenital anomalies, intrauterine growth retardation (IUGR), prematurity, and postmaturity were excluded. The Denver II and Bayley III tests were applied to all patients and controls. Results: The Denver II identified retardations in gross motor skills …


Rivaroxaban And Apixaban In Patients With Atrial Fibrillation; A Real-World Data, Onur Aslan, Si̇nan Yildirim Jan 2022

Rivaroxaban And Apixaban In Patients With Atrial Fibrillation; A Real-World Data, Onur Aslan, Si̇nan Yildirim

Turkish Journal of Medical Sciences

Background/aim: This study aims to analyze the real-life data of patients who were prescribed rivaroxaban and apixaban and to emphasize the points that we think will make a difference compared to randomized controlled studies. Materials and methods: The patients who accepted to participate in the study in whom rivaroxaban (15-20 mg) and apixaban (2.5-5 mg) were started with the diagnosis of atrial fibrillation between 01 January 2018 and 31 December 2019 and whose records were fully accessed through the hospital automation system were included in the study. Results: One hundred and ninety-four (48.5%) of a total of 400 patients using …


Investigation Of Cochlear Microphonics Recorded With Different Stimulus Types, Özgecan Güneşer, Ayşe Arzu Yi̇ği̇t, Asuman Alniaçik, Kürşat Yanarateş, Eda Çakmak Jan 2022

Investigation Of Cochlear Microphonics Recorded With Different Stimulus Types, Özgecan Güneşer, Ayşe Arzu Yi̇ği̇t, Asuman Alniaçik, Kürşat Yanarateş, Eda Çakmak

Turkish Journal of Medical Sciences

Background/aim: Electrocochleography (ECochG), one of the first defined tests under auditory evoked potentials, is a total electrical response of inner and outer hair cells inside the cochlea and auditory nerve record technique to the presence of an acoustic stimulus. T hese records can be used in Meniere disease and auditory neuropathy spectrum disorder diagnosis, intraoperative monitoring. In addition, the presence of cochlear microphonics plays a crucial role in auditory neuropathy spectrum disorder diagnosis. In our study, healthy individuals were tested with extratimpanic electrocochleography record method via Click and LS CE-Chirp stimulus, and the results were compared to the age, sex, …


Nucleolus Assessment In Invasive Breast Carcinoma, An Objective Parameter For Histological Grading, Seda Duman Öztürk, Çi̇ğdem Öztürk, Oğuzhan Okcu, Bayram Şen, Recep Bedi̇r Jan 2022

Nucleolus Assessment In Invasive Breast Carcinoma, An Objective Parameter For Histological Grading, Seda Duman Öztürk, Çi̇ğdem Öztürk, Oğuzhan Okcu, Bayram Şen, Recep Bedi̇r

Turkish Journal of Medical Sciences

Background/aim: The nucleolus has the potential to provide insight into how many types of cancer will progress. In this study, we examined the evaluation of the nucleolus with a microscope in widespread breast cancer tumors and whether this value contributes to tumor grading as an objective clinicopathological parameter. Materials and methods: In our study, the nucleolus was evaluated retrospectively in resections with a diagnosis of invasive breast carcinoma of the cases between January 2010 and April 2021. In total, the tumor nucleolus of 377 cases of invasive breast carcinoma was evaluated. Nucleolus evaluation was performed with light microscopy using four …


Association Of Thiol/Disulphide Homeostasis With Bethesda Classification Of Thyroid Nodules And Thyroid Cancer, Muhammet Cüneyt Bi̇lgi̇ner, Abbas Ali̇ Tam, Sevgül Faki, Bağdagül Yüksel Güler, Özcan Erel, İbrahi̇m Kilinç, Di̇dem Özdemi̇r, Oya Topaloğlu, Reyhan Ersoy, Beki̇r Çakir Jan 2022

Association Of Thiol/Disulphide Homeostasis With Bethesda Classification Of Thyroid Nodules And Thyroid Cancer, Muhammet Cüneyt Bi̇lgi̇ner, Abbas Ali̇ Tam, Sevgül Faki, Bağdagül Yüksel Güler, Özcan Erel, İbrahi̇m Kilinç, Di̇dem Özdemi̇r, Oya Topaloğlu, Reyhan Ersoy, Beki̇r Çakir

Turkish Journal of Medical Sciences

Background/aim: Ultrasonography and fine-needle aspiration biopsy are frequently used to diagnose thyroid cancer. However, supportive data might be required in case of diagnostic difficulty. This study investigated whether there is a relationship between thiol/ disulphide homeostasis and cytological and histopathological diagnosis of thyroid nodules. Materials and methods: The patient group consisted of 81 individuals with euthyroid nodular (single/multiple) goiter scheduled for thyroidectomy, and the control group consisted of 28 age- and sex-matched healthy volunteers who had no thyroid nodule on ultrasonographic evaluation. All participants were selected among the admissions to the study clinic between June 2017 and June 2018, and …


Pd-L1 And Ebv Lmp1 Expressions In Classic Hodgkin Lymphomas And Its Correlation With Clinicopathological Parameters And Prognosis, Süleyman Özdemi̇r, Özlem Ton, Fevzi̇ye Kabukcuoğlu Jan 2022

Pd-L1 And Ebv Lmp1 Expressions In Classic Hodgkin Lymphomas And Its Correlation With Clinicopathological Parameters And Prognosis, Süleyman Özdemi̇r, Özlem Ton, Fevzi̇ye Kabukcuoğlu

Turkish Journal of Medical Sciences

Background/aim: Programmed death pathway leads to T cell anergy. Wide range of malignancies take advantage of this pathway by programmed death-ligand 1 (PD-L1) expression either on neoplastic cells or on the nonneoplastic cells of tumour microenvironment. New therapeutic approaches have been directed against this pathway. We studied PD-L1 expression on both neoplastic Hodgkin and Reed-Sternberg (HRS) cells and cells of tumour microenvironment in classic Hodgkin lymphoma (CHL) patients and compared it with Ebstein-Barr virus (EBV) positivity, clinical data, and survival rates. Materials and methods: Lymph node excision materials of 56 CHL patients diagnosed between 2007 and 2017 were included in …


Evaluation Of Cardiovascular Changes In Patients With Gastric Wall Fat Halo Sign, Ali̇ Küpeli̇, Eser Bulut, Edhem Ünver, Gürkan Danişan Jan 2022

Evaluation Of Cardiovascular Changes In Patients With Gastric Wall Fat Halo Sign, Ali̇ Küpeli̇, Eser Bulut, Edhem Ünver, Gürkan Danişan

Turkish Journal of Medical Sciences

Background/aim: This study aims to investigate the relationship between gastric wall fat halo sign and potentially associated cardiovascular disease (CVD) in thoracic computed tomography (CT). Materials and methods: Between October 2020 and January 2021, 62 patients with gastric wall fat halo sign and 62 controls were evaluated with thorax CT. Patient's height, weight, body mass index (BMI), sex, age, comorbidities, laboratory parameters, diameters of cardiac axes, aorta and pulmonary artery; aorta and coronary artery calcium scores were recorded for the two groups. Results: No significant differences were found in sex, age, height, body weight or BMI between the two groups …


Surgical Outcomes Of Extraskeletal Myxoid Chondrosarcoma, Coşkun Ulucaköy, İsmai̇l Burak Atalay, Ali̇ekber Yapar, Ahmet Yi̇ği̇t Kaptan, İzzet Bi̇ngöl, Mehmet Doğan, Mehmet Fati̇h Ekşi̇oğlu Jan 2022

Surgical Outcomes Of Extraskeletal Myxoid Chondrosarcoma, Coşkun Ulucaköy, İsmai̇l Burak Atalay, Ali̇ekber Yapar, Ahmet Yi̇ği̇t Kaptan, İzzet Bi̇ngöl, Mehmet Doğan, Mehmet Fati̇h Ekşi̇oğlu

Turkish Journal of Medical Sciences

Background/aim: Extraskeletal myxoid chondrosarcoma (EMC) is a rare soft tissue sarcoma. The aim of this study is to present the results of the patients we treated with the diagnosis of EMC as an oncology reference center. Materials and methods: Information on 13 patients diagnosed with EMC between 2006 and 2018 was retrospectively reviewed. Patients' demographic information, tumor sizes, surgical treatments, chemotherapy and radiotherapy statuses, follow-up times, recurrences, and metastases were recorded. Results: Mean patient age was 53.6 ± 15 years (range: 28-73). In 8 patients, the tumor was located in the lower limbs, most commonly in the thigh (46.2%). Mean …


The Reliability And Validity Of The Turkish Version Of The Multiple Sclerosis Impact Scale-29, Fati̇h Özden, Mehmet Özkeski̇n, Ayşe Nur Yüceyar Jan 2022

The Reliability And Validity Of The Turkish Version Of The Multiple Sclerosis Impact Scale-29, Fati̇h Özden, Mehmet Özkeski̇n, Ayşe Nur Yüceyar

Turkish Journal of Medical Sciences

Background/aim: The purpose of the study was to cross-culturally adapt the Multiple Sclerosis Impact Scale-29 (MSIS-29) into Turkish and evaluate its reliability and validity in patients with Multiple Sclerosis (MS). Materials and methods: A total of 119 individuals with MS were enrolled in the research. The neurologist classified the patients with Expanded Disability Status Scale (EDSS). In the initial evaluation, patients completed the Multiple Sclerosis Impact Scale-29 (MSIS29), the Multiple Sclerosis International Quality of Life (MusiQoL), EuroQol-5D-3L (EQ-5D-3L), and Beck Depression Scale (BDS), respectively one week later, the MSIS-29 evaluation was repeated. Internal consistency, test-retest reliability, and construct validity were …


The Correlation Of Serum Spd-1 And Spd-L1 Levels With Clinical, Pathological Characteristics And Lymph Node Metastasis In Nonsmall Cell Lung Cancer Patients, Burcu Ancin, Mesut Meli̇h Özercan, Yi̇ği̇t Yilmaz, Serkan Uysal, Ulaş Kumbasar, Zeynep Saribaş, Erkan Di̇kmen, Riza Doğan, Meti̇n Demi̇rci̇n Jan 2022

The Correlation Of Serum Spd-1 And Spd-L1 Levels With Clinical, Pathological Characteristics And Lymph Node Metastasis In Nonsmall Cell Lung Cancer Patients, Burcu Ancin, Mesut Meli̇h Özercan, Yi̇ği̇t Yilmaz, Serkan Uysal, Ulaş Kumbasar, Zeynep Saribaş, Erkan Di̇kmen, Riza Doğan, Meti̇n Demi̇rci̇n

Turkish Journal of Medical Sciences

Background/aim: Significant advances have been achieved in immunotherapy for the treatment of lung cancer. It is known that tumor cells and cells in the tumor microenvironment express high amounts of programmed cell death ligand 1 (PD-L1). These PD-L1s interact with programmed cell death protein 1 (PD-1), causing immunosuppression. The aim of our study is to examine the correlation between the serum sPD-1 and sPD-L1 levels and clinicopathological characteristics in patients with nonsmall cell lung cancer. We also compared our results with the healthy population (control group). Materials and methods: Thirthy-seven nonsmall cell lung cancer (NSCLC) patients who were operated in …


Could Lysosomal Acid Lipase Enzyme Activity Be Used For Clinical Follow-Up In Cryptogenic Cirrhosis?, Engi̇n Köse, Elçi̇n Çağatay, Tutku Yaraş Mercan, Peli̇n Teke Kisa, Semi̇nay Güler, Zümrüt Arslan Gülten, Mesut Akarsu, Yavuz Oktay, Hülya Ayar Kayali, Nur Arslan Jan 2022

Could Lysosomal Acid Lipase Enzyme Activity Be Used For Clinical Follow-Up In Cryptogenic Cirrhosis?, Engi̇n Köse, Elçi̇n Çağatay, Tutku Yaraş Mercan, Peli̇n Teke Kisa, Semi̇nay Güler, Zümrüt Arslan Gülten, Mesut Akarsu, Yavuz Oktay, Hülya Ayar Kayali, Nur Arslan

Turkish Journal of Medical Sciences

Background/aim: Cholesterol ester storage disease (CESD) is one of the rare causes that should be kept in mind in the etiology of cirrhosis. Recent studies detected that significantly reduced lysosomal acid lipase deficiency enzyme (LAL) in patients with cryptogenic cirrhosis (CC). Moreover, studies have evaluated that LAL activity is as effective as scoring systems in assessing the severity of cirrhosis. In this study, we aimed to investigate the CESD with LAL level and mutation analysis of LIPA gene in patients diagnosed with CC and to compare LAL activities between patients with CC and healthy volunteers. Materials and methods: Laboratory parameters …


Morbid Obesity Leads To Increased Skin Autofluorescence Independent Of Metabolic Syndrome Components, Tuğçe Apaydin, Di̇lek Yavuz Jan 2022

Morbid Obesity Leads To Increased Skin Autofluorescence Independent Of Metabolic Syndrome Components, Tuğçe Apaydin, Di̇lek Yavuz

Turkish Journal of Medical Sciences

Background/aim: Obesity, diabetes mellitus, and metabolic syndrome (MetS) are associated with increased accumulated skin advanced glycation end products. We aimed to evaluate the association of MetS components with skin autofluorescence (SAF) in patients with morbid obesity. Material and methods: Eight hundred and one patients with morbid obesity and 94 age-matched controls with normal body mass index (BMI) and normal glucose metabolism were included. Advanced glycation end products (AGEs) were measured using SAF in the forearm, with an AGE reader. Results: The prevalence of MetS in patients with morbid obesity was 65.5% (n = 525). Type 2 diabetes mellitus (type 2 …


Cha2ds2-Vasc Score As A Prognostic Indicator In Patients With Atrial Fibrillation Undergoing Coronary Stenting, Jian-Yong Zheng, Dong-Tao Li, Yi-Gang Qiu, Yi-Xiong Huang, Zheng-Ming Xu, Li Zhao, Yu Chen, Yi Cao, Yi-Da Tang, Cheng-Jun Guo, Zhi-Min Ma, Yong-Quan Wu, Yan Jiao, Tian-Chang Li Jan 2022

Cha2ds2-Vasc Score As A Prognostic Indicator In Patients With Atrial Fibrillation Undergoing Coronary Stenting, Jian-Yong Zheng, Dong-Tao Li, Yi-Gang Qiu, Yi-Xiong Huang, Zheng-Ming Xu, Li Zhao, Yu Chen, Yi Cao, Yi-Da Tang, Cheng-Jun Guo, Zhi-Min Ma, Yong-Quan Wu, Yan Jiao, Tian-Chang Li

Turkish Journal of Medical Sciences

Background/aim: Patients with atrial fibrillation (AF) and coronary stenting had a poor prognosis. This study aimed to assess the accuracy of CHA2 DS2 -VASc score for predicting and grading adverse clinical outcomes in this population. Materials and methods: We reviewed the clinical data of all patients with previously documented nonvalvular AF who underwent coronary stenting between January 2010 and June 2015 in 12 hospitals of Beijing, China. The study population was divided into three groups: 1) Low CHA2 DS2 -VASc score, ≦ 2 points, 2) Intermediate score, 3-4 points, and 3) High score, ≧ 5 points. Major adverse cardiac/cerebrovascular events …


Are Disease-Related Symptoms Important To Predicting Developing Diabetes From Prediabetes?, Si̇bel Engi̇n, Tolga Akkan, Murat Dağdevi̇ren, Ti̇jen Şengezer, Mustafa Altay Jan 2022

Are Disease-Related Symptoms Important To Predicting Developing Diabetes From Prediabetes?, Si̇bel Engi̇n, Tolga Akkan, Murat Dağdevi̇ren, Ti̇jen Şengezer, Mustafa Altay

Turkish Journal of Medical Sciences

Background/aim: There are not many studies conducted to detect and recognize the symptoms during the prediabetes period. In our study, we aimed to determine the symptoms that can be seen in prediabetes and diabetes and their prevalence and to determine the similarities and differences between the two groups. Materials and methods: Individuals who were diagnosed with prediabetes or diabetes, over the age of 18, literate, and accepted to collaborate were included in our study. The "Diabetes Symptoms Checklist Scale" was used by interviewing 321 participants, 161 prediabetic and 160 diabetic, face-to-face. Results: It has been found that the most common …


The Clinical And Demographical Characteristics Of Turkish Pediatric Lymphedema Patients: A Multicenter Study, Pinar Borman, Ayşegül Balcan, Si̇bel Eyi̇gör, Evri̇m Coşkun, Fi̇kri̇ye Fi̇gen Ayhan, Burcu Duyur Çakit, Seçi̇l Vural, Meltem Vural, Esra Deni̇z Papatya Çakir, Deni̇z Nazi̇re Çağdaş Ayvaz, Ayşegül Yaman, Ayşe Beyhan Lale Cerrahoğlu, Sevi̇l Ceyhan Doğan Jan 2022

The Clinical And Demographical Characteristics Of Turkish Pediatric Lymphedema Patients: A Multicenter Study, Pinar Borman, Ayşegül Balcan, Si̇bel Eyi̇gör, Evri̇m Coşkun, Fi̇kri̇ye Fi̇gen Ayhan, Burcu Duyur Çakit, Seçi̇l Vural, Meltem Vural, Esra Deni̇z Papatya Çakir, Deni̇z Nazi̇re Çağdaş Ayvaz, Ayşegül Yaman, Ayşe Beyhan Lale Cerrahoğlu, Sevi̇l Ceyhan Doğan

Turkish Journal of Medical Sciences

Background/aim: Reducing lymphedema-associated burden and disability in the pediatric setting requires improved awareness and understanding clinical properties of the lymphedema. The aim of this study was to evaluate the clinical and demographic characteristics of patients with pediatric lymphedema presented to different lymphedema centers in Turkey. Materials and methods: The socio-demographic and clinical characteristics of the children including age, gender, presence of genetic syndromes, duration of edema, site and stage of lymphedema and the received therapies were determined. Parental and children education on self-management techniques were recorded. Results: A total of 122 children (female: 66, male: 56) with a mean age …


Evolution Of Clinically Isolated Syndrome To Pediatric-Onset Multiple Sclerosis And A Review Of The Literature, İsmai̇l Solmaz, İbrahi̇m Hali̇l Öncel Jan 2022

Evolution Of Clinically Isolated Syndrome To Pediatric-Onset Multiple Sclerosis And A Review Of The Literature, İsmai̇l Solmaz, İbrahi̇m Hali̇l Öncel

Turkish Journal of Medical Sciences

Background/aim: Clinically isolated syndrome (CIS) may be the first presentation of pediatric onset multiple sclerosis (POMS). We retrospectively evaluated the clinical and laboratory data of pediatric CIS (pCIS) patients who were diagnosed with POMS upon followup for any predictive variables. We also reviewed the literature concerning the management of pCIS. Materials and methods: This single-center study involved patients who had pCIS in childhood that converted to POMS during followup between 2011 and 2021. Sixteen patients were included in the study. The data were evaluated retrospectively and analyzed with descriptive statistics. Results: The majority of the pCIS patients were female (F/M: …