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Articles 157981 - 158010 of 325198

Full-Text Articles in Medicine and Health Sciences

Carbapenem-Resistant Klebsiella Pneumonia Infection Outbreak In A Tertiary Urology Clinic: Analysis Of Influencing Factors With A Controlled Trial, Fuat Kizilay, Bayram Ali̇yev, Adnan Şi̇mşi̇r, Mustafa Serdar Kalemci̇, Ti̇mur Köse, Meltem Taşbakan, Hüsnü Pullukçu Jan 2020

Carbapenem-Resistant Klebsiella Pneumonia Infection Outbreak In A Tertiary Urology Clinic: Analysis Of Influencing Factors With A Controlled Trial, Fuat Kizilay, Bayram Ali̇yev, Adnan Şi̇mşi̇r, Mustafa Serdar Kalemci̇, Ti̇mur Köse, Meltem Taşbakan, Hüsnü Pullukçu

Turkish Journal of Medical Sciences

Background/aim: Carbapenem-resistant Klebsiella pneumoniae (CR-KP) infections encountered in urology patients differentiate from infections caused by other factors, both in respect to prophylaxis and treatment stage, and require a special approach. We aimed to analyse the predisposing factors and the antibiotherapies for CR-KP infection outbreak in a tertiary urology clinic.Materials and methods: There were 75 patients in the CR-KP positive group (Group I) and 146 patients in the CR-KP negative group (Group II). Analysis of the predisposing factors for CR-KP infection and comparison of the reinfection rate and the antibiotherapies in the 2 groups were the endpoints.Results: In the first group, …

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Does Applied Ultrasound Prior To Laparoscopy Predict The Existence Of Intra-Abdominaladhesions?, Hi̇lal Uslu Yuvaci, Ari̇f Serhan Cevri̇oğlu, Yasemi̇n Gündüz, Nermi̇n Akdemi̇r, Alper Karacan, Ünal Erkorkmaz, Abdurrahi̇m Keski̇n Jan 2020

Does Applied Ultrasound Prior To Laparoscopy Predict The Existence Of Intra-Abdominaladhesions?, Hi̇lal Uslu Yuvaci, Ari̇f Serhan Cevri̇oğlu, Yasemi̇n Gündüz, Nermi̇n Akdemi̇r, Alper Karacan, Ünal Erkorkmaz, Abdurrahi̇m Keski̇n

Turkish Journal of Medical Sciences

Background/aim: The purpose of this study was to evaluate the efficacy of trans-abdominal ultrasonography (USG), a noninvasive diagnostic tool, in predicting the presence of intraabdominal adhesions, especially near the trocar entry area, to provide safe surgical access to the abdomen. Materials and methods: Fifty-nine women with a previous history of open abdominal surgery (group A) and a group of 91 women with no previous history of surgery (group B) underwent dynamic ultrasound evaluation of the abdominal fields before laparoscopic operations. The anterior abdominal wall was divided into six quadrants: right upper, right lower, left upper, left lower, suprapubic, and umbilical. …

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Different Perspectives Of Immunizations During Pregnancy, Gökce Celep, Aysu Duyan Çamurdan, Fatma Nur Baran Aksakal, Osman Fadil Kara Jan 2020

Different Perspectives Of Immunizations During Pregnancy, Gökce Celep, Aysu Duyan Çamurdan, Fatma Nur Baran Aksakal, Osman Fadil Kara

Turkish Journal of Medical Sciences

Background/aim: Pregnant women and infants are at risk of severe lower respiratory tract infections induced by influenza or pertussis. The uptake of both vaccines is poor in spite of proven benefits and safety. We aimed to determine the knowledge and attitude of pregnant women and their primary healthcare providers towards immunization during pregnancy. Materials and methods: This cross-sectional and interventional study was conducted in northern Turkey in 2016. It had 3 different groups including 786 pregnant women, 146 primary healthcare staff, and 97 family practitioners. Different questionnaires were filled by each group. The intervention phase of the study consisted of …

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The Clinicopathologic Characteristics Of Familial And Sporadic Papillary Thyroidcarcinoma In Turkish Patients, Havva Sezer, Mehmet Onur Demi̇rkol, Di̇lek Yazici, Yersu Kapran, Mahmut Faruk Alagöl Jan 2020

The Clinicopathologic Characteristics Of Familial And Sporadic Papillary Thyroidcarcinoma In Turkish Patients, Havva Sezer, Mehmet Onur Demi̇rkol, Di̇lek Yazici, Yersu Kapran, Mahmut Faruk Alagöl

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to investigate clinicopathologic features of familial papillary thyroid carcinoma (fPTC) and compare them with sporadic papillary thyroid carcinoma (sPTC) in Turkish patients. A retrospective analysis of the papillary thyroid carcinoma (PTC) cases, with or without family history with a follow-up around 10 years was performed. Materials and methods: A series of patients with fPTC (82 fPTC families with 146 affected individuals) were compared with patients with sPTC (n = 112). The clinicopathologic features [(age, gender, histologic subtype, tumour size, bilaterality, multifocality, extrathyroidal extension (ETE), lymph node metastasis (LNM)] and treatment procedures (lymph node …

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Evaluation Of Major Complications Associated With Percutaneous Ct-Guided Biopsy Oflung Nodules Below 3 Cm, Özgür Çakir, İsa Çam, Ural Koç, Ercüment Çi̇ftçi̇ Jan 2020

Evaluation Of Major Complications Associated With Percutaneous Ct-Guided Biopsy Oflung Nodules Below 3 Cm, Özgür Çakir, İsa Çam, Ural Koç, Ercüment Çi̇ftçi̇

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate retrospectively the incidence and risk factors for the serious complications of pneumothorax and/or parenchymal haemorrhage occurring after computed tomography (CT) guided transthoracic biopsy. Materials and methods: The relation between the incidence of pneumothorax and parenchymal haemorrhage due to biopsy, age, sex, lesion localization, lesion size, duration of the procedure, depth of lesion, number of pleural insertions of the biopsy needle and pathology results were statistically evaluated. Results: Between 2016 and 2017, 309 cases with lesions below 3 cm in diameter of a total of 768 (40.2%) CT-guided chest biopsy patients were …

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Long-Term Clinical Outcomes Of Peritoneal Dialysis Patients: 9-Year Experience Of A Singlecentre In Turkey, Ni̇han Tekkarişmaz, Di̇lek Torun Jan 2020

Long-Term Clinical Outcomes Of Peritoneal Dialysis Patients: 9-Year Experience Of A Singlecentre In Turkey, Ni̇han Tekkarişmaz, Di̇lek Torun

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate the clinical outcomes and identify the predictors of mortality in peritoneal dialysis patients. Materials and methods: Medical records of all incident peritoneal dialysis (PD) patients followed up between January 2011 and May 2019 were reviewed retrospectively. All patients were followed up until death, renal transplantation, transfer to haemodialysis or the end of the study. Results: A total of 242 patients were included in the study. The incidence of peritonitis was 0.18 (ranging from 0 to 14.9) episodes per patient year. Death occurred in 28% (n: 68) of cases. Age, diabetes mellitus, …

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Prognostic Role Of Homeostasis Model Assessment And Oral Glucose Tolerance Test Innondiabetic Patients With Bell's Palsy, Tuğba Karagöz, Ömer Bayir, Emel Çadalli Tatar, Erman Çakal, Ali̇ Özdek, Kemal Keseroğlu, Mustafa Şahi̇n, Mehmet Hakan Korkmaz Jan 2020

Prognostic Role Of Homeostasis Model Assessment And Oral Glucose Tolerance Test Innondiabetic Patients With Bell's Palsy, Tuğba Karagöz, Ömer Bayir, Emel Çadalli Tatar, Erman Çakal, Ali̇ Özdek, Kemal Keseroğlu, Mustafa Şahi̇n, Mehmet Hakan Korkmaz

Turkish Journal of Medical Sciences

Background/aim: We aimed to reveal the incidence and predictive role of insulin resistance and distorted oral glucose tolerance test in nondiabetic patients with Bell's Palsy (BP). Materials and methods: Eighty-six patients with BP and 28 control subjects; all with normal blood glucose levels and no history of diabetes, were enrolled in the study. We investigated insulin resistance (IR) in all subjects, in terms of HOMA-IR greater than 2.7. Sixtytwo of the patients also underwent an oral glucose tolerance test (OGTT). Results: The mean HOMA-IR value was significantly increased in patients, compared to the control group (3.2 vs 1.6; P < 0.01). IR was detected more in BP patients than in controls (P < 0.05). The patients with higher HOMA-IR values had more severe facial dysfunction at the initial presentation and complete recovery time took longer than the patients with normal HOMA-IR value (75 days vs 42 days; P < 0.05). Following a 2h-OGTT, impaired glucose tolerance and newly diagnosed DM were found in 60% of the patients. Recovery time was significantly longer in prediabetics and newly diagnosed diabetic patients than in patients with normal glycemia (68 days, 52 days, and 32 days, respectively; P < 0.01). Conclusion: There is a strong linkage between HOMA-IR value and BP prognosis so HOMA-IR value may have a significant role of predicting BP prognosis at presentation.

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Evaluation Of Cardiovascular Autonomic Dysfunction According To Heart Rate Turbulenceand Variability In Patients With Relapsing Remitting Multiple Sclerosis, Serkan Gökaslan, Hayri̇ Demi̇rbaş, Çi̇ğdem Özer Gökaslan Jan 2020

Evaluation Of Cardiovascular Autonomic Dysfunction According To Heart Rate Turbulenceand Variability In Patients With Relapsing Remitting Multiple Sclerosis, Serkan Gökaslan, Hayri̇ Demi̇rbaş, Çi̇ğdem Özer Gökaslan

Turkish Journal of Medical Sciences

Background/aim: Multiple sclerosis (MS) is an autoimmune disease characterized by neurodegeneration or demyelination; the relapsing-remitting phase of MS is characterized by acute exacerbation of disease activity. The most commonly used noninvasive approach to assess autonomic function is the determination of heart rate turbulence (HRT) and heart rate variability (HRV). The aim of this study was to evaluate the presence of cardiovascular autonomic dysfunction using HRT and HRV parameters determined via 24-h Holter ECG monitoring in patients with relapsing-remitting MS without known heart disease. Materials and methods: The study included 26 patients diagnosed with relapsing-remitting MS and 22 age- and sex-matched …

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Opium And Risk Of Gastrointestinal Cancer: A Case-Control Study, Reza Vazirinejad, Roya Najafipour, Mohsen Rezaeian, Alireza Ghazizadeh, Fateme Doost Mohammadi Jan 2020

Opium And Risk Of Gastrointestinal Cancer: A Case-Control Study, Reza Vazirinejad, Roya Najafipour, Mohsen Rezaeian, Alireza Ghazizadeh, Fateme Doost Mohammadi

Turkish Journal of Medical Sciences

Background/aim: Gastrointestinal (GI) cancers are among the most common cancers in the world. Many risk factors may increase the chance of developing GI cancers. In recent years, a number of epidemiological studies have reported evidence of carcinogenic effects of opium in humans. This study aimed to investigate the relationship between opium use and GI cancer. Materials and methods: This case-control study was performed on 95 patients with GI cancer and 190 healthy individuals (matched for age, sex, place of residence, and smoking) in Rafsanjan, Iran, in 2018. Diet information, as well as history of smoking, the use of hookah, opium, …

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Should The Dose Of Levothyroxine Be Changed In Hypothyroidism Patients Fasting Duringramadan?, Arzu Or Koca, Murat Dağdevi̇ren, Mustafa Altay Jan 2020

Should The Dose Of Levothyroxine Be Changed In Hypothyroidism Patients Fasting Duringramadan?, Arzu Or Koca, Murat Dağdevi̇ren, Mustafa Altay

Turkish Journal of Medical Sciences

Background/aim: Muslims worship by fasting from predawn (suhoor) until sunset (iftar) for 30 days in the religious month of Ramadan. In addition to prolonged hunger, patients fasting with a diagnosis of hypothyroidism take their doses of levothyroxine (LT4) outside of daytime fasting hours. The purpose of our study is to compare the values of hypothyroid patients which have been obtained through thyroid function tests before and after Ramadan. Materials and methods: Ninety-seven patients; ranging from 18 to 65 years old, who were followed with a diagnosis of hypothyroidism, who fasted during Ramadan, and who had no change of their LT4 …

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Body Awareness And Chronic Low Back Pain: Validity And Reliability Study Of Turkish Version Of Body Awareness Rating Scale, Aynur Demi̇rel, Di̇lara Onan, Yasemi̇n Özel Asliyüce, Müzeyyen Öz, Utku Berberoğlu, Özlem Ülger Jan 2020

Body Awareness And Chronic Low Back Pain: Validity And Reliability Study Of Turkish Version Of Body Awareness Rating Scale, Aynur Demi̇rel, Di̇lara Onan, Yasemi̇n Özel Asliyüce, Müzeyyen Öz, Utku Berberoğlu, Özlem Ülger

Turkish Journal of Medical Sciences

Background/aim: Previous studies reported that patients with chronic low back pain (CLBP) had trouble describing senses or body functions. A questionnaire, the body awareness rating questionnaire (BARQ), was recently developed for assessing body awareness. The aim of the study was to develop a Turkish version of the BARQ and investigate the validity and reliability in patients with CLBP. Materials and methods: BARQ translated to Turkish with forward-backward method. Ninety-nine patients with CLBP and 101 healthy controls (HC) completed the BARQ-T. Fifty-one of patients with CLBP and HC repeated BARQ-T 3 days later. In addition to BARQ-T, Oswestry disability index (ODI), …

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Surgical Considerations And Audiological Results Of Cochlear Implantation In Patients With Otosclerosis, Tolgahan Çatli, Taşkin Tokat, Ergül Başaran Bozkurt, Zehra Hi̇lal Adibelli̇, Uğurtan Ergün, Enver Altaş, Levent Olgun Jan 2020

Surgical Considerations And Audiological Results Of Cochlear Implantation In Patients With Otosclerosis, Tolgahan Çatli, Taşkin Tokat, Ergül Başaran Bozkurt, Zehra Hi̇lal Adibelli̇, Uğurtan Ergün, Enver Altaş, Levent Olgun

Turkish Journal of Medical Sciences

Background/aim: To emphasize the role of cochlear implantation (CI) in the auditory rehabilitation of patients with otosclerosis (OS) and share our surgical experiences on this rare group of patients. Materials and methods: Retrospective analysis of the patients who have a diagnosis of otosclerosis and implanted between January 1998-May 2019 was performed. Preoperative and postoperative clinical, radiological, audiological and surgical findings are presented. Results: Among 2195 patients who have been implanted in our institution, 12 (0.54%) met the diagnostic criteria of OS according to their preoperative (clinical, radiological, audiological) and peroperative (surgical) findings. Electrode insertion was performed via "round window membrane …

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Comparing The Complications Of Laparoscopically Performed Simple, Radical And Donor Nephrectomy, Erkan Ölçücüoğlu Jan 2020

Comparing The Complications Of Laparoscopically Performed Simple, Radical And Donor Nephrectomy, Erkan Ölçücüoğlu

Turkish Journal of Medical Sciences

Bacground/aim: The aim of this study was to compare the complications of laparoscopic simple, radical and donor nephrectomies performed in a single center. Materials and methods: The study was conducted on 392 patients who underwent laparoscopic nephrectomy in University of Health Sciences, Ankara Türkiye Yüksek İhtisas Training and Research Hospital between January 1, 2008 and January 30, 2019. Clinical and laboratory parameters were recorded. Postoperative complications were recorded and graded as per Clavien-Dindo classification (CDC). All analyses were performed on SPSS v21.0 (IBM Corp., Armonk, NY, USA). Results: The mean age of the patients was 49.13 ± 15.45 years. The …

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Posterior Fossa Horns; A New Calvarial Finding Of Mucopolysaccharidoses With Well-Known Cranial Mri Features, Çağri Damar, Betül Emi̇ne Deri̇nkuyu, Muazzez Asburçe Bi̇ke Olgaç Kiliçkaya, Mehmet Öztürk, Çi̇ğdem Öztunali, Ayşe Gül Alimli, Öznur Leman Boyunaga, Murat Uçar, Fati̇h Süheyl Ezgü, Leyla Tümer, Alp Özgün Börcek, Ahmet Siğirci Jan 2020

Posterior Fossa Horns; A New Calvarial Finding Of Mucopolysaccharidoses With Well-Known Cranial Mri Features, Çağri Damar, Betül Emi̇ne Deri̇nkuyu, Muazzez Asburçe Bi̇ke Olgaç Kiliçkaya, Mehmet Öztürk, Çi̇ğdem Öztunali, Ayşe Gül Alimli, Öznur Leman Boyunaga, Murat Uçar, Fati̇h Süheyl Ezgü, Leyla Tümer, Alp Özgün Börcek, Ahmet Siğirci

Turkish Journal of Medical Sciences

Background/aim: Mucopolysaccharidoses (MPS) are a group of hereditary metabolic diseases. The aim of this study was to share the previously unreported calvarial finding of internal hypertrophy of the occipitomastoid sutures (IHOMS) together with some other well- known cranial MRI findings in this patient series. Materials and methods: A retrospective evaluation was conducted of 80 cranial MRIs of patients who had been diagnosed and followed up with MPS from 2008 to 2019 in our center. Of these patients, 11 had Hurler, 14 had Hunter, 24 had Sanfilippo, 15 had Morquio, 14 had Maroteaux-Lamy, and 2 had Sly disease. The cranial MRIs …

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Optimization Of Isothermal Amplification Method For Mycobacterium Tuberculosis Detection And Visualization Method For Fieldwork, Hati̇ce Esra Ağel, Hasan Sağcan, İsmai̇l Ceyhan, Riza Durmaz Jan 2020

Optimization Of Isothermal Amplification Method For Mycobacterium Tuberculosis Detection And Visualization Method For Fieldwork, Hati̇ce Esra Ağel, Hasan Sağcan, İsmai̇l Ceyhan, Riza Durmaz

Turkish Journal of Medical Sciences

Background/aim: Tuberculosis is still one of the most contagious diseases around the world. Key factors of tuberculosis control are rapid diagnostic, efficient treatment, and prevention of contamination by surveillance and monitoring. However, culture is the gold standard method for laboratory diagnosis of tuberculosis; the results are several weeks to obtain. In order to prevent contamination of tuberculosis, diagnosis must be made in short time and treatment should be started as soon as possible. The aim of this study is to optimize the loop-mediated isothermal amplification (LAMP) method, which provides a much faster and more sensitive result than the polymerase chain …

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Comparison Of Mesenchymal Stem Cell Sheets And Chondrocyte Sheets In A Rabbit Growth Plate Injury Model, Alper Gülteki̇n, Yücel Ağirdi̇l, Büşra Öncel Duman, Cansu Subaşi, Erdal Karaöz Jan 2020

Comparison Of Mesenchymal Stem Cell Sheets And Chondrocyte Sheets In A Rabbit Growth Plate Injury Model, Alper Gülteki̇n, Yücel Ağirdi̇l, Büşra Öncel Duman, Cansu Subaşi, Erdal Karaöz

Turkish Journal of Medical Sciences

Background/aim: The treatment of posttraumatic deformities and differences in length between the extremities resulting from physeal injury remains controversial. The aims of this study were to compare the efficacy of tissue-engineered, monolayer, and allogeneic mesenchymal stem cell sheets and chondrocyte sheets for physeal arrest treatment and to investigate cell sheet technology as a novel method for cell transplantation in physeal cartilage repair. Materials and methods: A proximal tibial physeal injury was induced in New Zealand rabbits. Allogeneic mesenchymal stem cells (MSCs) and chondrocytes were cultured in temperature-responsive culture dishes and applied to the iatrogenic partial growth plate defects in single-sheet …

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Ocular Toxicity Of Intravitreal Golimumab In A Rabbit Model, Ceren Durmaz Engi̇n, Serap Ci̇laker Miçili, Osman Yilmaz, Hüsnü Alper Bağriyanik, Beki̇r Uğur Ergür, Fatoş Önen, Ali̇ Osman Saatci̇ Jan 2020

Ocular Toxicity Of Intravitreal Golimumab In A Rabbit Model, Ceren Durmaz Engi̇n, Serap Ci̇laker Miçili, Osman Yilmaz, Hüsnü Alper Bağriyanik, Beki̇r Uğur Ergür, Fatoş Önen, Ali̇ Osman Saatci̇

Turkish Journal of Medical Sciences

Background/aim: To investigate the effect of intravitreal golimumab on rabbit retina histopathology. Materials and methods: Sixteen albino New Zealand rabbits were divided into three groups. The right eye of each rabbit in groups I, II, and III received a single intravitreal injection of 5 mg/0.05 mL (6 eyes), 10 mg/0.1 mL (6 eyes), or 20 mg/0.2 mL (4 eyes) golimumab, while left eyes served as controls with the same volume of a balanced salt solution injection. All animals were examined using slit-lamp biomicroscopy and indirect ophthalmoscopy before and after intravitreal injection and at days 1 and 7. Animals were euthanized …

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Comment On: "Which Nostril Should Be Used For Nasotracheal Intubation With Airtraq Nt®: The Right Or Left?", Raghuraman M. Sethuraman Jan 2020

Comment On: "Which Nostril Should Be Used For Nasotracheal Intubation With Airtraq Nt®: The Right Or Left?", Raghuraman M. Sethuraman

Turkish Journal of Medical Sciences

No abstract provided.

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Immunomagnetic Separation And Listeria Monocytogenes Detection With Surface- Enhanced Raman Scattering, Hande Yeğenoğlu Akçinar, Belma Aslim, Hi̇lal Torul, Burcu Güven, Adem Zengi̇n, Zeki̇ye Suludere, İsmai̇l Hakki Boyaci, Uğur Tamer Jan 2020

Immunomagnetic Separation And Listeria Monocytogenes Detection With Surface- Enhanced Raman Scattering, Hande Yeğenoğlu Akçinar, Belma Aslim, Hi̇lal Torul, Burcu Güven, Adem Zengi̇n, Zeki̇ye Suludere, İsmai̇l Hakki Boyaci, Uğur Tamer

Turkish Journal of Medical Sciences

Background/aim: We aimed to develop a rapid method to enumerate Listeria monocytogenes (L. monocytogenes) utilizing magnetic nanoparticle based preconcentration and surface-enhanced Raman spectroscopy measurements. Materials and methods: Biological activities of magnetic Au-nanoparticles have been observed to have the high biocompatibility, and a sample immunosensor model has been designed to use avidin attached Au-nanoparticles for L. monocytogenes detection. Staphylococcus aureus (S. aureus) and Salmonella typhimurium (S. typhimurium) bacteria cultures were chosen for control studies. Antimicrobial activity studies have been done to identify bio-compatibility and bio-characterization of the Au-nanoparticles in our previous study and capturing efficiencies to bacterial surfaces have been also …

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Importance Of The National Early Warning Score (News) At The Time Of Discharge From The Intensive Care Unit, Ci̇hangi̇r Doğu, Güvenç Doğan, Selçuk Kayir, Özgür Yağan Jan 2020

Importance Of The National Early Warning Score (News) At The Time Of Discharge From The Intensive Care Unit, Ci̇hangi̇r Doğu, Güvenç Doğan, Selçuk Kayir, Özgür Yağan

Turkish Journal of Medical Sciences

Backround/aim: To identify, at an early stage of intensive care, patients who will require readmission to the intensive care unit (ICU) based on their National Early Warning Score (NEWS-d) at discharge.Materials and methods: Overall, 536 patients aged >18 years who stayed at a tertiary ICU for >24 h were included. Patients who readmitted and not readmitted to the intensive care within 48 h after discharge were compared.Results: Mean patient age was 64.26 ± 18.50 years and 252 (44.7%) patients were male. Mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 21.86 ± 8.74; mean NEWS-d was 4.48 …

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The Triglyceride-Glucose Index Predicts Peripheral Artery Disease Complexity, Bi̇lge Duran Karaduman, Hüseyi̇n Ayhan, Telat Keleş, Engi̇n Bozkurt Jan 2020

The Triglyceride-Glucose Index Predicts Peripheral Artery Disease Complexity, Bi̇lge Duran Karaduman, Hüseyi̇n Ayhan, Telat Keleş, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Background/aim: High levels of triglyceride (TG) and fasting blood glucose (FBG) values increase atherosclerosis risk. This study evaluates the relationship between peripheral artery disease (PAD) severity and complexity, as assessed by TransAtlantic InterSociety Consensus-II (TASC-II) classification and the triglyceride-glucose (TyG) index.Materials and methods: A total of 71 consecutive patients with PAD (males 93%, mean age 63.3 ± 9.7), who underwent percutaneous peripheral intervention were included retrospectively. The patients were divided into two groups according to the angiographically detected lesions. Those with TASC A-B lesions were included in Group 1, and those with TASC C-D lesions were included in Group 2. …

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Validity And Reliability Study Of The Turkish Version Of The Self-Efficacy For Managing Chronic Disease 6-Item Scale, Kübra İnci̇rkuş, Nursen Nahci̇van Jan 2020

Validity And Reliability Study Of The Turkish Version Of The Self-Efficacy For Managing Chronic Disease 6-Item Scale, Kübra İnci̇rkuş, Nursen Nahci̇van

Turkish Journal of Medical Sciences

Background/aim: The measurement of self-efficacy is an important step toward improving chronic disease management, enhancing adherence to treatment, and assessing patients with chronic diseases. The purpose of this study was to assess the validity and reliability of the Turkish version of theSelf-Efficacy for Managing Chronic Disease 6-Item Scale. Materials and methods: In this methodological study, the sample consisted of 211 patients receiving chronic disease care in 2 family health centers in İstanbul, Turkey. Data were analyzed with descriptive statistics, exploratory and confirmatory factor analyses, concurrent validity, Cronbach's alpha, item-total correlation, and test-retest reliability.Results: Most of the sample were women (72%), …

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Noninvasive Monitoring Of Central Venous Oxygen Saturation By Jugular Transcutaneous Near-Infrared Spectroscopy In Pediatric Patients Undergoing Congenital Cardiac Surgery, Di̇lek Altun, Abdullah Doğan, Ahmet Arnaz, Adnan Yüksek, Yusuf Kenan Yalçinbaş, Riza Türköz, Cafer Tayyar Sarioğlu Jan 2020

Noninvasive Monitoring Of Central Venous Oxygen Saturation By Jugular Transcutaneous Near-Infrared Spectroscopy In Pediatric Patients Undergoing Congenital Cardiac Surgery, Di̇lek Altun, Abdullah Doğan, Ahmet Arnaz, Adnan Yüksek, Yusuf Kenan Yalçinbaş, Riza Türköz, Cafer Tayyar Sarioğlu

Turkish Journal of Medical Sciences

Background and aim: In patients undergoing congenital cardiac surgery, it is crucial to maintain oxygen demand-consumption balance. Central venous oxygen saturation (ScvO2) is a useful indicator of oxygen demand and consumption balance which is an invasive method. Near-infrared spectroscopy (NIRS) is a noninvasive, continuous monitoring technique that measures regional tissue oxygenation. NIRS that is placed over the internal jugular vein cutaneous area (NIRSijv) has the potential to show ScvO2 indirectly. In this study, we aimed to determine the correlation between ScvO2 with NIRSijv in pediatric patients undergoing congenital cardiac surgery.Materials and methods: Fifty children participated in the study. Four patients …

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Baseline Characteristics Predicting Clinical Outcomes And Serious Adverse Events In Middle-Aged Hypertensive Women: A Subanalysis Of The Sprint In Women Aged, Volkan Aydin, Ahmet Akici, Si̇bel Sakarya, Mehmet Akman, Ali̇ Serdar Fak Jan 2020

Baseline Characteristics Predicting Clinical Outcomes And Serious Adverse Events In Middle-Aged Hypertensive Women: A Subanalysis Of The Sprint In Women Aged, Volkan Aydin, Ahmet Akici, Si̇bel Sakarya, Mehmet Akman, Ali̇ Serdar Fak

Turkish Journal of Medical Sciences

Background/aim: The predictability of clinical outcomes in hypertension in specific patient groups, especially underrepresented populations is the key to rational treatment. This study aimed to investigate the impact of baseline characteristics of

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Association Between Monocyte To High-Density Lipoprotein Cholesterol Ratio And Bicuspid Aortic Valve Degeneration, Bi̇lge Duran Karaduman, Hüseyi̇n Ayhan, Telat Keleş, Engi̇n Bozkurt Jan 2020

Association Between Monocyte To High-Density Lipoprotein Cholesterol Ratio And Bicuspid Aortic Valve Degeneration, Bi̇lge Duran Karaduman, Hüseyi̇n Ayhan, Telat Keleş, Engi̇n Bozkurt

Turkish Journal of Medical Sciences

Background/aim: From a pathophysiological point of view, inflammation is thought to be more dominant in bicuspid aortic valve (BAV) stenosis than tricuspid aortic valve (TAV) stenosis. Our study aimed to determine the association between monocyte to high-density lipoprotein cholesterol (HDL-C) ratio (MHR), a new inflammatory marker, and the speed of progression of stenosis and pathophysiology of BAV stenosis.Materials and methods: A total of 210 severe aortic stenosis patients (70 consecutive BAV patients, 140 matched TAV patients) were retrospectively enrolled in the study. Clinical and echocardiographic data and laboratory results related to our research were collected retrospectively from the patients' records. …

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Oxidative Stress Parameters In Patients With Ascending Aortic Dilatation, Mehmet Erdoğan, Meli̇ke Polat, Muhammet Ci̇hat Çeli̇k, Selçuk Öztürk, Serdal Baştuğ, Yunus Emre Özbebek, Sali̇m Neşeli̇oğlu, Murat Akçay Jan 2020

Oxidative Stress Parameters In Patients With Ascending Aortic Dilatation, Mehmet Erdoğan, Meli̇ke Polat, Muhammet Ci̇hat Çeli̇k, Selçuk Öztürk, Serdal Baştuğ, Yunus Emre Özbebek, Sali̇m Neşeli̇oğlu, Murat Akçay

Turkish Journal of Medical Sciences

Background/aim: This study aimedto determine plasma thiol, disulphide, and serum ischemia-modified albumin (IMA) levels and ferroxidase activity in patients with ascending aorta dilatation (AAD) in comparison to those without AAD and to evaluate the predictive value of these oxidative stress parameters for AAD.Materials and methods: This study was designed as a cross-sectional study of 184 patients who applied to our cardiology clinic. Our study population consisted of patients with AAD (n = 85) and without AAD (n = 99). A spectrophotometric method was used to determine plasma thiol, disulphide, and serum IMA levels and ferroxidase activity.Results: The native thiol and …

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Colchicine Intolerance In Fmf Patients And Primary Obstacles For Optimal Dosing, Hasan Satiş, Berkan Armağan, Erdal Bodakçi̇, Nuh Ataş, Alper Sari, Nazi̇fe Şule Yaşar Bi̇lge, Di̇lek Yapar, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Berna Göker, Şemi̇nur Haznedaroğlu, Ti̇muçi̇n Kaşi̇foğlu, Umut Kalyoncu Jan 2020

Colchicine Intolerance In Fmf Patients And Primary Obstacles For Optimal Dosing, Hasan Satiş, Berkan Armağan, Erdal Bodakçi̇, Nuh Ataş, Alper Sari, Nazi̇fe Şule Yaşar Bi̇lge, Di̇lek Yapar, Reyhan Bi̇li̇ci̇ Salman, Gözde Kübra Yardimci, Hakan Babaoğlu, Levent Kiliç, Berna Göker, Şemi̇nur Haznedaroğlu, Ti̇muçi̇n Kaşi̇foğlu, Umut Kalyoncu

Turkish Journal of Medical Sciences

Background/aim: Colchicine is the mainstay of treatment in FMF. However, in daily practice it is not easy to maintain effective colchicine doses in a substantial number of patients due to its side effects. In this study, we aimed to investigate prevalence and risk factors for colchicine side effects that limit optimal drug dosing and cause permanent discontinuation. Materials and methods: All patients were recruited from "FMF in Central Anatolia" (FiCA) cohort, 915 adults with a minimum follow-up time of 6 months during which they had obeyed all treatment instructions. Demographic and anthropometric data, FMF disease characteristics, disease severity, complications, and …

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Posttraumatic Growth And Death Anxiety In Caregivers Of Cancer Patients: Phoenix Study, Ali̇ Alkan, Eli̇f Berna Köksoy, Ebru Karci, Asli Alkan, Eduardo Bruera, Fi̇li̇z Çay Şenler Jan 2020

Posttraumatic Growth And Death Anxiety In Caregivers Of Cancer Patients: Phoenix Study, Ali̇ Alkan, Eli̇f Berna Köksoy, Ebru Karci, Asli Alkan, Eduardo Bruera, Fi̇li̇z Çay Şenler

Turkish Journal of Medical Sciences

Background/aim: Posttraumatic growth (PTG) is defined as positive psychological changes following a challenging or traumatic life event. The purpose of this study is to define the predictors of PTG and death anxiety (DAN) in caregivers of cancer patients and evaluate the impact of DAN on PTG.Materials and methods: The caregivers of cancer patients were evaluated using structured questionnaires, including a validated PTG scale and Templer death anxiety scale.Results: In 3 different cancer centers, 426 participants were evaluated. In multivariate analysis of factors associated with PTG, a high DAN score was the only parameter associated with high PTG scores [OR: 1.6, …

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Determination Of Related Factors About Diagnostic And Treatment Delays In Patients With Smear-Positive Pulmonary Tuberculosis In Turkey, Mustafa Hami̇dullah Türkkani, Tarkan Özdemi̇r, Çi̇ğdem Özdi̇lekcan Jan 2020

Determination Of Related Factors About Diagnostic And Treatment Delays In Patients With Smear-Positive Pulmonary Tuberculosis In Turkey, Mustafa Hami̇dullah Türkkani, Tarkan Özdemi̇r, Çi̇ğdem Özdi̇lekcan

Turkish Journal of Medical Sciences

Background/aim: This study aimed to analyze delays in diagnosis and treatment by defining the related demographic and clinical factors, to reveal obstacles, and to develop essential attempts to help reduce treatment delays.Materials and methods: We created a questionnaire on the subject of delays in diagnosis and treatment in tuberculosis (TB) control to be administered to the patients. The forms were distributed to dispensaries across the country by the General Directorate of Public Health via an official letter. Results: The study included 853 new patients with smear-positive pulmonary TB. The mean patient delay was 18.06 ± 22.27 days, the mean diagnosis …

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Coenzyme Q10, Zinc And Mda Levels In Verruca Vulgaris, Selma Korkmaz, Fevzi̇ye Burcu Şi̇ri̇n, İjlal Erturan, Hali̇l İbrahi̇m Büyükbayram, Mehmet Yildirim Jan 2020

Coenzyme Q10, Zinc And Mda Levels In Verruca Vulgaris, Selma Korkmaz, Fevzi̇ye Burcu Şi̇ri̇n, İjlal Erturan, Hali̇l İbrahi̇m Büyükbayram, Mehmet Yildirim

Turkish Journal of Medical Sciences

Background/aim: Verruca vulgaris is a benign disease characterized with papillomas on the skin and mucosa. The aim of this study was to investigate the serum levels of coenzyme Q10, MDA, and zinc as well as the lipid profile of verruca vulgaris patients and examine the relationship between these parameters and clinical manifestations of the disease.Materials and methods: The study included 49 verruca vulgaris patients (mean age: 32.01 ± 14.20 years; 22 males, 27 females) and 40 healthy volunteers (mean age: 31.63 ± 8.98 years; 21 males and 19 females). Coenzyme Q10 levels were assessed by using an enzyme-linked immunosorbent assay. …

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