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Articles 241 - 270 of 4871
Full-Text Articles in Medical Sciences
Effects Of Lumbar Stabilization Exercises On Serum Biomarker Levels And Clinical Outcomes In Lumbar Disc Herniation: A Subgroup Analysis Of A Randomized Controlled Trial, Bi̇rgül Morkoç, Onur Aktan, Gamze Sönmez, Ebru Bodur, Jale Karakaya, Bayram Kaymak, Sevi̇l Bi̇lgi̇n
Effects Of Lumbar Stabilization Exercises On Serum Biomarker Levels And Clinical Outcomes In Lumbar Disc Herniation: A Subgroup Analysis Of A Randomized Controlled Trial, Bi̇rgül Morkoç, Onur Aktan, Gamze Sönmez, Ebru Bodur, Jale Karakaya, Bayram Kaymak, Sevi̇l Bi̇lgi̇n
Turkish Journal of Medical Sciences
Background/aim: The aim of our study was to investigate the effectiveness of lumbar stabilization exercises on serum biomarker levels and clinical outcomes in lumbar disc herniation (LDH) patients with and without neurological deficit.
Materials and methods: 40 patients with neurological deficits (WND) and 34 patients without neurological deficits (WOND) diagnosed with LDH were included in this study. The patients WND and WOND were randomized into stabilization exercises (SE) and general exercises (GE) groups. Stabilization exercises or general exercises were applied for six weeks. Serum levels of tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, IL-6, IL-4, beta-endorphin (BE), anandamide (AEA), and …
One-Year Clinical Follow-Up Of Granulomatous Lymphadenitis Diagnosed Viaebus-Tbna In A Tuberculosis-Endemic Region, Hasret Gi̇zem Kurt, Ayperi̇ Öztürk, Melahat Uzel Şener, Fi̇gen Öztürk Ergür, Zeynep Ti̇lbe Saymaz Guvanjov, Aydin Yilmaz
One-Year Clinical Follow-Up Of Granulomatous Lymphadenitis Diagnosed Viaebus-Tbna In A Tuberculosis-Endemic Region, Hasret Gi̇zem Kurt, Ayperi̇ Öztürk, Melahat Uzel Şener, Fi̇gen Öztürk Ergür, Zeynep Ti̇lbe Saymaz Guvanjov, Aydin Yilmaz
Turkish Journal of Medical Sciences
Background/aim: Granulomatous lymphadenitis is not a specific clinical diagnosis. In regions where tuberculosis (TB) is endemic, differentiating between various diseases presenting with granulomatous lymphadenitis poses a significant clinical challenge. This study aims to evaluate the etiological distribution of underlying conditions and to assess diagnosis changes observed during at least one year of follow-up in patients diagnosed with granulomatous lymphadenitis through endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Materials and methods: A total of 4711 patients were included in the study, and 9353 lymph node samples were collected. Granulomatous lymphadenitis was identified in 791 patients, from whom 1505 lymph node samples were …
Long-Term Results Of Branch Retinal Vein Occlusion: 5-Year Follow-Up, Ilkay Kilic Muftuoglu, Natasha Mayer, Katherina Du, Catalina Feistritzer, Elise Barberis, Sashwanti Mohan, Jay Chhablani
Long-Term Results Of Branch Retinal Vein Occlusion: 5-Year Follow-Up, Ilkay Kilic Muftuoglu, Natasha Mayer, Katherina Du, Catalina Feistritzer, Elise Barberis, Sashwanti Mohan, Jay Chhablani
Turkish Journal of Medical Sciences
Background/aim: This study aimed to report the 5-year outcomes of patients with newly diagnosed branch retinal vein occlusion (BRVO).
Materials and methods: A retrospective review of patient charts was conducted. Data on central macular thickness (CMT), best-corrected visual acuity (BCVA), photoreceptor integrity, number of intravitreal (IV) antivascular endothelial growth factor (anti- VEGF) injections administered, and treatment regimen were assessed.
Results: Ninety-seven eyes from individual patients with a mean age of 70.90 ± 11.49 (38–92) were included. The mean BCVA improved, and the mean CMT decreased at all follow-up visits following treatment (p < 0.05). Thirty-two eyes (33%) gained 3 lines of BCVA at the five-year follow-up. The mean number of total IV anti-VEGF injections administered was 19 ± 13.35 (1–49) during the five-year period, and 27.83% of patients received rescue laser treatment. Fifty-four percent of eyes received three consecutive monthly loading doses of IV anti-VEGF injections. The mean change in BCVA in the loading dose (+) group was significantly greater than in the loading dose (–) group at 1-year and subsequent visits. The loading dose (+) group showed a significantly greater reduction in CMT compared to the loading dose (–) group. The mean estimated time for BCVA to decline by ≥3 lines was 117 ± 8.74 months (95% CI = 100.21–134.51)
Conclusion: Anti-VEGF treatment was effective in improving anatomical …
Diagnosis Of Knee Joint Invasion In Patients With Osteosarcoma: The Value Of Direct And Indirect Mri Findings, İpek Tamsel, Hüseyi̇n Kaya, Orkhan Aghamirzayev, Oğuz Di̇mdork, Başak Doğanavşargi̇l, Mehmet Argin, Dündar Sabah
Diagnosis Of Knee Joint Invasion In Patients With Osteosarcoma: The Value Of Direct And Indirect Mri Findings, İpek Tamsel, Hüseyi̇n Kaya, Orkhan Aghamirzayev, Oğuz Di̇mdork, Başak Doğanavşargi̇l, Mehmet Argin, Dündar Sabah
Turkish Journal of Medical Sciences
Background/aim: Osteosarcoma is the most common primary malignant bone tumor in adolescents, and the evaluation of joint invasion with MRI is important for treatment planning. This study aimed to investigate the diagnostic value of MRI findings (direct and indirect) for joint invasion in patients diagnosed with osteosarcoma of the knee region.
Materials and methods: The MRI evaluations of 50 knee osteosarcoma patients who underwent surgical resection between 2006 and 2018 were reviewed retrospectively by two radiologists and an orthopedic oncologist. The presence of intrasynovial tumor tissue, intra-articular destruction of cartilage or bone, and invasion of the capsular and cruciate ligament …
Evaluating Leflunomide And Methotrexate Combination Vs. Monotherapy In Rheumatoid And Psoriatic Arthritis, Mete Kara, Gülay Alp, Mete Pekdi̇ker, Sertaç Ketenci̇, Annamaria Porreca, Haluk Ci̇nakli̇
Evaluating Leflunomide And Methotrexate Combination Vs. Monotherapy In Rheumatoid And Psoriatic Arthritis, Mete Kara, Gülay Alp, Mete Pekdi̇ker, Sertaç Ketenci̇, Annamaria Porreca, Haluk Ci̇nakli̇
Turkish Journal of Medical Sciences
Background/aim: Methotrexate (MTX) and leflunomide (LEF) are conventional synthetic disease-modifying antirheumatic drugs (DMARDs) commonly used for treating rheumatoid arthritis (RA) and psoriatic arthritis (PsA), either as monotherapies or in combination. This study aimed to compare the adverse effects (AEs) and efficacy of combined use of MTX plus LEF with monotherapy in RA and PsA patients.
Materials and methods: This study included 528 patients (385 RA and 143 PsA) with at least 6 months of follow-up. Disease activity was assessed using DAS-28 CRP and DAPSA, and treatment-related AEs were classified based on specific MedDRA categories.
Results: The cumulative incidence of AEs …
Pulmonary Artery Wall Thickness And Systemic Sclerosis: Influence Of Inflammation On Vascular Changes, Eli̇f Altunel Kilinç, Haydar Ali̇ Candan, İpek Türk, Çağlar Özmen
Pulmonary Artery Wall Thickness And Systemic Sclerosis: Influence Of Inflammation On Vascular Changes, Eli̇f Altunel Kilinç, Haydar Ali̇ Candan, İpek Türk, Çağlar Özmen
Turkish Journal of Medical Sciences
Background/aim: Systemic sclerosis (SSc) is a complex autoimmune disease characterized by vascular disorders and fibrosis. This study aimed to compare pulmonary artery wall thickness (PAWT) in SSc patients without PAH with idiopathic PAH (IPAH) and healthy controls and to investigate the effect of increased PAWT and inflammation on vascular changes in SSc patients.
Materials and Methods: This cross-sectional study included 60 SSc patients, 30 IPAH patients, and 40 age- and sex-matched healthy controls, all of whom underwent echocardiographic evaluation. Data were analyzed including patient demographics, disease duration, type of skin involvement, lung involvement, and autoantibody status.
Results: PAWT was significantly …
Short-Term Efficacy And Safety Of Nondamaging Retinal Laser Therapy For Retinitis Pigmentosa-Associated Cystoid Macular Edema, Seda Çevi̇k Kaya, Mehmet Çitirik, Mevlüt Yilmaz, Eyüpcan Şensoy
Short-Term Efficacy And Safety Of Nondamaging Retinal Laser Therapy For Retinitis Pigmentosa-Associated Cystoid Macular Edema, Seda Çevi̇k Kaya, Mehmet Çitirik, Mevlüt Yilmaz, Eyüpcan Şensoy
Turkish Journal of Medical Sciences
Background/aim: To evaluate the short-term efficacy and safety of nondamaging retinal laser therapy (NRT) for retinitis pigmentosa-associated cystoid macular edema (RP-CME) and analyze anatomical and functional outcomes.
Materials and methods: A retrospective case series of 40 eyes from 30 patients with RP-CME was conducted. The patients underwent NRT using a PASCAL laser system with endpoint management (EpM) software. Central macular thickness (CMT) and best-corrected visual acuity (BCVA) were assessed at baseline and 2 months posttreatment. Long-term follow-up data, including recurrence rates were also reviewed.
Results: At the 2-month follow-up, NRT significantly reduced mean CMT by 79.7 μm (p < 0.001) and improved BCVA by 0.10 LogMAR (p < 0.001). Complete resolution of CME was observed in 30% of the eyes, while 52.5% experienced recurrence within 6 months. Unilateral cases exhibited greater CMT reductions than bilateral cases (p < 0.05). No retinal damage from the laser was observed. The long-term sustainability of these effects remains unclear, and repeated treatments have not yet been assessed.
Conclusion: NRT …
Il-40 Levels In Treatment-Naïve And Methotrexate-Treated Rheumatoid Arthritis Patients, Hamdi̇ Oğuzman, Mete Pekdi̇ker
Il-40 Levels In Treatment-Naïve And Methotrexate-Treated Rheumatoid Arthritis Patients, Hamdi̇ Oğuzman, Mete Pekdi̇ker
Turkish Journal of Medical Sciences
Background/aim: Rheumatoid arthritis (RA) is an autoimmune disease that is characterized by persistent inflammation and progressive damage to the joints. In this study, it was aimed to explore the role of interleukin (IL)-40, a newly discovered cytokine, in the pathogenesis of RA. We also aimed to investigate the relationship between IL-40 and other cytokines such as IL-4, transforming growth factor (TGF)-β1 and tumor necrosis factor (TNF)-α.
Materials and methods: This single-center, cross-sectional study included 87 participants divided into three groups: healthy controls (n = 29), newly diagnosed RA patients (n = 29), and RA patients with remission under methotrexate (MTX) …
Do The Amplitude Ratios Of Sensory Nerve Action Potentials In The Lower Extremities Have Any Diagnostic Utility In Distal Diabetic Polyneuropathy?, Işil Yazici Gençdal, Nermi̇n Görkem Şi̇ri̇n, İrem İlgezdi̇, Ümmü Mutlu, Eli̇f Kocasoy Orhan, Mehmet Bariş Baslo, Nevi̇n Di̇nççağ, Ali̇ Emre Öge
Do The Amplitude Ratios Of Sensory Nerve Action Potentials In The Lower Extremities Have Any Diagnostic Utility In Distal Diabetic Polyneuropathy?, Işil Yazici Gençdal, Nermi̇n Görkem Şi̇ri̇n, İrem İlgezdi̇, Ümmü Mutlu, Eli̇f Kocasoy Orhan, Mehmet Bariş Baslo, Nevi̇n Di̇nççağ, Ali̇ Emre Öge
Turkish Journal of Medical Sciences
Background/aim: To investigate the diagnostic sensitivity of sural sensory nerve action potential (SNAP) to medial femoral cutaneous nerve and dorsal sural to sural SNAP amplitude ratios in patients with diabetic polyneuropathy.
Materials and methods: Sural/radial (SRAR), sural/medial femoral cutaneous (SMFAR), and dorsal sural/sural (DSSAR) SNAP amplitude ratios were calculated in 22 controls and 46 patients with type 2 diabetes mellitus. Combined sensory scores (superficial peroneal, sural, dorsal sural, and medial plantar SNAPs), and amplitude ratio scores (SRAR, DSSAR, and SMFAR) were assessed. The parameters were compared statistically between the patient and control groups.
Results: All SNAP amplitudes were significantly lower …
Effectiveness Of Ultrasonography-Guided Periforaminal Oxygen-Ozone Therapy In Chronic Low Back Pain, Esra Ülgen Kiratlioğlu, Kutay Tezel, Eda Gürçay
Effectiveness Of Ultrasonography-Guided Periforaminal Oxygen-Ozone Therapy In Chronic Low Back Pain, Esra Ülgen Kiratlioğlu, Kutay Tezel, Eda Gürçay
Turkish Journal of Medical Sciences
Background/aim: Treatment of chronic low back pain (LBP) includes various minimally invasive image-guided interventional techniques. The aim of this study, which was planned based on the idea that periforaminal oxygen-ozone (O2-O3) gas application with ultrasonography (USG) could be an alternative treatment option, was to compare the therapeutic efficacy of USG-guided periforaminal ozone infiltration (PFOI) or transforaminal epidural steroid injection (TFESI) in patients with chronic radicular LBP on pain, disability, and quality of life (QoL).
Materials and methods: A total of 50 patients were randomly divided into 2 groups of 25 patients each underwent PFOI by USG or TFESI via fluoroscopy. …
Vitamin D Deficiency And Surgical Cellulose Mimicking Parathyroid Adenomaafter Initial Parathyroidectomy, Mustafa Şahi̇n, Volkan Genç, Koray Ceyhan, Demet Corapcioglu
Vitamin D Deficiency And Surgical Cellulose Mimicking Parathyroid Adenomaafter Initial Parathyroidectomy, Mustafa Şahi̇n, Volkan Genç, Koray Ceyhan, Demet Corapcioglu
Turkish Journal of Medical Sciences
Background/aim: Primary hyperparathyroidism is a condition characterized by an excessive production of parathyroid hormone primarily resulting from the presence of an adenoma or hyperplasia of the parathyroid glands.
Materials and methods: A 45-year-old woman who had previously experienced high levels of calcium in her blood and abnormally elevated parathyroid hormone levels underwent surgical removal of the left parathyroid gland. Following surgery, she exhibited high levels of parathyroid hormone along with normalized calcium levels and persistent fatigue. Ultrasound imaging showed a hypoechoic mass on the left side, which was initially considered to be a recurrent parathyroid tumor.
Results: A comprehensive assessment, …
Pemhigus Herpetiformis: A Single Center Tertiary Care Experience, Merve Hatun Erkayman, Handan Bi̇len, Zeynep Karaca Ural, Eli̇f Demi̇rci̇
Pemhigus Herpetiformis: A Single Center Tertiary Care Experience, Merve Hatun Erkayman, Handan Bi̇len, Zeynep Karaca Ural, Eli̇f Demi̇rci̇
Turkish Journal of Medical Sciences
Background/aim: Pemphigus herpetiformis (PH) is a rare variant of pemphigus with a complex pathogenesis that is often difficult to diagnose. The literature generally presents data based on small case series. This study aims to broaden the understanding of PH by presenting our cases’ clinical, histopathological, and immunological characteristics.
Materials and methods: A retrospective analysis of the medical charts of patients diagnosed with PH between 2008 and 2023 from the Dermatology Clinic at Atatürk University’s Faculty of Medicine was performed. The diagnostic criteria proposed by Kasperkiewics et al. were applied. All patients had lesional and perilesional skin biopsies for histopathologic examination …
Medicolegal Evaluation Of Pediatric Patients With Injection Neuropathy, Hizir Asliyüksek, Caner Beşkoç, Ömer Faruk Şi̇mşeker, Ni̇han Hande Akçakaya, Adem Karbuz
Medicolegal Evaluation Of Pediatric Patients With Injection Neuropathy, Hizir Asliyüksek, Caner Beşkoç, Ömer Faruk Şi̇mşeker, Ni̇han Hande Akçakaya, Adem Karbuz
Turkish Journal of Medical Sciences
Background/aim: Injection neuropathy (IN) is a rare but preventable form of iatrogenic nerve injury, particularly affecting the sciatic nerve when intramuscular injections are administered incorrectly. While IN is uncommon in high-income countries, it remains a sig- nificant public health issue in Türkiye, especially in pediatric populations. The aim of this study is to evaluate pediatric IN cases referred to the Council of Forensic Medicine and highlight medicolegal aspects to inform clinical and legal preventive strategies.
Materials and methods: We retrospectively analyzed 67 pediatric cases (age range: 1–17 years; mean age: 10.5 years; 57 boys, 10 girls) referred to the Council …
Evaluation And Validation Of 3d-Printed Anatomical Urinary System Model And Virtual Reality Rirs Simulators In Rirs Training: A Comparative Study, Mehmet Ezer, Tahsi̇n Batuhan Aydoğan, Lazaros Tzelves, Andreas Skolarikos, Mehmet Uslu, Kemal Sarica, Emre Huri̇
Evaluation And Validation Of 3d-Printed Anatomical Urinary System Model And Virtual Reality Rirs Simulators In Rirs Training: A Comparative Study, Mehmet Ezer, Tahsi̇n Batuhan Aydoğan, Lazaros Tzelves, Andreas Skolarikos, Mehmet Uslu, Kemal Sarica, Emre Huri̇
Turkish Journal of Medical Sciences
Background/aim: This study evaluates the use of a 3D-printed anatomical urinary system model (3D-AUSM) and a Virtual Reality RIRS Simulator (VRRS), for training in RIRS, based on real user feedback.
Materials and methods: The 3D-AUSM was created using cadaver CT and MRI scans, and the data was transferred to a VR environment for simulation. A total of 43 inexperienced urology trainees participated in the theoretical phase of the RIRS training program. Of these, 32 trainees (Group T) who passed a proficiency exam proceeded to the hands-on training phase with the 3D-AUSM and VRRS models. Additionally, 17 experienced surgeons (Group S) …
Development Study Of Scientific Competence And Activity Scale In Medical Faculty Research Assistants, Cemal Koçak, Hande Güverci̇n, Ecem Esen, Meltem Çöl
Development Study Of Scientific Competence And Activity Scale In Medical Faculty Research Assistants, Cemal Koçak, Hande Güverci̇n, Ecem Esen, Meltem Çöl
Turkish Journal of Medical Sciences
Background/aim: One mission of medical faculties is training scientists equipped with the necessary knowledge, skills, attitudes, who can evaluate the scientific research. The aim was to develop a scale for evaluating the level of scientific competence and activity in research assistants.
Materials and methods: The study is a methodological study, conducted in October 2023-May 2024 with 299 research assistants working at X University Faculty of Medicine. The reliability was assessed by item-total correlation and Cronbach-alpha coefficient; construct validity was assessed by EFA. In EFA, principal component analysis, Varimax rotation were used. KMO and Barttlet test p value were calculated. Groups …
Administration Of Adipose Tissue-Derived Mesenchymal Stem Cells And Bone Marrow-Derived Mesenchymal Stem Cells In Anosmic Mice, Burak Hazir, Alper Ceylan, Emi̇n Ümi̇t Bağriaçik, Duygu Dayanir, Betül Öğüt, Ni̇han Örüklü, Mücahi̇t Yalçin, Berkay Şi̇mşek, Muammer Meli̇h Şahi̇n
Administration Of Adipose Tissue-Derived Mesenchymal Stem Cells And Bone Marrow-Derived Mesenchymal Stem Cells In Anosmic Mice, Burak Hazir, Alper Ceylan, Emi̇n Ümi̇t Bağriaçik, Duygu Dayanir, Betül Öğüt, Ni̇han Örüklü, Mücahi̇t Yalçin, Berkay Şi̇mşek, Muammer Meli̇h Şahi̇n
Turkish Journal of Medical Sciences
Background/aim: Anosmia, a serious condition that affects the sense of smell, has no universally agreed-upon treatment. Adult stem cells are considered a potential option for treating anosmia. This study aims to evaluate the efficacy of mesenchymal stem cells derived from different tissues in an anosmic mouse model induced by 3-methylindole (3-MI).
Materials and methods: In our study, 36 mice with 3-MI-induced anosmia were divided into subgroups. Anosmia was confirmed by performing a food-finding test (FFT) in each group. Intranasal phosphate-buffered saline was administered to the first group, adipose tissue-derived mesenchymal stem cells (ADSCs) to the second group, and bone marrow-derived …
Forensic Identification Using Airdna: A Preliminary Study On The Collection, Isolation, Amplification And Sequencing Of Human Dna From Air Samples, Sitki Tiplamaz, Zehra Ömeroğlu Ulu, Bestami̇ Çolak, Hizir Asliyüksek, Fi̇kretti̇n Şahi̇n
Forensic Identification Using Airdna: A Preliminary Study On The Collection, Isolation, Amplification And Sequencing Of Human Dna From Air Samples, Sitki Tiplamaz, Zehra Ömeroğlu Ulu, Bestami̇ Çolak, Hizir Asliyüksek, Fi̇kretti̇n Şahi̇n
Turkish Journal of Medical Sciences
Background/aim: Humans continually release skin cells and DNA fragments into the air. This DNA can either remain airborne or drop onto surfaces as indoor dust. This study investigates the collection, isolation, amplification, and sequencing of human DNA from air samples, focusing on both nuclear DNA and mitochondrial DNA.
Materials and methods: This study was conducted in a 15 m3 room and a meeting room, where air samples were systematically collected and filtered using a vacuum device equipped with various sterile filters. The rigorous protocols were implemented to prevent contamination throughout the process. Thirteen air samples were processed in this research, …
Cardiometabolic Risk Factors And Their Association With Carotid Intima Media Thickness Among Patients With Type 2 Diabetes Mellitus, Christian Saleh
Cardiometabolic Risk Factors And Their Association With Carotid Intima Media Thickness Among Patients With Type 2 Diabetes Mellitus, Christian Saleh
Turkish Journal of Medical Sciences
No abstract provided.
Bibliometric Analysis Of Colchicine In Cardiovascular Health: Trends, Key Contributors, And Global Collaborations, Meltem Sertbaş, Özlem Özaydin, Habi̇p Yilmaz, Abdullah Emre Güner, Özden Güdük, Nalan Okuroğlu, Ali̇ Özdemir, Yaşar Sertbaş
Bibliometric Analysis Of Colchicine In Cardiovascular Health: Trends, Key Contributors, And Global Collaborations, Meltem Sertbaş, Özlem Özaydin, Habi̇p Yilmaz, Abdullah Emre Güner, Özden Güdük, Nalan Okuroğlu, Ali̇ Özdemir, Yaşar Sertbaş
Turkish Journal of Medical Sciences
Background/aim: The study aims to systematically analyze the body of literature concerning the effects of colchicine on the cardiovascular system, providing a comprehensive evaluation of the current knowledge and highlighting the clinical and scientific relevance of colchicine in this field.
Materials and methods: Data were obtained from the Web of Science Core Collection database on November 17, 2024. The search terms included “Colchicine” AND "Cardiovascular effects" OR "Cardiovascular diseases" OR "Heart diseases" OR "Coronary artery disease" OR "Myocarditis" OR "Pericarditis" OR "Atherosclerosis" OR "Heart failure" OR "Myocardial infarction." No restrictions were applied regarding publication date or language, ensuring the comprehensive …
Expert Opinion On Clinical Presentation, Diagnosis And Treatment Of Infantile Onset Pompe Disease: A Delphi Study In Türkiye, Eki̇n Özsaydi Aktaşoğlu, Asli İnci̇, Ridvan Murat Öktem, Gürsel Bi̇beroğlu, İlyas Okur, Fati̇h Süheyl Ezgü, Fi̇li̇z Başak Cengi̇z Ergi̇n, Abdurrahman Akgün, Nur Arslan, Hali̇l İbrahi̇m Aydin, Ayşe Ergül Bozaci, Mahmut Çoker, Fatma Tuba Emi̇noğlu, Meli̇ke Ersoy, Emi̇ne Göksoy, Banu Kadioğlu Yilmaz, Mehtap Kağnici, Mustafa Kiliç, Nesli̇han Önenli̇ Mungan, Burcu Öztürk Hişmi̇, Pembe Soylu Üstkoyuncu, Ayşegül Tokatli, Ayşe Çi̇ğdem Aktuğlu Zeybek, Berrak Bi̇lgi̇ner Gürbüz, Sevi̇l Dorum, Di̇lek Güneş, Çi̇ğdem Seher Kasapkara, Sebi̇le Kilavuz, Erdoğan Soyuçen, Peli̇n Teke Kisa, Özlem Ünal Uzun, Fatma Derya Bulut, Songül Gökay, Selen Has Özhan, Deni̇z Kor, Aynur Küçükcongar Yavaş, Fi̇gen Özçay, Yilmaz Yildiz, Harun Yildiz, Leyla Tümer
Expert Opinion On Clinical Presentation, Diagnosis And Treatment Of Infantile Onset Pompe Disease: A Delphi Study In Türkiye, Eki̇n Özsaydi Aktaşoğlu, Asli İnci̇, Ridvan Murat Öktem, Gürsel Bi̇beroğlu, İlyas Okur, Fati̇h Süheyl Ezgü, Fi̇li̇z Başak Cengi̇z Ergi̇n, Abdurrahman Akgün, Nur Arslan, Hali̇l İbrahi̇m Aydin, Ayşe Ergül Bozaci, Mahmut Çoker, Fatma Tuba Emi̇noğlu, Meli̇ke Ersoy, Emi̇ne Göksoy, Banu Kadioğlu Yilmaz, Mehtap Kağnici, Mustafa Kiliç, Nesli̇han Önenli̇ Mungan, Burcu Öztürk Hişmi̇, Pembe Soylu Üstkoyuncu, Ayşegül Tokatli, Ayşe Çi̇ğdem Aktuğlu Zeybek, Berrak Bi̇lgi̇ner Gürbüz, Sevi̇l Dorum, Di̇lek Güneş, Çi̇ğdem Seher Kasapkara, Sebi̇le Kilavuz, Erdoğan Soyuçen, Peli̇n Teke Kisa, Özlem Ünal Uzun, Fatma Derya Bulut, Songül Gökay, Selen Has Özhan, Deni̇z Kor, Aynur Küçükcongar Yavaş, Fi̇gen Özçay, Yilmaz Yildiz, Harun Yildiz, Leyla Tümer
Turkish Journal of Medical Sciences
Background/aim: Pompe disease (acid maltase deficiency, glycogen storage disease type II, OMIM #606800) is an autosomal recessive disorder characterized by lysosomal acid-α-glucosidase deficiency. The infantile-onset type of the disease is mainly characterized by cardiomegaly, hypotonia, and a high mortality rate. This study aimed to create a national consensus about infantile-onset Pompe disease (IOPD) to raise awareness among clinicians and standardize diagnosis and treatment approaches in Türkiye.
Materials and methods: The Gazi University Division of Metabolic Diseases and Nutrition developed this expert opinion consensus and expanded it to include metabolism specialists across Türkiye. A systematic literature review was performed, and the …
Prognostic Factors For Long-Term Outcomes Of Unilateral Atrophic Kidneys In Adult Patients: A Single-Center Retrospective Cohort Study, Zülal İstemi̇han, Ahmet Burak Di̇ri̇m, Ali̇ Riza Uçar, Ceren Bağriaçik, Gamze Kemeç, Şafak Mi̇ri̇oğlu, Seda Şafak, Vafa Suleymanova, Özgür Akin Oto, Ayşe Serra Artan, Alaatti̇n Yildiz, Aydin Türkmen, Hali̇l Yazici
Prognostic Factors For Long-Term Outcomes Of Unilateral Atrophic Kidneys In Adult Patients: A Single-Center Retrospective Cohort Study, Zülal İstemi̇han, Ahmet Burak Di̇ri̇m, Ali̇ Riza Uçar, Ceren Bağriaçik, Gamze Kemeç, Şafak Mi̇ri̇oğlu, Seda Şafak, Vafa Suleymanova, Özgür Akin Oto, Ayşe Serra Artan, Alaatti̇n Yildiz, Aydin Türkmen, Hali̇l Yazici
Turkish Journal of Medical Sciences
Background/aim: Unilateral atrophic kidney (UAK) could be related to many etiologies that can cause chronic kidney disease in adults. There is limited data on the long-term outcome of adults with UAK in the literature.
Materials and methods: This study included 199 adult patients with UAK. The etiology, baseline clinical/laboratory, and radiological findings were evaluated. Composite primary outcomes (CPO) (chronic kidney disease stage 5 or doubling of serum creatinine) and secondary outcomes (new-onset proteinuria (>0.5 g/day or g/g) or >50% increase in proteinuria level according to baseline, mortality, and nephrectomy requirement during follow-up) were evaluated in 166 patients with at …
Investigation Of The Relationship Between Triglyceride Glucose Index And Metabolic And Hematological Parameters In Obese Individuals, Özge Baş Aksu, Feri̇de Özkara, Rifat Emral, Volkan Genç, Demet Çorapçioğlu, Mustafa Şahi̇n
Investigation Of The Relationship Between Triglyceride Glucose Index And Metabolic And Hematological Parameters In Obese Individuals, Özge Baş Aksu, Feri̇de Özkara, Rifat Emral, Volkan Genç, Demet Çorapçioğlu, Mustafa Şahi̇n
Turkish Journal of Medical Sciences
Background/aim: This research examined the association between the triglyceride-glucose (TyG) index and metabolic, hepatic, and hematologic variables in a population of severely obese subjects, with a focus on the assessment of glycemic control.
Materials and methods: This retrospective study included 315 adult patients with a body mass index (BMI) ≥ 35 kg/m² who were evaluated for bariatric surgery. Participants were grouped according to HbA1c levels: those with HbA1c ≥ 6.5% and those with HbA1c < 6.5%. TyG, atherogenic index of plasma (AIP), fibrosis-4 (FIB-4), aspartate aminotransferase-to-platelet ratio index (APRI), and hematological inflammation markers were assessed and compared between groups. To investigate associations, correlation and regression analyses were conducted.
Results: Individuals with HbA1c ≥ 6.5% had significantly higher TyG, AIP, APRI, and FIB-4 values than those with lower HbA1c. The TyG index showed a strong …
The Role Of The Hemoglobin-Albumin-Lymphocyte-Platelet (Halp) Score In Deep Neck Infections And Its Relationship With Clinical Parameters, Ayşe Seçi̇l Kayali Di̇nç, Nagi̇han Gülhan Yaşar, Agah Yeni̇çeri̇, Çeti̇n Şahutoğlu, İbrahi̇m Sevi̇m, Meli̇h Çayönü
The Role Of The Hemoglobin-Albumin-Lymphocyte-Platelet (Halp) Score In Deep Neck Infections And Its Relationship With Clinical Parameters, Ayşe Seçi̇l Kayali Di̇nç, Nagi̇han Gülhan Yaşar, Agah Yeni̇çeri̇, Çeti̇n Şahutoğlu, İbrahi̇m Sevi̇m, Meli̇h Çayönü
Turkish Journal of Medical Sciences
Background/aim: Deep neck infections (DNI) are suppurative infections of the cervical spaces, which may lead to life-threatening complications. The HALP score is a laboratory parameter reflecting a patient’s nutritional and inflammatory status. The aim of this study was to compare the HALP scores of patients with DNI with those of a control group. A secondary objective was to investigate the potential relationship between the HALP score and clinical parameters, and to assess its role in determining disease severity.
Materials and methods: The study retrospectively included patients who were hospitalized and treated for DNI. Data were extracted from the hospital’s electronic …
Health Impacts And Medical Assistance After Libyan Flood Disaster: Emergency Medical Teams’ Responses, Hakan Güner, Okan Maden, Muhammed Saltuk Deni̇z, Kerem Dost Bi̇lmez, Şükrü Yorulmaz, Mehmet Enes Gökler
Health Impacts And Medical Assistance After Libyan Flood Disaster: Emergency Medical Teams’ Responses, Hakan Güner, Okan Maden, Muhammed Saltuk Deni̇z, Kerem Dost Bi̇lmez, Şükrü Yorulmaz, Mehmet Enes Gökler
Turkish Journal of Medical Sciences
Background/aim: Floods are the most frequent natural disasters and pose direct and indirect health risks, some well-documented and others poorly understood. Epidemiological studies help bridge these gaps and guide effective public health responses.In September 2023, Storm Daniel caused severe flooding in Libya, damaging infrastructure, including healthcare facilities. The disaster affected 250,000 people, displaced 48,000, and claimed 15,000 lives, making it the second deadliest natural disaster of the year. This study aims to assess the characteristics of flood-affected patients to improve disaster preparedness.
Materials and methods: This descriptive study examined disaster victims who visited three clinics established as part of an …
Erratum To " Evaluation Of Clinical Features And Treatment Modality Of Pediatric Patients With Steven Johnson Syndrome/Toxic Epidermal Necrolysis: A Single-Center Experience " [ Turkish Journal Of Medical Sciences 55 2 461 469], Funda Ayteki̇n Güveni̇r
Turkish Journal of Medical Sciences
In the original article, the ORCID of one of the co-authors, Hatice Irmak ÇELİK, was incorrectly reported by the corresponding author. At the request of the authors, the ORCID has been corrected to reflect the accurate information. This correction does not affect the content or conclusions of the article. The authors apologize for this oversight.
Link to the original article: https://doi.org/10.55730/1300-0144.5990
Quadratus Lumborum Block For Total Abdominal Hysterectomy: A Double-Blind, Randomized, Controlled Trial, Nada Pejcic, Marija Kutlesic, Ivan Velickovic, Vladimir Milic, Slavisa Kovacevic, Radmilo Jankovic, Dejan Mitic, Radomir Mitic, Nenad Zornic
Quadratus Lumborum Block For Total Abdominal Hysterectomy: A Double-Blind, Randomized, Controlled Trial, Nada Pejcic, Marija Kutlesic, Ivan Velickovic, Vladimir Milic, Slavisa Kovacevic, Radmilo Jankovic, Dejan Mitic, Radomir Mitic, Nenad Zornic
Turkish Journal of Medical Sciences
Background/aim: The Quadratus lumborum block (QLB) is an interfascial block recommended for multimodal pain therapy after cesarean section in patients who cannot receive intrathecal morphine. We wanted to investigate whether QLB contributes to better analgesia after total abdominal hysterectomy (TAH). The study was registered on the website ClinicalTrials.gov (registration number NCT05765318).
Materials and methods: Patients scheduled for TAH were randomized into two groups of 30 members each. The treatment group received QLB, while the control group did not undergo any block. The primary outcome was the amount of morphine during the first 12 postoperative h. Secondary outcomes included the total …
A Comparison Of Turp, Holep, And Rfa For Nonneurogenic Luts In Men, Turgay Ebi̇loğlu, Özgür Çinar, Selçuk Sarikaya, Adem Emrah Coğuplugi̇l, Bahadir Topuz, Cengi̇z Kara, Selahatti̇n Bedi̇r
A Comparison Of Turp, Holep, And Rfa For Nonneurogenic Luts In Men, Turgay Ebi̇loğlu, Özgür Çinar, Selçuk Sarikaya, Adem Emrah Coğuplugi̇l, Bahadir Topuz, Cengi̇z Kara, Selahatti̇n Bedi̇r
Turkish Journal of Medical Sciences
Background/aim: The effect of transurethral resection of the prostate (TURP) for nonneurogenic male lower urinary tract symptoms (LUTS) is well known. However, recent advancements have come into use, so studies have been done to compare these new techniques to the gold standard TURP technique. The aim of this study was to compare the results of TURP, holmium laser enucleation of the prostate (HoLEP), and radiofrequency ablation (RFA) in men.
Materials and methods: The patients who had the TURP procedure were defined as group 1 (G1), those who had HoLEP were in group 2 (G2), and those who had RFA were …
Survival Of Patients With 2014 Figo Stage Iiic High-Grade Serous Ovarian Cancer Who Treated With Platin-Based Adjuvant Chemotherapy, Mehmet Ünsal, Meltem Yücesoy, Okan Oktar, Yeşi̇m Uçar, Gülşah Ti̇ryaki̇ Güner, Okan Ayteki̇n, A.Alp Tokalioğlu, Hande Esra Koca Yildirim, Fati̇h Kiliç, Burak Ersak, Caner Çakir, Di̇lek Yüksel, Çi̇ğdem Kiliç, Sevgi̇ Koç, Günsu Ki̇myon Cömert, Özlem Moraloğlu Teki̇n, Yaprak Engi̇n Üstün, Taner Turan
Survival Of Patients With 2014 Figo Stage Iiic High-Grade Serous Ovarian Cancer Who Treated With Platin-Based Adjuvant Chemotherapy, Mehmet Ünsal, Meltem Yücesoy, Okan Oktar, Yeşi̇m Uçar, Gülşah Ti̇ryaki̇ Güner, Okan Ayteki̇n, A.Alp Tokalioğlu, Hande Esra Koca Yildirim, Fati̇h Kiliç, Burak Ersak, Caner Çakir, Di̇lek Yüksel, Çi̇ğdem Kiliç, Sevgi̇ Koç, Günsu Ki̇myon Cömert, Özlem Moraloğlu Teki̇n, Yaprak Engi̇n Üstün, Taner Turan
Turkish Journal of Medical Sciences
Background/aim: Epithelial ovarian cancer is the second most prevalent type of gynecological cancer. We aimed to investigate prognostic factors related to survival in patient with 2014 FIGO stage IIIC high-grade serous ovarian cancer (HGSOC).
Materials and methods: Two hundred fifty eight patients were evaluated retrospectively. The absence of a visible tumor was determined as maximum cytoreduction, and a residual tumor size of 1 cm or less was determined as optimal cytoreduction. Patients who underwent cytoreduction followed by a combination of platinum and taxane adjuvant chemotherapy were included. Exclusion criteria for the study were patients taking neoadjuvant chemotherapy and those with …
Acute Effects Of Virtual Reality-Based Relaxation And Exergaming On Primary Dysmenorrhea Symptoms, Muhammed Şeref Yildirim, Merve Çoğ, Büşra Mehder Akbaş, Si̇nem Salar, Hi̇lal Kekli̇cek
Acute Effects Of Virtual Reality-Based Relaxation And Exergaming On Primary Dysmenorrhea Symptoms, Muhammed Şeref Yildirim, Merve Çoğ, Büşra Mehder Akbaş, Si̇nem Salar, Hi̇lal Kekli̇cek
Turkish Journal of Medical Sciences
Background/aim: Primary dysmenorrhea (PD) is a menstrual disorder with significant physical and psychological impacts. Physical activity and relaxation techniques are proven methods for managing PD. Advances in virtual reality (VR) suggest that immersive relaxation and exergaming could provide new avenues for symptom relief. This study aimed to investigate the acute effects of VR-based interventions on PD symptoms and compare them with a control group receiving Jacobson’s Relaxation
Materials and methods: A randomized, controlled, single-blind trial was conducted with 43 female participants aged 18–30 years with regular menstrual cycles and PD. Participants were allocated to three groups: (I) immersive VR relaxation, …
A Prospective Study For The Examination Of Peripheral Blood Smear Samples In Pediatric Population Using Artificial Intelligence, Eli̇f Habi̇be Akteki̇n, Mert Burkay Çöteli̇, Ayşe Erbay, Nalan Yazici
A Prospective Study For The Examination Of Peripheral Blood Smear Samples In Pediatric Population Using Artificial Intelligence, Eli̇f Habi̇be Akteki̇n, Mert Burkay Çöteli̇, Ayşe Erbay, Nalan Yazici
Turkish Journal of Medical Sciences
Background/aim: Peripheral blood smear (PBS) and bone marrow aspiration are gold standards of manual microscopy diagnostics for blood cell disorders. Nowadays, data-driven artificial intelligence (AI) techniques open new perspectives in digital hematology. This study proposes an AI learning technique for the classification of blood cells over PBS samples while increasing the sensitivity and specificity rates of the experts as a decision support system of a prediagnostic tool.
Materials and methods: The methodology of this study comprises three steps for the creation of an effective learning technique for blood cell disorders. First is the digitization of PBS samples in 100x optical-digital …