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2020

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Articles 1381 - 1410 of 1778

Full-Text Articles in Medical Sciences

The Importance Of Quality And Accreditation In Health Care Services In The Process Ofstruggle Against Covid-19, Demet Gökmen Kavak, Ayşe Si̇bel Öksüz, Canan Cengi̇z, İbrahi̇m Hali̇l Kayral, Fi̇gen Çi̇zmeci̇ Şenel Jan 2020

The Importance Of Quality And Accreditation In Health Care Services In The Process Ofstruggle Against Covid-19, Demet Gökmen Kavak, Ayşe Si̇bel Öksüz, Canan Cengi̇z, İbrahi̇m Hali̇l Kayral, Fi̇gen Çi̇zmeci̇ Şenel

Turkish Journal of Medical Sciences

Background/aim: The aim of this research is to evaluate the relationship between the quality of health and accreditation standards with the Covid-19 process and to reveal the importance of quality and accreditation in health care in the process of combating coronavirus. Materials and methods: The relationship between hospital accreditation standards of Turkish Healthcare Quality and Accreditation Institute and the Covid-19 process was evaluated. The standards were analyzed within the framework of the technical guidance areas provided by the World Health Organization for countries for the Covid-19 process. Results: The standards were found to be 79,6% related to the Covid-19 process. …

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Influence Of Aluminum Salts On Covid-19 Infected Patients, Ali̇ Demi̇r, İbrahi̇m Erayman, Oğuz Doğan, Murat Keki̇lli̇ Jan 2020

Influence Of Aluminum Salts On Covid-19 Infected Patients, Ali̇ Demi̇r, İbrahi̇m Erayman, Oğuz Doğan, Murat Keki̇lli̇

Turkish Journal of Medical Sciences

Background/aim: Based on the antiviral and antibacterial properties of aluminum salts, we aimed to find out the influence of aluminum salts on COVID-19 infected patients. Materials and methods: We performed an observational retrospective cohort study which includes the patients diagnosed as COVID-19 and received aluminum salts in addition to actual treatments during hospitalization as the treatment group (Alum Group). Patients who received standard COVID-19 treatment protocols in the Infectious Diseases Clinics were included as the Control Group. Clinical findings, laboratory parameters, length of stay, survival, radiological follow-up, intensive care and mechanical ventilation needs, the presence of comorbidity, polymerase chain reaction …

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A Single Center Cohort Of 40 Severe Covid-19 Patients Who Were Treated Withconvalescent Plasma, Ali̇i̇hsan Gemi̇ci̇, Hülya Bi̇lgen, Cem Erdoğan, Abdullah Kansu, Oktay Olmuşçeli̇k, Hüseyi̇n Saffet Beköz, Rumeysa Çakmak, Ali̇ Mert, Ömür Gökmen Sevi̇ndi̇k Jan 2020

A Single Center Cohort Of 40 Severe Covid-19 Patients Who Were Treated Withconvalescent Plasma, Ali̇i̇hsan Gemi̇ci̇, Hülya Bi̇lgen, Cem Erdoğan, Abdullah Kansu, Oktay Olmuşçeli̇k, Hüseyi̇n Saffet Beköz, Rumeysa Çakmak, Ali̇ Mert, Ömür Gökmen Sevi̇ndi̇k

Turkish Journal of Medical Sciences

Background/aim: A SARS-Cov2 infection which was first arised from Wuhan in December 2019 and named as COVID-19. Still there lacks either a specific treatment or a vaccine to treat COVID-19. Convalescent plasma (CP) was previously used successfully to treat SARS-CoV-1 and MERS infections. Health authority in Turkey has published a guideline to integrate this promising option in the treatment process of patients who are prone to high risk of developing severe COVID 19. Materials and Methods: Forty consecutive patients who had received CP at our center were included in the study. Demographics, COVID-19 specific parameters, biomarkers to detect the severity …

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The Assessment Of The Serum Levels Of Tweak And Prostaglandin F2∝ In Covid - 19, Demet Yalçin Kehri̇bar, Mustafa Ci̇hangi̇roğlu, Emi̇ne Sehmen, Bahatti̇n Avci, Mustafa Çapraz, Maruf Boran, Caner Günaydin, Meti̇n Özgen Jan 2020

The Assessment Of The Serum Levels Of Tweak And Prostaglandin F2∝ In Covid - 19, Demet Yalçin Kehri̇bar, Mustafa Ci̇hangi̇roğlu, Emi̇ne Sehmen, Bahatti̇n Avci, Mustafa Çapraz, Maruf Boran, Caner Günaydin, Meti̇n Özgen

Turkish Journal of Medical Sciences

Background/aim: It is claimed that aberrant immune response has a more important role than the cytopathic effect of the virus in the morbidity and mortality of the coronavirus disease 2019 (COVID-19). We aimed to investigate the possible roles of tumor necrosis factor-like weak inducer of apoptosis (TWEAK)/Fn14 pathway and leukotrienes (LT) in uncontrolled immune response that occurs in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Materials and methods: This study included 25 asymptomatic patients and 35 patients with lung involvement who were diagnosed with COVID-19 as well as 22 healthy volunteers. Lung involvement was determined using computed-tomography. Serum TWEAK, LTE4, …

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Covid-19-Related Anxiety In People Living With Hiv: An Online Cross-Sectional Study, Özlem Kuman Tunçel, Hüsnü Pullukçu, Hüseyi̇n Aytaç Erdem, Behi̇ce Kurtaran, Seli̇n Ece Taşbakan, Meltem Taşbakan Jan 2020

Covid-19-Related Anxiety In People Living With Hiv: An Online Cross-Sectional Study, Özlem Kuman Tunçel, Hüsnü Pullukçu, Hüseyi̇n Aytaç Erdem, Behi̇ce Kurtaran, Seli̇n Ece Taşbakan, Meltem Taşbakan

Turkish Journal of Medical Sciences

Background/aim: The emergence of the coronavirus disease 2019 (COVID-19) outbreak has had an enormous emotional impact on some vulnerable groups, such as people living with human immunodeficiency virus (HIV) (PLHIV). This study was planned with the aim of assessing the anxiety levels of PLHIV and the sources of their anxiety. Materials and methods: A web-based questionnaire was sent to PLHIV using the virtual snowball sampling method. The questionnaire included questions about sociodemographic status, information about HIV infection, and the Beck Anxiety Inventory (BAI). Additionally, some opinions of the participants about COVID-19 were asked. Results: A total of 307 respondents, with …

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Covid-19 Experience Of The Major Pandemic Response Center In The Capital: Results Ofthe Pandemic's First Month In Turkey, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Bi̇rcan Kayaaslan, Adalet Aypak, Ayşe Kaya Kalem, Fatma Eser, Burcu Özdemi̇r, Eli̇f Muki̇me Saricaoğlu, Müge Ayhan, Yeşi̇m Aybar Bi̇li̇r, Işil Özkoçak Turan, Deni̇z Erdem, Nevzat Mehmet Mutlu, Turan Buzğan, Bedi̇a Di̇nç Jan 2020

Covid-19 Experience Of The Major Pandemic Response Center In The Capital: Results Ofthe Pandemic's First Month In Turkey, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Bi̇rcan Kayaaslan, Adalet Aypak, Ayşe Kaya Kalem, Fatma Eser, Burcu Özdemi̇r, Eli̇f Muki̇me Saricaoğlu, Müge Ayhan, Yeşi̇m Aybar Bi̇li̇r, Işil Özkoçak Turan, Deni̇z Erdem, Nevzat Mehmet Mutlu, Turan Buzğan, Bedi̇a Di̇nç

Turkish Journal of Medical Sciences

Background/aim: The aim of this study is to evaluate the epidemiological and clinical characteristics and parameters that determined the clinical course and prognosis of the COVID-19 patients admitted to Ankara City Hospital during the first month of the pandemic in Turkey. Materials and methods: SARS-CoV-2 PCR positive patients who were hospitalized between March 10 and April 10, 2020 were included. Results: Among 222 patients, mean age was higher in severe acute respiratory illness (SARI)/critical disease group (P < 0.001). Median time from illness onset to admission and presence of comorbidity, especially coronary artery disease and chronic obstructive pulmonary disease, were significantly higher in the SARI/critical disease group (P < 0.05). Cough and fever were the most common symptoms, while anosmia and loss of taste were observed in 8.6% and 7.7% patients, respectively. The mortality rate was 5.4%. A high neutrophil/lymphocyte ratio; low lymphocyte, monocyte, and platelet count; elevated liver enzymes; low GFR; and high levels of muscle enzymes, ferritin, and IL-6 on admission were found to be associated with SARI/critical disease (P < 0.05). Bilateral ground-glass opacity and patchy infiltration were more frequently seen in the SARI/critical disease group (P < 0.001). Patients older than 65 years had an 8-fold increased risk for development of SARI/critical disease. Conclusion: This cohort study regarding COVID-19 cases in Turkey reveals that older age, presence of comorbidity, bilateral infiltration on CT, high neutrophil/lymphocyte ratio, low monocyte and platelet count, elevated liver enzymes, low GFR, high levels of muscle enzymes, and high levels of ferritin and IL-6 on admission are predictors of SARI and severe disease.

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The Factors Predicting Pneumonia In Covid-19 Patients: Preliminary Results From Auniversity Hospital In Turkey, Hasan Selçuk Özger, Pinar Aysert Yildiz, Ümmügülsüm Gaygisiz, Asi̇ye Uğraş Di̇kmen, Zehra Demi̇rbaş Gülmez, Mehmet Yildiz, Esi̇n Şenol, Kenan Hizel, Özlem Güzel Tunçcan, Kayhan Çağlar, Gülendam Bozdayi, Nurdan Köktürk, Tansu Ulukavak Çi̇ftçi̇, Şahender Gülbi̇n Aygencel Bikmaz, Melda Türkoğlu Jan 2020

The Factors Predicting Pneumonia In Covid-19 Patients: Preliminary Results From Auniversity Hospital In Turkey, Hasan Selçuk Özger, Pinar Aysert Yildiz, Ümmügülsüm Gaygisiz, Asi̇ye Uğraş Di̇kmen, Zehra Demi̇rbaş Gülmez, Mehmet Yildiz, Esi̇n Şenol, Kenan Hizel, Özlem Güzel Tunçcan, Kayhan Çağlar, Gülendam Bozdayi, Nurdan Köktürk, Tansu Ulukavak Çi̇ftçi̇, Şahender Gülbi̇n Aygencel Bikmaz, Melda Türkoğlu

Turkish Journal of Medical Sciences

Background/aim: Pneumonia is the most serious clinical presentation of COVID-19. This study aimed to determine the demographic, clinical, and laboratory findings that can properly predict COVID-19 pneumonia. Materials and methods: This study was conducted in the Gazi University hospital. All hospitalized patients with confirmed and suspected SARS-CoV-2 infection between 16 March 2020 and 30 April 2020 were analyzed retrospectively. COVID-19 patients were separated into two groups, pneumonia and nonpneumonia, and then compared to determine predicting factors for COVID-19 pneumonia. Variables that had a P-value of less than 0.20 and were not correlated with each other were included in the logistic …

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Assessment Of Treatment Efficacy Of Diphenylcyclopropenone (Dpcp) For Alopecia Areata, Zekayi̇ Kutlubay, Ayşegül Sevi̇m, Övgü Aydin Ülgen, Suphi̇ Vehi̇d, Server Serdaroğlu Jan 2020

Assessment Of Treatment Efficacy Of Diphenylcyclopropenone (Dpcp) For Alopecia Areata, Zekayi̇ Kutlubay, Ayşegül Sevi̇m, Övgü Aydin Ülgen, Suphi̇ Vehi̇d, Server Serdaroğlu

Turkish Journal of Medical Sciences

Background/aim: Alopecia areata (AA) is an inflammatory disease with a genetic and autoimmune basis. Herein, it was aimed to study the efficacy and safety of an immunomodulatory therapeutic agent, diphenylcyclopropenone, while manifesting its association with histopathological features, prognostic factors, and side effects. Materials and methods: In this retrospective study, 98 patients (60 males, 38 females) with alopecia, who were referred to the Hair Disease Polyclinic at the Department of Dermatology, between 2011 and 2015, were included. Together with medical histories and dermatological examinations, a skin biopsy for histopathological examination was conducted for all of the patients prior to therapy. Therapeutic …

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Evidence That Osteogenic And Neurogenic Differentiation Capability Of Epidural Adiposetissue-Derived Stem Cells Was More Pronounced Than In Subcutaneous Cells, Bi̇lgehan Solmaz, Ali̇ Şahi̇n, Taha Keleştemur, Ertuğrul Kiliç, Erkan Kaptanoğlu Jan 2020

Evidence That Osteogenic And Neurogenic Differentiation Capability Of Epidural Adiposetissue-Derived Stem Cells Was More Pronounced Than In Subcutaneous Cells, Bi̇lgehan Solmaz, Ali̇ Şahi̇n, Taha Keleştemur, Ertuğrul Kiliç, Erkan Kaptanoğlu

Turkish Journal of Medical Sciences

Background/aim: The management of dura-related complications, such as the repairment of dural tears and reconstruction of large dural defects, remain the most challenging subjects of neurosurgery. Numerous surgical techniques and synthetic or autologous adjuvant materials have emerged as an adjunct to primary dural closure, which may result in further complications or side effects. Therefore, the subcutaneous autologous free adipose tissue graft has been recommended for the protection of the central nervous system and repairment of the meninges. In addition, human adipose tissue is also a source of multipotent stem cells. However, epidural adipose tissue seems more promising than subcutaneous because …

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Survival Analysis And Factors Affecting Survival In Patients Who Presented To The Medicaloncology Unit With Non-Small Cell Lung Cancer, Özgür Önal, Murat Koçer, Hande Nur Eroğlu, Servet Derya Yilmaz, İsmet Eroğlu, Di̇lek Karadoğan Jan 2020

Survival Analysis And Factors Affecting Survival In Patients Who Presented To The Medicaloncology Unit With Non-Small Cell Lung Cancer, Özgür Önal, Murat Koçer, Hande Nur Eroğlu, Servet Derya Yilmaz, İsmet Eroğlu, Di̇lek Karadoğan

Turkish Journal of Medical Sciences

Background/aim: This study aimed to investigate the effect of clinical and pathological indicators at the time of the diagnosis on overall survival in patients recently diagnosed with non-small cell lung cancer. Materials and methods: The study population consisted of patients who were diagnosed at the Faculty of Medicine at Isparta Süleyman Demirel University Hospital between January 1, 2010 and December 31, 2017 and presented to the medical oncology outpatient clinic. Results: A total of 518 patients were evaluated, including 260 patients with squamous cell carcinoma, 207 patients with adenocarcinoma, 50 patients with non-small cell lung cancer-not otherwise specified, and 1 …

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Cd34+ Hematopoietic Progenitor Cell Dose As A Predictor Of Engraftment And Survival Inmultiple Myeloma Patients Undergoing Autologous Stem Cell Transplantation, Eli̇fcan Aladağ Karakulak, Haluk Demi̇roğlu, Yahya Büyükaşik, Mehmet Turgut, Sali̇h Aksu, Ni̇lgün Sayinalp, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Hakan Göker Jan 2020

Cd34+ Hematopoietic Progenitor Cell Dose As A Predictor Of Engraftment And Survival Inmultiple Myeloma Patients Undergoing Autologous Stem Cell Transplantation, Eli̇fcan Aladağ Karakulak, Haluk Demi̇roğlu, Yahya Büyükaşik, Mehmet Turgut, Sali̇h Aksu, Ni̇lgün Sayinalp, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Hakan Göker

Turkish Journal of Medical Sciences

Background/aim: High-dose melphalan and autologous hematopoietic stem cell transplantation (AHSCT) is the standard treatment strategy for multiple myeloma (MM) patients who are eligible for it. The recommended dose of CD34+ hematopoietic progenitor cells (HPCs) for adequate engraftment is above 2 × 106 /kg. The aim of this study was to evaluate the relationship between the dose of CD34+ HPCs and survival in MM patients who underwent AHSCT at a tertiary care center. Materials and methods: Enrolled in this study were 271 MM patients who underwent AHSCT between 2003 and 2019. Clinical characteristics of the patients, disease status pre-AHSCT, reinfused CD34+ …

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The Effects Of Hand Splinting In Patients With Early-Stage Thumb Carpometacarpaljoint Osteoarthritis: A Randomized, Controlled Study, Asli Can, Ni̇hal Tezel Jan 2020

The Effects Of Hand Splinting In Patients With Early-Stage Thumb Carpometacarpaljoint Osteoarthritis: A Randomized, Controlled Study, Asli Can, Ni̇hal Tezel

Turkish Journal of Medical Sciences

Background/aim: Evidence for the effectiveness of splinting in thumb carpometacarpal osteoarthritis is limited. We aimed to evaluate the effects of a prefabricated carpometacarpal metacarpophalangeal immobilization splint on pain, hand function, and hand strength in patients with early-stage thumb carpometacarpal osteoarthritis. Materials and methods: Sixty-three hands with stage 1 or 2 thumb carpometacarpal osteoarthritis were enrolled in the study. The nonsplint group received oral information about how to accommodate daily activities. The splint group was given a prefabricated carpometacarpal metacarpophalangeal immobilization splint for 6 weeks. Pain was evaluated using the Australian/Canadian Osteoarthritis Hand Index (AUSCAN). Hand functions were evaluated using the …

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Rare Occurrence Of Common Filaggrin Mutations In Turkish Children With Food Allergyand Atopic Dermatitis, Neşe Vardar Acar, Özlem Cavkaytar, Ebru Arik Yilmaz, Ayşe Betül Büyükti̇ryaki̇, Özge Uysal Soyer, Ümi̇t Murat Şahi̇ner, Bülent Eni̇s Şekerel, İbrahi̇m Çağatay Karaaslan, Cansin Saçkesen Jan 2020

Rare Occurrence Of Common Filaggrin Mutations In Turkish Children With Food Allergyand Atopic Dermatitis, Neşe Vardar Acar, Özlem Cavkaytar, Ebru Arik Yilmaz, Ayşe Betül Büyükti̇ryaki̇, Özge Uysal Soyer, Ümi̇t Murat Şahi̇ner, Bülent Eni̇s Şekerel, İbrahi̇m Çağatay Karaaslan, Cansin Saçkesen

Turkish Journal of Medical Sciences

Background/aim: Filaggrin is a protein complex involved in epidermal differentiation and skin barrier formation. Mutations of the filaggrin gene (FLG) are associated with allergen sensitization and allergic diseases like atopic dermatitis (AD), allergic rhinitis, food allergy (FA), and asthma. The aim of the study is to reveal the frequency of change in the FLG gene and determine the association between FLG loss-of-function (LOF) mutations and FA and/or AD in Turkish children. Materials and methods: Four FLG loss-of-function (LOF) mutations known to be common in European populations were analyzed in 128 healthy children, 405 food-allergic children with or without atopic dermatitis, …

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Serum Paraoxonase 1 And 3 Activities In Benign And Malignant Diseases Of The Prostateand Changes In Levels Following Robotic-Assisted Laparoscopic Radical Prostatectomy, Fevzi̇ Bedi̇r, Hüseyi̇n Kocatürk, Mehmet Sefa Altay, Engi̇n Şebi̇n, Banu Bedi̇r Jan 2020

Serum Paraoxonase 1 And 3 Activities In Benign And Malignant Diseases Of The Prostateand Changes In Levels Following Robotic-Assisted Laparoscopic Radical Prostatectomy, Fevzi̇ Bedi̇r, Hüseyi̇n Kocatürk, Mehmet Sefa Altay, Engi̇n Şebi̇n, Banu Bedi̇r

Turkish Journal of Medical Sciences

Background/aim: This study aimed to examine serum paraoxonase 1 and 3 (PON1 and PON3) activities in benign and malignant diseases of the prostate, to determine lipid profile and malondialdehyde (MDA) levels, and to investigate changes in levels following robotic-assisted laparoscopic radical prostatectomy (RALRP). Materials and methods: A total of 137 patients, including a control group, were enrolled in the study and assigned into four groups. Group 1 (n = 33) consisted of patients previously undergoing RALRP with no recurrence, group 2 (n = 36) consisted of patients diagnosed with prostate cancer (PCa) and undergoing RALRP, and group 3 (n = …

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Seasonal Variations Of Patients Presenting Dyspnea To Emergency Departments In Europe:Results From The Eurodem Study, Mehmet Aki̇f Karamercan, Zerri̇n Defne Dündar, Mehmet Ergi̇n, Oene Van Meer, Richard Body, Veli̇-Pekka Harjola, Franck Verschuren, Micheal Christ, Adela Golea, Jean Capsec, Cinzia Barletta, Luis Garcia-Castrillo, Yusuf Ali̇ Altunci, Yavuz Katirci, Anne-Maree Kelly Jan 2020

Seasonal Variations Of Patients Presenting Dyspnea To Emergency Departments In Europe:Results From The Eurodem Study, Mehmet Aki̇f Karamercan, Zerri̇n Defne Dündar, Mehmet Ergi̇n, Oene Van Meer, Richard Body, Veli̇-Pekka Harjola, Franck Verschuren, Micheal Christ, Adela Golea, Jean Capsec, Cinzia Barletta, Luis Garcia-Castrillo, Yusuf Ali̇ Altunci, Yavuz Katirci, Anne-Maree Kelly

Turkish Journal of Medical Sciences

Background/aim: To describe seasonal variations in epidemiology, management, and short-term outcomes of patients in Europe presenting to an emergency department (ED) with a main complaint of dyspnea. Materials and methods: An observational prospective cohort study was performed in 66 European EDs which included consecutive patients presenting to EDs with dyspnea as the main complaint during 3 72-h study periods. Data were collected on demographics, comorbidities, chronic treatment, prehospital treatment, mode of arrival of patient to ED, clinical signs at admission, treatment in the ED, ED diagnosis, discharge from ED, and in-hospital outcome. Results: The study included 2524 patients with a …

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Relationship Between Malnutrition And Coronary Microvascular Dysfunction In Patientswith Nonischemic Dilated Cardiomyopathy, Şeref Kul, Tolga Si̇nan Güvenç, Mustafa Çalişkan Jan 2020

Relationship Between Malnutrition And Coronary Microvascular Dysfunction In Patientswith Nonischemic Dilated Cardiomyopathy, Şeref Kul, Tolga Si̇nan Güvenç, Mustafa Çalişkan

Turkish Journal of Medical Sciences

Background/ aim: Malnutrition is common in patients with nonischemic dilated cardiomyopathy (DCM), especially in the end stages of the disease where heart failure symptoms predominate. Malnutrition has been associated with atherosclerosis in patients with chronic kidney disease, but it is unknown whether a similar relationship exists between malnutrition and coronary microvascular dysfunction (CMD). In the present study, we aimed to analyse whether indices of malnutrition were associated with coronary flow reserve (CFR) in patients with DCM. Materials and methods: A total of 33 cases who were prospectively followed up with by institutional DCM registry were found eligible for inclusion. Coronary …

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Effects Of Immunization Program On Morbidity And Mortality Rates Ofvaccine-Preventable Diseases In Turkey, Tufan Nayi̇r, Ersi̇n Nazlican, Musa Şahi̇n, Fati̇h Kara, Emi̇ne Alp Meşe Jan 2020

Effects Of Immunization Program On Morbidity And Mortality Rates Ofvaccine-Preventable Diseases In Turkey, Tufan Nayi̇r, Ersi̇n Nazlican, Musa Şahi̇n, Fati̇h Kara, Emi̇ne Alp Meşe

Turkish Journal of Medical Sciences

Background/aim: This study aims to serve as a unique consolidated source in Turkey's vaccination history and as an example for other countries by objectively revealing the change in mortality and morbidity rates in Turkey following the beginning of vaccination without asserting any claim on the benefits or risks of vaccines. This unbiased research will also help health professionals identify the challenges more easily when they face with the people who hesitate to vaccinate their children. Materials and methods: Descriptive research design is adopted in this study. The coverages of vaccinations, mortality, and morbidity rates were identified through a retrospective analysis …

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A Novel Turkish Instrument For Assessing Quality Of Life In Chronic Otitis Media -Translation And Validation Of Zurich Chronic Middle Ear Inventory, Belgi̇n Tutar, Zi̇ya Saltürk, Güler Berki̇ten, Muhammet Eni̇s Eki̇nci̇oğlu, Semi̇h Karaketi̇r, Meli̇s Ece Arkan, Muhammed Fati̇h Akgün, Ayça Başkadem Yilmazer, Ercan Kulak, Davi̇d Baechi̇nger, Yavuz Uyar Jan 2020

A Novel Turkish Instrument For Assessing Quality Of Life In Chronic Otitis Media -Translation And Validation Of Zurich Chronic Middle Ear Inventory, Belgi̇n Tutar, Zi̇ya Saltürk, Güler Berki̇ten, Muhammet Eni̇s Eki̇nci̇oğlu, Semi̇h Karaketi̇r, Meli̇s Ece Arkan, Muhammed Fati̇h Akgün, Ayça Başkadem Yilmazer, Ercan Kulak, Davi̇d Baechi̇nger, Yavuz Uyar

Turkish Journal of Medical Sciences

Background/aim: The Zurich Chronic Middle Ear Questionnaire (ZCMEI-21) is a newly-developed German-language questionnaire. The purpose of this study was to analyze the quality of life (QoL) of chronic otitis media (COM) patients and translate, transculturally adapt, and validate the ZCMEI-21 into Turkish. Materials and methods: Based on internationally accepted guidelines, the ZCMEI-21 was translated into Turkish. To assess its validity, the total score of the ZCMEI-21-Tur was compared to the scores taken from the original validation study and a question that was directly related to the health-related QoL (HRQoL), as well as the general criterion EQ-5D-5L. Questionnaires were completed by …

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Validity And Reliability Of The Turkish Version Of The Multidimensional Dyspnea Profile Inoutpatients With Respiratory Disease, Buse Özcan Kahraman, Turhan Kahraman, İsmai̇l Özsoy, Ayli̇n Tanriverdi̇, Asli Papurcu, Nazeni̇n Hande Sezgi̇n, Karya Polat, Serap Acar, Ayli̇n Özgen Alpaydin, Can Sevi̇nç, Sema Savci Jan 2020

Validity And Reliability Of The Turkish Version Of The Multidimensional Dyspnea Profile Inoutpatients With Respiratory Disease, Buse Özcan Kahraman, Turhan Kahraman, İsmai̇l Özsoy, Ayli̇n Tanriverdi̇, Asli Papurcu, Nazeni̇n Hande Sezgi̇n, Karya Polat, Serap Acar, Ayli̇n Özgen Alpaydin, Can Sevi̇nç, Sema Savci

Turkish Journal of Medical Sciences

Background/aim: Dyspnea is the subjective feeling of breathing discomfort, which is a significant problem for patients with heart and respiratory disease and also an important determinant of exercise tolerance, quality of life, and mortality in various diseases. Most of the scales are not enough to investigate the multidimensional effects of dyspnea; therefore, the Multidimensional Dyspnea Profile (MDP) was developed and validated in many languages. This study aimed to translate and culturally adapt the MDP into Turkish and investigate the psychometric properties of this adapted version in outpatients with respiratory disease. Materials and methods: The MDP was translated and culturally adapted …

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Correlation Between Serum Vitamin D Level And Dichotomous Distribution Ofhematological Parameters In A Cohort Of 12709 Patients, Oktay Olmuşçeli̇k, Ömür Gökmen Sevi̇ndi̇k Jan 2020

Correlation Between Serum Vitamin D Level And Dichotomous Distribution Ofhematological Parameters In A Cohort Of 12709 Patients, Oktay Olmuşçeli̇k, Ömür Gökmen Sevi̇ndi̇k

Turkish Journal of Medical Sciences

Background/aim: Recent evidence suggests that Vitamin D deficiency may be associated with varying degrees of peripheral blood cytopenia(s). However, the effect of Vitamin D on hematopoiesis is largely unknown. According to predefined inclusion criteria, here we analyzed the correlation between serum Vitamin D level and hematological parameters. Materials and methods: In the present cohort study, a total of 12.709 patients were screened. In the first data set, all patients were included. However, in the second one, only patients (9.936) with no complete blood count (CBC) abnormality and any nutritional deficiency (Iron, Vitamin B12 and Folic acid) were evaluated. According to …

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Effects Of Different Epidural Initiation Volumes On Postoperative Analgesia In Cesarean Section, Osman Kaçmaz, Nurçi̇n Gülhaş, Gülay Erdoğan Kayhan, Mahmut Durmuş Jan 2020

Effects Of Different Epidural Initiation Volumes On Postoperative Analgesia In Cesarean Section, Osman Kaçmaz, Nurçi̇n Gülhaş, Gülay Erdoğan Kayhan, Mahmut Durmuş

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to compare the effects of different epidural initiation volumes on postoperative pain scores, analgesic requirements, and side effects in pregnant women administered patient-controlled epidural analgesia (PCEA) for postoperative pain after cesarean sections. Materials and methods: Eighty-one pregnant women, aged 18-45 years, were included in this randomized, double-blind study. Combined spinal epidural anesthesia was administered for each cesarean section. The patients were divided into 3 groups and different volumes (20 mL, 10 mL, and 5 mL) of the study drug (0.0625% bupivacaine plus 2 μg/mL of fentanyl) were administered 90 min after the spinal …

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The Effect Of Long-Term Systemic Immunosuppressive Drug Use On Druse Formation: A Newperspective To Age-Related Macular Degeneration, Özkan Sever, Ridvan Mercan Jan 2020

The Effect Of Long-Term Systemic Immunosuppressive Drug Use On Druse Formation: A Newperspective To Age-Related Macular Degeneration, Özkan Sever, Ridvan Mercan

Turkish Journal of Medical Sciences

Background/aim: To evaluate the effect of the long-term use of systemic immunosuppressive drugs on druse formation in patients aged over 50 years. Materials and methods: The current retrospective cohort study includes 420 eyes of 420 patients. 210 eyes of 210 patients who used immunosuppressive drugs (Group 1) at least for the last 5 years and 210 eyes of 210 control patients (Group 2) who did not use any drugs were compared. All patients were older than 50 years and selected among patients who were followed by rheumatology and ophthalmology clinic at a tertiary university hospital. All patients had complete ophthalmic …

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A New Predictor Of Bleeding Based On Ultrasonographic Features In Percutaneous Livermass Biopsy, Ömer Faruk Ateş, Onur Taydaş, Ahmet Burak Kara, Mehmet Göktepeli̇, Mustafa Özdemi̇r Jan 2020

A New Predictor Of Bleeding Based On Ultrasonographic Features In Percutaneous Livermass Biopsy, Ömer Faruk Ateş, Onur Taydaş, Ahmet Burak Kara, Mehmet Göktepeli̇, Mustafa Özdemi̇r

Turkish Journal of Medical Sciences

Background/aim: An ultrasound-guided liver mass biopsy is a method frequently used in determining the diagnosis and treatment plan. The aim of this study was to evaluate the potential new predictors of bleeding based on ultrasonographic features in liver mass biopsies, which are frequently applied in routine clinical practice. Materials and methods: The images and data of patients aged over 18 years, who underwent an imaging-guided percutaneous liver mass biopsy between January 2018 and December 2019 with various indications, were retrospectively reviewed. Liver size, liver steatosis status, parenchyma appearance, and mass vascularity on Doppler ultrasonography before the procedure, and hemoglobin (Hb) …

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The Role And Importance Of Auxiliary Tests In Differential Diagnosis In Patients Withmildly High Basal 17-Oh-Progesterone Levels In The Evaluation Of Hirsutism, Taner Demi̇rci̇, Hasret Cengi̇z, Ceyhun Varim, Sedat Çeti̇n Jan 2020

The Role And Importance Of Auxiliary Tests In Differential Diagnosis In Patients Withmildly High Basal 17-Oh-Progesterone Levels In The Evaluation Of Hirsutism, Taner Demi̇rci̇, Hasret Cengi̇z, Ceyhun Varim, Sedat Çeti̇n

Turkish Journal of Medical Sciences

Background/aim: In the differential diagnosis of hirsutism, early follicular basal 17-OH-progesterone levels sometimes overlap with the diagnosis of late onset congenital adrenal hyperplasia (LOCAH) and other causes of hyperandrogenism. This study aims to investigate the role of some common tests and clinical findings in differential diagnosis in such cases. Materials and methods: One hundred seventy-five female patients with hirsutism and mildly high initial 17-OH-progesterone levels (2-10 ng/mL) were included in the study. The cases were divided into three groups according to their diagnosis: LOCAH (n = 16, mean age = 26.1 ± 6.9), polycystic ovary syndrome (PCOS) (n = 122, …

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Peripheral Axonal Excitability In Hemiplegia Related To Subacute Stroke, Zeynep Turan, Murat Zi̇nnuroğlu Jan 2020

Peripheral Axonal Excitability In Hemiplegia Related To Subacute Stroke, Zeynep Turan, Murat Zi̇nnuroğlu

Turkish Journal of Medical Sciences

Background/aim: This study aims to investigate peripheral nerve excitability in patients with subacute stroke. Materials and methods: The study was performed in 29 stroke patients within the subacute period and 29 healthy controls using QTRAC software and TRONDNF protocol. The threshold electrotonus, recovery cycle, stimulus-response, strength-duration, and current-threshold relationships were recorded. Results: The membrane was more hyperpolarized, and excitability was decreased in the hemiplegic side. The impairment of inward rectifying channel function, degree of hyperpolarization, and decrease of excitability were directly related to the Brunnstrom stages, which were more pronounced in lower stages. Conclusion: The lower motor neurons were affected …

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Genetic Evaluation Of Mycobacterium Bovis Isolates With Miru-Vntr And Spoligotyping, Nevi̇n Tuzcu, Fati̇h Köksal Jan 2020

Genetic Evaluation Of Mycobacterium Bovis Isolates With Miru-Vntr And Spoligotyping, Nevi̇n Tuzcu, Fati̇h Köksal

Turkish Journal of Medical Sciences

Background/aim: Determining the epidemiological characteristics of M. bovis strains isolated from human and animal tuberculosis cases will assist in taking more appropriate and effective control measures in controlling tuberculosis originating from animals. Materials and methods: In this study, 32 M. bovis isolates of animal origin and 10 of human origin were isolated and identified in the Çukurova region between March 2011 and June 2012. The 12-locus MIRU-VNTR and spoligotyping methods were used. Results: Six different patterns were determined by spoligotyping and 10 by MIRU-VNTR. When both methods were used together, the number of patterns was found to be 28; MIRU4, …

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Research On The Protective Effect Of Caffeic Acid Phenethyl Ester On Testicular Damagecaused By Cisplatin, Tayfun Ceylan, Emi̇n Kaymak, Fazi̇le Cantürk Tan, Bi̇rkan Yakan Jan 2020

Research On The Protective Effect Of Caffeic Acid Phenethyl Ester On Testicular Damagecaused By Cisplatin, Tayfun Ceylan, Emi̇n Kaymak, Fazi̇le Cantürk Tan, Bi̇rkan Yakan

Turkish Journal of Medical Sciences

Background/aim: Cisplatin (CP), a chemotherapeutic drug, causes damage to spermatogenic serial cells, Sertoli cells, and Leydig cells in rat testicles. It was aimed to investigate the protective effect of caffeic acid phenethyl ester (CAPE), one of the active ingredients of propolis, in eliminating CP-induced testicular damage. Materials and methods: Group 1 (control group) was given physiological saline solution intraperitoneally (IP) throughout the experiment. Group 2 (CP group) was given a single dose of CP (7 mg/kg) IP on the day 7. Group 3 (CP + CAPE group), was given CAPE (10 μmol/kg/day) IP for 12 days and a single dose …

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Mango Ginger (Curcuma Amada) Inhibits Collagen-Induced Arthritis By Modulatinginflammatory Cytokine Levels In Rats, Ahmet Karataş, Cemal Orhan, Mehmet Tuzcu, Nurhan Şahi̇n, İbrahi̇m Hani̇fi̇ Özercan, Süleyman Serdar Koca, Vijaya Juturu, Kazi̇m Şahi̇n Jan 2020

Mango Ginger (Curcuma Amada) Inhibits Collagen-Induced Arthritis By Modulatinginflammatory Cytokine Levels In Rats, Ahmet Karataş, Cemal Orhan, Mehmet Tuzcu, Nurhan Şahi̇n, İbrahi̇m Hani̇fi̇ Özercan, Süleyman Serdar Koca, Vijaya Juturu, Kazi̇m Şahi̇n

Turkish Journal of Medical Sciences

Background/aim: Mango ginger (MG: curcuma amada) has antioxidant and antiinflammatory activities. The aim was to evaluate the antiarthritic potential efficacy of MG on collagen-induced arthritis. Materials and methods: Twenty-one female Wistar-albino rats were divided into three groups. Arthritis was induced by intradermal injections of type II collagen and Freund's adjuvant. MG extract was orally administered starting from the first collagen injection. TNF-α, IL-6, IL-17, obestatin, sclerostin, and DKK-1 serum levels were determined, and perisynovial inflammation and cartilage-bone destruction in the paws were histologically evaluated. Moreover, joint tissue TNF-α, IL-17, NF-κB, and COX-2 levels were analyzed. Results: TNF-α, IL-17, IL-6, and …

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Anakinra, An Interleukin-1 Receptor Antagonist, Increases The Morphine Analgesic Effectand Decreases Morphine Tolerance Development By Modulating Oxidative Stress Andendoplasmic Reticulum Stress In Rats, Onur Avci, Ahmet Şevki̇ Taşkiran Jan 2020

Anakinra, An Interleukin-1 Receptor Antagonist, Increases The Morphine Analgesic Effectand Decreases Morphine Tolerance Development By Modulating Oxidative Stress Andendoplasmic Reticulum Stress In Rats, Onur Avci, Ahmet Şevki̇ Taşkiran

Turkish Journal of Medical Sciences

Background/aim: Recent studies have shown that inflammation plays a role in morphine analgesia and tolerance development. Anakinra is a competitive inhibitor of IL-1 receptors and an antiinflammatory protein regulating IL-1ß's biological activity by avoiding signal transduction. In this study, we aimed to examine the effects of anakinra on morphine analgesia and tolerance. Materials and methods: In this study, 36 Wistar Albino (230-250 g) male rats were used. Animals were divided into 6 groups: saline (S), 100 mg/kg anakinra (A), 5mg/kg morphine (M), M+A, morphine tolerance (MT), and MT+A. The resulting analgesic effect was measured with hot plate and tail-flick analgesia …

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Antioxidative Effects Of Uridine In A Neonatal Rat Model Of Hyperoxic Brain Injury, Nevi̇n Al, Ayşen Çakir, Cansu Sevi̇nç, Mehmet Cansev, Tüli̇n Alkan Jan 2020

Antioxidative Effects Of Uridine In A Neonatal Rat Model Of Hyperoxic Brain Injury, Nevi̇n Al, Ayşen Çakir, Cansu Sevi̇nç, Mehmet Cansev, Tüli̇n Alkan

Turkish Journal of Medical Sciences

Background/aim: Premature birth is a major problem that results in an increased risk of mortality and morbidity. The management of such infants consists of supraphysiological oxygen therapy, which affects brain development due, in part, to the deterioration caused by reactive oxygen species (ROS). We showed previously that exogenously administered uridine provides neuroprotection in a neonatal rat model of hyperoxic brain injury. Hence, the aim of the present study was to investigate the effects of uridine on ROS in the same setting. Materials and methods: Hyperoxic brain injury was induced by subjecting a total of 53 six-day-old rat pups to 80% …

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