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İlhan N, Kara A, Şahin E, Yılmaz MS, Güven M, Erdoğan M, Demir D. Effect of Bioabsorbable Poly (dl-Lactide ε-Caprolactone) on Healing of Experimentally Injured Acute Traumatic Middle Ear Mucosa Damage. J Int Adv Otol 2023; 19:206-211. [PMID: 37272637 DOI: 10.5152/iao.2023.22883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
BACKGROUND Postoperative adhesion is an important complication after middle-ear surgeries. Although many materials have been tried to prevent this complication, the use of Poly (dl-lactide ε-caprolactone) as an anti-adhesive material after middle-ear surgery has not yet been reported. The aim of this study was to evaluate the anti-adhesive effect of poly (dl-lactide ε-caprolactone) on the ears of rats with middle-ear mucosa damage. METHODS In our study, 14 Wistar albino rats and 28 ears in total were used. The rats were randomly divided into 4 groups. Middle ear mucosa damage was performed in all groups with a transcanal approach under otomicroscopy in sterile conditions. The effects of poly (dl-lactide ε-caprolactone), silicone sheet, and absorbable gelatin sponge were compared histologically with the secondary healing group. In addition, hearing evaluation was performed before the procedure and on the 28th postoperative day. RESULTS No significant difference was observed in transient otoacoustic emission and distortion product otoacoustic emissions tests performed before and after the surgical procedure when the groups were compared. While adhesion was observed in the tympanic membrane in the absorbable gelatin sponge group, no adhesion was observed in the other groups. In the absorbable gelatin sponge group, increased fibroblastic activity, inflammation, and neovascularization were observed in the middle-ear mucosa. No significant difference was observed in silicone sheet, poly (dl-lactide ε-caprolactone), and control groups in terms of fibroblastic activity, inflammation, and neovascularization. CONCLUSION It can be concluded that absorbable poly (dl-lactide ε-caprolactone) is nonototoxic and biocompatible with the rat's middle ear cavity by short-term evaluation.
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Affiliation(s)
- Necati İlhan
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Elvan Şahin
- Department of Histology and Embryology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mahmut Sinan Yılmaz
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mehmet Güven
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Miyase Erdoğan
- Department of Histology and Embryology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Deniz Demir
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
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Karaalioglu B, Korkmaz O, Yilmaz K, Sari S, Şener B, Kara A. Scapholunate Ligament Partial Tears; Tear Localization, Extrinsic Ligament Injury Association and Conservative Treatment Responses Prior to Instability: Cross-Sectional Study. Acta Chir Orthop Traumatol Cech 2023; 90:22-28. [PMID: 36907579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
PURPOSE OF THE STUDY Scapholunate interosseous ligament (SLIOL) tears with accompanying extrinsic ligament rupture have been associated with scapholunate (SL) instability. SLIOL partial tears were examined in terms of tear localization, grade and accompanying extrinsic ligament injury. Conservative treatment responses were scrutinized according to injury types. MATERIAL AND METHODS Patients with SLIOL tear without dissociation were evaluated retrospectively. Magnetic resonance (MR) images were reexamined in terms of tear localization (volar, dorsal or combined volar and dorsal tears), grade of injury (partial or complete) and extrinsic ligament injury accompaniment (RSC, LRL, STT, DRC, DIC). Injury associations were examined with MR imaging. All patients treated conservatively were recalled at their first year for re-evaluation. Conservative treatment responses were analyzed according to pre- and post-treatment first year visual analog scale for pain (VAS), disabilities of the arm, shoulder and hand questionnaire (DASH) and Patient-Rated Wrist Evaluation (PRWE) scores. RESULTS In our cohort, 79% (n: 82/104) of patients had SLIOL tear and 44% (n: 36) of them had accompanying extrinsic ligament injury. The majority of SLIOL tears and all extrinsic ligament injuries were partial tears. In SLIOL injuries, volar SLIOL was most commonly damaged portion (45%, n: 37). DIC (n: 17) and LRL (n: 13) were most frequently torn ligaments, radiolunotriquetral (LRL) injury generally co-existed with volar tears and dorsal intercarpal ligament (DIC) with dorsal tears regardless of injury time. Extrinsic ligament injury accompaniment was associated with higher pre-treatment VAS, DASH and PRWE scores than isolated SLIOL tears. Injury grade, location and extrinsic ligament accompaniment had no significant effect on treatment responses. Test scores reversal was better in acute injuries. CONCLUSIONS On imaging SLIOL injuries, attention should be paid to the integrity of secondary stabilizers. In partial SLIOL injuries, pain reduction and functional recovery can be achieved with conservative treatment. Conservative approach can be the initial treatment option in partial injuries especially in acute cases regardless of tear localization and injury grade if secondary stabilizers are intact. Key words: scapholunate interosseous ligament, extrinsic wrist ligaments, carpal instability, MRI of wrist, wrist ligamentous injury, volar and dorsal scapholunate interosseous ligament.
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Affiliation(s)
- B Karaalioglu
- İstanbul Medipol University Hospital, Department of Radiology, Istanbul, Turkey
| | - O Korkmaz
- İstanbul Medipol University Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey
| | - K Yilmaz
- İstanbul Medipol University Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey
| | - S Sari
- Private Practice, Orthopedics and Traumatology, Istanbul, Turkey
| | - B Şener
- Gebze Central Hospital, Orthopedics and Traumatology, Gebze, Turkey
| | - A Kara
- İstanbul Medipol University Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey
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Kara A, Kalcioglu MT, Adigul Ç, Topcu MT, Koçoğlu M, Celik B, Yilmaz MS. Comparison of two different bone anchored hearing instruments. Eur Arch Otorhinolaryngol 2022; 280:2141-2147. [PMID: 36214870 DOI: 10.1007/s00405-022-07675-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 09/22/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE To compare the audiological performances of Turkey's most up-to-date bone conduction implant processors. METHODS Twenty-six bone-anchored hearing instrument users, thirteen in each group, were evaluated for speech understanding in quiet and several signal-to-noise ratios. RESULTS We noticed the differences at 0.5 and 1 kHz measurements in free field frequency specific test, aided SRT scores, non-adaptive and adaptive matrix test results for a few conditions created a statistically significant difference in favor of Baha-6®. CONCLUSIONS Both processors offer positive gains to their users in noisy and silent conditions. However, the data showed statistically significant differences for some measurements that may be critical for patients in daily practice.
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Affiliation(s)
- Ahmet Kara
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Korucuk, 54000, Sakarya, Turkey.
| | - Mahmut Tayyar Kalcioglu
- Department of Otorhinolaryngology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey
| | - Çağlayan Adigul
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Korucuk, 54000, Sakarya, Turkey
| | - Merve Torun Topcu
- Department of Audiology, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey
| | - Mehmet Koçoğlu
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Korucuk, 54000, Sakarya, Turkey
| | - Bilgehan Celik
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Korucuk, 54000, Sakarya, Turkey
| | - Mahmut Sinan Yilmaz
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University, Korucuk, 54000, Sakarya, Turkey
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Unver V, Karabey E, Mert H, Kara A, Armutcu B, Ugrak U, Kurseli S, Iskenderoglu G. Determination of Factors Affecting Hypertension Awareness, Compliance to Treatment and Blood Pressure Control. Eur J Cardiovasc Nurs 2022. [DOI: 10.1093/eurjcn/zvac060.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Hypertension is one of the most common chronic diseases and is a global public health problem. Hypertension is associated with conditions such as heart diseases, stroke, kidney disease, premature death and disability and creates a significant burden in the field of health and economy (1,2). According to the World Health Organization's hypertension data of Turkey, it was stated that 16.9 million people in the population of 2017 have hypertension and the awareness rate is 51.9% (3).
Purpose
This descriptive and cross-sectional study was conducted to determine the factors affecting hypertension awareness, compliance to treatment, and blood pressure control.
Methods
The population of the research consisted of individuals living X city in Turkey. Participants were reached at the information activity held in the city square as part of the Hypertension awareness day on May 17, 2017. In addition, it was said that those who want to participate in the study in their family/environment can apply to the Cardiology Polyclinic of XX University Hospital Heart Center. The research was completed on 30 October 2017 with 542 people. The data were collected with a questionnaire designed in line with the literature and the Hypertension Compliance Assessment Scale (4). The Cronbach α value of the scale is 0.82. The descriptive statistics and multivariate linear regression analysis were used to evaluate of the data (5,6).
Results
The mean age of the participants was 62.66 (±13.86) years, 72.1% were male, 50.7% primary school, 22.5% is a high school graduate. The mean systolic blood pressure of the participants was 129.00 (±19.83) and diastolic blood pressure was 77.36 (±12.45) mmHg. It was determined that 26.5% of the individuals who did not have a known hypertension had a systolic blood pressure of 140 and above, and 15.8% had a diastolic blood pressure of 90 and above. While 31.1% (n=168) of the participants measure their blood pressure only when they are sick, 10.2% (n=55) measure their blood pressure every day.
It was observed that 83.7% (n=18) of the participants complied with hypertension treatment. The participants' compliance score for hypertension treatment was found to be 5.08 (±2.32).
In Table 1, the characteristics of the participants' lifestyles are presented.
In Table 2, Multivariate analysis findings related to compliance with hypertension treatment are given. The regression model applied for hypertension treatment compliance was found to be statistically significant (F:14.814, p<0.001). According to the model, 18% of participants' compliance with hypertension treatment is explained by the independent variables in the model.
Conclusion(s)
Regular health check-ups and regular exercise are independent variables that affect treatment compliance in hypertension. It was found that the majority of individuals who did not have any known hypertension had systolic blood pressure above 140 mmHg.
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Affiliation(s)
- V Unver
- Acibadem University , Istanbul , Turkey
| | - E Karabey
- Cumhuriyet University , Sivas , Turkey
| | - H Mert
- Dokuz Eylul University , Izmir , Turkey
| | - A Kara
- Koc University Hospital , Istanbul , Turkey
| | - B Armutcu
- Gulhane Education Research Hopsital , Ankara , Turkey
| | - U Ugrak
- Gulhane Education Research Hopsital , Ankara , Turkey
| | - S Kurseli
- Istanbul University Cardiology Institute , Istanbul , Turkey
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Kara A, Orum-Çattık E, Eryılmaz A. Adaptivity, adaptability, adapting response, and adaptation result: testing with structural equation modelling on pre-service teachers. Curr Psychol 2022. [DOI: 10.1007/s12144-021-01975-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bakal U, Sarac M, Tartar T, Aydin M, Kara A, Gurgoze MK, Kazez A. Peritoneal dialysis in children: Infectious and mechanical complications: Experience of a tertiary hospital in Elazığ, Turkey. Niger J Clin Pract 2022; 25:1227-1232. [DOI: 10.4103/njcp.njcp_1529_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Elden H, Kara A, Turan G, Guven M, Guven EM. Ki-67, p-53, E-Cadherin, and β-Catenin expression of advanced glotto-subglottic and supraglottic larynx carcinomas. Niger J Clin Pract 2022; 25:1424-1429. [DOI: 10.4103/njcp.njcp_1693_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Güven M, Elden H, Yaylacı A, Güven EM, Kara A, Orha AT. Age-dependent differences of the depth of olfactory fossa in children. Braz J Otorhinolaryngol 2021; 88 Suppl 5:S52-S56. [PMID: 34799268 PMCID: PMC9801024 DOI: 10.1016/j.bjorl.2021.09.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 08/16/2021] [Accepted: 09/20/2021] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE With this radio-anatomical study, we aimed to describe the distribution of the depth of the olfactory fossa based on the Keros classification in the pediatric population in our region and to reduce complication rates by providing normative data. METHODS This was a retrospective study conducted with computed tomography imaging of the paranasal sinuses of 390 pediatric patients referred over a six-year period in Sakarya and Kocaeli University Faculty of Medicine. Patients were divided into 3 groups as 1-6, 6-12, and 12-18 years old. The depth of the olfactory fossa was measured and classified according to the Keros classification. The incidence of Keros asymmetries was also investigated. RESULTS The distribution of the depth of a total of 780 olfactory fossa according to the Keros classification was 24.7% Keros I, 65.9% Keros II, and 9.4% Keros III. When the groups were evaluated with each other and within each group, it was seen that the prevalence of Keros I type was significantly higher in the first group (p<0.05), and the prevalence of Keros type II was significantly higher in the second and third groups (p<0.05). Apart from this, the number of Keros type III increased in the third group compared to the first two groups and showed a statistically significant difference (p<0.05). Among all patients, asymmetry of the olfactory fossa was detected in 29 patients (7.4%). Although the number of olfactory fossa asymmetry was low in group I, it was not significantly different between the groups (p>0.05). CONCLUSION In our study, high Keros I rate and low Keros III rate in children aged 1-6 were remarkable. Especially for children under the age of six, questions arise about the validity of the Keros classification. More detailed studies in larger populations, in different ethnicities, and with various age groups are needed. LEVEL OF EVIDENCE Level 3.
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Affiliation(s)
- Mehmet Güven
- Sakarya University, Faculty of Medicine, Department of Otorhinolaryngology, Sakarya, Turkey
| | - Halil Elden
- Sakarya University, Faculty of Medicine, Department of Otorhinolaryngology, Sakarya, Turkey,Corresponding author.
| | - Atılay Yaylacı
- Kocaeli University, Faculty of Medicine, Department of Otorhinolaryngology, Kocaeli, Turkey
| | - Ebru Mihriban Güven
- Sakarya University, Faculty of Medicine, Department of Anatomy, Sakarya, Turkey,Kocaeli University, Faculty of Medicine, Department of Anatomy, Kocaeli, Turkey
| | - Ahmet Kara
- Sakarya University, Faculty of Medicine, Department of Otorhinolaryngology, Sakarya, Turkey
| | - Ayla Tekin Orha
- Kocaeli University, Faculty of Medicine, Department of Anatomy, Kocaeli, Turkey
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Kara A, Yılmaz A, Yiğit M. Monte Carlo simulations of chromium target under proton irradiation of 17.9, 22.3 MeV. Nuclear Engineering and Technology 2021. [DOI: 10.1016/j.net.2021.04.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Demir Pektas S, Cinar N, Pektas G, Akbaba G, Kara A, Hancer HS, Demircioglu Duman D, Neselioglu S, Erel O, Yazgan Aksoy D. Thiol/disulfide homeostasis and its relationship with insulin resistance in patients with rosacea. J Cosmet Dermatol 2021; 21:2655-2661. [PMID: 34564928 DOI: 10.1111/jocd.14477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 09/08/2021] [Accepted: 09/10/2021] [Indexed: 01/12/2023]
Abstract
BACKGROUND Rosacea is a chronic inflammatory cutaneous disease that can be associated with cardiometabolic disorders. Oxidative stress is included in the pathogenesis of rosacea, and thiol-disulfide homeostasis (TDH) acts as antioxidants. OBJECTIVE To evaluate the TDH and metabolic parameters in patients with rosacea. MATERIAL AND METHODS A total of 42 rosacea patients and 50 controls participated in this prospective study. Demographic data, clinical entities, anthropometric measurements, and laboratory findings were recorded. Additionally, TDH was measured by an automated spectrophotometric method. RESULTS Rosacea patients had greater body mass index values (27.9 ± 5.2 kg/m² vs. 23 ± 1.4 kg/m², p < 0.001), waist-hip ratios (0.87 ± 0.1 vs. 0.77 ± 0.8, p < 0.001), and insulin resistance (3.0 ± 2.0 vs. 1.3 ± 0.5, p < 0.001) compared with controls. Disulfide levels, the disulfide/native thiol ratio (DNTR), and the disulfide/total thiol ratio (DTTR) were increased (p < 0.05) in rosacea patients. Native thiol and total thiol levels and the native/total thiol ratio (NTTR) were decreased in rosacea patients (p < 0.05). Different rosacea subtypes had no effect on oxidative stress markers. The duration of illness and insulin resistance values significantly correlated with DNTR and DTTR in the rosacea group (p < 0.05). CONCLUSION Rosacea has a metabolic milieu with increased oxidative stress and insulin resistance.
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Affiliation(s)
- Suzan Demir Pektas
- Department of Dermatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | - Nese Cinar
- Department of Endocrinology and Metabolic Diseases, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | - Gokhan Pektas
- Department of Internal Medicine, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | - Gulhan Akbaba
- Department of Endocrinology and Metabolic Diseases, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | - Ahmet Kara
- Department of Family Medicine, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | | | | | - Salim Neselioglu
- Department of Biochemistry, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
| | - Ozcan Erel
- Department of Biochemistry, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey
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Kara A, Elden H, Okur E, Yilmaz MS, Mutlu F, Guven M, Demir D. Impact of tonsillectomy on COVID-19 pandemic: an observational study of the incidence and prognosis. Acta Otolaryngol 2021; 141:857-859. [PMID: 34482779 DOI: 10.1080/00016489.2021.1970803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Due to many different reasons such as possible coronavirus colonization in tonsillar tissue, decreased enzymatic antiviral activity, decreased cytokine activity from palatine tonsil tissue and reduced humoral and cellular immune response, tonsillectomy may alter the incidence of Covid-19. AIMS/OBJECTIVES To reveal the frequency of Covid-19 in patients who underwent tonsillectomy and to analyze the effect of tonsillectomy on the severity of the disease. MATERIALS AND METHODS Patients aged between 15 and 65 and had a history of tonsillectomy were compared with control group in terms of incidence and severity of Covid-19 disease. RESULTS A 4% Covid rRT-PCR test positivity rate was detected in patients with tonsillectomy whereas; it was 6.8% in the control group with a statistically significant difference. However, in terms of disease severity there was no difference between the two groups. CONCLUSIONS AND SIGNIFICANCE It has been proven that tonsillectomy surgery does not pose an additional risk in terms of COVID 19 disease severity. The positive effect of tonsillectomy in terms of disease frequency has been even demonstrated for the first time in the literature.
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Affiliation(s)
- Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Halil Elden
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Engin Okur
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mahmut Sinan Yilmaz
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Fuldem Mutlu
- Department of Radiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mehmet Guven
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Deniz Demir
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
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Erdinc FS, Dokuzoguz B, Unal S, Komur S, Inkaya AC, Inan D, Karaoglan I, Deveci A, Celen MK, Kose S, Erben N, Senturk GC, Heper Y, Kutlu SS, Hatipoglu CA, Sumer S, Kandemir B, Sirmatel F, Bayindir Y, Yilmaz E, Ersoy Y, Kazak E, Yildirmak MT, Kayaaslan B, Ozden K, Sener A, Kara A, Gunal O, Birengel S, Akbulut A, Yetkin F, Cuvalci NO, Sargin F, Pullukcu H, Gokengin D, Multicentric Hiv Study Group. Temporal Trends in the Epidemiology of HIV in Turkey. Curr HIV Res 2021; 18:258-266. [PMID: 32342820 DOI: 10.2174/1570162x18666200427223823] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 04/03/2020] [Accepted: 04/14/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The aim of this study was to analyze the temporal trends of HIV epidemiology in Turkey from 2011 to 2016. METHODS Thirty-four teams from 28 centers at 17 different cities participated in this retrospective study. Participating centers were asked to complete a structured form containing questions about epidemiologic, demographic and clinical characteristics of patients presented with new HIV diagnosis between 2011 and 2016. Demographic data from all centers (complete or partial) were included in the analyses. For the cascade of care analysis, 15 centers that provided full data from 2011 to 2016 were included. Overall and annual distributions of the data were calculated as percentages and the Chi square test was used to determine temporal changes. RESULTS A total of 2,953 patients between 2011 and 2016 were included. Overall male to female ratio was 5:1 with a significant increase in the number of male cases from 2011 to 2016 (p<0.001). The highest prevalence was among those aged 25-34 years followed by the 35-44 age bracket. The most common reason for HIV testing was illness (35%). While the frequency of sex among men who have sex with men increased from 16% to 30.6% (p<0.001) over the study period, heterosexual intercourse (53%) was found to be the most common transmission route. Overall, 29% of the cases presented with a CD4 count of >500 cells/mm3 while 46.7% presented with a CD4 T cell count of <350 cells/mm3. Among newly diagnosed cases, 79% were retained in care, and all such cases initiated ART with 73% achieving viral suppression after six months of antiretroviral therapy. CONCLUSION The epidemiologic profile of HIV infected individuals is changing rapidly in Turkey with an increasing trend in the number of newly diagnosed people disclosing themselves as MSM. New diagnoses were mostly at a young age. The late diagnosis was found to be a challenging issue. Despite the unavailability of data for the first 90, Turkey is close to the last two steps of 90-90-90 targets.
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Affiliation(s)
- F S Erdinc
- Ankara Training and Research Hospital, Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - B Dokuzoguz
- Ankara Numune Training and Researh Hospital, Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - S Unal
- Hacettepe Universitesi Hastaneleri, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - S Komur
- Cukurova University, Department of Infectious Diseases and Clinical Microbiology, Adana, Turkey
| | - A C Inkaya
- Ankara Numune Training and Researh Hospital, Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - D Inan
- Akdeniz University, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey
| | - I Karaoglan
- Gaziantep University, Department of Infectious Diseases and Clinical Microbiology, Gaziantep, Turkey
| | - A Deveci
- Ondokuz Mayis University, Department of Infectious Diseases and Clinical Microbiology, Samsun, Turkey
| | - M K Celen
- Dicle University, Department of Infectious Diseases and Clinical Microbiology, Diyarbakır, Turkey
| | - S Kose
- Izmir Tepecik Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, İzmir, Turkey
| | - N Erben
- Eskisehir Osmangazi University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Eskisehir, Turkey
| | - G C Senturk
- Diskapi Yildirim Beyazit Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - Y Heper
- Uludag University, Department of Infectious Diseases and Clinical Microbiology, Bursa, Turkey
| | - S S Kutlu
- Pamukkale University, Department of Infectious Diseases and Clinical Microbiology, Denizli, Turkey
| | - C A Hatipoglu
- Ankara Training and Research Hospital, Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - S Sumer
- Selcuk University, Department of Infectious Diseases and Clinical Microbiology, Konya, Turkey
| | - B Kandemir
- Necmettin Erbakan University, Meram Medical Faculty Hospital, Department of Infectious Diseases and Clinical Microbiology, Konya, Turkey
| | - F Sirmatel
- Abant Izzet Baysal University, Department of Infectious Diseases and Clinical Microbiology, Bolu, Turkey
| | - Y Bayindir
- Inonu University, Department of Infectious Diseases and Clinical Microbiology, Malatya, Turkey
| | - E Yilmaz
- Uludag University, Department of Infectious Diseases and Clinical Microbiology, Bursa, Turkey
| | - Y Ersoy
- Inonu University, Department of Infectious Diseases and Clinical Microbiology, Malatya, Turkey
| | - E Kazak
- Uludag University, Department of Infectious Diseases and Clinical Microbiology, Bursa, Turkey
| | - M T Yildirmak
- Okmeydani Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - B Kayaaslan
- Yildirim Beyazit University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - K Ozden
- Ataturk University, Department of Infectious Diseases and Clinical Microbiology, Erzurum, Turkey
| | - A Sener
- Canakkale Onsekiz Mart University, Department of Infectious Diseases and Clinical Microbiology, Canakkale, Turkey
| | - A Kara
- Hacettepe University Ihsan Dogramaci Children's Hospital, Department of Infectious Diseases, Ankara, Turkey
| | - O Gunal
- Samsun Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Samsun, Turkey
| | - S Birengel
- Ankara University Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - A Akbulut
- Firat University, Department of Infectious Diseases and Clinical Microbiology, Elazig, Turkey
| | - F Yetkin
- Inonu University, Department of Infectious Diseases and Clinical Microbiology, Malatya, Turkey
| | - N O Cuvalci
- Antalya Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Antalya, Turkey
| | - F Sargin
- Medeniyet University Goztepe Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - H Pullukcu
- Ege University, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
| | - D Gokengin
- Ege University, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
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Abstract
The main purpose of the current study is to investigate the perceptions of individuals' living in Turkey during the COVID-19 pandemic through metaphor analysis. The current study employed the descriptive phenomenological design, one of the qualitative research methods. A total of 210 individuals living in Turkey (114 females (68.6%) and 66 males (31.4%)) participated in the current study through an online questionnaire on a voluntary basis. As the data collection tool, the online questionnaire form developed by the researchers was used. The collected data were analyzed within the framework of five-stage metaphor analysis. As a result of the analysis, a total of seven metaphor categories called being restricted, restlessness, uncertainty/obscurity, deadly/dangerous, struggling, faith/destiny, and supernatural were obtained. These categories were subsumed under three themes called "anxiety/concern, risk, and faith".
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Affiliation(s)
- Ayşe Gök
- Department of Psychological Counselling and Guidance, Niğde Ömer Halisdemir University, 51200 Nıgde, Turkey
| | - Ahmet Kara
- Department of Psychological Counselling and Guidance, Eskisehir Osmangazi University, Eskişehir, Turkey
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Kara A, Yasar C, Birinci M, Gulenc B, Sener B. Don't Let Our Operating Theatre to Be Desert. Acta Chir Orthop Traumatol Cech 2021; 88:229-232. [PMID: 34228620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
PURPOSE OF THE STUDY The purpose of this study is to reveal the waste of water by medical staff hand scrubbing preoperatively in the operation theatre, draw attention to the water consumption with small precautions. The study compares motion-sensitive sensor tap with an uncensored classic tap, to assess the difference of water consumption during hand scrubbing. MATERIAL AND METHODS The presented study compared two groups; hand scrubbing with sensory tap was enrolled as group A and classic tap with running water was enrolled as group B. Three participants were included in each group. Operation faucets with a motion-sensitive sensor and timekeeper were used in group A. Running water from a tap in 10 seconds was measured with the help of a measuring cup. The water amount after 3 minutes of washing was also measured. The difference between the two obtained data was compared. The obtained data were also multiplied to the global surgical data. RESULTS Measurements were performed with a measuring cup and it was measured that 1,250 ml of water is running from faucets in 10 seconds. In group A, faucets were open for 23 seconds whereas in group B faucets were open for 180 seconds. In group A, water utilization was 2,875 ml per person (8,625 ml for three), in group B was the water utilization of 22,500 ml per person (67,500 ml for three). Regarding this data for a single operation, the consumption difference between the two groups was measured as 58,875 ml. The total count of major surgery worldwide per year is reported to 321,500,000. When this number is multiplied with the obtained data, it is calculated that the total amount of water to be saved between the two groups is 18,928,313 m3. That is equal to one year of water consumption of a city with 125,000 inhabitants. CONCLUSIONS In conclusion, as healthcare professionals, it is possible to save enough water as a medium-sized city by changing our handwashing habits in the operation rooms. As a result, water-conserving systems and hand scrubbing education can be very effective in using the natural resources economically and protecting these resources. Key words: water, operation theatre, washing.
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Affiliation(s)
- A Kara
- Department of Orthopaedics and Traumatology, Istanbul Medipol University Hospital, Istanbul, Turkey
| | - C Yasar
- Department of General Surgery, Örebro University Hospital, Örebro, Sweden
| | - M Birinci
- Department of Orthopaedics and Traumatology, Istanbul Medipol University Hospital, Istanbul, Turkey
| | - B Gulenc
- Department of Orthopaedics and Traumatology, Istanbul Medipol University Hospital, Istanbul, Turkey
| | - B Sener
- Department of Orthopaedics and Traumatology, Gebze Central Hospital, Gebze, Turkey
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Hızlı Demirkale Z, Yücel E, Sipahi Çimen S, Süleyman A, Özdemir C, Kara A, Tamay Z. Venom allergy and knowledge about anaphylaxis among beekeepers and their families. Allergol Immunopathol (Madr) 2020; 48:640-645. [PMID: 32460992 DOI: 10.1016/j.aller.2020.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/15/2020] [Accepted: 01/29/2020] [Indexed: 02/08/2023]
Abstract
BACKGROUND Beekeepers and their families are at an increased risk of life-threatening anaphylaxis due to recurrent bee-sting exposures. OBJECTIVE The aim of this study is to evaluate the demographic features, previous history of anaphylaxis among beekeepers and their family members, and their knowledge about the symptoms and management of anaphylaxis. METHODS A standardized questionnaire was administered to beekeepers during the 6th International Beekeeping and Pine Honey Congress held in 2018, in Mugla, Turkey. Additionally, food-service staff from restaurants were surveyed as an occupational control group about their knowledge about anaphylaxis. RESULTS Sixty-nine beekeepers (82.6% male, mean age 48.4±12.0 years) and 52 restaurant staff (46.2% male, mean age 40.5±10.0 years) completed the questionnaire. Awareness of the terms 'anaphylaxis' and 'epinephrine auto-injector' among the beekeepers were 55.1% and 30.4% and among the restaurant staff were 23.1% and 3.8%, respectively. Of the beekeepers, 74% were able to identify the potential symptoms of anaphylaxis among the given choices; 2.9% and 5.8% reported anaphylaxis related to bee-stings in themselves and in their family members, respectively. None of the restaurant staff had experienced or encountered anaphylaxis before but 3.8% of their family members had anaphylaxis and those reactions were induced by drugs. CONCLUSION It is essential that implementation of focused training programs about anaphylaxis symptoms and signs as well as practical instructions of when and how to use an epinephrine auto-injector will decrease preventable morbidities and mortalities due to bee-stings in this selected high-risk population of beekeepers and their family members, as well as other fieldworkers under risk.
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Pektas SD, Cinar N, Duman DD, Kara A, Batu J, Karakas-Celik S, Aksoy DY. The relationship among androgens, insulin resistance and ghrelin polymorphisms in post-adolescent male patients with severe acne vulgaris. Postepy Dermatol Alergol 2020; 37:800-809. [PMID: 33240024 PMCID: PMC7675091 DOI: 10.5114/ada.2020.100492] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 04/01/2019] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION Ghrelin has anti-inflammatory and immunomodulatory activities. Data about the role of ghrelin and ghrelin polymorphisms in the development of acne vulgaris in post-adolescent male patients are limited. AIM To evaluate the role of serum androgens, insulin resistance, ghrelin and ghrelin polymorphisms in severe acne vulgaris. MATERIAL AND METHODS Thirty-five post-adolescent male patients with a mean age of 28.0 ±5.4 years and 33 age-and BMI-matched controls were enrolled. Serum androgens, lipids, insulin sensitivity parameters and ghrelin levels were determined. The PCR method was used for GHRL polymorphisms (rs27647, rs696217 and rs34911341 genotypes). RESULTS Patients had similar anthropometric measures to controls, except a significantly higher WHR in patients (0.92 ±0.06 vs. 0.86 ±0.08, p < 0.05). Also, FPG, HOMA-IR values, lipid profile and serum androgen levels were similar. Interestingly, patients had significantly lower ghrelin levels than controls (4.5 ±5.8 vs. 101.2 ±86.5 pg/ml, p < 0.001). The frequencies of rs696217 and rs34911341 genotypes were similar whereas the distribution of rs27647 alleles was significantly different between the groups (p < 0.05). GA and GG genotypes of GHRL rs27647 polymorphism indicated an increased risk of developing acne vulgaris (OR = 11.156, 95% CI: 2.864-43.464, OR = 5.312, 95% CI: 1.269-22.244, respectively; p < 0.05). Patients with rs27647-AA polymorphism had significantly lower GAGS scores than other groups (AA genotype 6.7 ±14.1 vs. GA genotype 24.6 ±15.7 and GG genotype 19.4 ±17.9, p < 0.001). None of the polymorphisms had a significant effect on metabolic parameters, insulin sensitivity and serum ghrelin levels. CONCLUSIONS Decreased ghrelin levels and GA and GG genotypes of GHRL gene rs27647 polymorphism may have a role in the pathogenesis of acne vulgaris.
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Affiliation(s)
- Suzan Demir Pektas
- Department of Dermatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | - Nese Cinar
- Department of Endocrinology and Metabolic Diseases, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | | | - Ahmet Kara
- Department of Family Medicine, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
| | | | - Sevim Karakas-Celik
- Department of Molecular Biology and Genetic, Faculty of Science, Bulent Ecevit University, Zonguldak, Turkey
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Yilmaz MS, Egilmez OK, Kara A, Guven M, Demir D, Genc Elden S. Comparison of the results of caloric and video head impulse tests in patients with Meniere's disease and vestibular migraine. Eur Arch Otorhinolaryngol 2020; 278:1829-1834. [PMID: 32772166 DOI: 10.1007/s00405-020-06272-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 08/03/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE To compare the results of video head impulse test (vHIT) and caloric testing (CT) in patients with vestibular migraine (VM) and Ménière's disease (MD) and to investigate the relationship between these two tests. METHODS Patients with definite unilateral MD and VM were included in the study. All patients underwent both vHIT and CT. The vestibulo-ocular reflex (VOR) gains of lateral semicircular canals and saccadic waves in vHIT and the canal paresis factor for the CT were examined. RESULTS CT was found abnormal in 39 (66.1%) patients with MD and in 17 (34%) patients with VM, while abnormal gain of the lateral canal was obtained in 23 MD (39%) patients and 9 (18%) VM patients. In all, 11.9% of patients with an abnormal vHIT had a normal CT, whereas 33.9% of those with an abnormal CT had a normal vHIT. CONCLUSION Loss of VOR detected by caloric testing is more common and severe in MD than VM. Although vHIT is useful and can give complementary information, vestibular testing with the caloric test still seems more sensitive for detecting hVOR pathology.
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Affiliation(s)
- Mahmut Sinan Yilmaz
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Oguz Kadir Egilmez
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey.
| | - Ahmet Kara
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Mehmet Guven
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Deniz Demir
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Sena Genc Elden
- Department of Otorhinolaryngology, Faculty of Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
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Demir D, Elden H, Güven M, Yılmaz MS, Kara A. Evaluation of nasal tip shape in patients with severe caudal septal deviation after modified extracorporeal endonasal septoplasty. Auris Nasus Larynx 2020; 48:90-97. [PMID: 32727704 DOI: 10.1016/j.anl.2020.07.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 07/09/2020] [Accepted: 07/13/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The aim of this prospective study was to evaluate the effect of modified extracorporeal endonasal septoplasty on nasal tip shape and function in patients with severe caudal septal deviation. METHODS The study population comprised of 55 patients undergoing modified extracorporeal endonasal septoplasty, which called marionette septoplasty. To analyse the aesthetic objective outcomes, postoperative photographs were measured for projection index (PI), tip projection (TP), nasolabial angle (NLA), tip deviation angle (TDA), nasofrontal angle (NFA), supratip height (STH), columellar height (CH), at three times (2 weeks, 3, and 6 months after surgery) and were compared with preoperative photographs. Functional and aesthetic outcomes were also evaluated using nasal obstruction symptom evaluation (NOSE) scale and standardized cosmesis and health nasal outcomes survey (SCHNOS). RESULTS Between the pre- and post-operative 6th-month examinations, a significant increase in PI and TP were 7%, and 5% respectively. There was a significant alteration in the NLA and TDA values following the last examination (mean difference ± standard error of mean 9.68 ± 0.9° and 1.5 ± 0.8°, respectively). Moreover, the technique did not make a significant change in the final NFA, STH, and CH, measurements. Following surgery, the NOSE and SCHNOS scores were decreased significantly and the improvement continued over time until the last examination. CONCLUSION The present study findings suggest that the marionette septoplasty technique is an effective to correct and stabilize severe caudal septal deviations. This technique also can provide tip support and protection with a low incidence of dorsal irregularity.
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Affiliation(s)
- Deniz Demir
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, No:67/15 54050 Korucuk, Sakarya, Turkey.
| | - Halil Elden
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, No:67/15 54050 Korucuk, Sakarya, Turkey
| | - Mehmet Güven
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, No:67/15 54050 Korucuk, Sakarya, Turkey
| | - Mahmut Sinan Yılmaz
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, No:67/15 54050 Korucuk, Sakarya, Turkey
| | - Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, No:67/15 54050 Korucuk, Sakarya, Turkey.
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Emre IE, Eroğlu Y, Kara A, Dinleyici EC, Özen M. The effect of probiotics on prevention of upper respiratory tract infections in the paediatric community - a systematic review. Benef Microbes 2020; 11:201-211. [PMID: 32314937 DOI: 10.3920/bm2019.0119] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Prevention of acute upper respiratory tract infections (URTIs) is becoming an increasingly important concept in public health application due to the increase in antibiotic resistance. Probiotics have been shown to have some effect on prevention in various reviews. In this study we aimed to re-asses the effect of probiotics as there has been a substantial increase in literature regarding the effects and safety of probiotics in the paediatric population. Two major databases were systematically searched to identify clinical trials eligible for inclusion. Study selection, data extraction and quality assessment were carried out by two reviewers. This review comprises 33 randomised controlled trials (RCTs) applied to a paediatric population with high-quality methodology. The primary outcome for this review was the incidence of respiratory tract infections. Secondary outcomes were severity of symptoms, missed days of school, incidence of antibiotic use and safety of prebiotic use. This review showed that probiotics have an impact on decreasing the incidence of URTIs and the severity of symptoms. The use of probiotics is extremely safe and as studies increase in evaluation of the effect of probiotics more and more show a significant beneficiary effect. Although still a long way from becoming a unanimous treatment modality, the small positive changes that probiotics have on URTIs is important to consider and the use of probiotics should be encouraged more.
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Affiliation(s)
- I E Emre
- Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Department of Otorlaryngology, Halkali Merkez Mahallesi, Turgut Özal Bulvarı No. 16, Istanbul 34303, Turkey
| | - Y Eroğlu
- Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Halkali Merkez Mahallesi, Turgut Özal Bulvarı No. 16, Istanbul 34303, Turkey
| | - A Kara
- Haccetepe University Faculty of Medicine, Department of Pediatric Infectious Disease, Ankara 06100, Turkey
| | - E C Dinleyici
- Eskişehir Osmangazi University Faculty of Medicine, Department of Pediatrics, Eskisehir 26480, Turkey
| | - M Özen
- Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Department of Pediatric Infectious Diseases, Istanbul 34303, Turkey
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Demir D, Genç S, Güven M, Yılmaz MS, Kara A, Erkorkmaz Ü. Intratympanic Steroid Treatment of Bell's Palsy in Patients with Comorbid Disease: A Preliminary Report. J Int Adv Otol 2020; 16:47-52. [PMID: 31287437 PMCID: PMC7224433 DOI: 10.5152/iao.2019.5415] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Revised: 02/23/2019] [Accepted: 02/26/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES This study evaluated the efficacy of intratympanic steroid injection (ITSI)as initial treatment and therecovery speed for Bell's palsy (BP)inpatients with diabetes mellitus (DM)and/or hypertension (HT). MATERIALS AND METHODS In total,90 patients with comorbid diseases diagnosed with BP received either ITSI (study group, n=61) or systemic steroid treatment (SST) (control group, n=29).The facial nerve function was assessed using the House-Brackmann (HB) grading system for up to 6 months or until complete recovery from BP. To investigate a relationship with the complete recovery time from BP, hematologic and baseline characteristic parameters were analyzed. RESULTS The complete recovery rate of the ITSI and SST groups was 47.5% and 44.8% at the 1st month, 70.5% and 89.7% at the 3rd month, and 96.7% and 100% at the 6th month of the study, respectively. Lymphocyte and neutrophil values were significantly associated with the complete recovery time from BP. No major adverse events from ITSI itself were noticed during the procedure and during the follow-up of the treatment. CONCLUSION Both treatment types have no superiorities over each other in initial treatment for BP in patients with comorbid diseases. ITSI is effective and safe and may avoid the unwanted side effects associated with systemic steroids inthese patients.
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Affiliation(s)
- Deniz Demir
- Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Sena Genç
- Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Mehmet Güven
- Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Mahmut Sinan Yılmaz
- Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey
| | - Ünal Erkorkmaz
- Department of Biostatistics, Sakarya University School of Medicine, Sakarya, Turkey
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Gülenç B, Öç Y, Yalçin S, Şener B, Çamur S, Kara A. The Evaluation of Results of Repair using All-Soft Suture Anchor in the Treatment of Chronic Tendinous Mallet Finger Surgery. Acta Chir Orthop Traumatol Cech 2020; 87:24-27. [PMID: 32131967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE OF THE STUDY The purpose of this study is to evaluate the results of chronic tendinous mallet finger repair with all soft suture anchors. MATERIAL AND METHODS In this retrospective study we evaluated 14 patients. Data included age, side of surgery, the degree of extensor lag, the ratio of the damaged articular surface, postoperative recovery period and time to return to work. We recorded extensor lag and Crawford scores of all patients at the last follow-up. RESULTS Mean follow-up period was 22.07 months. The preoperative and postoperative extensor lags were 27.2 (15-35) and 3 (0-19), respectively. Crawford scores of patients were moderate in 1 patient, fair in 2 patients and excellent in 10 patients. We observed only one skin complication in the postoperative period. CONCLUSIONS All-soft suture anchors have high patient satisfaction rates and functional results. Thus, they could be used in the treatment of patients with chronic tendinous mallet finger. The low complication rate is a major advantage. Key words: tendinous mallet finger, hand surgery, all-soft anchor. Level of evidence: Level-4, Retrospective case-control study.
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Affiliation(s)
- B Gülenç
- Istanbul Medipol University Orthopaedics Department, Istanbul, Turkey
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Kirezli B, Gucuyener I, Kara A, Kaplan H, Afrailov MA. Electrical and optical properties of photodiode structures formed by surface polymerization of P(Egdma-Vpca)-Swcnt films on n-si. J Mol Struct 2019. [DOI: 10.1016/j.molstruc.2019.126879] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kagızmanlı GA, Guzelkucuk Z, Isık P, Kara A, Ozbek N, Yaralı N. The efficacy and safety of granulocyte transfusion in pediatric neutropenic patients. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30251-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kirezli B, Ahmetoglu (Afrailov) M, Kara A. Electrical and optical properties of photodiode structures formed by surface polymerization of [P (EGDMA-VPCA)-SWCNT] films on n-GaAs. J Mol Struct 2019. [DOI: 10.1016/j.molstruc.2019.04.072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kara A, Gurgoze MK. The use of nitrofurantoin for children with acute cystitis caused by extended-spectrum Β-lactamase-producing Escherichia coli. J Pediatr Urol 2019; 15:378.e1-378.e5. [PMID: 31014984 DOI: 10.1016/j.jpurol.2019.03.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 03/07/2019] [Accepted: 03/26/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND Acute cystitis in children caused by extended-spectrum β-lactamase (ESBL)-producing Escherichia coli (E. coli) is on the rise. Treatment of these is usually parenteral treatment. The aim of this study was to investigate the clinical and microbiological efficacy of oral nitrofurantoin treatment in children with lower urinary tract infection (UTI) caused by ESBL-producing E. coli. METHODS Fifty children with lower UTI due to ESBL-producing E. coli were prospectively studied. Demographic data, clinical condition, laboratory values, treatment regimens, and complications of the patients were recorded. Urine samples were obtained by transurethral catheterization or clean catch; urine bags were not used for specimen collection for culture. Patients with lower UTI due to ESBL-producing E. coli and found to be susceptible to nitrofurantoin were given oral nitrofurantoin. Patients were re-evaluated 3-4 days after the end of treatment. Renal scintigraphy was performed 1-3 months after the end of treatment. RESULTS A total of 50 pediatric patients (48 females and 2 males) were enrolled into study. The mean age was 7.5 ± 3.96 years (range, 1-17 years). The duration of nitrofurantoin treatment was 10 days. Bacteriological response was observed in 49 of 50 patients (98%). No patient had symptoms after treatment. No significant side-effect was observed in any of the patients. All patients had normal serum creatinine values. Renal scintigraphic study, which was performed in all patients 1-3 months after completion of treatment, demonstrated the non-scarring in 48 of 50 patients (96%). CONCLUSIONS UTIs due to ESBL-producing E. coli are a serious problem because of the bacteria's multidrug antibiotic resistance pattern. This study suggests that oral nitrofurantoin treatment could be a good alternative for lower UTI caused by ESBL-producing E. coli in pediatric patients.
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Affiliation(s)
- A Kara
- Department of Pediatric Nephrology, Firat University School of Medicine, 23119, Elazig, Turkey.
| | - M K Gurgoze
- Department of Pediatric Nephrology, Firat University School of Medicine, 23119, Elazig, Turkey.
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Kara A, Guven M, Demir D, Yilmaz MS, Gundogan ME, Genc S. Are calculated ratios and red blood cell and platelet distribution width really important for the laryngeal cancer and precancerous larynx lesions. Niger J Clin Pract 2019; 22:701-706. [PMID: 31089026 DOI: 10.4103/njcp.njcp_478_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Introduction In this research, it is planned to investigate the differences in neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, reticulocyte distribution width, and platelet distribution width values of groups of benign laryngeal lesion, precancerous laryngeal lesion, and laryngeal squamous cell carcinoma and among patients with different stages of tumors in laryngeal carcinoma and precancerous laryngeal lesion groups, and whether these values carry a prognostic features. Materials and Methods The investigated parameters determined from preoperative blood samples of patients have been compared among the groups and in the subgroups according to severity of illness in laryngeal carcinoma and precancerous laryngeal lesion groups. Also, the laryngeal carcinoma and precancerous laryngeal lesion groups were divided into two subgroups as good and poor prognosis and were compared with patients having good prognosis requiring no additional treatment during the follow-up, and the statistical significance of the differences was examined. Results On comparison, statistically significant differences were only observed between the gross larynx carcinoma group and other lesions. Apart from that, when the values were evaluated in terms of prognosis, no significant statistical results were found in any of the values. Conclusion Despite the significant statistical results seen in the gross tumors, it is known that there are more objective methods for identifying those lesions in clinical use. We conclude that caution should be exercised when using these new hematological parameters, which can be affected by many factors.
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Affiliation(s)
- A Kara
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
| | - M Guven
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
| | - D Demir
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
| | - M S Yilmaz
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
| | - M E Gundogan
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
| | - S Genc
- Department of Otorhinolaryngology, Sakarya University Training and Research Hospital, Korucuk, Sakarya, Turkey
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Kara A, Guven M, Sinan Yilmaz M, Demir D, Adigul Ç, Durgut M, Elden H, Mutlu F, İseri M. Comparison of two different bone anchored hearing instruments: Baha-5 vs Ponto-plus. Acta Otolaryngol 2019; 139:517-521. [PMID: 30957608 DOI: 10.1080/00016489.2019.1590637] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND To our knowledge, there is no study comparing Ponto Plus® (Oticon Medical AB, Askim, Sweden) and Baha® 5 (Cochlear Bone Anchored Solutions AG, Mölnlycke, Sweden) available in the literature. AIMS/OBJECTIVES The primary aim was to compare the performance of the Baha 5 with the Ponto Plus device in terms of speech understanding in quiet and in noise. In addition, to determine statistically whether or not the difference between the abutment systems created any variation in terms of skin reaction. MATERIALS AND METHODS Twenty bone-anchored hearing instrument users, ten in each group, were evaluated for speech understanding in quiet and several signal-to-noise ratios using the Turkish Matrix Test in a two-speaker setup. The Holger classifications were also reviewed to determine adverse skin reactions. RESULTS It was revealed that the hearing results of both devices were similar and, when the skin reactions were compared, there was no statistically significant difference between the two-implant systems. CONCLUSIONS AND SIGNIFICANCE Because of the similar results of the groups, it can be interpreted as the key different device features such as the size, weight, colour alternatives, and the ease of use of the devices might be important in terms of device preference.
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Affiliation(s)
- Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mehmet Guven
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Mahmut Sinan Yilmaz
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Deniz Demir
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Çağlayan Adigul
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Merve Durgut
- Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
| | - Halil Elden
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Fatih Mutlu
- Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
| | - Mete İseri
- Department of Otorhinolaryngology, Kocaeli Medical Park Hospital, Kocaeli, Turkey
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Gülenç B, Günaydin B, Çamur S, Talmaç MA, Güler Y, Kara A. An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance. Acta Chir Orthop Traumatol Cech 2019; 86:271-275. [PMID: 31524588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE OF THE STUDY The most commonly used technique for fixation of the femoral neck fractures is percutaneous osteosynthesis with cannulated screw under fluoroscopy guidance. Osteosynthesis performed under single-fluoroscopic guidance requires continuous repositioning the fluoroscope to obtain biplane imaging. This study aimed to evaluate whether there is a statistically significant difference between the osteosynthesis procedures performed under guidance of single-fluoroscopy and double fluoroscopy with respect to radiation emission safety and treatment parameters for fixation of femoral neck fractures. MATERIAL AND METHODS This retrospective study included 35 patients operated for femoral neck fracture between December 2013 and October 2017. Osteosynthesis was performed in 21 of these patients using cannulated screw under guidance of single-fluoroscopy whereas other 14 patients underwent same type of osteosynthesis assisted by double-fluoroscopy. The parameters of these two groups such as duration of surgery preparation, duration of the surgery, duration of radiation exposure, collo-diaphyseal angle and Harris hip score values were recorded. RESULTS No significant difference was found between the groups regarding time for surgery preparation (p > 0.05). On the other hand, duration of surgery and overall duration of radiation exposure were found 14 (p < 0.05) and 15 (p < 0.05) minutes shorter in the double-fluoroscopy group, respectively. No significant difference was found between the groups in terms of collo-diaphyseal angle and Harris hip score values (p > 0.05). CONCLUSIONS Use of double-fluoroscopy significantly reduces time of surgical duration and also level of radiation exposure in surgery of femoral neck fractures. Key words:double fluoroscopy, femoral neck fractures, radiation, osteosynthesis, cannulated screw.
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Affiliation(s)
- B Gülenç
- Istanbul Medipol University, Orthopaedics and Traumatology Department, Istanbul, Turkey
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Kara A, Gülenç B, Çelik H, Kilinç E, Çamur S, Şener B. Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot™). Acta Chir Orthop Traumatol Cech 2019; 86:353-357. [PMID: 31748111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE OF THE STUDY We aimed to investigate the functional outcomes and complications of a new approach, the primary UCL repair using JuggerKnot™ Soft Anchor-1.0 mm Mini (Zimmer-Biomet). MATERIAL AND METHODS This study included a total of 12 patients with acute UCL injury who were operated with primary repair with JuggerKnot™ Soft Anchor-1.0 mm Mini between January 2012 and September 2016. All patients were operated on using the same surgical technique. The thumb pinch and grip strengths, articular range of motion, and Glickel functional score were recorded for all patients. The pinch grip strength and articular range of motion were compared with the intact side. Early and late postoperative complications were recorded. RESULTS The mean follow-up time was 22.2 months (range 6-54 months). The grip strength and the pinch strength were 94.3% and 92.27%, respectively, of the contralateral side. Articular range of motion attained the same level as the contralatereal side in all patients at the final visit, and no patient suffered from any complication. The patients returned to work at a mean of 5.45 weeks, and the Glickel score was good in 1 patient and excellent in the remainder 11 patients. CONCLUSIONS Surgical repair using the JuggerKnot™ Soft Anchor-1.0 mm is an effective alternative treatment method for acute total ulnar collateral ligament (UCL) rupture. Key words:ulnar collateral ligament, acute total injury, thumb, soft suture anchor, JuggerKnot™.
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Affiliation(s)
- A Kara
- Istanbul Medipol University, Orthopaedics and Traumatology Department, Istanbul, Turkey
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Kara A, Gurgoze MK, Serin HM, Aydin M. Cerebral arterial thrombosis in a child with nephrotic syndrome. Niger J Clin Pract 2018; 21:945-948. [PMID: 29984731 DOI: 10.4103/njcp.njcp_422_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Nephrotic syndrome (NS) in childhood may be associated with thromboembolic complications, mainly in venous origin. However, arterial thrombosis may also be seen as a very rare and life-threatening complication. Herein, we described a case of steroid-resistant NS who did not respond to full-dose steroid treatment for 8 weeks and was complicated by neurological findings. The renal biopsy was consistent with focal segmental glomerulosclerosis. His cerebral magnetic resonance angiography showed the sudden termination of M3 branch of the left middle cerebral artery which corresponded with subacute infarction in the left frontoparietotemporal area. Thrombosis panel yielded the results of hyperhomocysteinemia (46.1 μmol/L, range: 5-15 μmol/L) and heterozygous methylene tetrahydrofolate reductase mutation (C677T, A1298C). After that, the patient was given medical therapy including anticoagulant treatment. Improvement in the neurological outcome was determined on the 1st month of follow-up examinations.
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Affiliation(s)
- A Kara
- Department of Pediatric Nephrology, Firat University School of Medicine, Elazig, Turkey
| | - M K Gurgoze
- Department of Pediatric Nephrology, Firat University School of Medicine, Elazig, Turkey
| | - H M Serin
- Department of Pediatric Neurology, Firat University School of Medicine, Elazig, Turkey
| | - M Aydin
- Department of Pediatrics, Firat University School of Medicine, Elazig, Turkey
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Srinivasan B, Steed P, Kara A, Proctor M, Shenouda E, Ethunandan M. Service evaluation for craniofacial resection of tumours - University Hospital Southampton experience. Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Sarac M, Bakal U, Tartar T, Canpolat S, Kara A, Kazez A. Bochdalek hernia and intrathoracic ectopic kidney: Presentation of two case reports and review of the literature. Niger J Clin Pract 2018; 21:681-686. [PMID: 29735873 DOI: 10.4103/njcp.njcp_217_17] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Bochdalek hernia is a congenital abnormality with high morbidity and mortality characterized by passage of the abdominal organs into the thoracic cavity through a diaphragmatic defect. Intrathoracic location of abdominal organs such as kidneys is very rare, with a reported incidence of only 0.25% in the literature. Herein, we present two cases of Bochdalek hernia with a herniation of intra-abdominal organ such as kidney that was treated in our clinic and compare this rare case with those in the literature. In both cases, the functionally normal kidneys were left in situ during diaphragmatic repair. No complications were observed during the postoperative period, and 10- and 1-year follow-ups. In cases with Bochdalek hernia associated with an intrathoracic ectopic kidney, the functionally normal ectopic kidneys were left in situ during repair of the diaphragmatic defect without complications.
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Affiliation(s)
- M Sarac
- Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey
| | - U Bakal
- Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey
| | - T Tartar
- Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey
| | - S Canpolat
- Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey
| | - A Kara
- Department of Pediatric Nephrology, Firat University School of Medicine, Elazig, Turkey
| | - A Kazez
- Department of Pediatric Surgery, Firat University School of Medicine, Elazig, Turkey
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Abstract
OBJECTIVE The aim is to investigate the expression status of ADAMTS1,8, and 18 proteases in gastric cancer (GC) and lymphatic metastasis. BACKGROUND A disintegrin and metalloprotease with thrombospondin motifs (ADAMTS) is a new protease family, and has important biological functions such as hemostasis, extracellular matrix remodeling and regulation of angiogenesis. METHODS The immunostaining status of ADAMTS1,8, and 18 were investigated in formalin-fixed paraffin-embedded samples of 25 patients who underwent curative resection for GC. RESULTS The immune reactivity scores (IRS) of ADAMTS1, 8, and 18 were significantly higher in the cancerous gastric tissue in comparison to non-cancerous gastric tissue (p < 0.001). In addition, IRS scores of these three ADAMTS proteases were higher in the metastatic lymph nodes compared with healthy lymph nodes (p < 0.001). The expression status of the three ADAMTSs in cancerous gastric tissue was correlated with stage of tumor. Additionally, ADAMTS1 expression and ADAMTS8 expression in cancerous gastric tissue were found to correlate with grade and tumor size, respectively. CONCLUSION This study showed that ADAMTS1, 8, and 18 are highly expressed in GC and its nodal metastases, suggesting important roles of these proteases in carcinogenesis and lymphatic metastasis. The findings from the present study indicate that these proteases may be promising candidates for novel and alternative treatments in GC (Tab. 3, Fig. 3, Ref. 27).
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Kara A, Guven M, Yilmaz MS, Demir D, Elden H. Are neutrophil, platelet and eosinophil-to-lymphocyte ratio and red blood cell distribution width can be used for nasal polyposis? Eur Arch Otorhinolaryngol 2017; 275:409-413. [PMID: 29192331 DOI: 10.1007/s00405-017-4821-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 11/23/2017] [Indexed: 02/04/2023]
Abstract
INTRODUCTION The aim of this study is to explore the relationship of neutrophil, platelet and eosinophil-to-lymphocyte ratios and red blood cell distribution width values with nasal polyposis, and whether this could be a predictive parameter that can be used for the severity and recurrence risk of the disease. METHOD Neutrophil/lymphocyte, platelet/lymphocyte, eosinophil/lymphocyte ratios and red blood cell distribution width values were compared between nasal polyposis patients who were reviewed in a retrospective manner and the control group comparable for age and sex. Moreover, the nasal polyposis group was grouped for nasal polyposis severity and recurrence, and these subgroups were statistically compared, too. RESULTS When the nasal polyposis patient group and the control group are compared, no statistically significant difference was found between two groups except for eosinophil/lymphocyte ratio. While only the difference between nasal polyposis severity and eosinophil/lymphocyte ratio is statistically significant, there was no parameter with statistically significant difference for recurrence. CONCLUSION We think that caution should be exercised when using these new hematological parameters which can be affected by many factors for the presence, severity and recurrence risk of nasal polyposis, and literature data should be proven by conducting different and objective studies on this subject.
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Affiliation(s)
- Ahmet Kara
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya University Training and Research Hospital, Korucuk, 54000, Sakarya, Turkey.
| | - Mehmet Guven
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya University Training and Research Hospital, Korucuk, 54000, Sakarya, Turkey
| | - Mahmut Sinan Yilmaz
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya University Training and Research Hospital, Korucuk, 54000, Sakarya, Turkey
| | - Deniz Demir
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya University Training and Research Hospital, Korucuk, 54000, Sakarya, Turkey
| | - Halil Elden
- Department of Otorhinolaryngology, Sakarya University Faculty of Medicine, Sakarya University Training and Research Hospital, Korucuk, 54000, Sakarya, Turkey
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Sekerdag E, Lüle S, Bozdağ Pehlivan S, Kara A, Öztürk N, Kaffashi A, Vural I, Yavuz B, Karlı Oguz K, Söylemezoğlu F, Gürsoy-Özdemir Y, Mut M. Nose-to-brain delivery of farnesylthiosalicylic acid loaded hybrid nanoparticles in the treatment of glioblastoma. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.499] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Sibari A, Kerrami Z, Kara A, Hamedoun M, Benyoussef A, Mounkachi O, Benaissa M. Adsorption and diffusion on a phosphorene monolayer: a DFT study. J Solid State Electrochem 2017. [DOI: 10.1007/s10008-017-3703-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Yiğit M, Kara A. Model-based predictions for nuclear excitation functions of neutron-induced reactions on 64 ,66 −68 Zn targets. Nuclear Engineering and Technology 2017. [DOI: 10.1016/j.net.2017.03.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Tokgözoğlu L, Oğuz A, Balcı MK, Temizhan A, Güldal Altunoğlu E, Bektaş O, Aslan G, Iyigün Ö, Kara A, Tanrıverdi Pınar H, Yavuz S, Tekin M, Ercan S, Çelik S, Sezgin Meriçliler Ö, Bozkurt Çakır İ. Turkish assessment of SURF (SUrvey of Risk Factor Management) study: Control rates of cardiovascular risk factors derived from databases of 15 different levels of health centers in Turkey. Turk Kardiyol Dern Ars 2017; 45:398-407. [PMID: 28694393 DOI: 10.5543/tkda.2017.39032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the adherence to recommendations for secondary prevention and the achievement of treatment targets for the control of risk factors in patients with established coronary heart disease (CHD) who were followed-up at various healthcare facilities in Turkey. METHODS According to the protocol of the international Survey of Risk Factor Management study, questionnaire forms were completed and demographic, anthropometric, and laboratory data of CHD patients who were followed-up at a total of 15 selected primary, secondary, and tertiary healthcare centers were recorded. RESULTS Among a total of 724 CHD patients (69.8% male; mean age: 63.3±10.7 years) included in the study, 18.4% were current smokers, only 19.1% had normal body mass index, and 22.1% had waist circumference below the limit of abdominal obesity. Physical activity was insufficient in 53% of the patients, 47.3% had low high-density lipoprotein cholesterol value, 46% had triglyceride level above 150 mg/dL, and 67% had glycated hemoglobin value of 6.5% or above. Of all the patients, 88.1% were using antiplatelet drugs, 71.4% were using beta-blockers, 55.7% were using statins, and 41.9% were using angiotensin-converting enzyme inhibitors/angiotensin receptor blockers. Blood pressure was under control in 56.7% of the hypertensive patients using antihypertensive drugs, and the proportion of diabetic patients who reached glycemic control targets using antidiabetic drugs was 35.9%. Low-density lipoprotein cholesterol was below 70 mg/dL in 12.2% of the patients using statins. CONCLUSION According to the data obtained, among Turkish CHD patients, the control rate of cardiovascular risk factors is low, and implementation of the recommendations regarding lifestyle modification and medication use for secondary prevention in the current guidelines are insufficient.
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Affiliation(s)
| | - Aytekin Oğuz
- Department of Internal Medicine, Göztepe Training and Research Hospital, Medeniyet University Faculty of Medicine, İstanbul, Turkey.
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Kuyucu E, Ceylan HH, Surucu S, Erdil I, Kara A, Gulenc BG, Bulbul M, Erdil M. The Effect of Incorrect Foot Placement on the Accuracy of Radiographic Measurements of the Hallux Valgus and Inter-Metatarsal Angles for Treating Hallux Valgus. Acta Chir Orthop Traumatol Cech 2017; 84:196-201. [PMID: 28809639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
PURPOSE OF THE STUDY Accurate radiographic measurements are crucial in treating hallux valgus (HV). This three-dimensional deformity should not be evaluated from one joint on one plane. However, in practice, surgeons measure the deformity only on transverse dorsoplantar radiographs. We determined the amount of error associated with positioning the foot incorrectly on radiographs. MATERIAL AND METHODS To simulate incorrect positions of the foot in radiographic evaluation, we designed an angled device that can move in transverse and frontal plane. In four patients with symptomatic HV, we took weight-bearing radiographs of the involved foot in seven different positions. These 28 radiographs were given identifying but meaningless labels. On each radiograph, six surgeons blinded to the position of the radiograph measured the HV angle (HVA) and the inter-metatarsal angle (IMA) and state the treatment plan according to five treatment options were given to participants. RESULTS Inter-observer agreement was high for measurements of HVA and IMA in all positions (interclass correlation coefficients, 0.96 and 0.88, respectively). However, intra-observer agreement was poor for HVA (intra-observer agreement, 0.17) but good for IMA (intra-observer agreement, 0.64). According to the measurements in different positions, intra-observer treatment choices revealed moderate results (ICC: 0.524). Clinical Relevance Radiographic measurements are very important on the treatment decisions of hallux valgus. The foot position can influence the measurement accuracy and can cause incorrect decisions. In this study, we evaluated the impact of foot positions on measurements of hallux valgus angle and inter-metatarsal angle. Additionally, we evaluated the incorrect foot positioning on treatment decisions. Moreover, we analyzed intra-observer and inter-observer agreements of these angles in various positions. CONCLUSIONS We recommend that measurements of IMA are more reliable than those of HVA for managing hallux valgus in terms of false weight bearing radiographs taken in different positions. Positional changes during foot radiographs could lead clinicians to perform incorrect HVA and IMA measurements. This could change the treatment option. HVA measurements were more affected with foot positioning. It is important to take full weight bearing foot radiographs in correct technique. Key words: hallux valgus, radiology, data accuracy.
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Affiliation(s)
- E Kuyucu
- Medipol University, Department of Orthopaedics and Traumatology, Istanbul, Turkey
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Korkut T, Kara A, Korkut H. Effect of ultra high temperature ceramics as fuel cladding materials on the nuclear reactor performance by SERPENT Monte Carlo code. KERNTECHNIK 2016. [DOI: 10.3139/124.110580] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AbstractUltra High Temperature Ceramics (UHTCs) have low density and high melting point. So they are useful materials in the nuclear industry especially reactor core design. Three UHTCs (silicon carbide, vanadium carbide, and zirconium carbide) were evaluated as the nuclear fuel cladding materials. The SERPENT Monte Carlo code was used to model CANDU, PWR, and VVER type reactor core and to calculate burnup parameters. Some changes were observed at the same burnup and neutronic parameters (keff, neutron flux, absorption rate, and fission rate, depletion of U-238, U-238, Xe-135, Sm-149) with the use of these UHTCs. Results were compared to conventional cladding material zircalloy.
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Affiliation(s)
- T. Korkut
- 1Department of Nuclear Energy Engineering, Faculty of Engineering, Sinop University, Sinop, Turkey
| | - A. Kara
- 1Department of Nuclear Energy Engineering, Faculty of Engineering, Sinop University, Sinop, Turkey
| | - H. Korkut
- 1Department of Nuclear Energy Engineering, Faculty of Engineering, Sinop University, Sinop, Turkey
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Köse O, Arabacı T, Yemenoglu H, Ozkanlar S, Kurt N, Gumussoy I, Gedikli S, Kara A. Influence of experimental periodontitis on cardiac oxidative stress in rats: a biochemical and histomorphometric study. J Periodontal Res 2016; 52:603-608. [DOI: 10.1111/jre.12428] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2016] [Indexed: 02/07/2023]
Affiliation(s)
- O. Köse
- Department of Periodontology; School of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
| | - T. Arabacı
- Department of Periodontology; School of Dentistry; Ataturk University; Erzurum Turkey
| | - H. Yemenoglu
- Department of Periodontology; School of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
| | - S. Ozkanlar
- Department of Biochemistry; School of Veterinary Medicine; Ataturk University; Erzurum Turkey
| | - N. Kurt
- Department of Biochemistry; School of Medicine; Ataturk University; Erzurum Turkey
| | - I. Gumussoy
- Department of Dentomaxillofacial Radiology; School of Dentistry; Recep Tayyip Erdogan University; Rize Turkey
| | - S. Gedikli
- Department of Histology and Embryology; School of Veterinary Medicine; Ataturk University; Erzurum Turkey
| | - A. Kara
- Department of Histology and Embryology; School of Veterinary Medicine; Ataturk University; Erzurum Turkey
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Turkeli M, Aldemir MN, Bingol F, Dogan C, Kara A. A morphometric study of the protective effect of cryotherapy on oral mucositis in cancer patients treated with 5-fluorouracil. Biotech Histochem 2016; 91:465-471. [PMID: 27644112 DOI: 10.1080/10520295.2016.1220020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
We investigated cytological changes in oral mucosa smears from patients treated with cryotherapy to determine whether cryotherapy prevented mucositis caused by 5-fluorouracil (5-FU) therapy. Patients with gastrointestinal malignancies were divided into four groups; control patients before 5-FU therapy, patients after 5-FU therapy without cryotherapy, patients with cryotherapy before 5-FU therapy and patients with cryotherapy after 5-FU therapy. Oral mucosa samples from all patients were assessed at the beginning and on day 14 of chemotherapy. We used exfoliative cytology to evaluate cellular changes in the oral mucosa that were caused by 5-FU. Smears from each patient were stained using the Papanicolaou method and analyzed using stereology. Smears were taken from each group before and after 5-FU infusion. We found that nuclear volume was decreased significantly in cells of the 5-FU therapy after cryotherapy patients compared to the 5-FU therapy before cryotherapy patients. We also found significantly decreased cytoplasmic volumes in the 5-FU therapy after cryotherapy patients compared to the 5-FU therapy before cryotherapy patients. The results of cytomorphometric estimations revealed that cryotherapy may be used to prevent damage to oral tissue and may decrease the frequency and duration of oral mucositis caused by 5-FU.
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Affiliation(s)
- M Turkeli
- a Department of Medical Oncology , School of Medicine, Ataturk University , Erzurum , Turkey
| | - M N Aldemir
- a Department of Medical Oncology , School of Medicine, Ataturk University , Erzurum , Turkey
| | - F Bingol
- b Department of Otorhinolaryngology , Erzurum Regional Training and Research Hospital , Erzurum , Turkey
| | - C Dogan
- c Department of Internal Medicine , School of Medicine, Ataturk University , Erzurum , Turkey
| | - A Kara
- d Department of Histology and Embryology , School of Veterinary Medicine, Atatürk University , Erzurum , Turkey
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ESICM LIVES 2016: part two. Intensive Care Med Exp 2016. [PMCID: PMC5042923 DOI: 10.1186/s40635-016-0099-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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E, Juliarena A, Bisso MC, Grando M, Tapia A, Camargo M, Ulla DV, Corzo L, dos Santos HP, Ramos A, Doglia JA, Estenssoro E, Carbonara M, Magnoni S, Donald CLM, Shimony JS, Conte V, Triulzi F, Stretti F, Macrì M, Snyder AZ, Stocchetti N, Brody DL, Podlepich V, Shimanskiy V, Savin I, Lapteva K, Chumaev A, Tjepkema-Cloostermans MC, Hofmeijer J, Beishuizen A, Hom H, Blans MJ, van Putten MJAM, Longhi L, Frigeni B, Curinga M, Mingone D, Beretta S, Patruno A, Gandini L, Vargiolu A, Ferri F, Ceriani R, Rottoli MR, Lorini L, Citerio G, Pifferi S, Battistini M, Cordolcini V, Agarossi A, Di Rosso R, Ortolano F, Stocchetti N, Lourido CM, Cabrera JLS, Santana JDM, Alzola LM, del Rosario CG, Pérez HR, Torrent RL, Eslami S, Dalhuisen A, Fiks T, Schultz MJ, Hanna AA, Spronk PE, Wood M, Maslove D. ESICM LIVES 2016: part three. Intensive Care Med Exp 2016. [PMCID: PMC5042925 DOI: 10.1186/s40635-016-0100-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Zöllner C, Morton B, Mitsi E, Pennington SH, Reine J, Wright AD, Parker R, Welters ID, Blakey JD, Rajam G, Ades EW, Ferreira DM, Wang D, Kadioglu A, Gordon SB, Koch R, Kox M, Rahamat-Langedoen J, Schloesser J, de Jonge M, Pickkers P, Bringue J, Guillamat-Prats R, Torrents E, Martinez ML, Camprubí-Rimblas M, Artigas A, Blanch L, Park SY, Park YB, Song DK, Shrestha S, Park SH, Koh Y, Park MJ, Hong CW, Lesur O, Coquerel D, Sainsily X, Cote J, Söllradl T, Murza A, Dumont L, Dumaine R, Grandbois M, Sarret P, Marsault E, Salvail D, Auger-Messier M, Chagnon F, Lauretta MP, Greco E, Dyson A, Singer M, Preau S, Ambler M, Sigurta A, Saeed S, Singer M, Sarıca LT, Zibandeh N, Genc D, Gul F, Akkoc T, Kombak E, Cinel L, Akkoc T, Cinel I, Pollen SJ, Arulkumaran N, Singer M, Torrance HD, Longbottom ER, Warnes G, Hinds CJ, Pennington DJ, Brohi K, O’Dwyer MJ, Kim HY, Na S, Kim J, Chang YF, Chao A, Shih PY, Lee CT, Yeh YC, Chen LW, Adriaanse M, Trogrlic Z, Ista E, Lingsma H, Rietdijk W, Ponssen HH, Schoonderbeek JF, Schreiner F, Verbrugge SJ, Duran S, Gommers DAMPJ, van der Jagt M, Funcke S, Sauerlaender S, Saugel B, Pinnschmidt H, Reuter DA, Nitzschke R, Perbet S, Biboulet C, Lenoire A, Bourdeaux D, Pereira B, Plaud B, Bazin JE, Sautou V, Mebazaa A, Constantin JM, Legrand M, Boyko Y, Jennum P, Nikolic M. ESICM LIVES 2016: part one. Intensive Care Med Exp 2016. [PMCID: PMC5042924 DOI: 10.1186/s40635-016-0098-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Şahin E, Kara A, Elboğa U. Contribution of nonattenuation-corrected images on FDG-PET/CT in the assessment of solitary pulmonary nodules. Radiol Med 2016; 121:944-949. [PMID: 27567614 DOI: 10.1007/s11547-016-0681-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 08/18/2016] [Indexed: 11/28/2022]
Abstract
In this study, we aim to determine the diagnostic performance of nonattenuation-corrected (NAC) and attenuation-corrected (AC) FDG-PET/CT images in the assessment of solitary pulmonary nodule (SPN). We reviewed the images of 41 patients who underwent FDG-PET/CT to diagnose SPNs. The visual analysis of FDG uptake intensity in SPN on AC and NAC PET images was made using a four-point score from 1 to 4 on both AC and NAC PET images. The cutoff value of SUVmax and visual uptake scores for malignancy were defined as ≥2.5 and ≥3, respectively. The significant visual uptake (≥2 visual point score) on AC and NAC PET images was considered to be positive 18F-FDG PET findings for lesion detectability. The sensitivity, specificity and diagnostic accuracy were calculated for AC and NAC PET images. Based on the histopathology and imaging data, 22 of the SPNs (54 %) were malignant and 19 of them (46 %) were benign. The sensitivity and NPV were found to be 100 % in the detection of SPNs for AC and NAC PET images. For all SPNs and SPNs ≤2 cm, NAC PET image had a higher diagnostic performance for the SPN characterization as malignant or benign, when compared with AC PET image. The success rates of AC and NAC PET images were found to be similar for the detection of SPNs. NAC PET image had a higher diagnostic performance for the SPN characterization. It is thought that NAC PET image may provide additional contributions for characterization of SPNs.
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Affiliation(s)
- Ertan Şahin
- Department of Nuclear Medicine, Namık Kemal University Hospital, Tekirdağ, Turkey.
| | - Ahmet Kara
- Department of Nuclear Medicine, Private OSM-Ortadoğu Hospital, Şanlıurfa, Turkey
| | - Umut Elboğa
- Department of Nuclear Medicine, Gaziantep University Hospital, Gaziantep, Turkey
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Köse O, Arabaci T, Kizildag A, Erdemci B, Özkal Eminoğlu D, Gedikli S, Özkanlar S, Zihni M, Albayrak M, Kara A, Kermen E. Melatonin prevents radiation-induced oxidative stress and periodontal tissue breakdown in irradiated rats with experimental periodontitis. J Periodontal Res 2016; 52:438-446. [DOI: 10.1111/jre.12409] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2016] [Indexed: 01/09/2023]
Affiliation(s)
- O. Köse
- Faculty of Dentistry; Department of Periodontology; Recep Tayyip Erdogan University; Rize Turkey
| | - T. Arabaci
- Faculty of Dentistry; Department of Periodontology; Atatürk University; Erzurum Turkey
| | - A. Kizildag
- Faculty of Dentistry; Department of Periodontology; Pamukkale University; Denizli Turkey
| | - B. Erdemci
- Faculty of Medicine; Department of Radiation Oncology; Atatürk University; Erzurum Turkey
| | - D. Özkal Eminoğlu
- Faculty of Dentistry; Department of Periodontology; Atatürk University; Erzurum Turkey
| | - S. Gedikli
- Faculty of Veterinary Medicine; Department of Histology and Embriology; Atatürk University; Erzurum Turkey
| | - S. Özkanlar
- Faculty of Veterinary Medicine; Department of Biochemistry; Atatürk University; Erzurum Turkey
| | - M. Zihni
- Faculty of Dentistry; Department of Periodontology; Recep Tayyip Erdogan University; Rize Turkey
| | - M. Albayrak
- Department of Medical Laboratory; Health Services Vocational Training School; Atatürk University; Erzurum Turkey
| | - A. Kara
- Faculty of Veterinary Medicine; Department of Histology and Embriology; Atatürk University; Erzurum Turkey
| | - E. Kermen
- Faculty of Dentistry; Department of Periodontology; Atatürk University; Erzurum Turkey
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Sahin D, Erdolu CO, Karadenizli S, Kara A, Bayrak G, Beyaz S, Demir B, Ates N. Effects of gestational and lactational exposure to low dose mercury chloride (HgCl2) on behaviour, learning and hearing thresholds in WAG/Rij rats. EXCLI J 2016; 15:391-402. [PMID: 27540351 PMCID: PMC4983802 DOI: 10.17179/excli2016-315] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 06/05/2016] [Indexed: 01/18/2023]
Abstract
We investigated the effects of inorganic mercury exposure during gestational/lactational periods on the behaviour, learning and hearing functions in a total of 32, 5-week-old and 5-month-old WAG/Rij rats (equally divided into 4 groups as 5-week and 5-month control mercury exposure groups). We evaluated the rats in terms of locomotor activity (LA), the Morris-water-maze (MWM) test and the passive avoidance (PA) test to quantify learning and memory performance; we used distortion product otoacoustic emission (DPOAE) tests to evaluate hearing ability. There were no significant differences between the 5-week-old rat groups in LA, and we detected a significant difference (p < 0.05) in the HgCl2-treated group in PA, MWM and DPOAE tests compared with the control group. The HgCl2-treated 5-week-old group exhibited worse emotional memory performance in PA, worse spatial learning and memory performances in MWM. There were no significant differences between the groups of 5-month-old rats in LA, MWM or PA. However, the DPOAE tests worsened in the mid- and high-frequency hearing thresholds. The HgCl2-treated 5-month-old group exhibited the most hearing loss of all groups. Our results convey that mercury exposure in young rats may worsen learning and memory performances as well as hearing at high-frequency levels. While there was no statistically significant difference in the behavior and learning tests in adult rats, the DPOAE test produced poorer results. Early detection of effects of mercury exposure provides medicals team with an opportunity to determinate treatment regimens and mitigate ototoxicity. DPOAE test can be used in clinical and experimental research investigating heavy metal ototoxicity.
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Affiliation(s)
- Deniz Sahin
- Kocaeli University / Medical Faculty, Physiology, Kocaeli, Turkey
| | | | | | - Ahmet Kara
- Sakarya University Training and Research Hospital, Otorhinolaryngology Department, Sakarya,Turkey
| | - Gunce Bayrak
- Kocaeli University / Medical Faculty, Kocaeli, Turkey
| | - Sumeyye Beyaz
- Kocaeli University / Medical Faculty, Kocaeli, Turkey
| | - Buse Demir
- Kocaeli University / Medical Faculty, Kocaeli, Turkey
| | - Nurbay Ates
- Kocaeli University / Medical Faculty, Physiology, Kocaeli, Turkey
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