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Akarsu SA, Gungor IH, Acisu TC, Cakir A, Guler E, Koca RH, Yilmaz I, Sonmez M, Gur S, Turk G, Kaya SO, Yuce A. Determination of the cryoprotective effect of n-methylacetamide in rabbit semen. Cryo Letters 2023; 44:378-384. [PMID: 38311932] [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: 02/06/2024]
Abstract
BACKGROUND Amides are low molecular weight cryoprotectants. N-methylacetamide (MA) is one of the cryoprotectant agents in this group. OBJECTIVE To investigate the cryoprotective effect of MA in rabbit semen. MATERIALS AND METHODS For this purpose, six ejaculates from six New Zealand rabbits were collected and pooled using an artificial vagina. Pooled semen was divided into four equal parts and diluted with TCG+ egg yolk. CPA was added to form the following groups: Control with 6% DMSO; Group 1 with 1% MA; Group 2 with 2% MA; and Group 3 with 3% MA. After the addition of CPA, the semen eqilibration procedure was started. Sperm were then drawn into 0.25 mL straws, frozen by automatic semen freezing and stored in a liquid nitrogen container. Pipettes were thawed after 24 h and analyses were performed. RESULTS Total, progressive and rapid motility values of the Control group were higher than those of the MA groups (p<0.05). However, there was no statistical difference between the Control and Group 2 in terms of these parameters. While there was no statistical difference between the groups in terms of acrosome damage and mitochondrial membrane potential, the best results were observed in Control, Group 2, Group 1 and Group 3, respectively. When we compared all groups, no difference was found in terms of MDA, CAT and GSH-Px. There was a statistical difference between Group 3 and the Control in terms of GSH level (p<0.05). CONCLUSION DMSO appeared to be more useful for the cryopreservation of rabbit semen compared to MA. Doi.org/10.54680/fr23610110812.
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Affiliation(s)
- S A Akarsu
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Ataturk University, Erzurum, Turkey
| | - I H Gungor
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - T C Acisu
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - A Cakir
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - E Guler
- Department of Physiology, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - R H Koca
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Bingol University, Bingol, Turkey.
| | - I Yilmaz
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - M Sonmez
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - S Gur
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - G Turk
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - S O Kaya
- Department of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| | - A Yuce
- Department of Physiology, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
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Yuce A, Keles M, Benli E, Cirakoglu A, Yazici I, Nalbant I. Comparison of Serum Gamma Glutamyl Transferase Levels between Prostate Cancer Patients and Their Healthy Peers. Iran J Public Health 2023; 52:1487-1494. [PMID: 37593509 PMCID: PMC10430399 DOI: 10.18502/ijph.v52i7.13251] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Accepted: 08/18/2022] [Indexed: 08/19/2023]
Abstract
Background Prostate cancer (PCa) is the most common cancer affecting men, apart from cutaneous cancers. Serum prostate specific antigen (PSA) levels are frequently used to predict prostate cancer diagnosis. However, many causes (e.g., prostatitis, benign prostate obstruction, urethral catheterization) may cause elevated PSA, in addition to PCa. We aimed to investigate the gamma glutamyl transferase (GGT) levels, a serum biomarker not affected by situations other than cancer causing elevated PSA. Methods The study evaluated male patients with prostate biopsy due to high serum PSA levels and/or abnormal digital rectal examination (DRE) examined in Ordu University Education and Research Hospital, Ordu/Turkey urology clinic from April 2019 to April 2021. The patient group in the study included 261 men with PCa diagnosis and the control group included 245 healthy men with normal PSA levels, and no PCa and/or benign prostate obstruction (BPO). The two groups were compared in terms of serum GGT levels. Results GGT was significantly low in the PCa group and might be a predictor in terms of PCa (P=0.000). In the malignant (PCa) group, the GGT cut-off value was identified as 21.5 (sensitivity 68.6%, specificity 54.4%). Conclusion Serum GGT levels might assist in diagnosis of PCa. However, diagnostic power is weak due to low specificity. There is a need for studies investigating the efficacy of GGT levels for prediction of PCa diagnosis and assessing other parameters alongside GGT.
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Affiliation(s)
- Ahmet Yuce
- Department of Urology, Darende Hulusi Efendi State Hospital, Malatya, Turkey
| | - Mevlut Keles
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Erdal Benli
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Abdullah Cirakoglu
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Ibrahim Yazici
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Ismail Nalbant
- Department of Urology Lokman Hekim University, Ankara, Turkey
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Kalkanli A, Sönmez SZ, Guvel M, Aglamis E, Araz S, Asfuroglu A, Avci HK, Aydin M, Aydos M, Balci U, Baran C, Bastug Y, Baydilli N, Bayrak O, Benlioglu C, Halil Bozkurt I, Bursali K, Can U, Coser S, Caglar Cakici M, Calik G, Cift A, Cilesiz NC, Demir DO, Demir M, Cihan Demirel H, Dursun M, Demirelli E, Ekenci BY, Eksi M, Ergin G, Ergin IE, Erkan A, Fikri O, Tugrul Gezmis C, Gül A, Guzelsoy M, Ibis MA, Inkaya A, Ipekci T, Karakeci A, Karkin K, Kaya C, Kazan O, Koray Kirdag M, Cagri Kizilcay Y, Koseoglu B, Kucuk E, Gonultas S, Ogras MS, Olgun A, Ordek E, Ozbey I, Sarier M, Senel S, Tahra A, Toprak T, Yigit Yalcin M, Hizir Yavuzsan A, Yazar S, Hacıbey İ, Yildirim K, Yilmaz K, Yilmaz S, Yoldas M, Yuce A, Ozgur Yucel M, Nedim Yuceturk C, de la Rosette J, Kadioglu A. Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines. Urol Res Pract 2023; 49:225-232. [PMID: 37877823 PMCID: PMC10544432 DOI: 10.5152/tud.2023.22209] [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] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 04/06/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVE The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines. METHODS Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms. RESULTS Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism. CONCLUSION It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.
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Affiliation(s)
- Arif Kalkanli
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Salih Zeki Sönmez
- Department of Urology, Bağcılar Education and Research Hospital, Istanbul, Turkey
| | - Mine Guvel
- Istanbul Provincial Health Directorate, Istanbul, Turkey
| | | | - Seyhmuz Araz
- Department of Urology, Esenyurt Necmi Kadıoğlu State Hospital, Istanbul, Turkey
| | | | - Huseyin Kursad Avci
- Department of Urology, Ankara Gülhane Training and Research Hospital, Ankara, Turkey
| | - Memduh Aydin
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Murat Aydos
- Department of Urology, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Ugur Balci
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Caner Baran
- Department of Urology, Okmeydanı Education and Research Hospital, Istanbul, Turkey
| | - Yavuz Bastug
- Department of Urology, Haydarpaşa Education and Research Hospital, Istanbul, Turkey
| | - Numan Baydilli
- Department of Urology, Erciyes University, School of Medicine, Kayseri, Turkey
| | - Omer Bayrak
- Department of Urology, Gaziantep University, School of Medicine, Gaziantep, Turkey
| | - Can Benlioglu
- Department of Urology, Adıyaman University, School of Medicine, Adiyaman, Turkey
| | | | - Kerem Bursali
- Department of Urology, Şişli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Utku Can
- Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Seref Coser
- Department of Urology, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
| | - Mehmet Caglar Cakici
- Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey
| | - Gokhan Calik
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Ali Cift
- Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Nusret Can Cilesiz
- Department of Urology, Biruni University, School of Medicine, Istanbul, Turkey
| | | | - Murat Demir
- Department of Urology, Van YY University, School of Medicine, Van, Turkey
| | | | - Murat Dursun
- Department of Urology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University, School of Medicine, Giresun, Turkey
| | - Berk Yasin Ekenci
- Department of Urology, Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Mithat Eksi
- Department of Urology, Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Giray Ergin
- Department of Urology, Koru Hospital, Ankara, Turkey
| | - Ismail Emre Ergin
- Department of Urology, Cumhuriyet University, School of Medicine, Sivas, Turkey
| | - Anil Erkan
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Onur Fikri
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Cem Tugrul Gezmis
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Abdullah Gül
- Department of Urology, Bursa Education and Research hospital, Bursa, Turkey
| | - Muhammet Guzelsoy
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Muhammed Arif Ibis
- Department of Urology, Keçiören Training and Research Hospital, Ankara, Turkey
| | - Abdurrahman Inkaya
- Department of Urology, Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Tumay Ipekci
- Department of Urology, Bahceşehir University, School of Medicine, Istanbul, Turkey
| | - Ahmet Karakeci
- Department of Urology, Fırat University, School of Medicine, Elazığ, Turkey
| | - Kadir Karkin
- Department of Urology, Adana City Hospital, Adana, Turkey
| | - Coskun Kaya
- Department of Urology, Eskişehir City Hospital, Eskişehir, Turkey
| | - Ozgur Kazan
- Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey
| | | | - Yigit Cagri Kizilcay
- Department of Urology, Balıkesir University, School of Medicine, Balıkesir, Turkey
| | - Burak Koseoglu
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Emrah Kucuk
- Department of Urology, Akçakale State Hospital, Şanlıurfa, Turkey
| | - Serkan Gonultas
- Department of Urology, aziosmanpaşa Training and Research Hospital, Istanbul, Turkey
| | | | - Ahmet Olgun
- Department of Urology, Elazığ City Hospital, Elazığ, Turkey
| | - Eser Ordek
- Department of Urology, Gazi University, School of Medicine, Ankara, Turkey
| | - Isa Ozbey
- Department of Urology, Kahta State Hospital, Adıyaman, Turkey
| | - Mehmet Sarier
- Department of Urology, Atatürk University, School of Medicine, Erzurum, Turkey
| | - Samet Senel
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Tahra
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Tuncay Toprak
- Department of Urology, Istinye University, School of Medicine, Istanbul, Turkey
| | | | - Abdullah Hizir Yavuzsan
- Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Selim Yazar
- Department of Urology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey
| | - İbrahim Hacıbey
- Department of Urology, Rize Training and Research Hospital, Rize, Turkey
| | - Kadir Yildirim
- Department of Urology, Medical Park Hospital, Elazığ, Turkey
| | - Kemal Yilmaz
- Department of Urology, Malatya Training and Research Hospital, Malatya, Turkey
| | - Sercan Yilmaz
- Department of Urology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Mehmet Yoldas
- Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey
| | - Ahmet Yuce
- Department of Urology, Darende State Hospital, Malatya, Turkey
| | - Mehmet Ozgur Yucel
- Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Cem Nedim Yuceturk
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Jean de la Rosette
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Ates Kadioglu
- Department of Urology, Section of Andrology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey On Behalf of Turkish Urology Academy
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Yuce A, Benli E, Cirakoglu A, Yazici I, Nalbant I. Bipolar radiofrequency thermotherapy vs. transurethral resection of the prostate: Effect on nocturia as a result of benign prostatic obstruction. Can Urol Assoc J 2022; 16:E545-E551. [PMID: 35704938 DOI: 10.5489/cuaj.7899] [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: 11/19/2022]
Abstract
INTRODUCTION The purpose of this study was to investigate and compare the effects of radiofrequency thermotherapy (RF) thermotherapy and transurethral resection of the prostate (TURP) on nocturia and associated quality of life in patients diagnosed with benign prostatic obstruction (BPO) under medical treatment who have complaints of persistent nocturia. METHODS The results of patients who underwent RF thermotherapy and TURP procedures between February 2019 and February 2022 were examined, and their three-month results were compared based on their uroflowmetry values, International Prostate Symptom Score (IPSS) values, nocturia frequency, and Nocturia Quality of Life Questionnaire scores. RESULTS While the frequency of nocturia in the RF thermotherapy group that was 4.5±1.6 before the procedure decreased to 2.3±1.4 after the procedure (p=0.002), this value in the TURP group decreased from 5.1±2.42 to 3.9±2.1 (p=0.044). RF thermotherapy was found to be more effective than TURP (p<0.005). Significantly more noticeable improvements were observed in most nocturia-related next-day complaints and nocturia-related concerns in the RF thermotherapy group than the TURP group. CONCLUSIONS It was observed that RF thermotherapy had a more acceptable effect on obstructive complaints in comparison to TURP, and it could be more effective on nocturia and associated quality of life. RF ablation treatment may be offered as an appropriate option to treat nocturia complaints in suitable patients.
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Affiliation(s)
- Ahmet Yuce
- Department of Urology, Darende Hulusi Efendi State Hospital, Malatya, Turkey
| | - Erdal Benli
- Department of Urology, Ordu University Faculty of Medicine, Ordu, Turkey
| | - Abdullah Cirakoglu
- Department of Urology, Ordu University Faculty of Medicine, Ordu, Turkey
| | - Ibrahim Yazici
- Department of Urology, Ordu University Faculty of Medicine, Ordu, Turkey
| | - Ismail Nalbant
- Department of Urology, Lokman Hekim University, Ankara, Turkey
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Benli E, Yuce A, Cirakoglu A, Yazici I, Nalbant I. Comparison of Sexual Behavior and Inflammatory Parameters in Prostate Cancer Patients with Control Group: Prospective Controlled Study. Urol J 2022; 19:101-105. [PMID: 34302738 DOI: 10.22037/uj.v18i.6464] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE In spite of extraordinary developments in diagnostic and treatment methods for prostate cancer (PCa), the reason for this disease is not known. Our study aimed to compare men in the PCa group with a control group in terms of sexual behavior like partner numbers and ejaculation frequency, and inflammatory parameters examined in serum. MATERIAL AND METHODS This study was performed prospectively between 2013 and April 2020 and the record system was kept by a single doctor. Patients were prospectively recorded by a single person. Patients with diagnosis of PCa were compared with a control group in terms of sexual behavior and in terms of inflammatory parameters like neutrophil lymphocyte ratio (NLR, neutrophil count/lymphocyte count), systemic inflammatory index (SII, neutrophil count x platelet count/lymphocyte count). RESULTS In this study, median marriage age was 18 ± 6 years in the control group and 20 ± 2.97 in the PCa group (P = .001). The median lifelong partner number was observed to be 1 ± 1 in the control group and 1 ± 9 in the PCa group (median ± IQR). Additionally, lifelong median ejaculation frequency was determined as 12 ± 5 for controls and 10 ± 4 for the PCa group. Inflammatory markers examined in serum and SII scores were observed to be statistically significantly increased in the cancer group. CONCLUSION The sexual behavior and inflammatory parameters among patients with PCa diagnosis were identified to be significantly high compared to the control group and appear to be possible correctable risk factors. Informing men about sexual behavior from an early age and taking precautions for people at risk in the early period may be protective against this disease.
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Affiliation(s)
- Erdal Benli
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey.
| | - Ahmet Yuce
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey.
| | - Abdullah Cirakoglu
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey.
| | - Ibrahim Yazici
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey.
| | - Ismail Nalbant
- Department of Urology, Etlik Lokman Hekim Hospital, Ankara, Turkey.
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Abstract
OBJECTIVES Erectile dysfunction (ED) is the persistent inability to attain and/or maintain erection sufficient for satisfactory sexual performance. Chronic kidney disease (CKD) is a problem with increasing incidence every day which disrupts quality of life significantly. We aimed to research whether ED is a warning symptom for the early stages of CKD or not. MATERIALS AND METHODS The records of 639 patients attending Ordu University due to ED were retrospectively investigated. According to International Index of Erectile Function (IIEF) scores and degree of ED, patients were compared in terms of GFR values. RESULTS In 92.8% of patients, serum creatinine values were within normal limits (<1 mg/dL), while 30.5% of patients were observed to have GFR below 80. While stage 2 CKD was identified in 1% of the control group, this rate was calculated as 8% in the group with severe ED. In stage 1 and stage 2 CKD, IIEF scores were identified to be low by clear degree. CONCLUSIONS Results confirm that it was identified that the incidence of stage 1 and stage 2 CKD was higher among patients attending with ED compared to the control group. Just as ED may be an early clinical marker of coronary artery disease, it may be early warning symptom for CKD.
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Affiliation(s)
- Abdullah Cirakoglu
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Ahmet Yuce
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Erdal Benli
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Yeliz Kasko Arici
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Harun Dugeroglu
- Department of Internal Medicine, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Ercan Ogreden
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Benli E, Ozer FF, Helvacı Yılmaz N, Arici Duz O, Yuce A, Cirakoglu A, Ozcan TS. Effect of bladder dysfunction on development of depression and anxiety in Parkinson's disease. Arch Ital Urol Androl 2021; 93:336-340. [PMID: 34839641 DOI: 10.4081/aiua.2021.3.336] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 06/25/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES Parkinson's disease (PD) often presents with movement disorder. However, besides motor complaints, there are many complaints such as anxiety, depression, urinary complaints and constipation. The aim of this study was to investigate whether neurogenic lower urinary dysfunction (NLUD), which is frequently seen in PD, has an effect on the development of anxiety and depression in these patients. MATERIALS AND METHODS The study included 32 males (66.6%) and 16 females (33.3%); in total 48 subjects were registered. For the diagnosis and severity of PD, the UK Parkinson's Disease Society Brain Bank Criteria, Unified Parkinson's Disease Rating Scale (UPDRS) and the Hoehn-Yahr scale were used. Urological evaluation was performed using history, physical examination, laboratory tests and standard forms such as IPSS and OAB-V8. RESULTS There was no difference between the genders in terms of duration, severity and NLUD (p > 0.05). The incidence of anxiety and depression in PD patients was 62.8% and 72.1%, respectively. The prevalence of NLUD was 67.4% and depression and anxiety was found to increase (1.06 and 1.28 times, respectively) in relation to NLUD. In particular, there was a relationship between storage lower urinary tract symptoms and anxiety and depression development (p < 0.05). CONCLUSIONS As expected, it was found that the incidence of NLUD, anxiety and depression was increased in PD. In addition, NLUD was found to be a risk factor for the development of anxiety and depression. Therefore, it is concluded that NLUD, which can potentially cause important complications, as well as motor complaints, should be closely monitored and treated in PD patients.
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Affiliation(s)
- Erdal Benli
- Department of Urology, Ordu University, Faculty of Medicine, Ordu.
| | | | - Nesrin Helvacı Yılmaz
- Department of Neurology, Istanbul Medipol University, Faculty of Medicine, Istanbul.
| | - Ozge Arici Duz
- Department of Neurology, Istanbul Medipol University, Faculty of Medicine, Istanbul.
| | - Ahmet Yuce
- Department of Urology, Darende Hulusi Efendi State Hospital, Malatya.
| | | | - Tuba Saziye Ozcan
- Department of Neurology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul.
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Benli E, Yuce A, Cirakoglu A, Yazici I, Kadim N, Nalbant I. Effect of targeted prophylaxis with rectal swab on complications after prostate biopsy: prospective randomized study. Ir J Med Sci 2021; 191:1147-1152. [PMID: 34304346 DOI: 10.1007/s11845-021-02723-y] [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: 05/14/2021] [Accepted: 07/17/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND For diagnosis of prostate cancer, prostate biopsy accompanied by TRUS is the current method applied today. AIM The aim of this study was to compare targeted antibiotic prophylaxis, chosen according to rectal swab results before the procedure, with routinely administered prophylaxis and to investigate the effect on infective complications. METHODS The study included 140 patients with 12-quadrant prostate biopsy accompanied by TRUS in our hospital from 2018 to 2020. The first group had antibiotherapy prophylaxis administered according to the results of rectal swabs before the procedure. The second group had routine ciprofloxacin prophylaxis administered. Patients were followed prospectively for 1 month after the procedure. RESULTS When the mean age, systemic diseases and distribution in both groups are examined, there was no significant difference observed. Fever (> 38.5 °C) was observed in 3 patients in the rectal swab group (4.3%), while it was identified in 10 people in the control group (14.1%) (p = 0.047). Major complications were observed in 3 people in the rectal swab group (4.3%) and in 7 people in the control group (9.9%) (p = 0.012). CONCLUSIONS The results of the study identified that routine administration of targeted antibiotic prophylaxis may be more effective in preventing infective complications compared to standard prophylaxis. Targeted prophylaxis is recommended for risky patients in the guidelines. However, the lack of difference between the groups in terms of age and comorbidities supports the need to administer targeted prophylaxis not just to risky patients but as well as routine practice.
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Affiliation(s)
- Erdal Benli
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Ahmet Yuce
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey.
| | - Abdullah Cirakoglu
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Ibrahim Yazici
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Nurullah Kadim
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Ismail Nalbant
- Department of Urology Etlik, Lokman Hekim Hospital, Ankara, Turkey
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Çırakoğlu A, Fejzullahu A, Benli E, Yuce A, Ayyıldız A, Aynacıoğlu AŞ. Association between the Trp64Arg polymorphism of the ADRB3 gene and overactive bladder. Neurourol Urodyn 2021; 40:1780-1785. [PMID: 34260097 DOI: 10.1002/nau.24742] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 03/05/2021] [Revised: 05/09/2021] [Accepted: 06/05/2021] [Indexed: 12/20/2022]
Abstract
BACKGROUND The β3 -adrenergic receptor (ADRB3) is very important in the regulation of the human detrusor muscle function. The well-known tryptophan64arginine polymorphism of the ADRB3 gene alters the response of the receptor to various stimuli, including adrenalin and noradrenalin, and may increase the susceptibility to develop overactive bladder (OAB). Therefore, this study was performed to determine whether ADRB3 Trp64Arg polymorphism is associated with the pathophysiology of OAB syndrome. METHODS The study group (n = 150) consists of 72 patients with OAB and 78 controls without OAB. Venous blood samples were taken from all participants to analyze the ADRB3 gene Trp64Arg polymorphism using polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) assay. We compared the distribution of Trp64Arg polymorphism and symptom severity in both OAB and non-OAB subjects using χ2 test and Mann-Whitney's U test, respectively. RESULTS The frequency of the 64Arg variant (heterozygous plus homozygous) in OAB and non-OAB subjects was 15.3% and 14.1%, respectively. There was no statistically significant difference between the OAB and non-OAB groups in regard to the distribution frequency of ADRB3 Trp64Arg polymorphism. The total frequency (OAB + non-OAB, 76 women and 74 men) of the Arg64 variant allele was 5.9% and 10.8% in women and in men, respectively. Although the frequency of the Arg64 variant was nearly twofold higher in men compared to women, the difference was not statistically significant. CONCLUSIONS These results demonstrated that the ADRB3 Trp64Arg polymorphism is not significantly associated with OAB syndrome in a sample of Turkish OAB patients.
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Affiliation(s)
| | - Arta Fejzullahu
- Health Sciences Research Center, Istanbul Aydin University, Istanbul, Turkey
| | - Erdal Benli
- Department of Urology, Medical Faculty, Ordu University, Ordu, Turkey
| | - Ahmet Yuce
- Department of Urology, Medical Faculty, Ordu University, Ordu, Turkey
| | - Ali Ayyıldız
- Department of Urology, Medical Faculty, Adiyaman University, Adiyaman, Turkey
| | - A Şükrü Aynacıoğlu
- Department of Medical Pharmacology, Medical Faculty, Istanbul Atlas University, Istanbul, Turkey
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Benli E, Yuce A, Nalbant I, Cirakoglu A, Yazici I. Can transurethral thermotherapy save elderly patients with benign prostatic obstruction and high ASA score? Aging Male 2020; 23:1316-1320. [PMID: 32401108 DOI: 10.1080/13685538.2020.1765329] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
INTRODUCTION The Aim of this study was to investigate the efficacy of the new bipolar radiofrequency prostate thermotherapy method for those with high potential surgical risk and also for patients with a chronic catheter. MATERIAL AND METHODS 103 patients attending our clinic due to BPO and related complaints with high ASA score had outcomes after the procedure recorded prospectively and investigated retrospectively. Qmax, prostate volume, IPSS score, quality of life score, and presence of catheters were recorded before the procedure and analyzed with the outcomes after the procedure. RESULTS The ASA scores were calculated as 3.0 ± 1.0 (IQR). Before the procedure, Qmax values (mean (SD)) were 5.11 ± 5.37 ml/s, while in the 6th month after the procedure Qmax values were identified as 10.45 ± 3.8 ml/s (p < 0.001). Of 53 patients (55.2%) with chronic catheters who could not be operated, 30 (61.2%) no longer required urinary catheter. CONCLUSION Bipolar RF thermotherapy appears to be an effective method for patients with BPO who cannot be operated. Due to the surgical risks of patients dependent on the catheter in spite of receiving medical treatment, it is a good alternative to remove catheter dependence. It may be one of the methods that should be remembered, especially in this patient group.
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Affiliation(s)
- Erdal Benli
- Faculty of Medicine, Department of Urology, Ordu University, Ordu, Turkey
| | - Ahmet Yuce
- Faculty of Medicine, Department of Urology, Ordu University, Ordu, Turkey
| | - Ismail Nalbant
- Department of Urology, Etlik Lokman Hekim Hospital, Ankara, Turkey
| | - Abdullah Cirakoglu
- Faculty of Medicine, Department of Urology, Ordu University, Ordu, Turkey
| | - Ibrahim Yazici
- Faculty of Medicine, Department of Urology, Ordu University, Ordu, Turkey
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Yuce A, Dedeoglu SS, Imren Y, Yerli M, Gurbuz H. Two-Stage Surgical Procedure in Intra-articular Distal Tibiofibular Fractures with Soft Tissue Injury: in Which Stage Should the Fibular Plate be Applied at Initial Surgery? Malays Orthop J 2020; 14:90-97. [PMID: 33403067 PMCID: PMC7752001 DOI: 10.5704/moj.2011.014] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Introduction: The selection of the stage where fibular plate was performed in two-stage surgery of the intra-articular distal tibiofibular fractures with soft tissue injury is still controversial. The aim of the study was to compare the complications, radiological and functional outcomes between the patients who had fibular plate at initial or second phase during surgical management of such fractures. Materials and Methods: In this study, medical records of 47 patients who underwent a two-stage surgical procedure for intra-articular distal tibia fractures accompanying soft tissue injury were retrospectively examined. Delta frame was applied in all cases within 24 hours following admission to the emergency department in accordance with AO principles. Those cases where fibular plate was applied during the initial stage and the second stage were classified as Group 1 and Group 2 in order to compare recorded data between the two groups. Results: According to the results of the study, there were 25 cases in Group 1 and 22 cases in Group 2 in which fibular plate was applied at the first stage and the second stage, respectively. The mean follow-up was found as 27.7±7.0 months in Group 1 and 28.2±6.2 months in Group 2 (p=0.778). No difference was found between the two groups in terms of the age, sex, hospital stay, the time between two surgical procedures, tibiofibular angle and AOFAS scoring (p>0.05).These two groups were also similar in mechanism of injury, Denise-Weber or AO classification, rates of tibiofibular malalignment on post-operative CT, fibular rotation, intra-articular tibial step-off, tibial varus-valgus duration of union, rate of infection, fibular angulation and the presence of the flap/graft/debridement (p>0.05). Conclusion: In conclusion, two-stage surgical procedure in intra-articular distal tibiofibular fractures may be an effective method decreasing soft tissue complications. The timing of the open reduction and internal fixation of the fibula at different stages may not necessarily have an impact on the success of the post-operative tibial reduction, the total duration of surgery, syndesmosis malalignment or soft tissue complications.
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Affiliation(s)
- A Yuce
- Department of Orthopaedic and Traumatology, Basaksehir Pine and Sakura City Hospital, Istanbul, Turkey
| | - S S Dedeoglu
- Department of Orthopaedic and Traumatology, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Turkey
| | - Y Imren
- Department of Orthopaedic and Traumatology, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Turkey
| | - M Yerli
- Department of Orthopaedic and Traumatology, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Turkey
| | - H Gurbuz
- Department of Orthopaedic and Traumatology, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Turkey
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Cirakoglu A, Benli E, Yuce A. REPLY BY THE AUTHORS: Comment on Polygamy, Sexual Behavior in a Population Under Risk for Prostate Cancer Diagnostic: An Observational Study From the Black Sea Region in Turkey. Int Braz J Urol 2020; 46:877-878. [PMID: 32539250 PMCID: PMC7822354 DOI: 10.1590/s1677-5538.ibju.2020.0297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 05/05/2020] [Indexed: 11/22/2022] Open
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Benli E, Ozer FF, Yilmaz NH, Duz OA, Yuce A, Cirakoglu A, Ozcan TS. WITHDRAWN: Effect of Bladder Dysfunction on Development of Depression and Anxiety in Parkinson’s Disease. Clin Park Relat Disord 2020. [DOI: 10.1016/j.prdoa.2020.100065] [Citation(s) in RCA: 1] [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: 01/24/2023] Open
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Cirakoglu A, Benli E, Yuce A. Polygamy, sexual behavior in a population under risk for prostate cancer diagnostic: an observational study from the Black Sea Region in Turkey. Int Braz J Urol 2018; 44:704-708. [PMID: 29570262 PMCID: PMC6092644 DOI: 10.1590/s1677-5538.ibju.2017.0525] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 09/27/2017] [Accepted: 02/13/2018] [Indexed: 02/06/2023] Open
Abstract
Aim: Although prostate cancer (PCa) is the most common cancer type in men, a replaceable risk factor has not yet been established. In our study, we assessed the relationship between the number of sexual partners, age of first sexual experience and age of first masturbation and prostate cancer incidence. Materials and Methods: In Ordu University Department of Urology between January 2013 and September 2016, in PSA elevation and rectal examination, patients with prostate biopsy were evaluated due to nodule palpation in the prostate. At younger ages and at present, their first masturbation ages, first sexual debut ages, and total sexual partner numbers were recorded. The correlation between the obtained data and PCa frequency was evaluated. Results: The study included 146 patients with PCa identified on biopsy and 171 patients with benign biopsy results who answered the questions. 66.7% of the ones whose biopsy results were benign and 40.6% of cancer suspects had only one sexual partner. The median number of sexual partners was 1±4 (1-100) in the benign group and 2±6 (1-500) in the malignant group (p=0.039). There was a negative correlation between age of first sexual debut and number of partners (r: −0,479; p <0.001). Conclusion: In our study, it appears that there may be an association between the number of sexual partners and prostate cancer in the patient group with PSA level above 4ng/mL. Avoidance of sexual promiscuity or participation in protected sex may be beneficial to protect against prostate cancer.
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Affiliation(s)
- Abdullah Cirakoglu
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Erdal Benli
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
| | - Ahmet Yuce
- Department of Urology, Ordu University, Faculty of Medicine, Ordu, Turkey
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Karhan A, Emiralioglu N, Tugcu G, Yalçın E, Dogru D, Özçelik U, Yuce A, Kiper N. 168 Evaluation of nutritional status and fat-soluble vitamin deficiency in patients with cystic fibrosis. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30406-4] [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: 10/21/2022]
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Eraksoy H, Basustaoglu A, Korten V, Kurt H, Ozturk R, Ulusoy S, Yaman A, Yuce A, Zarakolu P. Susceptibility of Bacterial Isolates From Turkey - A Report From the Meropenem Yearly Susceptibility Test Information Collection (MYSTIC) Program. J Chemother 2013; 19:650-7. [DOI: 10.1179/joc.2007.19.6.650] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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17
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Akkoc N, Kuruuzum Z, Akar S, Yuce A, Onen F, Yapar N, Ozgenc O, Turk M, Ozdemir D, Avci M, Guruz Y, Oral AM, Pozio E. A large-scale outbreak of trichinellosis caused by Trichinella britovi in Turkey. Zoonoses Public Health 2008; 56:65-70. [PMID: 18705658 DOI: 10.1111/j.1863-2378.2008.01158.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
An outbreak of trichinellosis occurred in Izmir, Turkey, between January and March 2004. The outbreak was caused by the consumption of raw meat balls made of beef deceptively mixed with pork infected with Trichinella britovi. A total of 1098 people who had consumed this food either in 14 restaurants or from the street vendors located in three different neighbourhoods, consulted six different healthcare centres with a wide range of clinical signs and symptoms. Of them, 418 (38.1%) patients fulfilled the criteria for the diagnosis of acute trichinellosis. The most commonly observed signs and symptoms were myalgia (89.2%), arthralgia (69.9%) and eyelid (67%) and facial oedema (65.8%). High levels of creatinine kinase (69.3%) and lactate dehydrogenase (93.8%) with leucocytosis (>10 000/mm(3), 58.9%) and eosinophilia (>1000/mm(3), 60.5%) were the most prominent laboratory findings. All, but 13 of these patients were treated with mebendazole or albendazole. Based on the physicians' assessments of disease severity, 78 (19%) patients were additionally given prednisolone in whom a significantly more rapid recovery of clinical signs and symptoms (e.g. fever, myalgia, facial and eyelid oedema) was observed, with a rapid improvement in leucocytosis, eosinophilia and muscle enzymes, compared with those, who had not received corticosteroids (P < 0.05). Beef illegally mixed with pork of unknown origin, by a wholesale butcher who had sold this product to restaurants and street vendors at a lower price than the prevailing market price of beef, was the cause of this large-scale outbreak in a country with a predominantly Muslim population.
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Affiliation(s)
- N Akkoc
- Department of Internal Medicine, Division of Rheumatology, Dokuz Eylul University School of Medicine, Izmir, Turkey
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Abstract
Brucellosis is an important health issue in many parts of the world and clinicians are still seeking for better treatment choices. The aim of this study was to investigate the efficacy of moxifloxacin in an experimental brucellosis model and to compare its activity with rifampicin. Wistar albino rats infected with Brucella abortus were then randomized into 3 groups, which received rifampicin, moxifloxacin, and tap water, respectively. After 21 days, they were sacrificed and spleen, liver and blood cultures were performed. Spleen and liver cultures of all the animals yielded B. abortus in the control group, while these rates were 20% and 20% in the rifampicin group and 50% and 40% in the moxifloxacin group, respectively. The blood culture positivity was 66% in the control group and 10% in the moxifloxacin group. Blood cultures were all negative in the rifampicin group. As a conclusion, moxifloxacin might be an alternative choice in the treatment of brucellosis.
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Affiliation(s)
- N Sezak
- Dokuz Eylul University School of Medicine, Department of Infectious Disease and Clinical Microbiology, Izmur, Turkey.
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Yapar N, Sener A, Karaca B, Yucesoy M, Tarakci H, Cakir N, Yuce A. Antibiotic-associated diarrhea in a Turkish outpatient population: investigation of 288 cases. J Chemother 2005; 17:77-81. [PMID: 15828448 DOI: 10.1179/joc.2005.17.1.77] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Oral antibiotics are often prescribed, especially for respiratory tract infections in the community. The widespread use of broad-spectrum antibiotics causes an increased incidence of antibiotic-associated diarrhea (AAD). Although AAD has been studied in hospitalized patients, there is little available information concerning the characteristics of AAD in outpatient populations. The aim of this study was to investigate the clinical and laboratory findings of adult patients with community-acquired AAD. Between June 1998 and December 2003, the clinical reports of 288 patients were retrospectively reviewed. We observed that the duration between the start of antibiotic treatment and onset of symptoms was 7 days in most of the patients (86%), and the mean time was 9+/-1.0 days. The diarrhea was self-limited in all cases and mean duration of symptoms was 3 (+/-1.0) days (1-7 days). The most common symptoms were abdominal discomfort and tenesmus (61.1%), while elevated WBC counts and fever were detected rarely. We were able to perform microbiologic investigations in only 88 patients because of the financial problems. Of the 88 stool specimens tested, none of them were positive for pathogenic bacterial growth or toxin A production.
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Affiliation(s)
- N Yapar
- Dokuz Eylul University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, 35340 Inciralti, Izmir, Turkey.
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Avkan Oguz V, Eroglu C, Guneri S, Yapar N, Oztop A, Sanic A, Yuce A. RpoB gene mutations in rifampin-resistant Mycobacterium tuberculosis strains isolated in the Aegean region of Turkey. J Chemother 2005; 16:442-5. [PMID: 15565909 DOI: 10.1179/joc.2004.16.5.442] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Although DNA sequencing method has not been used routinely for detecting resistance of Mycobacterium tuberculosis to antituberculosis drugs, it is suggested for the investigation of gene mutations causing resistance. Using DNA sequencing (Automated Applied Biosystems), we attempted to determine mutations in the 81-bp cor region (rifampin resistance determining region) of the rpoB gene in 48 Mycobacterium tuberculosis strains found to be rifampin resistant by classical phenotypic methods. Of the 48 strains, 46 (95.8%) were found to have rpo gene mutations with 13 different types while in two (4.2%) of the 48 strains, no mutations were detected. None of the strains had mutations at more than one codon. Point mutations at the 531st (52.1%) and 526th (18.9%) codons were frequent. The most frequent point mutation was Ser531Leu, and it was found in 21 (43,8 %) of 48 strains. This is the first study from Turkey, reporting Ser522Leu point mutation in one isolate and deletion of 515th codon (ATG - Met) in two isolates.
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Affiliation(s)
- V Avkan Oguz
- Dokuz Eylul University School of Medicine, Department of Infectious Diseases, Izmir, Turkey.
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Beytut E, Yuce A, Kamiloglu NN, Aksakal M. Role of dietary vitamin E in cadmium-induced oxidative damage in rabbit's blood, liver and kidneys. INT J VITAM NUTR RES 2004; 73:351-5. [PMID: 14639799 DOI: 10.1024/0300-9831.73.5.351] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The aim of this work was to determine the effect of dietary vitamin E intake on lipid peroxidation (LPO) by measuring thiobarbituric acid reactive substances (TBARS), vitamin E and reduced glutathione (GSH) levels, and glutathione peroxidase (GSH-Px: EC 1.11.1.9) activity in plasma, red blood cells (RBC), livers, and kidneys of rabbits dosed with cadmium (Cd). Six-month-old clinically healthy New Zealand White rabbits (8 in each group) were given tap water only, containing 1 g CdCl2/L, or tap water with CdCl2 plus vitamin E (100 mg dl-alpha-tocopheryl acetate in 0.2 mL corn oil) daily for 30 days. The vitamin E level in the plasma, liver, and kidneys was significantly higher in the control than in the Cd-only group, and TBARS levels were significantly lower. There were no statistical differences between the control and Cd-only groups GSH-Px activities and GSH levels in RBC, liver, and kidneys. Vitamin E levels in plasma, liver, and kidneys and GSH-Px activity in RBC were higher in the vitamin E group than in both control and Cd-only groups. However, the TBARS levels of RBC, liver, and kidneys in vitamin E administered group were decreased. Therefore, the present study demonstrates the effectiveness of vitamin E in reducing oxidative stress in Cd-treated rabbits and suggests that reductions in increased TBARS due to Cd toxicity may be an important factor in the action of vitamin E.
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Affiliation(s)
- E Beytut
- Department of Physiology, Veterinary Faculty of Kaskas University, Kars/Turkey.
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Yildiz S, Naziroglu M, Kaya I, Aydilek N, Yuce A. Effects of palm oil on lipid peroxidation, reduced glutathione, glutathione peroxidase, and vitamin A levels in the corpus uteri, cornu uteri and corpus luteum of young and adult female sheep. J Vet Med A Physiol Pathol Clin Med 2002; 49:373-8. [PMID: 12440793 DOI: 10.1046/j.1439-0442.2002.00460.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aim of the current study was to determine whether a rumen protected palm oil based diet affect malondialdehyde (MDA), glutathione peroxidase (GSH-Px), reduced glutathione (rGSH) and vitamin A levels in the tissues of cornu uteri, corpus uteri and corpus luteum over the barley based isoenergetic and isonitrogenous diet, and whether the response is different between ewes and ewe-lambs. During the breeding season, half of Morkaraman ewes (2-4-year-old, n = 10) and ewe-lambs (7-8-months-old, n = 10) was offered a barley based diet and the other half was offered a protected palm oil based diet for 42 +/- 0.7 days. At the end of the experiment all animals were slaughtered and measurements carried out in the tissues collected. In all animals tested, cornu uteri had the highest MDA levels followed by corpus uteri and corpus luteum (P < 0.01) but no differences were between the tissues observed in GSH-Px and rGSH levels (P > 0.05). Vitamin A levels were, however, higher in corpus luteum than in cornu uteri and corpus uteri (P < 0.05). Corpus uteri MDA levels were not different (P > 0.05) but rGSH levels were higher for the palm oil fed groups (P < 0.05). GSH-Px and rGSH levels were higher for ewe-lambs than ewes (P < 0.05). In conclusion, it appears that MDA, rGSH, GSH-Px, and vitamin A work in a different fashion for corpus uteri, cornu uteri and corpus luteum, and for ewes and ewe-lambs. Dietary palm oil did not significantly affect the parameters studied except higher rGSH levels in corpus uteri. Levels of antioxidatively active substances, such as rGSH and GSH-Px were lower in ewes compared with those in ewe-lambs.
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Affiliation(s)
- S Yildiz
- Department of Physiology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey.
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Tayfour M, Yuce A, Yulug N. Comparison of minimum inhibitory concentration values for fluoroquinolones against Escherichia coli causing urinary tract infection in both hospitalized patients and outpatients. Saudi Med J 2001; 22:848-51. [PMID: 11744939] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
OBJECTIVE To determine the resistance among Escherichia coli isolates causing urinary tract infections in hospitalized patients and outpatients. METHODS This study was carried out in the Department of Microbiology, Dokuz Eylul University, Medical Faculty Hospital, Inciralti, Ismir, Turkey, from February 1997 through to June 1998. A total of 300 Escherichia coli strains were isolated from urine specimens of 111 hospitalized and 189 elderly outpatients (more than 20 years of age). We determined the minimum inhibitory concentrations of the test drugs nalidixic acid, pefloxacin, ofloxacin, norfloxacin and ciprofloxacin by the microdilution method, recommended by the National Committee for Clinical Laboratory Standards. RESULTS Minimum inhibitory concentrations(50) and minimum inhibitory concentrations(90) values of strains tested against fluoroquinolones, pefloxacin and nalidixic acid were the same for strains isolated from hospitalized and outpatients (0.125 microg/ml outpatients (0.03 microg/ml). Twenty-six (9%) of 300 Escherichia coli strains were resistant to all drugs used. Twenty (77%) of these 26 strains were isolated from hospitalized patients. We found that the resistance to nalidixic acid is much higher than other fluoroquinolones. At the same time, the resistance in the strains that were isolated from hospitalized patients is again higher than outpatient strains (46%). CONCLUSION Resistance among Escherichia coli isolates from patients to quinolones used in the treatment of urinary tract infections was rare during this period. Our study, like many other reports showed the increased resistance to fluoroquinolones for clinical isolates. However the appearance of multi resistant clones and the elevated prevalence of quinolones resistance in the hospital studied are warning signals for an increase in resistant strains as seen in many other countries. Therefore, it is important for physicians to use fluoroquinolones carefully so as to prevent, or delay, the emergence of resistant strains.
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Affiliation(s)
- M Tayfour
- Department of Microbiology, King Fahad Hospital, PO Box 204, Al-Baha, Kingdom of Saudi Arabia
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Duzova A, Bakkaloglu A, Yuce A, Ozen S, Koçak N. Successful treatment of polyarteritis nodosa with interferon alpha in a nine-month old girl. Eur J Pediatr 2001; 160:519-20. [PMID: 11548194 DOI: 10.1007/pl00008453] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Loudianos G, Dessi V, Lovicu M, Angius A, Altuntas B, Giacchino R, Marazzi M, Marcellini M, Sartorelli MR, Sturniolo GC, Kocak N, Yuce A, Akar N, Pirastu M, Cao A. Mutation analysis in patients of Mediterranean descent with Wilson disease: identification of 19 novel mutations. J Med Genet 1999; 36:833-6. [PMID: 10544227 PMCID: PMC1734255] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
In this study, we report further results of mutation analysis of the ATP7B gene in Wilson disease (WD) patients of Mediterranean origin. A total of 136 WD chromosomes, 73 of which were of Italian, 43 of Turkish, 18 of Sardinian, and two of Spanish origin, were analysed and the mutation characterised in 84.5% of them. We found 50 different mutations of which 19 are novel, including three nonsense, one frameshift, and 15 missense mutations. The mutations detected were rare and mostly found in the compound heterozygous state together with other mutations and only rarely in homozygosity. Most of these mutations lie in the transmembrane and ATP binding loop regions. These data expand our knowledge of both the structure-function relationships of the WD protein and the molecular pathology of WD, thus improving our capability of prevention and genetic counselling.
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Affiliation(s)
- G Loudianos
- Ospedale Regionale per Le Microcitemie ASL 8, Via Jenner s/n, 09100 Cagliari, Italy
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Yuce A, Kocak N, Besley GT. Galactosialidosis in two siblings. Turk J Pediatr 1996; 38:85-9. [PMID: 8819626] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Galactosialidosis is a rare lysosomal storage disease associated with deficiencies of alpha-galactosidase and beta-neurominidase. In this report, two siblings with galactosialidosis, resembling Niemann-Pick disease with the presence of foamy cells in multiple organs, splenomegaly and prominent hepatomegaly, are presented. Galactosidase deficiency and an increased number of urinary sialic acid compounds were determined in these cases, and prenatal diagnosis was performed for their fourth sibling. Besides the presence of the typical clinical features, enzyme study is essential for the diagnosis of lysosomal storage disease and it facilitates in making the prenatal diagnosis.
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Affiliation(s)
- A Yuce
- Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Abstract
The technique of digital splenoportography with thin flexible needles and small amounts of dilute contrast medium is described as one particularly suitable for use in paediatric patients. The authors report a high incidence of spontaneous splenorenal shunting revealed in their patients by this technique.
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Affiliation(s)
- F Balkanci
- Hacettepe University, Medical Faculty, Department of Radiology, Ankara, Turkey
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